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HomeMy WebLinkAbout4120 Jay Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE t/63 F1.0-tt Elec. Inspection Type: 310 E MR Job Address: YQ0 5 Permit Number: DO)o ) 3cq ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http //www.ci.wheatridge.co.uslinspection Date: (G'3�"� `� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 1 ' ❑ No one available for inspection: Tim6--'t' ,-t'_AM/PM Re -Inspection required&s/ No When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.us4nspcti Date - Inspecto City of Wheat Ridge E -Res. Electrical Service PERMIT - 201902138 PERMIT NO: 201902138 ISSUED: 10/08/2019 JOB ADDRESS: 4120 Jay St EXPIRES: 10/07/2020 JOB DESCRIPTION: Electrical upgrade, 200 AMPS in house and a 50 AMP sub -panel. *** CONTACTS *** OWNER (303)458-5582 MARNIN JAMES ALLEN SUB (720)381-1767 LOUIS STEPHENS 140291 ABSOLUTE ELECTRICAL SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,956.00 FEES Total Valuation 0.00 Use Tax 104.08 Permit Fee 125.05 ** TOTAL ** 229.13 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and an authorized to obtain this permit and perform the work described and approved in conjunction with this pennit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gra ting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apble code or 41 ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Whoot Ridge 1O/O8/2O19 15f11 CyGA Electrical upgrad--�j CDA021739 AMOUNT 8PSP 4120 Jay St 229.13 APPL/P[RMIT NO; 281902138 PAYMENT RECEIVED AMOUNT PP / 088 229,13 WH CODE: 65175407 T0TAL 229.13 ----------------------- Dina Kem From: no-reply@ci.wheatridge.co. us Sent: Tuesday, October 8, 2019 1:53 PM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Categories: Dina Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address 4120 Jay Street Property Owner Name Jim Marnin Property Owner Phone 303-803-4526 Number (enter WITH dashes, eg 303-123-4567) Attach Credit Card autho form.pdf Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** CONTRACTOR INFORMATION Contractor Business Absolute Electrical Services Name Contractor's License 140291 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-381-1767 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address michelle@absolutefix.com Retype Contractor Email Address DESCRIPTION OF WORK Is this an electrical service upgrade or change? Number of Amps Location of upgrade/change (garage, house, etc) michelle@absolutefix.com Upgrade 200 house Provide additional details, also adding a 50 amp subpanel if needed. Project Value (contract 4956.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes z I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Michelle Holm Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 JINSPECT REQUEST LINE: (303) 2%A I34-5933 " 4 4^". 1 4*01 0%, 7C_ Inspections will not be performe les th rd is posted on e project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Plumbing Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Piumbing Final Mechanical Roof % Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is I*QuPd '�)r-fect This Card From 7, ll,^P tea- '�� City of Wheat Ridge Residential Roofing PERMIT - 201702415 PERMIT NO: 201702415 ISSUED: 06/22/2017 JOB ADDRESS: 4120 Jay ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential reroof: Remove and replace roofing on house 4/12 pitch, house patio 1/12 pitch, house -carport 1/12 pitch, dog house 4/12 pitch. 17.33 squares Tamko Heritage 30 year laminateed composition SA Modified bitumen low slope application 4.58 squares flat *** CONTACTS *** OWNER (303)458-5582 MARNIN JAMES ALLEN SUB (303)340-8979 John Coplan 170282 C Property Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,924.28 FEES Total Valuation 0.00 Use Tax 208.41 Permit Fee 204.30 ** TOTAL ** 412.71 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer&#39;s technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702415 PERMIT NO: 201702415 ISSUED: 06/22/2017 JOB ADDRESS: 4120 Jay ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential reroof: Remove and replace roofing on house 4/12 pitch, house patio 1/12 pitch, house -carport 1/12 pitch, dog house 4/12 pitch. 17.33 squares Tamko Heritage 30 year laminateed composition SA Modified bitumen low slope application 4.58 squares flat 11 by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized by the legal owner of the property and am authorized to btain this permit and perform the work described and approved in conjunction with this permrss. I further attest that I am leggallxauth ize include all entities named within this document as parties to the work to be performed and t w rk to be perfo e r is e n this documepf' d/or its' ccompanying approv ns and specifications. -.-. .,/ - :�� - Signature of O ER or CONTRA O (Circle one) Date 1. This permit was issued based on the' it5 ormation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subj&Ctq field inspection. Te Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick —)r,4"1 b2- q 15 'gli From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 13, 2017 12:53 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4120 Jay St, Wheat Ridge, CO 80030 Jim Marnin 303-458-5582 jmar254@aol.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number C Property Restoration 170282 303-340-8979 Contractor Email Address getmecpr@gmail.com (permit pick-up instructions will be sent to this email) Retype Contractor Email getmecpr@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Tamko - Heritage 30 Year Laminated Composition Material Select Type of Material: Asphalt, Other (specify below) If "Other" is selected SA Modified Bitumen Low slope application above, describe here: How many squares of the 17.33 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4.58 on the flat roof? z TOTAL SQUARES of all roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 21.91 Remove and Replace Roofing on House 4/12 pitch, House Patio 1/12 pitch, House -Carport 1/12 pitch, Dog House 4/12 9924.28 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Scott Crosby Email not displaying correctly? View it in your browser. 3 Job Address: 4120 Jay St, Wheat Midge, CO 80030 Contact: Jim Marnin Phone: 303458-5582 - .LL_ RCCF11Vb Prop. No,: 4006 Sheet No.: 17-11631 Date: 6/13/2017 We hereby Propose to Furnish all the materials and Perform all the labor necessary for the completion of>> 1. Remove Ridge Cap: Yes 2. Tear -Off: One Layer(s), Clean -Up and Haul Away. 3. Re -Roof. 30 Year *Lifetime Laminate Color Of Choice TAMKO - Heritage, Painted Desert 4. Other: WE HEREBY PROPOSE TO FURNISH ALL LABOR AND MATERIAL NECESSARY TO REROOF THE ABOVE PROPERTY, ROOFING SHALL BE PROPERLY INSTALLED IN ACCORDANCE WITH MANUFACTURES RECOMMENDATIONS. ROOFING INCLUDES ALL NEW GALVANIZED METAL, ALL STEP AND STEP WALL FLASHING REPLACED, ALL NEW ROOF VENTS, PIPE JACKS, ROOFING UNDERLAYMENT, ICE & WATER SHIELD, DRIP EDGE, ALL FASTNERS NEC. SA MODIFIED AT LOW SLOPE AREAS. All work will be performed in a timely, professional manner, meeting all Colorado and City Codes. Material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner. For The Sum Of: $9,926.60 With Payments to Be Made As>> For Material: INCLUDED Completion of Tear -Off: INCLUDED Completion of Roof: $9,926.60 Completion of #4: INCLUDED Completion of Gutters: Norte C Property Restoration hereby referred to as C P R Any alteration Or Deviation From The Above Specifications Involving Extra Costs Will Become An Extra Charge Over And Above The Estimate. To Include Any Hidden Layers Needing To Be Removed, To Stay In Compliance With Colorado & City Codes. ALL Agreements- Contingent, Upon Strikes, Structural Or Accidents Beyond Our Control. Owner To Carry Fire, Tornado and Other Necessary Insurance. Owner is responsible for the realignment of any satellite dishes once work commences. C P R will R & R (Dishes) Labor Warranty Does Not Cover Damage To Roofs Due To Settlement, Distortion, Failure Or Cracking Of The Roof Deck, Walls, Or Foundation. C P R is not responsible for any interior damage or mold below the roof due to leaks by excessive rain, wind, ice dams, hail or preexisting construction defect during the period of the warranty. C P R, will not be responsible for damage or mold below the roof due to workmanship leaks if not notified in writing within 24 hours of the first occurence. 1. All Surplus job materials belong to C P R. 2. Purchacer will supply all electricity for work. 1 All monies are due to C P R at the completion of work according to terms and conditions of this agreement. 4. ROTTEN OR DETERIORATED WOOD; We will install approved exterior -grade sheathing (decking) where needed. no charge or estimate has been made for replacing such rotten wood. If such conditions are founil duping installation, an additional charge will be made in writing under a separate form. CUSTOMER INITIAL N1 . . 5. CAUTION; New Shingles Will Conform To Any Unevenness of existing deck and or shingles. 6. IF MORE lavers are found; During The installation that are determined by City or County Codes to be removed an additional charge per layer per (I00sq. ft.) will be over and above the original contract. CUSTOMER INITIAL Charge of Permits = Cost. Amount Only Equal To Receipt From City Or County. CUSTOMER INITIA ABOVE PROPOSAL PRICE GOOD FOR 30 DOS. /All Payments made with credit card will be ged a 3.75% processing fee. Respectfully Submitted, �fl >>ACCEPTED> >>DATE rc 15461. Batavia Dr. Ste B, Aurora, CO 80011 303-340-8979 • Fax: 303-340-2079 e getmecpr@gmail.com i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ! Y► ) Job Address: ) Z_0 _�A\q ST Permit Number: zl�D 1 "7 OZ q ( S_ ❑ No one available for inspection: Time i'ggO ANEf5O Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: to�ZC�l�� Inspector: 6 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: e f ❑ No one available for inspection: Time/PM Re -inspection required: Yes QNo When corrections have been made, call for re -inspection at 303-234-5933 Date: C / C inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGEpA,1 Building Inspection Division (303) 234-5933 Inspection line Pi to (303) 235-2855 Office • (303) 237-8929 Fax Q d 0 INSPECTION NOTICE Inspection Type: je D Job Address: y/ 'D -D Permit Number: :;L b s 7 b "A V/ L ll; _ ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE i ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: _ /%�er¢L , Pegno1 - Job Address: Vl.2r 44 te ST Permit Number: /e"a7oG r,4, � � ? /�ZJPX J T / � / j F <�G �e / ' ✓ / .!^ // lYf't�/ // f � TiT AbF. / f7f/v Cl 3S w 7 \ ✓ � / f 7leL/ �K-f F' ^ ��� h ?,rsv, .5� ifii,E° ✓LS � /SFi�vvf�L� ) ❑ No one available for inspection: Time _/ 3S AM/�J/�} i Re- Inspection required: �s No "When corrections have been made, calf ff or rr/ re- fnspection at 303:234 -5933 Date: ` io 10 Inspector: `� r DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division — rd (303) 234 -5933 Ins P ectiomline (303) 235 -2855 Office • (303) 237 -8929 Fax IN NOTICE Inspection Type: k Job Address: g1PFD Kati, f Permit Number: !r 17U tn)kPin ✓, ko C��l7 No one available for inspection: Time i AM M Re- inspection required: I Yes No 'When corrections have been made, call for re -ins actin at 303 -234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE 4 4 , City of Wheat Ridge f Res. Miscellaneous PERMIT - 101706 M PERMIT NO: 101706: ISSUED: 07/07/2010 'JOB ADDRESS: 4120 JAY ST EXPIRES: 01/03/2011 r"DESCRIPTION:. R &R 17 sqs siding; T /o. roofing - install 13 sqs. 30 yr Tamko Di ** CONTACTS * ** Nowner 303/803-4526 Jim '.Marnin.. go 303/340 -8979 02-0420 A Professional Service Co t ** PARCEL INFO ** ZONE CODE: UA USE: UA t:it of Y heat I Date: C.OMMUNny Dr.VELOPMEN ii✓ T Plan # Building & Inspection Services Division Permit # 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property AtJdress;, / 7i9 Property Owner (please print): `//����/ Phone36C?�3 Mailing Address: (if different than property address) Address: City, State, Zip; Contractors City License #: Phone: 3 3 �/o % Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # 5 Descripttoii•otwerka "7 L Z,,, To ' Contract Value: // �� "' // 1p�.Y,• �- Review Fee (due at time of submittal): Squares I BTU's Gallons Amps Sq Ft. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants; easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full .responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner y entity included on this application to list that entity on this application. 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