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3640 Otis Street
06 044sSi-. INSPECTION RECORD !NSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 ,ancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy.,' Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Do Not Pour Concrete Prior To ApDroval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Mid -Roof Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Comments Initials 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 Plumbing 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 Issued Protect This Card From The Weather d City of Wheat Ridge Residential Roofing PERMIT - 201706501 PERMIT NO: 201706501 ISSUED: 08/23/2017 JOB ADDRESS: 3640 Otis ST EXPIRES: 08/23/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 27 sq *** CONTACTS *** OWNER (720)938-4729 JONES GLEN H SUB (303)435-0868 David Schumacher 150102 Galaxy Roofing Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,000.00 FEES Total Valuation 0.00 Use Tax 231.00 Permit Fee 220.15 ** TOTAL ** 451.15 _J *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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 manufacturer 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 0 PERMIT N0: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706501 201706501 3640 Otis ST ISSUED: Residential Re -roof to install asphaltEXPIRESshingles 08/23/2017 08/23/2018 27 sq I, by cablmy signature, do hereby attest that the work to be performed shall comply with all accom an in a applie building codes, and all applicable munici al codes, olicies and rocedures, and that I am the le al owner by the legal owner of the roe p P Y pprrved plans and specificationsauthorize, p p rty and am authorized to obtainthis permit and perform the work described and approved an conjun this permit. I further attest that I am le ally authorized to include alI 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 tans an p d specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 re 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 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 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 re uired 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, any viol ion of an applicable code or rdinance or regulation of this jurisdiction. Approval of work is subject to fie nspection. y provision of any Signature of Chief Building Official REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSP CTION Antoinette Kulick -_�o'70C�o From: no-reply@ci.wheatridge.co.us Sent: Monday, August 21, 2017 6:32 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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 �l% udi v�r residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION f L Otis Property Address 3640 St. Property Owner Name Glen Jones Property Owner Phone 720-9384729 Number (enter WITH dashes, eg 303-123-4567) 213 S Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes CC108212017 0001.ipg CONTRACTOR INFORMATION Contractor Business GALAXY ROOFING Name rJ /- Contractor's License 150102 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Contractor Email Address Retype Contractor Email Address 303-435-0868 5850 E. EVANS AVE 103 GALAXYROOFING@OUTLOOK.COM GALAXYROOFING@OUTLOOK.COM DESCRIPTION OF WORK TOTAL SQUARES of 27 the entire scope of work: Project Value (contract 11,000.00 value or cost of ALL materials and labor) Are you re -decking the No roof? 214 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No / Yes 27 GAF AMOURSHIELD CLASS 4 SHINGLES Asphalt HOUSE & GARAGE; REMOVE ALL LAYERS 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 this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 215 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. Name of Applicant DAVID SHCUMACHER Email not displaying correctly? View it in your browser. 216 (303)333-3739 1'— Free Estimates COMMER.CIA.L & RES111DENTI AL focal Business for 25 Year y Galaxy Roofs. 5650 E. Evans Ave. Denver, Colorado 802ZZ 303-333-3739 General Liability Insurance Policy # PRC2631-14080606 Evans Ave Ln a o="Galaxy Roofing LA F First In Quality Ins. Co. Tel. # Claim # Adj. Name Tel. # Fax. # First in Service * F` Fret in SLiflg1°nr fl nna PROPOSAL SUBMITTED TO: _ 1 ^� -� ^c _ DATE: �J _A � STREET: Cp 4 p Oi3 � r j -L" JOB #: CITY, STATE, ZIP:r.� -f - y x ri ({ � ( at&SIGN: HOME PHONE: U —�3 :b BUSINESS PHONE: SPECIFICATIONS FOR LABOR AND MATERIAL off : :Architectural Composition: 0 Other: 3 Composition r ' -Tab Layer Initial for color of s les:. fessionally Install: Brand 21 Ar �Type yColor:0 j5o 30 0 40 0 50 Year 0 Lifet' a Bonded Roof Install starter coarse shingle around perimeter install Ice & Water Shield S lightNk 2X2 2X4 4X4 , Tear o�1 ' Put onL� 1 r ew Valleys 4 !- . Ft. Install: 0 15 Felt 0 30 Felt em etic Felt , ` Garag F V 1 dges "] Q} L } P. Standard LQ -,Ll i S Nails n, u alv ed �i.�l-1/4" t , Z ood replaced at $40 -Sheet (If Needed) Shed eal roof stacks, side walls, counter and step flashings eflash Chimney ; rip Ede Fiat Roof Edge Paco w 0 Re -use 0 4" 0 5" 0 6" 3 to 1 Autos � Plumbing Vents Over Furnace Caps Awning al 1 .A - ntilarion: Low Profiles Turbines Power Vents Ven E initial for Dolor on Drip edg :� r lean -Up and ha l off all ' b related trash�ol-1 yard with magnetic roll Protect yard and shrubs ✓� �therr-l W IES G 3 -Tab, Dimension. 0 Flat/ low (4/12" pitch or less) I" Unwanted Flat/ ear Labor 0 3 Year Labor Year Labor fl 10 Yeaz Labor Initi for co"lor of Gutters;,AJ LDowns: Color: Color: PVC OCoiI ,Fascia: _kW0 Siding: Profiler Size: Color: Soffit Color: Style • Galaxy Roofing is not responsible for pre— existing structural conditions. • Buyers agree they have seen, read & understood all terms & conditions of this contract & agree to be bound by some. • A LIEN WAIVER, WARRANTY, AND INVOICE WILL BE PROVIDED UPON FUL PYMENT. !41c f 1 6' f rM°06 C� i 3 - -` 17 3 I c d i l l �' .. _ C NNT N — is p opo I isontingen pon the Insur a company paying for damages. This proposal will be VOin only if claim is disallowed by insurance company. Property owners out—of—pocket expense is not to exceed the deductible amount. 13UYER RIGHT TO CANCEL—if you decide you do not want the goods or services, you may cancel this Agreement by mailing a notice to the Seller. The notice must say that you do not want the goods or services and must by mailed by midnight of the Third Business Day after you sign this agreement. The notirX mut be mailed to G llazy,Rgofing Comp y. PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY- LOSS WORKSHEET WHEN RECEIVED, 6- AQ We propose to hereby furnish materials & labor, complete in accordance with above s ec ' ns for the sum of the I n e as per the insurance company loss s s eet, for ich nce, to include cu pro nd o hen multiple trade ncurred. was ux'A A + Is incorporated herein and made a part hej1R/APR Payment upon compietio ac ra OCEEDS _ IT sph-, Authorized Signature:' -�\ i UPANCE PROCEEDS *Must be approved by company owner. No other work expressed or implied verbally. All changes to be in writing and accepted before commencement of changes. 'NOTE: This proposal maybe withdrawn by us if not excepted within 30 days. ACCEPTANCE OF PROPOSAL: The above prices, specific ns and ccon�diti9ns are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined about X ,/` �� it --Y—? DATE: — 15- ( J O 71 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:�r, Job Address:�'U(� Permit Number: 201%C�Co�C� ❑ No one available for inspection: Time 1: 30 AM/ M Re -Inspection required: YesNo When corrections have been made,or re-* ection at 303- 4-5 33 Date: 12S �'" Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WH E Building Inspecti sman. (303) 234-5933 /nom (303) 235-2855 Office • (- =—� INSPECTION P+lWa Inspection Type: Job Address: Permit Number: 1 U,a *,J SOS LIZ ❑ No one available for inspection: Tiiiiiiiiiiiiiiiiiiiiiiiii Re -Inspection required: YesNo 'When corrections have been made, Yes= P Date: 5 1 -215//7 --inspector: DO NOT REMOVE �- A 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: M 1 V Job Address: 7-1 Permit Number: / J 4No one available for inspection: Time Z. -2U ANg�M Re -Inspection required: Yes When corrections have been made, call for re -ins action at 303-234-5933 Date:AInspector: a�_ et DO NOT REMOVE THIS NOTICE MR1019M FOR OFFICE USE ONLY City of Date;, ,aOMMUNr„ry t r prr T 1s .. . Building & Inspection Services Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 Flan Reviewv Office: 303-235-2355 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Please complete all highlighted ,gess on bath si of'this form. Itttomplete applications may not be processea Property Address: PryOwner pie se print). Pierre« ..” Property Owner Email: Mailing Address: (if different than property address) Address; fit ,Mete; dip: Architeot(Engineer E-mail.- Phone*. Contractor: Contractors City License M. Phon$:303--� ' ° ��" el. Contractor E-mail Address: Sola Contractors.* Electrical: Plumbing: Mechanical: W.R. City License # W,k City License # W.k City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this for i • apply) 1F '. w� Y w #er �: Y. d.' r my. • d yY s d Y14 Y � � • d � ��p� AI all � � Y d Y� w" 014 • r r. � '" ". � � "" w �A M4.. a.. d+bi d.. YY •d s � • r► d � Y d YYf :4 d Y N. Y...YM � ■x M d aMOU c � his to t used, etg.) /'' ep Sip. FULF E3tuYe Gallons Amps Square Other Quality, Design & Dependability WALL-TO-WALL FIAME Gas firs'plact, an, usvd It) COM k111 Vmu, cxisfing wof)d burnim, firs placc hat, ;1 morc efficicilt and i%av u) hem \(ml, 11mm" Chfu)w fi,sms mu, ram�,s, vw-c"twhim, gis illscns, wbling nidiavwc and 1N1.,rnwh t97 -Imlir 11t: m" at the prvs�, (9F a1 bumm, SPECIFICATIONS m� -- dap._ 16,000 -.:4 ,00 8701HR 23,000 PAN, 61WHR 27,000 40,000 8763='4##Natura� 1 1,25- 1.6 -6.6 Kw/HR 63 -9,8 4 148 T9 H] KOM pwpane i 17,000 2300 RUIRR 4,009 BlUdR m0000 iomoo awlin 6" 1 4 q 6,6 XW1145 1 13 9C K*:dR i i I bib` u4 1,25" 01 t immt i {'416,1^ �� 059mfm 056fruN j 06mfo itisawo #32mq 410,I14°ION 28` 18'5 85.,,E 22,375" 3.75` AM' Q nnnt mm) 659maii ( (356mm� _j 356mm� P4 i 411 9"'o wym% 4mmPum m dw (6k,wkiwl (hw W 2, ',';3:5'"x VI 1 63 V, V Add 2'-H x VW x D IS,75- i 5, J, 5 15, (> "l whec s m' Fwg,cd i,,a,� frnmB vent sue wa, 3" ;76grmlj veorr I twa 3" mm� (76verm I l two, Y #76mn� vvts I b,wmg 11"a H k G W 2 V' x 3,S- 1 H 12 S" A W I h- 1 H 14,V , W Ni" ----------- (hrarance to Combus66les T Mmle dearame fmm 34 (864-wn3 31 MG;nm� 4'B" 05mmi boos 8" thomm at tS unit rki bartorn of 8" maniol S�dr, demancs, Vom 1Z)MV111, 1 2 5 3 6 q, xe Surround Sizes 3 Med SKBAB W 38.5" x H 25,5" W 4(.5" x H 27,75" W 44"' x Y 29115" SUB swoundt 4 vde¢l SKBAB sm! W 38 S" x R 3L625` W 40- , V, 31 US" s W 44" x 4 35,875" SKAB wmwq6 3 sided SXLB W 4125" x H 28..li" W 475 r H 30 IS- ' A' W 4 15",, H MN Surround forged Iron fronts Side Height I Width Side Height /Widds 1 ---1-----.-----. Side Height / Width and Surround Doors Center Height Center Height Center Height Arched Forged hon 24,875 139 175 16875 1 4212S 28,875 1 44,Q5 1 from, 27,875 29,875 31,875 Bawtsquwe Fmged 25 875 ' 39 i2l, 27,875 / 92 P 2 t d" :9875 i 14,5 Iron From, H'amA6 l 25,875 27 8B 11ifls Dow w~ (f .kohl iqppr-a,\v(i tri (mlAiur "Iml tmwvwm, mlsi Z2 I (",8b-2000° "a 2-33b-2006 <m(� a„;m4p,-2, NORTH AMERICAN MADE N11 Alvhs;srd filvplaccs Iur, inumfirciurcd in North Anwri(,z� \601 the highcst of w(wkmanship, We ars, ommnitwd t(p sup p tl un g fn,ir r,(,mmmy mid t'nsurhng dtv North AnwriC1111 nim,k(,t r(V(,i,,vS dw qu,)Hfy prmhwl,�; is Im 22,D9124N 1 21625” 13" NAN' N" 0125" 9 175" 1 1,25- S m (75m� (330mrrJ 051mm) B56rnm) (454mm) (95mrn) i32rnm,) 34-M344 2s.675,, 6" N 5" It 9.875 i 3, IS" 1,25" 01 t immt i {'416,1^ �� 059mfm 056fruN j 06mfo itisawo #32mq 410,I14°ION 28` 18'5 N 125" 14" 22,375" 3.75` f US" Q nnnt mm) 659maii ( (356mm� _j 356mm� (Mmas) ffinion (32mm) wym% m dw (6k,wkiwl (hw kr,\VNV. K1 rCh ca I'd. Co I st hitiwd hi C%imtda to *4 ��F vm, INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic . 2 _ /9 Weatherproof / French Drain I Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) "`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZA TION OF A CERTIF OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric. Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing - Insulation Drywall Screw FINALS Electrical - - - Plumbing Mechanical Roof . 2 _ /9 Building Final I Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZA TION OF A CERTIF OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 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: F„u11-L 4✓ 10- Job Address: 36,10 I~ its S~ Permit Number: / 160479 PKY f /Ir7/S 2 //Do/ ~JG ?I ❑ No one available for inspection: Time 3 E/D AKT-9 Re-Inspection required: Yesc_ When corrections have been made, call for re-inspection at 303-234-5933 Date: J-2-i0 Inspector: DO NOT REMOVE THIS NOTICE s t s CITY OF WHEAT RIDGE r Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE; Inspection Type: 177 t f 'i Job Address: S/., //0 1 ;L,_1 ~i Permit Number: 1'6O 4/7f I I ❑ No one available for inspection: Time /.O A M/ Re-Inspection required: Yes No "When corrections have been made, call for re-inspectfon at 303-234-5933 Date: IL inspector: {!r i~ f e DO NOT REMOVE THIS NOTICE e s At s CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ay1,o 1- Job Address: GYM o7,1< s 7 Permit Number: se96i2"g ❑;No one available for inspection: Time2 ~d AM/M Re-Inspection required; Yes __No When corrections have been made, call for re-inspection at 303 234-5933 Dater a 4!/ 8 Inspector: A DO NOT REMOVE THIS NOTICE e e e CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IgI14Q~a= Job Address: GYV ®7-t 5 5-7 Permit Number: s~ V;? 3 .~s$ra. fid7P 02 ~L/9'/~/?F/2 ~s~Q ~irlSfJfr'd~xanJ 15.5' !-'.27.m FJ~f;~,~r~7~ r'!.~, vn.asvns~ -v ~,~r~F mil ~~/a/7'.P (-tlssrL©{ ~srr,~ p C7~ l .411 s'i2r t~ G'r~/s' -F- e/.4lfFra L <z.~~.'~ 4-- g.5`21 -2 a 1P20.Ad12S yo _go 7- ,4Ls_r S7 1Z7 1~ Yf T' r ❑ No one available for inspection: Time EE AM PM Re-Inspection required: es _No When corrections have been made, call for re-inspection at 303-234-5933 Date: .412,? Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Building Division Date:a A) ~m 7500 W. 29th Ave.; Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 Plan e La Inspection Line: 303-234-5933 Permit: ln~w q10 ^ L Building Permit Application NNENIMM 36YO O Sat Property owner (please print): G c£A1 ►J jo NG r Phone: 3-y~ 3 •I1 S9 Mailing Address:' (if different than property address) Address: City State Zip p~ d Do 3m NNW: O C)QQOR `TIOOIrJNG Contractor License#: Phone:3©3-441 02-Z)7915 ENEFAIM Electrical City License Plumbing City License Mechanical City License Company: Company Company Exp. Date: Date: Dval: se of s ace descri tion): U ploomminwAwmm IL Construction Value: (as calculated per the Buildi Plan Review (due at time of Sq. Ft./L.Ft added: 30 Squares BTU's Gallons Amps v Exp. Date: UNDERSTANDING AND AGREEMENT proposed by this permit application are accurate, and do not violate applicable ordinances. Idge or covenants, easements or restrictions of record: that alt measurements shown. and read and agree to abide by all conditions printed on this application and that I assume full at Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONALREPRE ATIVE of (OWNER) (CONTRATOR) PRINT NAME: 4,4R/ZY Rta")diOICA SIGNATURE: ` Date-. 2~ti•I,p_ DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer. i Pl'JBLI WORKS. COMMENTS: Reviewer. BUILD NGDEPARTMENT COMMENTS: OCCUPANCY: - .R6viewer .y4,:V•'4F r~~~3~~~~`'[t3't~is;'~dp vdd ❑ naieVie>k+rdttil(ied Bltlg Valuatign $