HomeMy WebLinkAbout3536 Moore CourtORE CT,
20 sqs with 30 yr dimens
Eck'
' ESTIMATED PI
FEES
162.90
on .00
104.40
267.30
01/15/2010
07/14/2010
igles
W HEgT
City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
00<ORPOO Inspection Line: 303-234-5933
Permit
Building Permit Application
Property Address:
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
City, State,
Contractor:
G/~
Phone:
Contractor License Phone: 2 -3
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date-
Exp. Date:
Exp. Date:
Use of space (description): Construction Value: $ ~5~5fD~
Description Of,work: ~ 7~ Q ` '2 O „ u c (as calculated per the Building Valuation Data sheet)
0 c)" 3 r) de o``L /U)( / Plan Review (due at time of submittal): $
cei '+'t "412 iUxR/'/ S 4 r (PS'
Sq. Ft./L.Ftadded: Squares BTU' Gallons Amps
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 1 have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject -t geld in ction.
CIRLCE ONE:: (OWNER) (CONTRACT ) or PERSONAL REP SENT E of WNER ~ONTRATOR)
PRINT NAME: S SIGNATURE: / y f- Date: /~I J lG
Bldg Valuation: $