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HomeMy WebLinkAbout4271 Garland Street� 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: L410 - i=to A I h% ,, o a Job Address: t -I -d � / n r /zl h d S 7 Permit Number: "r-) © 1 S d ► 3 & S' ❑ No one available for inspection: TimeM/ M Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234- Date:-,16- 03-234-Date:,1a a z4 ZI16 Inspector: `TD DO NOT REMOVE THIS NOTICE Am 10 ► i 41 City of Wheat Ridge Resid. Windows/Doors PERMIT - 201801365 PERMIT NO: 201801365 ISSUED: 05/10/2018 JOB ADDRESS: 4271 Garland ST EXPIRES: 05/10/2019 JOB DESCRIPTION: Remove and replace 13 wood windows with 13 vinyl replacements; u -value = .27 *** CONTACTS *** OWNER (720)660-6861 DUNCAN KATY A SUB (888)736-6335 Adam Kaliner 160260 Power Home Remodeling Group *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,601.96 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 264.64 ** TOTAL ** 314.64 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 1, 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 I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this erm►t. J urther attest that I am leggally authorized to include all entities named within this document as partes to the work to be perform3t all work to be�per�ftmed is disclosed in this document and/or its' ac,Companying approved plans and specifications. Sigfiat'reO OWNER or ---CONTRACTOR (Circle one) Date ' r 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. 1 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 originalpenmt 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 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 granting of a pe t hall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code ordinance egulation of this jurisdiction. Approval of work is subject to field inspection. ,9 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheatfk COMMUNITY DEVELOPMENT Ogle Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us I FOR OFFICE USE ONLY Date: _/ 01l0l i l7�JC/ Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 71 (,-�ra r4n/ Property Owner E Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor: City of Wheat Ridge License #: Contractor E-mail Address: Phone: -�W For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # lr F-1 COMMERCIAL X RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Refqexll + IGiG� ) w6� vrl�ttiS w ' %L I3 U "Y� l >r��l y Commercial Projects Only: Occupancy Type: Construction Type: Sq. Ft./LF Amps BTUs Squares Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ Ir I (() l , q,, 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 of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) ON�I'kACT R) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: 1,4 Y4 `n DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _ CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: National Headquarters Katy Duncan 2501 Seaport Drive, Chester, PA 19013 33-13991 888-736-6335 May 07, 2018 WWW.POWERHRG.COM Project Specifications Windows: Living room 1 102.0"x53.0" WINDOWS: Models SL 2700 Styles Casement Types 3 -Lite Configs 1/4-1/2-1/4 OPTIONS: Color White / White : Grid Pattern : End Lites : Colonial : Standard / Removal Wood / Additional Details None Windows: Living room 1 27.5"x37.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None l Removal Wood / Additional Details None Windows: Living room 1 27.5"x37.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/ White : Grid Pattern : None I Removal Wood / Additional Details None Windows: Bedroom 1 1 27.0"x57.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood t Additional Details None Windows: Bedroom 2 1 52.0"x23.5" WINDOWS: Models SL 2700 Styles Slider Types 2 -Lite Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None Windows: Bedroom 2 1 52.0"x23.5" WINDOWS: Models SL 2700 Styles Slider Types 2 -Lite Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None ay 07,2018'1 :44 IV�91A��I�VIII��IIRRIM O LN National Headquarters Katy Duncan 2501 Seaport Drive, Chester, PA 19013 33-13991 888-736.6335 May 07, 2018 WWW.POWERHRG.COM Project Specifications Windows: Bedroom 3 1 40.0"x23.75" WINDOWS: Models SL 2700 Styles Slider Types 2 -Lite Configs None OPTIONS: Color White / White : Grid Pattern : None I Removal Wood / Additional Details None Windows: Bedroom 3 1 40.0"x23.75" WINDOWS: Models SL 2700 Styles Slider Types 2 -Lite Configs None OPTIONS. Color White / White : Grid Pattern : None / Removal Wood / Additional Details None Windows: Bedroom 3 1 39.0"x52.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood 1 Additional Details None Windows: Bathroom 1 1 26,5"x36.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood l Additional Details None Windows: Bathroom 2 1 26.5"x36.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None Windows: Kitchen 1 38.5"x36.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None May o 2018 21:44 National Headquarters 2501 Seaport Drive, Chester, PA 19013 888-736-6335 WWW.POWERHRG.COM gpM;p— Project Specifications Windows: Kitchen 1 38.5"x36.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None I Removal Wood 1 Additional Details None May 07, 2018 21:44 Katy Duncan 33-13991 May 07, 2018 R%" m JEM,-Mj,j► I ti 7 ADDITION k"Imummmm M, 13-47 .: 0.26 , ANCE RATINGS City of Wheat Ridge Residential Roofing PERMIT - 201702006 PERMIT NO: 201702006 ISSUED: 06/14/2017 JOB ADDRESS: 4271 Garland ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential reroof: Install GAF Timberline, 32 squares 4/12 pitch 1 layer 1 story *** CONTACTS *** OWNER (303)296-0361 DUNCAN KATY A SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,758.13 FEES Total Valuation 0.00 Use Tax 225.92 Permit Fee 220.15 Misc. Fee 10.00 ** TOTAL ** 456.07 *** 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 A% -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€TMs 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. c) C 6 �T 1 O N RECORD °��upancv/Type INSPECTION INSPECTION ONLINE FORM: http://www.ci.wheatridge.co-us/Inspection INSPECTION REQUEST LINE: (303) 234-5933 h., �� �k—m A vin tha nnlina form hefore 8 a.m. the day of the inspection 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 CommentsInitials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Rough Electric Rough Plumbing/Gas Line ., __ __­_ n_:__ r- A---1 of Thn Ahnva Incnor-Tions UO 1V VL ruin L/vl 1%,1VVU I .SW - Inspector Comments Underground/Slab Inspections Date Initials Electrical Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Date Inspector Comments Rough Inspections Initials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Inspector Date Final Inspections 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 R Tl 14 //0 Gb Ai2t� 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. _- .. .- •._____.:__.. .. _,. ,.,....... is.,A Gr rho Pira nictrint Anri P.IP.ctrlcal IoW voltage "For low vonage permits — riucaac uv OUIU alaiby the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge t Residential Roofing PERMIT - 201702006 PERMIT NO: 201702006 ISSUED: 06/14/2017 JOB ADDRESS: 4271 Garland ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential reroof: Install GAF Timberline, 32 squares 4/12 pitch 1 layer 1 story *** CONTACTS *** OWNER (303)296-0361 DUNCAN KATY A SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,758.13 FEES Total Valuation 0.00 Use Tax 225.92 PAID Permit Fee 220.15 Misc. Fee 10.00 ** TOTAL ** 456.07 *** 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 Al-�-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 manufacturer&€ls 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&439;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 - 201702006 PERMIT NO: 201702006 ISSUED: 06/14/2017 JOB ADDRESS: 4271 Garland ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential reroof: Install GAF Timberline, 32 squares 4/12 pitch 1 layer 1 story I, 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 I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this erm t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform d and that all work to be performed rs disclosed in this documen and/ r its' accompanying approved plans and specifications. :=-�� -_i_ 17 Signature of OWNER or CONTRACTOR (Circle one) Date 1. 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 regard 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit 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 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 o ranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable 00 e o any ordmance�egul too f this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax V INSPECTION NOTICE Inspection Type: -Y--I— Job Address: Permit Number:,;) 70 -P cc) ❑ No one available for inspecti .n Time Re -Inspection required: Yes No =-)- "When corrections have been made, call for re -inspection at 303-234-5933 Date: Iq ) -7 Inspector: O� ,J Q I &T- DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i2olc Job Address: 2) I ew_L A^O ST Permit Number: 70I -7 p ZooC--� o�J(f f % ti d s f ❑ No one available for inspection: Time f i `,,= r ? AWPM Re -Inspection required: Yes (No` When corrections have been made, call for re -inspection at 303-234-5933 Date: /f Inspector: DO NOT REMOVE THIS NOTICE 1 NSPECTI 'V INSPECTION I Inspections will not be made unle Call by 3WO PM to receive in ONRECORD OccuDancv /Type -INE: (303) 234 -5933 >s this card is posted on the building site >pection the following business day. 6o 4:;6 INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE I NITIALS NSPECTOR I COMMENTS: Footings /Caissons Stemwall I (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer. Service Linesr: Water Service Lines' INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLIC 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 CONSTITUTE AUTHORIZATION OFA CERTIFICATE 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 n au uuy Insulation . Drywall . `Screw FINALS Electrical: Plumbing Mechanical Roof Building Final Fire Department R.O.W &. Drainage INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLIC 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 CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. -. PRO NTIL CERTIFICATE OF OCCUPANCY IS ISSUED IS CARD FROM THE WEATHER ♦ A i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r f Inspection Type: <>Uf Job Address: 7 / : r fa S Permit Number: _10C&S6 363 5 l-UUt ( P ❑ No one available for inspection: Time ?,~AM/PM Re-inspection required: Yes Noo ) *When corrections have been made, call for re-inspection/at 303-234-5933 Date: 6 ) U Inspector: DO NOT REMOVE THIS NOTICE ♦ 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: 1 i Job Address:¢ 1~ f f rr~r Permit Number: ~l)c4.5Gn ❑ No one available for inspection: Time AM/PM Re-inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 Date: S' Inspector: z4ii ~ O NOT REMOVE THIS NOTICE City of Wheat Ridge 100656'.. Cit of , Y h6at l e Date: S //-0,10 io V V COMMUNITY DEVELOPMENT Plan # Building & Inspection Services Division Pennit# 7500 W. 29t" Ave., Wheat Ridge, CO 80033 J<< Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address / z// /O Y~~17r~s~ GL///,(a-f CJ , g ®~J Property Owner (please print): UJZa/ ga/7 Phone: Mailing Address: (if different than property address) Address: _City, State, Zip: 9ontracCon: a_ .,Phone: aup;~uoniraciors Electrical: Plumbing: Mechanical: City License # City License # City License # De"s~rlAtto~~f world Cont~ct VSalu~e: $y6 Review Fee (due at time of submittal): Squares If- 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 of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREPRESENT PE) of (OWNER) (CONTRACTOR) / PRINT NAME: BXe rl~ /0121W.&1 SIGNATURE: DATE:_~~r/~ o~ ~G PUeIIC WORKS COMMENTS i. t z %s r r.✓r" ~~y oire~rr b^ OCC PA CY . ' y 'n. i„ ✓ J r 2 / fZeYlBWnr E 1A Y F /f} 5~c~ 1+'~~% ~ /.t 1 ~~i3r~~~/f~G? r~7Y ?~.y O , ~ ~ ~ ' ~ ✓ fi F Fri / l E~ /f Z r r , ~ ? i ~ a^ rN f)RE oEPAR1MErvr ❑ appro`veq~iv(eo~mei~ts d~tlis~approvgd a~no revfv✓~eghlred F Bldg Valuation $