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Home My WebLink About4285 Vivian StreetINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 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 MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: r 71 ADDRESS: '' �,��.,�:� JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:' ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous `� - Cis ( - Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof `� - Cis ( - 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE Building InspectionDivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �-( )Z_00r-- Job Address: 4z `5_7 Permit Number: LlNo one available for inspectio Time u &4M Re -Inspection required: Yes No When corrections have been made, call f re -inspection at 303303-2 C Date: Inspector: UtWA— I-Z/ Z31 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: 7 � Job Address:` �a Permit Number: ❑ No one available for inspection: Time t ZA U0 AM/& Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: c DO NOT REMOVE THIS NOTICE ► ' , City of Wheat Ridge Residential Roofing PERMIT - 201708486 PERMIT NO: 201708486 ISSUED: 10/20/2017 JOB ADDRESS: 4285 Vivian ST EXPIRES: 10/20/201& JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 30 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)432-3477 ENLOW STEPHEN MICHAEL SUB (303)246-9769 Alex Burker 160163 Altitude Contracting *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,503.43 FEES Total Valuation 0.00 Use Tax 304.57 Permit Fee 283.55 ** TOTAL ** 588.12 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. ► ' , City of Wheat Ridge Residential Roofing PERMIT - 201708486 PERMIT NO: 201708486 ISSUED: 10/20/2017 JOB ADDRESS: 4285 Vivian ST EXPIRES: 10/20/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 30 sq Pitch = 5/12 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,permrt. I fu r attes t I am 1e ally authorized to include all entities named within this document as parties to the work to be performed and at all r o e formed is disclosed in this document and/or its' accompanying approved plans and specifications. //) -;a, _ 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 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 anmanner 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 Inspectioervices Division in accordance with established policy of all required inspections and shall not proceed or conceal work withoi f bitten 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 violation of any provision of any applicable any ordinance or regulatiorAof this jugViction. 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. 101 Dane Lovett 7 From: no-reply@ci.wheatridge.co.us Sent: Thursday, October 19, 2017 5:12 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application gS7 Follow Up Flag: Follow up Flag Status: Completed 5 Residential Roofing Permit Application LR 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 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION �L Property Address 4285 Vivian Street Property Owner Name Becky Enlow Property Owner Phone 303-432-3477 Number (enter WITH dashes, eg 303-123-4567) 45 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 Becky.enlow@comcast.net Yes CONTRACTOR INFORMATION Contractor Business Altitude Contracting Name Contractor's License 160`163 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-329-4113 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 3301 Tennyson Street Denver CO 80212 (Primary address of your business) Contractor Email Address alex.burke@altitudecontracting.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or alex.burke@altitudecontracting.com 30 14503.43 No Pitched roof (2:12 pitch or greater) 46 both? (check all that apply) What is the specific pitch of the PITCHED roof? 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? Etc) 5/12 30 Owens Corning Duration Asphalt Replace roof on house 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 47 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 Altitude Contracting Email not displaying correctly? View it in your browser. 48 Altitude Contracting agrees to install the following materials selected by the customer. Altitude Contracting will pull all necessary permits and furnish all labor and materials in a good and workman like manner according to widely accepted standard practices in the industry. Any changes or modifications must be in writing and agreed to by both parties as evidenced by their signatures. Homeowner acknowledges they have received, read, and understand Altitude Contracting's "Build Expectations" Form. It is the homeowners responsibility to inform Altitude Contracting of any HOA requirements or restrictions. Altitude Contracting has it's general liability insurance through Colony Insurance Company and they may be contacted through our agent, Dodrill Insurance Inc. at 7807 W. Mississippi Avenue - Lakewood, CO 80226 (303)986-1539. Altitude Contracting shall hold in trust any payment received until the delivery of materials to the job -site or has performed a majority of the roofing work on the property. This contract may be cancelled or rescinded within 72 hours from the date of signing and Altitude Contracting will issue a full refund of any deposit made. It is illegal for any contractor to waive or pay for any part of an insurance deductible compliant with Colorado Law SB38. The property owner may rescind the contract for service, the payment for which will be made from the proceeds of a property insurance claim, within 72 hours after receiving notice from their insurer that the claim is denied in whole or in part. By signing this agreement I/We agree to release payments to Altitude Contracting per the pay schedule outlined below. I/We agree to not withhold funds from Altitude Contracting due to city inspections being behind schedule. Altitude Contracting agrees to bill the insurance company directly for any additional work performed due to hidden site conditions (known as the supplement process). If there is any work performed to the property that is not in the original scope of loss, Altitude Contracting will bill the insurance company for the required work. I/We agree to pay Altitude Contracting any additional funds authorized and released by the insurance company. Altitude Contracting will not hold the customer responsible for paying any additional funds not agreed to in this contract if the insurer denies additional coverage. Altitude Contracting is not responsible for any deteriorated or rotted items on the home that becomes further damaged due to standard job vibration or replacement of materials or flashings that are required for the build as this is unavoidable. It is further understood that gas pipes penetrating the roof may shift during construction and Altitude Contracting recommends the homeowner have these pipes inspected & sealed if necessary, but will not pay for such an expense. Older (and even newer) homes can have structural issues, if you are unsure as to whether or not your home is structurally sound we recommend you have a certified engineer assess the property prior to the beginning of the build as we will not be held responsible for any structural issues that arise due to standard material weight and job vibrations on the project. Any specific concerns must be addressed with Altitude Contracting prior to build. • Brand Color / Type Remove Existing Roof and Inspect the decking. Re -Deck Roof with OSB as per code - YES / NQ? Install 2" Drip Edge Metal - Color • Underlayment: Install Valley System. Replace any unusable flashings associated with sealing the roof properly per city code. Install all covers for all pipe jacks and vents. Ventilation:.5 Clean up contraction site and haul away all debris. Sweep the entire property with magnets. Special Notes / Code Items /Additional Work being performed:„ HOMEOWNER: ADDRESS: CITY/STATE/ZIP: CONTACT PHONE: EMAIL: APPROX START DATE: APPROX END DATE: Insurance Company Claim /t RCV: $ Deductible: $ ACV: $ _ Depreciation: $_ GRAND TOTAL: + All Supplements / Permits Approved By The Insurance Company First Payment of $ + the Deductible of $—_' will be due upon delivery of the materials. Final Payment of $ _ + any approved supplements / permits will be due upon completion of the work. — _ have read this contract and agree with all of the terms and conditions provided within. I/We agree to pay Altitude Contracting in full and in a timely manner per the payment schedule outlined above. HOMEOWNER:— a DATE:_.__._ /AUTH. REP: _ DATE: SELECTION OF MATERIALS AND www.altitudecontracting com 3303 Tennyson Street CONTRACT FOR CONSTRUCTION Denver, CO 80212 Phone: 720-329-4113 11 St!tlliif MIN 111'iGllv; Fax: 303-600-0782 Altitude Contracting agrees to install the following materials selected by the customer. Altitude Contracting will pull all necessary permits and furnish all labor and materials in a good and workman like manner according to widely accepted standard practices in the industry. Any changes or modifications must be in writing and agreed to by both parties as evidenced by their signatures. Homeowner acknowledges they have received, read, and understand Altitude Contracting's "Build Expectations" Form. It is the homeowners responsibility to inform Altitude Contracting of any HOA requirements or restrictions. Altitude Contracting has it's general liability insurance through Colony Insurance Company and they may be contacted through our agent, Dodrill Insurance Inc. at 7807 W. Mississippi Avenue - Lakewood, CO 80226 (303)986-1539. Altitude Contracting shall hold in trust any payment received until the delivery of materials to the job -site or has performed a majority of the roofing work on the property. This contract may be cancelled or rescinded within 72 hours from the date of signing and Altitude Contracting will issue a full refund of any deposit made. It is illegal for any contractor to waive or pay for any part of an insurance deductible compliant with Colorado Law SB38. The property owner may rescind the contract for service, the payment for which will be made from the proceeds of a property insurance claim, within 72 hours after receiving notice from their insurer that the claim is denied in whole or in part. By signing this agreement I/We agree to release payments to Altitude Contracting per the pay schedule outlined below. I/We agree to not withhold funds from Altitude Contracting due to city inspections being behind schedule. Altitude Contracting agrees to bill the insurance company directly for any additional work performed due to hidden site conditions (known as the supplement process). If there is any work performed to the property that is not in the original scope of loss, Altitude Contracting will bill the insurance company for the required work. I/We agree to pay Altitude Contracting any additional funds authorized and released by the insurance company. Altitude Contracting will not hold the customer responsible for paying any additional funds not agreed to in this contract if the insurer denies additional coverage. Altitude Contracting is not responsible for any deteriorated or rotted items on the home that becomes further damaged due to standard job vibration or replacement of materials or flashings that are required for the build as this is unavoidable. It is further understood that gas pipes penetrating the roof may shift during construction and Altitude Contracting recommends the homeowner have these pipes inspected & sealed if necessary, but will not pay for such an expense. Older (and even newer) homes can have structural issues, if you are unsure as to whether or not your home is structurally sound we recommend you have a certified engineer assess the property prior to the beginning of the build as we will not be held responsible for any structural issues that arise due to standard material weight and job vibrations on the project. Any specific concerns must be addressed with Altitude Contracting prior to build. • Brand Color / Type Remove Existing Roof and Inspect the decking. Re -Deck Roof with OSB as per code - YES / NQ? Install 2" Drip Edge Metal - Color • Underlayment: Install Valley System. Replace any unusable flashings associated with sealing the roof properly per city code. Install all covers for all pipe jacks and vents. Ventilation:.5 Clean up contraction site and haul away all debris. Sweep the entire property with magnets. Special Notes / Code Items /Additional Work being performed:„ HOMEOWNER: ADDRESS: CITY/STATE/ZIP: CONTACT PHONE: EMAIL: APPROX START DATE: APPROX END DATE: Insurance Company Claim /t RCV: $ Deductible: $ ACV: $ _ Depreciation: $_ GRAND TOTAL: + All Supplements / Permits Approved By The Insurance Company First Payment of $ + the Deductible of $—_' will be due upon delivery of the materials. Final Payment of $ _ + any approved supplements / permits will be due upon completion of the work. — _ have read this contract and agree with all of the terms and conditions provided within. I/We agree to pay Altitude Contracting in full and in a timely manner per the payment schedule outlined above. HOMEOWNER:— a DATE:_.__._ /AUTH. REP: _ DATE: INSPECTION RECORD OccupancvlTVp 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. X17 ' INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR - Electrical (Underground) Plumbing (Underground) Heating (Underground) - Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Y - - Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Insulation - Drywall Screw FINALS Electrical -_ —'- Plumbing Mechanical Roof ^ a Building Final Fire Department R.O:W $ Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "`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. r)f I1MA K r-v A4�r n,- . - 11..-... �___._._ - __ __ ^_ __ - - -- - - ' - - _ - _ ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Rye i Job Address: 4 1 1 ,�Y4 Vj'vI el LM Permit Number: 00 , I/ 3 ' ❑ No one available for inspection: Time Re Inspection required: Yes rc "When corrections have been made, call for re at 30� 234 - 5933 Date: 147 Inspector: l l3 r DO NOT REMOVE THIS NOTICE ♦ s CITY OF WHEAT RIDGE f (3 Building Inspection Division (303) 234 -5933 Inspection line 03) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: �a o Job Address: Z, S 5` fed C! a �d Yr1S 7 Permit Number: r_ ❑ No one available for inspection: Time AM /PM Re- Inspection required: r Yes„) No When corrections have been made, call for re- inspection at 303-234-5933 'j Date: / / /rte Inspector: NOT REMOVE THIS NOTICE 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: Job Address: Permit Number: iD Zj Gfr;r� „�ti ✓ �� i ❑ 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: _r ° ? / - fl> Inspector. r- DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i'~iffAIl,ely'?t Job Address: 1/;?6~7 P1r't/.tyt+ if' Permit Number: /21/3? n ❑ No one available for inspection: Time M/. M Re-Inspection required: Yeso When corrections have been made, call for re-inspe ion at 303-234-5933 r} Date: Inspector: r1 0 DO NOT REMOVE THIS NOTICE OFW HE~`Tgi City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan M cO~ORP00 Inspection Line: 303-234-5933 Permit Building Permit Application Property Address. J -a / ~8 N(0 /l a tj T . Property Owner (please print): M g €e G C' Phone: 303 ° %,4'j - 9Yf'/7 Mailing Address: (if different than property address) Address: City, State, Zip: 9 Contractor: z-, dr Contractor License Phoned. Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): aGQ,rc, P ac Construction Value: 8 q, .JLytS Description of work. !T most Zl<rsn"C, y •+'t c ~s (as calculated per the Building Valuation Data sheet) iNSrAZL 30*y D=+wn!,m-..a.2. -2 Q~4 41,q. ~I ri r Q r Plan Review (due at timeofsubmittaq:$ S 6A, MCYA; ~Ik".! & .SA r G /I 2 Sq. Ft./L.Ftadded: Squares 35 BTU's 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 I 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 to field inspection. CIRLCE ONE:: (OWNER) <:~(Fl!rONTRACTOF_7',or PERSONAL REPRESENTATIVE of (OWNER) (CJONTR]ATOR) PRINT NAME: L./drdQ F C:tm -ir~~lt SIGNATURE: >avwt/ ~win.GrrJ ~l ate: 12 -1/ Cf f