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Home My WebLink About4465 Everett Drive"GfjFV1 Wt4T RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:[ -- Job Address: v L� !2—v 4 i Permit Number: 4 % S1� F C ❑ No one available for inspection: Time / ' -` AM/PM Re -Inspection required: Yes No:% When corrections have been made, call for re-insppctionaf 303-234-5933 Date: !f �f Inspector: DO NOT REMOVE "THIS NOTICE INSPECTIGr4 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'20�1 V IIVV-T-- A4 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 WO, rior 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's 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS X>A 4/4&7�— 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 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 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. City of Wheat Ridge Resid. Windows/Doors PERMIT - 201709600 PERMIT NO: 201709600 ISSUED: 12/15/2017 JOB ADDRESS: 4465 Everett DR EXPIRES: 12/15/2018 JOB DESCRIPTION: Residential windows permit to remove and install 4 sofflite windows, like for like, no structural changes, u-factor=.16. *** CONTACTS *** OWNER (303)204-6558 BROPHY PENNY SUB (303)421-7100 Ted Roland 018516 K & H Windows & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,068.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 43.43 ** TOTAL ** 93.43 *** 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. 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed apd that all work to be p formed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER CONT TOR (Circle one) Dat 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, po plans 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 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 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. g. TWf rmit 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 issuan e r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicab co or any ordinance or regalati n of 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. City of 'Wh6atpid9le COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax* 303-237-8929 Inspection Line: 303-234-5933 Email: permits@ci.wheatridgeco.us FOR OFFICE USE ONLY Date; /_7 PlanlPerinit# 0(U/ Plan Review Fee: EM= Please complete all highlighted areas on both sides of this form. incomplete applications may not be processed. Property Address: q &5 Curcef-t cc,_, Property Owner (p/ease print): Pe-nAy &C'pi,y Phone: Pc' V Property Owner Email. - Mailing Address; (if different than property address) Address: --, A A Ci!y, State, Zip: Architect/Engineer E-mail; Phone: Contractor: K&H Windows and Exteriors Contractors City License #: 018516 Phone. 720 . .. . -420-1724 . 4 . 2 . 0 1 -1724 .. .. ... .. ... . Contractor E-mail Address: Sgeorge@khwindows.com Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all Information on BOTH sides of this form ❑ COMMERCIAL b(RE SIDENTiAL Description Qf work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICEUPGRADE NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION 01INDOW ESIDENTIAL ROOFING ❑RESDENTIAL ADDITION REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,) MECHANICAL SYSTEM/APPLIANCE .REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT" [� OTHER (Describe) (For ALL projects, please 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.) j�ePtah 6) Wt`A.CiowS Wt+villy\yc (46t- - or lam° ICL . Sq. FULF Btu's Gallons Amps Squares Other Project Value- (Contract value or the cost of e 1 materials and labor included in the entire project) d!(5&8,t 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 coda 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 pe form 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:pennit application, warrant the truthfulness ofthe information provided on the application, CIRCLE UNE, fOWNE'R) {CUNT OR) rr (AUTHORIZ:6D REPRE'SENTA7TIVE) o. f (OWNER) (GUNTRACrft JTP_ M (first and last name): DATE: Building Division Valuation: $ Measure Sheet Sales Rep.. I be - in Name: _ ri)p l s Avail. art! Sti IM M N N //� N = U ♦A U C m r m_o` opo o E -_ x= /v/�/ V (a c W S IL ZZ O'TM N E cmc N o v o _ E •rl "O. M co� E 3 m= LU L 3Y W iii cod n c n O J ° F-- o o QeL y) Q . Z= �V Q� R� O U m Q m O 5 C ' U)O f Z~ L' Im > W R Q 0. 7 LL E�c3 oEm e W �CO LL .-. V SL CL cLLJ g �° oU C eco) ° Z O•V C Z .; Zw J1�yd a lei �L '� LL Cf W 6 m L g m z I W City of Wheat Ridge Residential Plumbing PERMIT - 201708386 PERMIT NO: 201708386 ISSUED: 10/17/2017 JOB ADDRESS: 4465 Everett DR EXPIRES: 10/17/2018 JOB DESCRIPTION: Residential plumbing water service repair 32ft long x 5ft deep x 2ft wide 3/4 inch line, not in sidewalk or street in front yard. *** CONTACTS *** OWNER (303)204-6558 BROPHY PENNY SUB (303)430-1911 Felipe Ramos 021881 Plumb Pros *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections.ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.— City of Wheat Ridge Residential Plumbing PERMIT - 201708386 PERMIT NO: 201708386 ISSUED: 10/17/2017 JOB ADDRESS: 4465 Everett DR EXPIRES: 10/17/2018 JOB DESCRIPTION: Residential plumbing water service repair 32ft long x 5ft deep x 2ft wide 3/4 inch line, not in sidewalk or street in front yard. 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 authorzed 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 permit. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and at all work to be pertor�d is disclosed in this document and/or its' accompanying approved plans and specifications. d-/7•-/ 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shat l 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 Off-cial 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 cod0 r an ordinance or regulation of 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. ity C)f Date: Plan # Building & Inspection Services Division 7500 W. 29h Ave., Wheat Ridge, CO 80033 Permit Office: 303-235-2855 * Fax: 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application all highlightedL areas) %(Complete Property Address: F11t) V,0-1-� L Property Owner (please print)- `4 r -D ok 0 Phone3 _j( -A - (O� Mailing Address, (if different than property address) Address-, City, State, Zip-, Contractor: It—h 11 LL Contractors City License #: Phone: )'5 Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # 0 9-1 K i City License # DescrIE?tion of work: (Fully describe work to be performed - Attach additional sheet if necessary) VAC c4f , IP Contract Value of all work: -2 $ Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. OWNER/CONTRACTOR SIGNATURE OFUNDERSTAN DING AND AGREKNIENT I hereby Certify that the setback distances proposed by Ibis permit application are accurate and do not violate applicable ordinances, rule,, or regulations of the Oty cif Wheat Ridge or covenants, easements or restrictions of record., that all nreasurements shown and alle , i pnions 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 evith applicable City of Wheat Ridge codes and ordinance, l'')r work- under ani' permit issued based on this application; dial I am the legal owner or have been authorized by the legal owner of the property to perform the described work and ant also authorized by the legal owner of aro, entity included on thistion to list that entity on this application, ap tea pjL CIRCLE01YE: (01VIVER) (('0,,VTRACT0R) PRIN' NANIE: ZONING COMMENTS, Zoning: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer, PUBLIC WORKS COMMENTS: Reviewer. DREPRI`,SEIVTAW) Of(011",'VER) (COA' 4CTOR) DEPARTMENT USE ONLY OCCUPANCY: FIRE DEPARTMENT:: 13 approved w! comments ID disapproved 03 no review required I Bldg Valuation: $ WA INSPECTION RECORD OccupancvlTVpe 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 da INSPECTOR MUST SIGN ALL SPACES. PERTAINING To THIS JOB FOUNDATION INSPECTIONS DATE' INSPECTOR INITIALS COMMENTS: .Footings /Caissons. -- Stemwall/ (CEG).Concrete EncasedGround - - Reinforcing or Monolithic 'NOT PERMITTED UNTIL CFRTIFI( - ATF OF ncr'uPANry IS ISRGnFn Weatherproof / French Drain '- Heating (Underground) Sewer Service Line s DO Water :Service .Lines ` ROUGHS r FINALS - Electrical Plumbing Mechanical '. Roof a Building Final 'Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping ' SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ..,, ILL 1TIrlGf JKUS.TBE COMPLETED AND- APPROVED8 YPLANNING ANDZONING,- BUILDINGANDPUBLIC WORK - ` CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES.. NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE .OF OCCUPANCY .. NOR PERMISSION - FOR .00CUPANCY. OCCUPANCY POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - CONCRETE $LAB FLOOR Electrical (Underground) Plumbing (Underground) 'NOT PERMITTED UNTIL CFRTIFI( - ATF OF ncr'uPANry IS ISRGnFn Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath.IWalltie Electrical Service M r, Rough Electric Rough Plumbing Gas Piping. ...Rough Mechanical - - '. ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING ". i Framing 3s Insulation Drywall Screw r FINALS - Electrical Plumbing Mechanical '. Roof a Building Final 'Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping ' SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ..,, ILL 1TIrlGf JKUS.TBE COMPLETED AND- APPROVED8 YPLANNING ANDZONING,- BUILDINGANDPUBLIC WORK - ` CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES.. NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE .OF OCCUPANCY .. NOR PERMISSION - FOR .00CUPANCY. OCCUPANCY PROTECT TI" . " ARn FROM THE WEATHER 'NOT PERMITTED UNTIL CFRTIFI( - ATF OF ncr'uPANry IS ISRGnFn PROTECT TI" . " ARn FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax I SPE~CTION NOTICE Inspection Type: 6(~ u$I Job Address: S Permit Number: n-C ~L-41 ~t ❑ No one available for inspection: Time Re-Inspection required: Yes (No When corrections have been made, calf forge-inspection at 303-234-5933 "V I Date: ~ 1 Inspector: 1XI DO NOT REMOVE THIS IWOTICE 1* 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: IlG'? r yz , Job Address: ~Z Lf(e 5° 7,) 1y,4 " , Permit Number: efL) ~2 !z %_D ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, oafs for re-inspection at 303-234-5933 Date: 7i ri r „c Inspector: DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSP CTIO NOTICE Inspection Type: YJJ Job Address: 1440 `s Permit Number: 099414 U x~t Z) 1AA I li ❑ No one available for inspection: Time /'a-6A P Re-Inspection required: Yes No ' When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: Cy` c DO NOT REMOVE THIS OTICE ~ 1,10X City of Wheat Ridge PERMIT NO: FEES Permit Fee 144.70 Total Valuation .00 41KA_Ar'Z)1,CV d Use :Tax 90.00 **-TOTAL 234.70 Conditions: 51 6 nail installation& mid roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart "requires plywood overlay on entire roof. Ice and water shield !required from eave edge to 2' 'inside exterior walls. ***Contractor/Property owner shall provide ladder(s) secured in place for inpsections..' Subject to field inspection.' 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 r; 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 as ume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other i app le Wheat}Ridge rd1 ces, for work under this permit. Plans subject to field inspection. Z Signature of contractorto 4me ~ 'date 1. This permit was issued in accordance with the. provisions set forth in your application and is aub7 ect to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat: Ridge, Colorado or any. other applicable r, ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew permit. u 4. No work of any manner shall be done. that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify.. the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job.. 16. The`. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor, ran approval any violation of the provisions of the building codes or any other ordinance, law;rule or regulation. 0 All:.pla e is subject to field inspections. Sign" of ief-Building Official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 r REQUESTS MUST BE MADE BY 3PMANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. is (W Building Permit Application PropertyAddress;>(o f E11671 e 7~ 12- Property Owner (please print): Mailing Address: (if different than property address) Date: Plan A Permit 4 1 1'i Phone: 303-2-3Y 0 Address: 4?11G,S, City, State, Zip: 414 e r A J~ . Contractor: ~`e~Gt aeC Contractor License p ~c 7 Phone: 6 3 - ICJ ZaS Stitt Contractors; Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Useofspace Sl---c eeo. , (description): f~i, % Construction Value: $ Description of Work: / (as calculated per the Building Valuation Data sheet) fedh @ A/ Plan Review (due at time of submittal): $ ~e~-rr7 rn m.. ice, ~3c3 y z.n~_ Sq. Ft./L.Ft added: Squares -2 0 BTU's Gallons Amps OWNER' rt ly AC -OR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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:: (OWNE CONTRACTO or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) r/ PRINT NAME: _ _Ml c if A~ L F Aid V0 SIGNATURE : 7-t------'~ -Date: City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Bldg Valuation: $