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HomeMy WebLinkAbout10855 W 38th PlaceCity of Wheat Ridge E -Res. Window Replacement PERMIT - 201902356 s PERMIT NO: 201902356 ISSUED: 11/08/2019 JOB ADDRESS: 10855 W 38th Pl EXPIRES: 11/07/2020 JOB DESCRIPTION: Replace 1 window in rear of house, u -value = .27, like for like *** CONTACTS *** OWNER (720)252-1952 HENDERSON FRANK & DONNA SUB (888)736-6335 ADAM KALINER 160260 POWER HOME REMODELING GROUP *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,702.30 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 119.75 ** TOTAL ** 169.75 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do heattest 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 ermit. I further attest that I am le ally authorized to include at 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 plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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. 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 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 permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable codeny ordinance�of 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. City of Wheat Ridge 11/08/2019 0908 CrIBB Rephlce 1 window in CDBU2202? AMOUNT BPSP 10855 W 38th P! 169.75 APPL/PERMIT NO; 201902356 PAYMENT RECEIVED PP / 2879 AMOUNT 169.75 AUTH CUE: 66664102 TOTAL 169.75 ----------------------- Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Friday, November 8, 2019 9:14 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Kim Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address **REQUIRED** Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 10855 West 38th Place Donna and Frank Henderson 720-252-1952 Field not completed. Henderson CC.pdf CONTRACTOR INFORMATION 1 Contractor Business PowerHRG Name Contractor's License 160260 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 888-736-6335 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address shane.laird@powerhrg.com Retype Contractor Email Address DESCRIPTION OF WORK Number of window and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the a -value of the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of window/door cut sheets showing sizes and u -value shane.laird@powerhrg.com 1 rear 0.27 Henderson.pdf Project Value (contract 5702.30 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work 2 under any permit issued based on this application. 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 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. Person Applying for Shane Laird Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge ® Residential Roofing PERMIT - 201701055 PERMIT NO: 201701055 ISSUED: 05/31/2017 JOB ADDRESS: 10855 W 38th PL EXPIRES: 05/31/2018 JOB DESCRIPTION: Remove and replace with Laminate shingles; 1 layer - 16 squares *** CONTACTS *** OWNER (720)369-4743 HENDERSON F G SUB (303)902-5338 Phillip Simon/Steve Merkel 170232 Simon Bros Roofing & Restor. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,346.72 FEES Total Valuation 0.00 Use Tax 154.28 x - Permit Fee 172.60 ** TOTAL ** 326.88 *** 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 k/2 -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&Erms 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. City of Wheat Ridge Residential Roofing PERMIT - 201701055 PERMIT NO: 201701055 ISSUED: 05/31/2017 JOB ADDRESS: 10855 W 38th PL EXPIRES: 05/31/2018 JOB DESCRIPTION: Remove and replace with Laminate shingles; 1 layer - 16 squares 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 thispermit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be p to ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. / C7 Signature of OWNER or CONTRACTOR (Circle one) Dafe 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. 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 originalpen-nit 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. a Signature of Chief BuildW& icia Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS Y FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat ' idle COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: S Plan/Permit # ASS 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: 10855 W 38th PI Wheat Ridge 80033 Property Owner (please print): Donna Henderson Phone: 720-369-4743 Property Owner Email: N/A Mailing Address: (if different than property address) Address: Same City, State, Zip: Arch itect/Engineer: N/A Architect/Engineer E-mail: N/A Contractor: Simon Brothers Roofing and Restoration, LLC Phone: N/A Contractors City License M 176 2,?Z Phone: 303-902-5338 Contractor E-mail Address: simonbros.roofing@gmail.com Sub Contractors: 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 # Complete all information on BOTH sides of this form ❑ COMMERCIAL 9 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW 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 SYSTEM/APPLIANCE 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.) Remove and replace roof with laminate shingle, 1 layer Sq. Ft./LF Btu's Amps Squares 16 Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 7346.72 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. CIRCLE ONE. (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTATIVE) of (OWNER) CONTRACTOR) Electronic Sienature (first and last name j: 7A4& -ZZ 961,LL/.1ryP a4l ■ DATE: 5/30/17 ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION Building Division Valuation: $ e CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line<' (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE l/ Inspection Type: `)Lr—JJ Job Address: JAS Permit Number:%/© ❑ 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 - Date: 7 / Inspector: )044 r31,1b,4"\V DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division �9r(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: aF Job Address: Permit Number: ;�027C:_ _ _K KMI r_47i ❑ No one available for inspection:Time YA"MMM QNo Re -Inspection required: Yes A-) When corrections have been made, call for re -inspection at 303-234-5933 Date: -,% 7 Inspector: r DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, cal/ for re- inspection at 303 - 234 -5933 Date: Inspector: It It DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE fj Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: ' _ ( eLd 10 01- Job Address: hl-7 +lam Permit Number: 13`30 ❑ 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: DON Inspector: OT REMOVE THIS NOTICE 301ION SIH13AOW3H ION 00 :aoloadsul a T- :a;ep 8863- 68Z-8O818 ugpoedsui -ei joi peo `epees ueaq eneq suq!j3eJJ00 uegM. 0 so), :paambei uoijoadsul -eH �y Qom. awi.1 :uoijoedsui ao} ajgejiene auo ON ❑ 0 E SbL� 01 :aegwnN Puaaad p :sseAppVgor :edA1 uoiloodsul 3O1ION N011O3dSNl XeJ 6268 - L£Z (£0£) • (£0£) � aull ugl;oedsul EE69 (EOE) !J� -71� uolslnla uolloedsul 6ulppg BOOM l`d3HM dO AllO A T 14 ♦ `< 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: _ / ` - - 5 PI Permit Number: l L)C_ : r" q ❑ No one available for inspection:- -Time �AM/ M Re- Inspection required: Yes oNo When corrections have been made, oa# for re- inspection at 303 -234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge _r- Res. Add Structure PERMIT - 100759 PERMIT NO: 100759 ISSUED:. 03/26/2010 JOB ADDRESS:'. 10855 W 38TH PL '.EXPIRES: 09/22/2010 DESCRIPTION:' Install 10 x 16 shed CONTACTS owner 303/422-6759 Frank Henderson sub 303/399-8833 Tom Saurey 01-8278 Tuff Shed Inc. **.PARCEL -INFO ZONE CODE: UA USE: UA SUBDIVISION:? 0189 tBLOCK/LOT#: 0./ FEE SUMMARY ESTIMATED 'PROJECT :VALU TION: 13,615.00 FEES Permit Fee 308.50 "b Plan Review. Fee 200.53 Total Valuation : .00 z4 e Use :Tax 245.07 y TOTAL .754.10 Conditions: Mustcomply w/ 2003 -IRC & 2005 NEC. Shed shall be anchored to resist 'wind loads. Subject to field inspections. 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. Signature of contractor/owner .'-date This permit was issued in accordance with the provisions set forth. in your application and is subject to the. laws of the :State of Colorado and to the 2onina Regulations andBuildina Codes. of Wheat'. Ridge. Colorado or. anv other annlicable City of Wheat~dge - COMMUNITYDEVELOPMENT c~ J. Building & Inspection Services Division Permit# 7500 W. 29th Ave., Wheat Ridge, CO 80033 S Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address;. , S S T l~ A Property Owner (please print)''jA,4/C/A (J , &F- A-> 0 9 tR S p.N Phone: 3 o.3 y. -11-7- ; 7 y Mailing Address: (if different than property address) Address: City, State, Zip: i4-1~ h(;;- 7- 3 C3 <o~o R®o3 s- El t Contractors City License M 01 g ~ ~ g Phone: q'82- 4? ~ 7 `/Z Electrical: Plumbing: Mechanical: City License # City License # City License # Descriptlori"of work ~ PLAc r I c~ x 9 3 ~ ( £.D :2 AiS-r44L /U 2C G 5 ~3~ Contract Value: $ l~ fo 1-0 0 Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNERICONTRACTOR 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 Ihave 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. lRCIEONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) L/ PRINT NAME E (7 £ A~ D l~ S 6 /14GNATURE DATE r ~vt r s - r t ~ r s,^ : lr e 9.f r / r r n; y v ~ r ,iu i rfi7i !CmF DEP)~RTNIEN,TrUSEONLy~ zONING COMM Nis x ~&AIilV4~ c,~, / r€' `yi,,r l uriz"~.t`x?i. a.+ cK n'Cu^'r > G r~"~,„y.~ , , rrv,~ ~ tr s .tom ~ fj yC! .r~c LV1~f~~i1'r~"ryx{J~f~G/s~/✓a~'i~P~(tiL.~-IUrr~3l~k'rHr'a E~,~~~~'.~"~ ~ ~^.'r. 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G N i lwi J y A to Pw OA zE p boH d n U " P N m H ew -10, O p'C rW w ~ vW f~:. v c V ~ 'J v ~ d V (V mo F ~WQ9 o , oW i d QQ zu9-C f [ [ p sGp6 1 oz Q ! vz~A NF"y m ~ u u u u ~ W v k hl h I{10 ° \ ~ 1 .e QIU (Uz10 W "V c ~I xdo 1001 City of Wheat Ridge Residential Roofing PERMIT - 091330 PERMIT NO: 091330.. ISSUED.: 0.8/14/2009 JOB ADDRESS: 10855 W 38TH PL EXPIRES: 02/10/2010 DESCRIPTION: Reroof 11.25 sqs and 400 sq ~ftof. siding CONTACTS.*** owner 303/422-6759 Franke Henderson sub.. 303/459-2446 Chris Waterman 09-0.123 Auger Construction'. Inc. PARCEL INFO ZONE CODE: UA USE: UA 'SUBDIVISION: .0189 BLOCK/LOT#: -.0/ **FEE SUMMARY ESTIMATED 'PROJECT VALUATION: 7;.987..00 FEES y > Permit Fee _ 199.30 Total Valuation .00 is Use Tax 143.77 r°^ **.TOTAL ....343.07.' ' Conditions:... 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 21 inside exterior walls. v'l Subject to field inspections. k"`, I hereby certify that the setback distances proposed by this permit: application are accurate, and do, not violate applicable v,:. 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 Ridgryrdinances, for work under this permit. Plans subject to field inspection. Signature of contractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the pity:. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension maybe granted at the discretion of the Building Official. xe 3. If this permit expires, a new permit maybe 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 c' be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. %l, 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. 6. The issuance. of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any.. other ordinance, law, rule or regulation. All plan reevview r ject to field inspections. .a q, signature or lding Official date - INSPECTI REl/~Q9UEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY... s ~oF""Eq'R City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o' Inspection Line: 303-234-5933 OLORPD Building Permit Application rJ __Z u Property Address: - I O g ss W -1, P 1, e~ Property Owner (please print): rr 1 S t fvG1e f5C?I~ Phone: (2c>21 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractor License - 0 / Z 3 Phone: 00 3 ) q,59 - Z 41'V6 Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Date: Plan Permit 0 q 1' 60 Exp. Date: Use of space (description): 6.5 i4le> l i;, Construction Value: S , (as calculated per the building Valuation Data sheet) Description of WOrkipLh va l/- 2 S SCE S Q Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do notviolate 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. PRINT NAME:_kl SIGNATURE: Date: I~4echanical City License CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRES/SJJJr`~~~TJ~TIVE of- WINER) (CONTRATOR) Company: