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HomeMy WebLinkAbout4170 Harlan StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Date: Thursday, September 30, 2021 10:09:54 AM Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM 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. PROPERTY INFORMATION Is this a new install or New Unit Installation replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 4170 harland st Property Owner Name isaacgonzalez Property Owner Phone 210-519-8481 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email isaacfromut@gmail.com Address Attach City of Wheat wheatridae oavment form.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business controlling systems Name Contractor's License 018486 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3037621421 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@controllingsystemsco.com Address Retype Contractor permits@controllingsystemsco.com Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 2 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit side yard located (for example, rooftop, backyard on ground etc)? Is electrical needed for Yes re -hook? Provide Electrical 300813 Contractor's Wheat Ridge License No. Project Value (contract 4209 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 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 Yes been 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 lames Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Electrical Service PERMIT - 202100427 PERMIT NO: 202100427 ISSUED: 03/05/2021 JOB ADDRESS: 4170 Harlan St EXPIRES: 03/05/2022 JOB DESCRIPTION: Electrical upgrade, 150 AMP in house, installing main ground system. *** CONTACTS *** OWNER ( 3 0 3) 8 5 9 -115 0 WENGER BRYAN D SUB (720)372-2211 R ANDERSON/ R TOWNSEND 210007 HEART HEATING & COOLING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31197.00 FEES Total Valuation 0.00 Use Tax 67.14 Permit Fee 109.20 ** TOTAL ** 176.34 *** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Electrical Service PERMIT - 202100427 202100427 4170 Harlan St ISSUED: 03/05/2021 EXPIRES: 03/05/2022 Electrical upgrade, 150 AMP in house, installing main ground system. 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 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 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 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 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 requ�ired 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, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 03/05/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Thursday, March 4, 20213:35:24 PM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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 electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4170 NORTH HARLAN STREET WHEAT RIDGE CO. 80033 Property Owner Name BRYAN WENGER Property Owner Phone 303-859-1150 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Heart Heating & Cooling, LLC. Name Contractor's License 210007 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-386-1046 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email angel.dorn@heart-hvac.com Address Retype Contractor angel.dorn@heart-hvac.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 150 Location of work HOUSE (garage, house, etc) Provide additional INSTALL 150 AMP MAIN SERVICE. REPLACE/INSTALL MAIN details, If needed. GROUNDING SYSTEM. Project Value (contract 3197.00 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 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 Yes been 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 Angel Dorn Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202100235 PERMIT NO: 202100235 ISSUED: 02/05/2021 JOB ADDRESS: 4170 Harlan St EXPIRES: 02/05/2022 JOB DESCRIPTION: Replace 60K BTU, 80% eff. gas furnace in basement *** CONTACTS *** OWNER ( 3 0 3) 8 5 9 -115 0 WENGER BRYAN D SUB (720)372-2211 R ANDERSON/ R TOWNSEND 210007 HEART HEATING & COOLING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31300.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 69.30 ** TOTAL ** 109.30 *** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202100235 202100235 ISSUED: 02/05/2021 4170 Harlan St EXPIRES: 02/05/2022 Replace 60K BTU, 80% off. gas furnace in basement 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 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 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 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 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 requ�ired 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, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 02/05/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Friday, February 5, 20212:09:30 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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 a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4170 Harlan St Wheat Ridge CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Bryan Wenger (303) 859-1150 bryan.d.wenger@gmail.com CONTRACTOR INFORMATION Contractor Business Heart Heating & Cooling, Ilc Name Contractor's License 210007 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-372-2211 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@heart-hvac.com Address Retype Contractor permits@heart-hvac.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60000 What is the efficiency 80 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 3300 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 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 Yes been 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 Richard Anderson Permit Email not displaying correctly? View it in your browser. INSPECTION 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: �� !�0 9<5)� ADDRESS: l�, �C� t 4�>'�l 11 � 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 `2 �' ��( Imo. 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: �0�09�A�ADDRESS$l 140)dum S-+ CODE: �1� 49- JOB 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 V 321 Moisture board / shower walls 322 Rough Grading 409 Final Roof 323 Miscellaneous 410 Final Window/Door 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 V 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*** --i I 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. PERMIT: G., 1 ��� i '-ADDRESS: Lf �� �L` t S•-j'`JOB CODE: C� INSPECTION RECORD Inspection online form: http://www.cl.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 Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter in 104 Foundation Setback Cert. 40 105 Stem Walls 106 Foundation wall Insulation AW 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. in 203 Sewer Underground Ext. 40 204 Plumbing Underground Int. 205 Plumbing Underground Ext. AW 206 Water Underground j,�.• 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 in 303 Roof Sheathing 40 304 Sheer Inspection 305 Insulation AW 306 Mid -Roof j,�.• 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 SFF OVER FOR AnnITIONAI Iry.qPFr.Tinnic 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 1,22 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. M 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: 1 8 ' E „ Job Address: 4-d 1-7o i_)� ; le— Permit e Permit Number: -901-70 � 5— � D 1, ,, C p,:,L r-4,' t- ► .1 --j C , 4y a 1 t C C 1,3a 134, �e ❑ No one available for inspection: Time ® . 3 7 LM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: I / c? f 8 Inspector: `1`Z DO 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: �1 C 9 @ Job Address: (-)1-70 }-� a : 1,n, , S4 - Permit Number: '�) o f '7 D '7 c 1-1 a �1 a ) A 0proy - ❑ No one available for inspection: Time D AM PM Re -Inspection required: Yes I�o When corrections have been made, call for re -inspection at 303 -234 - Date: ► 1 �F Inspector: 7-b DO NOT REMOVE THIS NOTICE 9 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: LI0 R Job Address: 6 -1i -7c Permit Number: _3 o -7 O 7 d 0 ii r` , tl Gr j n c, li- d r, o ' - S C-70 f/f c 6 e 1171 f) Lr r ct ®at 4a r, C C_ L i' I'S n ❑ No one available for inspection: Time = 1 i gpm Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: r 6- Inspector: T� DO NOT REMOVE THIS NOTICE It � 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: � ` KA L.-,5 tG'>1 01 Job Address: 4n 0 Permit Number: ❑ No one available for inspection: Time AM PI Re -Inspection required: Yes No when corrections have been made, call f¢( re -inspection at 303 -234 - Date: 1Inspector: 'LQ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miseella PERMIT - 201709526 PERMIT NO: 201709526 ISSUED: 12/11/2017 JOB ADDRESS: 4170 Harlan ST EXPIRES: 12/11/2018 JOB DESCRIPTION: Remove existing vinyl siding and foam; replace new foam and tape, J channel and starter, replace vinyl siding - 14 squares *** CONTACTS *** OWNER (303)859-1150 WENGER BRYAN D SUB (785)899-7104 Brent Flanders 170498 Flanders Construction LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Total Valuation 0.00 Use Tax 105.00 Permit Fee 125.05 ** TOTAL ** 230.05 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 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 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 permit. I further attest that I am legally authorized to incluthide all entities named within this document as parties to the work to be performed and that all work to be pe�rfor4ed is disclosed in s document and/or its' accompanying approved plans and specifications. L' Signature of OWNER or CONTRACTOR (Circle one) Date 1. This pen -nit 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 pen -nit 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 pen -nit fee. 3. If this pen -nit 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 pen -nit 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. D Signature of Chief Building O ficial —Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City or 1/' W heat dgc COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aki.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # �1 I I V ` ✓w 01, 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: `- 1113 14W6(Ky--N 'Gffezl Property Owner (please print): Phone: ( Phone: Property Owner Email: i �iC3�Y� z, c�, . �K8 (4U ' C —TG,� Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Phone: Phone: 36 3 - `I V 6 & � d, For Plan Review Questions & Comments (please print): CONTACT NAME (please print): //0-1 ��, � ( Phone: 7�0 ,5/ 7, CONTACT EMAIL(p/ease print): 3031,e' 1, o �n4 rl. co Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ 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) C -P -L (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.) ro et Vw CA4-+ 11� s Sq. FULF 7 �} r iL ' Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) C-0 00 , O 0 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) Sienature (first and last name): 4 DATE: DEPARTMENT USE ONLY ZONING COMMMENTS- OCCUPANCY CLASSIFICATION Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ i CITY OF WHEAT RIDGE Vr Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �-�� L. 17c�o Job Address: C /� %� 11,12C 4AI, S Permit Number: >C LVZ /P65,� { 1 S rih IJ No one available for inspection:4 Tim / ` 7/f AM/PM i� Re -Inspection required:Yes ,'No � ___-- When corrections have been made, call for re -inspection at 303-234-5933 Date: - .r 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 Type: Job Address: Permit Number: INSPECTION NOTICE/ Z©/ O �o /7— ❑ 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: Inspector: DO NOT REMOVE THIS NOTICE A r City of Wheat Ridge Residential Roofing PERMIT - 201707042 PERMIT NO: 201707042 ISSUED: 09/07/2017 JOB ADDRESS: 4170 Harlan ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 12.33 sq Pitch = 6/12 *** CONTACTS *** OWNER (303)859-1150 WENGER BRYAN D SUB (785)899-7104 Brent Flanders 170498 Flanders Construction LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Total Valuation 0.00 Use Tax 105.00 Permit Fee 125.05 ** TOTAL ** 230.05 *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. �. A r City of Wheat Ridge Residential Roofing PERMIT - 201707042 PERMIT NO: 201707042 ISSUED: 09/07/2017 JOB ADDRESS: 4170 Harlan ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 12.33 sq Pitch = 6/12 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 permit. I furtheratt t I am le ally authorized to include all entities named within this document as parties to the work to be perform �dndd thatan wGW to be ed is disclosed in this documen ccompapyind approved plans and specifications. Signatur of O R or CONTRACTOR (Circle one) lwte 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. 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 applicab co poran� ordma� or re of 'on 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. Office Use Only FLANDERS Job # CONSTRUCTION, LLC Date 6404 Road 29 By Edson, KS 67733 785-899-7104 Kansas Contractor #16-007725 TRINITY RESTORATION & FINISH 3720 Harlan St Wheat Ridge, CO 80033-7428 303-981-0362 Customer _ date Addressi -._ 5 r+ -tom.- � j- City & State .. � t; C r-, Home Phone �-.f i/ 70 - Alt. Phone Zip Code ' L t t~ Email: t e a,,i c, Insurance Co, 5 vk V" Claim # _ � Y -7Ins, Adj. Job Address­-� f 7t'. H A T Gii e A T AL.�(- t-:: Q Tear off�__ layers �fC [� Brand - Q Recovery Roof with: t Q #1 heavy Shakes I -33 3 Tab Asphalt Shingles Q Valley 54 - Q Galvanized ft. Q Roof Stacks CK Q Turbines OK -gavents C�.:CJ a-�. Q OK ® Mfg's Limited Warranty © 25 years Q Craftsmanship Warranty Q 1 year Protect Landscaping Nail roll yard = Clean gutters of roof debris "ice & Water Shield Special Instructions: v'' t t-, 435tX (.._ !` r.a c 1 ',ILL t Lz' ( Al invoices are subject to a 1.5% monthly finance charge if payment is not received within 30 days of completion. Q Color L� , c-. Q #1 Medium Shakes Q #1 Cedar Shakes Q Designer composition shingles Q Replace qty Q Replace qty Q Replace qty Q 30 years 2 years ampany Insurance Clean up and haul off roofing debris L -a t - [� Size Q New qty [� New qty ® 40 years = 60 Years of Goods & Services Labor & Sales Tax Permit Less Down Payment Received on 4e $� The Purchaser Acknowledges: TOTAL DUE UPON COMPLETION f. That he/she has read the contract, ties received a copy of this agreement & furthermore agrees that it is a legal & binding contract provided that the provisions of the "Special Instruction" have been met. 2. The company is granted the right of first refusal to perform work approved by the homeownerts insurance Company if the contract terms and the cost hereby exceeds approved work. 3. All surplus job materials belong to the company. Customer will supply electricity to perform the work. The company will perform 18 work in workmanship like manner according to local building codes and specifications. 4. (A) Note: if more layers are found during installation, there will be an additional charge of s_ per layer (100 sq. It.) of asphalt, S 1 per layer per square (100 sq, ft.) of wood shingles. (8) Rotten or Deteriorated Wood: The company will install approved exterior •grade sheathing where needed. Unless specifically stated under "Special Instructions," no charge or estimate has been made to replace such rotten wood. If such conditions are found during . Unless s, specifically additional charge of $ per sheet will be added. S. Upon completion of work, customer agrees to pay the balance of the contract including any applicable insurance claim readjustments, supplements and/or overhead & profit• in addition, purchaser agrees to the general contractor markup at customary insurance rates (20% markup on Xactimate line items). 8. The company is not responsible to provide any materials or perform any work other than what is described above, including electrical wiring 7. Replacement of deteriorated decking, fascia board, ventilators, flashing or other materials, is not included and will be charged as an extra, unof fans. less otherwise stated herein. 8. This contract is subject to final approval by the comannv as is the entire agreement. No other written or oral terms will be recognized. 9. The purchaser may cancel this contract by: Flanders Construction, LLC receiving written notice at the office prior to midnight of the third business day after the date of this contract, 10. Purchaser acknowledges to hereby waive damage to driveway cause by supplier during deliver of roofing materials and roofing instaffation crew during re -roofing of ro flure to waive damage will necessitate a no access charge associated with job completion. lurchaserf, lP ff DATE Sales Person 'urchaser DATE Flanders Construction, LLC Dane Lovett 2 0 1 7 0 7 q L From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 1:02 PM r =? To: CommDev Permits �- Subject: Online Form Submittal: Residential Roofing Permit Application C1 Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application �1 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 �(i ex?fek c0136117 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) bL 4170 HARLAN STREET WHEAT RIDGE, COLORADO 80033 BRYAN WENGER 303-859-1150 113 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 bryan.d.wenger@gmail.com Yes WENGERCONTRACT and WC.pdf •► o] :4 1 ► *1 :4 MA F-AV9 •►. Contractor Business FLANDERS CONSTRUCTION, LLC Name DL Contractor's License 170498 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 3039810362 6404 ROAD 29 EDSON, KS 67733 Contractor Email Address brentflanders91 @gmail.com Retype Contractor Email Address DESCRIPTION OF WORK brentflanders91 @gmail.com TOTAL SQUARES of 12.33 the entire scope of work: Project Value (contract $5000.00 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 114 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? 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) No / Yes 6:12 12.33 squares 30 YR LAMINATE Asphalt house SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 115 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. Name of Applicant BRENT FLANDERS Email not displaying correctly? View it in your browser. 116 INSPECTION RECORD Occuuancv/TVpe C 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB 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 r Sheathing Lath / Wall tie Mid -Roof — "s Electrical Service Rough Electric Rough Plumbing Gas Piping '.= Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING s Framing Insulation Drywall Screw r„ FINALS - Electrical Footings /Caissons Plumbing Reinforcing or Monolithic Mechanical. Weatherproof / French Drain Roof Water Service Lines Building Final Firebepa [ment R.O.W $Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE 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.:. OF ACERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. - FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings /Caissons Sternwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines s w> UCCUPANCY,NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 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: A Job Address: 4f yh S Permit Number: C~ ❑ No one available for inspection: Time 'V.6t~ W Re-Inspection required: Yes a When cO^r~~ractions have been made, call for re-inspection at 303-234-5933 Date: tf Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1w1o2oo1- Job Address: ///7o 114W.4-Al ;7- Permit Number: f 9'oa5 P ws.ED ❑ No one available for inspection: Time ' epm Re-Inspection required: Yes CEO) *When corrections have been made, call lf~forrr/re-inspection at 303-234-5933 Date: / Inspector:a:~c DO NOT REMOVE THIS NOTICE A : City of Wheat Ridge Residential Roofing PERMIT - 094025 PERMIT NO: 094025': ISSUED: 11/12/2009 JOBADDRESS: : 4170 HARLAN ST" <EXPIRES: 05/11/2010 DESCRIPTION:. Reroof 12.66 sqs ***..`CONTACTS owner 303/940-7204 DacNguyen; sub 651/982-6882 Prince Tyler 09-0255 ARI Construction LLC PARCEL'. INFO ZONE'. CODE: UA -USE: `UA SUBDIVISION:. UA BLOCK/LOT#: 0/ **..FEE SUMMARY ESTIMATED PROJECT VALUATION: `'.4,051100 FEES Permit Fee ` 144.70 Total Valuation .00 Use Tax 72.92 **'TOTAL 217.62 Conditions: 6 nail installation & mid roof inspection required. Board sheathing spaced more thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required fromeave 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 measurements s ,and allegations made are. accurate; that I have read and agree to abide, by all. conditions printed on this applicat' a d hat I assume full. responsibility for compliance :with he Wh at. Ridge Building Code (I.B.C). and all other .i ap ab W Ridge Ordinances;( for work 'under this permit. Plan aub7e to field inspection. Sign re co c .`date L 's p it was issued in acc rdance with the provisions set forth in your application. and is subject to the. laws of the State Colorado and to the oning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinance f'the Cit 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. I. 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 a new permit. No work of any manner shall be done that willchange the natural flow of water causing :a drainage problem. 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. 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. 'c . Allplan ev is sub? ect to field inspactions i'/ ignatg e o hief BU Idle Official date / 4 :NSPECTION REQUEST LINE: .(303)234-5933 -BUILDING OFFICE:: (303)235-2855. :EQUESTS MUST BE MADE BY `3PM ANY BUSINESS DAY FOR INSPECTION THE `FOLLOWING BUSINESS DAY. C City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: Plan Permit Building Permit Application (Property /~dtl ess 70 /6*Z,,#-Aj V Property Owner (please print): DA-C, N Phone: 41 j Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: RR / CQyl~(LV/(~i /~G Contractor License Phone: 3 2 - Z/Sc?/ SbCOntraCtOfS Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: n Approval: Approval: Use of space (description): 2~- /ZOD t= Construction Value: $ r e~`SCnptlOlhQ, - f WOr3 (as calculated per the Building Valuation Data sheet) kam~ -rL-ok < Plan Review (due at time of submittal): $ 1^C.~fUIX-lA.~t. 3ovz GAF/Eu~ Sq. Ft./L. Ft added: ~.C •~Squares BTU's Gallons Amps