HomeMy WebLinkAbout4690-4694 Quay StreetRough Inspection (continued)
Date
Inspector Initials
Comi a is
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
u! ",`"..
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
u! ",`"..
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.
PERMIT:' r ��
ADDRESS:
INSPECTION RECORD
JOB CODE: 1z R r
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
4/(2
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 I Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
Midroof.& Final Roof inspections for ROOFS 6/12 PITCH & OVER: 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201707967
PERMIT NO:
201707967
ISSUED:
10/03/2017
JOB ADDRESS:
4690 Quay ST
EXPIRES:
10/03/2018
JOB DESCRIPTION:
Residential Re -roof at 4690 and
4694 Quay St. to
install OC asphalt
shingles - 24 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)601-9502 HUYLER CHRISTINE
SUB (303)815-0640 Daniel Vogel
019494 Vogel Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
7,500.00
FEES
Total Valuation
0.00
Use Tax
157.50
Permit Fee
172.60
** TOTAL **
330.10
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
Midroof.& Final Roof inspections for ROOFS 6/12 PITCH & OVER: 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 . City of Wheat Ridge
"r Residential Roofing PERMIT - 201707967
PERMIT NO: 201707967 ISSUED: 10/03/2017
JOB ADDRESS: 4690 Quay ST EXPIRES: 10/03/2018
JOB DESCRIPTION: Residential Re -roof at 4690 and 4694 Quay St. to install OC asphalt
shingles - 24 sq Pitch = 4/12
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 fu er ttest that I a legally authorized to include all entities named within this document as parties to the work to be
formed
pera ork to performed is disclosed in this document a d/o its' accompanying approved plans and specifications.
/10119//
Signature of OWNER CONTRACTO (Circle one) Date
I . This permit was issued base n ormation 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 originalpermitfee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett L b
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 29, 2017 1:28 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION j
1,
Property Address 4690 4694 Quay St
Property Owner Name Christine Huyler
Property Owner Phone 303-601-9502
Number (enter WITH
dashes, eg 303-123-4567)
93
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
monkeypaws7@comcast.net
Yes
huyler.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
VOGEL ROOFING, INC
f) L
019494
303-815-0640
1346 S JASON ST DENVER CO 80223
Contractor Email Address dannyv.vogelroofing@gmail.com
Retype Contractor Email dannyv.vogelroofing@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
24
7500.00`
Pitched roof (2:12 pitch or greater)
94
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
24
OWENS CORNING DURATION
Asphalt
duplex 4690 and 4694
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
95
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 Daniel VOGEL
Email not displaying correctly? View it in your browser.
96
VOGEL ROOFING INC
1346 S. JASON ST DENVER, CO 80223 (303)815-0640
Homeowner's
Address:
4/ IL
Sr . yC X61 e 9
City: ZL±L;_ state:� Zip Code: 'L1 3
Home Phone: 5e3 60 / 9 5 -OZ Cell. 7Zc ( S/ff X098 `l
SCOPE OF WORK AGREEMENT
CP
The contract price and scope of work is : $ J ,� Payment Schedule is as follows:
Down Payment $ upon signing this Contract.
Additional. $ the day of starting work, delivery of materials and all necessary tools.
Additional: after completion of.
Additional: $�_ after completion of
Balance: $ payable upon final completion. Initials:
The Homeowner (s) may cancel this agreement at any time before midnight of the 3rd business day (72 hours
right of rescission) after the date of signing this agreement by mailing a notice of cancellation to the above
address, entailing Vogel Roofing Inc. dannyv.vogelroofrng@gmail.com
By signing this agreement below, I/We acknowledge that I/We have read both sides of
and agree
gto all tern1w and
condidbns and no other conditions apply unless s is m
Homeowner or Agent Signature Date Vogel RoofinInc
r _
Date S -1Z
Homeowner or Agent Signature Date
., !T
CITY'6F WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:�,� L VbCr
Job Address: 9
Permit Number: p ( -�
❑ No one available for inspection: Time
Re -Inspection required: Yes No &PM
When corrections have been made, ca/l f -inspection at 303303 2—��33
Date: lD
tor:
11-4177Inspecc
DO NOT REMOVE THIS N T/CE
IF
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: 3 o 6 M ID
Job Address: y,6gO Cys✓a i/ J) --
Permit Number: 2,0/70 7G/6 7
❑'No one available for inspection: Time 1_ AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: O - 1 % Inspector:
DO NOT REMOVE THIS NOTICE
FORM(M)a1a;D&11z9 XCELENERGY. 17
fi' � 3 ^
ADOflESB q _
q7 11
CITY TOW ,F OR COON
FLOOR APT NO
,BUSTMER NAME IPRINnc t �'°° (
666 ' `P,.°t
Sao
ACTION TAKEN
o r, . i �
❑ NO SHUT OFF
El AP.PLIANCE OFF
BOTH APPL. &METER
OWNER
�„g'
TENANT [g
7 SPECIFY
AGENTE] OTHER
❑ METER SHUT OFF
HUA
MUST NOT BE PUT BACK IN
. CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS EQUIPMENT
'.SERVICE UNTIL REPAIRS AND ATHOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR CONTACTYOUR LOCAL
. BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING. REPAIR WORK,
NAME AND TYPE OF APPLIANCE
A Cd ITION TO BE CORRETED g� g j`ti $ p
<e°dFa '� a2" ef✓ R i �.'B id..9� 4„ i
� �dR 4� 'a. e
pp q k {
ttn ..x a� 6 .,�,0 /CA.."�{ E✓l d�G ° v� 4' fE�.. 2§°�'A� &41
� r
l ( �.,, � I
vzf -Bl a FOR FURTHER INFORMATION, PHONE:
�
T G BY¢R,., 3
4 a o pill i . • ^k
•*'°4
TIME
DATE
ER �AGOUPANT SIGN — URE T „
fi r ( /
TIME
DATE
p 90,,S NSHIP OF OCCLPh. TO CO�TOMER
�/
3
INSPECTION RECORD occu
'!� LINE: (303) 234 -5933'
Inspections will not be made unless this card is posted on the building site
{
Cal by 3:00 PM to receive inspection the following business day.
I I,
INSPECT R MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:.
Footings /Caissons
Stemwall./ (CEG) .Concrete
Encased Ground
Reinforcing or Monolithic
n ,
Weatherproof / French Drain
Building Final
Sewer: Service Lines
'Fire Department
Water Service Lines
R.O.W & Drainage
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
:' * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, .BUILDING SAND PUBLIC WORKS BEFORE A `.
CERTIFICATE OF OCCUPANCY .IS ISSUED.. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE
Plumbing (Underground)
IS ISSUED
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
:ROUGHS -.
Sheathing
Lath / Wall tie
Mid Roof
ElectncaL Service
n ,
.:'Rough Electric
Building Final
:Rough Plumbing
'Fire Department
Gas Piping`
R.O.W & Drainage
'.Rough Mechanical
Parking & Landscaping
'ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
.Drywall Screw
FINALS
Electrical
!:Plumbing
�Mechanical
Roof
n ,
Building Final
'Fire Department
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 SAND PUBLIC WORKS BEFORE A `.
CERTIFICATE OF OCCUPANCY .IS ISSUED.. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE
OF OCCUPANCY
IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: P "', _F
Job Address: X00 _ r ,Jtf
Permit Number: no I( r, Z>
❑ No one available for inspection: Time �r� J AM PM I
Re- Inspection required: Yes 6;
"When corrections have been made call to re sp t' at 303 - 234x933
Date:
j�6 Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time 10,' AM /PM
Re- Inspection required: Yes No
*When corrections have been made, call for re- inspection at 303 -234 -5933
r
Date: ®V14 c7 Inspector:
DO NOT REMOVE THIS NOTICE
Inspection Type: 1l� - 'r✓�:=
♦ i CITY OF WHEAT RIDGE
f~ Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION
Inspection Type:
Job Address: A4
Permit Number:
Re-Inspection required: Yes, No
"When corrections have been made, call for re-Inspection at 303-234-5933
Date: Inspector:
~9?
NOT REMOVE T HIS NOTICE
❑ No one available for inspection: Time AM/PM
" , City of Wheat Ridge
r -
Residential Roofing PERMIT - 091153
r PERMIT NO: 091153 :ISSUED: 08/07/2009
JOB ADDRESS: <4690 94.. Quay St '-EXPIRES.: 02/03/2010
✓ DESCRIPTION: Reroof 23 sqs with GAF 30 yr asphault. shingles
CONTACTS
owner 303/601-9501 Christine Hyler
sub 303/697-8550 George Gibson 09-0088 Frontier Restoration
s
PARCEL INFO
s: ZONE CODE: UA USE: UA'
SUBDIVISION:I 0009•.
'BLOCK/LOT#: 0/.
~z
"
'
FEE SUMMARY
ESTIMATED
rPROJECT :VALUATION: 4,071.00
FEES
Permit Fee
144.70
r~YZ
Total Valuation
.00
E V
Use 'Tax
73.28
x
TOTAL
217.98
'
r
Conditions:
L
S
u
~o~wHEgr~ City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-235-2857 Plan
c o Inspection Line: 303-234-5933 i
°toRPO Permit
Property Address:
Property owner (plea
Mailing Address: (It different than property adaress)
Address:
City, State, Zi
v
Contractor: !fjtEle~/Ttp S~,~/YI"TON
Contractor License IV f &947 F F- Phone '7 ~S$d
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
Description of S : Imo, mil (as calculated per the Building Valuation Data sheet)
.•~ee31j•/'.'S~Sf /ja ~y Plan Review (due of time of submittal): $
BTU's Gallons Amps
Sq. Ft~ added: ~ Squares Ay
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. ^
CIRLCE ONE:: (OWN 7) (CONTRACTOR) or PERSONAL REF
PRINT NAME: CU / SIGNATURE:
Date:
Building Permit Application