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HomeMy WebLinkAbout3780 Fenton StreetINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted Via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS:3-7Yb ce,- l J4- JOB CODE: f"`r 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 I �spea sor 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 30T 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 INSPECTIO', PERMIT: ADDRESS: �JZ�G ��,./1 JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank ° 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous 7 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 7 410 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 cont�.ct the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. �?i 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: 1-1 2 � - EIn es - Job Address: 3 -7 8 y t- e r 4, ,,, S �- Permit Number: C J -7 5 o C -7 t- r\e� ;7[�:.��� cl ❑ No one available for inspection: Time ` = 74:;�&PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: i 1///-2 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 NOTICE Inspection Type: Job Address: cr, en SY. Permit Number: ❑ No one available for inspection: Time(7' 'K, -AMPM Re -Inspection required: Yes /, N6�j When corrections have been made, call for re -inspection at 303-234-5933 / 1 Date:-,-" �/ 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 NOTICE Inspection Type: JobAddress: Permit Number: 12-Q'10'1 O 0 IV �b � VID ❑ No one available for inspection: Time 3 AM PM Re -inspection required: Yes (No When corrections have been made, call f re-inspe� crtion at 303-234-5933 ') C Date: I i (5 ! inspector: `1 DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201709007 201709007 3780 Fenton ST Permit to remove Asphalt shingles. ISSUED: 11/13/2017 EXPIRES: 11/13/2018 and replace 7 squares 30 year HD shingles with Weatherwood *** CONTACTS *** OWNER (720)230-7682 3780 FENTON LLC SUB (720)298-1832 Juan Mandonado 110079 MJF Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 331 / General Retail; 1 BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,799.00 FEES Total Valuation 0.00 Use Tax 37.78 Permit Fee 70.70 ** TOTAL ** 108.48 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201709007 PERMIT NO: 201709007 ISSUED: 11/13/2017 JOB ADDRESS: 3780 Fenton ST EXPIRES: 11/13/2018 JOB DESCRIPTION: Permit to remove and replace 7 squares 30 year HD shingles with Weatherwood Asphalt shingles. 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be permed and ll X11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Z-1ZI- signature of OWNEeor 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, po Flans 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 originalermit 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 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 shal ` t be construed o be a ermit for, or an approval of, an violation of any provision of any applicable code or any ordinance or re ti AAL14' juris ics o : oval of work is subject to field inspection. �.. Sigi afire of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick 2AD I—t ;Z) Cc �D o-� From: no-reply@ci.wheatridge.co.us Sent: Sunday, November 12, 2017 7:23 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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 Single Family Home are on the property? PROPERTY INFORMATION t � 5 Property Address 3780 Fenton st C) Property Owner Name ick property manse �� < _ Cc) Property Owner Phone 202307682 �,) l Number (enter WITH dashes e 303-123-4567 g ) 25 � / uK,qS/ Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed 20171112 191317.0pg Contract CONTRACTOR INFORMATION Contractor Business MJF Construction Name Contractor's License 110079 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 7202981832 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 6551 w.73rd pl (Primary address of your business) Contractor Email Address bmandonado@icloud.com Retype Contractor Email bmandonado@icloud.com Address DESCRIPTION OF WORK TOTAL SQUARES of 7sq the entire scope of work: Project Value (contract 1,400 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 26 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 7sq 30 yr HD shingles weatheredwood Asphalt Remove and replace with 30 -year HD shingles 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 27 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 Juan Mandonado Email not displaying correctly? View it in your browser. 28 N1 r) Ii C 011 s t z• .�-e• xon Rooting, Inc, Date: _ _ .- I Cell: PROPOSAL Office: %f "OPOSAL SUBMITTED TO: --- NAME, PHONE WORK TO BE PERFORMED AT. We hereby propose to furnish the materials and perform the labor necessary for the completion of All material is guaranteed to be as specified, and the above wnrk to be performed in accordance with the drawings and specifications submitted for above work, and completed in a substantial workmanlike manner for the sum ooars (,� with payments to be made as follows:C��� /��� 0-1-7 Respectfully submitted �,Y atteratron or deviation from above spealkait becns ome any extra costs onY u upon written order. and will become an exlra charge Per Will be executed reernenls contingent upon stakes, ac, over and above the e d our coMrmale lolag dents. or delars beyond Note - This proposal may be ithdrawn - by us it not accepted with` days. '�- ACCEPTANCE OF PROPO The above prices, specifications and conditions are satisfartory and are hereby as specified. Payments will be made as outlined above. Signature __,ft' are authorized to do the work Signature — u , — _ u INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234 -5933 - [I"'I'll I rte' 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. t Electr ical - INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons - . Stemwall / (CEG) Concrete Encased Ground " Fire Department Reinforcing or Monolithic R.O.W & Drainage Weatherproof /French Drain INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking .& Landscaping Sewer. Service Lines "`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 A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS : Sheathing` Lath / Wall tie " Mid -Roof Electrical Service - - Rough Electric Rough Plumbing Gas Piping - / e9 G:CS 61.1,91512 Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING ffDrywall rew FINALS Electr ical - Plumbing Mechanical' - Roof 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 AND 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: r',4S 1, ¢ F,.r „� •� , cam Job Address: zzv. Permit Number: E ❑ No one available for inspection: Time pis: Va AM /PM Re- Inspection required: Yes When corrections have been made, call for re- inspection at 303-234-5933 Date: 5?/// . 7 Inspecto DO NOT REMOVE THIS NOTICE i FORM (M) 414 -02 -1723 t R ADg,t Dt+Cejf �N/O�R COUJJiV 6 f'° '°`w^' EL CUSTOM G NAA f ME(PRINT) - ♦ A q / Y ` /{-' ACTION—TAKEN cj d.6 A A El NO SHUT OFF C- ' SPECIFY ❑ APPLIANCE OFF OWNER TENANT. J AGENT ❑ OTHER OTH APPL. & METER METER SHUT OFF HAZARD CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS EQUIPMENT MUST NOT BE PUT BACK It I SERVICE UNTIL REPAIRS AND THOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR CONTACT YOUR LOCAI BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK. �NAMEAN TYPEO�FJAPPPUANCE 'µ pg pp v4 CON TIO TOBECOR CTED y FOR FURTHER INFORMATION, PHONE' � DAT / •` C RG MER�OCWPANTS NAN E DA$F� REOTIONSHIP OF Oc.w / City of Wheat Ridge I Residential Mechanic PERMIT - 091809 PERMIT NO: 091809 ISSUED:; 08/31/200.9 JOB-ADDRESS: 3780 FENTON ST' `EXPIRES: 02/27/2010 DESCRIPTION: Install. U/G gas'line but not :connecting furnace only lines :CONTACTS owner 361/551-9085 May 'Me Dainell sub 303/935-1617 Ronald Florez 02-2421 Florez Heating & Gas Works PARCEL INFO ZONE "CODE: UA FUSE: UA SUBDIVISION: 0456 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,000.00 FEES Permit Fee 90.10 Total Valuation .00 Use Tax 36.00 TOTAL 126.10 Conditions: 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 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 city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received :prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, Cfull fees shall be paid for anew permit. 4. No 'work of any manner shall be done that will. change the. natural flow of water causing adrainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all'. inspections and shall receive written approval on inspection card before proceeding with successive phases of the jobs. 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 ofthe provisions of the building codes or any, other ordinance, law, =Is or 'regulation. All:. plan review is subject to field:. inspections. signature of Chief: Building (official .:date INSPECTION REQUEST LINE: (303)234-5933 BUILDING. OFFICE: (303)235-2855 REQUESTS MUST: BE `MADE BY 3PM ANY BUSINESS DAY FOR. INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Mechanic PERMIT - 091809 i 0918•) :ISSUED:.: 08/31/2009 3780 -.EXPIRES: 02/27/2010 Install L,t-s" gas'line but not connecting furnace only lines NETS: .1 0, k 1-9085 M ,.Me Dainell 45 1617 Rcxlald Florez 02-2421 Florez Heating & Gas Works ..,.1 s USE:UA '!.BLOCK/LOT#: 0./. ESTIMATED PROJECT. VALUATION: 2,000.00 FEES 90.10 .00 36.00 126.10 „`a ~•.,-r r etback digtances proposed by this permit application: are accurate, and do not violate applicable tions 'y}~e City of Wheat Ridge or covenants, easements or restrictions of record; that all bons made are accurate; that I have read and agree to abide by all conditions printed on this 11 responsibility for compliance with`. the Wheat:. Ridge : Building Code (I.B.C) and all other na s, for work under this permit Planajf ject to. 'field inspection. n accordance with the provisions set forth in your application: and is subject to the laws of the the Zoning Regulations and Building Codes of Wheat: Ridge, Colorado or any other applicable ?BO days from the issue date. Requests for an extension must be received prior to expiration be granted at the discretion of the Building Official 3'new permit may be acquired for a fee of one-half the amount normally required, provided no 4;be made in the original plans. and specifications and any suspension or abandonment` has not f clv,nges. have been or if suspension or 'abandonment exceeds one (1) yearfull fees ,Pshall k be.,Idone that will change the natural flow of water causing a drainage problem. 'lding Inspector twenty-four (24) hours in advance for all inspections and shall receive ec! trd before proceeding with successive phases of the job. or tt,~ s,Iproval of drawings and specifications shall.: not be construed to. be a permit for, nor atic `.7e provisions of the building codes or any other ordinance, law, role or regulation. ct to tii3:q inspections. official date INE: (303)234-5933 BUILDING OFFICE:: (303)235-2855` oe""EATR City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 c ~ o Inspection Line: 303-234-5933 OGORPO Building Permit Application =Permit 55 Prope rty Address: Fa,,~Tp y~ -t-lr Property Owner (please print): M A`I Ma nArt yJ G l l Phone: 635 Mailing Address: (if different than property address) a0-:s-96(P-5S-72> Address (a00 E - r V ~2S City, State, Zip: TX _ 78382 Contractor: r t Contractor License Phone: qZI, Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description):~i.~ Construction Value: $ Description of work: (as calculated per the Building aluation Data sheet) Sl1 STIrl.d~. IAZ e✓L ri 2o u yJp ~-,,ws L+ yJ Plan Review (due at time of submittal): $ S~},o+n~ ►aS LtrJ2~Cb A0114;, IGudsJ 15Th Q-) i. stcE rT~ G \ p~ spa 741C Sq -~1 rn~ ~x Two Fu o~-~J cE b'Sq. Ft~L.Ft a eduaresU"s~Galions Amps 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:: (OWNER) CONTRACTO or PERSONAL REPR S NT o O NER) (CONTRATOR) *1101 PRINT NAME' ?0 URI,C~ ~l-O(L~Z SIGNATURE: Date: ZONING COMMENTS: Zoning Reviewer: W"r, PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer FIRE DEPARTMENT" ❑ approved wl comments ❑ disapl _Y OCCUPANCY:- ved no review required Bldg Valuation: