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Home My WebLink About3343 Simms StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Date: Thursday, October 28, 2021 10:44:10 AM Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 3343 SIMMS ST Property Owner Name DREW AND SHARON VAN STELTON Property Owner Phone 720-244-8616 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" N/A CONTRACTOR INFORMATION Contractor Business DUN -RITE HOME IMPROVEMENTS, INC Name Contractor's License 020671 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 Jeffrey ryan Permit Email not displaying correctly? View it in your browser. Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-722-2295 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email kaytlin.r@drhi.com Address Retype Contractor Email Address DESCRIPTION OF WORK What is being replaced Number of window and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): kaytlin.r@drhi.com NVA Morel, 2 kitchen and basement What is the u -value of 0.30 for both the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of van stelton.odf window/door cut sheets showing sizes and u - value Attach any additional Field not completed. documentation Attach any additional Field not completed. documentation Project Value (contract $3,027.00 - �Z-0 r 7 0 ,evI/�, Rim S I'' , P E CT 1 O N RECORD Occupancy/Type kV_F INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Mid -Roof Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building 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 from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 2,! 17044:5 PERMIT NO: 201704435 IS:37FD: 07/19/2017 JOB ADDRESS: 3343 Simms ST EXPIRT.LS: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install OWEN CORN NG asphalt shingles with 30 SQ * * * CONTACTS * * * OWNER (720)244-8916 VAN STELTEN TRUST/DREW AND SHA SUB (303)778-8010 Scott Lawerance 019349 AquaDuct Roof & Gutters *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,163.53 FEES Total Valuation 0.00 Use Tax 213.43 Permit Fee 220.15 ** TOTAL ** 433.58 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. A 4r City of Wheat Ridge Residential Roofing PERMIT - 201704435 PERMIT NO: 201704435 ISSUED: 07/19/2017 JOB ADDRESS: 3343 Simms ST EXPIRES: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install OWEN CORNING asphalt shingles with 30 SQ *** CONTACTS *** OWNER (720)244-8916 VAN STELTEN TRUST/DREW AND SHA SUB (303)778-8010 Scott Lawerance 019349 AquaDuct Roof & Gutters *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,163.53 FEES Total Valuation 0.00 Use Tax 213.43 IK -- Permit Fee 220.15 V fry ** TOTAL ** 433.58 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704435 PERMIT NO: 201704435 ISSUED: 07/19/2017 JOB ADDRESS: 3343 Simms ST EXPIRES: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install OWEN CORNING asphalt shingles with 30 SQ I by my signat e do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable buil ng codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the leg ow er of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this perm . I her attest that I am legally authorized to include all entities named within this document as parties to the work to be per at an work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sig a4li of GONT TO (Circle one) Date 1, This perm:��ER ssue ased on the in afoilbation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those ocuments, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit 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 an 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 gr2a�i not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or�on o his risdiction. 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. /Z"- 0 Dan Schultz v �/- V 5 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 11, 2017 10:06 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 Property Address Property Owner Name Property Owner Phone Number 3343 Simms Street Wheat Ridge, CO 80033 Drew and Sharon VanStelten 720-244-8916 Property Owner Email dvanste1 @yahoo.com Address I, /?; ` Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Aquaduct Roof & Gutters 01-9349 303-778-7663 Contractor Email Address quotes@aquaductgutters.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? quotes@aguaductgutters.com No Owen Corning Asphalt Field not completed. 30 No Field not completed. TOTAL SQUARES of all 30 roofing material for this proj ect Provide additional detail Re -roofing here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 10,163.53 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 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 submit this application and to perform the work described above. Name of Applicant Scott Lawrence Email not displaying correctly? View it in your browser. 3 AgUADUCT ROOF & GUTTERS A Sirbsidiaiy of A-1 Home Remodelers, Inc. PO Box 115 Peyton, CO 80831 (888)-784-7663 Preliminary Pricing Detail Customer Name: -'Pi Field Rep: Details (Please enter notes as necessary.) Amount -7 Original Insurance Estimate (Total Claim RCV Amount) including deductible. b+� Upgrades 1 Additional Work (If applicable.) -- Work Trades not bein co leted by MulaDuct Roof & Gutters (if applicable.) REVISED Contract ount-1 r e-4 G awt' 151 Payment Balance due of Original Contract &3 08-'f PAYMENT SCHEDULE Paid Date: _/_J CK# @ eln? Paid Date: —fes CK# @ $ Paid Date: _/_f CK# @ $ Paid Date: _J_/ CK# @ $ Your final balance may be higher than the original contract price due to supplements approved by your insurance company during the course of the project. Per your original contract, any supplements if approved and paid by the insurance company will be paid to AquaDuct in add' ion to on inal contract price. Supplements (If Applicable) y'e-" S $ omeowner Signatur Date: New Contract Amount $ a 0 10 E I r m v N T rn d M r H4 o �D W r Q b9 � U Vi fR � N fA b9 � � M CC V N rn t� cd p N N � C7 00 0 0 0 o 0 0 m 00 o o M ao C 0 0 Z aQa.w o c o A 0 w` W 0 0 fO - 0 Q' 0 10 I r m v N T rn d M r H4 o �D o. r O r Q b9 �O Vi Vi U Vi fR N fA b9 � � M I 1 I I N � N � 0 0 0 o 0 0 m 00 o o M ao o 0 0 0 0 o 0 0 M 00 o c o 0 0 0 0 0 0 0 0 1 .N„ r N Q � cin O cin b cin O r 69 Yf U4 o 0 m N o 0 0 0 0 0 0 0 Hf 69 b9 FR N (A (A fR Hf N I `n N Yi v .o a � w oo •o .o 00 o ao r N 00 o r r b zs h oo v� O b r s9 N 0 Vi fA Vf .- 69 M fiA to N Q fiA i N O N O, Q Q M 0p I Oi V> �O Q V1 69 69 iD 69 N V3 h O� Vf 16 P (n N CO N d9 M T fA w w w w w 0 ao a o M rn M N o O 0 O N w w w cc 0 0 c X � �•�• O• � i0 itl d W X N N N N N d N N N L gym-' 0 10 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:' Job Address: j'3 3 Permit Number: ❑ No one available for inspection: Time A(M/PM Re -Inspection required: Yes (�'N ` l When corrections have been made, calf for re -inspection at 303-234-5933 / r -% Date: 6, �(� /1/ r) Inspector: �-fa DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE 13ti lding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:'�i Job Address: N(M' Permit Number: r ❑ No one available for inspection: Timej AM M Re -Inspection required: Yes(No When corrections have been made, call for re -inspection at 303-234-5933 Date: b .2. 11 Inspector: Lai�. DO NOT REMOVE THIS NOTICE INSPECTION RECORD ODODpanCVlType INSPECTION LINE: (303) 234 -5933 OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 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. S1Z7 INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE I IA ECTOR N LS COMMENTS Footings /Ci Stemwall / crete Encased G ..... .. ........ ,... Reinforcinthic Weatherprh Drain Sewer Ser - -- -- Water Ser 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 Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation - Drywall Screw FINALS _. Electrical 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 OCC UPANCY. 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) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 1 ;, oi4Z iwl= Job Address: 33Y3 �ir1l/YI S ST Permit Number: r>4YVV l��i�t9g/i✓.D I ❑ No one available for inspection: Time S AW Re- Inspection required: Yes tVo * When corrections have been made, call for re-inspection of 303-234-5933 Date: lllo Inspecto 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: Ai WL A,:&1 Job Address: _33Y3 S��S S'7 Permit Number: f'cd� l G'�a7 Ax"o AS ❑ No one available for inspection: Time 3 20 AM/9i:) Re- Inspection required: es No When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: 4 7//4' Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Porgy t~ 5 ° ,'r~ir2_ .r Job Address: Permit Number: 001,/) ff M f i G. ❑ No one available for ins oes~ ecction: Time l}fr? A - Re-Inspection required: No rg-inspection at 303-234-5933 "When corrections have been made, calf NO, l' 3) ) Date:f ° P Inspector: G .Yr <yi; ~7r5 e DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ` (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: A e (c.~' ~ r',Ft~d i rJ W a b ❑ No one available for inspection: Time M Re-Inspection required: Yes No\ .'When corrections have been made, call for e-inspection at 303-234-5933 Date: Inspector: . DO NOT REMOVE THIS NOTICE ;3 City of Wheat Ridge Residential Roofing PERMIT - 091824 PERMIT NO: 091824 ISSUED: 0.8/31/2009 JOB IADDRESS:: 3343 SIMMS ST EXPIRES: 02/27/2010 DESCRIPTION:. Reroof 30 sqs CONTACTS owner 303/274-1982 VanSteeeten sub ' 720/234-4548 Trevor Nelson 09-.0219 The Roof Works, LLC PARCEL INFO ZONE.; CODE: UA USE: UA SUBDIVISION: 0659 -BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,428.00.` FEES Permit Fee 199.30 Total Valuation .00 Use Tax 133.70 eh TOTAL 333.00 1 ae Conditions: 6 nail installation & mid roof inspection required. Board sheathing spaced more than 'a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls.` Subject to field inspections.. Y' 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; thatI have read and agree to abide by all conditions printed on this applica ion andtthat I assume full responsibility for compliance with the Wheat Ridge. Building Code '(I.B. C). and all other applic WheatRidge Or nano for work under this ~p~e('r7~mit. Plans subject to field inspection. ti; ~1tif PiG~~ /mil ✓t~~l Signs ure of contractor/owner e / 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 y= 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 maybe granted. at the discretion of the Building Official. 3. If this permit expires, -a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans: and specifications and any suspension. or abandonment has not " exceeded one :(1) year. If changes have been or if suspension or 'abandonment 'exceeds one (1) year, full fees shall be :paid for anew permit. ' 4. No work of any manner shall be donee. that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify.. the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before ' proceeding with successive phases of the job. , 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan r vi a subject to field. inspections. v Signature f C ef'BUildmg Official date ,,INSPEX ION-REQUEST LINE: (303)234-5933 BUILDING` OFFICE: (303)235-2855 ZREQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR >INSPECTION THE FOLLOWING. BUSINESS DAY. ' o„ F c, oFw"E'~ City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 co oR oo Inspection Line: 303-234-5933 Building Permit Application Property Address: 3`~3 S~ Property Owner (please print): Date: Plan M Permit Phone: 3 /;~7 7-) c, V Mailing Address: (lf different than property address) Address: City, State, Zip: Contractor: Contractor License M I Sub Contractors: Electrical City License Company: Exp. Date: d-LLC~ Phone: t Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Use of space (description):~C b b •V Construction Value: $ Description of work' - (as calculated per the BuiWlu Valuation Data sheet) i I lt~'WL~. Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares -30 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do 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 reed 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. ONE:: `(OWNER) (CONTRACTOR) or PERSONAL REPRESEMry ATNE of (OWF JC6NITRATi R) PRINT/NAME: SIGNATURE: /~.Q.Jb ~ Date: ZONING COMMENTS: Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: _ Reviewer. FIRE DEPARTMENT.: 0 approved w/ comments ❑ disapprova ❑ no review required