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Home My WebLink About3725 Lee Street. '� d City of Wheat Ridge ` Residential Roofing PERMIT - 201706324 PERMIT NO: 201706324 ISSUED: 08/18/2017 JOB ADDRESS: 3725 Lee ST EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 sq *** CONTACTS *** OWNER (720)932-4782 WAHLERS PETER D SUB (303)423-7316 David Redding/Tricia Cieluch-R 100110 D & T Services, Inc. *** PARCEL INFO *** ZONE CODE: / USE: / SUBDIVISION CODE: / BLOCK/LOT#: 0 t *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,946.91 FEES Total Valuation 0.00 Use Tax 292.89 Permit Fee 267.70 ** TOTAL ** 560.59 *** 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. 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. 20 r70%ny INSPECTItow INSPECTION ONLINE FORM: http://www.ci.whu -1c'inspection INSPECTION REQUEST LINE: (quo) ,_..,-933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection -)ccupancy/Type 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 Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter 3 i Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing nn Nnt Cnvpr llndprnround or Below/ln-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 3 i % t 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 r� ; 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 Occu W Is Issued Protect This Card From The Wez ,e, A 1( City of Wheat Ridge V, Residential Roofing PERMIT - 201706324 PERMIT NO: 201706324 ISSUED: 08/18/2017 JOB ADDRESS: 3725 Lee ST EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 sq *** CONTACTS *** OWNER (720)932-4782 WAHLERS PETER D SUB (303)423-7316 David Redding/Tricia Cieluch-R 100110 D & T Services, Inc. *** PARCEL INFO *** ZONE CODE: / USE: / SUBDIVISION CODE: / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,946.91 FEES Total Valuation 0.00 Use Tax 292.89 Permit Fee 267.70 ** TOTAL ** 560.59 *** 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. 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 - 201706324 PERMIT NO: 201706324 ISSUED: 08/18/2017 JOB ADDRESS: 3725 Lee ST EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 sq I, by my si nature, do hereby attest that th work to be performed shall comply with all accompanying approved plans and specifications, applicable ilding codes, and all appli a munic' al codes, policiesand procedures, and that I am the legal owner or have been authorized by, the le al wrier of the property an autho ' btairithis permit and perform the work described and approved in conjunction with this per it. I further attest thatI a ally au o o i e all entities named within this document as parties to the work to be perfo ed that all of to be orme s ose n this document nd/or its' accompanying approved plans and specifications. Sig ature of OWNER or CONTRACTOR ( it le one) Date 1. This permit was issued based on the information provided in thepermit 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 andmaybe subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chi ficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSI SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 20(70 �ZZ 1 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 16, 2017 2:17 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 P L Property Address 3725 Lee Street Property Owner Name Pete Wahlers Property Owner Phone 720-932-4782 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address wahlersp@earthlink.net 77 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 Pete Wahlers Signed Contract Lee Street20170816 1080.pdf Contract CONTRACTOR INFORMATION Contractor Business D&T Services Inc. Name DL Contractor's License 100110 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) Contractor Email Address Retype Contractor Email 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? 720-319-1585 10335 W. 35th Avenue Wheat Ridge CO 80033 reddingavenue@aol.com reddingavenue@aol.com 30// D91 No/ Does the scope of the No project include a flat roof (less than 2:12 pitch)? 78 Does the scope of the project include a pitched roof (2:12 or greater 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? What is the roof pitch? Etc) Yes /'� 30 Owens Corning Duration Asphalt Duplex and 2 attached 1 car garages 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. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 79 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 David Redding Email not displaying correctly? View it in your browser. 80 F—, �2 is Ince General Contractor 10335 W. 35th Avenue, Wheat Ridge, COSM33 Office 1,72,01- 319-11-9-35 Commercial & Residentina Customer: Peter Wahlers Claim M. 06156131 9 Address: 3725-3727 Lee St., Wheat Ridge, CO 80033 Phone Number: 303-SG3-47i9 ,t. Remove & haul awayr _�rs _of roofing aerial t e, ol. entire roof of house and garage. Instal; new Owens Corning Deck Del'Tense Syntheiic Und-erigy en t.. :3. Install new drip edge metal pre Ote eaves of the root 4. Install new drip edge metal on the rakes of the roof s. Properly flash all projections. 6. Replace ALL is with new neoprenne auto - caulks to greeet code. 7. Install new pre-cLO starter bleeder ctrl p on the entre perimeter of roof. a. install new,Gwens Corning duration dimensionag shingles on the house and garage. IncLid es: . Lifetime Shinuie 'Warrant 136 impli-I wmitd lud Warrant -9 10W. Akiae,*Varvantv. Color of in les: Initial 9. Install the new shingles using L -S) nails aer sh-In_ le. i o. Install the new Nl� # & M It lkll Cag'�- D&T Services, Inc,, General Contractor .dpq This Contract is by and between D&T Services, Inc.(the 'Campany") and the Purchaser (the" Customer I, and is to all appropriate laws and regalations, and' ordinances, and to the following, terms and conditions: 1. — This proposal will expire 30 days from above date unless extended at the discretion of the Company. If the Company does Not honor the estimate aft�r said date, it will be due to outside influences, thereby reserving the right to revise the estimate price in accordance with cost increases beyond our control. iii 2 - This Contract may Not be cancelled by the Customer after passage. of the legally mandated three business day rescission period, unless the Company a Ows sante by WrItterr,approvaL If such wrAIM approval is forfficonung, the Customer agrees either forfeit Or.rem' f' a tine Cont to llby a u, fifteen percent (15 %off adze Contracti:prdete to �y a's tl� nrra�v � sd�ili itaca� wbacl4. iincl,4td� but aa€at %miffed' m. ' 'stxativ a cuts, r_aa�t�»� restocking Ies� etc. 3 — The Customer agrees that the equity in the stibject property shall be security for4his Contract. This Contract sbal1 become binding and carry the force4 law 0* upon Written aect:eptaamelher+eof;by tlae pa ?hmeto, or Chose atstlsarizeti to act aoal?behalf.af any pearly thereto. 4 — The parties hereto understand that the Company is Not an agent, nor a subcontractor for any entity, and that no other entity is a party to this Contract. 5 — This Contract and any warranties hereunder are non -assignable without the express written consent of the Company, which shall not be duly withheld. 6 —This Contract cotastitutees the entire agreement between the parties hereto, and No other. representations, prornises, •or warranties shall be binding unless 80 expressed in writing and agreed and agreed to by the parties hereto, 7 — The Contractor shall revoke any labor warranty if this Contract is Not paid in full. 8 — The Customer agrees to remit the Contract price on the date of completion of all requirements to be provided by the Company. 9 — Should default be made on any payment owing on this Contract, interest shall be assessed from the date payment was due at the rate of (1-3/4%) per in twenty one percent (21%) per annum compounded monthly. If any outstanding balance is placed with a collection agency or attorney for collection, Cust, is solely responsible for all collection expenses, legal fees, filing fees, etc. 10 — All materials, whether actuaRy incorporated or Not, are the property of the contractor. All surplus & salvage material rem dk property orf the Comra 11 Momeowner "" graw cxmtractor Sill access to entire,IMglsaety for stagirig & ofwork unless Otherwise agreed. 12 - The Canspany shall Notbe liable, for any of the following, vvhieh include, but aAre Not limited roc: haRume of',petformance dune to fiabor disputes, strikes, fir weather, inability to obtain materials from usual sources, or any other circumstances beyond the reasonable control of the Company. 13 — The Company is Not responsible for any alterations, repairs, or replacement of any items or equipment that does Not meet local building codes, includi but Not limited to: swamp coolers (evaporative coolers), ventilators, air conditioning units, heaters, electrical pipes / equipment, alarm wires etc, unless spec�caRy stated in the Contract. 14 — The parties heresy agree tbat if any alterations, repairs, rar replacement of any items required to comply with local building codes will "be charged to the Customer as :iterrts Not included ten thi-a ContraclAaw such elaeges wW be assessed on ow - =s morn} for hourly labor rate & retaa3 rtxatereaI cost. 15 — Contractor reserves the right to file for supplement claim if insurance measurements are proven to be incorrect. 16 — Customer agrees that Contractor is Not responsible for any unforeseen pre-existing conditions whether it be inferior workmanship or materials; damage to termite, rot, or deterioration; violations of zoning, classifications, or building codes. 17 — The Company is Not responsible for damage to driveways under normal driving & delivery conditions. 18 — The Coraparry is Not resptursible fir damage as a result of nomraarrd working cottdigions, vibrations, senors, of normal delivery. Customer is to remove- any P'ctvres, knk or ' that might €AIL & l dere to vtb rioerrs; 19 — Contractor cannot be responsible for "nail popping", spackling dislodging inside the building during the installation of the roof. 1 1Nar r i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line i��O(303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i%) t d Job Address: -3 -7 V!; - Permit !;"Permit Number: o 1-7y ❑ No one available for inspection: Time 6q1)PM Re -Inspection required: Yes Ilq,, 0 When corrections have been made, call for re -inspection at 303-234-5933 Date: S./ 3 I Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 9�(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: a Job Address: '3 las l_, -t 194 - Permit Number: 'a o/ 7 6 L 3 y r I r ❑ No one available for inspection: Time cPr W3 @/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 4 // Inspector: T6 DO NOT REMOVE THIS NTICE q. FULF Btu's Gallons Amps „,,... Squares Other INSPECTION RECORD OccupancylTVpe 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. 'I y Q'z i , '- v INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE. INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic p S p Weatherproof / French Drain Sewer Service Lines - Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS - SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS.. Sheathing Lath /Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical YOUR NO I.ONURE IE ON I ILH UVE MAJ Framing Insulation Drywall Screw CTIONS TO BE SIGNED PRIOR TO PROCEEDING FINALS Electrical Plumbing Mechanical Roof p S p 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: goo/-- J'.nL",9L Job Address: 2725 L~5~- 91 Permit Number: O925,/12 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 Date: 0 9 Inspector: Iroy DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: e`I ~ ~ 1," Job Address: 7r?, " L-f Permit Number: r) P ;a I?" ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No t' at 303-234-5933 When corrections have been made, cal re-ins peF,on Date: ~ Inspector: DO NOT REMOVE THIS NOTICE " 1 City of 'Wheat Ridge V, Residential Roofing PERMIT - 092542 PERMIT NO: 092542:.: `ISSUED:. 09/18/2009 JOB. ADDRESS: 3725 LEE ST '.EXPIRES.: .03/17/2010 DESCRIPTION: Reroof : 35 sqs ***--CONTACTS owner 719/963-7197 Dale Kerns sub 720/389-7400 Dirk Kappel: 09-0347 Custom Roofing and Exteriors **.PARCEL (INFO ZONE'. CODE: UA : USE: UA SUBDIVISION:. 0633 :.BLOCK/LOT#: 0/ **`FEE SUMMARY `ESTIMATED IPROJECT` VALUATION: >8,500.00 FEES Permit Fee 217.50 Total Valuation .00 f~.~~~~ ,-K Use -Tax 153.00 **',TOTAL 370.50 = E;..`. 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 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 shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application d.. that I ass responsibility for compliance with the Wheat Ridge. Building Code (I.B.C) and all other applic -Wh at genanc ,'For work under this permit Plansubject to field inspection. . G~ Sigg6t&fe of co or/owner d 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 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 abandonmentexceeds one (1) year, full fees 'shall be, paid for a new permit. 4. No `work of any manner shall be done that will change the natural flow of water causing a drainage 'problem. 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 : pf. Aw violation of the provisions of the huildina codes or anv.'other ordinance law:'. rule or emilatine 7Y-"1f ~oFw"T~,, City of Wheat Ridge Building Division Date: "yt a , m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Plan - o Inspection Line: 303-234-5933 Jl °<oano Permit#: ~ ( d Building Permit Application Property Address 57 2_5" cez- 9, 7 Property Owner (please print): e, 4-S Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: C u~7 acv/ Contractor License Phone: 7ZO 3'8j 9 , -200 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: $ 15 , ,S@ D Description of work: (as calculated per the Bulldfny Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. FL/L.Ftadded: Squares ]~S~ BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cert ify 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 i ction. CIRCCE ONE.: (OWNER) ( NT / or PERSONAL REPRESENT IIVE of (O (CONTRATOR) PRINT NAME:' Ic C} 1 SIGNATURE: _ Date: Bldg Valuation: $