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HomeMy WebLinkAbout4580 Upham Streetl 6; A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: U� - r' hn / R do Job Address: �0 lj � ot, St, Permit Number: ' 4, 70 Z 6T-2 P('t`s..' l R(Y) -t f F iso 0 1/i°a- r, ❑ No one available for inspection: Time AM/CM) Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234- Date:- 0*/ 10 Inspector: befP ( OL, e it DO NOT REMOVE THIS NOTICE Lagenia Reimer From: Carrie Nordlund <cnordlund@mrpprogram.com> Sent: Thursday, April 12, 2018 1:11 PM To: Lagenia Reimer Subject: Permits under Armor LLC Lagema, Thank you for taking the time to speak with me today regarding the open roof permits pulled by Armor LLC. As we discussed, Armor was contracted through the MadSky Managed Repair Program on several roofs but the company (Armor LLC) has since dissolved due to the owner loosing a leg in a motorcycle accident so we have assigned another one of our contractors (Bear Brothers Roofing) to finish out the permits on the jobs. Please allow them to pull job cards, schedule final roof inspections, and whatever else is needed on the following jobs in Wheat Ridge: • 4525 Flower Street (Patrick Bigley, Mary Carver) )( Z110622`l • 4475 Balsam Street (Marjorie Dillon, Jeanie Moszer)%, • 6185 West 30th Avenue (Bryce & Norma Tourmer), 2 • 4580 Upham Street (Elizabeth & Evan Templeton) 2-'013 6 • 3690 Jay Street (Clifford & Carolyn Randall))( 20 170 47 20 Please feel free to contact me with any questions or problems. Thank you again for your assistance in this matter. Carrie KADSKY MANAGED REPAIR PROGRAM Carrie Nordlund - Quality Control Specialist (C) 773-780-7818 MadSky Managed Repair Program 365 Inverness Pkwy, Suite 150 Englewood, CO 80112 http://www.madskymrp.com/ This email, along with any attachments, is for the sole use of its intended recipient, and may contain confidential information or information that is otherwise protected from disclosure. If you are not the intended recipient, or if you have received this message in error, please delete this message; you may not copy or disclose its contents to anyone. City of Wheat Ridge ` Residential Roofing PERMIT - 201702662 PERMIT NO: 201702662 ISSUED: 06/27/2017 JOB ADDRESS: 4580 Upham ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Residential Re -roof to install Laminate asphalt shingles with 38 sq. *** CONTACTS *** OWNER (970)331-3004 TEMPLETON ELIZABETH ANNE SUB (720)383-4660 Glenn Renner 170262 Armor LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,766.00 FEES Total Valuation 0.00 Use Tax 205.09 Permit Fee 204.30 ** TOTAL ** 409.39 *** 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 k; -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 manufacturera€"s 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&#39;s 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. PERMIT NO JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201702662 201702662 4580 Upham Residential ST ISSUED: EXPIRES Re -roof to install Laminate asphalt 06/27/2017 06/27/2018 shingles with 38 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am _le�g ally authorized to include all entities named within this document as parties to the work to be performed agq'that all work to,be-perlgrrried is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER` or CONTRACTOR (Circle one) DatJ I . Thispermit was issued based on the information provided in the permit application and accompanying dans 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 receivedprior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If thi.s 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 re uired 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)G#fn 14i'"-1" Dhte REQUESTS MUST BE MADE BY"-41`59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz 9 6 [77 0Z G(„ Z From: Sent: no-reply@ci.wheatridge.co.us Thursday, June 1S, 2017 11:37 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application l 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. 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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 4580 Upham St Property Owner Name Elizabeth and Evan Templeton Property Owner Phone 970-331-3004 Number Property Owner Email evantempleton(a)hotmail.com J� q C)9 <�>7 Address 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 Armor LLC Contractor's License 170262 Number (for the City of Wheat Ridge) Contractor Phone 720-383-4660 Number Contractor Email Address bill ing.armorllc(cDgmail.com (permit pick-up instructions will be sent to this email) Retype Contractor Email billing.armorllc(cDgmail.com Address DESCRIPTION OF WORK Are you re -decking the / No 1/ roof? Description of Roofing Laminate Compositional Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 38 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 38 V Remove and Replace Asphalt Shingles on House and Garage, Pitch 5/12, Ice&water sheild wee-' ot -7 co 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 Glenn Renner Email not displaying correctly? View it in your browser. 3 le Claim Servicc fax - 303-8M-4,79.0 - NX IN Claim �e SI E LE Ows- 3pmftvd�, M!, � ks ' t,fta oft gvitt"V wvtt -1 ac"; a Qto ,4111'Irwwo j 01" it Ono r�.i ttt tng TO 4 LJ ItiKh tide j . ttlik tr.ct"do w� qtr rrt t. m_t gl J t"- LI: _ LJ 6,#aye .... ,1,41 M 4VOOV t9u41 # k W4 #Uvb%W t skvvqw Rpt c 4 cwier U int I'MOAVVEW of -v* ,F 3Y - 40 Y- rt y U LI woft- �'+�iiMlrllll�fRyll►rhi °r�+i'r-',�w�+% Mt-r'�"rr rr�l9Y., k� V* A araga s ��.�•a . t4 a �f*Aw °amttl�i s tr"�- ate! tM**� * #� : • . ttV �w i� er�rt'9r a.*�yy* * :*ice ,�,�grer�W*a�A*�Ftr�► s r�ex.rc sw ♦ It; ,wiau*"m k'tMnanN,r�+st*r ^! �6+aMtw6i:,'*Ls ai'.• ` Wf+ ''' somas S.t: 46! Ir ' Pa6rw Nt _ t 'O -o sa+NOO 4. x6sfb#atF�arrw*er`.* * ' rp �' ',YM: +.rMl* *•-tr+"R •- ,* #+.a U4 **Now tr Yak ; TAV## tow I.r w. F •s ;sw ricw+uw ,t'#lt •;Myst �riw., r� 4�+ r"M` .,�• ApN\1- App'•#Pw Tow ... "< <�� MQ%O^ toll i CITY OF WHEAT RIDGE f _:�9�Building Inspection Division y (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number:-F='�'� ❑ No one available for inspection: Time / S' AM; 2( _1 Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: :/// / Inspector: r ' 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: 'All 0 Job Address: `{ nu L4 P Permit Number: f` vt 7o ""' I f{! V f. ❑ No one available for inspection: Time r AM e -Inspection required: �e N E "When corrections /have been made, call,16r re -inspection at 303-234-5933 Date:( �(� Inspector: 1 ' f°r DO NOT REMOVE THIS NOTICE Or Current Owner/Occupant Asa Lewis 4580 UPHAM ST WHEAT RIDGE CO 80033-3435 Regarding Permit: 20101479; Install 12 x 16 shed 4580 Upham ST, Wheat Ridge, CO 80033-3435 Our Records indicate that the above noted permit was issued on 06/11/10. Our last inspection related to that permit was on NONE. Because of the inactivity on this permit, it will become void as of 12/31/2015. Please contact this office within one week from the date of this letter to update us on the status of this permit, or call for a final inspection on the property. You may call 303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed are permit number, property address, type of inspection and date to be inspected. If you do not contact this office, and wish to resume work at a later date, you will be required to submit a new permit application, drawings with appropriate code edition information and pay applicable fees. Incomplete or inactive permits may be reported to agencies such as Jefferson County Assessor, title companies, etc., and could affect future transactions related to this property. Thank you for your cooperation concerning this matter. If we can answer any questions, please don't hesitate to contact us at 303-235-2855, option 7. Melissa Mackey Senior Permit Te-chnician ERMIT NO: .(101479 'ISSUED 06/11/2010 DB ADDRESS:: 4580 UPHAM ST > 'EXPIRES: 12/08/2010 ESCRIPTION:.' Install 12 x 16 shed y �City of r' 11e�t ° dg�' Date : 4(n tOMMUNIZYBEVELOPMENT Plan # Building & Inspection Services Division Permit # 7500 W. 29" Ave. Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Propetty Address;. .r,/,S'��j ll t � � r � rt Property Owner (please print): y �e , a (6� t �t c9cs ��� r � Pone: 363 �e `yW 1Je Mailing Address: (if different than property address) Address: ? S F(n 1<1 City, State, Zip: pp f , q) F, , 4- 1' 2,' cal c1 P C" 4 0 eq) Contractor: 5r� F Contractors City License #: Phone: Sub >rontraetors: El ��� Electrical : Plumbing: Mechanical: City License # City License # City License # t7essriia #izin �� u�rork /d X 14 5- Contract Value:� $ — /.JJe Re Fee (due at time of submittal) Squares BTU's Gallons _ Amps Sq Ft. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants; easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) a PRINT NAME: e- Y u 1 SIGNATURE: - l Agog DATE: /Uo `-�. s ' DEPAR7Mt =t T�US��ONL'Y ,� ," � / f�,✓� , r � ZONING COtv1tJIEN1'$ ® �1 ' +`" �. -�iJ� BUILDING DEP RTtv1EN 00 IAENT9 r i� -� v � i ; i Reviewer' C "" ; � f � v � , y ?. t " % ✓- � ' /rc i ,' 3 > �,� � r �^ > }v. s � r � ti ✓' '.a' `': .? - itys�''.�`y ��""r�5s/% ra y � b .P 2'", e � Rewew�r < ' '., r- s ✓ r f i FIRE pEPARTMENT, O approved w /comments tL7 tltsepprovetl ©n9'1�uaev3 required , Bldg ValuatlOn $ �C e 7 � r --� 77 ! o ! -- - - —� - - -_ ;, Ca- D �. - L �A l C I a §: . . l /'y/ / I gory E11 yy��„ 536N Lb ry���yp TgJ r� µ p �p�y y p �p b4'a1�iC U e'�.'Le J @P" 4� v .� '", ../ — l ie n 0 k �P' li iv �i i E r'...; C`1^, rn i°Z(�ti)+i,�it rii! i u PIIt °�n�t7r Y4Hyt7a n f f(fl0'th 6 'i SUt� A la .� - i7116 — I I _ AT %���t _ „..•,�....y_.,,....� �,..�,« =�a - �^ I -- - - —J.._ I � I C I - I i � t 3Yj:r f f ri�Y t� t, f � i I I — - __ - _a -- - - -L -- —_— : " "• — - Work shall comply with the following codes: 2003 IRC, 2003 - IECC & 2005 NEC. v T LrI _ - -- l -- -- n _I I r YY ~.5 y ♦ 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: Pao f- Job Address: ~ Gl~''tl,~ H ` f Permit Number: 0 1 'Ti ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call or 771ed fiat 303-234-5933 Date: -3L Inspector. DO NOT REMOVE THIS NOTICE ff ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: 7 Job Address: _4 WA4h s`r Permit Number: 0Y1 '7 9':� CAZ_r //V ❑ No one available for inspection: Time AM /PM Re Inspection required: es No * When corrections have been made, call for, re-Inspection at 303 -234 -5933 Date: 1 — 1 I " Inspector. n DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE /\j ❑ No one available for inspection: Time AM /PM Re Inspection required: Yes No When corrections have been made, cafi for spection at 303- 234 -5933 Date: - � Inspector: 6' DO NOT REMOVE THIS NOTICE Inspection Type: Job Address: Permit Number: 9 h ` City of Wheat Ridge Residential Roofing PERMIT - 091798 PERMIT NO: 091798 ISSUED: 08/31/2009 JOB ADDRESS: 4580 UPHAM ST EXPIRES: 02/27/2010 DESCRIPTION: Reroof 38 sqs ***CONTACTS OWNER 303/463-7946 Diana Anderson sub 303/646-3977 Mike Essary. 09-0139 Shield Const. & Exteriors PARCEL INFO ZONE `CODE: UA `USE: UA SUBDIVISION: 0307 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,706.48: FEES Permit Fee 199.30 Total Valuation .00 Use Tax 138.72 TOTAL 338.02 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 21 inside exterior walls fF s Subject to field inspections. f: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable i; ordinances, rules or regulations of the City of :Wheat Ridge or covenants,. easements or restrictions of record; S. that all measurements shown, and allegations. made are accurate; thatI 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) andall other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field -inspection. w' 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 x; date. An extension maybe granted at the discretion of the Building official. 3 If this permit expires, .a new permit may be acquired foY.a fee of one-half the amount normally required, provided no :x 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, l.. 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 For the approval of drawings and specifications shall: not be construed to be a permit for, nor y an approval. of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. ?V. Signature of Chief Building' Official -.date 9^"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. yv, x: n Z;r "f. ^City of-Wheat Ridge Residential Roofing PERMIT,- 091798 tS'T N-v! 091798 ' ISSUED: 08/31/2009 ADDRF `S_i. 4580 UPHAM ST.: : 'EXPIRES: ,02/27/2010 TF t•OLI•:-: Reroof 38 sqs CONTACTS 31,'~"s/463-7.946 Diana Anderson _'03/616-3977 Mike Essary 09-0139 Shield Const. & Exteriors 'r3 AR a `::CODE : UA ' USE : UA j,71SION:`. 0307 BLOCK/LOT#: 0/ E SINMARY ESTIMATED PROJECT VALUATION: 7,706.48 FEES r a;A~t Fee 199.30"" 14 .00 n 138.72 t;fiTli7, 338.02 6' is ,:.ration & mid roof inspection required.. Board sheathing spaced more k.r tF~,> 1/2 df,an inch apart requires plywood overlay on entire roof. Ice and shiete"'required from eave edge to 2' inside exterior; walls. :~'yct o"field inspections. 4 q y'epy certlrp'that the setback distances proposed by this permit application are accurate, and do not violate applicable )}ces, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all f~4ents shown, and allegations made are accurate; that I have read and agree to abide by all. conditions. printed on. this 'u and that I assume full responsibility for compliance with. the wheat Ridge. Building Code (I.B.C) and all other . zc e Llly at Ridge Ordinances, for work under this permit. Plans subject to field inspection. y • e of co:*_ nowne~ date i re it was issued in accordance with the provisions set forth in your application. and is subject to the laws of the ~'4geof Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable Y~ ~ri . as othe,City. rV pe,7_t shall expire 180 days from the issue date. Requests for an extension must be received. prior to expiration =.tension may be granted. at the discretion of the Building Official. Tf,th F it expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no I been or will be made in the original plans and specifications and any suspension or abandonment has not ~Te e~ year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall "spa d toc ey__aw permit. p~s ucrk of my manner shall be done that will, change the natural flow of water causing a drainage. problem." ractrr e:.311 notify the Building Inspector twenty-.four (24) hours in advance for all inspections and shall receive j:kp;tt ~ °proyal on inspection card before :proceeding ..with successive phases of the job. rC oe of a permit: or the approval of drawings and specifications shall not be construed to be a permit for, nor ~roSi$pK vial"of, agy violation of the provisions of the building codes or any other ordinance, law,. rule or regulation. j: an subject to field inspections. 4`"<? C Building Official date h t3N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 'MTS•MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~i r LS j; 1. q.' ~oF`N"s^Tq, City of Wheat Ridge Building Division Date: 0K( I . - ° 7500 W. 29th Ave., Wheat Ridge, CO 80033 U m Office: 303-235-2855 * Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: q5So uipiism cyt Property Owner (please print): 1)tp.t 4 ANDERZ5co AA-st}LeWIS Phone: 3o3.4(f5--79`{i& Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: 5)Ai>:T P Got ISTW c~ oN Contractor License Qc 6 13 C11 Phone: SC, °5• teL} (o' 39-7^] 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: $ 770(D - 415 - Description of work: (ZE'RF~F 3$Sr~S OFTAM~u (as calculated per the Building Valuation Data sheet) 70 Y~ GoMP $ t }l Gl6 Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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. CIRLCEONEc (OWNER) (CONTRACTOR)) or PERSONAL REPRESENTATIVE o OW E (CONTRATOR) PRINT NAME: 3ES&t MAIZ.t&M: SIGNATURE: Date: gLg•~°I DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer. - PUBLIC WORKS COMMENTS: - Reviewer. - - - - BUILDING DEPARTMENT COMMENTS: - OCCUPANCY: Reviewer. - - - - FIRE DEPARTMENT:: O approved wl comments ❑ disapproved ❑ no review required Bldg. Valuation:.$