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HomeMy WebLinkAbout4355 Otis Streeti CITY OF WHEAT RIDGE Building Inspection Division r4000or (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: qoq- 1=i!n0l /200-� Job Address: t-/3 S 7 ot- Sft S --t. Permit Number: -2 0160 ❑ No one available for inspection: Time�E QPM Re -Inspection required: Yes o When corrections have been made, ca for re -inspection at 303-234-5933 Date:_M // 0 Inspector: ��r ( av�11- 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: 3 06 - M( d Job Address: 4-1-3575— Permit I3Ste`Permit Number: 'a o 1"a© a p 3 -5— I'd- 1d- P 00-4f\ ❑ No one available for inspection: Time A�/PM Re -Inspection required: Yes S When corrections have been made, call for re -inspection at 303-234-5933 Date: `d 1/a Jos Inspector: —T-6 DO NOT REMOVE THIS NOTICE 4 Wi /V City of Wheat Ridge e Residential Roofing PERMIT - 201802035 PERMIT NO: 201802035 ISSUED: 07/19/2018 JOB ADDRESS: 4355 Otis ST EXPIRES: 07/19/2019 JOB DESCRIPTION: Reroof remove and install Rolled SBS Modified Bitumen and Malarkey Legacy Asphalt Shingles with 31 total squares, 6 squares flat and 25 squares pitched. Pitch 2/12, 4/12. *** CONTACTS *** OWNER (303)424-0128 MACALUSO JOSEPH M SUB (303)849-6202 Chris Herman 090508 Arrowhead Roofing, 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: 8,060.00 FEES Total Valuation 0.00 Use Tax 169.26 Permit Fee 188.45 ** TOTAL ** 357.71 *** 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. ® A City of Wheat Ridge Residential Roofing PERMIT - 201802035 PERMIT NO: 201802035 ISSUED: 07/19/2018 JOB ADDRESS: 4355 Otis ST EXPIRES: 07/19/2019 JOB DESCRIPTION: Reroof remove and install Rolled SBS Modified Bitumen and Malarkey Legacy Asphalt Shingles with 31 total squares, 6 squares flat and 25 squares pitched. Pitch 2/12, 4/12. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesthat I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . 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 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 Off pial 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 grantirig of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appli code or any /dinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chilf Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia Reimer (-V/,/ From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 19, 2018 7:46 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application 'If (�Sf� 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 (enter WITH dashes, eg 303-123-4567) 4355 Otis St. Joseph Macaluso 303-424-0128 y 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 Scan.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Arrowhead Roofing Ilc 090508 303-994-5525 6985 CR 87 Roggen, CO 80652 Contractor Email Address arrowheadroofingllc@gmail.com Retype Contractor Email arrowheadroofingllc@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of work: Project Value (contract 8060 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) i both? (check all that apply) What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: SBS modified, {Lt iil. Type of material for the Rolled FLAT roof: ; What is the specific pitch 4/12 j of the PITCHED roof? How many squares are 25 part of the PITCHED roof? % Describe the roofing Mala4 legacy materials for the PITCHED roof: Type of material for the Asphalt / PITCHED roof: Provide any additional Reroof detail here on the description of work. (Is this for a house or garage? Etc) 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 3 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. 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 Chris Herman Permit Email not displaying correctly? View it in your browser. Y INSPECTION RECORD r- Occupancy /Type INSPECTION LINE: (303) 234 -5933 Inspections will'not be made unless this card is posted on the building site a y to receive Inspection t e o owing usiness ay 355_ Dhs — �- INSPECTOR MUST SIGN ALL SPACES PERTAIN G TO THIS JOB :FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS 'COMMENTS: `- '.Footings /Caissons 2' n. Stemwall I (CEG) Concrete k Encased- Ground 4 7Reinforcing or Monolithic Weatherproof/ French Drain ,= .'Sewer Service Lines Water Service Lines &� POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED r CONCRETE $LAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground); ' DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED. ROUGHS Sheathing I Electrical I CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT _CONSTITUTE AUTHORIZATION OF A'CERTIFICA:TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED r PROTECT THIS CARD FROM THE WEATHER r ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTIC Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No Cr; I , When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: Inspector: O NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE =!j Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: !!` ei Job Address: S Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, call for re- inspection at 303- 234 -5933 Date: /Y— C Inspector: DO NOT REMOVE HIS NOTICE ♦ 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: =s�L Job Address: �3,SS s j 5 T Permit Number: Oc709°11 ,9 "P�.�1 /: r� i 1 i ❑ No one available for inspection: Time JW AM /PM Re- Inspection required: Yes No "When corrections have been made, call for re- inspection at 303- 234 -5933 Date: Inspecto DO NOT REMOVE THIS NOTICE F ♦ 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: - t r r'w _ k' A,, Job Address: bf~~S d Permit Number: na , t n ❑ No one available for inspection: Time Q t • AM M ion required: ro j Re-inspect 'When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: J/4 DO NOT REMOVE THIS NOTICE e V t °Fw"Eqr City of Wheat Ridge Building Division Date: a m 7500 W. 29th Ave., Wheat Ridge, CO 80033 a I V V f Office: 303-235-2855' Fax: 303-235-2857 Plan l~Cf -ol o Inspection Line: 303-234-5933 vv0goq jr ~OCORPO° Permit ti Building Permit Application Property Address Property owner (please print): ~e~ /j~AG[~CBD Phone: 72D-~S~-5~Y7 Mailing Address: (if different than property address) Address: State, Zip: Contractor: C7ANa/6.t/ Contractor License Phone: gyp-28/- 51 7 Sub' Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: e° of Construction value: $ n ° 6 Use of space (description): he xc, 2 Description of work: (as calculated per the Building Valuation Data sheet) I rS/,~A Ian Review (due at time of submi[tal):$_ (,V1'~o~d-.~/-o c~NIY/n 7+ f~-Ptlui y. J~PrNCTwi.~ >Ze nt I~.1-kc 1.yc i3r q. t. .Ft added: ~7Z Squares BTU's Gallons Amps ,RX fbV „r' ,P7 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 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) ONTRACTOR) or PERSONAL REPRESENTAT E of (OWNER) (CONTRATOR) PRINT NAME: WA 10 j a ROOF FRAMING NOTES: • INDICATES OV@RFRAMJNO MANY) 11 RODR SHEATHING ~Y.f IBRI188PAN RAYWO) BTAGDEREO PANEL NOJWM9 AND FASTEN WITH IN NVLB ATV O.C. AT PERIMETERANO+Y OA AT iNTEPMEpIATEFIMN.WD. NM(4 SHA 14NIBH FWBH TO SHEATHING WRPAW WRH NAR HW, P) ALL HEADERS TO BE 0) ZX+O N•P.xU 41ALL P09M 5HALLBE(RIZXNA.N) At6 HEAMS 4b' OR U:86 BHAIL BE MPPORRO SY (1) U"HER AND JI) RX KING STUD WON.) ALL HEADAR80VEk 1W SHAW BH SUPPORTED BY (2) M TRIMMERSANO(2) ZXNING SNDS(U.QN.) 4)OVSR ING 8FLM.L BEPIfm MINIMUM AND SHA118E POSTED DOWN TO WIN TRUSSES ON A GRID, NOT TO @XCEED b''-0'Xd'HY(fBFT ) 4)TMIIS88gGASGDEPO BRAND"I'JOIBTB USHALL SEEOUAML RNB6RIXTINOPIBRAND INBTWICTURAL PROPBRNEB. BMOISYSBHAWBEOEBIGNEDANO FAIM ATEO FOR UDBDLNE LDAD MIU;CTION. JOISTS ARB OONIINV W 6 WHERH BMOINN ON P.AN, T)4M(INATEp VENEERN0THE( WMBEP (LVJ1 F'WWEPIECEB SHAW BE MVe JOIST MACMSIWI EDUIVAILIJTrEkMW0MNIWR) BIR0WCATON6: I, o`R~SDOPW P ` B•i,BWIOR HW 4JALLRAN08 W.Yt YLV1.Mf.M8EH88FNLL ALMYMEDANp NAILEOTOGE'OI ILOWOFIdI T0. NARBVERTIONLAND to'O.C.HORIZONTAL MSMBERSSNLLLBEdtUBDANDANDTHRDUWISOLIED. BTAC4:EREOT~AIDBO/TOMWITH {'O110M BOLT8AT 14'O.F momuu wMU.m, 1.F e`bT6 Pel 2F 16DPW 9.E`1,~N81 tI.POBT&COLUMNe 9NALLBEHEMfIRp ORBETER(U.ON.) LF >`84DP51 2F I4D O 9.@`1.900K01 +0) FOLLO W M4NUFADNRERB RECOABAENDATIONB FOR NEBIOENML FRMAINB OF YJgST AND LVL PPOOUCT@ SUPPI O: BRIDDING,8LDC1(INp. WEB BNFFENERB.ANDMAVGERB. DEtPH SNEEISNNLL BE w BUPPIIEDWIM IHPR PRWUCi. 5(F GENERAL NOTES FOR STRUCTURAL DRAWINGS 1) LIVE LOADS USED IN DESIGN: I. BABA WIND BPEFA 160 MPH W BEG OUST) 2. E%POBURE... . IPI C.BE18MIC..................,....~....~. GATIXfOM IB) 2) DESIGN CODES' Work shall comply with the following codes: 2003 IRC, 2003 IECC & 2005 NEC. A SECTION 37 SCALE 1W-I'V 0 18 400 TI N QPM !'I g O a W f~ W 0 V. 33697 8 Checker I 1 A 11010 ~Hl ~ I S1 1 ROOF PLAN D 11 4. S1 SCALE: 114'- 1'HY CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 090946 Issued: 08/25/09 Stipulations: Rebuild of Front Porch Area to Match Existing This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 4355 OTIS ST Parcel Number: 39-243-10-012 Owner: Joe Macoluoso 4355 Otis St Wheat Ridge CO 80033 Contractor: Jason Gannon J. Gannon Construction 12219 Monroe St. Thornton, CO 80241 For the Following Purpose: Residential Remodel Co Editions 2003 ICC/2005 NEC _ 2003 ICC/2002 NEC _ 1997 UBC/2002 NEC 5fNnkler Aystem NO change shall be made in the USE of this building without prior notice and a new Certificate of Completion from the City of Wheat Ridge. ng Inspector Zoning Administrator FICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 08/26/09 09:08:45 City of Wheat Ridge Page 1 bp701-1s PERMIT INFORMATION - 090946 ...key PERMIT INFORMATION: Permit#: 090946 Address: 4355 OTIS ST Permit Type: Residential Remodel Parcel Cd: 39-243-10-012 Permit Dt: 07/24/2009 OWNER: Joe Macoluoso Expires: 01/20/2010 Address: 4355 Otis St City/St/Zip: Wheat Ridge CO 80033 LAND PARCEL INFORMATION: Zone Cd: Residential - Duplex DU: 1 SetBacks-Front: 0.0 Funct Use: Unassigned Last Zone Dt: Left: 0.0 Subdivision: LIONEL Annex Dt: Right: 0.0 Cont Type: Miscellaneous Lot: Block No: 0 Back: 0.0 Legal: JOB DESCRIPTION: Demo and rebuild front porch area to match existing FEES QTY DUE PAID: Permit Fee 6,562.32 181.10 181.10 Plan Review Fee .00 94.06 94.06 Plan Review Addtiona .00 23.66 23.66 Total Valuation 6,562.32 .00 .00 Use Tax 6,562.32 118.12 118.12 416.94 416.94 CONTACTS: owner Joe Macoluoso 4355 Otis St Wheat Ridge CO 80033 7202815147 go CL3 J. Gannon Construction Jason Gannon 12219 Monroe St. Thornton, CO 80241 7202715147 PARCEL INFORMATION: 10 Structure Type RANG 20 Year Built 1952 30 Property Type REBID PERMIT CONDITIONS: MR : Construction must stay within the previous building footprint. KC: Approved per plans and notes on plans. Subject to field inspections. APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 07/24/09 CREATED FROM APPL# 09-0210 07/24/09 KC: Approved per plans and notes on plans. Subject to field isnpections. 07/17/09 Given to JS for review. 07/17/09 Zoned R-2. Per contractor, no new square footage added, just replacement of existing. Approved by Planning. 07/15/09 Given to MR for review. INSPECTION INFORMATION: TYPE CONTR# CALLED CNCL WHO RED DT INS DT STATUS 1 FRI:Framing Rough Insp. 09-0142 08/07/09 no CCI 08/10/09 08/10/09 COMPLETE 2 BFI:BUilding Final Insp 09-0142 08/24/09 no KC 08/25/09 08/25/09 COMPLETE City of Wheat Ridge Residential Roofing PERMIT - 091941 PERMIT NO: 091941- ISSUED: .09/02/2009 JOB ADDRESS: 4355 OTIS ST.. EXPIRES: 03/01/2010 DESCRIPTION: Reroof 26 sqs CONTACTS owner 720/281-5147 Joe'Macaluso sub 720/271-5147 Jason Gannon 09-0142 J. _Gannon Construction **-PARCEL 'INFO ZONE.. CODE: UA -USE: `UA SUBDIVISION: 0405 BLOCK/LOT#: 0/ FEE SUMMARY '..ESTIMATED PROJECT VALUATION: 4,602.00 FEES Permit Fee 144.70 Total Valuation 00 Use Tax 82.84 e ` , rrS.5 TOTAL * 1u 227.54 Conditions: 6.. nail installation mid-roof inspection required. Board sheathing spaced more thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eaveedge to2'.'.inside exterior walls. Subject to field inspection. 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 Iassume full responsibility.. for compliance with the Wheat Ridge Building Code (I.B.C). and all other.: applicable W at Ridg Ord' antes; for work under this pert i/t. Plans. subject:. to field inspection. Si ture of co4ntractor/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, full 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 job. 6. The. issuance of a permit or the approval of drawings and specifications. shall not be construed to be apermit for, nor an approval of, any violation of the provisions of the building `codes or any other ordinance,. law, rule or. regulation. All :plan re is is ject to field inspections. Signature of ief uilding Official date INSPECTI REQUEST LINE: (303)234-.5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE 'MADE BY BPM ANY 'BUSINESS DAY: FOR INSPECTION THE 'FOLLOWING BUSINESS DAY.:. of ""E"rp City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 coroRAOO Inspection Line: 303-234-5933 Building Permit Application Date: 0 GCir Plan Permit Property Addr'essS X355 67i'S S~• e~ r am Property Owner (please print): -S.6- /l 6&&6*so Phone: %20-2.t1-57c17 Mailing Address: (if different than property address) Address: IZZ-19 /~aw)Go-,~ ~2. City, State, zip: Contractor: c~ ~7,2ae~zo,✓ Contractor License M Phone: 720 8y S/y) Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Construction Value: $ ) d i Use of space (description): Deseri tibn of WorkI ® d (as calculated per the Building Valuation Data sheet) a-2A3.y ~•^dl J~~ Plan Review (due at time of submittal): $ nit ~kQy _ <<J~, y Sq. Ft./L.Ft added: Squares &6 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 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) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) q/ PRINT NAME: ZA -,n A/ A. 9A*ky,i/ SIGNATURE: Date: D Bldg Valuation: $