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10280 W. 33rd Avenue
i CITY OF WHEAT RIDGE Building Inspection Division f (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: !R r 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: Inspector:_ A DO NOT REMOVE THIS NOTICE N. o i 4 City of Wheat Ridge Residential Roofing PERMIT - 201703282 PERMIT NO: 201703282 ISSUED: 07/05/2017 JOB ADDRESS: 10280 W 33rd AVE EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt shingles with 30.2 sq. *** CONTACTS *** OWNER (321)626-3027 JACOBS JILLIAN K SUB (610)620-5012 David Kelly/Chris Mangarine 170302 CMC Restoration Corp. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,980.91 FEES Total Valuation 0.00 " Use Tax 251.60 Permit Fee 236.00 ** TOTAL ** 487.60 - - *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703282 PERMIT NO: 201703282 ISSUED: 07/05/2017 JOB ADDRESS: 10280 W 33rd AVE EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt shingles with 30.2 sq. I, by my signature, do herby att$st that the work to be performed shall comply with all accompanying approved plans and specifications applicable building coded and all ap iic ble municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property a2 d am authorize to btain this permit and perform the work described and approved in conjunction with this permit. I further attost that I ��ay�ii le al' y author�ze� tb riclude all entities named within this document as parties to the work to be performed and that all work to fb perfoned is disc rise i this cument and/or its' accompanying approved plans and specifications. i Signature of OWN. or ONTRACTOR (6rcle one) Date I. This permit was issued sed on the inf rriation provided in the permit application and accompanying plans and specifications and is v subject to the compliance with those doc ents, and, aft applicable statutes, ordinances, regulations, policies and procedures. 2. This pen -nit shall expire 365 days after the dau-_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 maybe 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work fi-om the Building and Inspection Services Division, 6. The iss29�� f a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicaor re u�ati onof this jurisdiction. Approval of work is subject to Held inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM 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. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 22, 2017 3:41 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application i� Residential Roofing Permit Application N 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 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 10280 west 33rd avenue Jilian Jacobs 321 626-3027 Dontspamme@fosteremail.com 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 CMC restoration Contractor's License 170302 Number (for the City of Wheat Ridge) Contractor Phone 6106205012 Number Contractor Email Address 301dave@gmail.com Retype Contractor Email 301 dave@gmail.com 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? No roofing asphalt demetional shingles Asphalt Field not completed. 31 No Field not completed. TOTAL SQUARES of all 31 roofing material for this project z Provide additional detail new roof to the decking all metal replaced ice and water shiled here on the description of and double sythetic felt home and shed pitch is 4/12 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 11980.91 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 david kelley Email not displaying correctly? View it in your browser. 3 9607 W Colfax Ave Lakewood, Colorado 80215 Office: (855) 896-7355 Residential and Commercial Roofing QM(Q .w.� Cp,h.s Fax: (855)746-9339 This form satisfies all basic requirements of the State of Colorado House Bill 00-1285: This Bill enacts the" Colorado Home Improvement Contract Requirement" under the "Colorado Consumer Protection Act". Requires that any home improvement contract with a cost of over $500 be in writing, and contain the information on this form. Insurance Scope Agreement: ` j i i jDate: 4 -z ----'Il Homeowner(s): , l / L ec-7yd H e (s) (hereafter also known the buyer) represent theproperty(s) at the addrese(s) or descnbed below. (hereafter known as "the pro 5e pe f work Is as outlined by homeowners insurance adjustment summary (hereaker known as "the work"). CMC Restoration (hereafter known as "the contracto P( will perform the work as checked below as requested by the homeowner Street 2- a r > City 1. k eat' 17rc�e StateGo Zip Code nj D 3 Best contact: / 7 Aft Phone: u � 'JO Z/ Email Insurance Information: l Company: l �-.a �r e I e �� Storm Date: S—/ Policy: # �itj 3"2 1133 `� '3 _ Claim: # Adjuster: l C 6 1 C' �i (A.?, j�Tel: S 7%- �7Z-��-7 `LFax %Co Zf y� CMC Restoration Authorized Representative: �� �t'� G��G�c�v Tel: �1�f 63 (-z--j Roofing Scope Included:iTY ❑N Shingle Brand: �idX%✓v �rF�;�S .-r Color: T ° 1 AI XXX Warranty: "tPLb-- C— Ice shield: E91F ejated eves 11.1 Iley( i Felt: �y�-�,G :( a-") C1'Style D (rakes): x W "t) �' e— Gutter apron: f- r X Boo PV ead:eI A � i Venting: �� Sky light(s): ❑: Additional notes: 'ding Scope Included: OY ON Sidi Brand: Color: Profile: / ❑ Front ❑ ❑ Insulation: ❑ Soffit: ❑ Fascia ❑ Window 1 ❑ Door wr s: ❑ Gara wrap: ❑ S tters: ❑ Right/ ❑ Back Gutter SccopePcluded: L(Y ON Gutters: Ult ❑ 6": A � l U -Kr' ntkX al Right IW k Downs: 3Kx3 ❑ 3x4: 1'4 / f 1 OtXo'nt 4JB fight U-0ck ❑ Home ❑ Garage ❑ p Color(s): , IxIlkc Cover: The description of work as described above is to specify type, brand and grade of materials to be use. Additional line item details of work is outlined by the Homeowner Insurance scope summary and is an additional addendum to the contract This section to describe any line items not included with the work specifications to be completed by CMC Restoration of this agreement as outlined by the insurance scope summary provided by the homeowner's carrier; and or any items not described above in terms to specify type, brand and grade: G vin G .7 f �� J l �5 ��� c©P C—, S L.� 44e j -S ► v,-\ 4-c, L,\ 2c1�S Total Contract Price and Payment Schedule l C Q The Contractor agrees to perform the work, furnish the material and labor specified above for the total current sum of: $ 1 C/®i Payments will be made per the following schedule: (* see below notice about insurance scope supplements) $ upon signing contract ** ("" not to exceed one-third of thhe total contract price or any special -order materials required.) $ 5 /,-7 by or upon completion of by _,_r or upon completion of pon completion of the contract and/or when deprecation is received from insurance company* (* see below notice about insurance scope supplements) *NOTICE ABOUT INSURANCE SCOPE SUPPLEMENTS: This agreement as outlined above is portions of the scope as per your request and may not include full scope of insurance adjustment. Payment is due in full upon completion of the work as outlined in terms of this agreement, it is understood that it may be necessary to pay CMC Restoration as your insurance company pays you, and or, as your mortgage, company releases your funds, to adhere to on a PER JOB COMPLETED BASIS as outlined above. CMC Restoration will help you process the paperwork required by your insurance and mortgage companies. Make checks payable to: CMC Restoration. DO NOT PAY YOUR SALES REPRESENTATIVE IN CASH. CMC Restoration reserve the right to suspend service when payments are not made as agreed with above schedule. t._tal , ,urieTt" arrouit ,. ... 4;--_- r .. supplemented amount will be paid by my insurance company at no additional cost to the me. Increased approved upplem:nted amounts due to pricing adjustments, additional or missing scope, base service charges, permits, PWI (paid when incurred) IfiMand 0&P (overhead and profit) and are the entitlement of CMC Restoration. Your maximum out of pocket expense will not exceed your insurance deductible and any agreed scope or material upgrades Fs: Proposed Start and Completion Schedule - If CMC restoration fails to begin work within 15 days after the beginning date below, all deposit moneys paid shall be returned within 3 days after the homeowner, orally or in writing, request return of such moneys; The following schedule will be adhered to unless circumstances beyond the contractors control arise. Approximate date when ntractor will begin contracted work. '7��" / /7 Approximate date when contracted work will be substantially completed. --? / z7 /i -7 pmt, restoration standard workmanship warranty covers defects due to workmanship for a period not exceeding 5 years or the period of manufacturers' materials warranty whichever is less. For example, if No. 901b rolled roofing has a manufacturers' warranty of one year, the contractor's workmanship warranty shall be for one year. Exclusions to warranty are; settlement or defects of the property, acts of God (such as but not limited to hail, winds above maximum speeds as stated by the manufacture, impact damage, ice dams), damage caused by other individuals working on or near the work, any accessory installation, items re -used in the installation, mold caused by leaks, items not replaced, manufacture defects, excessive foot traffic, layover, partial roofs, and repairs (unless stated otherwise). Workmanship warranty only applies to accounts that are paid in full within the agreed time frame Permit - CMC Restoration shall obtain any required permit from the appropriate unit of local government. Changes - The homeowner and the home improvement contractor may agree to change anyy term of the home improvement contract if any such change or addendum to the contract is in writing, signed and dated by the homeowner and the home improvement contractor. Contract Acceptance - Upon signing, this document becomes a binding contract under law. Review the following cautions and notices carefully before signing this contract. Make sure all agreements are in writing on this contract or attached addendum. It is understood by both parties that no verbal agreements are part of this contract, Either party will not rely upon representations, statements, or other communications not written in reference to this contract. Any changes or amendments to this agreement must be in writing and agreed to by both parties. Do not be pressured into signing this contract. Take time to read and fully understand it. Ask questions if something is unclear. "THE HOMEOWNER HAS THE RIGHT TO CANCEL THIS CONTRACT FOR ANY REASON AT ANY TIME WITHIN THREE DAYS AFTER THE SIGNING OF THE CONTRACT, UNLESS WORK HAS COMMENCED. NOTICE OF CONCELLATION MUST BE GIVEN BY CERTIFIED MAIL, RETURN RECIEPT REQUESTED, TO THE HOME IMPROVEMNET CONTRACTOR. IT SHALL BE DEEMED COMPLIANCE WITH THE THREE-DAY CONCELLATION PERIOD IF THE NOTICE -TO CANCELL_IS-MAILED WITHIN THREE DAYS AFTER THE CONTRACT SIGNING, EXCLUDING SUNDAYS AND HOLIDAYS. WITHIN THREE DAYS AFTER RECIPT OF THE WRITTEN NOTICE OF CANCELATION, THE CONTRACTOR SHALL REFUND ALL MONEYS RECEIVVROM THE HOMEOWNER" Two)denticalyopies of the contract must be completed and signed. Date Homeowners Signature One copy shWgothomeowner, the or copy the contractor. ex epresentatives Signature �'/r Date �—T�?_— rules or regulations of the City of Wheat Ridge or *ovenants, casements or restrictions 4 # a ll measuremen WHIMMI MIMI 1: # # 4IRLiw O1 ° 4J. i�:VBr dfG°1 ` (AUTHORM of (OWNER) (CONTRACTOR) Bldg vaE c . � F " I- ' 1 A s CITY OF WHEAT RIDGE r Building Inspection Division (303) 234-5933 Inspection line {303) 235-2855 Office (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 7(-),)- 77 « Ij 1 2 ' `f f UC" Permit Number: ~I 7 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When correctionshave been made, call for re-inspection at 303-234-5933 Date: .1 l A9 Inspector: I~IWC6 DO NOT REMOVE THIS NOTICE 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. N • uON INSPECTOR MUST ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPECTIONS DATE Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) /Wall tie :al Service Electric Piping in Mechanical COMMENTS: ABOVE HAS PRIOR TO Screw Biding Final / I e Department O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE Eking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL 11 `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORT ,ERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUl OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPAN "vt" 1 ro i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Tim e 3 AM6R) Re-Inspection required: Yes "When corrections have been made, tali for re-inspection of 303-234-5933 Date: Inspector: DO NOT REMOVE THIS TICE " ' City of Wheat Ridge _r- Residential Roofing PERMIT - 092970 '.PERMIT NO: -'..092970.'.. ISSUED: 10/05/2009 JOB ADDRESS: 10280.'W 33RD AVE EXPIRES: 04./03/2010 DESCRIPTION: Reroof 26 sqs ***CONTACTS*** owner 720/218-1071 Bob McElhaney sub 720/530-6331 :Alfred Farias 09-0042 Citywide Roofing LLC **-PARCEL 'INFO ZONE CODE: UA 'USE: UA SUBDIVISION: 0646 BLOCK/LOT#: 0./: **".FEE SUMMARY 'ESTIMATED PROJECT .VALUATION: `6,286.00. FEES Permit Fee 181.10 taw. 4r~, Total Valuation .00. s r er"?v Use Tax 113.15 TOTAL 294.25 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 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 orcovenants; .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. I- t 1 1/0 Sq.- _Z809 Signs ure 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 Wheatf 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 form 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 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 of; ny violation of the provisions of the building codes or any other ordinance, law,, rule or regulation. Allj plan rev'ew subject to field inspections. Signature I/ffiff Building Official date INSPECT ON 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. °4w"EqT~ City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 s, r Office: 303-235-2855 ` Fax: 303-235-2857 Plan oOLORPO° Inspection Line: 303-234-5933 Permit 0 C l Building ~ _Permit Application Property Address`' 10280 W 33rd street-- C 61 Q~~ l~Q Property Owner (please print): Bob McElhaney Phone: 720.218.1071 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: City Wide Roofing Contractor License Phone: 720.271.0811 SutS.Contrectorsr 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: $ 6286 DESCrIptlOn~Ot WOr1C3 Reroof due to hail damage (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares 26 BTU's Gallons Amps 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) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SASoa ryp. p-( SIGNATURE: Date: 10-2 DEPARTMENT OF GOM1v1UNITY DEVELOPMENT 7500 WES729thAVENUE BUILDIN6 INSPECTION DIVISION PERMIT N0. MP93#3511 234•5933 P.O. eoxs38 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. APPLICATION FOR MISCELLANEOUS PERMIT JOBADDRESS ~o_ 240 W 33~0Xt,~e__ OWNER ~ 67V 1611217/9~ CONTRACTOR _/3v' Y -C / Z- ADDRESS ~ ~ ~-2 ADDRESS EEO - / G-~'~✓70dY PHONE d ZIPCODE 3-3 qTY / ZIP CODE YoZZ b CONTRACT PRICE $ a V 4s PHONE LICENSE NO. LC~8(27 DATE 91 - 3 0- y 3 1. TYPE GroundLJ WaIILJ ProitetinQlJ Other SorDFaes 2. MATERIAL Total Square Feat SIGNS 3. ILLUMINATION Yaa❑ No❑ Type Eieet. Parmit No. 4 SET BACK FROM PROPERTY LINE N _ 5_ E _ W Zone_ Approvad,Zone Inapsetor (SOeci}y which is f ront ) ❑ ❑ ❑ ❑ DisapDroved 1. TYPE SolidE] More Thon 80% Open❑ Lass Than 80% Opan MATERIAI Hsipht FENCES 3. SET BACK FROM PROPERTY LINE N _ S_ E _ W Zma_ Apprwi Inepecta (Specify which is tront) ❑ ❑ ❑ ❑ DiaoDDroved l/Q W 41~ ~ YJ 1 ✓ i vi /G /{/l~ ~aYS L, I. ~7 e/✓ . 0 2 OTHER ' INSPECTION TICKET TRUCTURE,GIVIhG DISTANCES FROM PROPERTY LINES. Jos ADDRESS (U ~ 3Ix (R,-t 24 9 ~S DATE: 7`~ BLDG. ~ERMITB J S~ PERMIT# BLDG. CONTR. (lJ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE 3 ~r REMARKS Ole i + J ) 2 SPECIFV NORTH ~ :S,STREETS, AND PROPERTY LINES;ONIRREGULARIATS,SHOWI_EAST DIS7ANf;E. ?LECTRICAL; MECHANICAL PERMIT )ICATED WORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION OIVISION. 'E OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. NBING PERMIT iE N0. MECHANICAL PERMIT qt BSM IST 2N0 3R0 4TH N0. FLEI+CircleOneGaadlPropaneCoalElaeSWor W W.R. FORM 6-19 FORCEO AIR - BTU HOT WATER - BTU j STEAM - BTU ~ AIR CANDITIONING-BTU OTHER - - REFRICsERATION SYSTEM POWER SUB-CIFCUITS WATER HEATER Relri aranf 6rou UTIUTY(RANGE,DISPOSER,ETC) AUTO. WASHER Poundt CAar a FI%TURES DISH WASHER AUTOMATIC SPRINKI.ER SYSTEM WIRING MOTOFtS B CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 8 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER N S MOTORS OVER I HP TOTAI FIXTURES p ~a 1 Asreby acknowledqe thot this applica- fion is correci and understond thot I connot afart tAis project until this oppli- eotion is opOroved. I shall camply with fhe lowg of Ihe State ol Colorado ond to fhe ZoninQ ReQulations ond BuildinQ Code of tha City of Wheai Ridpe. Any violation of the above ferme will cause immediate revocotion of tnis permit PERMIT FEE USE TAX TOTAL FEE APPROVE[ CHIEF BUILD Date Issued_ ~ Y" 0--d NH- c57 ~y 0~a., sal $ ~ 3 . a--,- v~ - INSPECTOR,City Wheat Ridqe g-dl-93 L4 CALL2345933 24 HOURS IN ADVANCE FORINSPECTIONS