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Home My WebLink About8651-8661 W. 32nd Place�.. A City of Wheat R r"� V Residential Roofing PERMIT - 201703614 ?ERMIT NO: 20170361.4 ISSUED: 07/10/2017 JOB ADDRESS: 8651 W 32nd PL EXPIRES: 07/10/2018 JOB -DESCRIPTION: Residential Re -roof to install Tamko Heritage AR Rustic Cedar asphalt shingles with 44 sq. ** CONTACTS *** )WNER (303)238-6451 MYERS DANIEL C )UB (972)987-7102 Sam Struthers 170138 Crest Exteriors LLC ** PARCEL INFO *** ,ONE CODE: UA / Unassigned USE: UA / Unassigned 'UBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,185.00 FEES 'otal Valuation 0.00 Ise Tax 276.89 'ermit Fee 267.70 Investigative Fees 267.70 * TOTAL ** 812.29 ** 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 waiver 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 Tess) has been applied in accordance with the installation instruction for (roof m _erial. 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 requirea, 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 nsrecti_on will not be completed. 7C?, r. I INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/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 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) ---- Fire Inspection i Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Lath / Wall Tie Roof Final Window/Doors 77 Rough Electric 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. 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 i Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors 77 Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather July 5, 2017 Crest Exteriors, LLC 6920 S. Jordan Road Centennial, CO 80112 Re: Inspection in lieu of missed Mid -Roof Inspection 8661 W. 32nd Place Wheat Ridge, CO 80033 Permit #: 2017-03614 On June 30, 2017 EVstudio was requested to perform an inspection in lieu of a missed mid -roof inspection at the above mentioned address. Our representative walked each square of the roof to verify the integrity of the roof decking. Valleys and ridges were visually inspected as well as fidshing around protrusions. Drip edge was installed along all eaves and rakes. One layer of asphalt shingles with six nails per shingle over ice barrier/underlayment was confirmed. No exposed nails were discovered in the field. Exposed nails at the ridge and hips were sealed. It is our professional opinion that all roof decking and roofing material was sufficiently installed to meet the City of Wheat Ridge's roofing requirements. If you have any questions, please contact our office. Sincerely, Scott Koch, EIT Field Engineer 1 1 17 Cherokee St. Denver, CO 80204 Sincerely, r Jim Houlette, PE Director of Structural Engineering 303.670.7242 ph design@evstudio.com 303.679.1862 fax www.evstudio.com 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: t2� Job Address: N U)0 P1. Permit Number: `2L L _ELS OOF-, 22d(&[(A _�41) 01—w"o No one available for inspection: Time tio AM/PM 'Re -Inspection required: Yes,f No When corrections have been made, foFre-i s6Iection at - -5933 Date: ! Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Ty e: /"�L�� leo Job Addres Permit Number: ❑ No one available for inspection: Time Red *Wher Date AM/PM r City of Wheat Ridge Residential Roofing PERMIT - 201703614 PERMIT NO: 201703614 ISSUED:, 07/10/2017 JOB ADDRESS: 8651 W 32nd PL EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage AR Rustic Cedar asphalt shingles with 44 sq. *** CONTACTS *** OWNER (303)238-6451 MYERS DANIEL C SUB (972)987-7102 Sam Struthers 170138 Crest Exteriors LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,185.00 FEES Total Valuation 0.00 Use Tax 276.89 s Permit Fee 267.70 ---- Investigative Fees 267.70 - ** TOTAL ** 812.29 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703614 PERMIT NO: 201703614 ISSUED: 07/10/2017 JOB ADDRESS: 8651 W 32nd PL EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage AR Rustic Cedar asphalt shingles with 44 sq. I, by my signature, do hereby attest ' Cie work to be perfo�#i' shall comply with all accompanyinj approved plans and specifications, applicable building codes, and all a icable municipal co5� olicies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property -and am auAiorized t Ta' rmit and perform the work described and approved in conjunction with this permit. I furtharatfest th I`'am leggally'autn �thoriz �c al tities named within this document as parties to the work to be perfonme that all wo - r -b -e- fo 'ed 's os in docu ent and/or its' accompanying approved plans and specifications. Signature of ObVNSoc ._ NTR OTOR�(Ciircteone) Date 1. This permit was issue fused-anAbe information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those_o' cuiii� a 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. rssuance 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 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 ap ca e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date fe STS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ction time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us en 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett C� 1 7 d 36 14— From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 3:39 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny, STOP WORK ORDER Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION eo Property Address 8664-W 32ND PLACE Property Owner Name DANIEL MYERS Property Owner Phone 303-238-6451 Number CD ? o INV, `�Ia- Property Owner Email N/A 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 CREST EXTERIORS LLC Contractor's License 170138 Number (for the City of Wheat Ridge) Contractor Phone 720-405-7663 Number Contractor Email Address CHAD@CRESTROOF.COM Retype Contractor Email CHAD@CRESTROOF.COM Address DESCRIPTION OF WORK Are you re -decking the No roof? V Description of Roofing Tamko Heritage AR - Rustic Cedar Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 44 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? 9 TOTAL SQUARES of all 44 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) Primary residence - R&R shingles 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 Chad Kimberlin Email not displaying correctly? View it in your browser. 3 EXTERIORS LLC MR 720 -405 -ROOF Contractor Contingency Agreement Crest Exteriors LLC 6320 S. Jordan Rd, Centennial, CO Phone: (720) 405-7663 denver@crestroof.com File # 211.91 Own r E i Email: Address: City/State: Zip: Home Phone: Cell Phone: Adjuster Name: Insurance Company: Claim# Adjuster Phone: Crest Project Manager: PM Phone# PM Email: We hereby submit scope of work for: Tear Off and Haul Away: Seal Around All Vents, Pipes and Flashing Recover Roof with: Haul Off Construction Debris # of Squares On: Roll magnet throughout yard. Shingle/Color: Gutter Specs: Linear Feet: Decking: OSB: CDX: Other: Gutter Size: 5" 6" Color: Underlayment: 15 lb 30 lb Synthetic Other: Downspouts: 2x3"- 3x4"- Color: Drip Edge: yes or no Color: Gutter Screens or Helmet Style Valley: (Open/Closed): metal or ice and water Misc Specs: Hip and Ridge: Nails: Pipe Flashing: 3/1- metal base Pipe Flashing (Lead): 1.5"- 2"- 3" - Vents: Box- Ridge (Linear Ft) - Turbines: Powervents: Round Vents: Other: Vent Caps: 3"- 4" - 5"- 6" - Labor Warranty: Material Warranty: Terms: This agreement is contingent upon insurance company price and approval. This agreement does NOT obligate the customer or company in any way unless it is approved by customers insurance company and accepted by Crest Exteriors. Customer's signature below also signifies acceptance of all terms and conditions of this agreement, including all terms on the reverse side hereof. In situations where supplements for additional work are necessary outside of the original scope of work (ex. Additional layers or mismeasurements), company will seek approval from insurance company. Customer's out of pocket expense not to exceed deductible plus upgrades for non -insurance related claim items. Payment Method: Payment Upon Completion of Each Trade Customer Initial Roofing Estimate: Repair/Replace: $ Gutter Estimate: Repair/Replace: $ Other: $ Other: $ Additional Upgrades or Non -Insurance Related Items: $ Overhead and Profit for the Complexity of Multiple Trades $ Total Cost (Tax Included) $ Owner Signature: Date: Co -Owner Signature: Date: RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COLORADO STATE LAW: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION ADDITIONAL: TERMS OF AGREEMENT THIS AGREEMENT IS BETWEEN CREST EXTERIORS, LLC AND THE CUSTOMER(S) NAMED ON THE FRONT SIDE, AND IS SUBJECT TO ALL APPLICABLE RULES, REGULATIONS, LAWS AND ORDINANCES OF THE STATE OF COLORADO AND THE LOCAL JURISDICTIONS) OF THE PROPERTY LOCATION, AND THE FOLLOWING TERMS AND CONDITIONS: WHICH ARE MADE A PART OF THIS AGREEMENT. ANY CONTROVERSY OR CLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT OR BREACH THEREOF, SHALL BE EXCLUSIVELY DECIDED AND SETTLED BY BINDING ARBITRATION ADMINISTERED BY THE AMERICAN ARBITRATION ASSOCIATION BEFORE A SINGLE ARBITRATOR PURSUANT TO THE CONSTRUCTION INDUSTRY ARBITRATION RULES OF THE AMERICAN ARBITRATION ASSOCIATION. THE PLACE OF ARBITRATION VENUE SHALL BE EXCLUSIVELY (MCKINNEY, TX U.S.A.) VENUE SHALL BE EXCLUSIVELY IN (COLLIN COUNTY, TX). JUDGEMENT ON ANY AWARD RENDERED BY THE ARBITRATOR MAY BE ENTERED IN ANY COURT HAVING JURISDICTION THEREOF. 1. By signing this Agreement, Customer certifies (under penalty of perjury) that Customer is the property owner or the Customer's agent or spouse with authority to enter into on behalf of the Customer and sign this Agreement. 2. All material is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. Any alterations or deviation from above specifications involving extra costs will be executed only upon written orders in the form of a "Contract Change Order" and will become an extra charge over and above the original contract price. Any representations, statement, or other communication not written in this Agreement or the Construction Disclaimer Agreement are agreed to be immaterial, and will not be relied upon by either party, and do not survive the execution of this Agreement. Customer to carry fire, tornado and other necessary insurance. 3. It is agreed that the amount of the Agreement shall be the amount equal to the amount found on the front of his Agreement, plus any Contract Change Order(s) and the terms and pricing schedule contained within the Construction Disclaimer. Supplement money paid by the Insurance Company for additional labor and materials needed beyond the original scope of repairs shall be paid directly to CREST EXTERIORS, LLC. 4. You the purchaser(s) may cancel this transaction anytime in writing prior to midnight of the third day after the date of this transaction. To cancel this transaction, mail or deliver a SIGNED, DATED AND NOTARIZED statement of cancellation to the above address as proof of your intent to cancel prior to midnight of the third day after the date of this transaction. 5. The final payment is due immediately upon work completion and shall not be held up while waiting for the city/county/state to inspect the work. 6. If the Customer cancels or terminates this Agreement later than three(3) days from the date the Customer signs this Agreement but prior to the commencement of work, such cancellation, termination or failure to initiate shall constitute breach of this Agreement. In such event, Customer shall pay as liquidated damages to the Company twenty five percent (25%) of the Agreement price as set forth in this Agreement. In the event that the Customer cancels or terminates this Agreement after work has commenced, the Customer shall pay the company the full contract price. These liquidated damages upon payment to Company shall release the Company from any and all other liabilities or obligations for work performed or not performed. 7. The Company has the right to order excess material. These materials will not be charged above the agreed upon price. All excess material belongs to the Company. CREST EXTERIORS, LLC is authorized to do the work on the day that Crest chooses. 8. All agreements are contingent upon "Force Majeure". It is mutually agreed to by both parties that Force Majeure means and refers to acts of God: strikes, lockouts, material shortages, or other industrial disturbances; acts of public enemies; orders of any kind of government of the United States, the State of Colorado, or any civil or military authority; insurrections; riots, epidemics; landslides; lightning, earthquakes; fires; hurricanes; storms; floods; washouts; droughts; arrests; restraint of government and people; civil disturbances; explosions; breakage or accidents to machinery, pipelines, pumps, canals, or other facilities; partial or entire failure of necessary utilities; or any other causes not reasonably within the control of the party claiming such inability. 9. If any provisions of this Agreement should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this Agreement shall not be affected hereby. 10. The company is not responsible for any damage below the roof due to leaks caused by excessive wind of 60mph, ice dams, hail, pre- existing or future construction defects caused by storms or lack of maintenance during the warranty period or depressions in driveway or yard caused by trailers or dumpsters. 11. Should default be made in payment of this Agreement, charges shall be added from the date thereof at a rate of one and one half percent (1'/�%) per month with a minimum charge of $5.00 per month. In the event that referral to an Attorney for collection of amounts owed under this Agreement becomes necessary, or in the event that arbitration or other legal action is necessary to enforce the provisions of this Agreement, the prevailing party shall be awarded costs and reasonable attorney's fees. 12. ANY PERSON OR COMPANY SUPPLYING LABOR MATERIALS FOR TIIIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF TI IAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. 13. Company's current written workmanship warranty and applicable written manufacture's warranties on materials shall apply and are not transferable or assignable, unless otherwise specifically stated or agreed to in writing. To obtain warranty services, the contract amount must be paid in full. ALL OTHER EXPRESS AND IMPLIED WARRANTIES, INCLUDING WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, ARE HEREBY DISCLAIMED. PERMITS/INSPECTIONS/ZONING: The Customer shall obtain at their expense, all necessary permits from the city or county. CANCELLATIONS: All cancellation rights of the parties must be disclosed! Consult your attorney for any specific cancellation requirements. MODIFICATION: Any modification to this Agreement which changes the cost, materials, work to be performed, or the estimated completion date must be in writing and signed by all parties. ACKNOWLEDGMENT: The Customer hereby acknowledges that he/she/has been provided with a copy of this Agreement, Construction Disclaimer Agreement and has read the above and agrees to the terms and conditions found on the front and back of this Agreement. BUILDIiVG DEPARTMENT 237•6944 Ext. 255 CITY OF WHEAT RIDGE . . Correction Notice You are hereby notified to correci the foregoing violations. , When corrections have been made, call for inspection. Date . Inspector for Building Dept. DO NOT REMOVE THIS TAG FONM WR6-St DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500WEST29thAVENUE BUILDWG INSPECTION DIVISION 234-5933 P.O. eoX 638 CITY OF WHEAT RIDGE, COLO. PERMIT N0, M94#19919 THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR ANC FECEIP7ED OEI.^W. ci~ APPLICATION FOR MISCELLANEOUS PERMIT JOB ADDRESS ~6~51n~ ~y~°p ~ i ` ?~2 PL OWNEF O~~--D CONTfiACTOR ADDRESS c, I ~L ~ ADDRESS PHONE ZIP CODE &a'2' CITY n~ J Cr% ZIP CODE CONTRACT PRICE $ 6O PHONE LICENSE NO. r22~~ DATE TYPE G.ound❑ Woll❑ Proiectinp❑ Other SorDFaoe 1 . MATERIAL Total Squaro Feet 2 SIGNS , 3. ILLUMINATION Yea❑ No❑ 7ype ElW. Permit No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ADDrovad,Zone Inspeclor (Specify which isfronl) ❑ ❑ ❑ ❑ DisaDDroved 1. TYPE Solid[:) More Thon BO% ODen❑ Lost Thon 80% Op4n ? MATERIAL Heipht FENCES . 3. SET BACK FROM PROPERTY LINE N_ E_ W Zone_ Appraed,2on~ln~pecta (Specify which is }ront) ❑ ❑ ❑ ❑ Dieapproved I . OTHER DRAW SKETCH OF7 SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIViN"v DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) ~ SPECIFY NORTN canur STREET N4ME SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREfiULAR LOTS, SHOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR pVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WOflK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE UCENSE N0. MECHANICAL PERMIT ALUMINUMWIREUNDERSIZEBIILEGAL FLOOR BSM IST 2ND 3RD 4TH N0. Flffl:CirrhOneGadqlPropaneCodElecSolor N0, WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOt WATER - BTU NEW SERVICE 4MPS BATN TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LI6HTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SU9-GRCUITS WATER HEATE1i Refri erant Group UTILI7Y(RANGE,DISPOS'ER,ETC.) AUTO.WASHER Pounds Chor e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOF75 9 CONTROLS FIS%Kt DRAIN ELEVATOR $IGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS AODITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMARKS I hereby ocknowledQe tAat this ap0lica- fian is corroct and understond that I connot atarf fhif piojbcf until fhis opPli- totion ie apOroved. I shali comply wifh the lawe of the State o1 Colorodo ond ro ihe ZOnin4 Repulnlions ond Buildinp Code ofthe Cifyo( Wheot RidQe. Any violation of the above terme will wuse ir2mediafe revocotion o} this permil PERMIT FEE USE TAX I TOTAL FEE I$ I2'• 2_0 I CHIEF BUILDING ,City of Wheat Ridqe Date Issued /Z -J2''q NOT VALID UNLESS RECEIPTE~ ~ l lZ ~l~ ~,~.~41 CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS