HomeMy WebLinkAbout10695 W 47th AvenueCity of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202001134
PERMIT NO: 202001134 ISSUED: 06/17/2020
JOB ADDRESS: 10695 W 47th Ave EXPIRES: 06/17/2021
JOB DESCRIPTION: Replacing 40 gallon, 40k BTU water heater in basement.
*** CONTACTS ***
OWNER (303)868-9772
SUB (303)766-7500
THORNBURG KELLY
JEFF BELK
021818 PLUMBLINE
SERVICES LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2408 / FRUITDALE,
LEES, STONERIDGE
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
2,520.00
FEES
Hot Water Heater
115.60
Total Valuation
0.00
Use Tax
52.92
** TOTAL **
168.52
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City of Wheat Ridge
E -Res. Water Heater Replemnt PERMIT - 202001134
PERMIT NO: 202001134 ISSUED: 06/17/2020
JOB ADDRESS: 10695 W 47th Ave EXPIRES: 06/17/2021
JOB DESCRIPTION: Replacing 40 gallon, 40k BTU water heater in basement.
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 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 legally authorized to include all 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
1. This permit was issued based on the information provided in the permit 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 Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof 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 grming of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code orYyy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 17, 2020 11:15 AM
To: CommDev Permits
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Dina
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
10695 W 47TH AVE
Kelly Thornburg
303-868-9772
permits@plumblineservices.com
10695 w 47th ave.pdf
I
CONTRACTOR INFORMATION
Contractor Business Plumbline Services
Name
Contractor's License 021818
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-549-5054
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address permits@plumblineservices.com
Retype Contractor Email permits@plumblineservices.com
Address
DESCRIPTION OF WORK
Number of gallons 40
Is the water heater GAS Gas
or ELECTRIC?
If GAS, enter # of BTUs. 40k
If electric, enter n/a
Where is the water heater basement
located (for example,
basement, crawlspace,
etc)?
Project Value (contract 2520
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.
2
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 Carolyn Larson
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202001134
PERMIT NO: 202001134 ISSUED: 06/17/2020
JOB ADDRESS: 10695 W 47th Ave EXPIRES: 06/17/2021
JOB DESCRIPTION: Replacing 40 gallon, 40k BTU water heater in basement.
*** CONTACTS ***
OWNER (303)868-9772
SUB (303)766-7500
THORNBURG KELLY
JEFF BELK
021818 PLUMBLINE
SERVICES LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2408 / FRUITDALE,
LEES, STONERIDGE
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
2,520.00
FEES
Hot Water Heater
115.60
Total Valuation
0.00
Use Tax
52.92
** TOTAL **
168.52
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City of Wheat Ridge
E -Res. Water Heater Replemnt PERMIT - 202001134
PERMIT NO: 202001134 ISSUED: 06/17/2020
JOB ADDRESS: 10695 W 47th Ave EXPIRES: 06/17/2021
JOB DESCRIPTION: Replacing 40 gallon, 40k BTU water heater in basement.
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 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 legally authorized to include all 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
1. This permit was issued based on the information provided in the permit 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 Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof 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 grming of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code orYyy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 17, 2020 11:15 AM
To: CommDev Permits
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Dina
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
10695 W 47TH AVE
Kelly Thornburg
303-868-9772
permits@plumblineservices.com
10695 w 47th ave.pdf
I
CONTRACTOR INFORMATION
Contractor Business Plumbline Services
Name
Contractor's License 021818
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-549-5054
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address permits@plumblineservices.com
Retype Contractor Email permits@plumblineservices.com
Address
DESCRIPTION OF WORK
Number of gallons 40
Is the water heater GAS Gas
or ELECTRIC?
If GAS, enter # of BTUs. 40k
If electric, enter n/a
Where is the water heater basement
located (for example,
basement, crawlspace,
etc)?
Project Value (contract 2520
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.
2
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 Carolyn Larson
Permit
Email not displaying correctly? View it in your browser.
e CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: � M A Alo 3 E—
Job Address: i o y71"A-f
Permit Number: '7�01,O dlq 7 i
❑ No one available for inspection: ime / AM/PM
Re -Inspection required: Yes o
When corrections have been made, call for re -inspection at 303-234-5933
T
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 201802471
PERMIT NO: 201802471 ISSUED: 09/07/2018
JOB ADDRESS: 10695 W 47th Ave EXPIRES: 09/07/2019
JOB DESCRIPTION: Residential Electric- 200 AMP service replacement on west side of exterior
home.
*** CONTACTS ***
OWNER (303)868-9772 THORNBURG, KELLY
SUB (303)202-5030 PAUL PARSONS 020650 KELLY ELECTRICAL SERVICES INC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection.
I, by my signature, do hereby attes that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building c es, and all pphcable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner f e pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permrt. I fu er test t t I in legally authorized to include all entities named within this document as parties to the work to be
performed an ha 1 w e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
/
Signature of OWNER o CONTRT CT�OR��(Circle one) Date
1. This permit was issued based on t eh information provided in the permit application and accompanying )Tans 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof 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
Divis'
6. The . ss nce r granf of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap e c e or a e or regulation of this jurisdiction. Approval of work is subject to f eld inspection.
e
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: /} /
Plan/Permit #/
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: G/ �5r /.J.
Property Owner (please print):Z�&4z L Phone: •�/���'��
Property Owner Email; � or.��i,�✓cr G' /y1S/J. etw
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State
Architect/Engineer E-mail:
Phone:
Contractor Name: r(�T f l-��r�•�/ ff✓di��t
City of Wheat Ridge License #: eZ20-6 5l7 Phone:�arz- �o
Contractor E-mail Address: /JA�/
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
❑ COMMERCIAL
X RESIDENTIAL
Description of work: For ALL projects, provide a detailed description of work to be performed,
including current use of areas, proposed uses, square footage, existing condition and proposed new
condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
Amps
BTUs
Squares
Gallons
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
I
Project (Contract value or the cost of all materials and labor included in the entire project) I
E GU �c
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) C or ( HORIZEDREPRESENTATIVE) of (OWNER) CONTRALTO
Signature (first and last name): DATE:
Printed Name: /aUZ/Z 157r11
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
` V � ` � �V• W Occu anc /T e
INSPECTION RECORD -� �-_
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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
Underground/Slab
Foundation Inspections
Date
Inspector Comments
Initials
Pier
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.
Concrete Encased Ground (CEG)
Floodplain Inspection (if applicable)
Foundation / P.E. Letter
r1_ u_a n-----
%--
0%---
Final Electrical
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
r%.. dl..6 i►.. 11...1_
LOW 1rVL %OVVCI unuur910unu Or Below/ln-,lad WOrK Prior To Approval Of The Above Inspections
Rough Inspections Date Inspector
Initials Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof,
•ri
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltanp nprmitc _ Plane. hn - o fk-, —-L,
• - -- -- ---- -..—• •-^�.. ••..+,.....uv.we a.vnrIULVU iiVI11 UIG me vwuIla ana elecincal low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201704523
PERMIT NO: 201704523 ISSUED: 07/20/2017
JOB ADDRESS: 10695 W 47th AVE EXPIRES: 07/20/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Amber asphalt
shingles with 19.72 sq.
*** CONTACTS ***
OWNER (303)424-9489 THORNBURG KELLY
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,650.00
FEES
Total Valuation 0.00 PAII-A
Use Tax 181.65
Permit Fee 188.45
** TOTAL ** 370.10
*** 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 - 201704523
PERMIT NO: 201704523 ISSUED: 07/20/2017
JOB ADDRESS: 10695 W 47th AVE EXPIRES: 07/20/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Amber asphalt
shingles with 19.72 sq.
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 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 legally authorized to include alI entities named within this document as parties to the work to be
per f0 led and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
is
nature of OWNER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
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.
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.
No work of an manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official DatO
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
��
Dan Schultz
. O, Mi
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 12, 2017 10:55 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
10695 w 47th ave
Kelly Thornburg
3034249489
Field not completed.
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
Elite Roofing
Contractor's License
130240
Number (for the City of
Wheat Ridge)
Contractor Phone
303-296-0361
Number
Contractor Email Address
hilda@elite-roofs.com
Retype Contractor Email
hilda@elite-roofs.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No VIZ
roof?
Description of Roofing
Owens corning Duration Amber
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
19.72
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?
TOTAL SQUARES of all
19.72
roofing material for this
project
Provide additional detail
5/12, 1 layer
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 8650
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 Hilda Cowie-Bozner
Email not displaying correctly? View it in your browser.
3
1.
BBB
M t-. M 13 t, R
E:L IITE
ROOF//VG
Roofing Done Right"
-,
rri
Litt/.�Lt) LUN![}A iu
Contract Submitted To E-mails i
Date ` sl Home Phone Alternate Phone
n tri — '�
Street � (� aq � �.(� � � r -i'+, k� City to � 1P11 � � �C�-G�(? State('e" Zip ., _.v3
We propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST VALUE (RCV)
per insurance proceeds plus any supplements that may apply to your claim. Upon approval of your claim, Elite Roofing will file for any and all supplements which may
include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per
your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will negotiate a fair and equitable settlement
agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you, except for your
deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof
replacement, you will not be obligated to this contract and/or may enter into an acceptable repair agreement with Elite Roofing.
Shingle ME of cturer t Type V Color A9 X
[Tear off t- layer(s) of composition or wood shingles. Special_Instructions:
[ Install felt 151b 301b tl*\& r`Z
[ Ridge cap shingles to be color coordinated crt 1�t e -� i, ! ,
[ Install new pipe jacks r.
[ Replace vents as neededSlant back Turtle
[ Re -flash chimneys and all wall abutments as needed ti) '
[ Install (,0 .-nails per shingle
Code Items:
stall Decking (7.16" OSB) l n )-NIAQ
Install pre -pain d eave metal to ulde - Cotor
Ike &Water_ Penetrations ,j Valleys Eaves
Upgrades: „
"Synthetic Felt" CGv� 1 f~Z z�. - p[
-+t[� idgevent" If.
u a Profile Ridge" If. Approx. Job Completion: weeks from insnte approval
1,,I&I-ligh
"Surenail" lifetime shingles
Class IV Impact resistant" lifetime shingles Homeowner Payment Summary:
M ufacturer Warranty - Pick one Below Deductible: $,'J 'r
[JOG Advantage [ ] OC Preferred [ ] GAF System Plus Upgrades: $ '—
Mise:
Clean out gutters Balance Due*: $ �(
Five (5) year workmanship warranty 'Balance due is equal to the amount of out of pocket expenses as agreed
[ Elite Roofing will provide general liability insurance coverage of $2,000,000 upon by the homeowner and is in addition to all other insurance proceeds
[ lite Roofing will provide workman's Comp at $500,000 as described above. if no insurance claim is involved then balance due is
[ Make a magnetic sweep of driveway and yard for removal of any nails the total contractual amount due.
[• Remove all debris resulting from above work 3
Insurance Company W� Claim # 7" DOL:
• 1(We) hereby authorize and/or instruct any legal representative and/or agent of Elite Roofing to obtain any and all information necessary to negotiate
the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above.
• 1(We) hereby authorize and/or instruct Elite Roofing to pick up In person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing.
• 1(We) hereby authorize and/or instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and instruct my (our)
insurance company to release the customary 10% overhead and 10% profit for scheduling and coordinating any and all trades needed.
• Elite Roofing shall hold in trust any payment received from you until materials have been delivered.
This contract is subject to Elite Roofing management review and approval. I accept the above terms offhis contract an#authorize Elite Roofing to proceed.
Date of Acceptance 6- IV- �(Jf / Homeowner's Si
Representative dA_ �— -� { Representative's
5475 Peoria St. Suite 4-106, Denver, CO 80239 1 Ph: 303.296.0361 1 Fax: 720.317.2233 1 Colo. Spgs.: 719.203.3107 1 Ft. Collins: 970.818.3990
www.eliteroofingeolorado.com
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:
Job Address: 1 D C yU `1'7 VL
Permit Number: 1)()Y 2 c�)
r,
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes flo
When corrections have been made, call for re -inspection at 303-234-5933
Date: -5 9// 1 Inspector:
�-
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
- 01 Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: —T
Job Address:
Permit Number:.
❑ No one available for inspection: Time S'- 5- AM/7
Re -Inspection required: YesOcaor
When corrections have been made,e-inspection at 303 -234 -
Date:— �� Inspector: �-"5 • ��� '
DO NOT REMOVE THIS NOTICE
r» t
City a V�guu
of
N Vh6 44tp, *0
+r • g
Inspectionr
!f rr: CO 80033
Office.13-235-2855 * Fax: 303-237-8929
Inspection
Building PermitApplication
!
ME
M ♦,'. T x..77
Mst1 � � d+ctrbss (if different than property€� dry
Address: 1-1014E
i 7 state, zip:
,
Lq -ew" i,.-'
Sub. c�in...�:�t+�r�•;
Electrical: Plumbing: Mechanical:
W.R. City License ## W.R. City License ## W.R. City License ##
Other
City License * City License # i
noill M. M'' 11MAMIll
wj� �' �T T r.T;
Sales Person:
a AIM
881420 WINDOW WORLD OF 1.ENVER4VA
Bill To:
=45711 =1M I Wi . i
ElkictaggoILM
Phone; (303) 574-9594 Fax:
Quow Name: Project Name,
THORNBURG, BILL THORNBURG, BILL
03S2 -Now 4000 Sodas XO 68 114 x 49
Frame Widthu 68-26, Frame Height - 49, Sash Split
Even
Operator. I Venting = X0
rtams Opkm = Standard Block Frame, Composite
Reinforcement
Frame Color - While
Solarzorto T notmD Me , Double Suerfolb, Wass
Breakage Warranty
Lad Height - Standard Lack Height
Standard $creen
Net Ovarall
Line Item "as;
One
ight U I Description item# -ally
T
03S244ow •##t. XO 34 314 x 36
Frame Width = 34.75, Frame Height - 36. Sash Wit
Even
Operatim I Venting = XO
Frame Option = Standard Stm* Frame, Composite
Rewforoement
Frame Color = While
SolarZons ThermD Me. Double Skength. Gass
Breakage Warranty
Lock Height z Standard Lock Height
Standard Soreart
Not Overall
Line Item Notes:
720-374-7314 WindowWorld 14;40:30 12-09-2016 411
mw
K ,R
Even! r i*
• • SlorAfFrome, Composite
RefnhucamoM
Fiat" color a while
Schuzom 7homiD ate.Double stravol.,:
Breakage Arferronry
Standard Scraim
NotOmall
Line Item Notes:
03S2 -Now 4WD Sodas XO 69 V x 49 318
From Width - 68.75. Frame Haight a 49375, Sash Sot
- Even
operation •
Frame Optim it Standard Block Frame, Composite
Reinforcement
Rome Color a White
Double
amok"* Warranty
Lock Holot a Standard Lock Height
Standard Somen
Net overall
Line Item Notev
Line
yfidth x Heiglitte; #
•t
fk Series XO 52 x 37 1111
J Frame Wath v 52, Frame HaightSplit
Even
Operation I Venting
From Option it Standard Block Frame, Composite
ReIrdweement
From Color a White
Double
Loolt Height - Standard Loch Height
Standard Screen
14:40;47 12—-2016 5112
Even
Operation r
Frame Option - Swdatd Mack Frame.CornOostfa
Frome Color
SolarZ#. Doubts
Sleakove
Lock Hoot a Standard Lock Height
Standard Screen
.LIVING#tm g
. Please nota that all weioft provhted ase wifirr3$es, anti sub to change based on actual order shtpmant.
I »have revieviad this otdw antl certify that ft is ft=L t undetaload that this order is noncencellabla,
nowelumatte, and n U
By Authorized t
r
v
A
729-374-7314 Window World 14.41:06 12-09-2096 /9
ITEM :S tI LOCATION I TAG PRODUCT VESC TI'UNIT PRICE1EXTENDED.PlRICE.
Lifte Item: +r BASEMENT
r+.
U1* Sim 31.375'X t
a
�Rr
DIMENSIONS
Wed, Vmyl, Frarme Type - flotess, STC Rating - 31, Exterior Color -
White
Glazing Type - Irmilated, Elite, Glass Tint - Claw� Loot -E 366, ,,
Gas, Glees Strength - DSS, Thinplate, froemW
Sown - Halt, Scleen Mesh Type - Charcoal Fkier� Screens Packed
Calvilock
„A t 5
Submitted y;
Signature:
w..
Accepted BY:
Signature:
Date:
MUT414 t wt1i H&TU&TRIr
.e• a a ya♦ • • •�. ♦ e ! m• • M s 1� fr �.
-t►• a .s»� -r
Date- =311201612:10:66
720-374-7314 Window World 14:41:22 12-09-2016 7/12
720-374-7314 WindowWorld 14:41:45 12-09-2016 8112
720-374-7314 Window World 14:42:10 12-09-2016 9112
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720-374-7314 WindowWorld 14:4235 12-09-2016 tom
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720-374-7314 Window World 14:43:00 12-09-2016 11112
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720-374-7314 Window World 14:43:25 12-09-2016 12/12
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. .'~a . . . . . . . . . . . . .
City of VVheat Ridge
% Residential Roofing PERMIT - 081337
PERMIT N0: 081337 ISSUED: 11/14/2008
JOH ADDRESS: 10695 W 47THAVE . EXPIRES: 05/13/2009
DESCRIPTION: T/O reroof with 30 yr dimensional 23 .
CONTACTS
owner 303/423-8099 Darrell Crothy gc 303/797-7740 Wayne Gedeon 02-1692 FBN Roofing
PARCEL INFO ZONE CODfi: UA USE: UA SUBDIVISION: 0140 BLOCK/LOT#: 0/ FEE SUhIMAFCY ESTIMATED PROJECT.VALUATION: 4,170.00 FEES
Permit Fee 144.70
Total Valuation . .00 ~•Use Tax 75.06
TOTAL 219.76
Conditiona:
6 nail installation & mid-roof inspection required. Board sheeting epaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
I hereby ceztify that the eetback dietancea propoeed by this permlt application are acwrate, and do not violaGe applicable
ordinancee, rulee or regulationa of the CiGy of wheat Ridge or covenanta, eaeementa or reatrictione of record; tttat all
meaeuremente ehown, and a egatione made are accura[e; that I have read and agree to abide by all conditione yrinted on [hia
application and that I a me full zeeponeibility for compliance with the Wheat Ridge Building Code U.H.G and all other 7 alica6le Whe~ayt~ /µ'dge 0 i ncee, for urork under thie pe~r7miL Plane aubject Co field inepection.
, 1 NiL~/JJ/ l/1. ~ ~a y' o-f .
1. Thie pemit wae ieeued in accordance with the provisione eet forth in your application and is eubject to the laws of the
State of.COloxado and to the Zoning Regulatione and euilding Codee of wheat Ridge, Colorado or any other applicable
ordinancee of the City. .
2. 'Thie permit.shall expire 100 daye from the iesue date. Reguesta for an exteneion muet be received prior to expiration
dete. An exteneion may be granted at the diacretion of the Bullding OEficial.
3. If this pemit expires,a new permit may be acquired for a fee of one-half the amount normally required, provided no
chan9ee have been or will be made in Ghe original plane and apecificatione and any suepenaion or abandonmenthae not
exceeded one (1) year. If changee have been or if euepenaion oc abandonment exceede one (1) year, full feee shall .
be paid foz a new permit. 4. No work of any manner shall be done that will change the natural flow oE water caueing a drainage problem.
5. Contractor shall notify the Building Inepector twenty-four (24) houre in advance Eor allinapectione and ehall receive
wtitten approval on inepection card before proceeding with aucceseive phasea of [he job.
6. The ieeuance of a pemit or theapproval of drawinge and epeciEicatione ehall not be cohatrued to be a pemit for, nor
an approval of, any.violation of the provieione of the building codea or any other ordinance, law, zule or regulation.
All plan review ie aubject to field inepectione. Signature of Chief Hui ficial da[e
INSPBCTION R8 ST-~ INSs (303•)234-5933 BUILDING OFFICEb (303)235-2855
REQUESTS MUST E MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
~w"EqTR City of Wheat Ridge Bui/ding Division
~ ~?~l, ~ 7500 W. 291h Ave., Wheat Ridge, CO 80033
u m
~ Office: 303-235-2855 * Fax: 303-235-2857
c-- o Inspection Line: 303-234-5933
~~ORP~
Date: ( I
Plan
Permit
Building Permit Application
Property Address: 7 ~ ~
V G~
Property Owner (please print):,~ V y~N ( hone
Mailing Address: (if different than property address)
Address:
-~a3-
S-od 53
Ciry, State, Zip: r. 1A Rn r 1 Ae , :
Contractor:
Contractor License Phone: 7 33I ~
Sub Contractors:
Electrical Ciry 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: $
DeSGription Of woYk:!r~a p9 ~L t y, W (as calculated per the Building Valuation Data sheet)
'r n r Plan Review (due at fime of submittal): $ 0~
Sq.FtJLFtadded: Squ2re,,?3"Lh BTU's Galions 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 violale applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenanls, 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 fWt
responsibility for compliance with the Wheat Ridge Buildin C Fld-all-ner applicable Wheat Ridge Ordinances, for work
under this permiL Plans subject to field inspection.
4~
IRLCE ONE(:JOWNER) (CONTRACTOR) or ERSONAL REPRES TATI O ONTRATOR)
C
PRINTNAME' me'r~GZ SIGNATURE: ~ Date,~
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS'. OCCUPANCY'. _
Reviewer.
FIRE DEPARTMENT:: ❑ appfoVed wl Commenls ❑ di5approVed ❑ n0 feVieW feqUifOd Bldg Valuation: $
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, ' City of Wheat Ridge :
Residential Roofing PERMIT - 081337
PERMIT NO: 081337
ISSUED:
11/14/2008
JOB ADDRESS: 10695 W 47TH AVE ~
EXPIRES:
05/13/2009
DESCRIpTION: T/O reroof
with 30.yr
dimensional 23
~
. ~.•*~~CONTACTff.''a*~~
~ ~
.
~ ~ . .
owner ,303/423-8099
Darrell Crothy
gc~. 303/~797-7740
Wayne Gedeon
02-1692
FBN Roofing
PARCEL~ INFO .
. .
. .
ZONE CODE: ~UA .
USE:
UA . ~ .
SUBDIVZSION: ~ 0140
BLOCK/LOT#:
0/
FEESUMMARY~:** ~
ESTIMATED
PROJECT VALUATION: 4,170.00
~ ~ ~ . .
FEES
Permit' Fee ~ ~ . .
144.70
TotaT ~Valuation .
~
.00
Use Tax
~
75.06
~TOTAL~ ~
219.76
~
. ~ . . .
Conditions:
6 nail installation & mid-roof inspection required. Board sheeting spaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
I hereby.cerfify ttiat the setback dietancee propoaed by thie pemit application are accurate, and do not violata applicable
. ozdinancea, Fulea or regulatione of.the CSty oF Wheat Rid9e or covenante, eaeemente or teatrictiona of zecord•;-that all meaevtemenke shown,..aad a2legatione made are accurate; that I have read and a9ree to abide by all conditione printed on'.triia
application and that.I-asaume full iesponeibility for compliance with the wheat Ridge euilding Code (I.B.G and all ot6eY
apglicable Wheat RidgeOrdinances, for work undei thle permit. Plane eubject to field inapection. Signature.of con[ractox/ownerdate .
1. Thie pemit was.iesued in accordance with the provieioas set forCh in your application and ia eubject to the iawe of the
State of Colorado and [o the 2oning Regulatione and Building Codee of wheat Ridge, Colorado or any other applicable. ordinanceaof Ghe City. 2. Thie peTmit shalY expire 180 daye from the ieeue date. Requeeta for an extenaion muat be received prior to expiration
. date:An exCenaionmay be 9ranted at the diecretion of the Building Official. 3. If thie-.permit.ezpirea, a new pemit may be acquired for a fee of one-haif the amount normally required, provided no
changea have been or will be made in the original plans and epecificationa anfl any suapeneion or abandonment hae not
exceeded one (1) year..IE change9 have been oz if auepenaion or abandonment exceeda one(1) year, full feee ehall
be paid fox a new permit. n. No workof any ttianner ehall be done that will chan9e the natural flow of water causing a draina9e problem.
5. Conttactor ehall notify the euilding Inspector twenty-four (24) houre in advance for all inepectiona and sha11 receive
writ[en!approval oninepection card before proceeding with succeeeive phases of [he job. 6. Thei6enance ot a pemit or the approval of drawinge and epecificatione ahall no[ be conatrued to be a pexmitfor,nor
an approvalof, any viplatj'~jjx of.[he provisione of the building codee or any other ordinance, law, rule or zegulation.All plan reviewis ~~~ff~to field inepectiona. .
Signature'o£ Chief
IlQ3P8CT20N . RSS
REQUESTS:MUST
date
IT LINBs (303)234-5433 BUILDING OFFICE: (303)235-2855 MADE $Y 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
. . . .
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