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HomeMy WebLinkAbout4590 Balsam Streetnr INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: I `J 0`'t i+Z— ADDRESS1, �UcSa no JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground i'7 t4 • /Ph-> Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof i'7 t4 • /Ph-> 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRES0 591 JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. A 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: kA�<o Job Address: ` C) Permit Number: 2,-D � -jQjk -4 ❑ No one available for inspection: Time ILA -)U (AM/PM Re -Inspection required: Yes No When corrections have been made, call f e-inspecti n at 303-234-5933 Date: « r Inspector: C UkU_1_. DO NOT REMOVE THIS NOTICE I* � 4 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: U Job Address: Permit Number: I ❑ No one available for inspection: Time 105S AM M Re -Inspection required: Yes No When corrections have been made, call fp re -inspection of 303-234-5933 Date: n Inspector: A DO NOT REMOVE THIS NOTICE r City of Wheat Ridge . r Residential Roofing PERMIT - 201709142 PERMIT NO: 201709142 ISSUED: 11/17/2017 JOB ADDRESS: 4590 Balsam ST EXPIRES: 11/17/2018 JOB DESCRIPTION: Permit to install 25 squares 5/12 pitch Malarkey Vista asphalt shingles *** CONTACTS *** OWNER (303)403-0838 WILMES MARGARET F SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co. *** 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: 10,418.00 FEES Total Valuation 0.00 Use Tax 218.78 Permit Fee 220.15 ** TOTAL ** 438.93 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201709142 PERMIT NO: 201709142 ISSUED: 11/17/2017 JOB ADDRESS: 4590 Balsam ST EXPIRES: 11/17/2018 JOB DESCRIPTION: Permit to install 25 squares 5/12 pitch Malarkey Vista asphalt shingles 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 ermrt. I further attest thattam legally authorized to include all entities named within this document as parties to the work to be performe ,and that all work%be performed is disclosed in this document an /or it accompanying approved plans and specifications. Signature of OWNER or NTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingplans 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 granting of a permit shall not be construed to,'b a p rmit#for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulkibn of this jurisd(ct' r 1 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. Antoinette Kulick Z -o 1 `l o 9 ( q -)- From: no-reply@ci.wheatridge.co.us Sent: Friday, November 17, 2017 12:36 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 4590 Balsam Street Marg Wilmes 303-403-0838 barbara@rtproofingco.com 33 y3d.y3 0 Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Permit application -4590 Balsam Street.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) RTP Roofing Company 018699 303-791-2223 4011 S FEDERAL BLVD Contractor Email Address barbara@rtproofingco.com Retype Contractor Email barbara@rtproofingco.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) 25 10,418.00 Pitched roof (2:12 pitch or greater) 34 What is the specific pitch 5/12 of the PITCHED roof? How many squares are 25 part of the PITCHED roof? Describe the roofing Malarkey Vista materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Re -roof detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will 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 35 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. Name of Applicant Barbara L. Neil Email not displaying correctly? View it in your browser. 36 KTP ROOFING CO. ROOFINC AND (1 -1 -11 -At sPFCr.tI-c�'r Customer Info: Job #: 3629 Wilmes, Marg 4590 Balsam Street, Wheat Ridge, CO, 80033 (303) 403-0838 Re -Roof & Gutters -House RTP Roofing Co. 4011 S. Federal Blvd. Sheridan, Co. 80110 Phone: (303) 791-2223 Fax: (303) 791-3534 7 Company Representative: Scott PonZio (303) 791-2223 scott@rtproofingco.com Job Number: 3629 Re -Roof & Gutters -Detached Shed Ke-KooT UL Gutters -House total: $14,631.87 Description Description Quantity Unit Price Total 1.51 Permit Fee To Be Determined Upon Purchase. -- City of Wheat Ridge 1 EA $0.00 $0.00 Remove Tear off - 1 layer, haul and dispose of shingles - Laminated or 25.4 SQ $51.30 $1,303.02 $31.38 equivalent 3 tab or equivalent R & R Drip edge / Gutter Apron 185 LF $2.39 $442.15 R & R Drip edge / Gutter Apron Replace Ice & Water Shield - Along Eaves 1110 SF $1.65 $1,831.50 24 Replace Roofing felt - 15 Ib. 14.33 SQ $27.99 $401.10 SQ Install Double felt - 30 Ib. Low slope 2.23 SQ $49.40 $110.16 R & R Flashing - pipe jack 3 EA $40.15 $120.45 R & R Flashing, split boot 1 EA $69.11 $69.11 R & R Roof vent, Slant Back, Metal 2 EA $57.85 $115.70 Install Replace Roof vent -Turbine type 2 EA $107.18 $214.36 R & R Exhaust cap, through roof -Up To 4 " 1 EA $75.32 $75.32 R & R Furnace vent, rain cap and storm collar, 6" 1 EA $82.13 $82.13 Replace Prime and Paint roof Penitrations 10 EA $27.33 $273.30 R & R 90# Rolled Roofing/Closed Valley 46 LF $5.06 $232.76 R & R Step flashing(1) 12 LF $8.79 $105.48 R & R Chimney flashing -Average (32" X 36") 1 EA $335.21 $335.21 Replace Detach & reset, Digital satellite system 1 EA $36.26 $36.26 Detach and Reset Customer will need to have Dish Realigned -Please 1 EA $0.00 $0.00 provide Bill so we may submit to insurance company Replace Shingle- Laminated- Standard without felt 3-4/blds 29.33 SQ $200.00 $5,866.00 Replace Ridge cap - dimensional shingles 190 LF $6.01 $1,141.90 R & R Remove & Replace 5" Alum. seamless gutters with end caps, 324 LF $5.79 $-1;87"6 `mitered outlets, downspouts and elbows with material to build and -.i stall hand`" corners /; n ,,, Note Note to Customer** O-KAIL_.DAMAGE WAS-FOUND'OIV THE FLAT ROOF MODIFIED ROOFING MATERIAL 0 EA $0.00 $0.00 Re -Roof & Gutters -Detached Shed Ke-KooT UL Gutters -House total: $14,631.87 Description Quantity Unit Price Total Remove Tear off - 1 layer, haul and dispose of shingles - top layer of 3- 1.51 SQ $49.03 $74.04 Tab or equivalent Remove Tear off - 1 layer, haul and dispose of shingles -bottom layer of 1.51 SQ $31.38 $47.38 3 tab or equivalent Remove No Dump Access Charge Two Layers 3.02 SQ $15.00 $45.30 R & R Drip edge / Gutter Apron 26 LF $2.39 $62.14 R & R Rake Edge 24 LF $2.26 $54.24 Replace Roofing felt - 15 Ib. 1.51 SQ $27.99 $42.26 Replace Roofing felt - 15 Ib. Install Hand load Charge 1.51 SQ $27.99 $42.26 Replace Install New 3 -Tab -25 yr Shingle 1.67 SQ $15.00 $25.05 1.67 R & R Remove & Replace 4" Galv/Alum. seamless gutters with end 58 SQ $184.84 $308.68 caps, outlets, downspouts and elbows LF $5.79 $335.82 Re -Roof & Gutters -Detached Shed total: $994.91 Options Description Quantity Unit Price Total Install Install new Class 4 Impact Resistant shingle instead of 30 yr -- 31 SQ $0.00 $0.00 ADD $1,395.00 for house and shed Options total: $0.00 Total for all sections: $15,626.78 Total: F$15,626.78 RTP ROOFING COMPANY WARRANTY: FROM THE DATE OF COMPLETION, RTP ROOFING COMPANY HAS A TEN YEAR LABOR AND WORKMANSHIP WARRANTY ON THE WORK PERFORMED. COLORADO RIGHTS: PER COLORADO LAW (SB -38) YOU HAVE A 72 HOUR RIGHT OF RESCISSION AFTER SIGNING A CONTRACT OR AFTER RECEIVING NOTICE IN WRITING THAT YOUR INSURANCE CLAIM HAS BEEN DENIED. YOUR ROOFING CONTRACTOR CANNOT PAY OR WAIVE YOUR INSURANCE DEDUCTIBLE. RTP ROOFING COMPANY'S INSURER IS - PINNACOL ASSURANCE FOR ALL OUR EMPLOYEES. SEE ADDITIONAL TERMS AND CONDITIONS - BY SIGNING THIS ESTIMATE, YOU AGREE TO THE TERMS AND CONDITIONS. f Vj pany Authorized Signatures Date Customer Snature Date Customer Signature Date This estimate was last edited by Scott Ponzio ((303) 791-2223, scott@rtproofingco.com) on June 21, 2017. The estimate may be withdrawn if not accepted within days. l� 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: �� t , ,-r" Job Address: LI 5 -HC Is q, S Permit Number: —0 e► -7 o-7 8 s S ❑ No one available for inspection: Time C1 - 7,!57 M Re -Inspection required: Yes GN When corrections have been made, call for re -inspection at 303-234-5933 Date: f e i& //-7 Inspector: i DO NOT REMOVE THIS NOTICE . ►�4' CITY OF WHEAT RIDGE Building inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: i `• ra Job,Address /Permit Number: / z ❑ No one available for inspection: Time F AMIAM) Re Inspection required`: 'es No When corrections have been made, call for re-inspection at 303 - 2345933 Date: t_�� Inspector: x DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Ale Job Address: Permit Number: ❑ No one available for inspection: Time L° /P7 /PM Re- Inspection required: Yes 5 When corrections have been made, call f7l re- inspection at 303 - 234 -5933 i h /1 L P 1 Date: Inspector: d• , DO NOT REMOVE THIS NOTICE You are hereby ordered to stop work located at: = -_� --°-- T�+ - 7 �,+•- "� -t�rr. r'sz�;.� s�.�.m�.� �s z.+$ __<*�'4t r.;g:�^•� .. >iet °t�.�u��'k ♦ A 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: L 01 k / ;� Job Address: 1 �`5Ttl r`,o �: �. Permit Number: 0 `"V') 1 S ❑ No one available for inspection: Time - 30 AM /PM Re- Inspection required: Yes No When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: '� -'�- r;� ; Inspector i�LA DO NOT REMOVE THIS NOTICE . ` ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: G FT 4~: /y; fL Job Address: 45go /moo z n 5; Permit Number: 0 ? ra qi i ❑ 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: > ltd Inspector:/ Z N; DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: &&✓ 2 6Z ~F Job Address: 4 Y57o t fYGs sT Permit Number: OFZc?/ 7 ❑ No one available for inspection: Time ` .'Y.< AM/PM Re-Inspection required: Yes No "When corrections have been made, call for re-inspection at 303-234-5933 Date: 09 Inspect ~ DO NOT REMOVE THIS NOTICE City of Wheat Ridge ~ Residential Electric PERMIT - 092990 r4000or PERMIT NO: 092990 ISSUED:'. 10/05/2009 JOB ADDRESS: 4590 BALSAM ST: EXPIRES: 04/03/2010 DESCRIPTION:: 150 amp. service upgrade CONTACTS owner Owner/Occupant sub 303/513-2216 William Robinson 09-0390 Robo Electric Company mit Fee al valuation Tax TOTAL itlons:. :comply w/ 2003 IRC & 2005 NEC. ect to field inspections. permit application are accurate, and do not violate apl in yourrapplication -and is subject to the laws of of Wheat Ridge, Colorado or anyZ other applicable an extension must be received prior to expiration g Official. ne half the amount normally required, provided no cations and any suspension or abandonment' has not andonment lexceeds one (1) year,`: full fees shall W Building Permit Application Property Address: S o> 4 A Property Owner (please print): Date: Plan A Permit M Phone: Mailing Address: (if different than property address) Address: City, State, Zip: ti J-y -,1 7: 0j? i r / r!° r Contractor: & A a r C, Contractor License "^3 Phone: 30 3 /C Sdb Contractors; Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): J4© to Construction Value: 9 9'!'. 9 e Description of works /Z V L e (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ftadded: Squares BTU's Gallons Amps OL'. OWNER lCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cert ify 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 REPRESSEg TA IVE of (O N/F/~) CONTRATOR PRINT NAME: W)~I/4M r &6AJS~PNSIGNATURE: zz:; y~ev" Dte:/,g/,U-? City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 ❑ No one available for inspection: Time AM! M Re-Inspection required: es j No When corrections have been made, call for re-inspection at 303-234-5933 Date: 1d- I Inspector: A DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge NO: 091017 i !ISSUED: 07/30/2009 DRESS:; 4590 BALSAM ST' EXPIRES: 01/26/2010 PTION:; T/O reroof 24 sqs 30yr!. GAF/ELK * CONTACTS 303/940-1949 Sharon Widener 303/425-7531 John Borfitz 01-9983 J & K Roofing Inc. DIVISION:; 0311:' :BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT :VALUATION: 6,808.00 FEES omit Fee f 181.10 :al valuation .00 e Tax 122.54 TOTAL 303.64 ditions: ail installation & mid roof inspection required. Board sheeting spaced more l;a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and t to field inspections y certify,. that the *setback distances proposed by this permit. application are accurate, and do not violate applicable ces, rules or regulations of the City of :Wheat Ridge. or covenants, easements or restrictions of record; that all vents shown, and allegations made are accurate; that I have read and agree to abideby all conditions printed on this Lion and that I assume full responsibility for compliance with the Wheat: Ridge Building Code (I.B.C) and all other ble Wheat .`.R a Ordinances, for work under this permit. Plans subject to field inspection. re of/contractor/Awner Fdate permit'. was issued in accordance with .the:' provisions set forth'. in your:( application and is 'subject to the laws of the Q' City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 °ocoRa°° Inspection Line: 303-234-5933 Building Permit Application z 23/w61-M ~ST Property Owner (please print):,3Hft[--{6)AJ jo Mailing Address: (if different than property address) Address: Date: Plan Permit ~~(a Phone: State, ROOM J . Contractor License 19nQ J O 3 Phone: C30a ~ffim Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Use of s ace description): G L-o Construction Value: $ u- n. , -Fmo- Orr- lilb &#4-r,3 OF (as calculated per the Building Valuation Data sheet) 2= L a K f Q5PL19C V4 c 1 f~j OF 4! 'Jw=1uA~ ~ Plan Review (due at time of submittal): $ 3ayr / Sq. Ft./L.Ft added: Squares %2 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance writh 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:: /(~O~WN/E~RR))1 (CONTRACTOR) o'r~ PERSONAL REPR ENTATI of (O N a (CONTRATOR) PRINT NAME: l_at-t'F<t 14yJ\f J /T~~~(l1J'Y. SIGNATURE: N d~ Date: ~Y'