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Home My WebLink About4010 Marshall Street� City L Nheat Ridge If /40, Residential Roofing PERMIT - 201704668 PEh.MiT NO: 201704668 ISSUED: 07/24/2017 JOE f ADDRESS: 4010 Marshall ST EXPIRES• 07/24/2018 JOB -DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 29.33 sq. *** CONTACTS *** OWNER (720)495-5447 ELIA EARL G SUB (720)504-5023 Travis Williams 170353 Green Gable Roofing & Exterior *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,829.22 FEES Total Valuation 0.00 Use Tax 206.41 Permit Fee 204.30 ** TOTAL ** 410.71 * * * 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. �1;26 4�7 S - INSPECTION RECOR- �. INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/insp, INSPECTION REQUEST LINE: (303) 234-5933 Occ ancy/Type t7 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 CommentsInitials Pier Electrical Concrete Encased Ground (CEG) Sewer Service Foundation / P.E. Letter Plumbing Do Not Pour Concrete Prior 10 Approval yr 1 rlt: muvvc 11�.71fG�r Underground/Slab Inspections Date Inspector CommentsInitials Electrical Sewer Service Plumbing ��.._..-1 /Yi TL... Ainnc Uo rYoi IrV VC1 %J"uaI � vu� �u Rough Inspections v. �.�...••• Date •• • •• - Inspector Initials - - Comments Wall Sheathing id -Roof y th / Wall Tie cough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Mail Final Inspections Date Inspector Initials Comments Landscaping & Parking I 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 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. ...... ,. ,..F....r. fk� Ciro r)ictrirt nnri PlPrtrlral inw voltaaP *For low voltage permits – riease ue Suic a iai I VUIJ i 10N—. by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather r 4 le City of Wheat Ridge Residential Roofing PERMIT - 201704668 PERMIT NO: 201704668 ISSUED: 07/24/2017 JOB ADDRESS: 4010 Marshall ST EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 29.33 sq. *** CONTACTS *** OWNER (720)495-5447 ELIA EARL G SUB (720)504-5023 Travis Williams 170353 Green Gable Roofing & Exterior *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,829.22 FEES Total Valuation 0.00 Use Tax 206.41 Permit Fee 204.30 1 D * * TOTAL * * 410.71 *** 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. i City of Wheat Ridge Residential Roofing PERMIT - 201704668 PERMIT NO: 201704668 ISSUED: 07/24/2017 JOB ADDRESS: 4010 Marshall ST EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential Re—roof to install asphalt shingles with ROOF DECKING — 29.33 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 le ally authorized to include all entities named within this document as parties to the work to be perform d and that al k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. - -7- 7 Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe 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 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 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 is 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 applic le a or any o>e or gu tion 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. Dan Schultz � From: no-reply@ci.wheatridge.co.us Sent: Friday, July 14, 2017 1:40 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 4010 Marshall St, Wheat Ridge Co 80033 Property Owner Name Earl Elia Property Owner Phone 720 495 5447 Number Property Owner Email Field not completed. Address 1 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Green Gable Roofing & Exteriors 170353 720 504 5023 Contractor Email Address support@greengableroofing.com Retype Contractor Email support@greengableroofing.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing Asphalt shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 29.33 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 29.33 V roofing material for this project Provide additional detail reroof 2 story home re -deck 1 st story and home has a 9/12 here on the description of pitch 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract --o - value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant David Barnard Email not displaying correctly? View it in your browser. 3 i a Advocate Construction 40 W. Littleton Blvd., Ste 210-264 Littleton, CO 80124 Office: 303-795-0527 Fax: 303-632-2462 Homeowner -- N P / IIP one o s Y pate /7 AddJW)/0 G 4,q L (+1 % a ni G . / Stat y Zip Code 1 v' /OSE (•"� :7(' ��? Insurance Co. ,(� j] i ,kA 01 a — /�' �/ Maiill c-� CACI /�� i �7 `' %%7 i - Linc Storm r — F-117 Insurance Ph. Claim Number 4djuster Appointment Date and Time: Please call: �Cy �Y L.� immediately! Phone: r' This agreement is void if the roof is not approved for replacement by the insurance company. Homeowner authorizes Advocate to represent them during the a*uAWMrrand supplementation process: �– Homeowner requests that the insurance company provide Advocate copies of all claim correspondence: �l t Advocate agrees to perform all work per the insurance specifications at the agreed insurance company pricing: 4_ Approximate Date of service: Approximate cost of service: Notes: 7�', l J— Ci A / Shingle Manufacturer: F �� Hip/ Ridge Style: Standa High Profile Style: Color: - - S _L,,,)t3 Cjrjce and Water Shield Upgrade if not covered by Dip Edge: Black Gray White Brown Tan Insurance: Add. Cost.N'*,SV raK C--Q— Mod. Bit Color: Initia Notice: Advocate Construction is not responsible for water damage in the areas typically covered by Ice and Water Shield, (Eaves, Valleys. Fireplaces and Penetrations), if the H.O. elects to not inst ll. Initials: Additional Details: a N V 1\ Roofing Contractors are prohibited by law from paying, waiving, rebating, or promising to pay, waive, or rebate all or part of any Insurance deductible applicable to an insurance claim made to the property owner's property and casualty insured for payment for roofing work on the residential property covered by a property and casualty insurance policy, per C.R.S. 6-22-101c. RIGHT TO CANCEL: If the Homeowner does not want materials and/ or services, the Homeowner may cancel the contract and obtain a full refund of any deposit within 72 hours after entering the agreement. CANCELLATION POLICY: Advocate shall invest substantial time and resources in preparing to perform the scope of work described in this agreement and shall suffer losses if the property owner cancels the work after the insurance company has approved the scope of work. Therefore, the following cancellation policy shall apply: Charge following initial inspection: $200.00. Advocate meeting with the adjuster: $300.00. Supplementation complete: $150.00 per additional hour Client Signature: .'........................ Date: 'r : %............... Advocate Reps Signature: ................................................... .. Date:�`�..'�?......... 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: D� ❑ No one available for inspection: Time ? bAM/PM Re -Inspection require Ye N-AII When corrections have been\nade, call for -in on at 303-234-5933 Date: � - � . � � Inspect DO NOT REMOVE THIS NOTICE 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: M l n IfHe- Job Address: L1 (i LC Owl! t I2 S }, I I Permit Number: �I C 1:-2 C L--1 (a- i. a ❑ 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 - Date: r Inspector: DO NOT REMOVE THIS NOTICE fJ- CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P"N i O / S 4 - Job Address: V b! 1) 1ti1 -A r -5 Permit Number: 3 ni -7 y (a (. Q N8 7 ❑ No one available for inspection: Time. l_,PM Re -Inspection required: s No 15,0& When corrections have been made, call for re-in-snectinh at 303-234-5933 Dater, 3 / . Inspector: 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 n � Inspection Type: M 6 r� f vy i Job Address: 1 1 U i O Wl �P �j L L 5 Permit Number: d 0 R � F ❑ 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: f ��S tT Inspector: 4,1 e'-- C DO NOT REMOVE THIS NOTICE A 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: m 1,0 '60l Job Address: Yar wXA Permit Number: i oW S7 — /L4 ArJ /2 �-> s "�� -�- C.C}'Ps� • « /r /7 !`I (5'� gc IV a rr/ ioF y Ida / o J tiNG /� ❑ No one available for inspection: Time D . ,9 AM /PM Re- Inspection required: ) No *When corrections have been made, call for re inspection at 303 - 234 - 5933 Date; 5 Inspector DO NOT REMOVE THIS NOTICE 3011ON S1141- gAOW3N ION 00 777-7 EE69- 690 -£0S 16 uggoedsui -ei jo/ /1eo 'epew ueeq enaq sugl)oeiigo ueyM ON sak :paainbaa uoiloadsuj-aa W0/ V 7 awil oijoadsui ao} ajgejiene auo oN ❑ r �.,/ :aagmnN WuMd ll rh ' :ssaappV qof f :adAj, uoi }oadsul 30110N N01103dSN1 xe=/ 6068 -L£0 (£0£) • e -P!//O 9990 -3£Z (£0£) eup uo(;oadsul g£69 - tiSZ (COG) uOisinIa uoiloodsul 6uipiing 39aw mHM d0 Alla j Fr, 4' t � , City of Wheat Ridge Faxed Mech. Permit PERMIT - 101212 PERMIT NO: 101212 ISSUED: 05/13/2010 JOB ADDRESS: 4010 MARSHALL ST EXPIRES: 11/09/2010 DESCRIPTION:.` Replace 90,000 '. btu furnace, AC, 40 .gal hwh;: 150 amp ser,.. * *- CONTACTS * ** x` owner 303/422-1489 Earl Elia -," sub `. 303/798-8783 J. 'Patrick Quinlan: 01-84G4 B &'F Heating & A/C r" SUB 303/420 -15.16 Jav!Patrick Quinlan 01 -7875 Coffman Electric. -Inc UA USE: UA 0402 '.BLOCK /LOT #: 0/ t ** ESTIMATED PROJECT VALUATION: FEES cz...,"° 199.30 N�,�j� ' 2 Lon .00.i;.\�. 199.30 other ,f contractor /owner %date INSPECTION RECORD Occupancy /Type ®'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Electrical Stemwall / (CEG) Concrete Encased Ground Plumbing Reinforcing or Monolithic Mechanical -- -- - -- -- -. -.... _. -. SIGNED PRIOR TO PRO( CITY OF WHEAT RIDGE 05/13/10 11 :08 AN edba Judith T Quinlan Weatherproof/ French Drain Rough Plumbing Sewer Service Lines Gas Piping Water Service Lines Rough Mechanical CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS - - .Sheathing RECEIPT NO:CDA004324 - - AMOUNT BPSP Repplace 90,000 btu f 199.30 A 212 Permit Fee _ 199.30 - - PAYMENT RECEIVED AMOUNT VS 5611 199.30 Auth Code: 08586D -- TOTAL 199.30' _-- --------- ------------------------- INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. .Lath / Wall tie Electrical Mid -Roof Plumbing Electrical Service Mechanical -- -- - -- -- -. -.... _. -. SIGNED PRIOR TO PRO( CITY OF WHEAT RIDGE 05/13/10 11 :08 AN edba Judith T Quinlan Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE Framing "'NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Insulation OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Drywall Screw RECEIPT NO:CDA004324 - - AMOUNT BPSP Repplace 90,000 btu f 199.30 A 212 Permit Fee _ 199.30 - - PAYMENT RECEIVED AMOUNT VS 5611 199.30 Auth Code: 08586D -- TOTAL 199.30' _-- --------- ------------------------- INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage Parking & Landscaping "'NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER May 13 10 10:31a Property Address: Facsimile Building Permit Application f0 Afl - slal/ Sf Property Owner (p /ease print): Ell Mailing Address: (if different than property address) Address: zAV •.n OLdIU, up: Contractor: (3« r /I Contractor License #: Contractors: --n to _(I Gl t tl d n COAA iC'la _/ 5U Use of space (description) Description of work: ZFl2a // C �S!20 strticlion Value- s 7 9 Plan Review (due at time ofsub,,ofalj) $ Sq. Ft-/L-Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge of 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 an 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 underthis permit. Plans subject to field inspection. CIRLCE ONE-: (OWNER) ONTRACTOR or PERSONAL REPRESENTA of (ow ER) ONTRAT PRINT NAME0.T7lLlGL 1Ttl SIGNATURE: --r ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORLDS COMMENTS: Reviewer. 14h1q % _DiG Phone; : !1875 tense #: Expiration Date: S HA r - i Ir; Ck 2 (x. 0 NP0 H C Ci real! - , DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: - FIRE DEPARTMENT: ❑ approved w/ comments ❑ disapproved ❑ no review required I Bldg Valuation: $ _ Patty Schmidt 303 - 421 -1298 p.2 p 6 C itv Of (- \gdgic Date: COMMUNITY DEVELOPMENT Permit #: LL' Building Division 7500 W. 29 Ave_, Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Credit Card Payment: Use credit card lis ted on file. Print name: a i tia �T$'C�r d- Aignature: ♦ 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: Job Address: E!fl !/)~avC/r,ll~ Permit Number:/i17 H" t 111F1,14 C:,r`"R G d 1 t, d',( r U ❑ No one available for inspection: Time i /r A PM Re-Inspection required: Yes/ ~ No *When corrections have been made, call forme-inspection at 303-234-5933 Dater Inspector: r 0) ~~~1/a , DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE r ~ Inspection Type: Job Address: ' Permit Number- i ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No i *When corrections have been made, call for re-Inspection at 303-234-5933 Date nspector: REMOVE THIS NOTICE A(~ PERMIT NO: 091087 JOB ADDRESS:. 4010 MARSHALL ST DESCRIPTION:_ Reroof 29 sqs a~ w. C'ondit"ionR_ a City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Permit #:Gq (097-- Building Permit Application Property Address: ~[0/0 maol „ /f -5~ Property Owner (please print): / V a ley 't A-W ut F- bee Phone 6) 1 1-1 4r^ Mailing Address: (if different than property address, Address: State, Contractor: Contractor License 090172- Phone: P ~ ;~Y6~ - Sub Contractors; Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work: Sq. Ft./L.Ft added: Squares 2 C BTU's Construction Value: $ to, C)C70 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: ~(OWNER) ( ONTRACTOR) r PERSONAL REPRESENNTT~jTIIVEy (OWNER NTRATOR) PRINT NAME: LaY C'. i°r.5 SIGNATURE: -i " G Date: