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Home My WebLink About3801 Allison Street70 22_ INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Tyne Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Sheathing Landscaping & Parking / Planning Dept. Mid -Roof 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. Lath / Wall Tie Floodplain Inspection (if applicable) Rough Electric " Fire Inspection / Fire Protection Dist. Rough Plumbing/Gas Line Final Electrical Rough Mechanical Rough Framing Rough Grading Final Mechanical Insulation Roof 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 I 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 voltage permits — mease be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705226 PERMIT NO: 201705226 ISSUED: 08/03/2017 JOB ADDRESS: 3801 Allison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Architectural asphalt shingles & CertainTeed Torch Down on the garage with 29.3 sq. (24.55 sq. pitched, 4.75 sq. flat) *** CONTACTS *** OWNER (303)986-3322 GANSKOW DARRELL SUB (303)857-5667 Darrell Tymoczko 150287 DRT Consulting LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,056.53 FEES Total Valuation 0.00 Use Tax 253.19 Permit Fee 251.85 ** TOTAL ** 505.04 *** 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) 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. 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 - 201705226 PERMIT NO: 201705226 ISSUED: 08/03/2017 JOB ADDRESS: 3801 Allison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Architectural asphalt shingles & CertainTeed Torch Down on the garage with 29.3 sq. (24.55 sq. pitched, 4.75 sq. flat) *** CONTACTS *** OWNER (303)986-3322 GANSKOW DARRELL SUB (303)857-5667 Darrell Tymoczko 150287 DRT Consulting LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT4: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,056.53 FEES Total Valuation 0.00VIVO Use Tax 253.19 ------i Permit Fee 251.85 ** TOTAL ** 505.04 *** 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) 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. 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. e � ! 4' City of Wheat Ridge Residential Roofing PERMIT - 201705226 PERMIT N0: 201705226 ISSUED: 08/03/2017 JOB ADDRESS: 3801 Allison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Architectural asphalt shingles & CertainTeed Torch Down on the garage with 29.3 sq. (24.55 sq. pitched, 4.75 sq. flat) 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_permrt. 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 perfc rmed is disclosed in this document and/or its' accompanying approved plans and specifications. t)�� `� &Lf I.7 Signature of OWNER or CONTRACTOR (Circle one) Date 1. 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. Thispermit 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 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 change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or rant g of a permit 1 not bq c nstnaed to be a permit for, or an approval of, an violation of any provision of any applicable code or i e or r ti of is 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. Property Owner Email nikki@afcgroup.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Field not completed. CONTRACTOR INFORMATION Contractor Business DRT CONSULTING Name Contractor's License 150287 b (_ Number (for the City of Wheat Ridge) Contractor Phone 303-668-4379 Number Contractor Email Address libertyroofs@gmail.com Retype Contractor Email libertyroofs@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing HOUSE MALARKEY HIGHLANDER ARCHITECTURAL Material SHINGLES AND GARAGE CERTAINTEED TORCH DOWN Select Type of Material: Asphalt, TPO/EPDM If "Other" is selected Field not completed. above, describe here: How many squares of the 24.55 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4.75 on the flat roof? FEI TOTAL SQUARES 29.30 (pitched + flat) of all roofing material for this project Provide additional detail RE -ROOF GARAGE ROOF (4:12 PITCH) AND GARAGE here on the description of FLAT ROOF (1:12 PITCH) work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract$12,056.53 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant CHRISTOPHER WEST SENIOR PROJECT MANAGER Email not displaying correctly? View it in your browser. K f fiiA�r�►NOnit � tt PURCHASE AGREEMENT BBB. 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N I ) I ir'ai llPsMIMS r Yi3i rlt llta}4 3[t Y tr"Tat.AT P &60% Olt t t'kmmN A` N 90r tAM TW, u s4, ttttm: mss tsmorsot cssrar yss s'ta f ti c ;, , /; tm *vpsmivft. dtry dw*"*SQw idiom L tsars t.C.+tis r. a -vr ,uwum i.t C m Pu ee�ex. p+o� aarrad trs dtic wraa�x c gra i ai rs t 't{ewr by a e s,,j A64Sts'$stpsart grad ltt �* arr4t wr . rr+d kw- to a jslsl ore ,aa r r+o sait tY}�tfitfiarl ii+i `RI[AtitTprLS3dJ F A ry "rq:Ayr ' 1ti� al w#a;rtsy 981U)1 aur I M) It TUA-4 U=46#1 NPI "it TIM0 Yd) A�'r jl� riLin' H7ltr[iP 9Y P4�tCli iy "10rf13[ [ hs a P !4 'r{ �a� T111=t`tC mis nkait1 NLMAia dant r at-1.'4/tZ>ltstt7tllE7tT�lktiS, t �' a d I ?& nor LfBE tTY EXTERIORS A" co,'+ 'i icnoN. i x B, 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: >i, G % Job Address: Permit Number:��- ❑ No one available for inspection: Time. (AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE L i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Ann INSPECTIONr NOTI Inspection Type: Job Address: Permit Number: j w za ❑ No one available for inspection: Time ! 1 AMA Re -Inspection required: Yes jNq) X� When corrections have been made, call for re -inspection at 303-234-5933 Date: ! /0 �' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705226 PERMIT NO: 201705226 ISSUED: 08/03/2017 JOB ADDRESS: 3801 Allison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Architectural asphalt shingles & CertainTeed Torch Down on the garage with 29.3 sq. (24.55 sq. pitched, 4.75 sq. flat) ******Revision -add redecking for pitched portion of roof -with solid sheathing 24.55sq****** *** CONTACTS *** OWNER (303)986-3322 GANSKOW DARRELL SUB (303)857-5667 Darrell Tymoczko 150287 DRT Consulting LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,928.88 FEES Total Valuation 0.00 Use Tax 313.51 Permit Fee 283.55 ** TOTAL ** 597.06 *** 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) 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. 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 - 201705226 PERMIT NO: 201705226 ISSUED: 08/03/2017 JOB ADDRESS: 3801 Allison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Architectural asphalt shingles & CertainTeed Torch Down on the garage with 29.3 sq. (24.55 sq. pitched, 4.75 sq. flat) ******Revision -add redecking for pitched portion of roof -with solid sheathing 24.55sq****** 11 by my si mature, do hereby attest that the work to be performed shall comply withal I accompanying approved plans and specifications, applicable wilding 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 an Il-wovk, ey erformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER TRACTOR (Circle one) Date I. 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 change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buut*=Cial — e __0 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. X04 /'v City of �Wheat jjdge COMMU.NiTy DEVELOPMENT I FOR OFFICE USE ONLY Date: 7 Add to Permit # Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 v Office: 303-235-2855 * Fax: 303-237-8929_ Inspection Line: 303-234-5933 O 2 Email: Dermitsa-ci.wheatridae.co.us Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): Property Owner Email: i Mailing Address: (if different than property address) Address City, State, Zip: Phone: .3o-3- `�U - 53D0) Submitting Company: Contact Person: (y tlmA W L-'�r Phone: _73,493- 7A, V0 Contractor: be -T- C40A; W''V1( Contractors City License #: / / Phone:�3"' Contractor E-mail Address: �i ber'- mcefi Co-�rzieo l Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: ,2EOEol- f ocrF w/ N SD& /u S��c-tr/7/�A�C- Sq. Ft./LF 2Y5�—S ` ► / Btu's Amps Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 237).x. 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. CIRCLEONE (OWNE<(CONTRACTOR) or (AUTHORIZED PRINT NAME: ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY ❑ Not Required ❑ Not Required ❑ Not Required of (OWNER) (CONTRACTOR) DATE: Xld, --117 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ ♦ ♦ CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Pf ;Ir Job Address: -ey �R.lkm g Permit Number: MM97fi ❑ No one available for inspection: Time AM PM / Re- Inspection required: Yes tf�) 'When corrections have been made, call for re-inspection at 303303 Date: '�n Lf Inspector: L14J�,`, s DO NOT REMOVE THIS NOTICE ♦ I i CITY OF WHEAT RIDGE ~-r Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Nf d I! f~r Job Address: Permit Number: ~rfi( D No one available for inspection: Time 2!:2 l A T Re-Inspection required: Yes t! When corrections have been made, ca for re-i.inspectioppn at 303234-5933 t1 Date: Inspector: L J n , 8 DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge .rte J Residential Roofing PERMIT - 091076 PERMIT NO: 091076 ISSUED: 08/04/2009 JOB ADDRESS: 3801 ALLISON ST. EXPIRES:. 01/31/2010 DESCRIPTION: Reroof 30 sqs.. with Tamko, 30 yrshingles CONTACTS owner 303/420-2981 Greg Lubeley sub 303/646-3977 Mike Essary 09-0139 Shield Const. & Exteriors * * PARCEL INFO * * - ZONE CODE: UA :-.USE: UA SUBDIVISION: 0339 'BLOCK/LOT#:.'0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,583..35 FEES Permit Fee 199.30 Total Valuation .00 eJ~R OU187 Use Tax 136.50 TOTAL .335.80 Conditions: 6 nail installation &-mid-roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls. Subject to field inspections. 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. Signat re of contractor/owner date - 1. This. permit was issued in accordance with the provisions set forth in your. application. and is subject to the laws of the state of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable - ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension. may be granted at the discretion of the Building Official. 3. If this permit expires, 'a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or. will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees. shall be paid for a new permit. 4. No work of any manner shall be done that. will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all. inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. b.. The issuance of. a permit or the approval of drawings and specifications shall not be construed to be apermit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan revies. 'ect to ..field inspections. O Signature of C f. ldingofficial date INSPECTIO REQUESTLINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE. MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.. City of Wheat Ridge Building Division vats: D f 7500 W. 29th Ave„ Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Building Permit Application Property Address: 38o t A w-iciot-A rr W F(~gr lino Property owner (please piino: GRo6 Py~~ Y Phone: 3o3• Izo• z!=t~ Mailing Address: (if different than property address) Address: City, state, Contractor. 189iVL&> GatSc~rVltcTioN Contractor License 613 CIA Phone: 0 5• to (o' ~i9 l ] 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): Construction Value: f fS 3.36 Description of work: R euex~F 30 1S,,L9 pp TAM (as calculated Der the Bulydinp Valuation Data shoot) 30 YV_ r ot~>t~ • SA41 tJ Gt_E Plan Review (doe at 6nre otammrfte9: $ Sq. FtA.Ft added: Squares BTU's Gallons Amps OWNER(CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby mAify that the setback distances pproposed by this permit application are accurate, and do not violate applicable ordinances, ruleS or regulations of the City of Wheat Rldgo or mvenanta, easements or restrictions of record; that as measurements shown, and allegations made are aocumte; that I have read and ayfee to abide Dy all conditions printed on this app)Icatlon and that I assume full meponslbllity for compliance with the Wheat RId99e Building Code (I.R.C) and all other applicable Wheat Ridge Ordinances, for work under this perinh, Plana subject to field Inspoctlon. C)RLCE ONE:; (OWNER) (CONTRACTOR) or PERSONAL, PRINT NAME: SIGNATURE' (CONTRATOR) Data! wil•fiol ZONING COMMENTS: Zoning: Reviewer. Pulluc WORKS COMMENTS; Reviewer. Rt=ING DEPARTMENT COMMENTS: Reviewer. FIRE DEPARTMENT;; 0 approved wt comments 0 disapproved 0 no review required OCCUPANCY: DEPARTMENT USE ONLY 20 39Vd N0I1omJ1SN03_G_13IHS TL909b9E0C LT:CO 600Z/60/80