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Home My WebLink About3845 Dover StreetCity of Wheat Ridge Residential Sewer Repair PERMIT - 202000126 PERMIT NO: 202000126 ISSUED: 01/16/2020 JOB ADDRESS: 3838 Dover St EXPIRES: 01/15/2021 JOB DESCRIPTION: Residential sewer repair in yard with clean outs, 6 feet of pipe. *** CONTACTS *** OWNER (970)420-2476 MENARD CHRISTOPHER E SUB (720)296-7972 TREVOR HARVEY 130129 AFFORD A ROOTER *** 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: 2,000.00 FEES Total Valuation 0.00 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 119.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Sewer Repair PERMIT - 202000126 PERMIT NO: 202000126 ISSUED: 01/16/2020 JOB ADDRESS: 3838 Dover St EXPIRES: 01/15/2021 JOB DESCRIPTION: Residential sewer repair in yard with clean outs, 6 feet of pipe. 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 performeya'that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. - W6 Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying dans 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 originalermit 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 grants g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applk*c code or an)ic)rdmance 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. City of COM`JAI heat f�,dge MUNITy DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsta7ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 'rq& Plan/Permit # 0 'a Planeview Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ y 5S �� l c; v� ,� v,_ K.,, �A �A c) cis Property Owner (please print): ._..�1 f I yV`s,h Phone: Property Owner Email: C1 card Y &z�I-�.i oi` C�� ;y� t. -r, Tenant Name (Commercial Projects Only) i_'('y, Property Owner Mailing Address: (if different than property address) Address: ?6 `jlb_b -3 City, State, Zip: Arch itect/Engineer: Arch itect/Eng!nee r E-mail: ' Phone: Contractor Name: A V-�-6yj c,, City of Wheat Ridge License #: 13 l - Phone: 1) �3- q a -) � Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): �I 54q t�L Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # 1 t;1 W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ,RESIDENTIAL Provide 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. Ft./LF % Y V -�- V'r � �� BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) J h vU 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) (CONTRACTOR)) / r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): �� f_ /] ":yI DATE: Printed Name: Lt j t7 %/ lI Z ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: PERMIT: AIDDRESS: JOB CODE: 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 Foundation Inspections Date Inspector Comments 201 Electrical/ Cable/ Conduit Initials r 102 Caissons / Piers 103 Footing / P.E. Letter - 104 Foundation Setback Cert. 105 Stem Walls r 206 Water Underground If fy 1 106 Foundation wall Insulation J 308 Rough Electrical Residential Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground I Slab Inspections Date Inspector Initials Coffiliae s 201 Electrical/ Cable/ Conduit y 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. r 206 Water Underground If fy 1 �V %JL Uval ulluclypvullu LPI oeivw i ul-aiao vvorK rnor i o Approvai uT i ne Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation r 306 Mid -Roof If fy 1 307 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 ppd Q�adsv� Inspector�cinents tough Inspection (continues yOX1 Initials 116 Rough Mechanical Reside 07 Rough Mechanical Commercial _ Inspector Initials Comments 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: .21W k&-? f- �OA Job Address: , ,l5 Jnler- s Permit Number: ;`22%%Fo, � 9 ❑ No one available for inspection: Time :('U=SAM/PM Re -Inspection required: Yes ;, No When corrections have been made, call for re -inspection at 303-234-5933 Date: Z1'-3 ' % -7 Inspector: ,'),m% CZ�� ---. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708022 PERMIT NO: 201708022 ISSUED: 10/05/2017 JOB ADDRESS: 3845 Dover ST EXPIRES: 10/05/2018 JOB DESCRIPTION: Residential Re -roof to install composition asphalt shingles - 15 sq (12 sq pitched / 3 sq flat) Pitch = 4/12 *** CONTACTS *** OWNER TRUJILLO ANTHONY SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing *** 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: 4,600.00 FEES Total Valuation 0.00 Use Tax 96.60 Permit Fee 125.05 ** TOTAL ** 221.65 *** 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, 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. City of Wheat Ridge / Residential Roofing PERMIT - 201708022 PERMIT NO: 201708022 ISSUED: 10/05/2017 JOB ADDRESS: 3845 Dover ST EXPIRES: 10/05/2018 JOB DESCRIPTION: Residential Re -roof to install composition asphalt shingles - 15 sq (12 sq pitched / 3 sq flat) Pitch = 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building�co es, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of th roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this pe it. I furter attes that I ay authorized to include al[ entities named within this document as parties to the work to be performid and at all wor to be er o ed is disclosed in this document and/or its' accompanying approved plans and specifications. Sigrrature o OVER orv0ONTRACTbR (Circle one) Date I. his pe it was issued based on the in rmation provided in the permit application and accompanying plans and specifications and is s 'ect t the compliance with those do ments, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. Th it shall expire 365 c a�safter t e date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expira�lo . n 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 originalppermit 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 be a permit for, or an approval of, an violation of any provision of any applicable code or any -ordinance or regulation of this j 'sdiction. Approval of work is subject to field inspection. 11 0 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Zul70kZL From: no-reply@ci.wheatridge.co.us Sent: Monday, October 2, 2017 1:28 PM C To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 7�> ' Residential Roofing Permit Application i 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 3845 cover st Property Owner Name anthony trujillo Property Owner Phone 720-218-7653 Number (enter WITH dashes, eg 303-123-4567) 65 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Truiillo,Anthony-3845 Dover st.pdf CONTRACTOR INFORMATION Contractor Business ropa roofing Name F „= Contractor's License 160146 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) 480-861-4735 795 mcintyre st Contractor Email Address brady.roparoofing@gmail.com Retype Contractor Email brady.roparoofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of1111 the entire scope of work: f �'� Project Value (contract 4600 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 66 both? (check all that apply) What is the pitch of the 2/12 FLAT roof? How many squares are 3 part of the FLAT roof? Describe the roofing modified bitumen material for the FLAT roof: Type of material for the Rolled FLAT roof: What is the specific pitch 4/12 of the PITCHED roof? How many squares are 12 part of the PITCHED roof? Describe the roofing composition shingles materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional remove and replace shingles and modified bitumen on flat 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 67 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. 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 brady reay Email not displaying correctly? View it in your browser. 68 795 McIntyre St, Suite 303, Golden, CO 80401 RopaRoofing Office 720-475-1065 w ww. RonaRoof ink. p.corn cum General Liability Insurer: Colony Specialty, NAIC:39993 Colorado Insurance Professionals, Inc. (303) 755-8600 A(�RF E�IF:1T DATE: i OWNER(S):.. 4-I_I- -0; �L�IJSI�►-C.2 — ADDRESS: P)IONF:: —72 EMAIL.-A1Ni[i�?>t�1x�� Z�?WiK1rMI�11 INSURANCE CO: CLAIM a; _ 02112_- 8 SCOPE: Shingles removed: sq. Replaced: Type:- Pipeboots:___ IcefWater shield: ___ft. flip, Ridge Cap- _ft. Starter Shingles: ft. Drip Edge. R. Color: Vent I) pe:_ No.: _-- Chimney Flashing: ` Step Flashing: Other: General: Both Parties agree to cooperate in good faith efforts as follows. (1) to file a property damage claim w ith the owners insurance company upon executing this agreement, if damage is found. (2) to share all +4 information related to the insurance adjusters meeting and make every attempt to attend the adjusters meeting o� together. (3) To provide each other with all claims reports and other information related to this claim. RopaRoofing will prepare the file for production and acquire all permits and other documents necessary to comply with local requirements. As consideration for the work provided by RopaRoofing, the owner hereby agrees to appoint RopaRoofing as their exclusive contractor, ' If the claim is approved: RopaRoofing agrees to complete all work outlined in the owner's insurance claims y` report, including all supplements and additional items agreed to by the owner's insurance company. If the claim is denied: If the inspection is denied, then this agreement is Null and Void. The owner is not responsible for any payments to RopaRoofing. Payments: The parties agree that RopaRoofing will be entitled to all insurance proceeds related to all claims subject to this agreement, and all other monies for upgrades or additional work that is approved in writing by the owner on the addendum to this agreement. The owner understands that the), are fully responsible for their insurance deductibles, as stated by the Colorado Law 6-22-105. Waiver of insurance deductible prohibited. Payments: Owner hereby releases their insurance company to provide RopaRoofing with information related to this claim and furthermore grants permission for their insurance company to negotiate and settle all claims on behalf of the owners with third party adjusters, if necessary. Owner's Rights: Should the owner decide to cancel this agreement, it must be done within 72 hours of the date signed. I his may be done via mail, email, or hand delivered letter — stating that they wish to tertninate this agreement. Scope: To be defined by the Owner's insurance summary plus any additional upgrades, which they choose; and shall be attached along with the addendum to this agreement. THE ROOFING CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED NIATERiALS TO THE SITE TO WHICH THE WORK IS TO BE PERFORMED OR HAS PERFORMED A MA,IORITy OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. Accepted by Property (honer on: Date/ n I / 1;y; t Sales Person: Date :::/ / *2- 6 -/J-1_ By: ) 'THIS AGREEMENT IS NULL AND VOID IF INSPECTION IS DENIED A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 f INSPECTION NOTICE Inspection Type: Job Address: 54 -- Permit Number: Q/ 719 ❑ No one available for inspection: Time 1' AM/PM,') Re -Inspection required: Yes,/ No ,/ When corrections have been made, call for re -inspection at 303-234-5933 Date:_/0 D ' 19- /7 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 Inspection Type: cS for Job Address: _S? ~ r Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: ~ No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector__~ DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: _A;,,z,-oL AgoF" Job Address: S 4 S oz�g_/2 s r PermitNumber: 0c1c) ❑ No one available for inspection: Time _ /�_' /� A /PM s, Re- Inspection required: Yes No * When corrections have been made, call for re- Inspection at 303 -234 -5933 Date: ghe ll o Inspecto �- DO NOT REMOVE THIS NOTICE _ t ♦ i CITY OF WHEAT RIDGE f 1i► Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: zo o ,f �6r� Job Address: 1;WQe12 5:7` Permit Number: 07k 5S> a SS. v6 Flab a.�,a t- Ag"",Y , &_lz ?v L- £ TAR Tlu£ ❑ No one available for inspection: Time a: O AMM i Re- Inspection required: es - No i ' When corrections have been made, call for re- inspection at 303 -234 -5933 r Date: _ /3o�a Inspector /✓ter Y l h 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: ASP ~ra~~ Job Address: Permit Number: Qfn 7Cc ❑ No one available for inspection: Time AM/PM Re-Inspection required: No "When corrections have been made, call for re-inspection at 303-234-5933 r- Date: / Inspector , DO NOT REMOVE THIS NOTICE F W"E?Tp City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 - Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 OCORA~ Building Permit Application 38 Property Address: y~ Date: Plan Permit 0 Property Owner (please Phone: Mailing Address: (if different than property address) ~q( a~ /gyp Address: City, State, Zip: Ota~ Kr P/ 0 (A s6U ap Contractor: J cQ2 ~~t~ trc~ ~i~ c o Contractor License Q C?" C910 t Phone: 7 d 0~ ~j~ 2-a y~h Sub' 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): Description `o''f~"work: ~ QK-1J~1rL°y ~OV~ Sq. Ft./L.Ft added:0 SquaresBTU's _ Construction Value: $ .5 6XJU. (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) (CONTRACTOR) or PERSONAL REPRESENTATIVE of PRINTNAME:c'.tacWC~r3C'Zen-y.7_~cA2.t SIGNATURE: L~ Date: 6,93- ~