HomeMy WebLinkAbout3710 Benton Street3?16
IL_ JECTION RECORD OccupancY/Tvne
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
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 flay."
Inspector Must Sign ALL Spaces pertinent tot ' project
Foundation Inspections Date Inspector Comments
Initials
Pier -
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To ADDroval Of The Atr6ve Ins insr►
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Wall Sheathing r { r#
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Ahs -r-
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing r { r#
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
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 iow voltage permits — Please 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
Profe This Card From The Weather
k City of Wheat Ridge
Residential Roofing PERMIT - 201706082
PERMIT NO: 201706082 ISSUED: 08/14/2017
JOB ADDRESS: 3710 Benton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Dimensional asphalt shingles with roof
redecking 24 sq.
*** CONTACTS ***
OWNER (303)980-1336
GEORGE AMANDA
SUB (303)232-0324
Bill Lynn
019976 Mills Roofing Co./Decker Lane
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 15,450.00
FEES
Total Valuation
0.00
Use Tax
324.45
Permit Fee
299.40
** TOTAL **
623.85
*** 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 - 201706082
PERMIT NO: 201706082 ISSUED: 08/14/2017
JOB ADDRESS: 3710 Benton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Dimensional asphalt shingles with roof
redecking 24 sq.
*** CONTACTS ***
OWNER (303)980-1336 GEORGE AMANDA
SUB (303)232-0324 Bill Lynn 019976 Mills Roofing Co./Decker Lane
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,450.00
FEES
Total Valuation 0.00 PAID
Use Tax 324.45 _
Permit Fee 299.40
** TOTAL ** 623.85
*** 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
redecking 24 sq.
I, by ri 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
performe hat ��1 ySork be.per ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (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 andol
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Bding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew 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 Budding 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
applicab'Id de or any ord__iDce or egu tion of this jurisdiction. Approval of work is subject to fyeld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Residential Roofing PERMIT -
201706082
PERMIT NO:
201706082
ISSUED:
08/14/2017
JOB ADDRESS:
3710 Benton ST
EXPIRES:
08/14/2018
JOB DESCRIPTION:
Residential Re -roof to install Dimensional
asphalt
shingles with roof
redecking 24 sq.
I, by ri 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
performe hat ��1 ySork be.per ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (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 andol
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Bding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew 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 Budding 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
applicab'Id de or any ord__iDce or egu tion of this jurisdiction. Approval of work is subject to fyeld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY I
City of Date:
W heat �ge
COMMUNiTy DEVELOPMENT Add to Permit #
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Dermits(oki.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: 3 %/ 0
Property Owner (please print): )Y 1&11+<IOA i�!2 � %/or- Phone: �3 ..? ? 9v c A -
Property Owner Email: /-�A
Mailing Address: (if different than property address)
Address:
City, State, Zi
Submitting Company:./-? i' LO lqyg6 Lpr-)J�?P-
Contact Person: 1 '74Lc� Phone: s?, --', 3 2 � Q22 (-/
Contractor: S'
Contractors City License #: (Phone: 9,23 y 3
Contractor E-mail Address: n�LL�c sk'�lk-6(v►��4ziy tU �,oyy� 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:
Sq. Ft./LF Btu's Gallons
Amps Squares Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ Pyr OG% To i-4 L
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.
CIRCLE ONE: qq(OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: h -4, 5z r L �// �� SIGNATURE Gam' DATE:
.r'
ZONING COMMMENTS-
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer-
PUBLIC
eviewer
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
Dan Schultz C� (76 ��
From:
no-reply@ci.wheatridge.co.us
Sent:
Wednesday, August 9, 2017 9:45 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
�' a
Categories:
Danny
Residential Roofing Permit Application
0
This application is exclusively for new permits for residential roofs and for licensed
r
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
0
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? t , / t ,gyp
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3710 Benton st
Property Owner Name Amanda George
Property Owner Phone 303-980-1336
Number (enter WITH
dashes, eg 303-123-4567)
133
Property Owner Email Field not completed.
Address
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 IMG 2867.JPG
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)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Mills Roofing company
019976
303-232-0324
2221 Gray St
millsroofingcompany@gmail.com
millsroofingcompany@gmail.com
24
Project Value (contract15450
value or cost of ALL C�
materials and labor)
Are you re -decking the es a& a�j --05
roof? VZrwu�C OF�� v��'1
134
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof-
Provide
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No /
Yes
24
Dimensional
Asphalt
4/12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
135
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 Robert Lynn
Email not displaying correctly? View it in your browser.
136
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Dan Schultz
From: no-reply@i.whea 'd s
Sent: Thursday, y 11:51 AM
To: CommDev Permits
Subject: Online Fo Su itt • Residential Roofing Permit Application
Categories: Danny
Residential Roofing P I pplication
10 '
This application is exclusivelySew permits for residential roofs and for licensed
contractors only. This it is ONLY being processed online --do not come
to City Hall to submnFP
n in person. Permits are processed and issued in
the order they are rue to the volume of requests, time to process
varies and is subjeOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDLETE THE TRANSACTION. You will be notified if
,001#ontractor's licnce has expired, and you may update those
docu nts at the tiued your permit.
, Hall. Revisid7%
leted in person at
n at Ci 1T .
ay thrdl%JLFriday
a roofing permit must apply for the permit in person
g permits (for example, to add redecking) must be
I. All other non -roofing permits must be completed in
Division will be open from 7:30-10:30 a.m.,
;ss these types of requests.
THF APPLICATIQM" 66%4JOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOF UN L PERMIT HAS BEEN ISSUED.
Is is application for a
How many dwelling units
Pro rty Ower ame
Prope w r Pho e
Number
roperty wner Email
ddr
Single Family Home
4300 Harlan St.
CTS Capital
303-587-2572
Field not completed.
Do you have a signed Yes
contract to reroof this h
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business Adobe Roofing & Construction, LL -(;a
Name �r
Contractor's License
120218
Number (for the City of
No
Wheat Ridge)
,f
r
Contractor Phone
303-904-9146
Number
Contractor Email Address
adoberoofingllc@gmail.com
Retype Contractor Email
adoberoofingllc@gmail.cor�
Address
Field not completed.
DESCRIPTION OF WORK
z
s
✓ a
Are you re -decking the
No
roof?
,f
Description of Roofing
GAF Armoshield II
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
42
material selected above?
/
Does any portion of the
No "
property include a flat
roof?
a•
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
42 4/
(pitched + flat) of all
roofing material for this
project
z
s
..
,f
�
a
�
n
..
Provide additional detail 2 story 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contrac16000
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 Andrea Becker
Email not displaying correctly? View it in your browser.
3
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
-
Inspection Type: Ayc—
Job Address: Z7/0fa_4 -1S-
Permit Number: QO/-7060
IJNo one available for inspection: Time j'PM
Re -Inspection required: Yes," No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 - 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) 237-8929 Fax
INSPEC��TION NOTICE
Inspection Type: /fF_
Job Address: 757L -
Permit Number:
❑ No one available for inspection: TimeA6 M
Re -Inspection required: Yes
When corrections have been made, �L-inspection at 303-234-5933
Date:' I ` 7 Inspector: `w C'//D*T~
DO NOT REMOVE THIS NOTICE
i
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: IM -b
Job Address: /jam hw _51t
Permit Number: A0/70 &DFS
Ll No one available for inspection: Time ' ,' -3 AMYPM
Re -Inspection required: Yes,` No
When corrections have been made, call6rre-inspection at 303-234-5933
Date: q' ' /1 Inspector: )6W, 0,404�
DO NOT REMOVE THIS NOTICE
� � A i CITY OF WHEAT RIDGE
��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 370 r3E,j7-oAJ .)T
Permit Number: 1c l SO/I So
A
❑ No one available for inspection: Time % wpm
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: lU - �Z - V Inspector-.
DO NOT REMOVE THIS NOTICE
W
-Ity of
haat d,
c
, _g
9c,b)r�N,"oUNun' DEVELOPMEN'T'
FOR OFFICE USE ONLY
PlAnMermit
2,
ZUM=
Property Address: 3710 Benton St Wheat Ridge, CO 80212
Property )wner (please print): David Wheaton Phone: 720-724-5745
,7,roperty Owner available
Address: Same as Above
Argh
Contractor:Thd at Home Services, Inc
Contractor E-mail Address: copermits@gmaii.com
MMMM
UNSIM022M
City License #
Plumbing:
Phone:
Phone: 1-855-712-8899
Complete all information on BOTH sides of this form
0 NEW COMMERCIAL STRUCTURE El ELECTRICAL SERVICE UPGRADE
[I NEW RESIDENTIAL STRUCTURE Q COMMERCIAL ROOFING
El COMMERCIAL ADDITION WINDOW
D RESIDENTIAL ROOFING
El YM ADDITION ..: i : REPLACEMENT t
El COMMERCIAL ACCESSORY i• (Garage, ri deck, w
RESIDENTIAL ACCESSORY STRUCTURE
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MECHANICAL t PIIFi REPAIR
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PLUMBING SYSTEM/APPLIANCE Wa t1 t• or • *.. t
ELECTRICAL
t : t f•t REPAIR
t i tIIF or REPLACEMENT
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(For ALL projects,please provide detailed description of • to be performed, including currente of
proposed "i i. i•.i^"existingconditionand proposednew condition,applianceb: • efficiency,i`and
2mount of materials to be used, etc,)
Replace ( 1 ) window, like for like in existing openings. U -value =.32
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Property Address: 3710 Benton St Wheat Ridge, CO 80212
FOR OFFICE USE ONLY
Date: �0 -- ( Ot -
PlanlPermit #
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Property Owner (please print) - David Wheaton Phone: 720-724-5745
Address: Same as Above
City, State, Zip:
Contractor:Thd at Home Services, Inc
MMUM
Contractor E-mail Address: copermits(LbIgmail.com
Plumbing,,
W R. QJX License#
Phone: 1-855-712-8899
•
Complete all information on BOTH sides of this form
0 NEW COMMERCIAL
; •it;: ELECTRICAL
A RY UPGRADE #► ,( D
El NEW RESIDENTIALOO
COMMERCIAL ADDITION 0 RESIDENTIAL ROOFING
RESDENTIAL ADDITION 2 WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING
SYSTEM/APPLIANCE
REPAIR
M 1Y REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE r.. s ♦:r REPLACEMENT
0 OTHER(Describe
(For ALL projects, please provide a getalled description of work to be performed, including current use of areas,
proposed uses, square footage,existing c" ♦ •.. i.• and ♦ •ill :e e .. condition, a pw .: w:.. ♦ efficiency,• ' and
amountof • be used,
Replace ( 14 ) windows, like for like in existing openings. U-value=.32 max
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fit „ estate, iia:
Electrical: Plumbing: MechanicaC
W,R, City Licenses # WFC. City License WR City License
(Check all that apply)
NEW COMMERCIAL STRUCTURE
NEW RESIDENTIAL STRUCTURECOMMERaAL
COMMERCIAL ADDITION 0 RESIDENTIAL ROOFING
RESDENTIAL ADDITION 0 WINDOW REPLACEMENT
COMMERCIAL ACCESSORY (Garage, shed, deck,
RESIDENTIAL 4..STRUCTURE (Garage, shed, aMECHANICAL SYSTEM/APPUANCE REPAIR or REPLACEMENT
*LUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
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