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HomeMy WebLinkAbout4005 Allison StreetINSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: -,�o -7o5"q3L ADDRESS: yo®s- R+ rsfln S7- JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 4 - aq - )7 A-- 103 Footing / P.E. Letter • aq- /7 104 Foundation Setback Cert. 105 Stem Walls q - o'q- 17 �R 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 4 - aq - )7 A-- 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. q - o'q- 17 �R 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 4 - aq - )7 A-- 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection q - o'q- 17 �R 305 Insulation 306 Mid -Roof 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 PFRM1T: 2y!7Q5-q7/ ADDRFSS: 4nn_� A l):� ,,, �-a- JOB CODE' Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 1323 Miscellaneous Final Inspections Date Inspector Initials Comments 401 Gasline 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* 4 - j, 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. 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: Job Address: L-1 U 0 S A i Permit Number: 2 y G r (4 -3 IJ f -e '- ❑ No one available for inspection: Time AN�/PM j Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:—,-(- 1 �1' i Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: q) Job Address: LI o �, 11. s �„ S) - Permit Number: -D o l -7 o 6- 1-4/ ❑ No one available for inspection: Time I a -- s) AM(PI Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: -') 03 -234 -Date:`) /;-o i �3 Inspector: T_N DO NOT REMOVE THIS NOTICE 10_?Shl(,sUm s+ 1,01-706t6) 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 rlav of thin inennrfin Occupancy/Tye U/ 1r) - --., _....- I 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 Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Dn Nn+ Pnl Ir T_ A - ---- Rough Inspections -- ---- Date Ptuc,ve inspections Underground/Slab Inspections Date Inspector p Initials Comments Electrical `K Sewer Service Plumbing Rough Electric' Do Not Cover llndarnrni mrl nr %wi_-I_ r% -_e - ---- Rough Inspections -- ---- Date �"� -W Inspector Initials WN n r I Owl 1 -%pliiuvdi UT i ne Aoove inspections Comments )6W Sheathing p Mid -Roof `K 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 low voltage permits — Please be sure that rounh in CnPrtinnc me rmi f A F...... ♦L-.. r:__ n by the Building Division. -- V � UU 11VIII uro rile vibuict and electrical IOW voltage Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line __1�9�(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E— ! tME' Job Address: Permit Number: '21'1 O C0 Q�9�5 t LCX ❑ No one available for inspection: Time l� UPM Re -Inspection required: Yes No When corrections have been made, call for ile-inspectio at 303-234-5933 F 1.� Date: Z l.P Inspector: 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: `I) WOE Job Address: Qi'% %/ 0/I S Permit Number: 2ol 70,6895- J 06 9 ❑ No one available for inspectio - : ime AM/PM Re -Inspection required: Yes No When correc 'ons have been made, ca for re -inspection at 303-234-5933 _Y Date: r �% Inspector: f �1 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ILAT Job Address:�- Permit Number: ❑ No one available for inspection: Time I W/ _ AM/ Re -Inspection required: Yes W Whencorrection —inspector: have been made, call for re -inspection at 303-234- Date:7T;.,'-,'07) � 5933 71 if�� �( � ector: � DO NOT REMOVE THIS NOTICE INSPECTION RECORD Inspection online form: http://www.cl.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 aR ins econ before MIDNIGHT (11:59 PM) to receive an inspection the following business da PERMIT:. (jj��4J ADDRESS:% A1 �� %�'?. JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 302 Wall Sheathing 103 Footing / P.E. Letter 303 Roof Sheathing 104 Foundation Setback Cert. 305 Insulation 105 Stem Walls 306 Mid -Roof 106 Foundation wall Insulation 307 Metal / Lath / Stucco Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 302 Wall Sheathing 202 Sewer Underground Int. 303 Roof Sheathing 203 Sewer Underground Ext. 305 Insulation 204 Plumbing Underground Int. 306 Mid -Roof 205 Plumbing Underground Ext. 307 Metal / Lath / Stucco 206 Water Underground 309 Rough Electrical Commercial Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Comments Initials 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRESS: `iLCJ-5 41 Il fj�2d .Y JOB CODE: �C Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous 0-!L b L` 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 0-!L b L` 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. City of Wheat Ridge Residential Roofing PERMIT - 201706885 PERMIT NO: 201706885 ISSUED: 09/03/2017 JOB ADDRESS: 4005 Allison ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles & Modified Bitumen with decking 34 sq. Pitch = 4/12 *** CONTACTS *** OWNER (303)518-7605 MERKEL LESLIE R SUB (720)708-4126 Terry Marks 13013# R( -)MP r.,, A Yri Qor - TT *** 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: 8,738.00 FEES Total Valuation 0.00 y`Aov ? kIV Use Tax,,183.50 J Permit Fee 188.45 ** TOTAL ** 371.95 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 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. a, City of Wheat Ridge f - Residential Roofing PERMIT - 201706885 PERMIT NO: 201706885 ISSUED: 09/03/2017 JOB ADDRESS: 4005 Allison ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re—roof to install GAF Timberline HD asphalt shingles Modified Bitumen with decking 34 sq. 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 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 and tha all workWto be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of R oOn TRAC R (Circle one) Date 1. This permit issued the information provided in the permit application and accompanying plans and specifications and is subject to the ompliance 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. �AR 14o 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: Wednesday, August 30, 2017 2:36 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. --� For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION �L Property Address 4005 Allison St Property Owner Name Les Merkel Property Owner Phone 303-518-7605 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address $'�>71(. ?S- 73 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 Merkel Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Homeguard Roofing and Restoration DL - 130138 720-708-4126 6850 W 52ND AVE SUITE 106 Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 34 the entire scope of work: Project Value (contract —t5 U— value or cost of ALL materials and labor) Are you re -decking the Yes roof? Does the scope of the No ✓ project include a flat roof (less than 2:12 pitch)? g73F' 00 74 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 any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes 32 /7 GAF Timberline HD Asphalt Replacing roof on main structure and detached garaof modbit on lower slope area 2/12 pitch. Primary Pitch2sq 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. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 75 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 Terry Marks Email not displaying correctly? View it in your browser. 76 114 HOMEGUARD ROOFING & RESTORATION Name: Les Merkel City: Wheat Ridge, CO Project Address: (if different from above( Home# Insurance Company: StateFarm SURETY AND LIABILITY INSURER INFORMATION Colony Insurance- Policy Number QTE21366 Contact: GIA Risk Management, 13031423-0162. ext. 136 6850 W. 52nd Avenue Suite 106 Arvada, CO 80002 Office: 720.708.4126 Fax: 720.921.8658 info@HomeGuardRoof.com HomeGuardRoof.com Cell#: 303-518-7605 Sales Representative: Name: Scott Barbich Project Manager: Name: Scott Barbich CUSTOMER INFORMATION Address: 4005 Allison St. ---M:,Z z ACCREDITED BUSINESS 14 liiiM, a. BBB Rating A+ Zip: 80033 Email: Imerketgdenvenmckandtrailer.net Claim No: 0615796BB Deductible: $1,960.00 Phone: 720.955-2730 Phone: 720-955-2730 NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BE PROVIDED STRUCTURES INCLUDED *Main ❑ Detached Garage ❑ Other • Manufacturer: GAF Type: Lifetime 0 Type: Timberline HD Color: TBD • Ridge Material: Seat -a -Ridge • Underlayment: Synthetic Leak Barrier Eaves ❑■ Valley Drip Edge Q Eaves Q Rakes Flashing (] Sidewall ❑■ Chimney Ventilation ❑■ Turtle ❑ Ridge Plumbing Boots 0 © Paint All Roof Accessories © Remove trash from roof gutters & yard OR Rotl lawn & drive with magnetic sweeper © Furnish permit ❑ Miscellaneous: LOW SLOPE AREAS Material Manufacturer 0 Per Code Penetrations ❑ Color ❑ Edge ❑ Other Type. Color SERVICE AGREEMENTS GAF ROOFING SYSTEMS a a••a Materiat - MaterSat - Manufacture Standard Manufacture Standard Workmanship 5 yrs Workmanship 2 yrs Out-of-pocket upgrade costs ROOF SYSTEM Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED All additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT N Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other a • • a Material - Manufacture Standard Notes: Workmanship Repair 1 yr Fut[ Replacement 2 yrs 'Scope of Restoration Services Provided shatt include any additional supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED v. 3 e _ i-_ , -r.: ._"' _. r-��s. a^.', .'!3, 5 ' Sur',k„ .. ).' :.J' pi_acemenl tc !tie a654C' mert�;reds'..^3 7 , ,pe cf tory — ;, - --^p3^. and excepted b; Cpmpar, C._.,..._ _ _,gratare bets.,.- .Jndt a s cr th+5 .greem.en , :%4mg a.; ,:i ss a-ce a ee` Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. ;.— r'a.^ er r s -e_^ zte`� c' eac^ :rade Company and its authorized representatives are NOT acting as public insurance adjusters. Ali vorkc is ,esta:?ed per :ne rr G S spa. 3, _r ^_c, .,.. 5 R ..cap .7.'r^:,des Agreed Price: Per Insurance shall be the total amount due to Company under this Agreement, which is subject to any additions and/or deductions pursuant to autho•ized insurarce supplements or as set forth on the reverse side hereof. Total es'mated cost of any non -insurance upgrades shall be: $ 0 Approximate Dates of Service. Subs;antlal commercemem of work shalt mean either the physical delivery of materials enio the premises or the oer<ormance of any labor and shall be subject to any permissible delays as per prevision 141 on the reverse side. Approximate Start Date: Approximate Completion Date: By signing thi Agreement you agr that you have also been provided notice of this right to cancel orally in addition to the writing contained hereir. This contras is subject to Company mann review & a prova . a ept th a ve terms of this contract and authorize Company to proceed. p and accep is merl Da /� Approved and Accepted iCompanyl Date —proved and Accepted (Customerl Date I have received the Things to Remember" document Initials RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. -4 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. 4 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. 50 -year 50 -year ., STANDARD manufacturer warranty manufacturer warranty Wyear 10 -year 25 -year service policy 10 -year service policy manufacturerwarranty ma.utactmrwamnty 5 -year service poticy 2 -year Non -Prorated Non -Prorated i workmanship wart Transferrable Transferrable qa�a,-;,•a^.eC Pmrax; -z §F -t t--fe-aLe --<:a— a a••a Materiat - MaterSat - Manufacture Standard Manufacture Standard Workmanship 5 yrs Workmanship 2 yrs Out-of-pocket upgrade costs ROOF SYSTEM Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED All additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT N Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other a • • a Material - Manufacture Standard Notes: Workmanship Repair 1 yr Fut[ Replacement 2 yrs 'Scope of Restoration Services Provided shatt include any additional supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED v. 3 e _ i-_ , -r.: ._"' _. r-��s. a^.', .'!3, 5 ' Sur',k„ .. ).' :.J' pi_acemenl tc !tie a654C' mert�;reds'..^3 7 , ,pe cf tory — ;, - --^p3^. and excepted b; Cpmpar, C._.,..._ _ _,gratare bets.,.- .Jndt a s cr th+5 .greem.en , :%4mg a.; ,:i ss a-ce a ee` Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. ;.— r'a.^ er r s -e_^ zte`� c' eac^ :rade Company and its authorized representatives are NOT acting as public insurance adjusters. Ali vorkc is ,esta:?ed per :ne rr G S spa. 3, _r ^_c, .,.. 5 R ..cap .7.'r^:,des Agreed Price: Per Insurance shall be the total amount due to Company under this Agreement, which is subject to any additions and/or deductions pursuant to autho•ized insurarce supplements or as set forth on the reverse side hereof. Total es'mated cost of any non -insurance upgrades shall be: $ 0 Approximate Dates of Service. Subs;antlal commercemem of work shalt mean either the physical delivery of materials enio the premises or the oer<ormance of any labor and shall be subject to any permissible delays as per prevision 141 on the reverse side. Approximate Start Date: Approximate Completion Date: By signing thi Agreement you agr that you have also been provided notice of this right to cancel orally in addition to the writing contained hereir. This contras is subject to Company mann review & a prova . a ept th a ve terms of this contract and authorize Company to proceed. p and accep is merl Da /� Approved and Accepted iCompanyl Date —proved and Accepted (Customerl Date I have received the Things to Remember" document Initials RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. -4 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. 4 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. - C/Ty Building nswHEAT RIDGE —12p� (3 (303) 43)28 4.59 , ens�On Division Office . PeCt%0n /;ne (303) 237 8929 Fax l nspecti°n T 11VSPECT/OIV NO J° Ype: TIC Perm b IVddress: E tuber: /DD �- ���ions have beenMade,�NO eai'yM/pll /1 f or re -Ins�°ection lnSpeCtOr: at3p323¢ so�3 Dp N�TREMO =� VE iy�s NCT�C E 41 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 �y� G��i.,�.:v� Job Address: Permit Number: ❑ No one available for inspection: Time AM fftk Re -Inspection required: Yes �1, o ) 'When corrections have been made, calilfOrr re -inspection at 3o3-2__ 34-5933 Date: � �� � Inspector: 11 ' ` 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: Job Address: Permit Number: J ❑ No one available for inspction: Time AM/PM Re -Inspection required: a No When corrections have been made, call for re -ins cti at 303-234-5933 �j r Date: /_r� Inspector: DO NOT REMOVE THIS NOTICE M 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: FOF Job Address: c 00 S7 ,9 ❑ No one available for inspection: Time,' il I I AM/PM Re -Inspection required: Yes ;° No' When corrections have been made, call for re -inspection. at 303-234-5933 Dater t Inspector: ,! A DO NOT REMOVE THIS NOTICE City of Wheat Ridge ®� Residential Miscella PERMIT - 201705436 PERMIT NO: 201705436 ISSUED: 08/23/2017 JOB ADDRESS: 4005 Allison ST EXPIRES: 08/23/2018 JOB DESCRIPTION: Patio cover -10 ft x 24ft wood construction - 240 sq ft *** CONTACTS *** OWNER (303)422-7548 MERKEL LESLIE R *** 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 Plan Review Fee 50.38 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 169.88 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. Work shall comply with 2012 IRC L 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge 1 ., Residential Miscella PERMIT - 201705436 PERMIT NO: 201705436 ISSUED: 08/23/2017 JOB ADDRESS: 4005 Allison ST EXPIRES: 08/23/2018 JOB DESCRIPTION: Patio cover -10 ft x 24ft wood construction - 240 sq ft 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 , 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 and that all work- performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signaturek f OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying ans 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 writingand 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 original permit 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 an 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, any 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 Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of qr UN 'DEVELOPMENT M Services cion ol 80033 & inspection Iding m Ave., Wheat . ,%03-237-8929 plan/Permit # j -7 l.,' Iplan Review Fee 'r I p ' - ",AJ 0 W . 29 2855 ice:303-235" 303.234-5933 e.cO.us 11Catlon ��ne. eatrid it App rocessed *" ;pectiOenmits ci.wh perm notbep nail: 130ding ,complete apPlications may real on both sides of this form. I hteda �� complete all highli9 *** please C-1) Ano Idr ph°ne property Address Owner (please print): _ , " , L7 � erty Owner prop e,�y address) Mailing Address: (if different than prop Addr State phone: �tectlEn9�neer E -m Arch' � ve�� ,-e- phone: Contractor: Contractors City License #: Mall Address: Contractor E-nt Mechanical: W P City License # Contractors: Plumbing Sub W R, city License # Electrical: Sub'. City License # OthCity Licensed Ser W .R'License # Other City Licensed Sub: City on SEi City s form License # TH sides of this Coplete all information m of work: LJ ❑ NEW CO (Check all that appt ❑ RESIDENTIAL W RE ERCIgL STRUCTURE Y) ❑ COMMERCIA LgDDIT IONUCT URE ❑ COMMERCAL � ELECTRICAL ADDITION SERVICE UP AL ACCESSOMMERCIgL ROOFING GRADE ❑ MECHANICAL RY STRUCTURE ❑ WINDOW RESIDENTIAL ❑ PLUMBI AL SYS EM STRUCTUR (Garage shed REPLACEA4EG ❑ ELECTR CAL YSTEM/A ANCE CE RE AIR or REP shed, d ck etc., deck ) EMENT (For ❑ OT►-IER (Describe) EM/APPLIgNC REPgIR or F�EP LACEMEIVT ) Proposed Ij 11111, protects, please) E REP 1 REP CMENT posed uses, square provide R or LACEMENr amount of materials fOptage, etc.) existing doscrin� n of work to be _ to be orm used r tion pr°posed need in w condition, applormed auding curre t use nce size and °f areas, �G r eicienc - Y, type and Sq. Ft./LF Amps Btu's Project Value:Squares (Contract value or Gallons $ he Cost of all materials Other OHNE � � .�_ and labor included the entire hereby cert fy that AtheTOR SICW,ATURE project) regulation, of the setback distances OF UNDERSTq accurate; that I C. of Wheat prop°sed b NDI�C AND AG with applicable Cive read and agrR�doge °r Covenants, aseis permit pPl�cation RE have b Wheat abide menu o a are accurate MENT or h een autho ' °f Ridge co by all Is r restnctions ate and do entity included Op razed by the legal o des and ordina ns Printed on this °f record; that all not violate applicable truth this aPPliation caner ices for wor under cation and that Cas e or d* of the ' of the k ureme diva information to list that esti property to any the y permit I,ssued assume full rshown and allegations , rules or CIRCLE ONE. NLR Provided on the application. 11 thisapplication. 1, the appb canwork t for ands am a ed ased �° this authorized application. thattl am the lmade are (Oiance W ) (CONTRA l 00 Si nature (first and last na CTOR) �r (AUTHOR1ZED REP/lE building permit aPPlcat onY the e WarWner r nt the any caner me): SBNTgTII�E) o. j' (OWNER) (CON. -RA CTOip ZONING CO DATE: / MMMENTS: Reviewer. � � DEPART BUILDING DEPAR ' Reviewer: ENT COMMENTS: / (::"I'/ 910-21J7 MENT USE ONLY OCCUPANCY CLASSIFICATION: Y3g q0 'r 2 Building Divisi �D °n Valuation; $ � r E _ City of eat i COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS 15 TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property:_ Gy Notarized si nat f A I' t g ure o pp scan State of Colorado } County of ,Te SSvscn } ss The foregoing instrument was acknowledged by me this day of20 17 by Le s k- e. TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires _9 /_I ? /2020 Notary Public t s [ - `a _ -,.: _�. - :... •tea � � � ��. ig � ''� r. a cr a�� � �� �{ q � ��r ' •iso' ti� , a � -. ,�. �'- a •��.. j .r: ` r 4 1 , .... - Ar .. Yi { � y i to � •'- , �; � ��� r.r YI Yr•'�'_ i-yy�,t;y#4 'S�>=']` r�.+ _ i �r,� ..t #. "r.i a ,,-� %, F �• J i,�.. _ moi.. �. ;'. .....raaMA Property appraisal system Page 1 of 1 Property i Information _ GENERAL INFORMATION PIN/Schedule: 300023970 AIN/Parcel ID: 39-233-14-003 Status: Active Property Type: Residential Property Address: 04005 ALLISON ST Owner Name(s) WHEAT RIDGE CO 80033 4531 MERKEL LESLIE Mailing Address: SAME ADDRESS AS PROPERTY MERKEL ROBIN A Neighborhood: 2406 - BEL AIRE,HILLCREST HEIGHTS, MELROSE MANOR AREA PROPERTY DESCRIPTION Subdivision Name: 523200 - MELROSE MANOR Mock Lot Key Section Township Range QuarterSection Land S ft )04 0009 23 3 69 SW 9604 Tota I 19604 Assessor Parcel Maps Associated withSchedule pInteractive Map map39-233.pdf PROPERTYINVENTORY Property Type RESID Year Built: 1958 Adjusted Year Built: 1958 Design: 1 Story/Ranch Improvement Number: 1 v Item -Quality No. Bedroom (Above Grade) Average 3 1/2 Bath (2 fixture) Average 1 Base Bath Average 1 Number of Units Average 1 Adjustment Code JAdjustment SgFt Forced Air Unit Hea 1429 SALE HISTORY Areas Quality Construction S ft ATTACH GARAGE Average 483 Covered Porch Average 200 First Floor Average M 1429 Enclosed Porch Average 160 Land Characteristics County Below Avg. Location Sale Date ISale Amount IDeed Type Reception 03-19-1991 1 0 IDeath Certificate 91022118 03-19-1991 1 88,000 lWarranty Deed - Joint Tenancy 91022119 TAX INFORMATION 2017 Payable 2018 ' 20 7171 2017 Mill Levy Information Actual Value Total 341,259 County Assessed Value Total 27,164 2016 Payable 2017 TB WHEATRIDGE WATER DIST Actual Value Total 266,760 URBAN DRAINAGE&FLOOD CONT DIST Assessed Value otal 21,234 Treasurer Information View Mill Levy Detail For Year ' 20 7171 2017 Mill Levy Information Tax District 3139 County TB School TB WHEATRIDGE SAN DIST TB WHEATRIDGE WATER DIST TB REGIONAL TRANSPORTATION DIST TB URBAN DRAINAGE&FLOOD CONT DIST TB URBAN DRAINAGE&FLOOD C SO PLAT TB WEST METRO FIRE PROTECTION - G TB WHEAT RIDGE TB otaI TB J 2016 http://ats.jeffco.us/ats/displaygeneral.do?sch=023970 08/11/2017 9/9/13 Building Guide Colorado Chapter of the International Code Council How to Use this Guide Provide two sets of plans, drawn to scale and complete the following (hint. use graph paper with 1/4" squares. Example: 1/4' = 1'): Check with your jurisdiction for additional requirements. 1 Complete this Building Guide by filling in the blanks on page two, and indicating which construction details will be used. 2 Provide 2 Plot Plans (site plan) showing dimensions of your project or addition and its relationship to existing buildings or structures on the property and the distance to existing property lines drawn to scale. See Page 2 3 Fill out a building permit application. The majority of permitL applications are processed City of with little delay. The - — Wheat submitted documents will help determine if the APPROVED project is in compliance with building safety codes, zoning ordinancesand other applicable laws. The Colorado Chapter ■ Hier ��[[ Y ` of the International Code Council is a professional organization fic issturK m lotions shollnot be o permit or opprovol o101°M S "nit for, or on approvol o(, tp seeking to promote the public health, safety + Me provisionsolthe I Cock Oro Cityo"d and welfare to building construction. We tO9"e °pte appreciate your feedback and suggestions. To nodes or road. . obtain a master copy of this building guide,„i please write to the Colorado Chapter of the International Code Council, P.O. Box 961, Arvada, CO 80001. 1 --- hftp://www.coloradochaptericc.org This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. OLI of _,t Rld9e 9/9/13 Existing roof rafters or trusses Galvanized metal joist or rafter hangers Extend underlayment from new roof a minimum of 18" onto existing roof Fes-- Cont. 2x ledger Remove existing fascia Secure ledger to wall with lag screws @ 16" O.C. Locate lag screws to penetrate top plate or studs Note: Remove brick veneer at top of wall Existing wall before installing continuous 2x ledger Solid 2x blocking on 2x12 or greater Roof tie downs required Galvanized metal post/beam connector This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Lap underlayment a minimum of 18" under existing roofing felts Solid 2x blocking on 2x12 or greater Roof tie downs required Existing wall Existing Roof (remove existing Cont. 2x6 secured to existing roof with fasteners at each rafter or truss Solid 2x fire blocking on 2x12 or greater Roof tie downs required 2x facia 5/8" type "X" exterior gypsum sheathing = Galvanized metal post/beam connector No closer than 2 — feet to property line Exterior siding Infill between posts w/ W's @ 16" 0. C. Bottom plate shall be treated wood Minimum 3 1/2111„ concrete slab Two layers of 5/8" type "X" exterior gypsum board soffit Less than 5' to property line Infill between posts w/ 2x4's @ 16" 0. C. Galvanized Treated or decay column base w/ 1" I resistive post Minimum 3 1/2" , Galvanized concrete slab 1" Anchor bolt column base 7" minimum Check local penetration w/ 1" spacer to 3'-0" department for concrete Isolate .. caissons may from Slab Footing Anchor bolt 7" minimum 8" minimum 31-011 penetration diameter minimum concrete caisson 811 This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Lap underlayment a minimum of 18" under existing roofing felts Solid 2x blocking on 2x12 or greater Roof tie downs required Existing wall Existing Roof (remove existing Cont. 2x6 secured to existing roof with fasteners at each rafter or truss Solid 2x fire blocking on 2x12 or greater Roof tie downs required 2x facia 5/8" type "X" exterior gypsum sheathing = Galvanized metal post/beam connector No closer than 2 — feet to property line Exterior siding Infill between posts w/ W's @ 16" 0. C. Bottom plate shall be treated wood Minimum 3 1/2111„ concrete slab Two layers of 5/8" type "X" exterior gypsum board soffit Less than 5' to property line Infill between posts w/ 2x4's @ 16" 0. C. city Ot Wheat Ridge In Galvanized column base w/ 1" I spacer to concrete t , Isolate from Slab Anchor bolt 7" minimum Check local penetration building 3'-0" department for I minimum swelling soils. caissons may be required. Footing city Ot Wheat Ridge In 9/9/13 Directions 1. Fill in the blanks with dimensions and materials which will be used to build the structure. Please print legibly. U c� 2. Indicate in the check boxes which details from page 4 will be used. Please note if any of the sides of your carport addition are closer than 5'-0" to the property line, that side of the carport must be enclosed with a solid 1 hour fire rated wall as shown in Alternate Details B and C. You must however, keep at least two sides of the carport open to conform to the building code requirements. Zoning approval is required. $. Roofing to be installed per manufacturer's instructions, including low slope application and required inspections made. Roof covering I I Underlayment (example: Class A 3 tab shingles) 1 (example: 15# felt with 19"laps) Size and Amount of Lags (example: Two 112'k4 112" lags @ 16"0.C.) xtio pec uion Existing building ❑ Alternate A ❑ Other (provide detail) (see page 4) Span Maximum rise 7 3/4" at top of door ❑ Detail C threshold ❑ Alternate C (see page 4) 61-81111 Isolate from Slab minimum - Slope Concrete Slab 3'-0" minimum Minimum Diameter Pier 8" (size determined by load) This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Span (example: 12'0') Siding (for Alternate B only) (Y,_mpl, "x�"posts spaced _� apart Footing "x 3,L" (for Alternate C only) City 01 R►dge C Sheathing example: 1/2' exterior p ywood 12 pitch 2x rafters spaced " 0. C. (example: 2 x 8 rafters spaced 24" 0. C.) Note: Walls, posts, and overhangs closer than 5'to the Overhang property line to be 1 hr. rated •.•• "" ••.�� �� No closer than 2 feet to property line Beam splices to occur over •.� posts with 1 1/2" bearing ❑ Detail B ,,,• ❑ Alternate B (see 4) ) X $? "beam page (example: (2) 2'x10 Span Maximum rise 7 3/4" at top of door ❑ Detail C threshold ❑ Alternate C (see page 4) 61-81111 Isolate from Slab minimum - Slope Concrete Slab 3'-0" minimum Minimum Diameter Pier 8" (size determined by load) This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Span (example: 12'0') Siding (for Alternate B only) (Y,_mpl, "x�"posts spaced _� apart Footing "x 3,L" (for Alternate C only) City 01 R►dge C 9/9/13 FamilySingle Residential Patio Covers Carports 131.0 rn N AProposed One Addition ry I Frame c 1 „=20' � v }' E I Note: Dimensions I o o v are for reference Walkway Ln Q w I purposes only p Lri I n O 30.0[e,-- v 24.2 0 � 26.0 Concrete Drive 45.8 o Concrete o oN Slab for oN 59.2 Garage N u1 N 131.0 f3Y: CO,MiMrNTS: This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under (Building eat Ridge the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Divisor 2 rld O 4- s W 0 1 —A a x k � i ? Y. 1 `. -G 9,.•ri � Y�-+f.���+ 7� i�q��Yyw 1��,�,R.. ����1�,�`+W'��fc'�,.; �. 4 1 a 4711 R • s rr . r + f r • ar rt b ♦ s 1 a .t MF r. 2-D• t yy�r�00 i�. ►. M • 1 f *F t M w.. * • A t G. s Mt.. m M yt ♦- i M • Cl- a CD � � t � ow MM W oz t • M MMM °" w moocr Bi • +� • t f r co to 0 k M Mt M # 0 CD CD Mt •. IF 0 CL F r M t MM • MI M f • a i • • O* • MI t f 4 t MF ( M fF ! 4 MF: CD ►, t i f CA. 0 R FOR OFFICET Y w City of tate. �Wh6atj ic COMMUNITY LCA Pl of it Building & Inspection Services Division C 7500 W, 29t` Ave,, Wheat Ridge, CO 80033 Plan Review Fee. Office: 303%235-2885 * Fax: 303-237-8929 Inspection Line:. 303-234-5933 Building Permit Application Address: a t ownerOwner Emall- t �Amw.;✓ Q Mailing Address: (if different than property address) Address: Arc t+ ngi r all; Phone- Contractors City License Phone- Contractor hone-Cont act r It Address: Sub, Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.F . City License #1 W.P, City License # Other City Licensed Seib: father City Licensed Sub: City License # City License nse Complete all information on BOTH sides of this form /\Z / .. . . . a �. .. .. . .: . ...... _. . .. . . ƒ � . t, } \z � ��/