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Home My WebLink About2913 Ames Streeti 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:r� Job Address: Iq. th IZ215 Permit Number: ' '0 1 406 ❑ No one available for inspection- ime / /y AM/PM Re -Inspection required: Yes o When corrections ave been made, r re -inspection at 303-234-5933 Date:- DateInspector: f DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building Inspection`Division (303) 234-5933 Inspection line 0000r (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -3 r Job Address: "3 R Permit Number: 9 0 1 S o) 3 1 3 ( 00'p ant-0vC- ❑ No one available for inspection: Time )® = d;p �AwPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 54-3 o Inspector: _T_ F-'*) DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201801313 PERMIT NO: 201801313 ISSUED: 05/07/2018 JOB ADDRESS: 2913 Ames ST EXPIRES: 05/07/2019 JOB DESCRIPTION: Reroof remove and install Rolled Polyglass Modified Bitumen and CertainTeed Landmark in Weathered Wood Asphalt Shingles with total of 23.55 squares, 5.42 squares flat and 18.13 squares pitched. Pitch 1/12,5/12. *** CONTACTS *** OWNER (720)697-0232 SA BELL GEORGE R SUB (303)750-4295 Seth Curry 170393 4th Dimension Concepts *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,420.00 FEES Total Valuation 0.00 Use Tax 197.82 Permit Fee 204.30 ** TOTAL ** 402.12 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201801313 PERMIT NO: 201801313 ISSUED: 05/07/2018 JOB ADDRESS: 2913 Ames ST EXPIRES: 05/07/2019 JOB DESCRIPTION: Reroof remove and install Rolled Polyglass Modified Bitumen and Landmark in Weathered Wood Asphalt Shingles with total of 23.55 5.42 squares flat and 18.13 squares pitched. Pitch 1/12,5/12. CertainTeed squares, 11 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 ermit. I further attest that l arta'le alb axhrized to include all entities named within this document as parties to the work to be performed and that all woy)� to b meths disclosed in this document and/or its' oman linpg��approved plans and specifications. e 6''1 laai %fps' 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 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 o�any ordinanceji regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief BuildinglOfficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. line Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=... Contractor Address (Primary 1300 S Potomac ST address of your business) Contractor Email Address jcontreras@4thdc.com Retype Contractor Email jcontreras@4thdc.com Address DESCRIPTION OF WORK TOTAL SQUARES of the 23.55 entire scope of work: Project Value (contract value 9420 or cost of ALL materials and labor) Are you re -decking the roof? No Is the permit for a flat roof, Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or pitched roof, or both? (check greater) all that apply) What is the pitch of the FLAT 1/12 roof? How many squares are part 5.42 of the FLAT roof? Describe the roofing material Polyglass modified bitman for the FLAT roof: Type of material for the Rolled FLAT roof: What is the specific pitch of 5/12 the PITCHED roof? How many squares are part 18.13 of the PITCHED roof? Describe the roofing Certainteed Landmark in Weathered wood materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional detail remove and replace laminated shigles here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes 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 may Yes not begin on this property until a permit has been issued and posted on the f 3 05/07/2018, 2:07 PM Online Form Submittal: Residential Roofing Permit Application 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 stated Yes 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 Jorge Contreras https://wrmail. ci.wheatridge. co.us/owa/?ae=Item&t=IPM.Note&id= Email not displaying correctly? View it in your browser. 3 of 3 05/07/2018, 2:07 PI\ 4t" Dimension Concepts, �'e�vl�� dire �,eat S a& o� ('o1 waa'o1 7w"R �AFiL5,n1- PROPERTY OWNERPRIMARY C27 i Roofing Product)—C.M� Roofing Color\__ ire iE WUC� PHONE Warranty ❑Tear off_ Layer(s) of Composition &_ Layer(s) of ,Install All New Decking U Install Underlayment ® Install Ice & Water Shield along Eaves & all Protrusions STREET ADDRESS 1 S SECONDARY' PHONE - (�] Install Upgraded Ridge Vent System ❑Install New Turtle Vents Install New Step Flashing (sidewall, chimney, skylights) 2-6 2-61 S ,� CITY, STATE, ZIP`� �nstall Design Course along Headwalls &(N EMAIL ADDRESS y�Y��1,` ce f��J INSURANCE COMPANY CLAIM # ❑ Paint Per Insurance PROPOSAL DATE m MORTGAGE COMPANY ❑ Other MORTGAGE LOAN # n Y\\ Every 40, Dimonsinn rnnrents home reer~. ; _ __.._____ .._�__ _ ___ .. .... Al P --f _ - - - -- ---••- •--•-•-••-•• coverage ur-e uur �i,uuu,GW uamuty policy, a cull inspection, and a permit if necessary. We also supply a 5 Year Workmanship warranty and the standard warrantv for our matprialc. and do a simn rlee., ... ft" +U L: SCOPE OF WORK: Roofing ManufacturerCP i �cA�nA�r_' i Roofing Product)—C.M� Roofing Color\__ ire iE WUC� Register Manufacturer Warranty ❑Tear off_ Layer(s) of Composition &_ Layer(s) of ,Install All New Decking U Install Underlayment ® Install Ice & Water Shield along Eaves & all Protrusions Install Drip Edge (Color ) Q Fortify valleys using Install Valleys -Closed Y Open_ (W)_ (�] Install Upgraded Ridge Vent System ❑Install New Turtle Vents Install New Step Flashing (sidewall, chimney, skylights) ®Install Upgraded High Profile Ridge Cap ❑ Install Classic Style Ridge Cap (Install New Vent Pipe Flashing (aka. jack or boot) �nstall Design Course along Headwalls &(N ❑Remove & Cover ❑ Detach & Reset gwinddows per insurance ❑ Paint Per Insurance ❑ Gutters per insurance ❑ Siding per insurance ❑ Deck/Patio Per insurance ❑ Other Additional Work) Special Instructions: n Y\\ _ - a n\\&e fyJ �0 Al P --f _ Approx. Date(s) of Service: Payment Terms: I r, c,4 .' -} Ue. ')-(3 0 A ,, A %f )fkin (4'h Dimension Concepts is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part). WORK TO BE COMPLETED IN ACCORDANCE WITH THE SPECIFICATIONS ABOVE FOR THE COST OF: $ 9 42-Dw- 0- w�eVIV)� S Dollars By approving t s agreement, the property owner authorizes 4" Dimension Concepts, LLC to represent the best Interests of the property owner for restoration of damages. 41' Dimension Concepts, LLC shall communicate with the property and casualty insurance company to come to an agreement for works to be performed. Following approval of claim, 411, Dimension Concepts, LLC will complete specified work for a price agreeable to the insurance company and to 4"' Dimension Concepts, LLC with no additional cost to the property owner except for the deductible. This agreed upon price shall become the final contract price, and 41" Dimension Concepts, LLC will receive all insurance proceeds for work completed by 4th Dimension Concepts, LLC. The property owner is❑/is notl]intending to make payment from the proceeds of a property and casualty insurance policy. Pursuant to C.R.S. Section 6-22-105, 411 Dimension Concepts cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered property. 41' Dimension Concepts shall hold in trust any payment received within financial institution until the delivery of materials - By signing be�a I (We) agree to "tract conditions on front and back of this agreement 4111-1BTFiension Concepts Rk 1300 S. Potomac St. Ste 1266 Aurora, CO 80012 www.4thdc.com Acceptance Date i o/7//7 Acceptarice Date inOffice: (303) 750-4295 Fax: (303)459-5111 r City of Wheat Ridge • "` Residential Roofing PERMIT - 201706051 PERMIT NO: 201706051 ISSUED: 08/14/2017 JOB ADDRESS: 2913 Ames ST EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark Dimensional asphalt shingles & Modified Bitumen with 30 sq. (24 sq. pitched, 6 sq. flat) *** CONTACTS *** OWNER (720)261-8655 SA BELL GEORGE R SUB (720)224-1150 Jason Sloan 170183 Exterior Experts, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,710.00 FEES Total Valuation 0.00 Use Tax 161.91 Permit Fee 172.60 ** TOTAL ** 334.51 -- *** 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. * A a City of Wheat Ridge Residential Roofing PERMIT - 201706051 PERMIT NO: 201706051 ISSUED: 08/14/2017 JOB ADDRESS: 2913 Ames ST EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark Dimensional asphalt shingles & Modified Bitumen with 30 sq. (24 sq. pitched, 6 sq. flat) I, by my signature, do hereby attest that the work to ormed shall comply with all accompanying approved plans and specifications, applicable building codes, and cable i c codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of e a a t o ' e to obtain this permit and perform the work described and approved in conjunction with this rt a ally orized to include all entities named within this document as parties to the work to be pe o an t w to e o is disclosed in this document and/or its' accompanying approved plans and specifications. ?-t✓r;�-1 ZatoR CONTRACTOR (Circle one) Date as i ed based on the information provided in the permit application and accompanying plans and specifications and is e c pliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This, p it all expire 5 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received or to the date o36f expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official nd 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 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, any violation of any provision of any applicable a 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. Dan Schultz 017 D� G From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 10, 2017 7:07 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 2913 Ames St. Property Owner Name George SaBell Property Owner Phone 720-261-8655 Number (enter WITH dashes, eg 303-123-4567) 49 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Field not completed. Yes Attach Copy of Executed -SABELL UPDATED LANDMARK SINGED CONTRACT 7 -27 - Contract 17.pd CONTRACTOR INFORMATION Contractor Business Exterior Experts, Inc. Name Contractor's License 170183 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-224-1150 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 4696 Hoyt St. (Primary address of your business) Contractor Email Address Info@myexteriorexperts.com Retype Contractor Email Info@myexteriorexperts.com Address DESCRIPTION OF WORK TOTAL SQUARES of 30 the entire scope of work: Project Value (contract Z4 -- value or cost of ALL materials and labor) Are you re -decking the No / roof? 50 Does the scope of the project include a flat roof (less than 2:12 pitch)? How many squares are part of the flat roof? Describe the roofing material for the flat roof: Type of material for the flat roof: 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 R peal & stick modified with a base sheet Rolled Yes 24 Certainteed Landmark Dimensional Asphalt House & Garage, 5/12 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 Yes Yes 51 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 Jason Sloan Email not displaying correctly? View it in your browser. 52 terior xPerts 4696 Hoyt St. Wheat Ridge, CO. 80033 (720)409-3773 Info@MyExteriorExperts.com Exterior r-rts Contact Infomation Repfineeniat: i , Phone Data of tc,—, inspen4or,oa>�q;,. � � PROJECT INFORMATION Damage Type' uool 6ernarD:toawrat aamfeP IIY,K'gO piTifQa. Persansl PrePrrrJ pefltite; HAIL WIND MECH, WATER OTHER YES NO YES NO YES NO YES NO dant First Nama C-1 COYL6 Clint Last Name. Best rme To Clo"I"t fi-I2 12a 4-8 PHONE !EXT EMAIL OTHER SireetAddreax" Gty ZIP Caste s - C. �–Vm —S Celtahane: Sacpnasry Rhona Frns�I ' 'N S5 Add i° , 4LL I fog r+3 U'iiStt 'nlpany. P9i tyr:liim tie.'" , MorigBe"{ompany AGREEMENTSERVICE Roofe I TEAR OFF LAYERS: i 1 OTHER GUTTER COLOR: INITIALS: ROOF PITCH: /12 STORIES: GUTTER SIZE: 5" 6" Other REPAIR O R REPLACE WITH GUTTER LINEAR FEET: l. SHINGLE TYPE: 3 -Fab Dimensionrhe!al DOWNSPOUT SIZE: 2"X3" 3"X4" SHINGLE COLOR: t„ 1�' 4 INITIALS: DOWNSPOUT LINEAR FEET: FELT: is# 30t/ Gorilla Guard Synthetic YZANOTES: RIDGE MATERIAL: Standard Nigh Definition I VALLEY: Open Closed COLOR. SIDING COLOR: INITIALS: ICE & WATER SHIELD: valleys Eaves °iia' CEMENT FIBER VINYL MASONITE OTHER DOUBLE ALL EAVES: SINGLE LAP DOUBLE UAP TRIPLE LAP TOTAL SQUARES DRIP EDGE: 2_112' 2" Not Replace COLOR: JDOW WRAP: ROOF VENTS (As approved by the insurance company) D OR WRAP: ROOF RISER. FLASHINGS' FASCIA SIZE: 6" 8" 7rtTr L.F. PAINT ROOF STACK IF NEEDED: NOTES: NAIL TYPE Cor! Nand SIZE 1-1/,t" 1 112" , PROTECT LANDSCAPING WHERE NEEDED: GARAGE DOOR Single Double SIZE: MAGENETIC ROLLER PICKUP: WINDOWS GLASS SCREENS QTY; GLAZING L° F. COVER SWIMMING POOL: FENCING Finish Damage Mareriol Breaks 6' 8' L.F. FURNISH PERMIT (Permit pulled basad an city requirements) CLEANUP SPEC141. ATTE&TION & HAUL OFF ROOFING DEBRIS 1'V1 MANUFACTURER'S WARRANTY: YEARS: WORKMANSHIP WARRANTY: YEARS: SPECIALATTENTION, TERMS AND CONDITIONS Approximate Build Date: Payment Info: 1st check due upon RcoJMaterial Delivery Final check due upon receipt. Total. $ _ Insurance Proceeds + All Supplements Approved by the Insurance Company. I hereby authorize Exterior Experts lcontractor} to actess property tot the purpose of making repairs to the above stated address due to damage by wind/hail Exterior Experts will provide a detailed estimate of repass to be approved by insurance earner. You are not obligated by this agreement until your insurance company agrees to pay for all necessary repairs. The agreed cost of repairs shall not exceed the funds paid by insurance carrier, unless additional repaus are requested and approved by the homeowner, I further authorize my insurance company to include Exterior Experts on chetks or drafts for associated with repairs I understand that I am hiring the contractor and it is my responsibility to pay the contractor for services and materials provided to complete repairs to my property to include my deductible. ACCEPTANCE Property rS,gnatura: SIGNATURES FxteriarF°xpemPrcj T nage+ WerlorFYpenc-Se fPIDJer:SAan$ger. Date of plume:. 5 -v SEE REVERSE SIDE FOR FURTHER DETAILS alwilam Gly of" :LOPMENJ Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Of 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 1111r,011 Troll I I FOR OFFICE 11SE ONLY Date:5- Planlpenwit # Mil MCI 11 ill i V iii ill 11111 WIN M�� I I I :ii i I I kamulaUw-j- 4 PrOPO4*00** ;Zql--5 Ames stf, Property Qwno�tk Address: Clit , State, Z' 7� Phone: co•:-�,All A Mom= Marm. W,RI City License # Other City Licensed Sub: City License # tin... �#�a IV KNIVASIUAM Complete all information on BOTH sides of this form I MCI, N 1411111 NEW COMMERCIAL STRUCTURE El ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL ROOFING COMMERCIAL 4 RESIDENTIAL f• RESDENTIAL COMMERCIAL ACCESSORY • *s- shed, deck, RESIDENTIAL . .w MECHANICAL , 4 SYSTEM/APPLIANCE 1Mf Ml 4 Ills or xM.. M11 4. PLUMBING SYSTEM/APPLIANCE eM41M., REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR 1! ! 4 REPLACEMENT OTHER b `� �, f►w as / � !� � ?" ! ` lG � #yY � : Xr Sq. FULF Btu's Gallons Amps Squares Agar