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HomeMy WebLinkAbout6815 W 38th AvenueCity of Wheat Ridge Commercial Roofing PERMIT - 201801528 PERMIT NO: 201801528 ISSUED: 05/25/2018 JOB ADDRESS: 6815 W 38th Ave EXPIRES: 05/25/2019 JOB DESCRIPTION: Commercial re -roof with TPO Squares: 22; Roof is flat. **Revision this permit was for 6815 W 38th Ave** *** CONTACTS *** OWNER (303)424-1149 WHEAT RIDGE WATER DISTRICT SUB (303)881-1169 Vern Robinson 021611 Robinson & Co. Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 700 / Support Buildings BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,000.00 FEES Total Valuation 0.00 Use Tax 525.00 Permit Fee 442.05 ** TOTAL ** 967.05 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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. City of Wheat Ridge Commercial Roofing PERMIT - 201801528 PERMIT NO: 201801528 ISSUED: 05/25/2018 JOB ADDRESS: 6815 W 38th Ave EXPIRES: 05/25/2019 JOB DESCRIPTION: Commercial re -roof with TPO Squares: 22; Roof is flat. **Revision this permit was for 6815 W 38th Ave** I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that 1 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 perfor d and h 11 ork to be performed is disclosed in this document and/or its' accomppying approved plans and specifications. 000 On rd ri) O " ER or CONTRACTOR (Circle one) Date S lifi Wa 4 e (o 1. Thispermit was issued based on the information provided in the permit application and accompanying )Tans 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 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 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 granti g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any , apple code or an dmance or regulation of this jurisdiction. Approval of work is subject to field inspection. " 4A&Vi — Signature of Ch' f Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of j,d mu['� rry Drvizi.oi)mENT ge Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(�cimheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # � � � Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6815 W 38th Ave, Wheat Ridge, CO, 80033 Property Owner (please print): Wheat Ridge Water District Phone: 303-424-2844 Property Owner Email: barry@wrwdistrict.com <-District Manager Mailing Address: (if different than property address) Address: 6827 W 38th Ave City, State, Zip: Wheat Ridge, CO, 80033 Submitting Company: Robinson & Company Inc Contact Person: Tyler Allen Phone: Contractor: Vern Robinson Contractors City License #: 4-@4b U '), 1 (.'� t t 720-270-3790 Phone: 303-881-1169 Contractor E-mail Address: vrobinson(c-)_robinsoncoinc.com 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: 22 square TPO roof damaged by hail. Removal and replacement of TPO roof. Replacement of gutters. Sq. Ft./LF 2200 Amps N/A Btu's N/A Squares 22 SQ. C, -7 U,- � 9,/-`) Ale, Gallons N/A Other N/A Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ $25,000 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: (OWNER (CONTRACTOR) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Tyler Allen ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. SIGNATURE: 1�190_11 DATE: 7/24/18 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ O 00 r ry O U 0 O 00 O. ca O O 0 v 0 0 0 CD co 0 N Q n O N T N 7 C, m U N Om a m E 3: r5 1 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: y q - V=1 ") a Job Address: (o S -9 _7 W 3 .0 �=�' A -e Permit Number: `3 O ) 53 D/ Sa S ❑ No one available for inspection: Time 10 -- 5_�a AM PM Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 303-234-5933 Date: ?/// / 8 Inspector: --l—b DO NOT REMOVE THIS NOTICE LA1n/r1JrA=:f 41 SYNTEC SYSTEMS Warranty #: CST -87 6827 W 38th Ave. Wheat Ridge, CO 80033 CARLISLE MEMBRANE MATERIAL WARRANTY Subject to the following terms and conditions, Carlisle Roofing Systems, Inc, warrants to the Buyer that the Carlisle membrane material (MEMBRANE) will not prematurely deteriorate to the point of failure because of weathering for a period of (20) years from the date of sales if properly installed, maintained and used for the purpose for which Carlisle intended. Buyer shall give Carlisle notice of a claim under this warranty within thirty (30) days of discovering any premature deterioration of the membrane. Any claim under this warranty must be made in writing within the designated warranty period from the date of sale and must include a sample of the membrane for evaluation and response at the owner's expense. If upon inspection of the membrane sample received by Carlisle, the Membrane shows premature deterioration because of weathering within the designated warranty period stated herein, Carlisle's liability and Buyer's remedies are limited at Carlisle's option to the providing of repair material for the original Membrane or credit to be applied towards the purchase of a new Membrane, the value of these remedies being determined by Carlisle based upon the number of remaining months of the unexpired warranty used to pro -rate at the current prices for the Membrane. The maximum pro -rated value allowed by Carlisle for repair or credit shall not exceed the original Membrane purchase price. This warranty refers to the deck membrane material only. Flashings, adhesives and other accessories contained in a membrane system are not covered by this or any other warranty, express or implied. Carlisle shall not be responsible for the cleanliness or discoloration of the membrane material caused by environmental conditions including, but not limited to, dirt, pollutants, or biological agents. Carlisle shall have no liability under any theory of law for any claims, repairs, restoration, or other damages including, but not limited to, consequential or incidental damages relating directly or indirectly, to the presence of any irritants, contaminants, vapors, fumes, molds, fungi, bacteria, spores, mycotoxins, or the like in the building or in the air, land or water serving the building. NO REPRESENTATIVE OF CARLISLE HAS AUTHORITY TO MAKE ANY REPRESENTATIONS OR PROMISES EXCEPT AS STATED HEREIN. CARLISLE DOES NOT WARRANTY PRODUCTS UTILIZED IN AN INSTALLATION, WHICH IT HAS NOT FURNISHED; AND SPECIFICALLY DISCLAIMS LIABILITY, UNDER ANY THEORY OF LAW ARISING OUT OF THE INSTALLATION AND PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT FURNISHED BY CARLISLE. THERE ARE NO WARRANTIES EITHER EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, WHICH EXTEND BEYOND THE WARRANTIES CONTAINED IN THIS DOCUMENT. CARLISLE SHALL NOT BE LIABLE FOR ANY INCIDENTAL, CONSEQUENTIAL OR OTHER DAMAGE, INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS OR DAMAGE TO A STRUCTURE OR ITS CONTENTS UNDER ANY THEORY OF LAW. THIS WARRANTY IS NOT TRANSFERABLE OR ASSIGNABLE. `t5 o CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: z'1 0 9 - 1— l'n a i Job Address: �6 a -7 W 3 c6- +-h A --e Permit Number: -? 0 19 o 1 5` a G- �—>>1a) /V 0 Ma n u -lrn 4o r 15 LJ a r, ca n k Le � e I f`e�iJ:red o,4- -Ptoa) 1"n 5��T�0i1 e a 4.6 re 5 c L! e 4ti/ n rfl o, ❑ No one available for inspection: Time 4' = 2 43 &PM Re -Inspection required: Qe No When corrections have been made, call for re -inspection at 303-234- Date:--7 03-234-Date:-7 4- 18 Inspector: -T-6 DO NOT REMOVE THIS NOTICE City of Wheat Ridge I Rr, Commercial Roofing PERMIT - 201801528 PERMIT NO: 201801528 ISSUED: 05/25/2018 JOB ADDRESS: 6827 W 38th AVE EXPIRES: 05/25/2019 JOB DESCRIPTION: Commercial re -roof with TPO Squares: 22; Roof is flat. *** CONTACTS *** OWNER (303)424-1149 WHEAT RIDGE WATER DISTRICT SUB (303)881-1169 Vern Robinson 021611 Robinson & Co. Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,000.00 FEES Total Valuation 0.00 Use Tax 525.00 Permit Fee 442.05 ** TOTAL ** 967.05 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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. t°AACity of Wheat Ridge Commercial Roofing PERMIT - 201801528 PERMIT NO: 201801528 ISSUED: 05/25/2018 JOB ADDRESS: 6827 W 38th AVE EXPIRES: 05/25/2019 JOB DESCRIPTION: Commercial re -roof with TPO Squares: 22; Roof is flat. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorizes to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesf that I am legally authorized to include all entities named within this document as parties to the work to be performed and thatt all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. natpeo—f OWNER or (Circle (Circleone) Date This permit was issued based on thee in ormation provided in thepermit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 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. 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. No work of anmanner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 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 DivPia Thee o grantin a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appo or any inance 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 Wheatldge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email. permits(6ci.wheatridpe.co.us FOR OFFICE USE ONLY Date: Plan/Permit # (�9D, 9 LI) � Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6827 W 38th Ave Wheat Ridge, CO 80033 Property Owner (please print): Clancy Dagenhart Phone: 303-424-1149 Property Owner Email: N/A Tenant (Commercial Projects Only) Wheat Ridge Water District Property Owner Mailing Address: (if different than property address) Address: Citv. State. Zi Architect/Engineer: N/A Architect/Engineer E-mail: Contractor: N/A EIS Colorado Inc. / Robinson & Co. City of Wheat Ridge License #: Contractor E-mail Address 21611 Phone: N/A Phone: 303-458-0167 tyler@eiscolorado.com For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Tyler Allen Phone CONTACT EMAIL(please print): tyler@eiscolorado.com 720-270-3790 Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # F-,] COMMERCIAL ❑ RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. 22 square TPO roof damaged by hail. Removal and replacement of TPO roof. Replacement of gutters. Commercial Projects Only: Occupancy Type: business Sq. Ft./LF 22 SQ. BTUs Amps Squares 22 SQ. Construction Type: Re -Roof Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) $25,000 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): ,`7 DATE: 5/25/2018 Printed Name: Tyler Allen DEPARTMENT L ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: CONSTRUCTION TYPE: Building Division Valuation: City of Wheat Ridge Commercial Remodel PERMIT - 201702204 PERMIT NO: 201702204 ISSUED: 06/20/2017 JOB ADDRESS: 6815 W 38th AVE EXPIRES: 06/20/2018 JOB DESCRIPTION: * Remodel 2 existing bathrooms, install new shower units, tile , toilets, electrical and plumbing *** CONTACTS *** OWNER (720)971-6849 WHEATRIDGE WATER DIST GC (303)423-2248 Gene Schafer 140294 Quality Const. of the Fr. Rang SUB (720)985-7399 Jon Tozier 130136 Green Mountain Electric LLC SUB (303)422-6644 John C. Robbins 021135 JOHN THE PLUMBER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 700 / Support Buildings BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Total Valuation 0.00 Plan Review Fee 101.89 OW -do. AM Use Tax 147.00 Permit Fee 156.75 ** TOTAL ** 405.64-- *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. All roughs to be done at Framing Inspection. .* a k V City of Wheat Ridge Commercial Remodel PERMIT - 201702204 PERMIT NO: 201702204 ISSUED: 06/20/2017 JOB ADDRESS: 6815 W 38th AVE EXPIRES: 06/20/2018 JOB DESCRIPTION: * Remodel 2 existing bathrooms, install new shower units, tile , toilets, electrical and plumbing 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 ermrt. 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 wort to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) / Date 1. 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 gran;ia permit shall -.riot be cons ° ed to be a permit for, or an approval of, any violation of any provision of any applicable code or a y regulatgn ofthisrisdiction. 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. £__ City of h6at id e Nt;MUNiT-Y DEVrr.iOPMENT Building d Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permits (a d.wheatridge.co.us I FOR OFFICE USE ONLY Date; Plan/Permil #Q o 1+ 0 OI a�) Lj Plan Review Fee: 1 �b Building Permit Application '"'"' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: Property Owner (please print): ; �� : W�, a ,� #�,' �{ ; c j� Phone: Property Owner Email: Mailing Address: (if different than property address) Address: .S'" r-� c:., City, State, Zip: Archltect/Enoinser: V) 00-0 Architect/Engineer E-mail:Phone: e�:4r�h _ Contractor: (�rz `:n e�ir v c� '� v� v h� ir>o n R ��Y3 r e _:� QC.. Contractors City License #: 1 ''1 © Z Phone: T7 z D— y'71 6Y It 9 Contractor E-mail Address: Seib Contractors: Electrical: Plumbing: Mechanical: W.R. City License # -� W.R. City License # W.R. City License # 13 0 1 3 (o CJ 2- 1 1 3 5 Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ 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 or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) -,)& � n �- Q -,y "'s A (') i:, ( h 0 L, IV (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF i I Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) ?.0A�7 �( OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) P4eCNT NAME: � � n e_ -S C, h li P c � SIGNATURE: �_ i'_ �-. DATE: k / / DEPARTMENT USE ONLY r ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ® Received ❑ Not Required OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ 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: G 5/ S" Permit Number: C /',, 77_7 7_f )1/-/'1-4 % Z dZ- f ( c S3- 7-/5- fit/ . J /-U ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspecti n at,303-234-5933 1�// ?-» Date: Inspector: DO NOT REMOVE NOTICE i 1 3 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax I, 1 INSPECTION NOTICE Ins ection T e• p Yp Job Address: 3 � Permit Number: 2. ❑ No one available for inspection: Time `1 - AM/PM Re -Inspection required: Yes No I When corrections have been made, call for re-insp6cti9n at 303-234-5933 r Date: %� �_ ;` Inspector: / 1) f / 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: 3?A00 ah Job Address: Permit Number: ❑ No one available for inspection: Time f CJ—) AM/M-' Re -Inspection required: YeNor When corrections have been made, ofi r re -inspection at 303-234-5933 1 Date: "t ' ' 1 Inspector: C, 1 � DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection Ii7e (303) 235-2855 Office - (303) 237-8929 Fax. (% INSPECTION NOTICES Inspection Type: y1&9h ` J1 1A - Q Job Address: 3 Permit Number: % ❑ No one available for inspection: Time - A Re -Inspection required: Yes; Nei MSM When corrections have been made, call for re -inspection at 3 3-2 4. Date: '"f 7Inspector: I' �� 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: 3 Job Address: Permit Number: 20J Z9 2-20q HP I V � ' ❑ No one available for inspection: Time AMS/PM Re -Inspection required: Yes�N� When corrections have been made, call for re -inspection at 303-234-5933 Date:" ' -7 Inspector: C t DO NOT REMOVE THIS NOTICE i CITVOF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P () Job Address: 6 Se/ �— tic/ S �� f Permit Number: _7_6/6) ® Z ZG ❑ No one available for inspection_T_ ime -= `'' AM/PM Re -Inspection required: Yes Nom When corrections have been made, call for re -inspection at 303-234-5933 Date: f ` l Inspector: DO NOT REMOVE THIS NOTICE J j 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: r �/ ' ` A V% Permit- Number: *�` �/ © 2_2 0 V ❑ No one available for inspection: Time ?Q/ AM/PM Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 `� rte_. Date: ��= ��'� � � Inspector: DO NOT REMOVE THIS NOTICE