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11659 W. 44th Avenue (Riverside Terrace Bldg 2)
CERTIFICATE OF OCCUPANCY Permit #: 201901746 � �9C,(-IXA Wh6atpsig MUNITY DEVELOPMENT 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Stipulations: Riverside Terrace -New single family townhome - 2,206 sq ft total Bldg 2, C-UnitL Date: 06/16/2020 This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code, Zoning and other related land use and development laws of the City of Wheat Ridge, and may be occupied for the use specified. OWNER: RIVERSIDE TERRACE LLC ADDRESS: 6143 S Willow Dr Suite 300, Greenwood Village, CO 80111 CONTRACTOR/ADDRESS: Riverside Terrace LLC 6143 S Willow Dr Suite 300, Greenwood Village, CO 80111 PROPERTY ADDRESS: 11659 W 44th Ave, Wheat Ridge, CO 80033 PARCEL #: 39-201-04-029 ZONING: R-3 OCCUPANCY: R-3 TYPE OF CONST: V -B OCC LOAD:N/A FOR THE FOLLOWING PURPOSE: Single Family -New Code Editions: 2012 ICC / 2017 NEC No change shall be made in the Use of this building without prior notice and a new CERTIFICATE OF OCCUPANCY from the City of Wheat Ridge Certificate MUST be posted by front door of commercial occupancies Chief Building Official Zoning Administrator Sprinklered: No i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: v%! ' Permit Number: ❑ No one available for inspection: Time 2 i AMC) ,Re -Inspection required: Yes( "! o When corrections have been made, le for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Date:' Inspector: DO NOT REMOVE THIS NOTICE i CITY OFWHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Ti Re -Inspection required: Yes' No When corrections have been made, http://www.ci.wheatridge.co.us inspi r: online at: 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: �_, x.0`7 e'! Permit Number: �1 W e'er 7 (,Y< ❑ No one available for inspection: Time 1 u `� AM/PM Re -Inspection required: Yes ,IVoj When corrections have been made, call for re -inspection at 303-234-5933 Dater. r! d) Inspector: )�Y DO NOT REMOVE THIS NOTICE qwer ERCIENCY May 20, 2020 11659 W 4411 Ave Wheatridge, CO Re: Blower Door Test for 11659 E 44th Ave To whom it may concern: E3 Power performed a blower door test on the above-mentioned building on May 20 ,2020, at 9:15 am. The volume of the building was calculated to be 19,050 cubic feet. The final blower door number was 1,015 CFM @-50 pascals achieving an ACH of 3. The building meets the air tightness requirement and is compliant with code. Weather conditions: 68 degrees, Wind 2 MPH, no precipitation, 45% humidity. Site Conditions: 1. Exterior windows and doors, fireplace and stove doors were closed, but not sealed, beyond the intended weather stripping or other infiltration control measures; 2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers were closed, but not sealed beyond intended infiltration control measures; 3. Interior doors were open; 4. Heating and cooling systems were turned off; and 5. Supply and return registers were fully open. Sincerely, G(/�.J2l7PiL� AndyIldenberg (e3 power) 303-292-1233 Building Analyst (BPI) Resnet HERS Rater CEA/CEM Digitally signed by Andrew Andrew Wildenberg wildenberg Date: 2020.05.21 09:58:01 -06'00' 303.292.1233 120.201.0946 e3powor.oel, RHICE FIN WEB i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 1N S Job Address: ')C -L k"o �� kAN u Permit Number: o k9 0 k ilk, t.c 4 A ❑ No one available for inspection: Time l tf AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http //www.ci.wheatridge.co.uslinspection Date: L-4 .'-2 ? , Z Inspector: %! DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: D (-�` Job Address: , L' �'l %.JV '.AL� r� ,�-- Permit Number: , C, (_", 1—)`4 ❑ No one available for inspection: Time AM/PM I Re -Inspection required: ;`Yes No U1 When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us4nspection Date: L4 - t ' `' i. -Inspector: � ' _ DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _1�9� INSPECTION NOTICE Inspection Type: Job Address: Permit Number:y ! i 6 ,r, rltc n o< ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No,' When ''When corrections have been made, schedule for re -inspection online at: httpYlwww. ci. wheatridge. co. ussfinspection Date: 3 - 7 _7 • ?.) �> Inspector: DO NOT REMOVE THIS NOTICE e CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: __ _ h Cy� t2 �-�- Job Address: ` �� 1 (-1 1�•. F�� Permit Number: 0 1-1 q U ❑ No one available for inspection: Time i AM/PM Re -Inspection required: Yes Wo When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usrnspection Date: " ' Zi? t, Inspector: DO NOT REMOVE THIS NOTICE )- - wa,* PEc,01100MIC ENERGYE�ICIENCY March 17th, 2020 11659 W 44th Ave Wheat Ridge CO 80033 Re: Duct leakage test for 11659 W 44th Ave Wheat Ridge CO 80033 To whom it may concern: E3 Power performed a Duct leakage test on the above mentioned building on March 17th, 2020 at 9:00 am. The total duct leakage measurement was 124 CFM @-25 pascals. The target CFM measurement is 69 CFM. Using a smoke machine, it was determined that all of the additional leakage is coming through the furnace supply plenum where the evaporator coil will be located. Because the A/C is not yet connected, I feel that all of the existing leakage will be corrected once the A/C is finally connected. The equivalent orifice leakage area is a 3 inch by 3 inch hole. Once the A/C is connected, the duct system will likely meet the air tightness requirement of 4 CFM per 100 square feet of area served and be compliant with code. Please let me know if I can be of further assistance to you. Sincerely, Jeremy Bryan (e3 power) 303-668-7295 Building Analyst (BPI) 303.292,033 720.287.0946 e3powef,ul OFFICE FAX N'FO i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: C � Job Address: T"" Permit Number: ❑ No one available for ins�e-.cb n: Time :� ..a AM/PM Re -Inspection required es o When corrections have been made, schedule for re -inspection online at. http•//www.ci.wheatridge.co.usfinspe io f Date;?, 1 _ spec#or DO NOT REM' E THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �` t, ��*�,� \2 me Job Address: Permit Number: ❑ No one available for inspection: Time ; t k� AM/PM Re -Inspection required: C es' No When corrections have been made, schedule for re -inspection online at: httpYAvww. ci. wheatridge. co. uslinspection Date: --�� +L -y Inspector:_ .� DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTIQN NOTICE Inspection Type: a Job Address: r Permit Number: L) No one available for inspection: Tir Re -Inspection required: Yes'No When corrections have been made, http✓/www. ci. wheatridge. co. us4nsp AM/PM re -inspection online at. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: , a� ; �- i e-��` t �> -e4 J_t>.� -,— S�EE V 1 114 ❑ No one available for insgetion: Time .,> AM/PM Re -Inspection required( Yo, When corrections have been made, schedule for re -inspection online at: http://www. cL wheatridge. co, uslinspection d Date: ^'� ! z Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office I 0 5 INSPECTION NOTICE Inspection Type:,._. Job Address: Permit Number: � .l t -7 ( cM. e L'• 4 - V rN '4 w fl r V\ f— — \rel -r• {<t �,C^,«• �;^�r ;n{;, '�v/.^,r( � ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No R ,/' .,,T, f; When corrections have been made, schedule for re -inspection online at: http.IA,vww.ci.wheatridge.co.uslinspection Date: 00J �,, Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _��9r INSPECTION NOTICE Inspection Type:-`�.�_�`��� , Job Address: (A `.J ��411\ A,, Permit Number: �� �� ; C, 15 1—j VV\ t--^ Iota ( ) a— t', /-,% C, ❑ No one available for inspection: Time 2; ;y AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: a1v-2Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: h ttp;//www. ci. wheatridge. co. us/inspection Dater � �&�&, Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: C.—A. 1 Job Address: Permit Number:. C -\ c ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co, us4nspection Date: —Z) ) ', UD 0 Inspector: . DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: T w Job Address: Permit Number: ❑ No one available for inspection: Time ;`4 AM/PM Re -Inspection required: Yes no When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co.usrnspection Date: 19 `7' law v 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: `� VN CL V\j (� Job Address: V3 k � A Permit Number: C � U \—\'--j �p J ❑ No one available for inspection: Time I L" C AM/PM Re -Inspection required: No When corrections have been made, call for re -inspection at 303 -234 - Date: , I() . _U�'` Inspector:' ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Single Family - New PERMIT - 201901746 PERMIT NO: 201901746 ISSUED: 12/30/2019 JOB ADDRESS: 11659 W 44th Ave EXPIRES: 12/29/2020 JOB DESCRIPTION: Riverside Terrace - New single family townhome - 2,206 sq ft total (Bldg 2, C -Unit) *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE LLC GC (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC SUB (720)315-9026 SCOTT WILLIAMS/LESLIE WILLIAMS 080076 ONECORE ELECTRIC, INC. SUB (303)888-5853 RICHARD KANSTEINER 019302 M&R PLUMBING, INC SUB (303)798-0500 JOE COLLIDA 170685 INDOOR AIR QUALITY INC *** PARCEL INFO *** ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 195,409.00 FEES Total Valuation 0.00 Plan Review Fee 120.00 Use Tax 4,103.59 Permit Fee 1,751.25 Engin. Review Fee 50.00 ** TOTAL ** 6,024.84 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. No C.O. may be issued until public improvements are complete as identified in the Subdivision Improvement Agreement. All landscaping shall be in conformance with Section 26-502 of the Zoning and Development Code. All landscaping shall be installed in accordance with the approved landscape plan prior to C.O., a landscape escrow agreement with financial guarantee in the amount of 125% of the cost of the installation shall be required. City of Wheat Ridge Single Family - New PERMIT - 201901746 PERMIT NO: 201901746 ISSUED: 12/30/2019 JOB ADDRESS: 11659 W 44th Ave EXPIRES: 12/29/2020 JOB DESCRIPTION: Riverside Terrace - New single family townhome - 2,206 sq ft total (Bldg 2, C -Unit) 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 le ally authorized to include all entities named within this document as parties to the work to be performed a hat all to be performed is disc is dn¢ument and/or its' accompanying approved plans and specifications. Signature of CONTRACTOR(Circ a 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, po icies 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 maybe 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 c�or any ordinghge or regulation of this jurisdiction. Approval of work is subject to ►eld inspection. Signature of Chief BuAing Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of, Ld9 vi Iof"mI"i`r Building & inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 't h FOR OFFICE USE ONLY Date: PlanlPermit # Plan Review Fee: Email. perms s(a.ci.w eatndge.co.us Building Pel -mit Application W�( *' Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _IJGS9 v'i LJ LiI'`" �'V'Z Jen Wk tZ,C\5e, Co S©o 33 Property Owner (please print): 7_er,-u c e ; LLC Phone: 7 Z.o - q 73 - 7o ; 9 Property Owner Email` s5y r -A J 6, f—I �z c r -e- e, k..5 c de c © ? s Y v f: ; ti e S . CO nn Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: b :14 3 S. � _ i t q � Dr. , She ?LO City, State, Zip: t re(,_M400d V" i) G q ( C) qC l t I Arch itect/Engineer: pert rl ,'j V a—,o 5or) , Ar-ct-i }e cf L oic v i c , Sht v c tv ra 1 Arch itecttEng1neer E-mail: dt, Q Jcy I c @ nnnaeriq i -iaer, .•iq . ca— Phone: 30 3 - 3 -7 - e �0 t0 t Contractor Name: fe,'vers,cie (efface 11 C City of Wheat Ridge License #: 1100 'r -� Phone: '7 Z.o - LI 7 3 - 70 19 Contractor E-mail Address: 5 r o n ct�ze_f-,� @ cre- nt f,fs. ec^^ For Plan Review Questions & Comments (please print): CONTACT NAME (please print):_ S 4-ep tan Su n cl 6 a r j Phone: 72-o - -17 - 70 i q CONTACT EMAIL(please print): 57s v n d1 erg & Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): 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 # Complete all highlighted fields. [-]COMMERCIAL aRESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. 103A -f -C planr"2c, C -U� r S"neI2-t ^1 ly �e' S"Ie 7oc,,,nM©n•-e) !7a 0)P�"onS 5A—ru Sq. FULF Z2ok. SF Amps /SO Squares BTUs 7- 3 0 +C- Gallons 7&_0 y r D For Solar: _ KW —# of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: _ Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) CONTRACTOR r (AUTHORIZED REP �TATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: __-SIfykA_r1 sv*-7db e r �� $r I DEPARTMENT USE ONLY ZONING COMMMENTS:6 Ai�°,+�� OCCUPANCY CLASSIFICATION: Reviewer: U i21 % t CONSTRUCTION TYPE: BUILDING DEP4NTIE S: Reviewer:� f`�w' �— q K,�sP� '-c e V `s� a� . wi �g G.eg .crG C�L,`►�Fic,l� s &C `RSC Q 1 16� 77/— Z✓f-s T �. D, Fo.2 '/+F>E B0 1 L -D s 't -J& . Building Division Valuation: 1l11q x10),2 1)a 1 ZID1 161ZOD PUBLIC WORKS COMMENTS: Reviewt9�er: P7 !q City ®f Wh6atRLdge =' PUBIAC WORK'S City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORKS DEVELOPMENT REVIEW FRES Date: 0ib -7 /! 9 Location of Construction: j 16 Sq W. Y� Ave . Purpose of Construction: *4 E Single Family Commercial Multi -Family ---— Development Review Processing Fee: ................................................ $100.00 $ (Required of all projects for document processing) <e�lgyv4m J'AA `,n— X4AELsAA Single Family ResidencelDunlex Review Fee: ..................................... $50.00 CommerciaUNlulti-Family Review Fees: Fees include reviews of the l" and 2°d submittals ® Review of existing or minimal technical documents: ........................ $200.00 o Initial review' of technical civil engineering documents: ................ $600.00 * Traffic Impact Study Review Fee: .................................................... $600.00 m Trip Generation Study Review Fee: .................................................. $200.00 o Stormwater Management Plan (SWMP) Review Fee: ...................... . $200.00 ® O & M Schedule Review & SMA Recording Fee ............................. $100.00 o Construction Control Plan ................................................................. $100.00 $ 549. cc 5 ' Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes requested by staff have not been fully made to the civil/stormwater/traffic documents, further reviews will be subject to the following Resubmittal Fees: c Resubmittal Fees: 3`d submittal ('h initial review fee): .................................................... $300.00 S 41 submittal (full initial review fee): ................................................. $600.00 $ All subsequent submittals: ................................................................ . $600.00 X = $ (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): $ PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE LICENSING AND PERMITTING FEES REQUIRED TO CONSTRUCT IMPROVEMENTS AND UTILITIES WITHIN THE PUBLIC RIGHT-OF-WAY. Nvi,A xi wheatridgcxo.us Rev 05/19 City of SINGLE F'AMILFIDuPLEX d�� 'WhcatNijge PUBLIC WORKS BUILDING PERMIT APL11 f17'yONREVIEW Date: Location: L l &59 drJ. 'l'f -J'4 Al,t . ATTENTION: BUMDING DIVISION I have reviewed the submitted application documents to construct a `re -y -s ! located at the above referenced address. Please note the comments checked below. 1. Drainage: a. Drainage Letter & Plan required: ✓Yes No b. Site drainage/grading plan have been reviewed and are: "'OK NOT OK; refer to 2. w' - Public Improvements required & to be completed with project: stipulations. a. street paving/patching: ✓ Yes No Completed b. curb & gutter: _1Z Yes No Completed c. sidewalk: _je- Yes No Completed d. Other (specify): L/b/fTl.tLA-. 8u'A#Z� Yes No Completed For items not constructed, the amount of funds taken in lieu of construction: $ Iej, 3. Does all existing roadway/alley R.O.W. meet the standards of the City: _ Yes Q,� No If not, what is required? Aow �6� l C/ '7Gk3 ✓�L,t�, If R.O.W. is required, has the deed been received: ✓ Yes No (see Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 4. APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the stated requirements and/or attached stipulations. Signature David F. Brossman, P.L.S. Date 5. 4 NOT APPROVED: The Public Works Department has reviewed the submitted material and does not approve this Permit Application for the stated reason(s): Signature David F. Brossman, P.L.S. Date 6. � Stipulations: �s-yP.i!'��.V 77Fi tom¢-l7p,e,� ,gcLm",jp, ho �E & y ,fL) SLC A= tlPa.4-TFC Cr- P L -P Sx i CL &y 5 SHgse- TD 7. N*/h A Drainage Certification Letter accompanied by As -Built plans from the Engineer -of -Record shall be required prior to the issuance of the Certificate of Occupancy. 8. NOTE: ANY DAMAGE TO EXISTING PUBLIC IMPROVEMENTS AS A RESULT OF PROJECT CONSTRUCTION SHALL BE REPAIRED PER ROW CONSTRUCTION PERMIT PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. Rev 06/2013 Oily (.-)l, f -wh6atRlc City of Wheat Ridge Municipal Building 7500 W. 29"' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION DATED: o / ADDRESS: __6 t &_59 9 GrJ. Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative Will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. 13rossman, F.L.S. Development Review Engineer CC: File Rev 2108 .,I ' � City of bat Rj.,.jg COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by earn sun -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor14 Insurance and license must be up to date prior to permit issuance. 11bys- - /140 w Yq* pale Project Address: 11&83- 111,13 w clS Pl Permit General Contractor: Z,ee rs, dr glace LL G Electrical Sub -Contractor Company Name: One Lore E1ecirI*c ,, c.Pbone #: 303 - `i37 -$'7(o 1 State License #: Ee , Q16Q10z15 Master #: 1 0 171.6) Whege Lien e #: LO (required (required field) ignatu of Authori d Agent Date Plumbing Sub -Contractor Company Name: M + K P14-1, `mow 97 c . Phone #:10 x - $ 88 - SS s'3 State License Master #:� Wheat 8J #: ~ (required field) Signature of Authorized Agent Date Mechanical Contractor Name. 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CCD (D z ft 0 m 9 O s H 0 Q City of COMMUNITY Wheat R COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY Approved by: Inspector Date City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 FOUNDATION SETBACK AND ELEVATION CERTIFICATION For Single Family Developments This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to proceeding with any further construction. DATE: 12/9/19 PERMIT# 201901961 ADDRESS: 11659, 11661, 11663, 11665, 11667, 11669 W. 44TH AVE., WHEAT RIDGE CO. LOT 7-12 , BLOCK RIVERSIDE TERRACE SUBDIVISION I hereby certify that the elevation and location of the recently constructed structural foundation for the above property described above has been measured by me or directly under my supervision. For the recently formed or constructed building foundation corners, the setback distances have been found by me to be in compliance with City of Wheat Ridge required limits and the elevations as stated herein have been found by me to be in compliance with the Building Permit construction plans as approved by the City of Wheat Ridge. The MINIMUM SETBACK DISTANCES from the property lines have been determined to be: FRONT: 4.4' REAR: 5.6' SIDE: 0' SIDE: 0' If in the floodplain, the MINIMUM ELEVATION is determined to be: 5413.08' (NAVD88) The above measurements have been determined on the following location: (Check only one): X Top of proposed foundation prior to placement of concrete Top of foundation subsequent to placement of concrete The setback and elevation measurement locations are identified on the attached exhibit. Signed Print MICHAEL SEAN KERVIN, PLS 34592 Date 12/9/19 Professional Surveyor O Pp0 L/cF , /� PSERf 2/919`��'2� . LA www.ci.wheatridge.co.us 5� L Rev 11/18 Co O V_ W rn N 07 N (0 U) EXHIBIT NORTHEAST QUARTER, SECTION 20, TOWNSHIP 3 SOUTH, RANGE 69 WEST OF THE 6TH P.M., CITY OF WHEAT RIDGE, COUNTY OF JEFFERSON, STATE OF COLORADO. pOC, REc/ SEAN THIS FOUNDATION SETBACK AND ELEVATION 12-9-1&''�': a CERTIFICATE IS NOT A LAND SURVEY PLAT AS SET = z FORTH IN CRS 38-51-102(12) OR AN IMPROVEMENT _ 34592 o SURVEY PLAT AS SET FORTH IN CRS 38-51-102(9). �rrrrnnnm��a � O N89010'16"E ' kk 03 0Co 0 TRACT B �T Z 5413.06 5.6' S86 01 26 W �,•J� 5413.31 5413.25 � i o � n 5413.23 5413.05 5413.10 5413.08 413.26 5413.28 5413.21 I h 18.61' 5413.06 1 1 5413 203 5413.43 5413.29W i sQ�3L . .0868.7' 4 5413.42 5413.37 . 7 5413.24 5413.15 > .5413.27� o Q S89039'59"E Loi 5413.08 d 20.39' 5413.07 BUILDING 2 5413.12 Q 0 FOUNDATION WALL Z 5413.12 �R 5413.09r 5413.0 5413.07 5413.09 h�"3 E j 48.3 5411.85 5412.16) 4.4' 5412.32 PRIVATE DRIVE B 1' (ASPHALT) TRACT C BUILDING 1 NOTICE TO SURVEYOR: 1. ELEVATIONS SHALL BE SHOWN FOR ALL FOUNDATION CORNERS. 2. FOUNDATION CORNERS WITH MINIMUM ELEVATION AND SETBACK DISTANCE SHALL BE IDENTIFIED. 3. DRAWING MUST BE PROPERLY ORIENTED (NORTH = TOP OF PAGE). 4. SHOW THE ROADWAY IN FROM OF THE PROPERTY. 5. IF DRAWING IS TO -SCALE, PROVIDE THE SCALE. IF NOT TO -SCALE SHOW AS N.T.S. NOTE: THIS DOES NOT REPRESENT A MONUMENTED SURVEY. IT IS INTENDED ONLY TO DEPICT THE ATTACHED DESCRIPTION PROJECT: 19-116 DR: KIDS DATE: 12/9/19 DS: MSK SHEET 1 OF 1 ti O c� >M 00 N Co 0 O 1 inch = 30 ft. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: cc,_ Job Address: ( R-459 C -,k- :) 4'IL i L Permit Number: ❑ No one available for inspection: Time€ Re -Inspection required: Yes No it x When corrections have been made, schedule for re -inspection online at: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: J No one available for inspection: Time AM/PM Re -Inspection required: Yes No I "/ When corrections have been made, schedule for re -inspection online at: http.,IAvww. ci. wheatridge.co. uslinspection ; I ( ) f .1 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ' - Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscellaneous PERMIT - 201901961 PERMIT NO: 201901961 ISSUED: 09/24/2019 JOB ADDRESS: 11659 W 44th Ave EXPIRES: 09/23/2020 JOB DESCRIPTION: Riverside Terrace - Foundation only for Building 2 **REVISION 11/7/2019: Adding minor underground electrical and plumbing; No added valuation. *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE LLC GC (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC *** PARCEL INFO *** ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 126,000.00 FEES Total Valuation 0.00 Plan Review Fee 120.00 ** TOTAL ** 120.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 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. 11 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 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��pperm t I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertormejLaad-tall work to be performed is disclo�.ed.-in-this document and/or its' accompanying approved plans and specifications. p/lC-, kq Signature of OWNER or C0N7TRACTOR (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 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. S(g�Wa t re hief1ft d ng ficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. * 4 f City of v '� Wheatl dge COMMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(dki.wheatridge.co.us FOR OFFICE USE ONLY Date: 1 Y —// / Cl Add to Permit # 1*1 .10m Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ t I U I�—`l W .-v e - Property Owner (please print): ,2,'rers1'c% LLC Phone: ?Z0 4-7 3 '70 I,9f Property Owner Email: Ssu nch L_c!j4 t J Mailing Address: (if different than property address) Address: S. vJ i i o j i S1'e- 3 o City, State, Zip: �rcencac� 1f 1 I e, C 0©+ i i Submitting Company: Contact Person: Su nloe)rc Phone: I 2b - -7 0 1 � Contractor: Contractors City License #: 1'100 5 -Li Phone: '72(',, 4-13 '7 o i l Contractor E-mail Address: 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: �tcz- ui-)oferyr oe lec4r,'c0 l avid pIu,,-t19. ,rl� -L -4-0 C v a& p l e 1 y �-- r re /1C 3 L�.�. reSc CUSS n�_ �vc� !�r� v� v v� a 4-1 on d4 ✓1 d +-f d 8 n -tvA-Q_ perm , t, -rovli 0 Sq. Ft./LF Btu's Gallons Amps Squares Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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: (OW ERj (C TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SK_f)%UL1 JyCk2 r`e SIGNATURI� ATE: %1 7 ZO i rl DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Re vie il 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: Building Division Valuation: $ HV 9601 6102/92/E 0' W MN 13 _tea • 'r BOLE IL✓£OE OO, S' 0 OM38e1 '315'IS 1S IAOH CB+I M93NION3 ON111f1SN0 d3W JIVJYNAO Iwa 9M(l S3ld13W0iVlJ R S31f103HJS 9NIHHnId Old GLV --V f� W 3NOS ON SMJ-L3N0iV-3 1.N3n'8 31SVM 30VJ ]31 301S2J3M J 133HiS 31VNHd N131SVM AHVMNVS O1NI 311, 133816 31VAlad N131SVM AHVIINVS z .> -- z b----- __1-- Q- -------------- ---- ---1- I 3A3"OOM bL6IJ AVM -Z .V > NIS AVV AVtl AVV b b Z Z __------- __ ..OM 1e zA 13A31 a3ddfl o�M dLJN I I nYl I Y, 'l VeM .ZI 13M31300H 0LINn ----rs- �o�M-z�--c-sa—rs--a ------Asa-13---- JM � Oi.Z i OOS M31 NimOCM OOM CCM QOM AVM -Z NNIS Abl MW Abtl y MVV 6 9 .Z L __ __ ______________ OM 1S Ni'Z i� JM 19 i 13A31 H3ddO OOMI lL/I OOMI MYl i MVl I Al -ZI .Z. 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V9M a1hE, I 31 IMA 8 i1Nn Odl Had 'lB1N3A311d M013517tl8 9VnSSRHd 0300®H 8 NOIlOHIHIS 10 ,t -NM V H1IM 4V13JIMUS I U313W M30 ifS 'NIW' Odl dad ON=BS133i 3 Cans +V. c: �dl e3d 0NC�03S133iS' 03ZIS M00 t :Salo N ..L Wd9st ,.4 13AS 3dld N011 f161NiS10 H31VMf 31SVM WnWINIW 31V1JMOli Wd91V101 SL LZ SIV101 LNO 3HfLLXii Z'Z Z'Z Z'Z £ £ t 31VAIHd 13SO10 E131VM YL L'0 S'0 S'0 Z L Z 31VAIHd NNIS ONVHUHOiVAVI YL 4'1 YL Z Z L (31VNHd) H3HSVMHSIO YL YL L t Z Z L .31VNHd H3HSVM S3H101J YL YL L t Z Z L (31VAI8d)SMNIS N3HJLM Z'L 9'£ 93 LZ OL S Z 131VAIHd d00H9 WOOHHIVB S3Hf11XIi 11V HO i Iviol 1tl101 H1M MH 1OH I 8m:) H1M 0103 ivioi 315VM 31sVM A10 3Hf11XIi 1Nnoo amn.Lxu VNiewhid ,9, lINf ao"isl adiSa3Ala i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: V-, Job Address: << ` C , 1n Permit Number: Cx' U � c� U ! �' ',—, 1 ❑ No one available for inspection: Time �a )Q AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.uslnspection Date:_ �� �. C! Inspector: V) DO NOT REMOVE THIS NOTICE _- r-�o ? tb U CA ccz U 0 oItE M Q 'C3 R3Eny 'd o on o � «3 U S •.. En cut M O -0 O O H �n N N N O � U co cz U Oct3 .0 �0 o>�Q�C43¢ cd CAE C,3 °' o aC° •° o `° O Nco N UC4;4 ., F, U U ~ U U O O W U 'L3 U ai o o o+� N cQ 3b a" a °o, c rn +r cn C) °o �fr�rrrv�r�r to eo o p 140. +� a� a� 'rs OM 0 U ani Z % U "O N �" Q �CKN E- Or bA E N (O� 'C N rn O � ti m m M M C W N M M C O O 77> d' D F _- 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: O ` ( ;c G Job Address: - Permit Number: ro ❑ No one available for inspection: Re -Inspection required: Yes' When corrections have been mQca re-inspectiondt -234- Date: In pec Ile s` DO NOT REMOVE THIS NOTICE e i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ���`� r� t,.)\-1 k� V�- Av( Permit Number: 4:•" 1 C -z l C, _ .k v; ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No, When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. ushnspection Date: {�; Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscellaneous PERMIT -201901961 PERMIT NO: 201901961 ISSUED: 09/24/2019 JOB ADDRESS: 11659 W 44th Ave EXPIRES: 09/23/2020 JOB DESCRIPTION: Riverside Terrace - Foundation only for Building 2 *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE LLC GC (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC *** PARCEL INFO *** ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 126,000.00 FEES Total Valuation 0.00 Plan Review Fee 120.00 ** TOTAL ** 120.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 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. 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�permrt. I further attest that I am legally authorized to include all entities named within this document as parnes to the work to be performed and_tb+it.all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature-Qf --{OWNER or CONTRAC"IUR70rcle 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 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance'or regulation of this 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. E) A Z City of W heat P ic �muNiTY DEVFL0lWF-NT Building & Inspection Services 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: q1,0(11 ,J „11 Pian/Permit # aolqD(a� I Plan Review Fee: 4I� D Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: W `%`'� Xveltuo, v%h tai 2'dge C0 80033 3V -.ld % 2) Property Owner (please print): TZ: vers;cle 1 erroice, L. L- c Phone: 724 973 ?0)9 Property Owner Email: ssv rt dbcr-cl Q cre e r s a de = n kk' p 3 • cow Tenant Name (Commercial Projects Only) $a ! r. Property Owner Mailing Address: (if different than property address) Address: 61"3 S. v-4`tlow Dr. ,Stc 300 City State Zip: V�_ tkaQ@p CQ viii! Architect/Engineer: MND DAik o L«5vcimv Architect/Engineer E-mail: ditab,jdoyac @-,Af- w -ca Phone: 303 - 3"17 " G(a 01 A 3� Contractor Name: A'rersrde Te rrc•.ce, 1-i- C City of Wheat Ridge License #: 19005`1 Phone: lLo i-13 Zoi l Contractor E-mail Address: ssv ndloe_rg C_a� c r e e k-s(de c �� n e3 • co r-� For Plan Review Questions & Comments (please print): CONTACT NAME (please print): &cl?} \gam S`l���e rq Phone: -72,0 14-13 'lot q CONTACT EMAIL(please print): 5�undl,e�q �creeks�'cie conn�crti� �,t�J Go�'i Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: 0 -t-Cere- Elec4-r,'L Plumbing: Ma -P— Mechanical: AG2 W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. i � F0 v'ACl A" -t 0 n o n Lj P �(� t l" -Cor fvt e vaJ +%� ccs 1 w; tt Co ,--P t'a-t-e- 0 Sq. FULF BTUs i'2l, 4 L9 Jed e 7-efiice J',, ce , 1'n" -CJ L'--' C' -I ,I res k� I ! e, �s,v n Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I g 21, CD CD�I��t' uM1� t- y Lo C" -(or C10 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CAIN --TRA TA#) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name}: ,r 1 — —7 TS ---`� \ DATE: g/ 3 LCA l ot 0 Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMEN COM ENTS: Reviewer: N1r9 PUBLIC WORKS COMMENTS: Reviewer: CONSTRUCTION TYPE: Building Division Valuation: