HomeMy WebLinkAbout3695 Depew StreetProperty Address
Permit Number
Per -Mit Issued Date
The City of Wheat Ridge
Third Party Form Check List
3 (,g
_On_X-
R
gwnq-r Inforr2atiorlI
Property Owner information Pe r4h��-
Property Owner
Address `3
InfMqL afioll
Inspection Company 0 -y,!—
Inspector Flame
Inspector Contact info. 9
ins pqqtor Statement and Arknnw1o!.q2mCLnt
I Nearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that, are Linder 6/12 must tie inspected by the City of Wheat Ridge BUiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
INC as well as all City of at Ridge Policies and Procedure and Manufacturer's
re;cornmendatiot n
Inspector: Date: It
rpopopqy_�QviLner Statement of Acknowledgement
"I hearbV acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheal Ridge Building Division inspection.
Propery Owner/ Agent: Date:
---
Jl� ---
This original document as Yvell as the roofing check list, must be submitted to the Chief
RUilding nffir;rfl within seven days of the final inspection.
Drop off in person Submit via Email
Pc -:m -nit (,',OLjnter 2nd floor
7500 W. 29th Ave
IfVhnat Ridge CO 80033
Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Third Party Form Check List
Property Address
Permit Number
Permit Issued mate 9 yzmio�'Iy
Owner Information
Property Owner Information Lek -
Property
ek-
Property Owner Address
Inspection Company
Inspector Name
Inspector Contact info.
Inspector Statement and Acknowledgement
* I Nearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/112 must be inspected by the City- of Wheat Ridge Buiding Dept.
* i Nearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2812
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendation n _ ifications_
Inspector- Date: /
Property Owner Statement of Acknowledgement
*I Nearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perforin my roof inspection,
in lieu of the City of Wheat Ridge Building division inspeQjion.
Propery Owner/Agent:
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection,
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date. 7126/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Ins?s gt_sa
l ,, n C._I r,, ;_ 1-1 rail
IN,'[ N/A l _I r a, C� rnr
Structural roof components
] %. I r�,,;; ❑ rail
Verify that no more than 2 layers of shingles exist
1 �,j;AN Nss [.._._I raa
Flashing for roof and walls
-.I r'a;-• I;� r:ail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
fail
Verify sheathing nail pattern ( See policy & Proceedures)
i,Vn 1, "IIs f_] r3„
Crickets and saddles where needed
l I N/A [1>as ❑ fail
Verify B vent must have boot same gauge as pipe
1.1 N/A IPass C) r a,i
Verify vent caps
1 , n I` Vlr,'->>� [ ] fa
Verify no flashings are damaged or rusted
I N/A r,ass I-_1 rail
Step flashing shall be min. of 4x4 piece per shingle
1.,J L) Pass C=_l fail
t.
Verify scuppers allow for proper drainage
-'N/A
I -1 fw"n ` I r,as�: ❑ rail
Ice and water shield Z in heated wail spaces
as (_1 r;alb
Underlayments must follow 2012 IRC / 2012 IEC
ri/,a 1.4 Pass ❑ Fail
Verify roof slope for proper drainage
N/A r,-) Fail
Dripedge shall have min of 2" overlap
r /n 1,' « I _ l r,,,
Dripedge should extend down min 2" past roof deck
[-1 rail
Dripedge shall be mechanicaly fastened 12" OC
LJ ra,i
-0 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope.- Exception, detached garages,
patios, carports, open on three sides with min. slope of
1.12
Cl rani
modified Bitumen, EPDM, TPO min slope '1/4:12 slope
I`:I
Above roof insulation R-25
y ry/n 1J F-1
Below roof residential R-38
i N/A 11 ��� s rV rani
Below roof commercial R-32
if ra;n I 1 ,',itis [._.I r3„
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufaCurers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
l;les I Roof h'snr_tgs
Egquiremgnts
Cl roil
Metal roof shingles shall not be installed on slope less
3:12
, Fvn L_1 ria •❑ Fail
Metal valley flashing shall be the same material as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
°fie Rox7fRr �r��rr°�;rqlrat'4
I'VE
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayrnent
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
Dns 4"al
ppcf�or signature.
Oatc� of Inspoction:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
Pay;
Fail
r'! o
-1 Fail
Structural roof components
J Fail
Verify that no more than 2 layers of shingles exist
I—] F,-jil
Flashing for roof and walls
i -";l
If new sheathing is installed verify that it is listed in tho
permit description (Valuation must be adjusted)
jXf
I Fail
Verify sheahing nail pattern ( See policy & Proceedures)
11 Fail
Crickets and saddles where needed
I-] Fail
Verify B vent must have boot same gauge as pipe
J_J Fail
Verify vent caps
I-] rail
Verify no flashings are damaged or rusted
I
1A Fail
Step flashing shall be min. of 4x4 piece, per
Fail
Verify scuppers allow for proper drainage
Fail
Ice and water shield 2' in heated wall spaces
I
Fail
Underlayments must -follow 2012 IRC / 2012 IR_ C ,
-1 Fail
Verify roof slope for proper drainage
rail
Dripedge shall have min of 2" overlap
I_] Fail
Dripedge should extend down min 2" past roof deck
I Jo
L_ rail
-1
Dripedge shall be echanicaly fastened 12" OC
rn
1_1 Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2-12 slope: Exception, detached garages,
patios, carports, Open on three sides with min. slope. of
1:12
Fail
Modified BitUrnen, EPDM, TPO min slope 1/412 slope
Foji
Above roof insulation R-25
I
Below roof residential R-38
_J
_-I Fail
Below roof commercial R-32
N/A
Modified Bitumen, EPDM, TPO rniri slope 1/412 slope
rnust be installed in accordance with the manuf,,.ictureis
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Poof
`��hipl,,Lkr~
_jgg_q.uiremen'ts
Metal roof shingles shall not be installed on slope. less
3:'12
I Fail
Metal valley flashing shall be the same material as roof
I roil
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping n
a min. of 4"
Tik, Floofs. Reouirements
J "t 'A
-.1 rail
Clay and concrete tile shall have a min. 2-1/2-12 slops
Slopes 4:12 and under require double underl.--iynienf
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name:
Inspector signature:
Date of Inspection:
-
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: J-2 q
Job Address: W 6 qPermitNumber: � D 0 0? z q
I
❑ No one available for inspection: Time`i Nl=/PM
�e
Re -Inspection required: Yes oNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: ���i` i'! Inspector: Jlr Lai, -P 7`f
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
" Residential Roofing PERMIT - 201802602
PERMIT NO:
201802602
ISSUED:
09/25/2018
JOB ADDRESS:
3695 Depew St
EXPIRES:
09/25/2019
JOB DESCRIPTION:
Reroof 1/12 pitch
with mod -bit, 4
squares; 7/12 pitch with 30 yr
dimensional asphalt shingles; 16
squares; house,
porch and front of garage;
20 squares total
*** CONTACTS ***
OWNER (702)683-3548
SMITLEY NICK
SUB (303)808-2054
Michael F. Boyd
018879 Michael
F. Boyd LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE, STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
14,000.00
FEES
Total Valuation
0.00
Use Tax
294.00
Permit Fee
267.70
** TOTAL **
561.70
*** 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.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications)
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in 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.
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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permitshall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code oriordinance or 9gulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Oficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
�,rA
Residential Roofing PERMIT -
201802602
PERMIT NO:
201802602
ISSUED:
09/25/2018
JOB ADDRESS:
3695 Depew St
EXPIRES:
09/25/2019
JOB DESCRIPTION:
Reroof 1/12 pitch with mod -bit, 4
squares; 7/12
pitch with 30 yr
dimensional asphalt shingles; 16 squares;
house,
porch and front of garage;
20 squares total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications)
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in 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.
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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permitshall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code oriordinance or 9gulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Oficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook 110 / Yo D_(.00
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, September 25, 2018 10:06 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Kim
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. The Building Division permit counter is open from
7:30 am to 3:30 pm, 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
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
3695 Depew St.
Nick Smitley
7026833548
nC�'
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
nick.smitley@gmail.com
Yes
Attach Copy of Executed CCF09252018 0001.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Michael F. Boyd LLC
018879
3038082054
Contractor Address 2201 Raleigh Street
(Primary address of your
business)
Contractor Email Address Mfboyd1@corncast.net
Retype Contractor Email mfboyd1 @comcast.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 20
the entire scope of work:
Project Value (contract 14,000
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or greater)
2
both? (check all that
apply)
What is the pitch of the 1/4 per foot
FLAT roof?
How many squares are 4
part of the FLAT roof?
Describe the roofing Modified bitimen
material for the FLAT
roof:
Type of material for the Other (specify below)
FLAT roof:
If "Other" is selected Modified bitimen
above, describe here:
What is the specific pitch 7/12
of the PITCHED roof?
How many squares are 16
part of the PITCHED
roof?
Describe the roofing 30 year dimention shingle
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional house, porches and front of gargae
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
3
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
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.
Person Applying for Michael F. Boyd
Permit
Email not displaying correctly? View it in your browser.
4
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Siding PERMIT - 201802624
201802624 ISSUED: 09/26/2018
3695 Depew St EXPIRES: 09/26/2019
Remove and replace True Wood siding; 6 squares
*** CONTACTS ***
OWNER (702)683-3548 SMITLEY NICK
SUB (303)808-2054 Michael F. Boyd 018879 Michael F. Boyd LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
I, by my si =nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been author
zed
by the legal own'0fthe,0pertyanam authorized to obtain this permit and perform the work described and approved in conjunction with
this en it
I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is d1SC10Sed 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 original permit fee.
3. If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief 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 nting of a pe ` t shall not be construed to be a permit for or an approval of, an violation of any provision of any
applicable cod or ny �rdmanc r 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
W heat 1�dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 1
LJ
Plan/Permit # ao
f , ,(
( U WWW lJ �
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: 5 (., 61 ci_ pe IX c,11111
Property Owner (pleaseprint): 4_ 1 � f Phone: ?�J-3-TL( ly
Property Owner Email:
Tenant (Commercial Projects Only)
600\
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng1neer E-mail:
Contractor Name: k LJ p_k r^ L4 [
City of Wheat Ridge License #:
Phone:
Phone• I-) V I TC "f ZC%'i-44
Contractor E-mail Address: WLT �t' � � 1 (2 (t, yy\ t
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): f u- L Phone:
CONTACT EMAIL(p/ease print): K�S %j e:r t U L CC r^ L t``i+
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 #
❑ 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.
Sq. FULF
Amps
--,`6 ,I�'')
O C) BTUs
Squares V
Gallons
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ --Z' 5-1- C a
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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Si¢nature (first and last name): /� ` DATE: L 4 ' r
Printed Name: ,L 1A L o �.
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
1
i uancyT�e
I�NSPECTION RECORD Occn
INSPECTION REQUEST LINE: (303) 234 -5933
Inspections
Call the inspection request
will not be performed unless this card is posted on the project site.
line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector
Initials
Comments
Monolithic Slab Reinforcement
-
Caissons
Plumbing (Below/ In -slab) -
Concrete Encased Ground (CEG)
Heating (Below / In -slab)
Footing /Stemwall P.E. Letter
Rough Inspections
Date
Inspector
Initials
Comments
Do Not Pour Concrete Prior To Annrnval Of Thp Ahnvp Insnprfinnc
Underground /Slab Inspections
Date
Inspector Initials
Comments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below/ In -slab) -
Heating (Below / In -slab)
Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Roof Sheathing
"{ J
Lath /Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed Without Approval Of
Above Rough Inspections
Rough Framing
-
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
g %
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage /public Works Dept.
Fire Inspection / Fire Protection Dist.
* *Note; All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
occupancy _Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY OF WHEAT RIDGE
1 Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
z Inspection Type
Job Address aGs arP� s
Permit Number
k..
❑ No one available for inspection: Time AM/
z,
Re- Inspection required: Yes ,; o�
When corrections have been made, call for re at 303 - 234 - 5933
Date: Inspector: c
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: QgA
Job Address: -offer
Permit Number: ffQ✓
s
s
f .
❑ No one available for inspection: Time 41/ AM/
Re- Inspection required: Yes Nom
* When corrections have been made, call for re- inspection at 303 -234 -5933
Date: /,r!o Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
.�
Residential Roofing PERMIT - 110871
PERMIT NO: 110871 ISSUED: 07/25/2011
JOB ADDRESS: 3695 DEPEW ST EXPIRES: 07/24/2012
DESCRIPTION: Reroof 17.33 sqs with 30 yr laminate shingles and redeck
* ** CONTACTS * **
owner 303/250 -4905 Masako Marchtson
sub 303/425 -1083 Matthew Rock 01 -7908 Rock's Roofing
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0460
BLOCK /LOT#:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 15,990.59
FEES
Permit Fee 299.40
Same Day Inspection 60.00
Total Valuation .00 -y
Use Tax 287.83
** TOTAL ** 647.23
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
thip Aumtnt and /or itr' accompanying approvednplans and specifications.
e one) Date
1. This permit was issued bast' 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 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 any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field insnectir n.
Signature 97'M"7)F Building Offical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY..
City of Wheat Ridge
1
r/ Residential Roofing PERMIT - 110871
PERMIT NO: 110871 ISSUED: 07/25/2011
JOB ADDRESS: 3695 DEPEW ST EXPIRES: 07/24/2012
DESCRIPTION: Reroof 17.33 sqs with 30 yr laminate shingles
* ** CONTACTS * **
owner 303/250 -4905 Masako Marchtson
sub 303/425 -1083 Matthew Rock 01 -7908 Rock's Roofing
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0460
USE: UA
BLOCK /LOT #: 0/
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this P6 ;qpt and /car its' accompanying approved plans and specifications.
Signatuie of 0 NER '6i 0 TRACTOR irCle one) ( Date/
1. This permit as issued base 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 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 any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
S. 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 'n ion.
Sign at e o hief Building Offical Date
INS CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
of Wheat Ridge Building Division
�w, ` Date: —�
....th . ....
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