Loading...
HomeMy WebLinkAbout3300 Benton Street0 le CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C-// ®- pf, fl) a Job Address: 3 3 o o Rpn4cn S3+ Permit Number: -53 0 1 g o) 3-7 y ❑ No one available for inspection: Time % 20 0IPm Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:-S- 03-234-Date:S- 3/ / 8 Inspector: -TLS DO NOT REMOVE THIS NOT/CE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: �3e?D Ah/ Permit Number:7el ❑ No one available for inspection: Time . V- -) AM/PM;� Re -Inspection required: Yes (No ' When corrections have been made, call for re -inspection at 303-234-5933 Date:-9_'&�-)(?� Inspector: DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge Resid. Windows/Doors PERMIT - 201801374 PERMIT NO: 201801374 ISSUED: 05/11/2018 JOB ADDRESS: 3300 Benton ST EXPIRES: 05/11/2019 JOB DESCRIPTION: Remove and replace 12 wood windows with vinyl replacements. Remove and replace vinyl siding with new vinyl siding as well as new soffit, fascia and gutters. *** CONTACTS *** OWNER (720)560-1066 FELLOWS JENICA CARLOS SUB (888)736-6335 Adam Kaliner 160260 Power Home Remodeling Group *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31,670.54 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 665.08 ** TOTAL ** 715.08 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by m 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 erm�t. rther attest that I am legally authorized to include all entities named within this document as parties to the work to be perfoat all work torte med is disclosed in this document ar}d/or its' accompanying approved plans and specifications. Xgnatur of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4e 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 DIVSSl 6, The su nce or gla. of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any app e c e ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 4�0 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of comW heatj�ide MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: � /�� Plan/Permit # dol gbl- --w Plan Review Fee: 9t'llN—.6 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: ArchitectlEngineer: Architect/Engineer E-mail: Contractor: City of Wheat Ridge Licens Contractor E-mail Address: Phone: e #: P ne: l `� J !�?7�-6e M x qO& IV • ��h,115 n v ri✓1'1 For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): 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. Aemaje,- '/ A- y W&- � w Gocd L -t/ , nd ot4--�,5 w -,=� L Y -f v\,6v✓ \AV/ cddT 5 L,,e l L �s ne � so��f * � u14 4v -s Commercial Projects Only: Occupancy Type: Sq. FULF Amps BTUs Squares Construction Type: Gallons 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 sm-theapplication. CIRCLE ONE: (OWNER) (ONT Signature (first and last name): �/� Printed Name: yh ( r ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: (AJ�7W WZED REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CO TRACTOR) DATE: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: National Headquarters 2501 Seaport Drive, Chester, PA 19013 888-736-6335 WWW.POWERHRG.COM Project Specifications Siding/Trim: Siding 1 1100.0'x1.0' SIDINGITRIM: Models Cedar Tech Wall System Styles Straight Types Triple 6" Configs None OPTIONS: Siding Color Clay I Corner Post Color Aspen White / Removal Vinyl I Installation Details None Siding/Trim: Garage 1 500.0'x1.0' SIDING/TRIM: Models Cedar Tech Wall System Styles Straight Types Triple 6" Configs None OPTIONS: Siding Color Clay / Corner Post Color Aspen White I Removal Asbestos 1 Installation Details None Siding/frim: Soffit 1 130.0'x1.0' SIDING/TRIM: Models Trim & Accessories Styles Soffit Types Standard Configs None OPTIONS: Co/orAspen White / Removal Existing Soffit I Installation Details None Siding/Trim: Fascia 1 130.0'x1.0' SIDING/TRIM: Models Trim & Accessories Styles Fascia / Eaves / Rakes Types Standard Configs None OPTIONS: Color White I Removal None I Installation Details None Sidinglrrim: Porch soffit 1 10.0'x1.0' SIDING/TRIM: Models Trim & Accessories Styles Soffit Types Porch Ceiling Configs None OPTIONS: Color Aspen White / Removal Existing Soffit I Installation Details None March 18, 2018 17:32 Jenica Carlos and John Fellows 33-03105 March 18, 2018 National Headquarters 2501 Seaport Drive, Chester, PA 19013 868-736-6335 WWW.POWERHRG.COM Project Specifications Windows: Livingroom 1 39.0"x53.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None Windows: Kitchen 1 32.0"x45.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None 1 Removal Wood 1 Additional Details None Windows: Kitchen 1 27.0"x39.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None 1 Removal Wood I Additional Details None Windows: Laundry 1 24.0"x38.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None Windows: Bathroom 1 27.0"x37.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None I Removal Wood 1 Additional Details None Windows: Bedroom 2 27.0"x46.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: ColorWhite / White : Grid Pattern : None / Removal Wood / Additional Details None March 18, 2018 17:32 Jenica Carlos and John Fellows 33-03105 March 18, 2018 National Headquarters 2501 Seaport Drive, Chester, PA 19013 888-736-6335 WWW.POWERHRG.COM Project Specifications 4p'. - -' , - Windows: Livingroom 1 32.0"x45.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None Windows: Livingroom 1 32.0"x45.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None l Removal Wood 1 Additional Details None Windows: Storage 1 27.0"x46.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None I Removal Wood I Additional Details None Windows: Storage 1 27.0"x46.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood I Additional Details None Windows: Storage 1 27.0"x46.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None / Removal Wood / Additional Details None March 18, 2018 17:32 Jenica Carlos and John Fellows 33-03105 March 18, 2018 National Headquarters 2501 Seaport Drive, Chester, PA 19013 888-736-6335 WWW.POWERHRG.COM Project Specifications Gutters: Gutters 1 130.0'x1.0' GUTTERS: Models Gutters Styles Gutters Types 6K Seamless Configs None Options Color : White I Installation Details None Gutters: Down spouts 1 30.0'x1.0' GUTTERS: Models Gutters Styles Gutters Types 3x4 Downspouts Configs None OPTIONS: Color White I Installation Details None March 18, 2018 17:32 Jenica Carlos and John Fellows 33-03105 March 18, 2018 CERTIFIFD POWER SL2700 DOUBLE HUNG WINDOW VINYL FRAME DOUBLE GLAZED FOAM FILL GRIDS LOW E /ARGON ® NFAC PDK. P•K-14.0 CRI 00107.21.01 00488344/001 ENERGfPERFORffiANCEt'1%TINGS w r (U.S / 1-P) Solar Heat Gain Coefficient I ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704140 PERMIT NO: 201704140 ISSUED: 07/15/2017 JOB ADDRESS: 3300 Benton ST EXPIRES: 07/15/2018 30B DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 14 sq *** CONTACTS *** OWNER (720)810-8337 FELLOWS JONATHAN SUB (720)724-0081 Steve Greenly 150196 Adamstree Roofing & Construc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,076.81 FEES Total Valuation 0.00 Use Tax 106.61 Permit Fee 140.90 ** TOTAL ** 247.51 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. e5;�Ql7 y14� INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occu anc /T' e Eer Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service Plumbing 7�j, Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 7�j, Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof -� Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /0)1) Job Address: 3 3co rN-TO.-i S7- Permit TPermit Number: ZD) -)O y / wo ❑ No one available for inspection: Time I , t ' A Re -Inspection required: Yes Nj When corrections have been made, call for re -inspection at 3Q-234-5933 Date: /Y Inspector: f DO NOT REMOVE THIS NOTICE 3 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE gori - Job Address: 3300 i3•`�� S� Permit Number: 2 J7ozy Iq C> ❑ No one available for inspection: Time O/PM Re -Inspection required: Yes K When corrections have been made, call for re -inspection at 303-234-5933 I/ Date: 711? 111r Inspector: ( k DO NOT REMOVE THIS NOTICE o City of Wheat Ridge P Residential Roofing PERMIT - 201704140 PERMIT NO: 201704140 ISSUED: 07/15/2017 JOB ADDRESS: 3300 Benton ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 14 sq *** CONTACTS *** OWNER (720)810-8337 FELLOWS JONATHAN SUB (720)724-0081 Steve Greenly 150196 Adamstree Roofing & Construc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,076.81 FEES Total Valuation 0.00, Use Tax 106.61 J01 I Permit Fee 140.90 ** TOTAL ** 247.51 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 1*�i4� PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704140 201704140 3300 Benton ST ISSUED: 07/15/2017 EXPIRES: 07/15/2018 Residential Re—roof to install Tamko Heritage asphalt shingles — 14 sq 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 pennIt 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 i^^��ts' acco`m�panying 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 originalermit 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 gr 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 Wan�dinahmor ion 'urisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUSE MADE BY 11:59PM ANY BUSINESS FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 6, 2017 1:49 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3300 Benton St. Jonathan Fellows 720-810-8337 Field not completed. 17�{ 7, 51 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Adamstree Roofing 150196 7207240081 Contractor Email Address lindsey@adamstreeroofing.com Retype Contractor Email lindsey@adamstreeroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Tamko Heritage Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 14 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 14 roofing material for this project Provide additional detail House and Garage 4/12 here on the description of N work. (Is this for a house or garage? What is the roof pitch? Etc) 5076.81 Project Value (contract value or cost of ALL materials and labor) 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. 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. Name of Applicant Lindsey Noftsger Email not displaying correctly? View it in your browser. 3 (816) 606-7393 - MO / KS (720) 724.0081 CO (855) 636-0552 -- Fax �swr�+�.atlamStreerocrfintt t6m THIS AGREEMENT, IS BETWEEN ADAM ROOFING AND CONSTRUCTION z 1300- Name — Nome/Cell Phone Email — -� Billing Address City state Zip Adamstree Roofing and Construction 1t.0 will advocate the Property owners(sj best interest in restoration of the property damage and complete ala the:vo(k in accordance to the insurance company agreed scope of foss. Agreed upon price w8! become the final contract price and Adamstree RonfEnR and Con;rruction LLC -wilt receive all the proceeds for the work completed by Adarnstree Roofing and Construction I.I.C. Upgrades and any other work will ter a separate conte act betweetr the Prc;perty ttwnerts) and Adamstree Roofing and Construction LLC. Ifthe insurance Company denies this claim the contract will terminate anti naither Adamstree Rooting and Construction LLC nor the Prop" owner(3) are obitWed to one another. Adamctrnp will fi,rn:cit .iii i.r,n —i a fiAsnu$acturer of Shi ie: Style of Sh, e: Chl4rrgfSett TeatCift. 4.—es Na .ars, men,: Help� ftg 1Gable Na Vatltay Drip p@Gutter: Yes o Ate r J J� _ f \ Icer,& Water: 4. Y" M' lei '.=1 No �1 S� G k✓' 7y�,(5 Pipe Collars; .1 :� No s "s'.n. No Addkkuaai scopes of work: _ 6attterin tr,P�rsIC� Paint/ tdi ns l Garage, ftors tnterhsr Damage __ Miscellaneous- I ...::.>,....m...�..�J�...�.. 3 f Z ..,. . ., ,ter„ v —,,,gnarcv +n L;irnp:tallLC wren prexar,sng ouuoang to4es at tnaz Baverralr munieipaiity. S=pa of work: Adamstree Rooting and Cortstru tion, agrem to da the work for the amount paid by the int)urancfa proceeds plus any supplements approved by the insurance company. The scope of work provided by the insurance company shall be part of the complete job descripttc n along with a i pro build inspection provided after insurance approval. The work shall be completed within a reasonable time frame agreed upon by you and Adamstree Roofing and Construction, and may be based on product availability and weather. Contract prices Agreed upon Insurance scope (Homeowner agrees to pay Adamstree the total contract price) Payment ©own $ t..� 7 I n I Balance Payable In accordance with part I Ar icle 4 of title 10C -R. cant to sect, • 2-105 Adamstree will not pay, waive, or rebate all or part of any insurance deductible applicable to this insure a claim. ownet - r atts that Adamstree has not promised or agreed to pay, waive, or rebate all or tiara of any insurance �deductible; in any arm Insurance company7ht.if,V� Claim g ri t (J I� If Acceptance of Proposal — In accordance with C.R.S Section 6-22-104, property owner will have a 72 hour right to rescind this contract. Customer wilt b"onded 211:rights under tf+r C.R S S16on 6-22-104. The above specifications and all terms conditions are agreed to and hereby accepted. r i✓ Purchaser Signature u.�atairts`treersjofnR�c�m Bate Cate .i 06/23/2011 THU12: 20 FAX 303 237 6929 303 Best Way interstate roofing 0002/002 `I INSPECTION RECORD o ccuoancv /Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. l M I _ -,I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE-- INSPECTOR INRIALS COMMENTS: aissons P of ABOVE INSPEcnoNs TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE CEG) Concrete round 06/23/11 9:56 AN cdba Insulation or Monolithic Drywall Screw /French Drain z RECEIPT NG:CDA00604,, AMOUNT Sewer Service Lines BPGP Reroof 13 sqs with 3 177,78 - Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS.... 31GNEb vwva.nC G JIJ16 f'LVUK Electrical (Underground) Plumbing (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough. Electnc Gas Piping Rough Mechanical ABOVE INSPEcnoNs TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE Framing 06/23/11 9:56 AN cdba Insulation Rene Rodriguez Drywall Screw z RECEIPT NG:CDA00604,, AMOUNT BPGP Reroof 13 sqs with 3 177,78 FINALS 110720 Per 1 01H Electrical Use GLU Plumbing PAYMENT RECEIVED AMOUNT Mechanical VG 3356 177.78 Auth Code. Roof . �� 097885 Building Final TOTAL 177.78 Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS, *"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER CITY OF WHEAT RIDGE Building Inspection Division Inspection Type a� Job Address 3364) La'fy A .,� 5'7 Permit Number q /lo7Ao " ' City of Wheat Ridge .� Faxed Roof Permit PERMIT - 110720 PERMIT NO: 110720 ISSUED: 06/23/2011 JOB ADDRESS: 3300 BENTON ST EXPIRES: 06/22/2012 DESCRIPTION: Reroof 13 sqs with 30. yr OC Duration shingles * ** CONTACTS * ** owner 303/232 -2844 Randy Quante sub 303/763 -9114 Lorin Hanson 01 -9938 Interstate Roofing Incorporate ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0463 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: FEES y Permit Fee 109.20 Total Valuation .00 Use Tax 68.58 ��11 ** TOTAL ** 177.78 3,810.00 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 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 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, 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 fiel in e Signature ha CIMt Building Off ical Date INSPECTION RECORD o ccupancy /Type °INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. NSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J1 13 TION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Caissons Permit Fee 109.20 l / (CEG) Concrete Ground N Use Tax 68.58 Plumbing ng or Monolithic ROUGHS Sheathing PAYMENT RECEIVED roof / French Drain Mechanical Lath / Wall tie 177.78 rvice Lines Ruth Cade: Mid -Roof rvice Lines PRIOR TO PR( CITY OF WHEAT RIDGE 06/ 9:M AM cdbe Rene Rodriquez - un.:annns nxr n:nnuur Electrical Service TOTAL CONCRETE SLAB FLOOR Electrical (Underground) 177,78 FINALS 110720 Plumbing (Underground) Permit Fee 109.20 Heating (Underground) Use Tax 68.58 Plumbing DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing PAYMENT RECEIVED AMOUNT Mechanical Lath / Wall tie 177.78 Roof Ruth Cade: Mid -Roof 097885 PRIOR TO PR( CITY OF WHEAT RIDGE 06/ 9:M AM cdbe Rene Rodriquez - un.:annns nxr n:nnuur Electrical Service TOTAL 177.78 Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED Framing Insulation Drywall Screw _. Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A - CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER BPSP ReToof sqs with, 3 177,78 FINALS 110720 Permit Fee 109.20 Electrical Use Tax 68.58 Plumbing PAYMENT RECEIVED AMOUNT Mechanical US 3356 177.78 Roof Ruth Cade: 097885 Building Final TOTAL 177.78 Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A - CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Property Owner (please Mailing Add City, State, 7-iD- X1 7f poinmw-�' Contractor I wJU011 Vul. 4 city0f 'f *C�glc 0'0�' MtAuNay DEvaopmwr [P:ermft:# BUIlding Division 7500 K 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 • Fax: 303-237-8629 .. Inspection Line: 303-234.5933 Facsimile Building Permit Application q-&Z � OP UNDERsrAmoiNG AN "I this po It ddM 9M M egs( IvA Mkr and agme to abldl fhad Ridge BuIldhig Code 303 - 91,3 Bldg VaIUafldnZ'SL__ Credit Card ZP9�ypen�&rbffll rolisted oiz file. Print n ame: Print Signature, (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE 0 f(()MpR ) (CONTRATOR) PRINT NAME: . - SIGNATURE: