HomeMy WebLinkAbout3200 Jay Streeta
City of Wheat Ridge
Residential Roofing PERMIT
- 201702852
PERMIT NO:
201702852
JOB ADDRESS:
3200 Jay ST
ISSUED:
06/29/2017
JOB DESCRIPTION:
Residential Re -roof to install GAF
Timberline
/218
ROOF DECKING - 32.36 sq.
HD
asphalt9shingles with OSB
*** CONTACTS ***
OWNER (303)591-2856 THOMPSON MARTY L
SUB (303)804-0303 Tom Brown
070055 North West Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE, WHEAT
USE:
BLOCK/LOT#:
DA// Unassigned
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
19,949.07
Total Valuation
FEES0.00
Use Tax
418.93
Permit Fee
362.80
** TOTAL **
781.73
*** 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 Al-�-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 manufacturera€1'"s 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's 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.
201702!�5'2
3 a�
zoo 3 St INSPECTION RECORD -
INSPECTI N ONLINE FORM: http://www.cl.wheatridge.co.us/forms.aspx?fid-79
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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 trills prUJUUL
Date Inspector Comments
Fo=1P.E.
ions Initials
Pie
Cond (CEG) -
Foundation Letter
T_ n--1 -%1 of Tha Ohnve Inspections
UO NOL I-OUI « r ...... .., , •rr• - - - -
Inspector Comments
Underground/Slab Inspections Date Initials
Electrical
Sewer Service
Plumbing p.-:,.. T„ e.,.,rnval of The Above Inspections
Do Not Cover Underground or Ese,Ownn-Jiaw
r.011 110• w —r • - -
Date
Inspector Comments
Rough Inspections
Initials
Wall Sheathing
Mid -Roof -7
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Date
Inspector
Comments
Final Inspections
Initials
Inspections from these entities should be requested
Landscaping &Parking /Planning Dept.
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
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
contact the Fire Protection District for your project.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
be completed and approved by Planning, Public Works, Fire and Building before a Certificate
NOTE: All items must
_ .—I ..! st- Ci. i Piaif-linn incnartlnn does not constitute authorization of occupancy.
OT Occupancy 1� faoucu.
*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
' City of Wheat Ridge
ti y
Residential Roofing PERMIT - 201702852
PERMIT NO: 201702852 ISSUED: 06/29/2017
JOB ADDRESS: 3200 Jay ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with OSB
ROOF DECKING - 32.36 sq.
I, by my signature, do hereby at
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 nd approved in conjunction with
this permit. I further attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be pertbrmed 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 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 obe ne-half of the original ermit fee.
3. If thisard
requirements, feermit es and proca new edures for app oval of any new puired to be en -nit. . Re -issuance or extension f a new st shall of expired pe perct mits shat the sole discretion of
the Chief Building Offieial 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 grantingof a`' ermit.shall nat<be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any o r ulatio afxthis j4risdiction. Approval of work is subject to field inspection.
Signature of Chie uilding Official Date
KEQUESTS MUST S (MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
x,.
Inspection time req ue"'si°s will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
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
1-1,09 F -
Job Address: 3
Permit Number:
'may— COcc,
❑ No one available for inspection: Time k9/PM
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-5933
Date: )/'L-(-- Inspector :n,:.,Z i (-,v c./
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: V 1 0 /,51
_Inh Adrlracc- Z 6 6 --*-\ a 4
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -i ection qt 303-234-5933
Date:--) " I Inspector:
DO NOT REMOV 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: 40q Ef
Job Address: 32c o 1Lkt4 ST.
Permit Number:.Il%prZ�Z
LlNo one available for insp ction: Time 0' 1 M/ M
Re -Inspection required: Yes No
When corrections have been made, call for re, -inspection ate 30 -234-5933
Date: k2-/)) t
`) f 1 :4- Inspector: %
DO NOT REMOVE THIS NOTICE
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: m i t) / s A e
Job Address: ao d 'S1 S 7
Permit Number: D l Ct S�
P u j re C N\ t S 4' !� �
❑ No one available for inspection: Time 1 °J AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -1 ecfion at 303-234-5933
Date: _ Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702852
PERMIT NO: 201702852 ISSUED: 06/29/2017
JOB ADDRESS: 3200 Jay ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with OSB
ROOF DECKING - 32.36 sq.
*** CONTACTS ***
OWNER (303)591-2856 THOMPSON MARTY L
SUB (303)804-0303 Tom Brown 070055 North West Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,949.07
FEES
Total Valuation 0.00
Use Tax 418.93
Permit Fee 362.80
** TOTAL ** 781.73
*** 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 A,�-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 manufacturera€—s 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&439;s technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
r
Residential Roofing PERMIT - 201702852
PERMIT NO: 201702852 ISSUED: 06/29/2017
JOB ADDRESS: 3200 Jay ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with OSB
ROOF DECKING - 32.36 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 permit. rther attest th m legally authorized to include all entities named within this document as parties to the work to be
perf rmed3 that all wo o pe rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
hature of' OWNER or CONTRACTOR (Circle one) Fate
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.
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.
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.
No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
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�t°•tC"cial � 74 ."'bate
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 10:49 AM
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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 3200 'TA-( GT.
Property Owner Name MARTY THOMPSON
Property Owner Phone 3035912856
Number
Property Owner Email ctmtdt@comcast.net
Address
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
NORTHWEST ROOFING
070055
3038040303
Contractor Email Address Ihammons@northwest-roofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email Ihammons@northwest-roofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
Yes
GAF TIMBERLINE HD / 7/16THS OSB
Asphalt
Field not completed.
How many squares of the 32.36
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No /
Field not completed.
2
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
32.36 J
HOUSE/GARAGE
Project Value (contract 19949.07
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 LEILA HAMMONS
Email not displaying correctly? View it in your browser.
3
GEC6GN12ED ASA
North-West +►
wino
� B813
_7
4444,tRoofing a•
do
BBB Rating: A+
Since 1963 t�
2425 5 Colorado Boulevard, Suite 280 1 Denver, CO 80222 ( (303) 804-0303 ( fax (888) 846-5545
Proposasubmitt to
N r-11
North Wes ofing Estima \or'
Date
5 reet r
ty,, tate,AP f
Job Location/Community
Phone"J Y' t?
InsgceCompany
Policy# P, J-3FAJ6VC 12
Em ii i `
it
Adj r1
1
I
Claim # ) �, •. rt G�
Scope of Work and Materials to be Provided: The scope of work and materials identified [1[,,By— sign iW this agreement the homeowner authorizes North West
below will be completed by North West Roofing. Roofing to represent the homeowner's best interest in pursuit of roof
Tear Off Layers UY l 't
Install Decking (7/16 in. OSB) CHECK DECKING
Install 90 Ib or ice & Water Shield in Valleys
install 2x 4 in. Metal Drip Edge Color',��eq
install new Felt t
0 -15e_ -ver Roof with
�f
fj"' 6
�5�ingle Manufacturer `` •k Colo
Closed Valleys - With Ice and Water Shield Underly
-0
replacement or repair due to storm damage. This contract does not
obligate the homeowner or North West Roofing until the claim is
approved by the Insurance Company and accepted by North West
Roofing. Upon Approval of the claim, North West Roofing will
°mplete specific work at the price agreeable to the Insurance
mpany and to North West Roofing. There is no additional cost to
----- — -"the
(
homeowner except for their deductible. The agreed upon price
Initials
will become the final contract price and North West Roofing will
receive all insurance proceeds and supplements for the work
r
completed b�North West Roofing.
Initials '">
11-C.Vr .
S
Manufacturer's Warranty he Approximate Costs of the Services $ b 1 . lv
r ZitiaFs Shall Be The Agreed Upon Cost Between North West Roofing and Your
Insurance Carrier. Their RCV Cost Plus Supplements.
El Ridges to be color coordinated shingles �CA,
Mr^R2piace -Rubber Pipe Jacks
® Pr aml Roof Sta^ cks To Match Shingle Color ALL j{
Replace - Low Profile Vents _!^ Turbine Vents t
❑ North West Roofing 3 Year Labor Warranty
Metal Step Flashing
Step Flashing Chimney
0 --North West Roofing will Provide General Liability Insurance of at least $1,000,000.00
Clean Up and Haul Off all Trash
U_PKotect and Clean Up Landscaping
Clean around bushes and shrubs
Clean Out Gutters
oil yard with magnetic roller
Permit Furnished by North West Roofing
by signing below, to
Client's Signature
Representative Signature
PUEBLO
(719)633-7773
contract conditions, both front & back of this agreement.
L:;� NOTICE If the Property Owner Plans to use The Proceeds Of a Property
and Causality Insurance Policy, Part 1 of Article 4 of Title 10, C.R.S., in
ccordance to Title 10 C.R.S., section 6-22-105, the roofing contractor
cannot pay wave rebate, promise to pay or waive rebate or any of
insurance deductible applicable to the insurance claim for payment for
tholthcover rty
❑ 2t?
Da Da --
Deposit Amountt
North West Roofing shall hold in rC kost anytp yment frromthe
property owner until materials are delivered or have performed a
majority of the roofing work on the property. *May not include any
additional taxes, base service fees and or supplements that pertain
to the claim.
®/Approximate Dates of Service: 10 DAYS AFTER AGREEMENT
These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other
causes beyond the reasonable control of Contractor.
❑ REFERRALS ipv�kL4
t- i} ,
i
� t
Date of Acceptance
(800) 333-1704
DENVER FORT COLLINS
(303) 804-0303 1 fax (888) 846-5545 (970) 484-9430
� � 4 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: P u
Job Address: 3? �U
Permit Number: -7of ;7 v
41\ly _V
I
❑ No one available for inspection: Time iAIVI/PM
..Re -Inspection required:Ygs No
When corrections have been made, call for re -inspection at 303-234-5933
t i L
Date: c Inspector: f
DO NOT REMOVE THIS NOTICE
M
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: t 14 6
Job Address: :Sc e4 S
Permit Number: aU / D O
""-S
M
❑ No one available for inspection: TimelJ 1 ` (., AM/I IAV
Re -Inspection required: Ye)No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspecto : -
DO NOT REMOVE THIS NOTICE
C ov dkx�li' ct-_
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTI N NOTICE
Inspection Type:
Job Address:
Permit Number: 2020
111lig i gime SLA
-�1�
L
W`'�� w1 w�z:�� it
U No one available for iin pejo ion: Time ' � J� AM M;
Re -Inspection require Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ' �-)el el 7 Inspector: �0(fc� I
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
'41 � ��
INSPECTIgIN T E
Inspection Type: f2 11
Job Address: I ?U()
�n S -
Permit Number: 2
x t.
iJ/1 - i�,_tr -
❑ No one available for inspection: Time Alj/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: { ` Inspector: 1.
DO NOT REMOVE THIS NOTICE
52. ai . /I bib
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234 -5933
Occupancy.
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request 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
Sewer Service (Underground)
Caissons
Water Service (Underground)
Concrete Encased Ground (CEG)
Plumbing (Below/ In -slab)
Date
Footing /Stemwall P.E. Letter
Comments
Heating (Below/ In -slab)
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground /Slab Inspections
Date
Inspector
Initials
Comments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below/ In -slab)
Date
Inspector
Initials
Comments
Heating (Below/ In -slab)
Do Not Cover Underaround or Below /In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Roof Sheathing
Lath /Wall Tie
Rough Electric
Date
Inspector
Initials
Comments
Rough Plumbing
Rough Mechanical
-
Gas Piping
Do Not Proceed Without Approval Of Above Rouah Inspections
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
-
Final Mechanical
Roof
t�
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
i:.
e„
:. ❑ No one available for inspection: Time r� APM
a.
Re- Inspection required: Yes r No
When corrections have been made, call for re-inspection at 303- 234 -5933
4 Date: Af Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
r40 00r-
Residential Roofing PERMIT - 110780
PERMIT NO: 110780 ISSUED: 07/06/2011
JOB ADDRESS: 3200 JAY ST EXPIRES: 07/05/2012
DESCRIPTION: Remove and replace 28 sqs of asphalt shingles
* ** CONTACTS * **
Owner 303/274 -0653 Marty Thompson
gc 303/988 -7663 Aaron Kantor 10 -0167 Summit Restoration Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0465 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Permit Fee 188.45.
Total Valuation .00
Use Tax 162.00 G
** TOTAL ** 350.45 '
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 name within this document as parties to the work to be performed and that all work to be performed is disclosed in
this docume and /or compa g 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 S vices Division.
6. The issuance or g n g a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of a icable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspect
Signature of Chief 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.
w City of
whec�t �ljge Date: 7
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 -237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Adclress_d � C,C� �G�t,, ��
Property Owner (please print): si^ Phone: 3\
�� �
�� 5 3
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contraetor: SC..`1rt.�k -I �2S�Z�f c J t�...)� 35 3-98(
Contractors City License #: ! � D14 f Phone: — �6�
aGtiY:f ♦uYl:.a.tLb:fg
�.,.;..., ,...a,. rwnwuiy.. mcu 1an1cai.
City License # City License # City License #
Contract Value: 9
Review Fee (due at time of submittal):
Squares `J U BTU's Gallons Amps Sq Ft. $
OWNER(CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) CONT or (AUTHORIZED REPRESS ATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: 1 1G�1�(�l SIGNATURE: , w DATE:
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