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4465 Zephyr Street
`1 INSPECTION RECORD v ` INSPECTION REQUEST LINE: (303) 234-5933-f ccupanck'Tvpe Electrical (Underground) Inspections will not be performed unless this card is posted on the project site. Call the inspection request line beforc11:59 P.M. receive an inspection the following business day. Inspector MuFi_ ...�Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing/Stemwall P.E. Letter UO Not Pour Voncrprp F+rinr 1 n Onnrnvni ( it 1 ha Ahnvn Incnnnti�r�c Underground/Slab Inspections Date Inspector Comments Initials Electrical (Underground) Sewer Service (Underground) Date Water Service (Underground) Comments Plumbing (Below / In -slab) Heating (Below / In -slab) 0,19110 [s14LOPI La A81 iii Dl if I i[.71 iiTi IFiTA ZT7 re'ITM fiMI F1 MyITm 7 J711' iTi Ak.f'T.TT.TM-1 ffM ad, 'V . . Rough Inspections Date Inspector Comments Initials Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping GA K D16 Fd i[slol:1 s KTJ k 4 ffel I i i_\ i]iTiriVF.1 K91 i1±\ -'TiIV77:riT i'7 MUM . . Rough Framing Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical Roof 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 �5 z�ptiy r Sri INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci-wheatridge-co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 T Occupancy/Type 111specrions 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 followinp, h„mirp.� a.,.. ** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Pier Date Inspector Initials LConcrette Encased Ground (CEG) dation / P.E. Letter Do Not Pour Concrete Prior To Underground/Slab Inspections Date Inspector Electrical Initials Sewer Service Plumbing 60—N t Cover Un Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Roug E ric � --- Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Comments I Of The Above Ins round or Below/In-Slab Work Prior To Date Inspector Initials Landscaping & Parking / Planning Dept. 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 Date 0=1 Inspector Initials Comments Of The Above Ins Comments Comments 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. 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. 9 Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 12--c 1 -7 0 � � IN PEC�I NSPECI'I'•J V�ls ON ONLINE FORM; htt : ON RECORD p.//WWW. CLW L��anancel lation INSPECTION R heatridge.co.us must be submitted via the online form EST LINE: /Inspection (303) 234-5933 Inspections will not be a.m. the day of the inspection "Request an inspection before 1 p 9 for med unless this card is p•m• (midnight) to receive Hosted on the Inspector Must Si an inspection the following Site, Foundation Ins Sign ALL Spaces g business day. Inspections pertinent to this project Pier Date Inspector Initials Foundation / P.E. Le Concrete Encased Ground (CEG) CO►nments tter Do Not Pour Concrete Prior To q Underground/Slab Inspections Electrical Date Inspector Approval Of The Above Ins Sewer Service Initials Inspections Comments �— Plumbing Do Not Cover Under round or Belo Rough Inspections W�In-Slab Work Prior To Wali Sheathing Date Inspector A royal Of T ►nitia►s he Abo Mid -Roof ve Inspections Lath /Wall Tie Comments Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Landscapin Date Inspector g & Parking / Planning Dept. Initials ROW &Drainage /public Comments Floodplain Ins Works Dept. Inspections fro Inspection (if appl;cable) m these entities should Fire Ins one week in advance. For landscaping be re Inspection /Fire Protection Dist. quested inspections call 303-235.2846. For p 9 and Final Electrical inspections303-235-2861.- parking Final Plumbing contact the call 303-2Protection861. ROW and drainage For fire inspections -final Mechanical district for your protect. loof ,nal Window/Doors nal Building ATE. • All items must be Occupancy is issued. Approval p provated and low volts p approved by planning, Pub/ic ppro val of the Final Buildin e Buildin 9e ermits -Please be sure that rough 9 inspection does not conrks and g Division. Bui/ding before a Certificate gh inspections are completed from authorization of occu Occupancy Is Not P m the Fire District and panty, Permitted Until A Ce electrical low voltage Protect This Certificate of Card From The Occupancy Is Issued Weather 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 Job Address: Permit Number: .5 ❑ No one available for inspection: Time /'?:;,62C> _ftPM Re -Inspection required: Yes jVo When corrections have been made, call for re -inspection at 37033--234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge R Resid. Windows/Doors PERMIT - 201706823 PERMIT NO: 201706823 ISSUED: 09/01/2017 JOB ADDRESS: 4465 Zephyr ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Permit to replace (2) window in living room U factor will be .30 or better. *** CONTACTS *** OWNER (303)423-2149 WESTBERG MARK ANDREW SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,133.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 128.79 ** TOTAL ** 178.79 *** 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 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 thisermit. 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. 7 Signature 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 docutnents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off tial 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 inspection. Signature of Chief Building Official Date � " REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSEC,('i'>1C'l�S.�FOt i SS DAY. City of W hEat P,' 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 FOR OFFICE USE ONLY Date: n Plan/Permit # 3 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: 4465 Zephyr St Wheat Ridge 80033 Property Owner (please print): Mark Westberg Phone: 303-423-2149 Property Owner Email: Mailing Address: (if different than property address) less: Com, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: mseiler@renewalcolorado.corn Sub Contractors: Phone: Phone: 303-945-1519 Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION[?� WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps Replacing 2 windows in living room. U factor will be .30 or better. Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) x 6,133 1{ OWNERICONTRACTOR 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 1 have read and agree to abide by all conditions printed on this application and that 1 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 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Matthew Seiler ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS' Reviewer: PUBLIC WORKS COMMENTS: Reviewer: SIGNATURE: {�,i A —___DATE: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ h 3 �3 N M al!}oli aacT OuJa}}Dd 0 z o z uaaJoS N N v m MOH co 0 � K N Q C OO IISDS 3 l9 M O O Z SSD Iq X X U Q w Z �S SSDI� X X X � 0!}Da cV N rn c Q � M aIA}S c '^ m 90 _o m In N My w/w }4 !aH a Q JapJO v a c 4}p!M o JapJO a z W/W SS c r�i M v M N o X D O r O Q v U p p .Pd 4FP!M v x QI 1!DS '� �Ioa4J � al uy II! S }y !aH v u!ua O ' — u14S!x3 0 v O a 4}p!M �* r u!ua x E u!}s!x3 a 6 W9 O O y z z " N w awDJ3 a N N �Z 0 0 v Al #'al N 3 D 0a w o u D c > c J 0 O o x Q 1-41- windows but color changin from wh/wh to tt/tt J -channel / siding wont be here install day i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTIC Inspection Type: Job Address: h �f r Permit Number: PM ❑ No one available for inspection: Time /0/'50,0,4MiPIVI Re -Inspection required: Yes No, ''Whencorrections ave been made, call for re -inspection at 303-234-5933 Date: I / �` In pew" ctor:---- F DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: T A-) (a L_ Job Address: I, S Permit Number: Z o) z;- n Q N� FA .y4L— A Qf 2 C>L4 ❑ No one available for inspection: Timet,)L AIV(P Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: i Inspector. DO NOT REMOVE THIS NOTICE 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: P i ,e R Job Address: ``I 4 L S ? e p k y x S7 Permit Number: a v t 5 a to L-. 3 ❑ No one available for inspection: Time r3 5 AM4M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date 1( .o I 1 -3- 03-234-Date.- Inspector: DO NOT REMOVE THIS NOTICE c% , A 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: 01 f d Job Address: yN &s— 'c'e P 4 yr- S + Permit Number: 2 ©17 0 34' 3 _S 1-1No one available for inspection: Time ID = D6 -M PM Re -Inspection required: Yes (Fro) When corrections have been made, call for re -inspection at 303-234-5933 Date: 4' la 17 Inspector: -7- 1& DO NOT REMOVE THIS NOTICE `A . City of Wheat Ridge Residential Roofing PERMIT - 201703835 PERMIT NO: 201703835 ISSUED: 07/12/2017 JOB ADDRESS: 4465 Zephyr ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning duration storm brownwood asphalt shingles - 25 sq (22 sq pitched / 3 sq flat) *** CONTACTS *** OWNER (303)423-2149 WESTBERG MARK ANDREW SUB (720)452-7663 Steve Voorhoorst 160031 Columbine Roofing & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00 FEES Total Valuation 0.00 Use Tax 134.93 PAID Permit Fee 156.75 * * TOTAL * * 291.68 *** 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 V `r x Residential Roofing PERMIT - 201703835 PERMIT NO: 201703835 ISSUED: 07/12/2017 JOB ADDRESS: 4465 Zephyr ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning duration storm brownwood asphalt shingles - 25 sq (22 sq pitched / 3 sq flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermi I further attest that I am le ally authorized to include all entities named within this document as partes to the work to be performed and that all work. to be per d is disclosed in this document and/or its' accompanying approved plans and specifications. 7—,1-41-17 Signature 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable bode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official ''V Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 70N35_ _1z01 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 29, 2017 2:28 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 _715 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 X AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if c 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 4465 ZEPHYR ST MARK WESTBURG 303-423-2149 MAW ESTBERG@Q.COM 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 COLUMBINE ROOFING & EXTERIORS Contractor's License 160031 Number (for the City of Wheat Ridge) Contractor Phone 720-452-7663 Number Contractor Email Address BERNICE@COLUMBINEROOFING.COM Retype Contractor Email BERNICE@COLUMBINEROOFING.COM Address DESCRIPTION OF WORK Are you re -decking the No /f roof? Description of Roofing OC DURATION STORM BROWNWOOD Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 22 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3 on the flat roof? TOTAL SQUARES of all 25 j. roofing material for this project Provide additional detail HOUSE AND SHED 5:12 PITCH / FLAT ROOF 1:12 PITCH here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract -60M8- value or cost of ALL materials and labor) qZ5 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 BERNICE TRAVERS Email not displaying correctly? View it in your browser. 3 \9878 W. GIRTON DRIVE LAKEWOOD, CO 80227 -�' ROOFING CONTRACT MAIN #: 720-452-7663 Exna azacrzS :>0 FAX FAX#: 720-573-3980 support@columbineroofing.com Customer Name:. ='t rj 1 - A14k1--- - /)/;r - .Hm4: Project Address:. 5i %�'f { i ,�', i -&eel . Ci /State/Zi �' ty p:. /� �-��.4i 1��=�, Com...% .• C o Email: Mailing Address: (if different from project address) Address: / City/State/Zip: Insurance Company: Claim #: Insurance Adjuster: Insurance Agent: Insurance Email: By Law, homeowner is required to pay Insurance phone #: At insurance deductible Contract Terms: 'eash-*TPagr»eat-dire-'UPO co�etro-h-o"-ash-bidsj V Insurance Claim Project Specifications: �7 Manufacturer:�il��%� Type of Shingle: !/��ttAC241 �Jl��✓t�/1 Color: "Protect Landscaping, clean project site with magnetic sweeper Replace damaged decking areas at S 6 per sh Redeck: Ye&-47'i6"� t Install drip edge: _ 2x2 eaves -2x4 eaves Color: _ eI11i7c Install synthetic underlayment ;-/*`Install Ice & Water Shield: �av_ ,/will ys/Chimneys/Skylights Paint Whole House Exterior Color: Valleys:o>S /Open Color Install Flashing: Sidewall cgh Chimney Size: Small Medium Large _ -"Current Ventilation Ridge Vent: LF Swamp Cooler: Yes v,l Satelite: Remove: Detach &�,, L Elevations: LF / RF/ Rear / Front / Upper / Lower - Paint Mfr: Trim Color: Windows (R&R) # of units: i Re -Glazing #: / Accent Color: Glazing Bead # of units : Siding: Type Elevations: LF / RF/ Rear / Front / Upper / Lower Hvac # of units: Skylights: R & R # of units: ****Trades that require supplements: Roof / Gutters / Paint / Skylights / Hvac / Windows / Siding Other: Contractor retains all supplemental and O & P costs on trades completed Insurance Claim Estimate: $ -" , 0 ' NOTES: j/ Cash Claim Estimated: $ Permit Estimate: $ ti fC .7717,77.7 C''1,4jf;, 4- Upgrade.E�e' $ Estimated Final Contract Price: .$ ff Deck Color: FIRST CHECK IS DUE WHEN MATERIALS ARE DELIVERED �'' ��"� ✓���� % 7 ALL MONIES DUE 30 DAYS Customer Signature Date AFTER FINAL INVOICE IS SENT If this is an Insurance Claim: By signing, you have agreed to give your Insurance FINAL PAYMENT IS NOT CONTINGENT UPON Carrier & Mortgage Company authorization to communicate with Columbine Roofing FINAL CITY/COUNTY INSPECTION & Exteriors. Cutomer(s) agreed that they have read, understand and agree to all the , TERMS & CONDITIONS on both the front and back of this agreem 6 �1 Initials: Date: Columbine Roofing & Exteriors Signature: 'H' -- -�_ Fax#: 720-573-3980 Email: Project Mgr Phone: 5��f.`�c/<LE����C�u/Yl�ivf ,�rL}rt✓t%i,�;,�f 441* PREMIER ROOFING COMPANY To Whom It May Concern: Premier Roofing Company LLC 2570 W. 8th Ave Denver, CO 80204 Main: (303) 233-7663 Fax (303) 292-3387 www.premier-roofing.com Please include the following as Person(s) able to pull permits on behalf of Premier Roofing Company from the Wheat Ridge Building Department. Name: Luke Mickelson Phone Number: 303-233-7663 Signature: Name: Alison McCoy Phone Numbe : 3p3-952-6873 Signatur �"(/ Name: Michael Rall Phone Number: 303-587-2248 Signature:M1l Name: Tyrell Chostner Phone Number: 303-718- 125 Signature: Name: Joey Stephens 303 Phone Number: X718-8246 Signature: Regards, 01')V'1- Name: Tristan Bruns Phone Number: 303-952-6873 it NI City of _j,dge COMMUNiTy DEVELOPMENT City of Wheat ridge Municipal Building 7500 W.29'x' Ave, Wheat Ridge, CO 0033-8001 t': 303.235. 855 F: 3133.237,8929 OfficialPermits 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 may be granted at the discretion of the Chief Building and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this fortit in its entirety and submit to the Building Division at pLen,'nits d,�ciwheatrid or fax to 303-237-8929. Party requesting permit extension: 41n V" 1 601( Permit # d �°` Property Address: q- '- A ft.,,r, vr Phone # � . � i ', Entail Address: Reason for extension request: P r to i' l ' '-t 114,1 'tee Iwlz 14w Number of days requested: Printed Name: M te, t -/ F-` (1, Signature: Date:—(d . : arcs free use only . ,' J) 1(. , ... ..,. This request has b' een: Approv d ' Denied Extended until: t^ ` , :.; Approved by:: Date:�t www,ei,wheatridge.co.us City ol"Wheat Ridge Municipal Building 7500 W. 29"' Ave. Wheat Ridge, CO 80031-8001 P: 303.2352855 F: 303.2378929 * I I I I 1 0 1 4 1 A Pennits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original pen -nit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at peniiit,,,I&ci.Nviieatri,dL,c.co.us or tax to 303-237-8929. Party requesting pen -nit extension:— '0"A4V_k Permit # 2_01S"'o04tjr Property Address: Z4F1WX- fTXrr-I_ Pbone# 301-2-41-(L-41 mail Address: o-,qwfJ4'kr�-" C Reason for extension request: f rtr _Tn.)�_(�() ", �r4r Number of days requested:, C M 0 N'TY f Printed Name:_/!!A±K Signature:_--�'�_ Date: For office use only This request has been: I= www.d.wheatridge.coms En Extended until: e(' 1�� jFrom: Sent: To: 121H= CenturyLink Customer <mawestberg @q.com> Monday, July 13, 2015 10:11 PM Melissa Mackey Permit # 20121206 We save recently finished drywalling our garage. Please reactivate pe it # 20121206 so that we can request our drywall screw/nail inspection, Our last inspection on November 8, 2013 was the insulation inspection, which passed. �ji 0 Property Address* J'TrPrT Complete all information ran BOTH sides of this for Dear Mr.'Westberg: On January 28, 2015,1 received an email message from you requesting the w-talysis oft interaction between a fence and a retaining wall located at the address referenced above, 'rhis analysis was requested to ensure the fence did not impose a load to the retaining wall which would cause the wall to fail. You provided a sketch showing the fence and the retaining wall, 'I'liefience posts were 4 x 4 lumber and were embedded 42-inches in an 8-inch diameter concrete pier. 'The, post they extended 20-inches to the top of the 20-inch tall retaining wall. The top 6-feet of the fence was exposed to the wind. Based on the analysis of thefience it would need support from the retaining wall. The retaining wall was built with Pavestone Diamond Block, which did not appear to be adequate to support the fence load. To ensure the fence is self supporting a new posts set back approximately 2-feet from the existing posts should be installed. These posts should set in 18-inch diameter concrete piers that should extend 4-feet down from the top of the retaining wall. The piers should be reinforced with (6)-# 13 vertical rebar encased \Nith # 10 ties at 12" o.c. All reinforcing bars should have a minimum of 3-inches of concrete. coverage. The existing posts should then be tied back to the new posts with 2 x 6 ties on both, sides of the posts. 'rhese 2 x 6 ties should be attached with (2)-1, diameter carriage bolts at both ends. You provided a sketch of these members, " is included as part of this report. Please feel free to contact me if you have any questions or concerns. Sincerely yours, Robeit L Malouff, P.E. 8 2,5 N APPROVED SUNWID FW InspeOU W'hW Rifte BUM% DW Citv o wh,6,atj� - Ig FOR OFFICE USE ONLY P14 x`7 f PT psg... � m Sub Contra viR RED i u .sus W.N . CO Li cense ti Dees W. R, City License M 1 X11 f f f n, orm 161,AhL wod Suvi kfMO'V 16"'0409 ANP f-fftAef V!Tk 60"*Si WiJ P - 9 F 4 9 VV � CALL fe 14 J V 2 - Z ) F 6 it #fAAf , stu's "forts 04her Amps Squares Pngeclt Vakmt: (Contract value or the cost of almaterials and to included in the Saft project) I � I OWNERWONTRACTOR SIGNATURE OF UNDERSTANDMG AND AGREEMENT I ha-.+y =64 that the setback d6tances, PropmW by this permit application are wcw*e and do not violate applicablecwdinances, rules ear regulations of the City of Wheat RWge or covenanK casernents, or restrictions of record, that all measurements shomm and allegations akide arr am that I have read and agree to abide, by all conditions printed ort this application and that I assume fbil mroftsibifity for Compliance with applicable City of Wheat Ridge oodes and ordinanm for wmk- untler any pennit issued bastj oll this dial I wa .tae iqgal or have been authorized by the legal owner of the property to perfom the descritxd Near k and am aiso authorizcd b) the lcgai ovvner (it as entity included on this application to list that entity on this application. OW~ (CONTRACTOR) ff (A"HORMIDREMIM19MUM of MOMP XMVMCTOR) MM NAME: OATZ: 9 RM ..... .. ...... . 93 installation Manuals are available online, visit www.pacificenergy.net STRAIGHT CORNER ALCOVE SINGLE WALL CONNECTOR Pipe shield may be required — consult local codes ftaigilt Installation Comer Alm" Installation Installation M L ODE, A 4 E F VISTA / VISTA CLASSIC W is 14 1 20 sm' 26 1 22 ws' SWER 271 SPECTRUM 56 12 '10' 22,* W, SUMMIT SUMMIT / SUMMIT CLASSIC 54- W 17 try" 2 z 6 zWAA4' FUSION 50 In 13 ta ' r 19" 22 t 5 Sli STEP TOP 52 vP ' 113 W t$" 2r RM ..... .. ...... . 93 installation Manuals are available online, visit www.pacificenergy.net City of a t V T h6 (Age -d �CCOMAAMUMTY EiEvuopm��E�,NT NOOOWAOMW ZiErWi Jj (please print): WM= (Fully describe work to be performed - Attach additional sheet If necessary) r t W1 S 0 C t XA ff A 1 4 6 k t- 4 IR eA� 1 4 /V *rt 0 W1 t A J We cT CCV)� Cjq(, hr� 0VF-P- U Vkc, 4PP j A6 t,(tA-V V- iu' Squares BTU's _ Gallons _ Amps Sq Ft. Review Fee (due at time of submittal): s EMMMJE 4�DEO (COATRACTOR) gr (AUTHORIZED REPRESENTATIVE) of QjE�0 (CONTRACT01 MW "Jollpet — MNATME: OATE: i 0 - - 1 - 4 Bldg Valuation: City License # City License # City License # r 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 Permit Number f ICS 5 �' end 4 Occupancy /Type •-0 INSPECTION REQUEST LINE: (303) 234 -5933 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 ls Comments Initia Monolithic Slab Reinforcement - Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date 11 In(tials ( 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 uJ.OPV.un Comments Wall Sheathinc Roof Sheathin( Lath / Wall Tie Rouah Electric Mechanical Gas Do Not Proceed Without Aonroval Of Ahove Rnnnh Incner +inns Rough Framing _ Insulation Drywall Screw / Nail Final Inspections Date .Inspector Comments omments Final Electrical Final Plumbing Minn W Final Mechanical Roof 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 Inspection Type PLA3 - AgMIPS Job Address VA Permit Number 1111 IOFICE When corrections have been made, call for re-! r Date: Inspector: DO NOT REMOVE THIS " V, City of Wheat Ridge - Homeowner Plumbing PERMIT - 111141 PERMIT NO: 111141 ISSUED: 09/26/2011 JOB ADDRESS: 4465 ZEPHYR ST EXPIRES: 09/25/2012 DESCRIPTION: Repair and replace laundry standpipe & associated piping * ** CONTACTS * ** Owner 303/423 -2144 Mark Westberg ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0311 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 200.00 FEES Permit Fee 26.50 Total Valuation .00 Use Tax 3.60. Ma ** TOTAL ** 30.10 Conditions: Must comply w/ 2006 IRC & 2005 NEC. 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 field inspection. _ A Signature of Chief Building Date INSPECTION REQUEST DINE: (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 W hcat fk ' COM MUNITY 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 Building Permit Application Property Address:: q 46J" S EPpv�2 Property Owner (please print): :1q e k w6, ererg p c Phone: 30,3 -- Mailing Address: (if different than property address) Address: City, State, Zip: ♦� 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 VA :5 ZRAII'M 5 Permit Number 116re V 7 et w52f?Sr;��si ur 7 r?�as 7- rV TICE TICE INSPECTION NOTICE Inspection Type AwC Job Address 2gA# -c✓2 ss Permit Number llz?&�9�7 ®oFS= rasxs �3 :c��rsao p l� .us2 azs ae✓X7 I aw ble for inspection: Time ; _ a CM)PM V��5 'ZDQ Se�r� "PECTI0N RECORD Occuoancv /Type INSPECTION REQUEST LINE: (303) 234 -5933 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 Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concr Underground /Slab Inspections Date Electrical (Underground) Sewer Service (Underground) Water Service (Undernm, ,nrn Numbing (Below / In- slab) Heating (Below/ In -slab) Do Not Cover Under round or Belo Rough Inspections Date Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Rough Mechanical Gas Piping Do Not Pro Insulation Drywall Screw / Nail Final Inspections Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame/ Prior To Ap rival Of The Above Inspections T: Inspector Initials Comments To Approval Of The Above Comments out Approval Ini ials / i Comments Landscaping & fj'arking / Planning Dept. Inspections from these entities should be requested ROW & Drainage / Public Works Dept. one week in advance. For :. landscaping andp ing inspections call 303 - 235 -2846, For ROW and drainage Fire Inspection / Fire Protection Dist. inspections call 3 03 - 235 -2861. For fire inspections contact the Fire Protection District for your project. *'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 authodzation'oficcupancy. Occupancy Is Not Permitted Until A Certificate of Occupancy is Issued Protect This Card From The Weather I CITY OF WHE Building Inspeci (303) 234 -5933 In P (303) 235 -2855 Office: * Inspection Type Job Address Permit Number //,0 c� a 77 f a" ! s ❑ No one available for insoection: Tirne AM /PM CITY OF WHEAT RIDGE t Building Inspection Division (303) 234 -5933 Inspection line k (303) 235 -2855 Office ` (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type ce e Job Address Permit Number %r'Z> ; t t l = ❑ No one available for inspection: Time ": , AM/ Re- Inspection required: es No *When corrections have been made, call for re- inspection at 303- 234 -5933 Date: 0'/ Y f� f Inspector: f `' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Electric PERMIT - 110716 PERMIT NO: 110716 ISSUED: 06/22/2011 JOB ADDRESS: 4465 ZEPHYR ST EXPIRES: 06/21/2012 DESCRIPTION: 200 amp service change * ** CONTACTS * ** owner 303/781 -1901 Kenny Paa sub 303/733 -3819 Harold Plude 01 -8191 Southwest Electric ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0311 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Permit Fee 93.35 Total Valuation .00 Use Tax 40.50 ** TOTAL ** 133.85 Conditions: Must comply w/ 2006 IRC & 2005 NEC. 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 is document as p ties to the work to be performed and that all work to be performed is disclosed in this document . f - uatl r its' accompanying rovoplans and specifications. Signature of J Jft7X or VNTR;CTOR (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 field inspectio Q 1V Signature of ilding Offical Date INSPECT 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. 4 City of yw 7 hec�t �e 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 Buildin PropertyAddressr C. " Property Owner (please print) Mailing Address: (if different than property adc Address: City, State, Zip: / C �� Contractors City License #: � Phone: l Sv_b Contractors: Electrical: Plumbing: Mechanical: City License # Contract ValuA: „ n City License # City License # bescrip><ton,`of workv 2�o�r r Review Fee (due at time of submittal): t Squares BTU's Gallons Amps Sq Ft. OWNE CONTRACTOR NATURE OF UNDERSTANDING AND AGREEMENT 1 hereby ce I a e setback distances proposed by this permit application are accurate and do not violate applicable ordinances rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that .I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE.' (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENT IVE) of (OWVR) (CONTRACTOR) PRINT NAME: ' 1 % / J 1/ JVF — SIGNATURE: DATE: r �' DEPARTINEN USE ONLY �� , c L ZONING COMMENTS ✓f P t s' ✓ y .r 6 " 2 a !'r..G.� / ,,2,�V '; . ary G rg r �� / /r� � rd Q �' 'h '� > '"N / ,✓/• "' ✓ r'F .✓� a .' ��" ? %J. � .,,n . � i w''y. u�',� y ;. g g, /: y �Ottlflg /✓ r / i r 7 /�/ � ✓' � ✓ ice" ✓ % �.� G/ /' +.: ,,zc' r / l�� � �., ,?: I � � . ?✓ `� / 9/ : �, ,?+ ) 0 n. '✓ 8 } Sq fir) I Y �i 1✓ i" a `i r���''t ' � Ju�i . - BUILDING DEP -ART ENT 60MMENTS ^" �"'`✓ ✓ r ✓ ''�"' / � �"`'�''/°.�'�'�"�"��� G `� `� ^"✓,aa �'7�� �'� ' � , s R0VI0Wef a / f >r`Tr �� � � ✓, 5� ��t �s ✓" U ✓S� ✓ �����>t�;, a „u� �r...A�. _. >,a Yr. ✓: �� ,. of , s r. vae ^ �> . w�9 ii,t a/ c . r, o n ��e.,1 . , a Date: Plan # Permit # 1 1 FIRE AEPARTM�T. ❑ approved,y✓f eomp7enffi ❑disapproved ❑ rio review iegLired ” Bldg Valuation: �•" ' City of Wheat Ridge 1 Residential Roofing PERMIT - 110697 PERMIT NO: 110697 ISSUED: 06/17/2011 JOB ADDRESS: 4465 ZEPHYR ST EXPIRES: 06/16/2012 DESCRIPTION: Remove roof /Reinstall GAF lifetime shingle, 24 squares * ** CONTACTS * ** owner 303/956 -6962 Wilson Landmark gc 303/233 -0171 Jim Delano 10 -0214 J.D. Enterprises LTD dba Rocky ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0311 BLOCK /LOT#(: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Permit Fee 172.60 ., Total Valuation .00- - Use Tax 144.00 (' ** TOTAL ** 316.60 ,,..��(�� `FJT 7 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 dccur ' aaCQMp.ny approved plans and specifications. I 1 /— OWNER or CONTRACTOR (Circle one) Date 1. 2. 3. 4. 5. 6. 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 change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspections �, /,�/ Signature of Chief 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 Wheatljdge 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 Building Permit Application Date: 6 07111 Plan # Permit # © 6 9 7 PiiopertyAddess f Z r j� Property Owner (please print): 1 1 5 b - - Phone:3V3 Mailing Address: (lf different than property address) Address: el t1�5- City, State, Zip: Contractor:, ,kc , So Contractors City License #: f 2 Phone: —2,b3 - 2 33- - x, ) Sttb�CotAtracfors'i Electrical: Plumbing: Mechanical: City License # City License # City License # Descrtuttotl of work: 2 2�—A0V AX'S � Contract Value: Review Fee (due at time of submittal): Squares � — 7 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, Hiles 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 my permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR) or (AOTHORIZEDREPRESENTATD'E) o (OWNER) (CONTRACTOR) —7. PRINT NAME: G �'C `�Y�t IGNATIJY, DATE: ` ^' Bldg Valuation: