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Home My WebLink About5905 W. 37th PlaceFrom: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Frohn Submittal: Solar PV Installation Date: Wednesday, July 14, 2021 11:11:37 AM Solar PV Installation This application is exclusively for Solar PV Installations YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes Solar PV Installation? PROPERTY INFORMATION Property Address 5905 West 37th Place, Wheat Ridge, Colorado, 80212 Property Owner Name Justin smith Property Owner Phone 720-299-6094 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email justins@cfmcompany.com Address Attach City of Wheat Wheat Ridae Credit Card Authorization Form.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business ION Developer LLC Name Wheat Ridge 180349 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 801-326-0959 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@ionsolar.com Address Retype Contractor permits@ionsolar.com Email Address DESCRIPTION OF WORK Scope of Work Solar panel installation on existing residential roof. KW 2.59 # of Panels 7 Location of Panels House Roof Structural required Yes Upload engineer letter Smith Residence Wheat Ridge CO (retrofit) Stamoed.odf or pages on 8 1/2" x 11" only Solar Installation Plan Smith, Justin DESIGN 7-10-2021 Stamoed.Ddf Set on 11'x17" only. Project Value (contract 3756 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Emily McKell Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. 1* � � i City of Wheat Ridge �� Residential Solar PERMIT - 202101524 PERMIT NO: 202101524 ISSUED: 07/16/2021 JOB ADDRESS: 5905 W 37th Pl EXPIRES: 07/16/2022 JOB DESCRIPTION: Solar panel installation on existing residential roof. 2.59 KW 7 Panels *** CONTACTS *** OWNER (720) 299-6094 SMITH JUSTIN B SUB (888)781-7074 DAVE RASMUSSEN 180349 ION DEVELOPER LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31756.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications, applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include alI 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 requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/16/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. tAJ,3T�4 PL- D �3,D,? INSPECTION RECORD OccupancyJ INSPECTION ONLINE FORM: hftp:/twww.ci.wheatridge.co.us/inspection pw_r INSPECTION REQUEST LINE: (303) 2345933 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 4 Mid -Roof Concrete Encased Ground (CEG) Sewer Service Lath / Wall Tie Foundation / P.E. Letter ' Plumbing Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector initials Comments Electrical 4 Mid -Roof Sewer Service Lath / Wall Tie Fire Inspection I Fire Protection Dist i Plumbing Rough Plumbing/Gas Line Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials ! Comments Wall Sheathing 4 Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection I Fire Protection Dist i Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation ' Drywall Screw/ Nail Final Inspections Date I sp al or Comments Landscaping & Parking / Planning Dept. ' Inspections from these entities should be requested one week In advance. For landscaping and parking inspections call 303-235-2845. For ROW and drainage inspections call 303-235.2861. For fire inspections contact the Fire Protection District for your project. ROW 8 Drainage / Public Works Dept Floodplain Inspection (if applicable) Fire Inspection I Fire Protection Dist i 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 gf 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 INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following busing day PERMIT: � '(1 ADDRESS: O CJ 30f, JOB CODE: Vf�� Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground d Do Not Cover Underaround or Below / In -Slab Work Prior To Annroval Of The Above InsnPr_tienc Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof d 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Ir PERMIT:i�� D J O ADDRESS: GM5� �, ") / A ft'- JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Ky 11 Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof Ky 11 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. '`For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 *'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and ► 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: E I [J/z,L- 9,00 r Job Address: GAJ I/4 _J_� �Cl-^� R, Permit Number: "ZO 1 0 ?p ,30 ❑ No one available for inspection: Time l2y� AM/�W Re -Inspection required: Yes No When corrections have been made, call f "r� e -inspection at 303 -234 - Date: 2 UI Inspector: gn,- DO NOT REMOVE THIS NOTICE 4, City of Wheat Ridge Residential Roofing PERMIT - 201703330 PERMIT NO: 201703330 ISSUED: 07/06/2017 JOB ADDRESS: 5905 W 37th PL EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install OC DURATION TEAK asphalt shingles with 25.66 sq. *** CONTACTS *** OWNER (720)299-6094 SMITH JUSTIN B SUB (303)237-2632 Ryan Scheeler 150237 AGR Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,579.20 FEES Total Valuation 0.00 Use Tax 138.16 Permit Fee 156.75 ** TOTAL ** 294.91 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703330 PERMIT NO: 201703330 ISSUED: 07/06/2017 JOB ADDRESS: 5905 W 37th PL EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install OC DURATION TEAK asphalt shingles with 25.66 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 pen -nit, I further attest that I am legally authorized to include all entities named within this document as parties to the work to be u perfonned d t . t all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CON 9W—(Cirele one) Date I . This permit was issued based time- nfonnation 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, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall nqt' e BuildingaIj ction Services Division in accordance with established policy of all required inspctions and shall not pryd or concel w . hout written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be c' ed to be a permit for, or an approval of, an violation of any provision of any -,p applica(de or any ordinance or regulation oft risdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date RE.QUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I m' ttion time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us 11Wn 7:30am and 8:00A(,N"b+fl1lfg"of the inspection. Please put the address of the inspection in the subject line. City of Wheat Ridge Residential Roofing PERMIT - 201703338 PERMIT NO: 201703338 ISSUED: 07/06/2017 JOB ADDRESS: 3230 Oak ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF HD Barkwood asphalt shingles with 50 SQ *** CONTACTS *** OWNER (300)666-2574 SMITH KEVIN C SUB (303)237-2632 Ryan Scheeler 150237 AGR Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,200.00 FEES Total Valuation 0.00 Use Tax 2.20 PAID Permit Fee 28383.55 ** TOTAL ** 581.75 *** 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. City of Wheat Ridge JV IMF Residential Roofing PERMIT - 201703338 PERMIT NO: 201703338 ISSUED: 07/06/2017 JOB ADDRESS: 3230 Oak ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF HD Barkwood asphalt shingles with 50 SQ 11 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 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 Knd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACT-Q-R--(_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 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. q, 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 applicab!�, dq or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date 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. Kimberly Cook 0� 0 / V From: no-reply@ci.wheatridge.co.us Sent: Friday, June 23, 2017 12:55 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. 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 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. L 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 3230 Oak St Kevin Smith 3006662574 Field not completed. 3 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 AGR Inc Contractor's License 150237 Number (for the City of Wheat Ridge) Contractor Phone 4062605512 Number Contractor Email Address skylarmunzing@agr-mw.com Retype Contractor Email skylarmunzing@agr-mw.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing GAF HD Barkwood Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 50 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 50 / roofing material for this project z Provide additional detail Residential re -roof per building codes and manufacturer specs. here on the description of 7/12 pitch work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 14200 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 Skylar Munzing Email not displaying correctly? View it in your browser. 3 LThis is a contract between AGR Roofing and Construction, Inc. ("Contractor") and the ^ ` Customer identified above and signing below ("you" or "Customer"). Customer wishes to engage { ' Contractor as a general contractor to perform work on property owned by the Customer, or by a person that Customer represents, as Contractor recommends. Customer will pay Contractor for this work as calculated in this contract. Contractor agrees to communicate with Customer's carrier to detennine the scope and price and then perform labor and furnish materials in accordance with the scope of work approved by the carrier, Customer authorizes Contractor to communicate with the carrier and irrevocably instructs the carrier to cooperate fully with Contractor on this claim. Contractor's obligation to perform labor and furnish materials is contingent upon the carrier approving the recommended services or materials and authorizing sufficient funds. If a deposit is paid, Contractor will hold it in trust until roofing materials have been delivered to the work site or a majority of the scope of roofing work on the property is done. Customer further has reviewed and agrees to be bound by the Terms and Conditions appearing on the second p ge or reverse side of this contract. Customer understands that this is a conte of cstima . f -�1 usto & tgi a v1 Date Customer Signature Date Sub to B : (Business Customers Only) Guaranteed By: �. Safes Represeia 've ( e Signature Date Approved By: ACS, Inc. Date Print Name Title Proudly Insured BY: 1 ',00 (lin Binet. Lake%Nood- Colorado 80214 ( 303) 237 - 2632 • tcwry.a<,,rroolinoandcottsfruction.com COLORADO SERVICE CONTRACT Customer Nante: i,j1 twvc Phone: Fax: Property Address: ��.7Ci ci, _ �— Mailing Address (if different): State: W Zip:e iii E-mail Address: !3mMl,ty JOB NOTES INSURANCE INFORMATION Shingle Manuf: Gm�_ r Style \A\D In ranee Carrier: Phone No: Culgi Int. 1 zZlayE3'f off ers of asphalt ❑ wood shingle 7 ecking is currently to code , D Install felt (❑ 15#0304l Claim No: Z 3�1 S3G 3 Date of Loss (approx): ❑R,e-use edge material ft2'hyst�l1 new pip jacks C INSTRUCTIONS / NOTES ! UPGRADES G} 1Iley(s) I�losed-cut O Open. W-Vallcy Color A-�i Gkttidge(s)to be color -coordinated ❑ Re-uu ventsi( �7 ❑ Re -use exist4ng flashineX :Vf cut starter on eaves .,tail ice and water shield to code 0 Cosmetic course over apron !lashing T •1�1'-�''' ❑ Install 4 nails per shingle ❑ 2 ar ACiR workmanship %tarranp' (-see reverse side) pp nut gutters debris resulting from ahme work K1 -1-111:c B'Magneticc sweep ofdrivewav and yard These notes are for organizational and quality control purposes. --- v \ Llt�u. TIIMATED PRICE: S 11 rt �j or RCV) AND DATE OF SERVICE late- (�tri ?moine i efi This p e is an estimate. The tinaPprice you owe is defined by the Replacement Cost Value (RCV) that is calculated ey by ,your insurance carrier, plus your deductible and any amounts specified in this contract. You will pay this amount in progress installments, which may not be known in advance. Contractor cannot waive your deductible! This date of service is an estimate. It may change based on the actions of your carrier, weather, or other factors. 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: 10 Job Address: _ �� U", Permit Number: 7J-7 u 33 t) ❑ No one available for inspection: Time 2. �) AM/Po Re -Inspection required: Yes fs When corrections have been made, call for re -inspection at 303-234-5933 Date: l �` Inspector: f 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: -Al 10 Job Address: V-, Permit Number:7 u 33 3 r) �. ❑ No one available for inspection: Time AM/PO Re -Inspection required: Yes lvl When corrections have been made, call for re -inspection at 303 -234 - Date: 1_/'14 Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY t; city of Datc Building & Inspection Services Division 7500 W, 29"' Ave., Wheat Ridge, CO 80033 Pieta Review^ Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line, 303-234-5933 Building r i Application VS w ;IM T'1Kcc Property Owner (please prim: l�har�c: Property Owner Mailing Address: (if different than property address) Address: ---------- City, Mate, Zip: • • a Electrical: Wk City License Plurribina: Pharte Complete all information on BOTH sides of this form NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE MMERCIAL ROOFING COMMERCIAL ADDITION ESIDENTIAL ROOFING RESDENTIAL ADDITION --- PWA INDOW 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) Sq. RAF 'T Stu's Gallons Amps ' V1_ 41 City of Wheat Ridge . Residential Plumbing PERMIT - 110728 PERMIT NO: 110728 ISSUED: 06/24/2011 JOB ADDRESS: 5905 W 37TH PL EXPIRES: 06/23/2012 DESCRIPTION: Replace sewer line in yard & ROW 3'x5' * ** CONTACTS * ** owner Owner /Occupant sub 303/994 -3837 Peter L. Dimas 11 -0139 The Pipe MD LLC ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0457 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 600.00 FEES Permit Fee 29.90 Total Valuation .00 Use Tax 10.80 ** TOTAL ** 40.70 Conditions: Subject to field inspections. 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 b author* d by the legal owner of the property and am authorized to obtain this permit and perform the work desc rb a appro r onjunction with this permit. I further attest that I am legally authorized to include all entities nam wi in t oco as parties to the work to be performed and that all work to be performed is disclosed in this doc / its' ac ying approved plans and specifications. 1/ of �ER or �'OffTRACTOR (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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field ixlspej*�n. Signature;grrtWf Building Offical Date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wh eat 'ge D ate : 61d- COMMUNITY DEVELOPMENT. Plan # Building & Inspection Services Division Permit# l �, 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; �� (.t� . 3 7 L Z1 %2 Property Owner (please print) Phone: Mailing Address: (if different than property pro address) Address: / 2 - / 0 rP .nil i?iw 14/4 L1 City, State, Zip: Contractor: Contractors License #: Phone: Puouomraczors;; Electrical: Plumbing: City License # City License # Descrlptloln'of work:'. 1 Mechanical: City License # Contract Value: b00 $ Review Fee (due at time of submittal): - Squares 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. 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