HomeMy WebLinkAbout6915 W. 36th AvenueI* � I i CITY OF WHEAT RIDGE
r Building Inspection Division
/ (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ��� �� S
Job Address: `/j -S w 2 Ay--e,
Permit Number: _ e7
r
❑ No one available for inspectio gime �. � � 7pM
Re -Inspection required: es N
When corrections have been made, schedule for re -inspection online at.
h ttp✓/www. ci. wheaatridge. co. usrnspection
Date: /2'42W -Inspector: 1
I
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: R f-" S "', a �,.-i
Job Address: �262/,� 66/
Permit Number: ?_ 0--7
❑ No one available for inspection: Time �M
Re -Inspection required: Yes /No
kl�.
When corrections have been made, schedule for re -inspection online at:
httpJ/www. ci. wheatridge. co. uslinspection
Date:– Inspector:
Inspector:
DO NOT REMOVE THIS NOTICE
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 business day
PERMIT: ADDRESS: �� (] ,�(Pql) JOB CODE:
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
-� -
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
-� -
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
PERMIT:Aola'5�'qADDRESS: l X' � �'; �'� • ��&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
-
-Tp
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
-
-Tp
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
Electrical low voltage by the Building Division.
1* � 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: 1-I ° q
Job Address: q t s w 31,}
Permit Number: 20 S o o s 3 LI
❑ No one available for inspection: Time /V :32, _QPM
Re -Inspection required: Yes CNo)
When corrections have been made, call for re -inspection at 303 -234 -
Date: ---.s Inspector: _�_L'S
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
®rlF,
Residential Roofing PERMIT - 201800534
PERMIT NO:
201800534
ISSUED: 02/27/2018
JOB ADDRESS:
6915 W 36th AVE
EXPIRES: 02/27/2019
JOB DESCRIPTION:
Reroof with asphalt shingles,
30 squares, 7/12 pitch
*** CONTACTS ***
OWNER (303)968-9842 THOMAS KATHLEEN A
SUB (720)745-3417 Andrew Goslovich
150067 Integrity Building Solutions
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY
*** ESTIMATED
PROJECT VALUATION: 10,000.00
FEES
Total Valuation
0.00
Use Tax
210.00
Permit Fee
204.30
** TOTAL **
414.30
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201800534
PERMIT NO: 201800534 ISSUED: 02/27/2018
JOB ADDRESS: 6915 W 36th AVE EXPIRES: 02/27/2019
JOB DESCRIPTION: Reroof with asphalt shingles, 30 squares, 7/12 pitch
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
thispermit. 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 wo to be perfbr sclosed in this document and/or its' accompanying approved plans and specifications.
Signature OWNER or ONTRACTOR (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.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
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, an violation of any provision of any
applicable code or any ordinance or requ#ation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official I Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no -reply@ ci.wheatridge.co.us
Sent: Tuesday, February 27, 2018 9:02 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if /
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application fora Yes � +9 e v n
residential roof? (
�J
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
6915 W 36th Ave Wheat Ridge CO 80033
Kathleen Thomas
3039689842 q�3
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Contract.pnq
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Integrity Building Solutions
150067
303-968-9842
Contractor Address 6041 Demott Ave
(Primary address of your
business)
Contractor Email Address request.info@ibsdenver.com
Retype Contractor Email request.info@ibsdenver.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
30
10000
No
Pitched roof (2:12 pitch or greater)
z
What is the specific pitch 7:12
of the PITCHED roof?
How many squares are 30
part of the PITCHED
roof?
Describe the roofing Asphalt on/off
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional House
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
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
3
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Andrew Goslovich
Email not displaying correctly? View it in your browser.
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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: _311 0 G - t) ) " j
Job Address: 4,5)57 uy 3 (, --L-4 A
Permit Number: 'J C I g o 0 -,,� C4
❑ No one available for inspection: Time 110 = Ll(, AM PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: 3 i-:) ))g Inspector: --T-N
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 201703830
PERMIT NO:
201703830
ISSUED:
07/12/2017
JOB ADDRESS:
6915 W 36th AVE
EXPIRES:
07/12/2018
JOB DESCRIPTION:
Residential Re -roof
to install
Owens Corning asphalt
shingles with 25 sq.
*** CONTACTS ***
OWNER (303)371-7663
GIORDANO JOE
SUB (303)371-7663
Chris Garland
120228 Safe House
Exteriors
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS,
COULEHAN GRANGE,
WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 6,425.00
FEES
Total Valuation
0.00
- - -__-
Use Tax
134.93
Permit Fee
156.75
„J
** 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
Residential Roofing PERMIT - 201703830
PERMIT NO: 201703830 ISSUED: 07/12/2017
JOB ADDRESS: 6915 W 36th AVE EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning asphalt shingles with 25 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. 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 hat all wo to be performed is isclosed in this document and/or its' accompanying approved plans and specifications.
Signatur f R or CON CTOR (Circle one) Date
1. Thi rtnit was issued based on the information provided in the permit application and accompanying plans and specifications and is
s elect 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
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, an violation of any provision of any
applica eeeorr''any��,,,,ordiinna"n'c°ee or regulation of this jurisdiction. Approval of work is subject to field inspection.
J'�- A ��,
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
J-6 l -7 0 3 a'W
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 29, 2017 10:06 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 and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time -you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof? W/c wmve'r-
How many dwelling units Single Family Home ���c,Q, 7 f t 2 f
are on the property? 11
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
6915 West 35th Ave
Joe Giordano
3033717663
Field not completed.
•
o". • .0 3
c/>
�•
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
Safe House Exteriors
Contractor's License
120228
Number (for the City of
Wheat Ridge)
Contractor Phone
3033717663
Number
Contractor Email Address
jenny@safehouseexteriors.com
Retype Contractor Email
jenny@safehouseexteriors.com
Address
DESCRIPTION OF WORK
/
Are you re-decking the
No
roof?
Description of Roofing
Owens Corning
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
25
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?
1/
TOTAL SQUARES of all
25
roofing material for this
project
Provide additional detail
Re roof 5/12 pitch
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -62STUU-- 6 4 D �—
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 Chris Garland
Email not displaying correctly? View it in your browser.
3
L A -
SAFE HOUSE
EXTERIORS
ROOFING < SIDING - GUTTERS
10 S. Havana St. Suite 103
Aurora, CO 80012
Phone: 303 -371 -ROOF (7663)
INSURANCE INFORMATION
Property Owner is X /is not intending to make payment from the
proceeds of a property and casualty insurance policy.
Project Manager:
Jbf/J!� CFrFOZ
Insurance Company:
q LL
Policy Number:
000 9 C., y? 7 3 11-13
Claim Number:
O `a �(y 9 J j 9
Adjuster Name and Phone:
Date and Time:
www.SafeHouseExteriors.com
Licensed & Insured
INDEPENDENT CONTRACTOR AGREEMENT
CUSTOMER INFORMATION
Name(s): .JOE L�/0/ZOgtvv
Pho
_503 "b`b-Z rvpy�
Address:
5' 1-14 rG) V
Alt Phone:
City: State: ZIP:
wHE0q /9!fe7L,C- c o `60033
Birth Date
Email:
Jof G ��� i�C A/o�~�-,��Z
Compensation/Price: Independent Contractor estimates the cost of the Work to be $ Z k (the "Price"). Upon
approval from Customer's insurance company, the"Price Agreeable"with Independent Contractor and the insurance company
shall become the Price of this Agreement and shall replace the estimate of Price immediately above. Customer shall make a
down -payment of $ i° l upon Customer's insurance company approving this Agreement.
Duties and Responsibilities of Independent Contractor: Independent Contractor shall install a new roof on
the Property repair the roof on the Property (check one), according to the specifications below.
Manufacturer/Style of Shingle: 6 i2 o INN W ®Z7T�
9 G Color of Shingle: Valley: Vents:
Permit: L ` Tear Off: i,� Layers: j Replace All Boot Jacks: Drip Edge Color: i' � 1/ C
Special Instructions/Upgrades. EX . LU t A/ Q U w S D tv N'`S /2 p c. —,—!s
Cost of Upgrades: $ r!>O NDeductible: $L -I*
Initials:
Customer is responsible for payment of the cost of any and all upgrades regardless—bf whether or not Customer's insurance
company is paying for such upgrade costs.
Customer has read and agrees to be bound by the Terms and Conditions set forth below.
Independent Contractor shall hold in trust any payment received from Customer until Independent Contractor has
delivered roofing materials at the site or has performed a majority of the roofing Work on Customer's property.
Independent Contractor estimates that this Work will commence on
and will last approximately days ("Contract Term").
("Substantial Commencement")
Customer hereby authorizes and instructs the insurance company and all lien holders to communic %Yiths'lndependent
Contractor and include the name Safe House Exteriors, LLC as a co -payee on all checks issued rel .10, e loss. Any contact
with the insurer or any scheduled inspections shall be made through Independent Contractor. (Customer Initials)
Customer hereby authorizes and instructs any legal representative and/gp-a'gent of Independe ' ontractor to obtain any and
all information necessary to negotiate the settlement of my >��lafm as well as any inform on necessary to complete the
funding pie relative to the claim number listed above, (Customer Initials)
C� zc. 1�
orN r Date S feH use Exteriors, LLC Date
INSPECTION RECORD Occupancyffype
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
; SP
Sheathing
o!
FC TO R
N MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS -
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Mid -Roof
Stemwall / (EEG) Concrete
Encased Ground
Electrical Service
sJ -_
Reinforcing or Monolithic
Rough Electric
Weatherproof/ French Drain
Rough Plumbing
Sewer Service Lines
Gas Piping
Water Service Lines
Rough Mechanical
CONCRETE SLAB FLOOR
Electrical
Heating (Underground)
YUUR NQ UONCRETE
ROUGHS
Sheathing
o!
Lath / Wall tie
Mid -Roof
Electrical Service
sJ -_
Rough Electric
Rough Plumbing
Gas Piping
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Rough Mechanical
'NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
n�
Framing
Insulation
Drywall Screw
FINALS -
Electrical
Plumbing
Mechanical
Roof
sJ -_
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
'NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
i
> . CITY OF WHEAT RIDGE
mfr Building Inspection Division
l (303) 234 -5933 Inspection line
(303) 235 -2855 Office;' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type -a«-G
Job, Address gcr5
Permit Number
Mail
F -Nn nna nwAnhle fnr incnartinn• -Time 0 AKA+/Pnn ,
Date: Inspector: e
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
Residential Roofing PERMIT - 110141
PERMIT NO: 110141 ISSUED: 02/14/2011
JOB ADDRESS: 6915 W 36TH AVE EXPIRES: 02/14/2012
DESCRIPTION: Reroof 29 sqs with 35 yr dimensional and redeck 5 sqs
* ** CONTACTS * **
owner 303/503 -1647 Garrett Thomas
sub 303/431 -1051 Ross J. Campbell 09 -0227 R.J. Campbell Construction
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0801 BLOCK /LOT #: 0/ _
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 16,000.00
FEES
Permit Fee 299.40 '
Total Valuation .00 h C�
Use Tax 288.00 / ✓(
** TOTAL ** 587.40 a
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.
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 docum�eni— ynd /or its- ,accompanying approved plans and specifications.
Signature -o OWNER o 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 160 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. I£ 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 achange 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 o£, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fiel in tion.
Sign e o hief Building Offical Date
INS CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
t ifiic�ing �? inspection services Division
7500 W. 29 Ave., Wheat Ridge, CO 8003:1
Office: 303 -235 -2855 � Fax: 303 - 237 -8929
inspection Line: 303 - 234 -5933
Building ftrrodt f- ppliCaticM
Pr operty ,
Property Owner (please print) _.— _Phone 30�- bti3_ -/ ej
Rrlaiiing Address: (if different than property address)
Address:
City, State, Zip:
Corot rattiot:
Contractors City License D zZ� _ 4- — -- Phone Zp / "0 q0 Z
SUh 7ontraer�:
Electrical: Plumbing: Mechanical:
City License # City License # City License #
i��s vrit� c icart `rs� sw +rsr<,
Contract ne Val
j S '�C J " �L� U 1l1l w�StLIY '.
$ 1� doo 0 97
P A Ia S - ✓!�) - `Review Fee (due at time of submittal):._
Squa 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. -
CIRCLE ONE:. (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME ` qn O�� /. SIGN TORE: d" OATEN "?/
Bldg Valuation: $_ _._ _