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HomeMy WebLinkAbout4445 Teller StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement Date: Monday, February 14, 2022 3:29:02 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Water Heater Replacement This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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. Do Not use this form if the Water Heater is changing locations or if this is a conversion to a Tankless Water Heater. Please use the General Permit Application for a more comprehensive review. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address 4445 Teller Street Wheat Ridge, CO 80033 Property Owner Name Nicole Allison Property Owner Phone 720-626-9794 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email nikki8470@yahoo.com Address (Leave blank if not known) Attach City of Wheat Wheat Ridge Payment Form 2022 ndf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Blue Sky Plumbing & Heating Name Contractor's License 017835 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-407-7967 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email randyp@blueskyplumbing.com Address Retype Contractor randyp@blueskyplumbing.com Email Address DESCRIPTION OF WORK Number of gallons 40 Is the water heater GAS GAS or ELECTRIC? If GAS, enter # of 40,000 BTUs. If electric, enter n/a Where is the water basement /crawlspace heater located (for example, basement, crawlspace, etc)? Project Value (contract 3164.00 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. 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. Person Applying for Randy Palato Pe rm it Email not displaying correctly? View it in your browser. 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE (y) Inspection Type: q Job Address: ('t Permit Number: J No one available for inspection: Time AM/PM 4. Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http:IA,vww.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 0")t-. Job Address: L `- S 11 t fi Permit Number: �)Ja V () I � q S- 1/!r(�uvs 4,0 k�pt �J1U I ie ❑ No one available for inspection: Time Ol L/'f AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us4nspection Date: (., _ -) °' C. Inspector: DO NOT REMOVE THIS NOTICE s_ CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ►"�` 'F� Job Address: j c,, f y�� HOC/ e/ Permit Number: JaJ `> s� k t� 1 ©fit ❑ No one available for inspection: Time AM/PM Re -Inspection required: Y9 No When corrections have been made, schedule for re -inspection online at: httpAvww.ci. wheatridge. co. usVinspection Date: i - H - '04' Inspector: DO NOT REMOVE THIS NOTICE ► # City of Wheat Ridge Residential Mechanical PERMIT - 202001545 PERMIT NO: 202001545 ISSUED: 08/10/2020 JOB ADDRESS: 4445 Teller St EXPIRES: 08/10/2021 JOB DESCRIPTION: Install two new ducted heat pumps on the existing condensing unit in crawlspace *** CONTACTS *** OWNER (720)626-9794 ALLISON NICOLE LOUISE SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,112.02 FEES Total Valuation 0.00 Use Tax 191.35 Permit Fee 204.30 ** TOTAL ** 395.65 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 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 penmt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perf0 Med 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 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 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 INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Monday, August 10, 2020 2:10 PM To: CommDev Permits Subject: Online Form Submittal: General Permit Application Categories: Kim General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTACT INFORMATION Submitting General Contractor or Architect Contractor's License Number (This is a 5 or 6 Residential 4445 Teller st Nicole Allison 720-626-9794 nikki8470@yahoo.com scan0022. pdf Blue Sky Plumbing & Heating 017835 I digit number for the City of Wheat Ridge) Contract Phone Number 303-407-7967 (enter WITH dashes, eg 303-123-4567) Contact Email Address randyp@blueskyplumbing.com Retype Contact Email randyp@blueskyplumbing.com Address DESCRIPTION OF WORK Detailed Scope of Work - Install two new Mitsubishi ducted heat pump installed on the Provide a detailed existing condensing unit with standard electrical connections. description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of scope n/a of work Location of work crawl space (backyard, on roof, etc) Project Value (contract 9112.02 value or cost of ALL materials and labor) Upload Engineer letter, Field not completed. other documents on 8 1/2" x 11" Upload Asbestos Report Field not completed. if triggler level is met per CDPHE regulation. Upload Drawings 11" x Field not completed. 17" or larger 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 been Yes authorized by the legal owner of the property to submit this application 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. Person Applying for Jesse Lanyon Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge �� Residential Roofing PERMIT - 201703476 PERMIT NO: 201703476 ISSUED: 07/07/2017 JOB ADDRESS: 4445 Teller ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark Impact Resistant asphalt shingles with 35 sq. *** CONTACTS *** OWNER (720)626-9794 ALLISON NICOLE LOUISE SUB (303)426-7370 Kirk Tiley 021395 Tiley Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,995.00 FEES Total Valuation 0.00 Use Tax 188.90 Permit Fee 188.45 ** TOTAL ** 377.35 *** 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 ;.nspection. 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. INSPECTION RECORD Occupancy/Type 7 INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 CommentsInitials Pier Concrete Encased Ground (CEG) Pni in`Infinn / P P I PftPY Do Not Pour Concrete Prior 10 Approvai Vr i ne ADove In5PULAIVlla Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing 11_ u_a f% I I.,..J.............r.rl ..r Wr%rk Nrinr 1 n Approval UT 1 ne AOovt: 11MUCGUVII, Rough Inspections Date Inspector CommentsInitials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector CommentsInitials Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW &Drainage /Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Hiease ne sure inat ruuyn uIbNCuuUlIt) 01 %:; l VIIIfI U 0 1 U..l1 1.- �• �• u ��• - _.__�_ by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Plumbing PERMIT - 201705905 'PERMIT NO: 201705905 ISSUED: 08/11/2017 -JOB ADDRESS: 4445 Teller ST EXPIRES: 08/11/2018 'JOB DESCRIPTION: Water line repair on property only - 75 ft *** CONTACTS *** OWNER (720)626-9794 ALLISON NICOLE LOUISE SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,600.00 FEES Total Valuation 0.00 Use Tax 75.60 Permit Fee 109.20 ** TOTAL ** 184.80 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. 8314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 1, byemy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, appheabble 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 properly an m authorized to obtain this permit and perforin the work described and approved in conjunction with this permit. I fugyep es h t I a ally authorized to include all entities named within this document as parties to the work to be p er onned and a 1 0 �r med is disclosed in this document and/or its' accompanying approved plans and specifications. Signatur Of OWNER or CONTRACTOR (Circle one) Date 1, Thi 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 pennit 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 griming 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 ordinance -cue ulati ri o this jurisdiction. Approval of work is subject to field inspection. I A Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. �175 lECTIOPI��c"� W(S­felb,54 INSPRECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection ieT_ INSPECTION REQUEST LINE: (303) 234-5933 Cancellationtmust be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspect en­t4te following business day.** Inspector Must Sign ALL Spaces pertine t to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) E� Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Abo%TW_*)_s&Wions Underground/Slab Inspections Date Inspector Initials Comme Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing f J`r.1-7 Rao w � -' Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Plumbing PERMIT - 201705905 PERMIT NO: 201705905 ISSUED: 08/11/2017 JOB ADDRESS: 4445 Teller ST EXPIRES: 08/11/2018 JOB DESCRIPTION: Water line repair on property only - 75 ft *** CONTACTS *** OWNER (720)626-9794 ALLISON NICOLE LOUISE SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,600.00 FEES Total Valuation 0.00 Use Tax 75.60 Permit Fee 109.20 ** TOTAL ** 184.80 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attest that I am legally authorized to include a1T entities named within this document as parties to the work to be performed and that; all work to b,pertormed is disclosed in this document and�or its' accompanying approved plans and specifications. t/11 Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the pen -nit 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 pen -nit 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 INSPECTION THE FOLLOWING BUSINESS DAY. LCity of %� i lecat i 1�Cdge /COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY I Date: PlaMPennii # J� �UM I 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: L4L4 L4 S TeAk- r- c7 }, W het A r` %d Property Owner (please print): �J Co k' e— t 5 p n Phone: -716 Z 6- q% A 4 Property Owner Email: �Ij /A Mailing Address: (if different than property address) Address: City, State, Zi Architect(Engineer• ArchitectfEngineer E-mail: Phone: Contractor. ( ) Contractors City License #: Phone: / ! 6 6 Z - LA 3 '6- 1 Contractor E-mail Address: d c�v e e, 9'% 0,e- m 6 - C -o"`^ Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # 4 Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. 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) (Far 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.) U-)C&-Ee,(- Cvie, C'e-Pc. ; (- 4'*- IPC- d9e-r>TNJ ov`'.y %5, Ld^5 Sq. RAF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) s 3 Goo 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 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 RE�P.R�E1SENTATIVE) of (OWNER) (CONTRACTOR) PRM NAME: T)Cnv l, 5 cA t v'%d r ,-L SIGNATURE: Z --kms --DATE: l V DEPARTMENT USE ONLY ZONING COMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department r❑ Received ❑ Not Required Water District i I Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201703476 PERMIT NO: 201703476 ISSUED: 07/07/2017 JOB ADDRESS: 4445 Teller ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark Impact Resistant asphalt shingles with 35 sq. *** CONTACTS *** OWNER (720)626-9794 ALLISON NICOLE LOUISE SUB (303)426-7370 Kirk Tiley 021395 Tiley Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,995.00 FEES Total Valuation Use Tax 0.00 188.90 fu Permit Fee 188.45 ** TOTAL ** 377.35 *** 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 - 201703476 PERMIT NO: 201703476 ISSUED: 07/07/2017 JOB ADDRESS: 4445 Teller ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re—roof to install CertainTeed Landmark Impact Resistant asphalt shingles with 35 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst 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 le ally authorized tonclude all entities named within this document as parties to the work to be performeda d that all work to be,,ee n%d is_ t din this document and/or its' accompanying approved plans and specifications. l 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signatu7040"177MuMing°b3fi id Date REQUESTS MUST BE MADE BY 11:59PM AAr`��iii BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us tween 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz 2 %� �.� 76 From: no-reply@ci.wheatridge.co.us Sent: Monday, June 26, 2017 2:43 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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? QC f "I" �13of l7 - How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4445 Teller St. Wheat Ridge, CO 80033 Property Owner Name Nicole Allison Property Owner Phone 720-626-9794 Number M. Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Tiley Roofing Inc. Contractor's License 1395 Number (for the City of Wheat Ridge) Contractor Phone 303-426-7370 Number Contractor Email Address mglenn@tileyroofing.com Retype Contractor Email mglenn@tileyroofing.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No ✓ Certainteed Landmark I/R Asphalt Field not completed. 35 No V Field not completed. 2 TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 35 vZ Home, 1 Layer, 5/12 *7- - <�, J e( 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 Michael Glenn Email not displaying correctly? View it in your browser. 3 A full-serviceresidential and commercial ROOFING and gutter contractor_ .. u. -rte cti�.. �ux� arstn.ir n�: �e�ar.: e.+•,�r�,� Proposal Date: 05/25/17 Jobsite Address: 4445 Teller St. Wheat Ridge, CO 80033 Client Email: nicole.gilling@yahoo.com Client Phone: 720.626.9794 Estimator: Tony Miller 303-249-8151 tony@tileyroofing.com Roof Area (sq. ft.): 3800 Roof Pitch: 5/12 Removal Layers: 1 There are multiple pages to this proposal. At Tiley Roofing we like to provide our clients with several alternatives to ensure you are getting the roof that best fits your needs. Below is a choice of a "Beftee' and "Best package, several shingle product choices, and add on options to accommodate those needs. Roof Hyperlink Photos: haps:/Iapp.comi)anycam.com/.galleries/ruOazwfO94U SCOPE OF WORK AND MATERIALS Existing Roof Condition: Hail Damage noted throughout the entire roof area. Existing Leaks with Location: None reported. Demolition: Removal and disposal of existing layers (roof covering) specified above and 1 layer roof underlayment. Additional hidden layers may be difficult to determine until demolition process. Charges for these hidden layers may apply. Better - Standard Roof Package Underlayment: 1 layer of synthetic underiayment with 2 rows Ice and water on eaves installed per local building, 1 row at crickets, chimneys and skylights (if they exist). Flashing: 26 gauge factory finish bronze (dark brown) color drip edge, rake edge flashing, headwall, and step flashing. Replacement of all roofing jacks which will be painted to match shingles. Surface mounted visible flashing may be required at roof to wall intersections. Venting: Factory finish painted small animal proof roof vents. Nailing: 6 nails per shingle. Shingles: See choices below. Hip/Ridge: To match shingles. Warranty: Five - Year Workmanship through Tiley Roofing. OR Best - Upgraded Roof Package Underlayment: 1 layer of synthetic underlayment with Ice and Water at eaves, valleys, crickets, chimney and skylights. Flashing: 26 gauge factory finish color in your choice of white, charcoal gray, bronze, or brown drip edge, rake edge flashing, headwall, and step flashing. Replacement of all roofing jacks which will be painted to match shingles. Surface mounted visible flashing may be required at roof to wall intersections. Venting: Ridge Vent. Nailing: 6 nails per shingle. Shingles: See choices below Hip/Ridge: Raised Hip/Ridge to match shingles. Warranty: Five to Twenty Five -Year Workmanship through the manufacturer. Please call for details. Specific Job Notes and Details Price includes the main house and shed. Please let me know if you need assistance with your insurance claim (if applicable), would like to visit our showroom, have samples delivered to your home, or have any additional questions or concerns. Note available options listed below. Please add gutter/downspout and any other options desired to roof package of your choice. Existing roof covering package highlighted in Bold below. Clarifications Prior to Contract Test for hidden layers, 1 layer existing and redecking performed at last reroof 2011. Colors and options. Satellite Dish - detach & reset (excludes reception) if applicable. Counter and chimney flashing. Schedule/Access. Page 1 of 3 s � r Below are hyperlinks to connect you to the particular product you may be interest in, just click and go. There is also a general picture of the product. DESCPJPTiON OF AVAILABLE OPTIONS Gutters/Downspouts: 26 gauge pre -painted S' K -style gutters and n2l" corrugated downspouts. The some gutter configuration will be used unless otherwise instructed. Ridge Vent: Increase attic/vaulted ventilation and insulation energy efficiency. Note black shadow line will be visible from the ground at the bottom of the ridge vent. Raised Hip&Rfdge: A thicker hip/ridge to give a more robust look. Solar Powered Fan: Furnish and install roof mounted 500 CFM (800 sq. ft.) solar powered fan center back side of roof deck. Below are hyperlinks to connect you to the particular product you maybe interest in, just click and go. Please note this is for a general product description. Specific product can vary in appearance based on manufacturer. add to roof package OPTIONS .. I I COST (add ons) OPTION COLOR SELECTION Gutters/Downspouts: 5 A Color. Ridge Vent: add on Raised Hio&Ridge: add on Solar Powered Fan: $677 add on per unit Contract Amount: TBD based upon roof package and options Customer Signature: Date:: Shingle Type: Shingle Color: X64 a Options: We must have all these Items In order to schedule your oject. TBD pending insurnace claim d r l _Confirm your selection with your HOA if applicable. _Please highlight the Roof Package and Options and write in the color selections. _Please return a signed copy also confirm you have read the terms, conditions, and information page. _We must have color and option selections to accurately schedule your job. _Please confirm all of your insurance claim documentation is complete (if applicable). l ACC316OkE#D:: BM1l9nkHE3' Page 2 of 3 41 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: T 4 '" U %U W-7 ❑ No one available for inspection: Time.zy,``q PM Re -Inspection required: Yes iNo� When corrections have been made, call for re -inspection at 303 -234 - Date: Z / Inspector: 11rx DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:__27/7116 VeDkar 5+ - Permit Number: %o 6G% D5 N07— �,�`uh t,;) (2-3U j ❑ No one available for inspection: Time `/ M/PM; Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:' 1-5, 17 Inspector: �xIf-2_114ec DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE 2/ 3t19 PH cdbb S *e C L - l ' yo RECEIPT 0B90 AMOUNT SP Repipe gas lille with 236.30 129180 Permit Fee 48. use Tax 95.4 PAYMENT RECEIVED AMOUNT MC 4619 236.38 Auth :ode; k, { `s TOTAL 236,30 02/17/20 15:13 3 ,. SKY PLUM PAGE 0 •w lla 11111111 llj�jpq��Jlllll o l I I I , m = 270A ii a +, BUIL IDEPARWI CO MEMM RevjqNwal Valuation. S . + *" + « • r t iM r Property Address. w MAUI rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that i shown and MIN MOM MMIN and am also authorized by the legal owner of any entity included on CIRCLE ONE (OWNER) (CONTRACTOR) gr (A MIORIZED REPRESENTA TIVE) of .. 1 _4 City of Wheat Ridge Building Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax 303-235-2857 Inspection Line 303-234-5 Property Address: 11 SEMM��� "Y Exp. Date: Exp, Date: Exp, Date: Approval Approval: Approval: c on a ue: (as calculated w the Buil♦in.4 Valait Data sheet) Plan Ravi Date: 111ell;t- Plan #: Permit 6 - 7 Uim \CITY WHEAT RIDGE /. 811@4/12 9 :44 A . » /ba. <\. Wƒm G2o RECEIPT NO:CDA806740 AMOU » mk ,008bt <t §oil °r � 166.0 §. . .» 120889 2 \ Pe rmit Fee . .� 4§ 00 . :Use Tax . .....\ \IRO\ \ \PAYMENT RECEIVED - �++4y 2� «: 41«9 «.\ .166.0 d \? ? G.Code* .y. .. .. « ?964448 ... . . .. » /, 3, : mq( .^ 16638 0 4 't *. • s Mailing �ddross: (if d9orent then pmperty address) A • # •... Lrai>r 1-gc2 IR M ♦ { -. 4• F F l .. a � 4 ". , 4 k y= z m '. l l . l . * 4F M � a i Mw« w4llA. M►]� + \