HomeMy WebLinkAbout3250 Gray Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:J,�e�)
❑ No one available for inspection: Time QAM%PM __)
Re -inspection required: Yes"' No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co. uslinspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202000138
PERMIT NO: 202000138 ISSUED: 01/21/2020
JOB ADDRESS: 3250 Gray St EXPIRES: 01/20/2021
JOB DESCRIPTION: Residential sewer repair 10 feet in front yard, clean outs, SDR 35
strongback coupling squeegee.
*** CONTACTS ***
OWNER (303)232-1405 BUTTS RONALD
SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT 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: 5,200.00
FEES
Total Valuation 0.00
Use Tax 109.20
Permit Fee 140.90
** TOTAL ** 250.10
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202000138
PERMIT NO: 202000138 ISSUED: 01/21/2020
JOB ADDRESS: 3250 Gray St EXPIRES: 01/20/2021
JOB DESCRIPTION: Residential sewer repair 10 feet in front yard, clean outs, SDR 35
strongback coupling squeegee.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved pians 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 a est that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that a work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sign e OWNER or CONTRACTOR (Circle one) Date
1 is permit was issued based on the information provided in the permit application and accompanying dans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 pen -nit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures 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 - guance or gran of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
ap is le ode ora 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 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of'
Wheat I�c
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29t1 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridpe.co.us
I FOR OFFICE USE ONLY
Date:
0
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:,3V,� f9 �a'/J.a ,� of
Property Owner (please print): _ �,� � Phone:
Property Owner Email: ,3'� 5 ;
Tenant Name (Commercial Projects Only)
Si
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name: t
City of Wheat Ridge License #: fJ b a Phone:�a�� 700 9
Contractor E-mail Address:7a�D
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):Ww� Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlightedfields, if pplicable.
[—]COMMERCIAL RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
cilr c„r� d S'i�I� 3 s� � j 94°4
BTUs Gallons
Amps Squares For Solar: KW # of Panels Requires structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
J;—aae9
O"'NER/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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (O or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name):
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE: / -1�) --�20
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
`% ver. t c "
Z
❑ No one available for inspection: Time ;`. AM/PM
Re -Inspection required: Yes Na
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector:
170 NOT REMOVE THIS NOTICE
_q_ , u
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:
Job Address: Pym a c)S1-
Permit Number: U
1
uo .
G F4 A r rti.
❑ No one available for inspection: Time 03 AM/PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: _� 1 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201900839
PERMIT NO: 201900839 ISSUED: 05/01/2019
JOB ADDRESS: 3250 Gray St EXPIRES: 04/30/2020
JOB DESCRIPTION: Residential mechanical replacing gas boiler with 125k BTUs in basement.
*** CONTACTS ***
OWNER (303)232-1405 BUTTS RONALD
SUB (303)668-8966 MANUEL GONZALES 100005 ALL PHASE APPLIANCE CO.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 189.00
** TOTAL ** 229.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 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 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-perwit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
per ed and that all fork to be pe ormed is disclosed in this documen , nd/or its' accompanying approved plans and specifications.
ignature of R or CONTRACTOR (Circle one) Da
�1. This permit was issued based on the information provided in the, ermit`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 Budding 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. T e issuance or ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
p ica a code y 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.
City of
W heat P --_,e
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a�ci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
'5/O///' '
Plan/Permit #
J 01%a �3 9
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Proaerty Owner
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone: '� / 7 92
Phone:
CONTACT NAME (please print): Phone:
CONTACT EMAIL(please print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
[—]COMMERCIAL
❑RESIDENTIAL
Provide description of work: For ALL projects, 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.
'RIPVVId'JC oic �0116 WI!��
S/t� C ✓tr /� / 5-A— 137V b
Sq. Ft./LF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name):Je 7 � '' �' 2 DATE: f
Printed Name: �Cti vtlt) 6c �AJ i -
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
-7a2 � s'�s
S'1, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/'rype
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces p mine t to this project
Foundation Inspections Date Inspector is
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
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
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.
Mid -Roof
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
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
Final Mechanical
Roof a
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 Roofing PERMIT - 201702653
PERMIT NO: 201702653 ISSUED: 06/27/2017
JOB ADDRESS: 3250 Gray ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm Duration asphalt
shingles with 23 sq.
*** CONTACTS ***
OWNER (303)232-1405 BUTTS RONALD & JOAN
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, 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: 11,318.09
FEES
Total Valuation 0.00
Use Tax 237.68
Permit Fee 236.00
** TOTAL ** 473.68
*** 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 A;5 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€'°"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
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:
Job Address:
Permit Number: 0170 Abb -5
❑ No one available for inspection: Time.. ";%' ` AICA/PM
._._. ) t7—
Re -Inspection required: Yes a lo,,-"
When corrections have been made, cdtHor-re-inspection at 303 -234 -
Date: All 17 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702653
PERMIT NO: 201702653 ISSUED: 06/27/2017
JOB ADDRESS: 3250 Gray ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm Duration asphalt
shingles with 23 sq.
*** CONTACTS ***
OWNER (303)232-1405 BUTTS RONALD & JOAN
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATI_O .;3.09
FEES
Total Valuation 0.00 t
Use Tax 237.68
Permit Fee 236.00
** TOTAL ** 473.68
*** 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 A% -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€T"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702653
PERMIT NO: 201702653 ISSUED: 06/27/2017
JOB ADDRESS: 3250 Gray ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm Duration asphalt
shingles with 23 sq.
1, 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 file legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
eAAa_(� `.
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 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 „rovalo , a 1 any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval o mor t ? t to
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.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 15, 2017 1:47 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3250 Gray St Wheat Ridge, CO 80212
Property Owner Name Joan Butts
Property Owner Phone 303-232-1405
t
Number
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
Excel Roofing
Contractor's License
018118
Number (for the City of
Wheat Ridge)
Contractor Phone
303-761-6400
Number
Contractor Email Address
excel (apexcelroof ing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
excel(a.excelroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Owens Corning Storm Duration Shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
23
material selected above?
Does any portion of the
No
property include a flat
roof?
C�
c—
If yes, how many squares
on the flat roof?
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)
Field not completed.
23 1/
House
11318.09
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 James Bretz
3
303 761.6400
Customer:
Billing Address.,
City:
Nome Phone:
Email:
Job Address:
Project Manager:
ESTIMAT OF t ST 11' OR CONTRACT
Type of Roof. Manufc
Woad Deck:: �S�. – Isj
Felt/U derlaymen . /Type of Ridge:
r
Valley r --A 0 s� 6
Details.
rrer:�nS_�` Color.
y S1 � - – Remove ti ayeris) of Roofing
Vent Pipe Flashings -
Attic Vents: C 1.
1 New Flashings:
Manufacturer's arranty:
Excel's Year Installation Nontee
Size of Edge Metol -7z
Details Included in this Cornrod:
� ] Workmon's Compensation
_—"f liability Insurance
"? ttuilding Permit
'73 0ewUp 8 HanrFOff Roofing Debris
`?'21 Mognehc Nail sweeper
`Cl Yard Sign
(a, —Qzs--sa'r
We propose to furnish material and labor in accordance with the above, ns for the son of
with payment to be made by check to Excel Roofing, Inc. upon job completion. According to Colorado lowt the services Orovided are paid through an ins once claim it is illegal for a
Contractor to pay the homeowner's deg uctible in whole or part, also any deposit paid by the Homeowner must be held in trust. The homeowner may cancel this contract at any time prior
to construction. if the material has burn delivered or the permit has been purchased then the homeowner shall be obligated to pay the delivery and permit costs. The homeowner may
also cancel this contract if they are notified that their claim is denied in whole at part. All work to be completed per stondurd industry practices according to specifications submitted. The
homeowner agrees that if any additior al work is required to complete the above specifications involving extra cost they will pay these additional charges. All agreements are contingent
upon strikes, accidents, or delays beyond our control. Owner agrees to carry regular homeowners insurance. Excel Roofing will not be held liable for any structural movement, settling,
cracks in drywall, damage to driveway or any damage to siding due to the roofing at loading process. Finance charges of 1 I2 percent per month will be added to any unpaid balance. In
the event collection action is taken to •ecover payment under this agreement, Excel Roofing, Inc., should be entitled to reasonable collection and attorney fees and costs incurred in such
action. Excel Roofing's liobibty insurers Cincinnati Insurance Company, 5200 S. 69more Roam, Fairfield, OH 45014-5141. This proposal maybe withdrawn by Excel if not accepted within
�J days. The approximate eta rt date shall he within 1'2.,,6 days of acceptance of this proposal.
Respectfully submitted by:
WEPTANICE OF THIS PRO
Manager for Excel Roofing, Inc.
Accepted by Owner
' �i% t
Accepted by Owner r, .
€mel Roofing, hu. 4510 S. Federal Ivd., Enalevvood, Cn 80110 • www.exeelroofing.woi • e-mail: excels�'exaclraofing.com Office: (303) 761 6400 Fax: 13031 7b1-6142
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: ko �— -
Job Address:
Permit Number: 76 3
I No one available for inspection_:_ Time
--
le-Inspection required: Yes;` No"
f,
'When corrections have been made, call for re -inspection at 303-234-5933
)ate: ?, _c�b - /7 Inspector: �ew �iL1�_
DO NOT REMOVE THIS NOTICE
. , . f _.
,
.,,
Plan Review fdUe at fime of s
RMM
* + listed on file. Date*
Print name- Signature: