HomeMy WebLinkAbout3441 Fenton StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Wednesday, September 1, 20214:45:30 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3441 Fenton St.
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"
Marcel Scioville
rc�xacj;esrcir�
marcel.scioville@gmail.com
CONTRACTOR INFORMATION
Contractor Business Apex Plumbing Inc.
Name
Contractor's License 060162
Number (This is a 5 or
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 Charlotte Graham
Permit
Email not displaying correctly? View it in your browser.
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-215-1348
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permitting@apexplumbing.com
Address
Retype Contractor
permitting@apexplumbing.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
70 feet.
Location of repair
Front yard
(backyard, frontyard,
etc)
Provide additional
Bursting to the tap in the street. Installing cleanouts in the yard.
details including
installation of clean-
o uts.
Project Value (contract
5000
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
1* � � i City of Wheat Ridge
�� Resid. Windows/Doors PERMIT - 202101091
PERMIT NO: 202101091 ISSUED: 05/24/2021
JOB ADDRESS: 3441 Fenton St EXPIRES: 05/24/2022
JOB DESCRIPTION: Replace (3) entry doors with .28 u -value type
*** CONTACTS ***
OWNER (720)314-4347 SAND KENDRA A
SUB (303)421-7100 TED ROLAND 018516 K&H WINDOWS & 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: 14,064.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 295.34
** TOTAL ** 345.34
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .30 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/24/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Monday, May 24, 20219:04:27 AM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided
below once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 3441 Fenton Street Wheat Ridge, CO 80212
Property Owner Name Marcel Scioville
Property Owner Phone 703-314-4347
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed.
Address
Attach City of Wheat Electronic -Payment -Form Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business K&H Windows and Exteriors
Name
Contractor's License 018516
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)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
What is being replaced
WIZI z81sr`z!
sgeorge@khwindows.com
sgeorge@khwindows.com
Doors
Number of window 3
and/or doors being
replaced
Location of entry
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of 0.28
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of measure docs.odf
window/door cut sheets
showing sizes and u -
value
Project Value (contract 14064
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 Shawn George
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector
Initials
Comments
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
A e r
Final Mechanical
rf AJ
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 Roofing PERMIT - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 sq.
*** CONTACTS ***
OWNER (720)314-4347 SCIOVILLE MARCEL
SUB (303)789-1505 Jennifer Petersen 020371 Jenesis Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigneo
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,055.00
FEES
Total Valuation 0.00
Use Tax 421.16
Permit Fee 378.65
Misc. Fee 25.00
** TOTAL ** 824.81
*** 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 fina
approval. Installation of roof sheathing (new or overlay) is required on the entire roo
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 sh=ell
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof ;a
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 simi'-ar
type roof coverings, a letter of inspection and approval from the manufacturer technica
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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201706028
201706028 ISSUED: 08/14/2017
3441 Fenton ST EXPIRES: 08/14/2018
Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 sq.
*** CONTACTS ***
OWNER (720)314-4347 SCIOVILLE MARCEL
SUB (303)789-1505 Jennifer Petersen 020371 Jenesis Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,055.00
FEES
Total Valuation 0.00
Use Tax 421.16
Permit Fee 378.65
Misc. Fee 25.00
** TOTAL ** 824.81
*** 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) 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.
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 - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14;2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 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 1 amie legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perforin the work described and approved in conjunction with
this perinat �Turthef attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed attd that allork to be performed is disclosed in this documennd�r i acoanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 Offcial 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 wr}t,Ien 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-aRy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
r
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201706028
201706028 ISSUED: 08/14/2017
3441 Fenton ST EXPIRES: 08/14/2018
Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 sq.
*** CONTACTS ***
OWNER (720)314-4347 SCIOVILLE MARCEL
SUB (303)789-1505 Jennifer Petersen 020371 Jenesis Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,055.00
FEES
Total Valuation 0.00
Use Tax 421.16
Permit Fee 378.65
Misc. Fee 25.00
** TOTAL ** 824.81
*** 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) 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.
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 - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14;2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 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 1 amie legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perforin the work described and approved in conjunction with
this perinat �Turthef attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed attd that allork to be performed is disclosed in this documennd�r i acoanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 Offcial 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 wr}t,Ien 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-aRy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
r
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A City of Wheat Ridge
Residential Roofing PERMIT - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 sq.
*** CONTACTS ***
OWNER (720)314-4347 SCIOVILLE MARCEL
SUB (303)789-1505 Jennifer Petersen 020371 Jenesis Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,055.00
FEES
Total Valuation 0.00
Use Tax 421.16
Permit Fee 378.65
** TOTAL ** 799.81
*** 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) 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.
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 - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 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 ownerolthe prgperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further�attestt Itliat I legally authorized to include all entities named within this document as parties to the work to be
performed an that all wo a performed is disclosed in this document an or its' accompanying approved plans and specifications.
Signature oVOWKER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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
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 cS;
ny
or or regulation of this jurisdiction. Approval of work is subject to field inspection.
o
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
PROPOSAL / CONTRACT
JENESIS ROOFING DATE: June 28, 2017
1125 S. Lipan St.
Denver, CO 80223
-' Phone: 303-789-1505 Fax: 303-789-0830
JENESISROOFING.COM
THIS AGREEMENT AND CONTRACT BETWEEN JENESIS ROOFING INC. HEREINAFTER CALLED CONTRACTOR AND:
NAME: Marcel Scioville HOME PHONE: 0
ADDRESS: 3441 Fenton St (house & two sheds) CELL PHONE: (703)314-4347
CITY/STATE/ZIP: Wheat Ridge CO 80212 EMAIL ADDRESS: marcel.scioville@gmail.com
THE ABOVE, HEREINAFTER CALLED PURCHASER, PROVIDES FOR PERFORMANCE BY CONTRACTOR OF THE WORK STIPULATED BELOW BY THE TERMS AND CONDITIONS SET FORTH BELOW. CONTACTOR AGREES TO
PERFORM THE WORK DESCRIBED BELOW FOR THE CONSIDERATION INDICATED BELOW. PURCHASER AGREES TO ASSIGN AND BY SIGNATURE BELOW DOES HEREBY ASSIGN TO CONTRACTOR ALL RIGHTS
PURCHASER HAS IN ANY INSURANCE SHOULD SOME BE AVAILABLE TOWARD THE PAYMENT OF WORK PERFORMED BY CONTRACTOR NOT TO EXCEED THE AMMOUNT OF THIS CONTRACT PRICE. SAID ASSIGNMENT
SHALL NOT RELIEVE PURCHASER OF HIS OBLIGATION TO PAY IN FULL PER THE TERMS AND CONDITIONS OF THE CONTRACT.
We Propose The Following:
-Remove (1) layer of existing roofing material and dispose.
-All new product to be installed over existing decking. If any bad decking is found an additional cost of $65. per sheet to replace.
-Install 301b felt with ice and watershield at the eaves and in the valleys
-Install 2"x2" metal drip edge on the eaves and rake ends. Install new metal step/sidewall flashing.
-Install Owens Corning Duration Storm lifetime shingle with Owens Corning Storm accessory shingles. All shingles to be high wind nailed.
-Replace plumbing jacks, all penetrations to be calked and painted.
-Perform a magnetic sweep of yard and complete clean up of trash and debris.
-Includes all permits, insurance, a five year workmanship guarantee, and disposal fees.
-General liability and workmans compensation certifcates available upon request.
GUTTERS
-Remove existing gutter system, install new 5" seamless gutters with 2"0" downspouts (tip up's where needed)
ADDITIONAL WORK
-Install two courses of ice and water shield at the eaves. Double felt low slope roof.
Replace existing skylights with new Velux 2246 curb mounted skylights with flashing kits. Reflash swampcooler and chimney.
NOTES Includes reroofing two sheds.
-The chosen color of the shingle to be installed is Brownwood
-The chosen color of the gutter system to be installed is Royal brown
-PAYMENT DUE UPON COMPLETION
All material is guaranteed to be as specified, and the work above to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial wokman like manner for the sum of: $20,055,00
This quote is ood for Q0) thirty da s subiect_to_manaaementaD oval.
DAMAGE: Shour7 _.,rams_, be=tne atrare of damage to PwrhaSefs property try Ctudracto .ars zgarcs. oramptayeos riWuq thA eoruse of raefatg xorfc set (ptN above, said eamsge snag bt _
�^rzc ter the roof et e _ CtZgWA (a the attdtWat ohne COntriippim
q s� d dam.�e. Jenesis Robrtng L=. nc7 re=PcsriaGfa arr�cencef¢ Eamago. of said dama3e. a*Uin (5) fiW Wading otocear!~:ee then 1'vrtSastxsnJi w�Ne a9 dgld: against CdMrzCor, hk agents, of em ogees
DELAYS: Furcnoser hereby z=4=Weeges Btat confradW may be cnWod to delays OCCeSioned by= of God hrcb c5ng = not Erna ed W inektrrerri wradter, labor dispAeS. and roQ1ft )sWM shartAgm u rth am beyond the eorWN eft.L
c—orrr:
r and Prn-.has_'rm--reby a_CoffL: any decays O=Sianw by Oof as of tlmse eaeumssnos to toed YKWyadon of h t tact, Purchaser fddh" Agrees W pay Contmaoran atnaum epuat to (10%) ten percent of the tohit co== pnrn as
f,ut3uerf darrrages shrJ!a Pumnaser carol Ns cotta_ for any reason prior W ConL%dcm irftUon of vrM on purc]tasers roof.
1T: t1RD PART7E5: R is aSreea that Contractor snaa not be tespanmbto. not shag any warranty extend to. any damages W ltm propcly SuL)ed of htia agreomord caused by fwd parties.
1NT"rR.EST: Pnrehaser exv"rrs ly agrees thu Contractor Via4 be "Wod to Intros. at the rate of (10%) ten percem pct annum on any past due amounts ddtd by pwrhu fto Centrectw under tears of this
ATTORNEY FEES: In Lha event d baccrnasncCcsary for the Conbador to nim an Mtomey to rolled airy aaoues doe underlNs agreement Pu zaser agrees W pay Conb&=,eQsof,,btn attotney
ENnREAGREEMENT: This Agreamenteemalnstadentimagreemm
antbare the paILASfetemtoabnreW¢atoWmatW
arstowtkhbpenabrs.ant tom.
reference trade as cart hereof. may Da ammdaf only by rd61rn agteetnAtt: Slgtred by Prnctraset and
1 HA READ AGREEMENT UNDERSTANDING rrS TERMS, AND ACCEPT ITS RIGHTS AND OBLIGATIONS,
Pl}CH:� DATE
RSSIG'�ATtIRE
j avrAlox.n slcxarvx>r
LUE h\7i ONLY
1125 S. Lipan SL
_ Denver, CO 80223Pt.CHASERS SIGNATURE DATE
BLUErrY7{ONLY `I vo}z�n� 303-789-1505
JeneSisRoofmo rnm
Dane Lovett �; 2QG odd
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, August 8, 2017 9:51 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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 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?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3441 Fenton St kak
Property Owner Name Marcel Scioville
Property Owner Phone 7203144347
Number (enter WITH
dashes, eg 303-123-4567)
S 7`l tel. o"I
Property Owner Email NA
Address
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 3441 Fenton St.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Jenesis Roofing
Name
Contractor's License 020371
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)
Contractor Address
(Primary address of your
business)
3037891505
1125 S Lipan St
Contractor Email Address Rosalie@jenesisroofing.com
Retype Contractor Email Rosalie@jenesisroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 3g
the entire scope of work
Project Value (contract 20055.00
value or cost of ALL
materials and labor)
Are you re -decking the No v
roof?
z
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
,�< <2
yes ,
Includes two sheds
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.
I attest that everything Yes
stated in this application
is true and correct and
3
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Rosalie Garcia
Email not displaying correctly? View it in your browser.
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: % I
Job Address:
Permit Number: Z-0! -7c)
!`I I T_ /,NGS_ -
❑ No one available for inspection: Time
I
Re -Inspection required: Yes No
When corrections have been made, call for re :pAplection at 303-234-5933
Date: 2z �� Inspector:
DO NOT REMOVE THIS NOTICE �S)
i CITY OFVI HEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:�c1(
Permit Number:)
�� U� AED � . IEF DM -
-ID C, ! u-
❑ No one available for inspection: Time / j AM M
Re -Inspection required: Yes No `
When corrections &have been made, call for re -in ection at 303- 34-5933
Date: 9/4qInspector: '� _
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 sq.
*** CONTACTS ***
OWNER (720)314-4347 SCIOVILLE MARCEL
SUB (303)789-1505 Jennifer Petersen 020371 Jenesis Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,055.00
FEES
Total Valuation 0.00
Use Tax 421.16
Permit Fee 378.65
** TOTAL ** 799.81
*** 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) 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.
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 - 201706028
PERMIT NO: 201706028 ISSUED: 08/14/2017
JOB ADDRESS: 3441 Fenton ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 38 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 ownerolthe prgperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further�attestt Itliat I legally authorized to include all entities named within this document as parties to the work to be
performed an that all wo a performed is disclosed in this document an or its' accompanying approved plans and specifications.
Signature oVOWKER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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
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 cS;
ny
or or regulation of this jurisdiction. Approval of work is subject to field inspection.
o
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett �; 2QG odd
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, August 8, 2017 9:51 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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 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?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3441 Fenton St kak
Property Owner Name Marcel Scioville
Property Owner Phone 7203144347
Number (enter WITH
dashes, eg 303-123-4567)
S 7`l tel. o"I
Property Owner Email NA
Address
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 3441 Fenton St.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Jenesis Roofing
Name
Contractor's License 020371
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)
Contractor Address
(Primary address of your
business)
3037891505
1125 S Lipan St
Contractor Email Address Rosalie@jenesisroofing.com
Retype Contractor Email Rosalie@jenesisroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 3g
the entire scope of work
Project Value (contract 20055.00
value or cost of ALL
materials and labor)
Are you re -decking the No v
roof?
z
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
,�< <2
yes ,
Includes two sheds
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.
I attest that everything Yes
stated in this application
is true and correct and
3
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Rosalie Garcia
Email not displaying correctly? View it in your browser.
PROPOSAL / CONTRACT
JENESIS ROOFING DATE: June 28, 2017
1125 S. Lipan St.
Denver, CO 80223
-' Phone: 303-789-1505 Fax: 303-789-0830
JENESISROOFING.COM
THIS AGREEMENT AND CONTRACT BETWEEN JENESIS ROOFING INC. HEREINAFTER CALLED CONTRACTOR AND:
NAME: Marcel Scioville HOME PHONE: 0
ADDRESS: 3441 Fenton St (house & two sheds) CELL PHONE: (703)314-4347
CITY/STATE/ZIP: Wheat Ridge CO 80212 EMAIL ADDRESS: marcel.scioville@gmail.com
THE ABOVE, HEREINAFTER CALLED PURCHASER, PROVIDES FOR PERFORMANCE BY CONTRACTOR OF THE WORK STIPULATED BELOW BY THE TERMS AND CONDITIONS SET FORTH BELOW. CONTACTOR AGREES TO
PERFORM THE WORK DESCRIBED BELOW FOR THE CONSIDERATION INDICATED BELOW. PURCHASER AGREES TO ASSIGN AND BY SIGNATURE BELOW DOES HEREBY ASSIGN TO CONTRACTOR ALL RIGHTS
PURCHASER HAS IN ANY INSURANCE SHOULD SOME BE AVAILABLE TOWARD THE PAYMENT OF WORK PERFORMED BY CONTRACTOR NOT TO EXCEED THE AMMOUNT OF THIS CONTRACT PRICE. SAID ASSIGNMENT
SHALL NOT RELIEVE PURCHASER OF HIS OBLIGATION TO PAY IN FULL PER THE TERMS AND CONDITIONS OF THE CONTRACT.
We Propose The Following:
-Remove (1) layer of existing roofing material and dispose.
-All new product to be installed over existing decking. If any bad decking is found an additional cost of $65. per sheet to replace.
-Install 301b felt with ice and watershield at the eaves and in the valleys
-Install 2"x2" metal drip edge on the eaves and rake ends. Install new metal step/sidewall flashing.
-Install Owens Corning Duration Storm lifetime shingle with Owens Corning Storm accessory shingles. All shingles to be high wind nailed.
-Replace plumbing jacks, all penetrations to be calked and painted.
-Perform a magnetic sweep of yard and complete clean up of trash and debris.
-Includes all permits, insurance, a five year workmanship guarantee, and disposal fees.
-General liability and workmans compensation certifcates available upon request.
GUTTERS
-Remove existing gutter system, install new 5" seamless gutters with 2"0" downspouts (tip up's where needed)
ADDITIONAL WORK
-Install two courses of ice and water shield at the eaves. Double felt low slope roof.
Replace existing skylights with new Velux 2246 curb mounted skylights with flashing kits. Reflash swampcooler and chimney.
NOTES Includes reroofing two sheds.
-The chosen color of the shingle to be installed is Brownwood
-The chosen color of the gutter system to be installed is Royal brown
-PAYMENT DUE UPON COMPLETION
All material is guaranteed to be as specified, and the work above to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial wokman like manner for the sum of: $20,055,00
This quote is ood for Q0) thirty da s subiect_to_manaaementaD oval.
DAMAGE: Shour7 _.,rams_, be=tne atrare of damage to PwrhaSefs property try Ctudracto .ars zgarcs. oramptayeos riWuq thA eoruse of raefatg xorfc set (ptN above, said eamsge snag bt _
�^rzc ter the roof et e _ CtZgWA (a the attdtWat ohne COntriippim
q s� d dam.�e. Jenesis Robrtng L=. nc7 re=PcsriaGfa arr�cencef¢ Eamago. of said dama3e. a*Uin (5) fiW Wading otocear!~:ee then 1'vrtSastxsnJi w�Ne a9 dgld: against CdMrzCor, hk agents, of em ogees
DELAYS: Furcnoser hereby z=4=Weeges Btat confradW may be cnWod to delays OCCeSioned by= of God hrcb c5ng = not Erna ed W inektrrerri wradter, labor dispAeS. and roQ1ft )sWM shartAgm u rth am beyond the eorWN eft.L
c—orrr:
r and Prn-.has_'rm--reby a_CoffL: any decays O=Sianw by Oof as of tlmse eaeumssnos to toed YKWyadon of h t tact, Purchaser fddh" Agrees W pay Contmaoran atnaum epuat to (10%) ten percent of the tohit co== pnrn as
f,ut3uerf darrrages shrJ!a Pumnaser carol Ns cotta_ for any reason prior W ConL%dcm irftUon of vrM on purc]tasers roof.
1T: t1RD PART7E5: R is aSreea that Contractor snaa not be tespanmbto. not shag any warranty extend to. any damages W ltm propcly SuL)ed of htia agreomord caused by fwd parties.
1NT"rR.EST: Pnrehaser exv"rrs ly agrees thu Contractor Via4 be "Wod to Intros. at the rate of (10%) ten percem pct annum on any past due amounts ddtd by pwrhu fto Centrectw under tears of this
ATTORNEY FEES: In Lha event d baccrnasncCcsary for the Conbador to nim an Mtomey to rolled airy aaoues doe underlNs agreement Pu zaser agrees W pay Conb&=,eQsof,,btn attotney
ENnREAGREEMENT: This Agreamenteemalnstadentimagreemm
antbare the paILASfetemtoabnreW¢atoWmatW
arstowtkhbpenabrs.ant tom.
reference trade as cart hereof. may Da ammdaf only by rd61rn agteetnAtt: Slgtred by Prnctraset and
1 HA READ AGREEMENT UNDERSTANDING rrS TERMS, AND ACCEPT ITS RIGHTS AND OBLIGATIONS,
Pl}CH:� DATE
RSSIG'�ATtIRE
j avrAlox.n slcxarvx>r
LUE h\7i ONLY
1125 S. Lipan SL
_ Denver, CO 80223Pt.CHASERS SIGNATURE DATE
BLUErrY7{ONLY `I vo}z�n� 303-789-1505
JeneSisRoofmo rnm
H c"
INSPECTION RECORD
OcgiMp
sy/Type
Insulation
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Inspector Comments
Initials
Call the inspection request line before 11:59 p.rn, to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Final Plumbing
Foundation Inspections Date Inspector
Final Mechanical
Initials
Roof
Monolithic Slab Reinforcement
Final Building / Frame
Caissons
- - ----------
Landscaping & Parking Planning Dept.
Concrete Encased Ground (CEG)
Footing/Stemwall P.E. Letter
ROW & Drainage / Public Works Dept.
rovall City :,f wko'edt hI'0
Do Not Pour Conn~ Prior To A 0
B
Inspecttor
Underground/Slab Inspections Date
-16
Initials
It's
contact the Fire Protection District for your project,
Electrical (Underground)11
EDB411,"i"TO
x411?4T
Sewer Service (Underground) F+ SP 3441 ST
Water Service (Underground)
Plumbing (Below/ In -slab)
KEP4 4'fl , T
14 "AW'
Heating (Below / In -slab)
51C39
Do Not Cover Underground or Below/In-Slab Work Prior AUMHfk� 13J (COD E: 812
-1-1 ------- Tol
Rough Inspections Date Inspector
Initials
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
-7iio-ugh
Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector Comments
Initials
Final Electrical
Final Plumbing
-- - --------
Final Mechanical
Roof
Final Building / Frame
- - ----------
Landscaping & Parking Planning Dept.
Inspections from these entities should be requestec
one week In advance. For landscaping and parking
ROW & Drainage / Public Works Dept.
inspections call 303-235-2846, For ROW and drainage
Inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist.
contact the Fire Protection District for your project,
.11 IHM oil* LU
IBM
City of
« 'N' Illi II III �I w! JII!!'P
r ie
Building & Inspecftn Services Division
7600 W, 2e Ave., Wheat Ridge, CO 80033
•303-236-2866 * Fax: 303-237-8929
Inspection#
Emsit
« e« a
Building Permit Revision/Amendment Application
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contractors Cfty License If.
ff"JkNj& Additional valuation Mot include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of wo* and which were W
« « in the original permito,
q, stws Golkos
s
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Properly Address Shone:
Contractor License No. : 181 If
Company. tcopier 4evax4� q, CmUk-� Phone :3b3 —L /Z<)5�
sic ; Sq. Ft, :
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Plumbing License No: Mechanical License N o : 4 tz�r
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Impany:
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Date:
Plan #
Pe it #
(Complete MI highlighted areas)
• (please pilhi Phone:
: ! 11117IIIIP; 111111111111 jj III IIIIIIIIIIIIII
Address:
City, State, Zip:
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