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4060 Jay Street
City of Wheat Ridge J HO Interior Remodel PERMIT - 201704833 PERMIT NO: 201704833 ISSUED: 07/26/2017 JOB ADDRESS: 4060 Jay ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Permit to install new window: window located in dining room 953/4" W X 35 1/4" H. U=.26 * * * CONTACTS * * * OWNER (303)425-4920 BERNATIS STEVEN J *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,128.91 FEES Total Valuation 0.00 Use Tax 23.71 Permit Fee 50.30 ** TOTAL ** 74.01 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this 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 accompanyingplans 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ' RECO D occupancy/Type INSPECTIONC , , n'a,r1 INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/ - &` INSPECTION REQUEST LINE: (303) 234-5933 Inspector Initials Comments 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 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. 0f ove ' ec I ,s Underground/Slab Inspections Date I Innst alsor e� s Electrical Sewer Service Plumbing Ian Nnf Cnvpr llndprarnund or Relow/In-Slab Work Prior To Anoroval Of The Above Insoections 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 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 trom the Tire uistrict and eiectricai iow voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PERMIT:�2 YC6� ADDKt6S: &/O� 0 Y '� JOB CODE INSPECTION RECORD 5�/2 Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab InspectionJDate Jnspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections SEE n\/=F FOR -ADDITIONAL INSPECTIONS I InspectorL- 316 Comments Rough Inspection (continued) Date Initials Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections 402 Gas Meter Release 403 Final Electrical Residential Date Inspector Initials Comments 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door from these entities shall be requested e week in advance. r landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 411 landscape/Park/Planning 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection EEJEETnspections 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. �-- � �a f I� 1* � 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: IE:I Lil L- n,0i ) Job Address: (7 jLj Permit Number: ❑ No one available for inspectio Time U (� AM/PM Re -Inspection required: Yes No When corrections have been made, call f r e -inspection at 303-234-5933 Date: (2- Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 26 ( 17 Job Address: Q JA7( 4S)f Permit Number: 10170b6g1 ❑ No one available for inspection: Time 'Z'06) A /PM Re -Inspection required: Yes 6D When corrections have been made, call for re-ip�pectioq'a-t k3-234-5933 Date: i U I-,4' inspector:�� DO NOT REMOVE THIS NOTICE 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: o C-, 1 `r, I D- 02�, �' Job Address: Ll 0 wo S�- Permit Number: of o 1 -:7- C7. I m n _ A k sc -F K o y -r S Q r-+ r ►.i U F-- -{-i� n )L -To IF ry i 5 N ' S e c;L -) --) cya -flee �ca , c-)�,' i*___ E-3 CL G m i C Ll No one available for inspection: Time I A /PM Re -Inspection required: w No When corrections have been made, call for re -inspection at 303-234-5933 Date: l i i I I q 11-9- Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708091 I PERMIT NO: 201708091 ISSUED: 10/09/2017 JOB ADDRESS: 4060 Jay ST EXPIRES: 10/09/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 31 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)727-0993 BERNATIS STEVEN J SUB (303)425-1083 Matthew Rock 017908 Rock's 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: 7,967.00 FEES Total Valuation 0.00 Use Tax 167.31 Permit Fee 172.60 ** TOTAL ** 339.91 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. d City of Wheat Ridge Residential Roofing PERMIT - 201708091 PERMIT NO: 201708091 ISSUED: 10/09/2017 JOB ADDRESS: 4060 Jay ST EXPIRES: 10/09/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 31 sq Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. 1 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 performed is disclosed in this document and/or its ccomp ying approved plans and specifications. ;Kgriature of OWNER or CONTRACTOR (Circle one) Date t 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 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 al] required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to I any inspection. Signature of Chief BaA&ifJ1Triicial " --- ---C) Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett L V " o q I From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 4, 2017 11:01 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 �J (l' �nl �� 7 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4060 Jay St., Wheat Ridge, CO 8003 Property Owner Name Steven & Donna Bernatis Property Owner Phone 3037270993 Number (enter WITH dashes, eg 303-123-4567) 41 C? Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Sign Contract Steven and Donna Bernatis.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Rock's Roofing Inc 017908 4Z/� 3034251083 Contractor Address 3820 QUAY STREET (Primary address of your business) Contractor Email Address rocksroofinginc@hotmail.com Retype Contractor Email rocksroofinginc@hotmaiI.com Address DESCRIPTION OF WORK / TOTAL SQUARES of 31 / the entire scope of work: ✓✓ Project Valuecontract ( �q6 7 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No Pitched roof (2:12 pitch or greater) 42 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5/12 31 Owens Corning Duration Asphalt Remove existing layer(S) Install Duration Owens Corning roofing system 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 43 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. Name of Applicant Matthew Rock Email not displaying correctly? View it in your browser. ROCK'S ROOFING, INC. 3820 Quay Street Wheat Ridge, Colorado 80033 www.RocksRoofinginc.com ROOFING EXPERTS OF COMMERCIAL AND RESIDENTIAL SINCE 1968 303-425-1 083 Fax 303-940-9358 SUBMITTED TO S+ev'C� bann0. er >r PHONE Ceti 3c53 W7 © R`73 DATE eA 7 STREET ('� / l 6 G d C,- �`� ME / EMA --�il r � �`t'r9—.. �C 1 CITY, STATE AND ZIP CODE JOB LOCATION �.. New Shingle Color Initial This estimate does not obligate the homeowner or Rock's Roofing Inc. in I Tear Off b fZql—' 1,tr,Y 0 Base Felting Install Ice Shields1 Install Shingle Manufacturer - O,�t� t^arneal New Valleys Type C 1 aS e l S'C3 Ridge Venting eJ Roof Height 1 Z Paint Roof Stacks Roof Slope? Ridging 2 11 Metal Edging o'7 Replace Plumbing Jacks 1.5" 2" 2- 3" l 4" 5" Counterflashing ✓ Stepflashing P10" Warranty_ U t� z n S C 6'r h,',, r cc77 � Replace gutters L.F.? q Replace down spouts L.F.? Gutter Color? Protect all Landscaping Clean up and haul off trash Roll yard with magnetic roller Install six nails per shingle Additional Work Performed any way un ess it is approved by the insurance company and accepted by Rock's Roofing Inc. By signing this agreement the homeowner authorizes Rock's Roofing Inc. to pursue the insurance company at the homeowner's best interest for a roof replacement or repair at a price that is agreeable to the insurance company and to Rock's Roofing Inc. with no additional cost to the homeowner except for their deductible. When the insurance company and Rock's Roofing Inc. agree upon a price, that price will become the final contract price and Rock's Roofing Inc. will receive all insurance proceeds for the work completed by Rock's Roofing Inc. We propose to complete the work in accordance with the above specifications and subject to conditions found on this proposal. 1 vn 0-;&L T ACCEPTANCE OF PROPOSAL -This proposal becomes a legal and binding contract within 72 hours from date of acceptance. 1 1/2% per month interest will be added to all accounts 30 days past due. In addition, cost and reasonable attorneys fees for collections may be charged on any account past due over 30 days. Payment is to be made at time of completion. Failure to pay can constitute a mechanics lien filed against the property. All materials guaranteed to be as specified. All work to be completed in a work-manship manner to standard practices. All damages to buildings are excluded 30 days after completion date and the owner is notified that any damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Scheduling will be done based upon date signed but limited to availability for materials, crews, and weather conditions. This.proposal expires thrity (30) days after the date stated above if not earlier accepted, revised, or withdrawn. WE HEREBY PROPOSE to furnish labor and materials in accordance with the above specifications for the sum of: A -p-eyn 2 r� ilk �,� ,4g,u tsdollars ($ � � � Q -7 g q) Payable Upon Completion of Work - Visa & MasterCard Accepted. Financing Available. 1 CONTRACTOR SIGNATURWfrO �K��.CUSTOMER SIGNATURE�� 44&E2* INSURANCE COMPANY 5J5}�0�,- �cr,S Cd DATE OF ACCEPTANCE C CLAIM #tom (0 ADJUSTER _ PHONE # E77- 04 77_ h City of Wheat Ridge HO Interior Remodel PERMIT - 201704833 PERMIT NO: 201704833 ISSUED: 07/26/2017 JOB ADDRESS: 4060 Jay ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Permit to install new window: window located in dining room 953/4" W X 35 1/4" H. U=.26 *** CONTACTS *** OWNER (303)425-4920 BERNATIS STEVEN J *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,128.91 FEES Total Valuation 0.00 Use Tax 23.71 Permit Fee 50.30 ------------ -i ** TOTAL ** 74.01 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNE 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 pe it 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 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 permits 1 not g c strued to be a permit for, or an approval of, any violation of any provision of any applicable code or ail. man e or r ti of isjurisdiction. 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 �Wheat Midge MUNITy 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 Email: permits(a)-ci.wheatridae.co.us FOR OFFICE USE ONLY Date: Plan/Permit # �--o 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: `f 0 � Q �10 V SL W/1 c Q 93 D 033 Property Owner (please print): S} e „i-3e.-,.,fi-% Phone: 3_ y15'My91a Property Owner Email: -fievey (0 t M&.'1 . &&.7 Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer• %/on,P O vv n e- Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION EDRESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION X 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) (For 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.) Sq. FULF Amps ne, 5¢."r 5;1,7 e . U meter b.24 /IV.,— C)wn& co."4vvvrK Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): 7 DATE: / — ,2 (o %'U J7 61 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ rlu-.;tc Back to Quote Date: 07/25/2017 http://sstsrv.lowes.com/m2o—b/meditimQLiote.jsp?projectld=15 LOWE'S HOME CENTERS, LLC #340 5405 WADSWORTH BYPASS ARVADA, CO 80002-3733 USA (303)425-3323 Project #: 514468209 Customer Name: STEVE BERNATIS Customer Phone: (303) 425-4920 Customer Address: 4060 JAY ST WHEATRIDGE, CO 80033 USA Line Item Frame Size Description: Product Code Description 11 Manufacturer: Milgard Denver 11111 Size = 95 3/4 -in W x Division: Millwork 1/4 -in H lProduct: Windows Type: Sliding Manufacturer: Milgard Denver Triple Glazed: No Product Line : Tuscany Product Offering: Horizontal Sliders Impact Certification : No Fin Type: No fin (block frame) Material : Vinyl Configuration: DV Opening Type: Exact Actual Width: 95 3/4 -in (Actual Height : 35 1/4 -in Sash Width: One Quarter Custom Sash Width: 24 1/16 -in Wall Condition: No Jamb Exterior Finish : White hiterior Finish : White Glazing : Dual Glazed (Insulated Glass) Energy Package : Northern Tempered : No Outer Glass Lite Option: SunCoat Low -E Inner Glass Lite Option : 4th Surface HP Coating Outer Glass Lite Thickness: 1/8 -in Inner Glass Lite Thickness : 1/8 -in Window CIAL OMRM Unit Price Quantity Total Price $531.33 1 $531 1 oft 07/25,2017 04:16 P\ nth �tC http://sstsrv.Lowes.com/m2o_b/mediumQtiote.jsplprojectld= 15. ;as Filled: Argon pacer Type: EdgeGardMAX Irid Type: No heckrail : No perating Control Device : No Green Frame : Standard :reen Mesh : Fiberglass tries : 8120T -Factor: 0.26 Aar Heat Gain Coefficient : 0.27 isible Light Transmittance : 0.52 FC: 29 elivery Option: Store [ear Opening Width: 21 3/16 -in leu• Opening Height: 32 1/4 -in lear Opening Square Footage : 4.75 sq ft PD: MIL -A-224-05714-00001 gad Time: 17 days !m Number: 3730 ease note that actual NFRC energy values may vary )m those reported in quoting due to variations that may cur during the manufacturing process. In most cases riations will be minimal. Please contact your Milgard _ation with questions or concerns regarding this tential variation. is viewed from outside looking in "X" indicates panel. "0" indicates fixed panel. Salesperson: BONIF'ACIO LUMABI (S0340BLI) Accepted by: Project Total: $531.33 Date: 07/25/2017 Print Detailed Quote This Millwork Quote is valid until 8/23/2017. This is an estimate only. This estimate does not include tax or delivery charges. Delivery of all materials contained in this estimate are subject to availability from the manufacturer or supplier. All the above quantities, dimensions, specifications and accessories have been verified and accepted. 2 of 2 07/25/2017 04:16 PN i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line_��9�`J (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: E -r i AL ❑ No one available for inspection: Timet.! `• !L.� kAM/.PM Re -Inspection required: Yes No When corrections have been made, ca!` ofi r re -inspection at 303-234-5933 DateX• Jy '% Inspector: DO NOT REMOVE THIS NOTICE wI of , iZo"oo"Wheaft "id Plea * Andress: % M, OL 13 EMM ;- (F ully ri to r rme - Attach additional shee If necessary) Q'142MCNNe I Is e, eki Review Fee (due at fin* of in l Squares BTU's Gallons _ Amps,_,,__.,__ €. w.0 �_..._._. —