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2817 Gray Street
The City of Wheat Ridge Third Party Form Che- ckList Property Address OV) t Permit Number II Permit Issued Date 3 I it Owner Information Property Owner Information llok� Property Owner Address Inspection Company ,L .&r*1440- P 11 Inspector Namen�dnjhzrff Inspector Contact info. _ ) Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * 1 hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendation ant i Inspector:VDate: Pro/4�rty Owner Statement of Acknowledgement *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -'party inspection company to perform my roof inspection in lieu of the City of Wheat dge Division inspection. Propery Owner/ Ag Date: ' This original document as well as the roofing check list, must be submitted to the Chief Building Offical within seven days of the final inspection. Drop off in person Submit via Email Permit counter 2nd floor KcookCo''.ci.vihea t rid g e.co.us 7500 W. 29th Ave Wheat Ridge CO 80033 Drafted Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection a N/A ❑ N/A ❑ N/A C5 N/A ❑ Pass ❑ Fail 'Q Pass ❑ Fail APass ❑ Fail __A Pass ❑ Fail ❑ Pass ❑ Fail Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) 5&A XN/A ❑ N/A © N/A a N/A ❑ N/A ❑ N/A 0 N/A ❑ N/A R N/A ❑ N/A O N/A o N/A Y N/A Q Pass Q Fail ❑ Pass 0 Fan A Pass ❑ Fail bll� Pass 13 Fail A Pass ❑ Fail 'kPass Q Fail X Pass 13 Fail ;Pass 13 Fail APass 0 Fail / Pass ❑ Fail Pass 0 Fail Pass ❑ Fail Pass ❑ Fail 0 Pass ❑ Fail Verify sheathing nail pattern ( See policy & Proceedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings are damaged or rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2' in heated wall spaces Underlayments must follow 2012 IRC / 2012 IBC Verify roof slope for proper drainage Dripedge shall have min of 2" overlap Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 f N/A jtJ N/A ;N/A N/A N/A ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass E3 Fail ❑ Pass ❑ Fail 0 Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope Above roof insulation R-25 Below roof residential R-38 Below roof commercial R-32 Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass 11 Fail Metal roof shingles shall not be installed on slope less 3:12 kN/A N/A 0 Pass ❑ Fail ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements l.N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: Inspector signature: ,f Date of Inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection • N/A Q Pass 0 Fail • N/A � Pass El Fail Structural roof components • N/A Pass Q Fail Verify that no more than 2 layers of shingles exist • N/A Pass 0 Fail Flashing for roof and walls Q Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A a Pass 0 Fail Verify sheahing nail pattern ( See policy & Proceedures) N/A 0 Pass 0 Fail Crickets and saddles where needed Q N/A. Pass 0 Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass 0 Fail Verify vent caps El N/A Pass Cl Fan Verify no flashings are damaged or rusted • N/A Pass n Fail Step flashing shall be min. of 4x4 piece per shingle • N/A Pass 0 Fail Verify scuppers allow for proper drainage to N/APass 0 Fail Ice and water shield 2' in heated wall spaces C1 N/A Pass 0 Fail Underlayments must follow 2012 IRC / 2012 IBC • N/A Pass 0 Fail Verify roof slope for proper drainage ❑ N/A Pass 0 Fail Dripedge shall have min of 2" overlap 1] N/A Pass 0 Fail Dripedge should extend down min 2" past roof deck © N/A )it Pass ❑ Fail Dripedge shall be mechanicaly fastened 12 OC Q Pass 0 Fail 90 LB roll roofing shall not be applied to roof slopes 'XN/A less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A 0 Pass 0 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A E3 Pass 11 Fail Above roof insulation R-25 N/A 0 Pass 0 Fail Below roof residential R-38 �e N/A 0 Pass 11 Fail Below roof commercial R-32 N/A 0 Pass 0 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements t N/A 0 Pass El Fail Metal roof shingles shall not be installed on slope less 3:12 N/A 0 Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A 13 Pass 0 Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements N/A 0 Pass 0 Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Company Name: Inspector signature: Date of Inspection: &01705-071 �.„i INSPECTION RECORD INSPECT'6N 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 pe Inspections 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 Initials Comments Pier Concrete Encased Ground (CEG) 1ti p -” 19 t , Foundation / P.E. Letter Lath /Wall Tie 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 Mid -Roof 1ti p -” 19 t , 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 GM^,C,1YGD Final Mechanical 6N C nce) t Roof IT I Carl uVTA - Final Window/Doors 23 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 - 201705071 PERMIT NO: 201705071 ISSUED: 07/31/2017 JOB ADDRESS: 2817 Gray ST EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning asphalt shingles with 21 squares Remove existing layer, base felting, install ice shield on eves and valleys, install owens corning roofing system. *** CONTACTS *** OWNER (303)274-6293 SPAHN WENDY L SUB (303)425-1083 Matthew Rock 017908 Rock's 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: 8,500.00 FEES Total Valuation 0.00 Use Tax 178.50 Permit Fee 188.45 ** TOTAL ** 366.95 *** 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 - 201705071 PERMIT NO: 201705071 ISSUED: 07/31/2017 JOB ADDRESS: 2817 Gray ST EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning asphalt shingles with 21 squares Remove existing layer, base felting, install ice shield on eves and valleys, install owens corning roofing system. *** CONTACTS *** OWNER (303)274-6293 SPAHN WENDY L SUB (303)425-1083 Matthew Rock 017908 Rock's 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: 8,500.00 FEES Total Valuation 0.00 Use Tax 178.50 Permit Fee 188.45 ** TOTAL ** 366.95 *** 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 Y Residential Roofing PERMIT - 201705071 PERMIT NO: 201705071 ISSUED: 07/31/2017 JOB ADDRESS: 2817 Gray ST EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning asphalt shingles with 21 squares Remove existing layer, base felting, install ice shield on eves and valleys, install owens corning roofing system. 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 erm�t. I fu t that I am le ally authorized to include all entities named within this document as partes to the work to be performecj�a���ork to disclosed in this document and/or its' accopanying approved plans and specifications. Wture of OWNER or CONTRACTOR irc a one) Date —his permit was issued based on the information provided in the permit application and accompanying pians 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner, shall be performed that shall results in a 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 field inspection. tj FA Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Friday, July 21, 2017 12:46 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 2817 Gray St.� Wendy Spahn 3032746293 Field not completed. _ 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 Business Rock's Roofing Inc. Name Contractor's License 017908 Number (for the City of J Wheat Ridge) Contractor Phone 3034251083 Number Contractor Email Address rocksroofinginc@hotmail.com Retype Contractor Email rocksroofinginc@hotmail.com Address DESCRIPTION OF WORK Are you re -decking the No �( roof? 1` Description of Roofing Owens Corning Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 21 (pitched + flat) of all roofing material for this project 2 Provide additional detail Remove existing layer. Base Felting, Install ice shield on eves here on the description of & valleys. Install Owens Corning roofing system. work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 8500 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 pen -nit 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 Matthew Rock Email not displaying correctly? View it in your browser. 9 ROCK'S ROOFING, INC. 3820 Quay Street *R 303425=1 0 Wheat Ridge, Colorado 80033 ROOFING EXPERTS OF Fax 303-940-9358 www.RocksRoofinginc.com COMMERCIAL AND RESIDENTIAL SINCE 1968 SU ITTED TO n PHONE DATE STREET .'x 3 2- NAME /EMAIL CITY,STATE AND ZIP CqD� f� JOB LOCATION New Shingle Color !2 RA Initials_ Tear Off C', Base Felting , Install Ice Shield Install D Shingle Manufacturer S r, ar r,e rl s New Valleys TypeC' I — 0 Ridge Venting Roof Height (� Paint Roof Stacks Roof Slope? Ridging 1 -( Metal Edging_ Replace Plumbing Jacks 1.5" 2" 2 3" 1 4" 5"_ Counterflashing Stepflashing Warranty �stl� �,,., c� pica r,,. , A Replace gutters L.F.?Sa�,s^r Replace down spouts L.F.? N -W Gutter Color? Protect all Landscaping Clean up and haul off trash Roll yard with magnetic roller This estimate does not obligate the homeowner or Rock's Roofing Inc. in any way unless 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 a(l� insurance proceeds for the work completed by Rock's Roofing Inc. j - We propose to complete the work in accordance with the above IIW1 specifications and subject to conditions found on this proposal. 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. Install six nails per shingle � !, S Additional Work Performed H n�-ys 5 0,6 �� rq �. , �,� �g��� 1fA 1W WE HEREBY PROPOSE to furnish labor and materials in accordance with the above specifications for the sum of: nfa�'-' ! dollars ($ ;� �. �'� C:° ). Payable Upon Completion of Ocirk - Visa & MasterCard Accepted. Financing Available. CONTRACTOR SIGNATUR — CUSTOMER SIGNATUR W -- INSURANCE COMPANY-�- DATE OF ACCEPTANCE C6sk/1 # a'�/ �. ,r '� ADJUSTER ' � � PHONE #�' �� �C5 ri � O— V City of Ptoporty Owrw le Plan # permit use print); hone.; ' M Address MMIMMMM EM MMUMMM Bldg Valuation: guilding Permit Application ♦ i CITY OF WHEAT RIDGE Building Inspection Division ~r (303) 234-5933 Inspection line r (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: V Job Address:) F~ Permit Number: l~ eF nom! ✓ 't- f; ❑ No one available for inspection: Time AM/PM I Re-Inspection required: Yes) "When corrections have been made, call for re-inspection at 303-234-5933 l Date: ] .~O / Inspector: 1, l DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ' Job Address: .4- Permit Number: r 7 s 4' C'/ ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: lei Inspector: {/f r D NOT REMOVE THIS NOTICE r! r is n _ ~ r • - ~~oF W"`E9,r~c City of Wheat Ridge Building Division m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 Date: Plan Permit #:00 p Building Permit Application Property Address; ~O I (7 i Y c) T °L~ l Property Owner (please print): Mailing Address: (if different than property Phone: 3n3 -.27V -6,2 93 Address: sam to as above, City, State, Zip: Contractor: Wa~ Pa~In(, IF Contractor License Phone: ZD,5 - 232 - y34 Sub Contractors: Electrical City License Company: Exp. Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Use of space (description): F6tII!119CP_ 1-NSA111 Construction Value: $ Y000• D Description of work; (as calculated per the Building Valuation Data sheet) yN.5Tl91L YORK Xfnl4y 8.5116 /)'edalltf//VEr Plan Review (due at time of submittal):$ Furnace Sq..Ft./L.Ftadded: Squares BTU's 10,000 Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEONE:: (OWNER) ONTRACTO orCPERSONALREPRESENgT~AThVF,.df(OWNNER)((CONTRATOR)~ PRINT NAME: Terri Wt- I- SIGNATURE: 11-- e.-C -?ra ]D Date: -.z OWNER/CONTRACTOR SIGNAU~E OF UN E TA I hereby certify thet the aelbecll disle end do not vlOlete eppllcalJ!e Mlinan , covenants, easements or restrkotfons mede ere eccurate; that I Have reed application, and that I e..Urns tull Code (U.B.C.) and ell other eppliceb ING AND AGREEMENT . eJlPlil;allon are eccurate, City of Wheet Ridge or nI8 ""own, end ellegationa llio"" printed on thla . the Wheet Ridge Building rWQ~under~} "-- DATE ):5 OUTLETS , (OWNER)(CONTRACTOR) SIGNED Description: NEW SER EPARTMENT USE ONLY n yopur appUcatiocl and Is subjed to the laws of the state, of Colorado and to the Zoning , applicable ordinances of the City. within slxIy (00) days from issue dote or (B) 1118 building authol1zad Is suspended Of tf the amount normally required, provided no changes have been or 'Ntll be made in the has not exceeded one (1) year. I' changes are made or if suspension or abandonment of '(niter causing 8 drainage problem. In advance for a1llnspectlona and shall receive written approval on inspection card before OM shall not be construed to be a pennit for, nor an approval of, any violation of the provisions Approval: Occupancy : II~ : R f: (1) (2) (3) Electrical License No: Company: nseNo : Expiration Date: Approval: . ~;l (6) Ilding Inspecto i THISPERMI V-t-L1DON Y , C~LL: 23 ,11\1',1I!!:A Building Permit Number: 95-1906 Date : 9/20/95 Phone: 274-6293 Phone: 431 5439 Construction Value: Permit Fee: Plan Review Fee: Use Tax : $1,000.00 $45.00 $0.00 $15.00 $60.00 Total: Stories: Residential Units : Mechanical License No : Company: . IGNED BY THE CHIEF BUILDING INSPECTOR OURS PRIOR TO INSPECTION ! DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: 95-217 Date: 1/31/95 Property Owner: ELSNER WENDY L Property Address: 2817 GRAY ST Contractor License No.: 17553 Company: Centennial Roofing Co" Inc. Phone: Phone: 238-5557 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Use Tax: 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 a~ree to abide by all conditions printed on this application, and that I assume full res.pe.~lity for co, mpliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable ,.~;;....at.Ridge ordinan , for work under this pe it. (OWNER)(CONTRACTOR) SIGNEo'L;,~/ c;; , DATE/' ? I. 7t.7 -' i/ Description: REROOF Total: $1,130,00 $29,00 $16.95 $45.95 BUILDING DEPARTMENT USE ONLY Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: III Expiration Date: Approval: III Expiration Date: Approval: III (1) (2) (3) This permit was issued in accordance with the provisions set forth In yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire If (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or aban,donment has not exceecled one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of thel'ob. The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (4) IS) IS) Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Ut::t>At' I '<IU" I Uf' PLANNING AND DcVELOPEMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Application Number: Date: .,-- . / Property Owner: _____;7/J,<-7 "--' Property Address; fit /,p e;.z~ _.? S ~. Contractor License No, : / --::? 5:;>- j Company: t:/:,...-,.L,h,,--,/L--'/'=; '-~c:>.f~r"'>,7 Phone 7 ?.y - 6;;? r'S Phone ;P:3 &--.:5'J-,-Y? OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: {/3D ;;)-1.<>-0 /6,1 S; I hereby cerMy that the setback distances proposed by this permit application are accurate. Permit Fee: and do not violate applrcable ordinances, rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record; that all measurements shown, and allegations mad~ are accurate: that I have read and 39.ree to abide by all conditions printed on this Use Tax: . application. and thaI I assume full re~pons 'ly for compliance with the Wheat Ridge Building Code (U Be) and all other applicable at Ridge Ordlnan.~r work underfflh'S pe it _ Total: (O~ER)(CONTRACTQR) StONE -~;t ./-?-' - '"-''' """ <6ATuj $'/ ~ J Descnptton."Q /~..... - . ",' pi" _,....h~ L.-'k'>-" €..:> BUILDING DEPARTMENT USE ONLY {jID:!IlIl;P-,Q.ll!!!:!IJ~~i Approval: Zoning: RiYII(Un"'''''Comment.,-", 1MaL_,1i~",~.w Approval' ~!II:lKv.!'?!.I<l!;l?"o;!t\OO!"!lell Approval: Occupancy: Walls; Roof: Stories: Residential Units : Electrical License No : Company Plumbing License No ; Company: Mechanical License No ; Company; Expiration Date' Approval: ;W ~liins:RequJrjj.C!_ Expiration Date: Approval, -.J ~plaJ;lsR~!:fOkl!~" Expiration Date: Approval; fiI ~~~ !IJj- ;(:~'l!llrj!..r (I) (2) (3) This permd was issued in accordance with the provisions sellorth in yapur application and is sub;ect to the laws of the State of ~ and to Ihe Zoning Re.QulatlQfls and Building Code of Wheat Ridge. Colorado Of any other applicable Ofdinances of the City. . ThlS'permlt shall expire if (A) the work authorized is not commenced within Sixty (60) days from issue date Of (8) the building authorized is suspended or abandoned for a period of 120 days. If thIS permIt expIres. a new permtt may be acquired lor a lee of one-half the amount noonaUy required. provided no changes have been or wiI be made in the ongmal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, lull fees shall be paid for a new permit No work 01 any manner shall be done that win change the natural flow of water causing a drainage ptoblem. . CnnlrOlc\n' ~;hall nohly the Building Inspector twenty.lour (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeo"ny WllIl successive phases of the iob- _ . . . The IS~\J..nce of a permit Of the approval o( drawings and speohcahons shall nol be construed to be a permit for, nor an awrova1 of, any violation of the provtSlOr'lS olltle l),:d~jr"q l;odl'S or any other ordinance. law. rule or legulahon (4) (5) (5j Chl\ . Budding Inspector For Mayor THIS 1'1 f-IMIT VALID ONLY WHEN SIC;NI D BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION