HomeMy WebLinkAbout4185 Gray StreetINSPECTION RECORD
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 day
r.
PERMIT: '�`�,,; °'��`' ADDRESS: �`. z �'"...JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
i a- I p t
' -ru
105 Stem Walls
106 Foundation wall Insulation
305 Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
i a- I p t
' -ru
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
305 Insulation
206 Water Underground
306 Mid -Roof 19-1-p-
/-7
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
i a- I p t
' -ru
304 Sheer Inspection
305 Insulation
i
306 Mid -Roof 19-1-p-
/-7
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
PERMIT: -7 ^ADDRESS: yfir5 JOB CODE: Az
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 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
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
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
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For 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.
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*
.
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.
/-19
e CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: e-1 ® `I - , f
Job Address: LI l 15 5-
Permit Number: C I -7 D IR
Ved
❑ No one available for inspection: Time 0 = -6 M/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: I Inspector: '-7-b
DO NOT REMOVE THIS NOTICE
e7
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:
M
c!
Job Address:
(j) 15 S
Permit Number:
'? C f-7 C
8 G
3 3
IG - PCE
❑ No one available for inspection: Time / AM M
Re -Inspection required: Yes Vo)
When corrections have been made, call for re -inspection at 303-234-5933
Date: i 34 --) 11-7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
` J Residential Roofing PERMIT - 201708933
PERMIT NO: 201708933 ISSUED: 11/08/2017
JOB ADDRESS: 4185 Gray ST EXPIRES: 11/08/2018
JOB DESCRIPTION: **REVISION: Adding decking to existing permit end revision**
Permit for reroof: Intstall 14 squares OC Duration Storm Asphalt shingles,
this permit covers house and garage.
*** CONTACTS ***
OWNER (303)908-9335 DOZIER MARCELLA R
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,100.00
FEES
Total Valuation 0.00
Use Tax 191.10
Permit Fee 204.30
Misc. Fee 25.00
** TOTAL ** 420.40
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708933
PERMIT NO: 201708933 ISSUED: 11/08/2017
JOB ADDRESS: 4185 Gray ST EXPIRES: 11/08/2018
JOB DESCRIPTION: "REVISION: Adding decking to existing permit end revision—
Permit for reroof: Intstall 14 squares OC Duration Storm Asphalt shingles,
this permit covers house and garage.
I, by n 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 an 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 ermit. I further attest that I am le ally 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 a d/or 'tsaccompanying 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 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 an�;nance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE NADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat fjdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(o)ci.wheatridge.co.us
FOR OFFICE USE ONLY I
Date:
Add to Permit # 201708933
Building Permit Revision/Amendment Application
J
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _ 4185 Gray St
Property Owner (please print): Marcella Dozier Phone: 303-908-5979
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Submitting Company: 1-derful Roofing & Restoration
Contact Person: Colleen Jacobsen Phone: 303-984-7663
Contractor: 1-derful Roofinq & Restoration
Contractors City License #:
070171
Contractor E-mail Address: lderfulcolleen@gmail.com
Phone: 303-984-7663
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
Add fRe-Deck to permit
Sq. FULF
Amps
Btu's
Squares
14
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
2100.00
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.
CIRCLE ONE: (OWNER) ONTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Colleen Jacobsen SIGNATURE: �� ��� L //� g�d pyL DATE: 12/11/17
DEPARTMENT USE 014LY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS: �J� DO
I
Reviewer. �^
(/ rJ 3tkI
PUBLIC WORKS COMMENTS-
Reviewer
OMMENTS Reviewer.
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
Building Division Valuation:
ILl
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
__:�9�(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 30 3 //, c 6- '" , j S L
Job Address: L-) 1 1075'_ 5-�
Permit Number: X 0 1 7 0 X 9 3 3
❑ No one available for inspection: Time ?a S—s- AMC
PM)
required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:-/ -9 1 7 Inspector: �;�
DO NOT REMOVE THIS NOTICE
ti City of Wheat Ridge
Residential Roofing PERMIT - 201708933
PERMIT NO: 201708933 ISSUED: 11/08/2017
JOB ADDRESS: 4185 Gray ST EXPIRES: 11/08/2018
JOB DESCRIPTION: Permit for reroof: Intstall 14 squares OC Duration Storm Asphalt shingles,
this permit covers house and garage.
*** CONTACTS ***
OWNER (303)908-9335 DOZIER MARCELLA R
SUB (303)984-7663 Judy Antener
070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00
FEES
Total Valuation 0.00
Use Tax 147.00
Permit Fee 156.75
** TOTAL ** 303.75
*** 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.
City of Wheat Ridge
k Residential Roofing PERMIT - 201708933
PERMIT NO: 201708933 ISSUED: 11/08/2017
JOB ADDRESS: 4185 Gray ST EXPIRES: 11/08/2018
JOB DESCRIPTION: Permit for reroof: Intstall 14 squares OC Duration Storm Asphalt shingles,
this permit covers house and garage.
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 l 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
perform and that all ork to b performed is disclosed in this document andlo its' accompanying approved plans and specifications.
c� � l�
Si a re of OWNER or CONTRACTOR (Circle one) Date
I, is 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, po plans
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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, November 7, 2017 3:02 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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 (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
4185 Gray St
Marcella Dozier
303-908-5979
1 derfulcolleen@gmail.com
a
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 Dozier contract.
Contract
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)
1-derful Roofing & Restoration
070171
303-984-7663
Contractor Address 9858 W Girton Dr
(Primary address of your
business)
Contractor Email Address 1derfulcolleen@gmail.com
Retype Contractor Email 1derfulcolleen@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
14
7000.00
M
Pitched roof (2:12 pitch or greater)
z
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)
4:12
14
OC Duration Storm
Asphalt
Re -Roof 11 Sq House and 3 Sq Garage
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
3
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 Colleen Jacobsen
Email not displaying correctly? View it in your browser.
9858 W. Girton Drive
Lakewood, CO 80227
Phone: 303-984-ROOF(7663)
Fax: 855-696-7776
PROPOSAL FOR:
Name: (), . d 4f �-
Job Address
City, State, Zi��T
Phone: �i-�-tomT
Mailing Address:
(If Different)
Email Address:
DERFUL
ROOFINGS RESTORATION
Best to contact:
Tear Off _ 2 r —
and eaves are open or ccldsed.
inspect Decking: Deteriorated existing decking
replaced at cost of $ o Per Sq. Ft. Homeowner
will be notified if any damaged wood is found during tear off.
�n tall ice shield on eaves and in valley(s)14- C
Install drip edge Color
_rnstall underlayment dU g-✓
'I Fecover roof with
year manufacturer warranty.
,d'Shingle manufacturer
, /color
/J e Nailevery shingl
�nstalI $ 11c. ridge style
_-�-rhstali pipe jacks mad jacks damp cooler
__J -Step flash �ep chimney _J step flash skylight
_,4-1-=Derful Roofing & Restoration will provide general liability insurance
of at least $2,000,000 and Workers Compensation of at least $500,000
Zean up and haul of roofing debris (Clean out gutters
.,, Magnetic sweep of surrounding areal Clean around landscaping
-- All required Permits furnished by 1-Derful Roofing & Restoration -
�sbereimbursed by Insurance Company
-� Derful Roofing & Restoration five year warranty on labor
Current Ventilation -Ail V -.P-- Recommended
Proposal Date: :�, _77
This proposal may be withdrawn by 1-Derful
Roofing & Restoration if not accepted within 30
days from the above date.
SUBMITTED BY: 1-D FJdL ROOFING ST ION
1-Derful Rep: -t--
Cell Phone: OZ
Insurance Company:
Adjustor Information: IT l--Zf �..
Policy Number:
Claim Number: S
,C-�'Gutters:
color Outlet
iding:
4A �--
❑ Extra work
,.=j
I
Special instructions:
1-derful Roofing and Restoration shall hold in trust any
payment received from you until 1-derful has delivered
roofing materials at the site or has performed a
majority of the roofing work on your property.
0
$S 1 ` deductible to be collected
at time of material delivery.
$_ 1 '75 initial total claim amount
as of /-7 - /2o i -? This
price is subject to supplements/adjustments.
Roof work to be completed within 21 days of final
El Decline recommendation on ventilation insurance approval and mortgage endorsement*
Date of Ace tan hh
��f 7
1-Derful R ng ra entative Homeowner's ignature
Property O err /is not intending to make payment from the proceeds of a property and casualty insurance policy.
INSURANCE ALLOWANCE AGR EMENT If so, homeowner must read and sign below.
I/We agree to retain 1-Derful Roofing & Restoration (contractor) to repair/replace the damaged or entire portion of the property described on this contract contingent upon the contractor obtaining my insurance
company's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount
of damage, the cost of the repair or replacement of the damage to the above property. Upon the insurance carrier agreement with the contractor and the down payment being made the work will be scheduled
and may begin on a first in frst out basis.
Checks shall be made pavable to 1-Derful Roofing & Restoration.
In the event that the insurance carrier fails to negotiate in a fair and reasonable manner, the contractor shall not be held liable and this agreement will be void. The contractor will release the complete file to the
Commissioner of Insurance at the customer's request.
Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary
documentation for the claim (including documentation to facilitate payment from insurance carrier and/or mortgage holder). The contractor reserves the right to file for supplemental claims due to material and/or
labor increases due to a storm environment or to insurance adjuster's mistakes, errors or omissions.
1/we agree by signing above to all the contract conditions on both the front and back of this agreement
,
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...~~.,. CITY OF WHEAT RIDGE
:r.r~ Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTIOlll NOTICE '
~cT/Zlof-<-:..
Inspection Type;.&'~/A';U/~ %-?c? 7_('5"
Job Address/Permit Number: 7"/ rr-~ G.ec-7 .:>-r:
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7' J
/, I
llyJ!/
o 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~~r Inspector:
DO NOT REMOVE THIS NOTICE
~u~
"" r CITY OF WHEAT RIDGE
?,'r/':/j Building Inspection Division
IV' (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE ,\
~ ~
Inspection Type: 6,LL. ~r.d. ~ ~9f~3'
Job Address/Permit Number: ~ ~ r-;.//'? 7 .:iT
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o No one available for inspection:-,Time
AM/PM
Re-Inspection required:
* When corrections have been m d , ca I for re-inspection at 303-234-5933
Date: ~6-~dJr Inspector: !
DO NOT REMOVi IS NOTICE
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City of Wheat Ridge
Residential Mechanic PERMIT - 080953
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
080953
4185 GRAY ST
Install 70K furnace
(80%)
& 2 ton A/C
ISSUED,
EXPIRES,
w/ 150A serv
08/20/2008
02/16/2009
upgrade.
***
CONTACTS ***
303/423-5629
303/232-3939
303/979-1641
Mariella Dozier
David Jenkins
John McGrath
02-0227 Nationwide Heating & Air Condi
01-9585 Over-all Electric
owner
gc
sub
* * PARCEL INFO
ZONE CODE,
SUBDIVISION,
**
UA
0425
USE,
BLOCK/LOT#,
UA
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION,
FEES
126.50
.00
64.80 "j)Ml\(\{d.-.3
191.30
3,600.00
** FEE SUMMARY **
Conditions:
Must comply w/ 2003 IRC & 2005 NEC.
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
applic e Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
g--,zO-Or
S date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. 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 abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, ation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan rev. ject to field inspections.
Signature ofC
!
INSPECTION REQUEST LINE:
REQUESTS MUST BE MADE BY
date
(303)234-5933 BUILDING OFFICE, (303)235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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:
Date
APPl\Cf\TID N
Property Owner : //H$~-""-" j)";!',,,,-.;L
Property Address: 41/ G-S- 6;;v? Y' 5,-;:
Contractor License No.: 7&a7-
Company: .fi//;' T/"'-- /0","
Phone: -,;-oVZ"$- .5"6? 1
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: "5 -;1f;Z--3'73'
Construction Value:
Permit Fee:
Use Tax:
f':;<!P<'?C
.=
/ 2" ~-
~,,/e>~
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 J have read and a~ree to abide by all conditions printed on this
application, and that I assume full responsIbility for co hance with the Wheat Ridge Building
Code (U.8.C.) and all other applicable Whea id ordinances for work under this permit.
DATE ~;)/66
Description: J.v", rAp':
Total:
1'11.~
(OWNE~RACTcil) SIGNE
Use:
(.$a<-.mvk/? )
/IV /rtY /5""",..-7/1 ,-v? tf?,(,E.Hv.F
?,e: ;::-v~~ .-r/e-- ,f 27>>-'" /7k
BUILDING DEPARTMENT USE ONLY
~~mJpJl.Jnl!,~
Approval:
Zoning:
!?gi@!!!~Q..mm.tm~J!I
Approval:
!tqm~2!!l.l!!.eJ!l!l-1l
Approval: .
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No: /t / L
Company: t9~/".ff.?L
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This pennit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and 10 the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This pennit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this pennit 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 abandonment has not exceeded one (1) year. If Changes are made or If suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new penni!.
No work of any manner shall be done that will change the natural now 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 the job.
The issuance of a permit or the approval of 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)
(5)
(6)
Chief Building Inspector