HomeMy WebLinkAbout3321 Harlan StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201800006
PERMIT NO: 201800006 ISSUED: 01/02/2018
JOB ADDRESS: 3321 Harlan ST EXPIRES: 01/02/2019
JOB DESCRIPTION: Residential re -roof on house and garage with Owens Corning Duration asphalt
shingles. Pitch is 2/12, 22 squares 5.3 squares are on flat roof with
rolled modified bitumen. 27 squares total.
#201700254 was already permitted for this address, but homeowner said the
previous contractor would not respond so they hired Severy Creek Roofing,
Inc.
*** CONTACTS ***
OWNER (303)901-7838 FOUST KENNETH R
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,719.17
FEES
Total Valuation 0.00
Use Tax 393.10
Permit Fee 346.95
** TOTAL ** 740.05
*** 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 - 201800006
PERMIT NO: 201800006 ISSUED: 01/02/2018
JOB ADDRESS: 3321 Harlan ST EXPIRES: 01/02/2019
JOB DESCRIPTION: Residential re -roof on house and garage with Owens Corning Duration asphalt
shingles. Pitch is 2/12, 22 squares 5.3 squares are on flat roof with
rolled modified bitumen. 27 squares total.
#201700254 was already permitted for this address, but homeowner said the
previous contractor would not respond so they hired Severy Creek Roofing,
Inc.
I by my signature do ereby attest that the work to be performed shall comply with all accompany ingg pproved plans and specifications;
applicable building and all applicable municipal codes, policies and procedures, and th I am th legal owner or have been authorized
by the, egal owne o property and am authorized to obtain this permit and perform tble wo k descri ed and approved in conjunction with
this rmrt. I fu e t that I am legally authorized to include all entities named with' thi diocum t as parties to the work to be
per rmed t a erformed is disclosed in this docum t d/or it c n i proved plans and specifications.
Si nature of O r CO O:a�tn
ircle one) D e
I , his permit was issued based on the inf 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 ermit 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance J granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicabl pdinance.or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY
(,7/ L / /1 9, C) o 0 D�,
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, January 2, 2018 11:00 AM
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
3321 Harlan St
Ken Foust
3039017838
Field not completed.
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
Yes
foust ken signed contract.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)
Contractor Address
(Primary address of your
business)
Severy Creek Roofing Inc.
170240
7194949231
1320 simms st. Suite # 103 Lakewood, CO 80401
Contractor Email Address Steve@severycreekroofing.com
Retype Contractor Email
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)
Steve@severycreekroofing.com
25
18719.17
No
Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
greater)
2
What is the pitch of the
FLAT roof?
How many squares are
part of the FLAT roof?
Describe the roofing
material for the FLAT
roof:
Type of material for the
FLAT roof:
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)
I
5.3
mod bit
Rolled
1 and 0
22
Owens Corning Duration
Asphalt
House and 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
Yes
Yes
3
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Steve Louden
Email not displaying correctly? View it in your browser.
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,0SVERY CREEK
Roor I NG 1320 Simms St. #103 Lakewood.ktlCO 80401
MASItIR IttIII (.UNt RACTt, ,. www.se__ ._
verycreekroofing.com I Phone: 303-807-4030 Cell: 719-494-8231
rte_ 1 <�
a.� Dat o s/ a So
Property Owne r' lAs6ranUtComp3ny
Street Addrolicy
2l i//= `�
Contractor's Proj"Manag�
Claim #
# djuster
C' St jZip Mortgage Company
t
/l/ J
Adjuster Phone
Ho a Phone Cell Phone Mortgage Loan #
aG� IJ3,4
Adjuster Fax
Property Owner Email Address
Adjuster Email Address
Severy Creek Roofing, Inc. ("Contractor" SCR) to furnish the materials & labor, in accordance with specifications in the
Scope of Work below and the Terms, Conditions, & Limitations hereof, for the sum of Insurance proceeds plus
supplements, and deductible. Meet and exceed all local codes. Warranty; 10 years on labor.
Payment for such materials, labor and overhead and profit will be made by the Client from insurance proceeds:
Insurance proceeds plus any approved supplements less any professional fees due within 72 hours of receipt of
insurance claim money. Remainder due upon completion or progress payments as required.
/ Severy Creek Roofing, Inc. will cover the costs for All professional fees, including but not limited to, industry experts,
engineers, forensic Investigations, project fundingand other costs as needed.
' Authorized SCR Signature; Steve Louden1 AS—
Note: This proposal is time sensitive. Wind, water, and hail claim from y � —�
( SCOPE OF WORK: 7 '�
1
Roofs replacement:
r~ OC
Roof- Remove and Replace architectural shingles. Color.
f ----r c'
• Gutter Color;
• Paint color,
s • Restoration of property, Insurance scope of damage plus supplements. 1c)
• Includes -supervisor at all time and direct communication.
SPECIFIC EXCLUSIONS:
1. Concealed Conditions or structural defects not covered by insurance.
2. Upgrades to code unless specifically stated in scope of work.
3 or any other for sales-excr=pt or sate aid for for- �'
4. Repair of any and all pre-existing damage to surrounding areas to windows, screens, building exterior, etc. �4J
5. Any and all repairs not specified or listed above. All additional work not listed within the scope of work
will be billed on a time and materials basis at $75 per man-hour plus materials + 0 & P. ! Z Q
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DECRA
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ERYCREEK
ROOFING _ 13_20 Simms St. t#103 Lakewood, CO 80401
hln)1ING & KISIOiAIION www.severycreekrp2�ng.com I Phone: 303-807-4030 Cell: 19-494-9231
Ali UIIR III II CON IRM 'IOR
I
cost Detail: — / r f "— F/ d
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yo
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I the homeowner and the insured,
Iractpr Solutions d/b/a GCV. Servk
pany is also authorized to slake c
My claim number is
ifwe, the homeowne�invb!vinli
mort ag� hl
Servicing on matters the Cha
oornpany is also authorizerfto make 6
l4y loan number is:
I", the hom ' er, authorize GCV
the aim, anyj;upplements, arttr y'1
AUTHORIZATIONS
ry rerepresentati+ es of
3CV Servicing') 0 matters Inv
payable to GCV Servicing and
Ir, authorize representatives of
the ban associated with the loan
ks payable to GCV Servi* and
[Aye, tlnderstand lhat,all right, title, and intereN
aboveA the property bf GCV Servici Tjlis iso
I1W do by grant a Limited Paver f Attsxrn
homes for ayment of t claim(s), incibding all
claim(s), inGSding sup pI ents,`have en dist
shaii'not be af�ected by /our incapa ' ; r dis
their affiliates and their repress
Ba -m* discovered hying the
in any and all insurance races
accordance with the co
'Y o GCV Servicing to endo e
su bments, set forth above.'
urs and may only be revoke
abili
them di GCV Servici i
ber referenced bel , and the n
I them directly to G Servicing.
`tatives to communic�1_
withC�r
coilstrurxron process. alsc
e Company) to speak with Genesis
(the 'Claim-). The�bove insurance
pfs<T
ny) speakwith GCV
abode mortgage
C )-,k t
rand my Insurance rrier regarding
i'Generai Contractor's Overhead a
ds due fipm the Insdrer identified above regar2iing my da' n ber listed
between CONTRACTOR $ GCV Servicing.
on mytour behalf themrts nce e Iand Mortg he&s issued i my/our
his powef of atkqney shall teI;m(nate by its terms lice all funds f such
�pnorfhereto upoil written nofice to GServicing This power oflattomel
Steve louden- Email: STEVE@STEVE@ severvcreekroofinpcom ph. 719-494-9231
Acceptance of Proposal —The above prices, specifications, and conditions are satisfactory and are hereby accepted
by Client. Contractor is authorized to do the work as specified, Payment will be made as outlined above. By
signing below, I affirm that I have read, understand, and do he agree to the Proposal and the Terms,
Conditions, and Limitations on the following pages. ^ r,�
XClientSignature: , 1
Date of Acceptance:
Print Client Name: eN/t-e1 A I� Title:
Client Address:
P/rt email address where invoices should be sent:
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L
S vERYCREFK
Roo F i NG1320 Simms St. #103 Lakewood, CO 80401
Raul Inc & RISFO"110.4 —_ www.severycreekroofing.com I Phone: 303-807-40301 Cell: 719-494-9231
MASTER ELITE CONtRACTOR
Terms, Conditions, & Limitations
All Work involving repairs and/or replacements cover the area(s) herein specified: any areas not specified are considered to be expressly
excluded from the Scope of Work. The Work will be completed in a timely manner using current standard industry practices and techniques
and materials reasonably calculated to approximate the original finish and quality unless otherwise specified. All construction salvage is
considered property of Contractor, excepting some excess materials that may, at Contractor's sole discretion, be left with Client for future
cosmetic or other minor repairs. Contractor is not liable for Client's decisions or judgments regarding any color or style selections.
Additional Work (not covered by this agreement), changes in specifications, or cancellation of any portion of the Work (the term "Work"
shall include Scope of Work, supplemental work, or additional work) will only be commenced pursuant to the delivery of a written Change Order
executed by Client and Contractor. For the purposes of such documents, a facsimile transmittal or an electronic mail of an executed Change
Order shall be considered valid evidence of approval.
Cancellation Policy. 45% of total final insurance proceeds awarded. Due net 10 days.
Client hereby agrees to indemnify and hold Contractor, and its members, officers, employees, sub -contractors, and insurers harmless
from any and all claims, demands, fines, penalties, or causes of action brought by any person, entity, or government agency for the acts and
omissions of the Client or its employees, agents, and sub -contractors or regarding the conditions existing at the work site, so long as such actions
are not the direct result of the negligence or willful actions of Contractor. This indemnification and agreement to hold harmless shall specifically
include all costs of defense and reasonable attorney fees and shall survive the termination of this agreement.
!f In The Course of the Work, should Contractor discover any subsurface, hidden, undisclosed, or previously unknown or latent physical
conditions, or conditions at the site of an unusual nature or differing materially from those ordinarily encountered and generally recognized as
inherent in work of the character herein described, then Contractor shall be entitled to full claim upon and recovery of any increased costs that
may be incurred or necessary to incur as a result of these conditions. -- -
�Duiing the Course of the Work, should Contractor encounter any toxic substance such as asbestos, chemicals, gas, mold, or the like,
Contractor may halt the Work immediately and without incurring reprisal of penalty from Client. Should the Work be halted for more than five
orking days as a result of this discovery, Client agrees to remit full payment to Contractor for the entirety of the Work performed to date,
without retention, as determined by Contractor's reasonable estimate and Invoice: such Invoice shall furthermore include de -mobilization costs,
which shall be not less than ten percent (10%) of such portion of the Work as may remain incomplete. Contractor shalt be furthermore entitled
i/to recover any additional costs that may be necessary or necestolncur as a result of said toxic substance.
II Should the Services of an architect incurred
er be required for any reasonto facilitate the completion ofthe Work; Tiie architect/engineer
shall be employed directly by the Client, unless otherwise specified in writing duly executed by Client and Contractor. Any design drawings or
instructions issued by the architect/engineer shall be provided free of cost to Contractor; alternatively, such expense as may be incurred by
Contractor to obtain such documents, plus an administrative fee which may be imposed at Contractor's discretion, shall be reimbursed by Client,
fully, promptly, and without retention.
Client agrees to provide clear and continuous access as necessary for all Work on a concurrent and unscheduled basis during normal
working hours, which shall be defined as 7:00 a.m. - 5:00 p.m. weekdays unless otherwise specified. Client's telephone, electricity, and water
shall be made available for Contractor's use during the process of the Work at no cost to the Contractor.
Owner Agrees to carry fire, tornado, hail and other necessary insurance. Contractor agrees that all employees and subcontractors are
fully covered by Worker's Compensation Insurance. Any liability claim that Client may have against Contractor shall be first addressed by Client's
insurance in effect at the time, without retainage or penalty to Contractor.
Time is of the essence of this agreement. Contractor agrees to diligently pursue Substantial Completion of the Work, but shall not be
held liable for delays due to later deliveries, weather, or any other condition beyond Contractor's reasonable control. For purposes hereof,
"Substantial Completion" shall be considered to be the time and date upon which the Work is sufficiently complete to allow the Client to occupy
or otherwise utilize the Work in the manner for which it was Intended. ~ E
Client Agrees to inspect the Work at the request of Contractor, and to diligently schedule and expedite any inspections required by
mortgage companies, lenders, or any entity that may be responsible for release of funds due Contractor for performance of the Work. Client f
furthermore agrees, upon Contractor request, to execute a Letter of Acceptance and/or Substantial Completion on particular portions of the
Work, provided same is substantially completed._
Limited Warranty. Contractor shall, upon receipt of and conditioned upon final payment, assign to Client and all warranties of the
manufacturer. Contractor warrants workmanship and materials utilized during the completion of the Work for one (1) year from date of
Substantial Completion. Unless otherwise specified, Contractor does not warrant roof repairs or warrant concrete, plaster, or tile work to be
free from cracking or crazing; nor is any warranty extended to any concrete against heaving or settling.
Payments are Due as set forth in the proposal. If any payment due hereunder is not paid when due, Client agrees to pay interest on the
unpaid balance at the rate of 1.5% per month (18% A.P.R.). In the event that Client fails to make payments as agreed, Client agrees to pay all
costs of collection, including such attorney's fees, court costs, and other expenses as may be reasonably incurred by Contractor in pursuit of
settlement of the account.
OECR�A
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OLVERY CREEK
ROOFING 1320 Simms St. #103 Lakewood, CO 80401
aUl1Z II fs Rnl"1:,,11"" 111 l�I1NIRAI�It 1N www.sf:vfarycreekroofing.com I Phone: 303.807-40301 Cell: 719-494-9231
A11�I4 F
\� Contractor Shall Remove from the project site, at its own expense, any and all rubbish, waste materials, and excess materials of
construction resulting from the Work, and shall leave all areas of Work area broom clean or the equivalent, unless otherwise expressly indicated.
Right to Correct Work Conlractol shall have the right to complete or correct any deficiencies found by Client related to Contractors
Work. Client shall give Contractor, in written form, a delailed list of incomplete items, items not approved, or items to be corrected ("Punch
s _
List'). The Contractor shall have thirty (30) business clays from receipt of written Punch List to correct or resolve these deficiencies, at the sole
cost and expense of Contractor provided that the work set forth in such Punch List is otherwise within the Scope of Work, as may be amended
by change order signed by both parties. If payment or draw Is due, Client agrees to withhold no more of such payment than is reasonably
related to the performance of the Punch list Items.
This Agreement may not be changed except in writing signed by both parties. Any notice hereunder must be delivered personally or
sent by certified mail, postage prepaid, addressed to the party's address above; any such notice will be deemed to be given when personally
delivered or three business days after being deposited in the US mail, addressed and sent as aforesaid. The waiver of any breach of any of the
01?S? provisions of this agreement will not constitute a continuing waiver or a waiver of any other breach hereunder. This agreement contains the
•� entire agreement between the parties and no promise made by either party that is not contained in this agreement will be binding. Invalidation
` of any of the provisions of this agreement will not affect the validity of the remainder of this agreement. This agreement will bind and inure to
the benefit of its rights or obligations hereunder without the prior written consent of Contractor. In the even an action is brought to enforce
conjunction therewith. This agreement will be construed in accordance with the laws of the State of Colorado.
I�
DECRA
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City of Wheat Ridge
Residential Roofing PERMIT - 201700254
PERMIT NO: 201700254 ISSUED: 02/21/2017
JOB ADDRESS: 3321 Harlan ST EXPIRES: 02/21/2018
JOB DESCRIPTION: Remove all roofing materials replace with one layer of laminate shingles
7/12 predominate pitch. Remove and replace siding - 37 squares
*** CONTACTS ***
OWNER (303)651-0540 FOUST KENNETH R
SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,000.00
FEES
Total Valuation 0.00
Use Tax 450.00
Permit Fee 442.05
** TOTAL ** 892.05 ?
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A�/s-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
A City of Wheat Ridge
Residential Roofing PERMIT - 201700254
PERMIT NO: 201700254 ISSUED: 02/21/2017
JOB ADDRESS: 3321 Harlan ST EXPIRES: 02/21/2018
JOB DESCRIPTION: Remove all roofing materials replace with one layer of laminate shingles
7/12 predominate pitch. Remove and replace siding - 37 squares
I, by my signature, do hereby attest that the work to be pershall 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 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, anew 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 pen -nit. 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 con—hued to be a permit for or an approval of, any violation of any provision of any
applicable code or ae�y prdmance or eguI ti n of this jurisdiction. Approval of work is subject to field inspection.
01
Signature of Chief Building Official Date '
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
A .n ) --I _ , /
331 ��y4an ��NSPEC�I�`�N�RECORD
3�'S INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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 Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To An
Rough Inspections
Date
Inspector
Initials
ROW & Drainage / Public Works Dept.
Wall Sheathing
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Mechanical
Lath / Wall Tie
Final Window/Doors
Rough Electric
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Cityy of Wheat Ridne
02/2i/2017 10'-43 CDBB
Remove all roofing m
CDBO14305 AMOUNT
BPSP 3321 Harlan ST 892.05
APDL/PERMIT NO: 201700254
PAYMENT RECEIVED AMOUNT
MC / 2282 812.05
RUTH CODE: 01361J
TOTAL 832.05
Final Inspections Date Inspector
Initials
---- ------------------------------------
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.
Landscaping & Parking / Planning Dept.
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.
ror low voiiage permns — nease oe sure mat rougn mspecuons are compimea Trom the rire uistnct ana electrical low voltage
by the Building Division.
"For Inspection Time Window Requests — Please email insatimereouest(a--)ci.wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
02-21-'17 10:24 FROM- ALLAROUNDROOF I NG 3034331017 T-122 P0001/0001 F-148
City of
Wh6atp-Jdl ow
11 hA A L NT,, ge
CommuNiTy DEvELoPm
Plan #
Building & Inspection Services Division Permit #j
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office- 303-235-2855 * Fax: 303-237-8929
Inspection Request Line, 303-234-5933
Building Permit Application
(Complete g11highlighted areas)
KOO (Please Print): kjf. Vj ICG it S ad oto,
f phone:
4010 (if different than property address)
Address:
City, State, Zip:
-e
Contractors City License of 6;:z Phone: ZA
SOO,
Electrical: Plumbing- Mechanical:
City License # City License # City License #
0 -- (Fully describe work to be performed - Attach additional sheet if necessary)
ReTruve
7/ a/ Review Fee (due at time of submittal):
p(.edo" Squares —a7 --BTU's Gallons Amps _ Sq Ft. $
OWNEWCONTP-4,CTOR 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 mca=cments shown and
allegations made are accurate; that I have read and agr= 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 o-amcr of the property to perform the described Work
and am also authorized by the legal owner of any endry included on this application to list that entity on this application.
(OW%'ER) (CONTRACTOR) or (4VTH0FJZEDW)WSENTjTrVE) of (OTS
7VM (CONTRACTOR)
17
ZONING COMMENTS. . . . . . . . . .
. . .
Zoning;
Reviewer.
BUILDING DEPARTMENT COMMENTS
Revidftr:
PUBLIC WORKS COMMENTS:
Reviewer
n
FIRE DEPARTMENT--, 0 approved wl commd.ofs q OiApppivved .0' Bldg Valuation: $
Building r mit Applicati
"A 1kn lfw, ww
U /.,
Complete all information on BOTH sides of this Form
fF
S% Ft. /LF Btu's Gallons
E Amps Squa Other � ripolev m
o w
s
a •
r
C9 HIMNEY
NNECTOR
k
!� t
-,, 9 -
0
e 3 and illusrat,"m
mm
a
mm
:)p
X TGFSAP
FIG. 17
TABLE3
#to. 18
mn
■
o"EMM . U -
MENTAL QUALtTY (D.E.Q.) PARTICULATE EMISSION STANDARDS BY .E.M.0 THESE S1
SERVICES TO STANDARDS: CSA C ' B366.2. ULC 5627, UL 1482. MODEL 1100 HAS BEEN
3
0 Aft A*ft
LEG MODELS d
todily injury or death. Please read -
you # use your #
»# #µ. #:#
lga
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t El I - Ci C1l
C
In
NO
$10.00
127A
2.2
E
CITY • WHEAT RIDGE
■ No one .• - '• inspection: Time
Re-inspection required: Yes No
#
let
Inspection Type:
Job Address:
Permit Number: 2,01301
I
(pease prn,L Phone:
vner Email:
—1) et54 A* GP e.-
Complete all information on BOTH sides of this form
ml It
luilding Division Valuation: 2
City of Wheat Ridge
Residentail Plumbing PERMIT - 060055
PERMIT NO,
JOB ADDRESS:
DESCRIPTION,
060055
3321 HARLAN ST
Replace water heater
ISSUED,
EXPIRES,
02/28/2006
08/28/2007
*** CONTACTS ***
gc 534/ 08-81
owner 303/233-2479
Gary Kenfield
Denna Gerboth
01-7152 Precise Plumbing
** PARCEL INFO **
ZONE CODE, UA
SUBDIVISION, UA
USE:
BLOCK/LOT#,
UA
0/
Permit Fee
Total Valuation
** TOTAL **
ESTIMATED PROJECT VALUATION,
FEES
34.52
.00
34.52
600.00
** FEE SUMMARY **
Comments:
City of Wheat RidQe PRESCRIPTIVE ENERGY CODE
BOILERS I FURNACES A MINIMUM OF 90% AFUE
GAS WATER HEATERS A MINIMUM OF .60 ENERGY FACTOR
ELECTRIC WATER HEATERS A MINIMUM OF .93 ENERGY FACTOR
SETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC HEAT)
R.21 WALLS . R-38 CEllINr.o;: . D.1Q CD6WI ~D.'"
I hereby certify that the setback distances proposed by this permit appllcatlon are accur~, ah~ ~o h~.~~~plicable
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.
signature of contractor/owner
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 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 180 days.
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 recelve
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, any vio of the provisions of the building codes or any other ordinance, law, rule or regulation.
All pIa w i ject to fl inspections.
Sign date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE, (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPUotTtON
propertyOwner:.67e"'/7~ ~bo'l-l1
Property Address: i3Z,0l-I ##r)..C4..- ~
Contractor License No,: I 7 I r:l....
Company: /'I'~ c /s ~ pi",,", 1':4 s- :T... c-
Building Permit Number:
Date:
Phone: 303 - ;:J.33 - ;;;<17 q
Phone: ,j'l'-o'?''i-'I
OWNERJCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hearby certifY that the setback distances proposed by this permit application are
accurate, and do not violate applicable ordinances, roles or regulations of the City
of Wheat Ridge or covoruurts, casements or restrictions of record; ,that all
measurements shown, and allegations made are accurate; that I have re.ad and
agree to abide by all conditions printed on this applications and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and
all other applicable Wheat Ridge Ordinances, for work under this permit.
(OWNERXC0NTRACTOR)SIGNED~?- ~/~~TB~
Construction Value: (; 00
Permit Fee: .3<1 S- d-
Plan Review Fee:
TT~p. T~y' ,S:.,,,,:z;. ~ y,.CJ("I~
Total: .3.</ $2-
Description:
r~/,/"ce u..-A 1-. ~"';4 {...r
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
g~~ltQ~mfu~!itii
Approval:
Zoning:
~m\~j~gll&.~~.
Approval:
tfubH1:ii&iit~~~~:
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with tbe provisions set forth in your 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.
(2) TIlls permit shall expire if (A) the work: &uthorizod is not commenced within sixty (60) days from issue datl"> or (B) the building authorized is suspended or
abandoned fOf 11 period of120 days
(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 ,usponsionor abandonment has not exceeded one (1) year. If changes MvC hee.n or if suspension or abandonment
exceeds one (1) year, full fees shall be pairlfo! anew pennit
(4) No work of 8Ifj manner shall be done that will. change the natural flow of water causing a drainage probl=.
(5) Contractor shall not:ifY 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 !hI!! approval of drawings and specifications shall not bl!! construed to bl!! a pl!llmit for, nor an approval of, any violation of the
provisions of !he building codes OI any ollie.r ordinance, law, rule OIrogulation.
Chief Building Inspector