HomeMy WebLinkAbout2695 Lamar StreetJL
City of
Wheatl _ge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax 303-237-8929
Inspection Line: 303-2345933
Email: permits(3ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
PlaniPermit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 2695 Lamar Street, Wheat Ridge CO 80214
Property Owner (please print): Arthur Williamson Phone: 303-589-5795
Property Owner Email: arthurwilliamson@live.com
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Same as above
City, State, Zip:
Arthur Williamson
Architect/Engineer E-mail: arthurwilliamson@live.com
Contractor Name: Arthur Williamson
City of Wheat Ridge License #:
Contractor E-mail Address: arthurwilliamson@live.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Arthur Williamson
CONTACT EMAIL(please print): arthurwilliamson@live.com
303-589-5795
303-589-5795
303-589-5795
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
❑COMMERCIALx❑ RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
I am proposing relocation and upgrading the existing gas meter. This will require a new interior
gas service line. The new service pipe will consist of approximately 24 I.f. of 1" dia. black iron pipe
from the new gas meter location (see plan attached) to inside the building and transitioning to 1"
dia. CSST pipe for approximately 15 I.f. then transition to 1/2" CSST for approximately 8 I.f. to the
gas furnace and gas water heater. The CSST shale be bonded to the main panel ground with 6
gauge solid copper grounding wire. Xcel energy will be performing all exterior service line and
meter work.
Sq. Ft./LF
BTUs
Gallons
Amps ____ Squares ____ For Solar: ___ KW _____# of Panels _Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature thirst and last name): Arthur Williamson ea�m o.a.,, �: 5/18/21
Printed Name: Arthur Williamson
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
Complete all highlighted fields.
❑COMMERCIAL x❑RESIDENTIAL
Provide description of work: For ALL projects, protide a delalled description of work to he
performed including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and effidency, type and amount of materiels W be used et.
t am proposing relocation of the existing gas meter. This will require a new interior gas service
line. The new service pipe will consist of approximately 241 if. of la did. black iron pipe from the
new gas meter location (see plan attached) ro inside the building and transitioning to 1" DID. CSST
pipe for approximately 15 11, then t MSitlDn to VY CSST for approximately 8 Lf. to the furnace
and water heater. The CSST shale be bonded to the main panel ground with 6 gauge solid copper
grounding wire. Xcel energy will be performing all exterior service line and meter work.
Sq. fedi BMs Balbna
amps squax For Solan_FOR awvx.R waulm. serren.Y
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
PmlMwidow RoMMvLI¢ or the coax Mffimtlenas and IaberiNWetl In they seem pl )
1 600.00
OWNP NTRACMR SIGNATURE OF UNDERSTANDING AND AGMEMENT
1 Many=iN Wv On vnM1eck divi Pat by Nie halt Nd,i =x1111, And do not vinall applicable mdlnanco, mill an
refulnrionv of Pc Gln ofWhe RiThe m mveli N ionl le m mNamr of r¢oN: Nu all mee"Nobb v Gown 14 xlleptiwr msY ere
=.on, be I holy hold and yone to abide byre eoMidmr pi no Na all and NY l Ali bill rupmrrimlin for canalwidt alibi Gln of wasse bible eodx and oedwmrer for wale badly any Gonne iuucJ baxdon Its Indication;NY l em Ne one battle
it, how bem aidei by the It ownr ofNe poodi to xT tMM"Nat wttz= all"RAi by Me le&l ower of any
mlirylwluMdw NivapPlimdm mlin lM1YeMinm Niveppli®tion. 1, theO l Go this building Perrin appliodory wertanl Ac
rtntM1Polrcr ofNcinfwmnion pmvidMontM
ORCLEONE /OWNM ICOMIg (AP mORII80REPE AF/ % 4 GRAM (CONTR CmF
Vet
¢�aymonrwDYmk DATE: 5/18/21
ami Naae: Anhur W' amwn
DEPARTMENT USE ONLY
ZOMPFCOMMIKENTIR
Resonant
moven Rutldirp DlNvlon vuuN n:
City of
'�WheatR- le
COMMUNIT'DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, If hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Oviner(s) J\jjXin, L
11 e1 e
"prized signature of Applicant
State of Colorado j
Countyof .law ISOY1 I ss
Theforegoing instrument was acknowledged thyme thiskVLdaycf Tnitl .20,�l by
R.rY\ufj
al WC STTEOFOX
iwtzw a WIn I. snrzor couwoo
IIBYI.M ID Pat 11
kvcw.lulumwswn n, eou
My<ommission Expires Z/Z/30ZJ
Notary Public
IXISTING Gly METER
PL'TNu visnxa PROPOSEtl NRY GA5 METER
BN r
a+RaCe I
45'-6' F
F
asail 3
41'-5•
190'-9'
m — —2695 U%JMAR 5TRt8f�
— — — — -- — -- — — — —
27tlA'
IEGAL OPS WVMON
Tat p rt a 5oRM1amf Quarter a 5acLwn 25. Tical3 5o:iM. Wye 69 West of Ma 6M
P.M., desmiled as felloas: ffegirl at a Point 0 the =atho Lha lamer ct, r.15
1297
1297 fait task and 56O feet NoM of Ne 5oAha¢sk wn:e:' a the said So:kF Owrker,
them North along the West line of lanur Street I OO feet; khmm Wast rt M angles to
Me Well line of MW street 270 fait: Merca 5oRM1 Parallel wfF fFa WeH lira Jamar
Street 100 fast: Menet East A right angles 270 fast W the Paint o f hagmnmg. Jeffa:sor:
51TE PLAN col Gdwado.
az® SCAIE: 1:250
SHEET
S1
IXISTING KITCHEN
IXI.
TING DINNING ROOM
nIXISTING
UNMNISHED 5FAOE
13'-Ilg
V2' D0. C55T TO
❑ I>< IXISTING GM MEI3R
WATERNEPTER(B LP.)
I-DIACSST
❑O GPS PIPf (I5 L.F.)
0
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IXI5TING
IXI5TING LIVING
5TAIR
LASE
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NRNALE (B LF.)
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{N
2W-5,3
6 V
�a IXISTING UNFlNISIIED SPACE o uJ
_N IXISTING 5UN
ROOM
m
4'-5 I G' -G'
N1) SLAY::
GAS LINE PLAN
S: 9/16"- I'-0
32' 2"
FROFOSFD GP5 METER
SHEET
G1
City of Wheat Ridge
Residential Plumbing PERMIT - 202101062
PERMIT NO: 202101062 ISSUED: 05/20/2021
JOB ADDRESS: 2695 Lamar St EXPIRES: 05/20/2022
JOB DESCRIPTION: I am proposing relocation and upgrading the existing gas meter. This will
require a new interior gas service line. The new service pipe will consist
of approximately 24 l.f. of 1" dia. black iron pipe from the new gas meter
location (see plan attached) to inside the building and transitioning to 1"
dia. CSST pipe for approximately 15 l.f. then transition to 1/2" CSST for
approximately 8 l.f. to the gas furnace and gas water heater. The CSST
shale be bonded to the main panel ground with 6 gauge solid copper
grounding wire. Xcel energy will be performing all exterior service line
and meter work.
*** CONTACTS ***
OWNER Arthur Williamson
OWNER (303)233-1204 KADNUCK GERALDINE M
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 800.00
FEES
Total Valuation 0.00
Use Tax 16.80
Permit Fee 36.70
** TOTAL ** 53.50
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2018 International Codes, 2020 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
1* ► � i City of Wheat Ridge
'/� Residential Plumbing PERMIT - 202101062
PERMIT NO: 202101062 ISSUED: 05/20/2021
JOB ADDRESS: 2695 Lamar St EXPIRES: 05/20/2022
JOB DESCRIPTION: I am proposing relocation and upgrading the existing gas meter. This will
require a new interior gas service line. The new service pipe will consist
of approximately 24 l.f. of l" dia . black iron pipe from the new gas meter
location (see plan attached) to inside the building and transitioning to l"
dia. CSST pipe for approximately 15 l.f. then transition to 1/2" CSST for
approximately 8 l.f. to the gas furnace and gas water heater. The CSST
shale be bonded to the main panel ground with 6 gauge solid copper
grounding wire. Xcel energy will be performing all exterior service line
and meter work.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/20/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Pjdge
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Plumbing Subcontractor
This form must be completed & signed by the PLUMBING SUBCONTRACTOR
performing plumbing work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 2-6 9 b I_kkx G S4, (',,j ri f�%,� Q fa1.31�
General Contractor: 1hcL0(-�cs 616A "L-40 cu S L �o.S ��`f r ,,V
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: P IUl- Contact Phone #: 3,3 3 Y % y " � s Eo
P Y �
Wheat Ridge Contractor License #: So 313 5 (required field)
State License #: 12, -7 3
Master License #: ) & <e, 2y Z
S/z0
Date
City of
Wh6atPsjxd1ge
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Electrical Subcontractor —1
This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR
performing electrical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 2 b 9 b La vvN-L1- r -�4 • Mef ;4, c4 .) 2vzo O 'I
General Contractor:
FORM WILL, NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: The. �.i c6,f,c (_t>f, I Z*Contact Phone #:
Wheat Ridge Contractor License #: — U 2? 33o (required field)
State License #: ,�) �Lq -)
Master License #:
Tom! �A U -e_ _
Printed Name of 6thorized Agent
`` ,=<� l s .n:. 8 /31 % 2c
Signature of Authorlied Agent Date
1
J&
City o
_/
W hcat c
MU�MI�V<'EfiT
SUBCONTRACTOR AtrTHORIZATION FORM
:Mechanical Subcontractor
nus ksm fwW be C&mpldM,&,AWz1 by ehe AII:.( MINIC'AL SUIc'cATiuC° OR
perfiwmia,d ewch"icsi Yvon, on tat
SubccwkbutWN insunmoc and L,cr c rwee 1c up la date peri" to pera,t im%4m.
Project .address: Z y Q� 444o Tkjl &t,T--P4- 04 E— if 0
I t! 1I ti►"11.1. tioT HE ACCEPTED WIT11 MISSING INEORMADON
Company Name A4*Dt— deaa tl't,e4p111_—cent rre phow 0:
Ard t'omb:rr(n/swk
Whtae Ridte U**grader 1 k nse . Z04-0�1,. -___lrequircd fkld)
41,44-4 L-- 0 u. U.56AJ .
Prlertcrl Naaec of Aeetko�djed Apnf
SJzs ture of Aerborired Atai Dair y
INSPECTION RECORD 13Iy
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
PERMIT:f)/ �I ADDRESS: t� a&,ei JOB CODE: kler
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
F105 Stem Walls
106 Foundation wall 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.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
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
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMADDRESS: , &?htycr JOB CODE: /e-rF
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
_ _ I
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 1
_ _ I
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.
i CITY OF WHEAT RIDGE
Building Inspection Division
�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '1 Z} q - ( 0a 1
Job Address: 0 L % S �_ G I) c, ,- SIL
Permit Number: � 0 (-7 o 9 x 0 1
❑ No one available for inspection: Time 1--3 : -3 1 AMON)
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:-1'51
03-234-Date:!'51 f S` r 7 Inspector:
,
DO NOT REMOVE THIS NOTICE
�9G
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: --)09-
Job
-)v9-Job Address: 9 S— / G ►,, g S �-
Permit Number: 9 p i-7 o q
❑ 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: ;-,4 )ILI //_7 Inspector:
-F7-)
DO NOT REMOVE THIS NOTICE
d-7
i CITY OF WHEAT RIDGE
Buillairig inspection 'iiiis on
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -710 3 / 3 ® to
Job Address: / a ,ncx S )-
Permit Number: -3 c ) -7 0 17 �q C I
u
❑ No one available for inspection: Time _ Lf —7 AMtfg
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: )0 3 0 /'7 Inspector: —rt)
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709201
PERMIT NO: 201709201 ISSUED: 11/21/2017
JOB ADDRESS: 2695 Lamar ST EXPIRES: 11/21/2018
JOB DESCRIPTION: Re -deck of house and apartment with asphalt Owens Corning Duration with 2,
3 and 4 1/2 pitch. Total number of squares are 37.
*** CONTACTS ***
OWNER (303)233-1204 KADNUCK GERALDINE M
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 22,251.00
FEES
Total Valuation 0.00
Use Tax 467.27
Permit Fee 410.35
** TOTAL ** 877.62
*** 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 - 201709201
PERMIT NO: 201709201 ISSUED: 11/21/2017
JOB ADDRESS: 2695 Lamar ST EXPIRES: 11/21/2018
JOB DESCRIPTION: Re -deck of house and apartment with asphalt Owens Corning Duration with 2,
3 and 4 1/2 pitch. Total number of squares are 37.
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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work toe
performed and that all work to be performed is disclosed in this document and 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 thepermit application and accompanying pips 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 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 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
�p
applicAble.64de or any ordince or regulation of this jurisdiction. Approval of work is subject to field inspection.
. i�'' - R
l F"
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no -reply@ ci.wheatridge.co.us
Sent: Tuesday, November 21, 2017 8:51 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 j
documents at the time you are issued your permit. !�\
For all other requests: Q l�-
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.
4
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? I
PROPERTY INFORMATION �OC3 l narProperty Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Geraldine Kadnuck
303-233-1204
Field not completed.
Sr
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 Kadnuck contract.pdf
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)
Contractor Address
(Primary address of your
business)
J & K Roofing
019983
303-425-7531
13000 W. 43rd Dr., Golden Co 80403
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.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)
37
22251
Yes
Pitched roof (2:12 pitch or greater)
0)
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)
2, 3, 4/12
37
Owens Corning Duration
Asphalt
House and apartment - REDECKING BOTH
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 Kathy Vendegna
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CONTRACT
J&K Roofing
BBB. 13000 W. 43rd Drive • Golden, CO 80403
Phone: 303-425-7531 • Fax: 303-425-1562
www.jkroofing.com
Representativ Contact�p Date l4'' % 20 l 7
r
Name 4i2A
/ Phone 3 — ZY 3 — /Z Q 2 email
Address 26� ,„��� ,�,! City y Zip alzz
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS, TERMS
AND CONDITIONS. PLEASE READ, CAREFULLY
[Recover roof wita
N:Xolor of shingles
k Manufacturer's Warranty
$'J Tear off _ / /
�2 Install Underlayment 1<4A
AXDouble all Eaves --I-
JG
mil ?� Re -Flash Chimney and/ r Skylights :jt W5Q4 Atter
10 New Valleys _40V2*�'T WS�!�,
03eplace Ridge
?;D/entilation `t.PlQ +
`Galvanized Fasteners
' Replace 62 _tO&L Plumbing Jacks
Paint ro f aq to match
Install Metal Edging Z X Z � Z X�
❑ Patio or Flat roof
Year Warranty on labor
Q J & K Roofing to furnish all material a labor
Permit: X _ Included NOT Included
Clean-up debris and haul off all trash from roof
)0 Roll yard with magnetic roller
Gutters cleaned of roofing debris
❑ Decking Repairs $ per
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
y Policy #CSU0061742
`0Extra work
The property owner is_._ is not_ using proceeds from
property and casualty insurance policy.
Deductible if applicable
Per Colorado State Law CRS§6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to r imbur e i wh r
in part any amount of the deductible. �u
Estimated Start Date _ e a:1 9;t 7 y
TOTAL ESTIMATE $ p7i,*j til p_
AL PROPOSAA ARZSUBJECT TO MANAGEMENT APPROVAL
❑ Hidden Layers (tear off) $ per layer J & K Representative (� may(/,'// Date
(Carrier) (Policy NuYmber) Homeowner o d/. - )'S/f L�.d-� ".� Date
#1 IAa_«i Homeowner
(Mortgage C-) (Mortgage Loan Number] Expiration Date
Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J &K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
Date: 12/12/2003
16574
Property Owner: ROBERT KADNUCK
Property Address: 2695 LAMAR STREET
Contractor License No. : 19814
Company: Westside Heating and Air Conditioning Inc
Phone: 233-1204
Phone: 469-4507
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 the Wheat Ridge Building
Code (U.B.C.) and all other apPlicabl"")~heat Rid e ordin ces, for w k under th~s p'ermit. .
(OWNER)(CONTRACTOR) SIGNED \J'0 I DATE~
Total:
$4,000.00
$126.50
$0.00
$48.00
$174.50
Construction Vaiue :
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Iffi~;1)
Description:
REPLACE FURNACE WITH 135,000 BTU FURNACE
BUILDING DEPARTMENT USE ONLY
Zol1lhg ~mmenti:
Approval:
Zoning:
BULlmng COmmelltJ;
Approval:
PlJbllc;$orks Comm!.n'ts:
Approval:
SIC:
Sq. Ft.:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
ExpiratiDn Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject 10 the laws of the Stale of Colorado and to the Zoning
Regulations and Building Code 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 120 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 are made 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
proceediing 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 violation of the
provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
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)
APPUCf.TION
Property Owner; r.1l bG~ 1- 'KlAO flU c.\Z.- \"v~, ~
Property Address: 2-1o~S L(if\\n..( s.t~e( ClO2-IY
Contractor License No.: \ ~ 9> \ l.\
companY:We..S1-Si~C. .
OWNERlCONTRAcroR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Bllilding Permit Nuinber:
Date:
Phone: 303 - 2.3~-I2.DY
Phone: :2; \)?S y loq-~Di-
thereby certify that the setback distances proposod by thiipermit application.", accurate,
and do not violate applicable ordinances. rules orregulations of the City of Wheat Ridge or
covenants, easements orrestrictions of record; thatal1mcasuremcnts shown, and anegations
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 (U.B.C) and aU other applicable Wheat Ridge Ordinances, for work under
this permit
DAdLf'2 ~3
iZ~\o.Ct ~cu..e.. Wi+n \~~I DO() ~~flCM:.t
. . 0
Construction Value:$ 4 \)00.0
Permit Fee:$ \2.10 . 'SV
Plan Review Fee:$
Use Tax:$ yqoo '
Tota1:$ 111.4. S\)
(OWNER)(CONTRAcroR), SIGNED
DESCRIPTION:
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft:
ZQNfNG COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
. PUBLIC WORKS COMMENTS:
. Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
--
Electrical License No: S?:PI ~
Company: We <; 'reo f?\{.etrl G
Expiration Date: 4- 1.'1- 0 '-\
Approval:
Plwnbing License No:
Company:
Mechanical License No: 1 q ~ \ '"
Company: weSi-SiOt.. \t( Ml\91.j\k
ExpirationDate: 4-L 9 -01..\
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
'Ibis permit was issued in accordance with the provisions let forth in your application and is subject to the laws of the Sta~ of Colorado md to the Zoning
Regulations and Building Codes of Wheat Ridge. Co1ondo or any other applicable ordinances of the City.
'Ibis pemritshal1 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 claw. _
If this pemrit expires, . now permit may be acquired for a tee of one-half lbe amount nonhaIIy required" provided no changes have been or will be made
in the original plans and specifications and any lU$pen.sion or abandonment has not exceeded one (1) year, If changes have been or if SUJpension or
abandommmt exceeds 0110 (1) ycu.jWl fees shaD. be paid for. new pcnnit
No work of any manner shaD bo 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 aD inspections and shall receive written IpptOval on inspection card
before proceeding with succcssiw phases of the job.
The issuance of. pmnit or the approval of drawings and specifications shall not blS construed to be a peront for. nor an approval ot: my violation of the
provisions of the building codes or any otherordinance,1aw. rule orregu1a.tion.
(4)
(5)
(6)
Chief Building Inspector