HomeMy WebLinkAbout2946 Benton StreetCity of Wheat Ridge
Homeowner Mechanical PERMIT - 201803166
PERMIT NO: 201803166 ISSUED: 12/06/2018
JOB ADDRESS: 2946 Benton St EXPIRES: 03/20/2020
JOB DESCRIPTION: Replace fan in basement bathroom; cosmetic repairs
*** CONTACTS ***
OWNER (303)903-6185 ALBORS ALEJANDRA G
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,800.00
FEES
Total Valuation 0.00
Use Tax 79.80
Permit Fee 109.20
** TOTAL ** 189.00
*** COMMENTS ***
*** CONDITIONS ***
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perto ed and that all wor to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
r�
Signature of OlkNER A CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
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. �suance or gr n ing of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
D able code o v ordinance or reeulation of this iurisdiction. AUDroval of work is subiect 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.
RECEIVED
City �DECof' 0(J!
W heat Idge
commUNITY DEVELOPMENT i��r,
City of Wheat Ridge Municipal Building 7500 W. 291' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permits(?,ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # Property Address:
Q f
Phone # ?��, • q�,3_M'i l �j Email Address: J (—A mC41 c _�) k3o
—) a Q_ ( bo r S V —
Reason for extension request: � , n iSrr�';, (� ;vL p,V ( �-c-, br t r -P,
Number of days requested: Qn
Printed Name:, fA ,, Signature: ' . Date:12—
6 �Z4 -
For office use only
This request has been:
Approved by:
❑ Denied Extended until: 31016120
Date: L Z Irl
www.ci.wheatridge.coms
City of Wheat Ridge
e Homeowner Mechanical PERMIT - 201803166
PERMIT NO: 201803166 ISSUED: 12/06/2018
JOB ADDRESS: 2946 Benton St EXPIRES: 12/06/2019
JOB DESCRIPTION: Replace fan in basement bathroom; cosmetic repairs
*** CONTACTS ***
OWNER (303)903-6185 ALBORS ALEJANDRA G
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,800.00
FEES
Total Valuation 0.00
Use Tax 79.80
Permit Fee 109.20
** TOTAL ** 189.00
*** COMMENTS ***
*** CONDITIONS ***
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
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 in codes, policies and procedures, and that [ 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 le ally authorized to include all entities named within this document as parties to the work to be
perfo med and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sign ture of O ER r CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying pplans 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 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 grantin a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applic e oder,or any mance 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
City of
CW heat Ridg'
OMMUNITY DFVL-LOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: <,c
Property Owner (please print):
Property Owner Email:
Tenant (Commercial Projects O
Property Owner Mailing Address: (if different than property address)
Address:
v
City, State, Zip:
Architect/Engineer: 1\� I N
Architect/Engineer E-mail:
Contractor: NJ yy "�o-�
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone:
Phone:
CONTACT NAME (please print): Phone:
CONTACT EMAIL(please print):
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing:
W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Phone. %3-bll
Mechanical:
W.R. City License #
[-1 COMMERCIAL
XRESIDENTIAL
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.
f✓wANe, �C1(�'0Or"Y\c
Ikt°Ct'C'
pl t5�' see
fie, laCe— i , V-\ IN
Sq. FULF BTUs Gallons
Amps
Squares
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 6 , ecu
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)
WNc7
Signature (first and last name): �._ DATE:2-0
( a
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS.
Reviewer:
PUBLIC WORKS COMMENTS
Reviewer:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of
__,�90'Wheat ji'd
COMMUNITY DEVELOPMENT 'gle
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 Owner(s):
Project Property:
Project Type:
Notarized signatiarL A
State of Colorado }
County of ss
The foregoinginstrument was acknowledged by me this _� day of 20�by
1 Q anr e, ho�S
Notary Public
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
My Commission Expires __411 91 /20,?d
Work to be Performed at 2946 Benton St. Wheat Ridge, CO 80214
Basement -
Remove carpet, replace with wood flooring.
Paint walls
Basement Bathroom -
Remove tile and replace/upgrade
Paint walls
Basement Bedroom -
Remove carpet and replace with wood flooring
Paint walls
Basement Laundry Room -
Remove Carpet and replace with tile flooring
Paint walls
Basement stairs to 1 st Floor -
Remove carpets from stairs and replace with wood floor and the
Paint wall
Kitchen
Remove all tile floor and replace
1st Floor Bathroom
Remove tile floor and replace/upgrade
1st Floor Bedroom
Remove carpet and replace with wood floor
1 st Floor to 2nd floor Stairs and Closet
Remove carpet and replace with wood flooring
Upstair Bedroom
Remove carpet and replace with wood flooring
Paint walls
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CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: LD
Job Address: L(
Permit Number: Z o 17 o-7 O IL,
t ►�CY2
❑ No one available for inspection: Time
LM/ M
Re -Inspection required: Yes 0 -
When
Corr ti ns have been made, call for re -inspection at 303-234-5933
Date: Z�I n Inspector: D'a h " tf,--7
DO NOT REMOVE THIS NOTICE
2oi7 sol �
�G Qe�,�► S�. INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
FL F
y/ (Z
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector 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
Vall Sheathing
Sewer Service
'lumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspectic
lough Inspections Date
Inspector
Initia
Comments
Vall Sheathing
'id -Roof
ith / Wall Tie
)ugh Electric
ugh Plumbing/Gas Line
.Agh Mechanical
ugh Framing
igh Grading
dation
wall Screw/ Nail
ial Inspections Date
Inspector
Initials
Comments
ndscaping & Parking / Planning Dept.
Inspections from these entities should be reque:
one week in advance. For landscaping and parkinf
inspections call 303-235-2846. For ROW and drain,
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
rW & Drainage / Public Works Dept.
,odplain Inspection (if applicable)
Inspection / Fire Protection Dist.
31 Electrical
I Plumbing
Mechanical
AI
V.00' y
Vindow/Doors
3uilding
All items must be completed and approved by Planning, Public Works, Fire and Building before a Certific
upancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
1 voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
uilding Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
`� Residential Roofing PERMIT - 201707016
PERMIT NO: 201707016 ISSUED: 09/07/2017
JOB ADDRESS: 2946 Benton ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 19 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)903-6185 ALBORS ALEJANDRA G
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO.***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00
FEES
Total Valuation 0.00
Use Tax 102.54
Permit Fee 125.05
** TOTAL ** 227.59
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
A i City of Wheat Ridge
-r r
Residential Roofing PERMIT - 201707016
PERMIT NO: 201707016 ISSUED: 09/07/2017
JOB ADDRESS: 2946 Benton ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 19 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)903-6185 ALBORS ALEJANDRA G
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00
FEES
Total Valuation 0.00
Use Tax 102.54
Permit Fee 125.05
** TOTAL ** 227.59
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
A i City of Wheat Ridge
Residential Roofing PERMIT - 201707016
PERMIT NO: 201707016 ISSUED: 09/07/2017
JOB ADDRESS: 2946 Benton ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re—roof to install asphalt shingles — 19 sq Pitch = 4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am fhe 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 alI entities named within this document as parties to the work to be
performed and that ate work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature�f OWNER or CONTRACTOR (Circle one) ` Ddte
1. This p rmit 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anF violation of any provision of any
applicable code ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
gg o
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
j S Urban Exteriors, LLC
> 3440 Youngfield Street, Suite 179
Wheat Ridge, CO 80033
Urban Exteriors 303.552.4467
www urbanexteriorst[c com
4 A+
BBB.
CUIORAnU ROptING ASSUCIh11Ux
Owners Na-A\
L� [� Insurance Company .
Address: ! __...moi 4 A _� �� -- _ __ .Phone # . ,, - _ 4
CityState: Zip' Claim #: f-+ C
Phone #: ) Project Manager:Zo
_
Mobile #: Phone
Email: Date: -
UWE. the Owner(s) of the premises described above authorize Urban Exteriors. llc. hereinafter referred to as -Contractor', to furnish all materials
and labor necessary to roof and/or improve these premises in a good. workmanlike and substantial manner according to the following terms,
specifications and provisions: '
a.Description of the work and the materials to be used: / L447
t
0,e K4 r7 ,r l i` -[,A,,4 .-, f k ti ., z -,i 1K, i4 A I tJt 1 :--1 .. 114 A1.11 4 A6- is
INSl tRAN('Fi; THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE Pr -05 ANY UPGRADES CHOSEN Og ANY NON
COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THEEPiCiT�S"THE CONTRACT BALANCE 1S PAiD BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. TRIS AGREEMENT iS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE
INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OFNVORK WiLL BE DEFINED BY THE
INSURANCE COMPANYLOSS SHEET AND ALL REVISIONS THEREOF. ANYADDITIONAL WORK MUSTBESUBJECTTOA
CHANGE ORDER AND/OR CONTRACT SIGNED BY T/HE PARTiES.. (�
b. Description of any areas that will NOT be worked on:
This list of specifications may be coettnued on subsequent1pages (see page iiumber blow)
c. Payment: Contractor proposes to perform the above work. (suftiject to an) additions and/or deductions pursuant to authorized change orders). for the
Total Sum of Sj,.1"-f ® Down Payment S
d. Commencement and Completion of NVork: Substantial commencement of work shall mean either the physical delivery of materials onto the
premises or the performance of any labor shall he subject to any permissible delays as per provision (5) oil the reverse side.
Shingle Mfg, Type & Color: Labor Warranty: 5 yrs, transferrable - provided upon payment in full
e. Acceptance: The contract is approved and accepted. I (%ve) understand there are no oral agreements or understandings between the parties ofthis
agreement. The written terns. provisions. plans (if an),) and specifications in this contract is the entire agreement between the parties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contract Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attadhed Notice of Cancellation form an explanation of this right.
MUST BECMADE PAYABLE TO URBAN EXTERiORSl LLC.
rismature 1 dat
anager's' Ignaolre - - '-^a�^^ date
1 hereby grant Iirban Exteriors
permission to speak with my insurance
company for the purpose of resolving this
claim.
('rban Exteriors has permission to
discuss my claim with my mortgage
comnany. if anolicable.
7
Dane Lovett w 1-7o7o 16
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 6, 2017 9:59 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION �on
Property Address 2946 St
Property Owner Name Alejandra Albors
Property Owner Phone 303-903-6185
Number (enter WITH
dashes, eg 303-123-4567)
29
FA
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Albors, Alejandra Contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Urban Exteriors, Ilc
Name
. 1) L
Contractor's License
150142
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-552-4467
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 3440 Youngfield St ste 179 Wheat Ridge CO 80033
(Primary address of your
business)
Contractor Email Address jennifer@urbanexteriorsllc.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?
jennifer@urbanexteriorsllc.com
19 /
*750'
qJy
No /
30
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
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)
No /
Yes
4/12
19
Asphalt
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
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.
Yes
Yes
Yes
31
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 John Hess
Email not displaying correctly? View it in your browser.
32
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i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
_!,)
Job Address: 2121 6 -/ l/- ul�/ S i
6\
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes °l No�
When corrections have been made, call for re -inspection at 303-234-5933
Date: ` Inspector: ! .'
DO NOT REMOVE THIS NOTICE
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: 18234
Date: 1/10/2005
Property Owner: GLEN D. BULLOCK
Property Address: 2946 BENTON ST
Contractor License No. : 21734
Company: FTC I dba Final Touch Const. of CO Inc.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 587-5551
Phone : 321-8884
Total:
$6,000.00
$162.90
$0.00
$108.00
$270.90
I hereby certify that the setback distances proposed by this permit application are accurate, and
do notYiolate applicable ordinances, rules or regulations oOha City'ofWheat Ridge or
covenants, easements or restrictions of record; that all measurements shown. and allegations
made are accurate; that I have read and agree to abide by all'conditions printed on this
application, and th,at I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable w. heat RidgeordpS. for work under this permit.
(OWNER}(CONTRACTOR) SIGNED;,:JM ~ . DATE - I" _0
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
24 sa DIMENSIONAL TAMCO SHINGLE & 4 sa. MODIFIED
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning:
~!l'QD~
Approval:
~
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Doc
o ,"l71ents "'-
"Slte./i; /"0171 th
rOo/1n . 1" final t'o e l71an'fJ2
. f!!!J$,;;'~':1"ials Z:llsb>PeCtioa;;~:er shall b
"'11"'Ji" . r/ree e ee. rtlch e
Wind I. -second ." Illstall. SPecib
oatf.,'{}JjrJ Wifzd 0-.. ed to 171e.
...../. "'''St---.l~C et
(90
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)
(2)
(3)
This permit was issued' in accordance with the provisions set forth in yopur application and is subject to the laWs of the State of Colorado and to the Zoning
Regul~tionsand Building CodeofWheat Ridge, Colorado or any other applicable ordinances oftha City.
1;his permit shaU expire if (A) thework authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned fora period of120 days.
If this permit expires, a new permit may be acquired fora feeof one~half theamount 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 Cine (1) year. If changes are made orif suspension or abandonment
exceeds one (1) year, full fees shaH be paid for a new permit.
No work of any manner shan be done that will change the natural flow of water causing a drainage problem~
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on Inspection card before
proceediing with successive phases. of the job.
The issuance of apermi!.O pprov rawings an
proVisions of the b 'klIi1o-e es 0 ~rOrdi .
ecificationsshall not be construed to be a permit for, nor an approval of, any violation of the
. rule or regulation,
(4)
(5)
(6)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
~' .HE., ~
.:- \"0
- ~
U ~
C'OLOf\,.tA
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE. 303.234.5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 . (303.235.2855)
APPLICATI N
Building Permit Number:
Date:
Property Owner: C-I. "',' ,<6" . ~/r.
Property Address: Z 1 Y # d ":.v>'",~ .5)
Contractor License No.:
Phone: J "fa') -5"0:$'1'
Company: r",,,, _ /-. I ~ /
P'I .Mri J"'.~C(l''''J.)-
Phone.:...>," J 2/ - PJ'4' Y
OWNERlCONTRACTOR SIGNATURE OF UNOERST ANDING AND AGREEMENT
Value:$ ',..e'~)':,'~
Permit Fee:$
Plan Review Fee.$
Use Tax:"
Total:S
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.8.C) and all other applicable
Wheal Ridge Ordinances, for ~~... ~~i~ /
(OWNER)(CONTRACTOR}:SlGNEO ~ DATE
(OWNERXCONTRACTOR)'PRINTEO 1rj,,.J .{.) ~J /h",,t; DATE 1- /d "Uf
Description:
zjSf(
:D. ,~ 4 4/ i..... ( ,-1"'
J..o-~CJt
S'1.'..-J I...
d t 5~ !'---bcLfr<J.
Sq. Ft. added
BUILDING DEPARTMENT USE NL Y
SIC:
Sq,Ft.:
QNING COMMENTS:
Approval:
Zoning:
BUILDING Cc-..eNTS:
Approval:
PUBliC WORKS COMMENTS:
Approval.
ccupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
roval:
Expiration Date:
roval:
Expiration Date:
roval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in your
Colorado and to the Zoning Regulations and Building Codes of Wheat R
the City,
This permit shaH expire if (A) the work authorized is not commenced within
authorized is suspended or abandoned for a period of 120 days.
If this pem1it exp;res, a new permit may be acquinld for a lee of one-ha~
have been 0< will be made in the original plans and specifica-. and any
(1) year, If changes have been 0< W suspension 0< _, exceeds
No wort< of any manner shall be done !hat will ehange the nalutaJ IIow oJ
Contraetor shall notily the Building InspedDr '-<11y-1ou1 (24) hours in
approval on inspection card before proceeding wilh successive phases of
The issuance of 8 permit or the approval of drawings and specifications
approval of, any vtolation of me provisions of the building codes or any 0
"cation and is subject to the laws of the State of
. CokHado or any other applica~ ordinances of
(1)
(2)
(3)
ixty (60) days from issue date or (8) the building
amount nonnaIty required. provided no changes
spension or abandonment has not exceeded one
(1) year, full fees shall be paid for a new permil
ter causing a drainage problem.
nee for all inspections and shall receive written
job,
not be construed to be a permit for. nor an
r ordinance. law. rule or regulation.
Chief Building Official
.
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)
Property Owner:
Property Address: 2946 BENTON ST
Contractor License No, :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEME T
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 allegati 5
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 Buildi 9
Code (U,B,C,) and all other apPlicabl~ ~nances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~ DATE /.,., /2.-
Description:
NEW 200 AMP SERVICE
BUILDING DEPARTMENT USE ONLY
--
Approval:
Zoning:
1IlIIIIIIBIII_1
Approval:
.......1
Approval:
Occupancy: Walls:
Roof:
Stori s:
Electrical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Building Permit Number:
Date:
Phone: 587-5551
Phone:
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
Use:
12949
10/12/01
$400,00
$23,50
$0,00
$10,00
$33,50
1J'ci~~:]
SIC:
Sq, Ft.
(1) This permit was issued in accordance with the pro....isions set forth in yopur application and is s ject 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 0 the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from ssue 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 r uired, pro....ided no changes ha....e 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 drain e problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in ad....ance for all inspectio and shall recei....e written approval on inspection card before
proceediing with successi....e phases of the job.
(6) The issuan f a permit or the approval of drawings and specifications shall not be construed be a permit for, nor an approval of. any violation of the
provi,sion f t bui i es or any other ordinance, law, rule or regulation.
Residential Units:
Mechanical License No :
Company:
Expiration Date:
Approval:
J)'EP ARTrvrENT OF PLANNING AND DEVELOPrvrENT
BUILDING INSPECTION LlNE - 303-234-5933
CITY OF WHEAT RIDGE
7500 vVEST 29THAVENDE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPLICATION
Property Owner: c:-/~'" {] 0",//.j",
Property Address: 21 '1';; &~f"d Sri-
Contractor License No,:
Company:
OwmRlCONTRAcrOR SIGNATURE OF UNDEll,STANDING AND AGREEMENT
1 hereby certify that the setbiick distances proposed by this permn application arc"
accurate, and do not Yiolate applicable ordinances, rules or reF;u1ations of the City of
Wheat Ridge Ot covenants. easements orrestrtctioIlS of record; that all measurements
shovro.. and allegations made Bl;'C accurate; that I have read and ,agree to a.bide by all
eonditiotlS printed OD. this application and "that I assume full resporuHbility. for
compliance with the Wheat Ridge Building Code (U.B,C) and all other applicable
Wheat Ridge Ordinances, for work under this permit .
(OWNER)(COmRAcroR), srGNED .I'2IZ.l){J_'$..' ,DArn/d I'-- ai
- ,
Co
Description: /1,I<A..J zao 4~1" j ~'<.-
BUILDING DEPARTMENT USE ONL
ZONING COM~E!NTS:
Approval:
, Zoping:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occup ancy:
Walls:
Rqof:
Stories:
'~
Electrical License No:
Company: '
Plumbing License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Building Permit Number:
Date:
Phone: 30 'I, - ,K'7-Sss-1
Phone:
Gtion Value: ~i)
Permit Fee:
Review Fee:
Use Tax:
Total:
SIC:
Sq,Ft,:
Residential Units:
Mechanical License No:
Company:
Expiration Date:
Approval:
This permit was issued in accordance wi'th. the provisions set forth in your applicatiOn and i.s ru.bj t to the laws of the State of Colorado and to the ZoDlo.~
!legulat:i.ollS and Building Codes of Whcat Ridge, Colora.do Of any'oth.era.ppUeable ordinances of e Ci.ty. .
Tbi.l permitsb.a.ll e~ire i!(A) the work authorized is not commenced Vti.thin sixty (60) days from ,uu.e date or (B) the building au.th.orizedis suspended or
'a.ba.o.doned for a. period of 120 da.ys.
If this permit expires, a o.cw permit may be acquIred for a fee of one-ha.lftb.e amount normally te . ed, provided 110 changes b.ave been or will be rn.a.do in
the original pla,ns and specifications and any su.speo.si.on.or abandonm.eo:thioS not e1Ccc:cdedone (1) y . If changes have beeo. or ifsuspellJioll or abandoome.c.t
exceedS 00.0 (1) y~ar, full fees shall be paid for a.n.ew permit
No work of a..a.ymUl.O.er 1h.all be donetba.t wi.U cbmge the na.tural flow of water cauriag a..dnma. problem..
Contractor shall notify the Building L:I.~eetor twenty.foUI (2~) hours in advance for all inspections d sh.all recei:ve written approval on inspection card before
proceeding \\'i.tb. succcsll{ve ph.a.s:es ofth.ejob. .
The issu:mce of a. permit or the approval. of dra'kin.gs and specificati.oll$ .1b..Ul not be constJ:ued t be a. pennit for, nor an. approval of, my vio1a.tiotl. of the
provisioIU oftb.e building codes or my other ordinance. h.w, role orregula~oD.. .
(1)
(2)
(1)
(4)
(S)
(6)
Chief Building Inspector
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