HomeMy WebLinkAbout3310 Benton Street1* � � i City of Wheat Ridge
�� E -Res. Sewer/Waterline Repair PERMIT - 202101170
PERMIT NO: 202101170 ISSUED: 06/02/2021
JOB ADDRESS: 3310 Benton St EXPIRES: 06/02/2022
JOB DESCRIPTION: Repair 65 ft of sewer line in backyard
*** CONTACTS ***
OWNER (720)224-2953 CHAPMAN KELL I SUE A
SUB (303)981-0079 CARLO SAIS 110007 PAYLESS ROOTER/MATO PLUMBING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21600.00
FEES
Total Valuation 0.00
Use Tax 54.60
Permit Fee 93.35
** TOTAL ** 147.95
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
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.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202101170
202101170
3310 Benton St
ISSUED: 06/02/2021
EXPIRES: 06/02/2022
Repair 65 ft of sewer line in backyard
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 permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document 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
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/02/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Wednesday, June 2, 20212:58:49 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3310 Benton St, Wheat Ridge CO 80212
Property Owner Name Bob Lucero
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
(720) 220-8279
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Payless Rooter
Name
Contractor's License 110007
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-981-0079
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
excav.dept@paylessrooterdenver.com
Address
Retype Contractor
excav.dept@paylessrooterdenver.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
65 feet
Location of repair
Backyard
(backyard, frontyard,
etc)
Provide additional
65 feet of yard repair
details including
installation of clean-
o uts.
Project Value (contract
2600
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
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 Yes
been 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.
Person Applying for Melissa sais
Permit
Email not displaying correctly? View it in your browser.
✓_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: C
Permit Number:
❑ No one available for inspection: QMPM
Re -Inspection required: Yes �-I�--
When corrections have been made, can for -inspects _ zt j03-234-5933
Date's6_ 1 nspecto
7
DO NOT REM E THIS NOTICE
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: L— ® t �--
Job Address: -5 (C:D
Permit Number: —Q
� A w �-j - V t
�� ( J('1, -Y
L,
❑ No on r i : Timet �M/PM
Re -Inspection required: Yes No
When corrections have been made, cak, r re -inspection at 303-234-5933
Dat f�v nspect
1
DO NOT RE VE THIS NOTICE
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:
Job Address: °� T
Permit Number:
❑ No one available for inspection: Tim (Q.WPM
Re -Inspection requiredtY s ` o
When corrections have been made, ca%J_4�_
nspection at 303-234-5933
Date,— .- j " � _ � Inspecto
DO NOT REMOVE THIS NOTICE
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:
Job Address: °� T
Permit Number:
❑ No one available for inspection: Tim (Q.WPM
Re -Inspection requiredtY s ` o
When corrections have been made, ca%J_4�_
nspection at 303-234-5933
Date,— .- j " � _ � Inspecto
DO NOT REMOVE THIS NOTICE
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 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 furt er attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be
performed and�thall work to bg pertonne�I is �closed,in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or `CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this pen -nit 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 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chie i g; , fficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT -201900798
xa�
PERMIT NO:
201900798
ISSUED:
04/26/2019
JOB ADDRESS:
3310 Benton St
EXPIRES:
04/25/2020
JOB DESCRIPTION:
Resecure meter riser to house - 100 amps
*** CONTACTS ***
OWNER (720)224-2953
DUVALL TIM
SUB (303)681-6600 SLAVA STAMPHER
180131 S STAR ELECTRIC, LTD
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE, STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
200.00
FEES
Total Valuation
0.00
Use Tax
4.20
Permit Fee
26.50
** TOTAL **
30.70
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2017 NEC. Subject to field inspection.
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 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 furt er attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be
performed and�thall work to bg pertonne�I is �closed,in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or `CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this pen -nit 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 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chie i g; , fficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W h6atd
COMMUNI-lY DEVEL0l'MENT_""g
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: t
Date:
Flan1pennit # a C
Plan Review Fee:
Building Permit Application
"* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be promised,'""
Property Address: 0694 -7C j
Property Owner (please print): Phone:
Property Owner Email: + dc"r, 5
Mailing Address: (if different than property address)
Address:
City, State, Zip:
ArchitectlEngineer E-mail: Phone:
Contractor:
Contractors City License #: Phone:
Contractor E-mail Address: Z25��;
Sub Contractors:
Electrical: 5 5,141- Plumbing: Mechanical:
W.R. City License. At W.R. City License # W.R. City License 4
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
('omplete all information on BOTH sides of this form
❑ COMMERCIALAl"RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
RESDENTIAL ADDITION (] WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
JORESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
LUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
THER (Describe) -
(For ALL projects, please provide a detililed 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.)
Sq. FtJLF Btu's
Amps 16 Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
F. ._ -- _.__ _ _ ----- - --
ONVNER/CONTRACTOR SIGNATURE. OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: {Oif'NER ONTRACTOR) Qr (ACITIIORIZED RF.PR SENTATIVE of (pi{'.N'F.R) (COR'TRACTOR)
/_ 4tfSIGNATURE: DATE: 21—
DEPARTMENT
PRAY"T NAME: ���
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMEtr'rS
Reviewer
PUBLIC WORKS COMMENTS.
Reviewer
PROOF, QF StJ,llMlSSION FORMS
Fire Department ❑ Recelvea 0 Not Required
Water District 0 Received 0blot Required
OCcUPANCYCLASSfFICATION'—._..._.—_._
TYPE OF CONSTRUCTION
SPRIl+NKLEREG:._ —
OCCUPANT LOAD
a
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: y 0 9- g-4,ra n l
Job Address: 3-_'� 1 O L>1e V n S4 -
Permit Number: ',9 o l 7 G 1-1 1 r_l 3
❑ No one available for inspection: Time 4 0l AIPM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date:_S46/119 Inspector: —T -b
DO NOT REMOVE THIS NOTICE
w
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: Cl 0 9 - E_p,,
Job Address: -S-5/0 e n on S4 -
Permit Number: '9 01-7 o Ll ) Y 3
� r
n A j e i Se -Po r-
IUD ® f ,GQ lF�s 1 1 O C Giv
04r, U e_. ! 1 4� V' v5l a' e �t
❑ No one available for inspection: Time_&PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S -//.S -/l Inspector:
DO NOT REMOVE THIS NOTICE
�. CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: C11!�,!1 �OF
Job Address: j3' d OTU►i -z-g—
Permit Number:
❑ No one available for inspection: Time o 5d AM M
Re -Inspection require DYesNo
When corrections have been made, can for re -i pection 4"_0j-234-5_9.'?
Date: Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I
Job Address: 31 U _S11._ i 0Q ST_
Permit Number: 210(20-414-1
❑ No one available for inspection: Time �(� - Ll��61PM
Re -Inspection required: Yes (No)
When corrections have been made, call for re -inspection at 303-234-5933
Date: / Inspector:
DO NOT REMOVE THIS NOTICE
41 City of Wheat Ridge
Residential Roofing PERMIT - 201704143
PERMIT NO:
201704143
ISSUED: 07/15/2017
JOB ADDRESS:
3310 Benton ST
EXPIRES: 07/15/2018
JOB DESCRIPTION:
Residential Re -roof
to install Tamko
Heritage asphalt shingles - 24.25 sq
(22 sq pitched /
2.25 sq flat)
*** CONTACTS ***
OWNER (720)224-2953
DUVALL TIM AND
KELLY
SUB (720)724-0081
Steve Greenly
150196 Adamstree Roofing & Construc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS, OLI
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION: 7,600.01
FEES
Total Valuation
Use Tax
0.0
159.660
PAID
Permit Fee
172.60
** TOTAL **
332.20
*** 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 one half 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 manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704143
PERMIT NO: 201704143 ISSUED: 07/15/2017
JOB ADDRESS: 3310 Benton ST EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re—roof to install Tamko Heritage asphalt shingles — 24.25 sq
(22 sq pitched / 2.25 sq flat)
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 ap�0med
cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property anam authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am allyauthorizd toinclude all entities named within this document as parties to the work to be
performed and that allwork tobe peis 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 Budding
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 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, any violation of any provision of any
applicable 5p" any ordinance or egulatioriof 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.
Dane Lovett
7017�V4 3
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 6, 2017 1:42 PM
To: Permits CommDev
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
Property Owner Email
Address
3310 Benton Street
Tim & Kelly Duvall
720-224-2953
Field not completed.
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Adamstree Roofing
Contractor's License
150196
Number (for the City of
Wheat Ridge)
Contractor Phone
7207240081
Number
Contractor Email Address
lindsey@adamstreeroofing.com
Retype Contractor Email
lindsey@adamstreeroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Tamko Heritage
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
22
material selected above?
Does any portion of the
Yes
property include a flat
/
roof?
If yes, how many squares
2.25
on the flat roof?
TOTAL SQUARES of all
24.25
roofing material for this
project
Provide additional detail
House, Garage, covered porch. 4/12
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
!to;
Project Value (contract
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Lindsey Noftsger
Email not displaying correctly? View it in your browser.
3
(816) 606-7393 — MO / KS
(720) 724-0081 — CO
(855) 636-0552 — Fax
www. adarnstreeroofin4. com
THIS AGREEMENT, IS BETWEEN
Billing Address
ADAMS, EF
ROOFING AND coNsraucnoN
City
19
Email
Zip
Adamstree Roofing and Construction LLC will advocate the Property Owner's(s) best interest in restoration of the property damage and complete ab the work
in accordance to the insurance company agreed scope of loss. Agreed upon price will become the final contract price and Adamstree Roofing and Construction LLC
will receive all the proceeds for the work completed by Adamstree Roofing and Construction LLC. Upgrades and any other work will be a separate contract between
the Property Owner(s) and Adamstree Roofing and Construction I.I.C. if the insurance Company denies this dalm the contract wilt terminate and neither Adamstree
Roofing and Construction LLC nor the Property Owner(s) are obligated to one another.
Adamstree will furnish all labor and material to construct and comolata the folinwina general carvirav
Manufacturer of Shingle: 7n M ICt:
Style of Shingle:
Additional scopes of work:
Color of Shingle:. Gra yl( Z y D
(� t�
Tear Off; es °� No
Layers: 6uttering CLL I �'e
�—
Un erlayment:
Drip @ Gable
Paint/Siding
Yes ': NO L,,,
f'S i'C
Drip @ Gutter-
___G -WIndows/Screens
�y Garage Doors
Valley:
c; Yes o
e $ " ('f eL 14 �
tce&Water;xr Cc
Interior Dam
Ise Lsf{P �vr�l OfLk
Decking: @C Q Ll
y res _, Na r LgTV^Ct' k I
es No
Pip ollars:
Lu
X
No
es q No
Miscellaneous- d6 j us ry ^ f SS p of <°acC
livrt
I�•i �
i/itdoke-�"11 fF be
-t-o l ,e
t n5�, 4a l��ut « y 1pp�irJt^�1O cP
All construction will be completed in compliance with prevailing building codes of the governing municipality.
Scope of work: Adamstree Roofing and Construction, agrees to do the work for the amount paid by the insurance proceeds plus any supplements
approved by the insurance company. The scope of work provided by the insurance company shall be part of the complete job description along with a
pre build inspection provided after insurance approval. The work shall be completed within a reasonable time frame agreed upon by you and
Adamstree Hooting and Construction, and may be based on product availability and weather.
Contract price$ Agreed upon insurance scope (Homeowner agrees to pay Adamstree the total contract price) / /
Payment Down S ,!(� , Balance Payable $ } ,. (p. 7e
In accordance with part 1 Article 4 of title 10 C.R.S. pursuant to section 6-22.105 Adamstree will not pay, waive, or rebate all or part of any
insurance deductible applicable to this insurance . ° owner attests that Adamstree has not promised or agreed to pay, waive, or rebate
ail or part of any insurance deductible, in i orm Initial's
Insurance company 4 l— �� Claim p
Acceptance of Proposal — in accordance with C.R.S Section 6.22-104, property owner will have a 72 hour right to rescind this contract. Customer
will be extended all rights under the C.R.S Setstion 6-22-104. The above specifications and all terms conditions are agreed to and hereby accepted.
Purchaser Signature
v&m damstreerpgfirt cam
[?ate
%,
'lJli!ill,llil!l~,~,l\i~~~7,~"""~,,,,,,1,,Il,t,'WfR,'1J!l,!!I!~~'l!,,,,,,,~'~~~UJ~~~",,,,,':f\!i,,,,,,,..Wi,j~Illl~,~,,,~~~"~r~~?i4!!,~,'J<l!fiffl~N
[J&PARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1465
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :7/20/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
,
Property OWner: LUCERO ROBERT R
Property Address: 3310 BENTON ST
Contractor License No. :
Company:
Phone: 233-8174
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee :
Plan Review Fee:
Use Tax :
I hereby certify \hat \ha setback diatllnces proposed by this permtt application are accurate,
and do not violllle applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restricliona of record; that all measurements shown, and allegallons
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responalbtlllv for compliance wtth the Wheat Ridge Building
Code (U.B.C.) and aU other applicable Wheatl'lidge 0 Inances, for work under this permll.
. l.
DATE~-'U.-\I'
Total:
$2,000.00
$45.00
$0.00
$50.00
$95.00
(OWNER)(CONTRACTOR) SIGNED
Description:
sHED/PLAY USE AND DRIVEWAY
BUILDING DEPARTMENT USE ONLY
Approval:
Occupancy :
Walls:
Roof:
Stories :
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
.
Expiration Date:
Approval :
.
Expiration Date :
Approval:
.
(1) ThIs pennIt _1_ In aa:onlanoe with the provIsiona set forth In yopur applk:atlon and Is su~ to tho lows of tho ~ of CoIolBOO and to tho ZOning
Regulationa and Building Code of Wheal Rldoe, C01orado or any other appllcoble ordinances of the City.
(2) ThIs porml_ expire W (A) tho _ authoriZed la not commenced within sixty (60) daya from laau. dale or (8) tho building authorized la auspended or
abandOned for a peI10d of 120 dill'".
(3) If this pennit expites. . new permit may be acquired for a fee of one-half the amount nonnattv required. Drovtded no changes have been or wlR be made In the
original plans and Ipecfflc;atiOna and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
oxcoeds one (1) year, fullleos shaH be paid l\M" 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) COI1trKtor _ nolIty the Building In_twonty-lour (24) hours In advonco l\M" aU I~ and ahall roceIva written approval on Inspoc:tlon cord before
with __ oftheJob.
(6). of ~.; ~~drawlnga and apoc1flcollons shall not be conslnled to be a pennllor, nor an ~ of, any violation 01 the provisions
of ~ ,law, rulaor rogulation.
uilding Inspector
THIS PERMIT VALID ONLY WHEN SIGNEb BY THE CHIEF BUILDING INSPECTOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
~~;:r~
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company:
'" ~\ \". :~', i"\ C. \',IX ~ 1"\ f\ i-i
.?::.~\O 6t~Oi>J :j\:"""""
Phone: ;'03- ';)""3~' Slit"
~;t..'~S'1()
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: ::l ~ .,'
~'- 0:'1:)
Permit Fee: :f.Dao
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 applicable Wheat Ridge or inances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED . DATE 'I' l.o'l.k:
Use Tax:
Total:
Description:
Approval:
Zoning:
Approval:
.~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
':M :.IJIII....-I!I~."~
~"""-~-~.."';]
Expiration Date:
Approval:
!lJI1!]g!l!IJ_~~il'!]1
Expiration Date:
Approval:
II iIBlldBBll.!-~
:1)
:2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Rid\)e, Colorado or any other applicable ordinances of the City.
This permit shall expue If (A) the work authonzed is not commenced wIthin sixty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days.
If this permit expires. a .new ,permit may be acquired for a fee of one.half the amount normally required, provided no changes have been or will be made in the
original plans and speCifications and any suspension or 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.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approvai on inspection card before
proceedii with successive phases of the job.
The iss of a ermit or the approval f drawings and specifications shall not be construed to be a permit for. nor an approval of. any violation of the provisions
of the u' ing s or any othe ordin ce, law. rule or regulation
'4)
:5)
'6)
For Mayor
HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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JOB NO_
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LEGEND:
E " EASEMENT
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3310 BENTON STREET
WHEhT RIDGE., CO.
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LOTS 21 AND 22
BLOCK 6
COLUMBIA HEIGHTS
COUNTY OF JEFFERSON
STATE OF COLORADO.
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IIl'RQVEtIEtlT LOCA Tl ON CEJlTlFlCA TE
, ,
1 here~~14~that this iaprovesent location certificate was prepared for
,tt~t it is not a Land Survey Plat or lmproveeent Survey Plat, and tr~l
it is not to be be relied upon for the cstablishalent of fence. buildi09 or other future illProveraent IUles.
I further certify that the illlProvelllCnts on the above described parcel on thLs date,FEBl-i:UARY 20. 1991
elcept utility connections. are entirely within the boundaries ot the parcel. except as shown. that there arc'
J~ encroachments upon the described premises by improve~ents 9~,~~~.adjoining premises. except as indlcaled,
.nd thelt ttll:ru Is no /IIlPilrent evidllnce or 6i90 of dny ca"~1IIl!6c'l:'PNRg..p'~ buriJcoin9 any part of Gilid parcel.
except as nott:d. ~"" ~ ... .,"'~"~.->;7' ~ ~ -;
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'" TO COI.OSo..UlO LAlli fOil "'I5T COMBeE A111 LEGAl ACTION &ASED U/ltlII ..~...~ ~:' ,..'" T r .,
'CT III hilS JIII'I(O'fEI'IEIH ~..C;'l1lU1 WlTIFIClil( _JlMIH Thl,::E ~EoiiIS '; ~-: t /" I ~~_.._:/.~ - . I I
ql'~:il' ~l.iCll~Eil SUCH LtH:CT. IN..o ['jEll I. 'UI' ;ill. A('l;llllllA~(O .. 8"', nl.i....t 0. _/'---~--..,- '......... I
'\H'I, lJ. hili 11tf'lIg'l~~Il' IollCArI~ CtkTlfl~AI~ ll( 'UMU~~ 1WlIi'''' r.,',,':....,..' ..-..-----....,...r:"'r)~,......_;'_O-.--l.~f':"fr-" ... J
~ hlOlIl~ CIlI( Uf It;f IHllfIC,\TlO_ ~kij.W kUctl>>l, ... \ u r. r...DnUMn'. ...,'"1
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RECEPTION NO. F0030669 9.00
230 ~ECORDED IN JEFFERSON COUNTY. COLORADO
Reception ;0..:0.
PG: 0001-001
3/22/95 16:48
r\.\.\,.V1UI,,;1
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QUITCLAIM DEED
THIS DEED, Made this 4 t h
bel1.~'een
Robert R. Lucero
day of June
.1994,
,
111/ I
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'Countyof Denver
and
State of Cotorado. grantor, and
Kellisue A. Chapman
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/,
3310 Ber.tur,
Denver, CO
~t .
80212'
whose legal address is
of the --- ----- _ -- County of Jefferson and State of Colorado, grantees, I
W~T_N_E~:~T_H~ ~~a~ ~h~ :r~~t~r~f~~ a~~ ~_c~~s~~r~~o~ ~~ ~~ ~u~ _o~ ~ ~~ ~:: _ ~~~~ ~ ~~ ~ _ ~~ ~ _ :;~L~~~-I
the re<:eipt and sufficiency of which is hereby acknowledged, has remised. released, sold and QUITCLAIMED, and by these '
presents does remise, release. sell and QUITCLAIM unto the grantees. their heirs, successors and assigns forever, not in I,
tenancy in common, but in joint lenancy. aU the right. title, interest. claim and demand which the grantor has in and to the 'I
real property, together with improvements, irany, situate. lying and being in the -- _ _ ---- ------- --- _County' I
of Jef f er son and State of Colorado, deScribed as follows:
Lots 21 and 22, Block 6
COlumbia Heights
Ii
3310 Benton St. Denver, CO
80212
I
,
II
1
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also known by street and number as:
assessor's schedule or parcel number:
TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belong-
ing or in anywise thereunto appertaining, and all the estate, right. title, interest and claim whatsoever, of the grantor, either
in law or equity, to the only proper use, benefit and behoof of the grantees, their heirs and assigns forever. The singular 'I
number shall include the plural, the plural the singular. and the use of any gender shall be applicable to all genders.
.11~N W~ . 'S S:S WH EO' he grantor has execuled this deed on the date set forth above.
~,
Robert R. Lucero
STATE OF COLORADO,
) 55.
Z.Z~
day of
(~1A-r<': #
My commission expires
12--
IS
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, 19 Cf.'i Witness my hand and official s;OJ'~>,~' ',-: .,/..:. ( ,.-' I'
~'" ?;..........~,..,,\ ,,~' ,~
d.1;N-d 4 mo.ncJ:;;~.i': '.' :1.
v I'toW}'PubLic I'.
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Name and Addce56 O(PCf50n Crutill.l I'ewly Created LeaaI Dtscriptilm (~38.35.1065, C.RS.) ,
j
County of
The foregoing instrument was acknowLedged before me this
by ''RL)~fk./- (2, d-vC((:.,.O
.If in Denver, insert "City and".
L
No. 962. Rev. 6-92. QL'lTCLAIM DEED (10 JoInl leGals)
Bradford Publiwag, 1143 Wazee 51" [)cayer, CO 80202 - (303) 292-2500 - 10-94
:t~fj)