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Home My WebLink About3030 Ingalls StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Wednesday, May 18, 2022 2:52:03 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3030 Ingalls St. Property Owner Name Jason Fernschuss Property Owner Phone 970-545-0990 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wheat Ridae Payment.Ddf CONTRACTOR INFORMATION Contractor Business Webb Electric Name Contractor's License 170676 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 970-545-0990 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email ewericwebb@gmail.com Address Retype Contractor ewericwebb@gmail.com Email Address DESCRIPTION OF WORK Is this an electrical change service upgrade or change? Number of Amps 100 Location of work Garage (garage, house, etc) Provide additional Add sub panel to garage details, if needed. Project Value (contract 2000 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 Eric Webb Pe rm it Email not displaying correctly? View it in your browser. 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/Tyj2e (Z)V/ 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 oundation Inspections Date Inspector Comments Initials ier oncrete Encased Ground (CEG) oundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Inderground/Slab Inspections Date Inspector Initials Comments lectrical Comments ewer Service lumbing Do Not cover Underground or Below/in-Slab Work Prior To Approval Of The Above Inspections ougAh Inspections e*- Date I Inspector Initials Comments 41 Sheathing id -Roof s} ath / Wall Tie ough Electric " Hugh Plumbing/Gas Line Hugh Mechanical Hugh Framing )ugh Grading sulation ywall Screw/ Nail nal Inspections FDat.spector Initials Comments indscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. I )W & Drainage / Public Works Dept. 3odplain Inspection (if applicable) 'e Inspection / Fire Protection Dist. - ial Electrical ial Plumbing ial Mechanical )of ial Window/Doors ial Building ATE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. r low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage he Building 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 - 201705613 PERMIT NO: 201705613 ISSUED: 08/07/2017 JOB ADDRESS: 3030 Ingalls ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 24 sq. *** CONTACTS *** OWNER (720)939-1440 SLAUGHTER JOHN SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,168.00 FEES Total Valuation 0.00 a i " Use Tax 129.53 Permit Fee 156.75 ** TOTAL ** 286.28 *** 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. 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 - 201705613 PERMIT NO: 201705613 ISSUED: 08/07/2017 JOB ADDRESS: 3030 Ingalls ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 24 sq. I, by my signature, do hereby attest that the work to be I applicable building codes, and all applicable municipal by the legal owner of the roperty and am authorized to this permit. I further attesFthat I amlegally authorized t performed and that all work to be pert" ed ' sclose� Signature of OWNER or CONTRACTOR (Cir 1. This permit was issued based on the information subject to the compliance with those documents, 2. This permit shall expire 365 days after the date ( received prior to the date of expiration. An exter Official and may be subject to a fee equal to one 3. If this permit expires, a new permit may be requ requirements, fees androcedures for approval c the Chief Building Official and is not guarantee( ply with all accompanying approved plans and specifications, 5rocedures, and that I am the legal owner or have been authorized nd perform the work described and approved in conjunction with named within this document as parties to the work to be nd/or its' accompanying approved plans and specifications. - to 1-7 one) Date rovided in the permit application and accompanying Flans and specifications and is nd all applicable statutes, ordinances, regulations, policies and procedures. issuance regardless of activity. Requests for extension must be made in writing and on of no more than 180 days made be granted at the discretion of the Chief Building calf of the originalpermit fee. A to be obtained. Issuance of a new permit shall be subject to the standard any new permit. Re -issuance or extension of expired permits is at the sole discretion of 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, an violation of any provision of any applicable c ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ;bF40im— Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 9006,5613 From: no-reply@ci.wheatri dge.co.us Sent: Tuesday, August 1, 2017 1:23 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Vl 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 3030 Ingalls St John Slaughter 7209391440 jwiles@interstateroof.com HER Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Contract-Slaughter.pdf Contract CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 material selected above? / Does any portion of the No V property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES / 24 V (pitched + flat) of all roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) house, 2:12 permit 115-20— � � 61 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 John Quante Email not displaying correctly? View it in your browser. 3 r,wr�arrrasrmrs- referralist0com INT ERSTATE ROOFING Submitted To � the >1ctu46+ date . _S= Email �S j �° 0211 �Q090ne 7A R31 t qyn Aft. Phone Street 3-031 City State 10 Zip $0? Insurance Company 1�riltd S -- Claim# � �� Policy# � Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.; however, interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the Insurance company unless you authorize the work and agree to pay for this additional work. Shingle Manufacturer / C�E Type Color Int. L* r ear off layers of composition shingles ❑ Tear off one layer of wood shingles W,Irtsalt Decking (7116" OSB) 77J 4�� Gij,Instpll new felt 53,- Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White int. -- will be closed ❑ Valleys will be open [X -Ai (s) to be color -coordinated Ek"Ridg.$) will be "High Profile Ridge" color-ccordinated shingles ly(nstail new pipejacks j�/Replace Vents as needed %--'Re-flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install In. ft. of series ridge vent. --y- (&,lnStall —7W In. ft. of ice & water shield to code ["Install ' nails per shingle Clean out gutters [�_s year workmanship warranty M interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate EVMake a magnetic sweep of driveway and yard for removal of any nails (Remove all debris resulting from above work�{� .! [Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is `I' Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amo nt of the insurance approved proceeds, with no additional costs to you except foLy deductible. The final scope and price agreed on between the Insurance company and Interstate Roofing, nc. shall become a ma contract price for tM insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy, Supplemental claims billed by Interstate Roofing. Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. Approximate Dates of Service: These dates of service are subject to change due to unusual delays in transportation of materials, ordinary w ther d s, or by 2 ny other causes beyond the reasonable control of Contractor Notice: if the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any Subsequent loss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced aeove. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: $_ Date: ReD. Initials: Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance( Client Signatures A / RRnrp6pntativp- _�' , i 1, _ ` Corporate Headquarte}a---" eotoracro Springs office Fort Collins (Nice 1000 W. 47th Ave. 2161 N, Academy Blvd. P_ 970A82.7722 F. 970.682.1018 Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144 303.763.9114 F. 303.789.3790 P. 719.471.9752 F 719.597.4444 www.interstateroof.com Cheyenne office Black Ins. Agency 1010 S Greeley Highway 9600E Arapahoe Rd #M5 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 307.834.2553 (303)397.7820 www-interstateroof.com info(ginterstateroof.com 1 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: (?Ur Job Address: IOU Permit Number: a � � U ❑ No one available for inspection: Time �s �;� 7� AfJ/PM Re -Inspection required: Yes 1�9i When corrections have been made, call for re -inspection at 303-234-5933 of r Date: 5 f Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r Job Address: 3U3 U Permit Number: 7,,1-7o r((,t t f1l,,,- -� X, 1/ ,s-(� f61 ,,) ❑ No one available for inspection: Time r =) A /PM e -Inspection required: e No When corrections have been made, call for re -inspection at 303 -234 - Date: (� I Inspector: DO NOT REMOVE THIS NOTICE , ► � City of Wheat Ridge " Residential Roofing PERMIT - 201705613 PERMIT NO: 201705613 ISSUED: 08/07/2017 JOB ADDRESS: 3030 Ingalls ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 24 sq. *** CONTACTS *** OWNER (720)939-1440 SLAUGHTER JOHN SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,168.00 FEES Total Valuation 0.00 a i " Use Tax 129.53 Permit Fee 156.75 ** TOTAL ** 286.28 *** 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. 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 - 201705613 PERMIT NO: 201705613 ISSUED: 08/07/2017 JOB ADDRESS: 3030 Ingalls ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 24 sq. I, by my signature, do hereby attest that the work to be I applicable building codes, and all applicable municipal by the legal owner of the roperty and am authorized to this permit. I further attesFthat I amlegally authorized t performed and that all work to be pert" ed ' sclose� Signature of OWNER or CONTRACTOR (Cir 1. This permit was issued based on the information subject to the compliance with those documents, 2. This permit shall expire 365 days after the date ( received prior to the date of expiration. An exter Official and may be subject to a fee equal to one 3. If this permit expires, a new permit may be requ requirements, fees androcedures for approval c the Chief Building Official and is not guarantee( ply with all accompanying approved plans and specifications, 5rocedures, and that I am the legal owner or have been authorized nd perform the work described and approved in conjunction with named within this document as parties to the work to be nd/or its' accompanying approved plans and specifications. - to 1-7 one) Date rovided in the permit application and accompanying Flans and specifications and is nd all applicable statutes, ordinances, regulations, policies and procedures. issuance regardless of activity. Requests for extension must be made in writing and on of no more than 180 days made be granted at the discretion of the Chief Building calf of the originalpermit fee. A to be obtained. Issuance of a new permit shall be subject to the standard any new permit. Re -issuance or extension of expired permits is at the sole discretion of 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, an violation of any provision of any applicable c ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ;bF40im— Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 9006,5613 From: no-reply@ci.wheatri dge.co.us Sent: Tuesday, August 1, 2017 1:23 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Vl 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 3030 Ingalls St John Slaughter 7209391440 jwiles@interstateroof.com HER Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Contract-Slaughter.pdf Contract CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 material selected above? / Does any portion of the No V property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES / 24 V (pitched + flat) of all roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) house, 2:12 permit 115-20— � � 61 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 John Quante Email not displaying correctly? View it in your browser. 3 r,wr�arrrasrmrs- referralist0com INT ERSTATE ROOFING Submitted To � the >1ctu46+ date . _S= Email �S j �° 0211 �Q090ne 7A R31 t qyn Aft. Phone Street 3-031 City State 10 Zip $0? Insurance Company 1�riltd S -- Claim# � �� Policy# � Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.; however, interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the Insurance company unless you authorize the work and agree to pay for this additional work. Shingle Manufacturer / C�E Type Color Int. L* r ear off layers of composition shingles ❑ Tear off one layer of wood shingles W,Irtsalt Decking (7116" OSB) 77J 4�� Gij,Instpll new felt 53,- Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White int. -- will be closed ❑ Valleys will be open [X -Ai (s) to be color -coordinated Ek"Ridg.$) will be "High Profile Ridge" color-ccordinated shingles ly(nstail new pipejacks j�/Replace Vents as needed %--'Re-flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install In. ft. of series ridge vent. --y- (&,lnStall —7W In. ft. of ice & water shield to code ["Install ' nails per shingle Clean out gutters [�_s year workmanship warranty M interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate EVMake a magnetic sweep of driveway and yard for removal of any nails (Remove all debris resulting from above work�{� .! [Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is `I' Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amo nt of the insurance approved proceeds, with no additional costs to you except foLy deductible. The final scope and price agreed on between the Insurance company and Interstate Roofing, nc. shall become a ma contract price for tM insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy, Supplemental claims billed by Interstate Roofing. Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. Approximate Dates of Service: These dates of service are subject to change due to unusual delays in transportation of materials, ordinary w ther d s, or by 2 ny other causes beyond the reasonable control of Contractor Notice: if the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any Subsequent loss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced aeove. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: $_ Date: ReD. Initials: Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance( Client Signatures A / RRnrp6pntativp- _�' , i 1, _ ` Corporate Headquarte}a---" eotoracro Springs office Fort Collins (Nice 1000 W. 47th Ave. 2161 N, Academy Blvd. P_ 970A82.7722 F. 970.682.1018 Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144 303.763.9114 F. 303.789.3790 P. 719.471.9752 F 719.597.4444 www.interstateroof.com Cheyenne office Black Ins. Agency 1010 S Greeley Highway 9600E Arapahoe Rd #M5 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 307.834.2553 (303)397.7820 www-interstateroof.com info(ginterstateroof.com l-7 i CIOF fi°--RSI* Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: '3 0 3 a TH m 11!5 �- Permit Number: —P o / -7 A 15'- to t La p r -o L e ,❑ No one available for inspection: Time : W17 AM/& Re -Inspection required: YesCrN When corrections have been made, call for re -inspection at 303-234-5933 DateInspector: -7—b DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occuoancvffvge INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site / Call by 3:00 PM to receive inspection the following business day. .CL /I Al/ I �- -n INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS - COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic V it _ I Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) ROUGHS Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical To Framing Insulation Drywall Screw F V it _ I Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO PINAL INSPECTIONS. "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. vla.UVANk;Y NU rERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 6" C:' Job Address 30S(1-3 T ;, " Permit Number ra _ r i ❑; No one available for inspection: Time 10' 7 'c ( A PM Re- Inspection required: Yes F' 'When corrections have been made, call for -in ! pe � ion at 303 - 234 -5933 ` Date: Inspector: �` ja z 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 Job Address 3✓3ea lAa,411.r .57 Permit Number jlo: F7 ❑ No one available for inspection: Time L IS , AM/ cm Re- Inspection required: es No DO NOT REMOVE THIS NOTICE City of Wheat Ridge ► J Residential Roofing PERMIT - 110287 PERMIT NO: 110287 ISSUED: 03/22./2011 JOB ADDRESS: 3030 INGALLS ST EXPIRES: 03/21/2012 DESCRIPTION: Reroof 20 sqs with Tar & Gravel * ** CONTACTS * ** owner 303/232 -3732 Ben Chinpette sub 303/466 -0161 Bernie Reitz 01 -9543 Reitz Roofing, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0801 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,890.00 FEES Permit Fee 156.75 Total Valuation ,pp Use Tax 124.02 ** TOTAL ** 280.77 , Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. 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 name within th' document as parties to the work to be performed and that all work to be performed is disclosed in this documnd /oraccompanying approved plans and specifications._ a Signature of OWNER or CONTRACTOR (Circle one) Late 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 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 inspecti n. '. Signature of Building Offical Date '. INSPEC N EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 I'REQUES S MUST BE MADE BY - 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. of wmegr COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:' U'lf P BUILDING INSPECTION LINE .303-234-5933 Date: m CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303.235 -2855) c OLORP0 0 APPLICATION Property Owner: ''�j — Y 7707 Property Address: 30 �p ::7_, 7^/KS '54 Phone: Contractor License No.: Company: £ e F2 Phone: Flo —4n Ira OWNERICONTRACTOR 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 byall conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code ( .B.C) and all other applicable Wheat Ridge Ordinances, for work under this pe (OWNER)(COMRACTOR): SIGNED DAT O ', z/ � (OW NER)(CONTRACTOR):PRINTED Description: -77-10 eD O Sq. Ft. added Construction Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax7$ Total:$ Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval' (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 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 have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew 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 (241 hours in advance for all inspections and shall receive written approval on inspection card before proceeding with sucegssive phases of the job. (6) The issuance of a permit or the approval of drawings afid 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 Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: City of Wheat Ridge Residential Plumbing PERMIT - 071262 PERMIT NO: JOB ADDRESS: DESCRIPTION: 071262 3030 INGALLS ST Replace water heater. ISSUED: EXPIRES: 11/16/2007 05/14/2008 *** CONTACTS *** owner 303/237-4660 gc 303/534-0881 Avis Versteeg Gary Kenfield 01-7152 Precise Plumbing .. PARCEL INFO ZONE CODE: SUBDIVISION: .. UA 0503 USE: BLOCK/LOT#: r-3 0/ Permit Fee Total Valuation ** TOTAL ** ESTIMATED FEES 50.40 .00 50.40 PROJECT VALUATION: 975.00 .. FEE: SUMMARY.. WoJ4i3) Comments: 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 reetrictionsof 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 (l.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. plans subject to field inspection. Signature of contractor/oWner date 1. This permit was issued in accordance with the provisions set forth in your application ,and is subject to the laws of the State of Colorado and to the zoning Regulations and Building COdes of.Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If thispermlt expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of "any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approVal on inspection card ,before proceeding with successive phases of the job. 6. The issuance of a pe 't or the approval of drawings and specifications shall not be construed to be a permit for, nor an~pproval of, y alation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan re i ubject to field inspections. Signat,ure of date INSPECTIQN REQUEST LINE. (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPUC<tTlON Building Permit Number: Date: Property Owner: Property Address: Contractor License No.: Company: /l.../:> t/,.d./~'~7 }e>3o :In9~//S. 17/ s-7..... /',.or c l' s ~ pi",,,., ,,:~ S- .:r" C- Phone:90)'-'?-) 7- 'IeCO Phone: j'] i/- e '3" '?I OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hearby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made arc accurate; that I have road and agree to abide by all conditions printed on this applications and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this ponnit. (OWNERXCONTRACTOR)SIGNED~?- ~ /...:-a.TB_ Construction Value: Permit Fee: Plan Review Fee: TT~p. T~y. ~.4" S ;;00 .>0. ,/0 """,,,,,,- Total: ~O. yo Description: r~;o~~"" /.-VA t-'r 4....,. (..."... BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ..'...-..,..."....,',..........,-.......... Z_~~mm~~~: Approval : Zouing: mm\~jijj~jM~~~ Approval: i$mj~!&lltlM~jjij~~ilIJi Approval: Occupancy: Walls: Roof: Stories: Residential Uuits: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval : Expiration Date: Approval: Expiration Date: Approval: (1) This pennit was is:roed in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of\Vheat Ridge. Color&do or any other applicable ordinances of the City (2) This permit shall ~ire if (A) the work authorized is not cOllUnClIlCed within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of120 days (3) If this permit expires, a new pennit may be acquired for a fce of one-half the amount noonally required, provided no changes have been or will be made in the original plans and speciflcations and any susponsionor abmdonmenth.u not exceeded one (l)yoar. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be pudfor a new permil (4) No work ofan)' manner.shall be done that will change tho natural flow of water causing a drainage problem. (5) Contractor shall notifY the Building Inspector twonty-four (24) hours in advance for all inspections and shall receive writt~ approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a pennit 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 --TU .'~".' ..... .. .... ",> .." _: ..', .0' ..... "', ......' ..'" ,_ _"""_' .0 .. :..;.,-:',:- ....,..... ",,-...,.',. "...... ' ",C 'fWh'Ri.d ' "'''-'lty:.; 'eat ge ',".. -:-:.'.: ;qResi4elltial Plumbing PERMIT - 071134 PERMIT NO: JOB ADDRE:SS: DESCRIPTION: 071134 3032 INGALLS CT ReJiiipe:"Wllste pipe i'f'- """",',"".' in C.S: ISSUED: E:XPIRES: Inqlpulling/replacing 10/19/2007 04/16/2008 main flange, *** CONTACT$: ,,iu 720/732-9008 720/62!1-9882 Niki Ragonese CE:SAR VITELA 07-0169 CESAR'S PLUMBING, LLQ owner gc ** PARCEL ;rNFO ZONE CODE:: SUBDIVISION: *,ikc UA 0503 USE: BLOCK/LOT# : r-3 0/ Permit Fee Total Valuation Use Tax ** ..TOTAL ** ESTIMATED FEES 70.25 .00 27.00 97.25 PROJECT VALUATION: 1,500.00 ** FE:E SUlo\MARY ~. I&~] COll\lll.ents, I" he1:'f!!bY:,.c'e:r~;l.fY:t~('~e,~tJ:8Ckd~.~ances proposed by this permit application are accurate, and do net vi.olateapplic:.&ble or~illAl"C~',~1~8_'6:~,:r~1at~~:ot:';l1.e:CitY: of wheat Ridge or covenanta, easements or restrictions of record;; ~ha.tall ~&Uf~~S'S~Own{,~t1l:J::..ll~~:+ons_'~J: ~e accurate; that I have read and agree to abide by all c~itions pr::!:in1+ed_~fithis ap~li;~:!tti?n,:~ t~::~;,~'8,t1I~l~f)h;l J:ct1ponslbility for compliance with the Wheat Ridge Building Code (I.B.C) and :al1otb~r apPl~{J1'j~ <!g~;i. ... tor...,rk under;;~;;~;:;ject to field inspection. signa~u date ' the,'lawsof appliCable the 1:'h.t~i'~er:'nit;~S'~$~~~-.ina:ccordat;LC8 with the prOVisions set forth in your application and is subject to , St'ate,:Of: c()l'oradR:.:at)-4;,t<)t:he zoning Rmgulations and Building Codes of Wheat Ridge, Colorado or any: other ; o~di~nc~,~Of,~E!,;C\t';y~', ,! 2. This; permit, :sha~~:e~~r~_' l~Q 'daY", frQm ,the' issue' ,date.: ,Requests for an extension, must be received' prior ,to expiratiob &\t~ .~exten.~pt'l:~Y-:;~ '~:rant~tS,at the discretion of the Buildit:l9 Official. Ie'~is,pe::rmit~~~s,,'a_IieWperautmaYbeaCquiredfora fee of one-half the amount normally reqUired,prov'td~d 'np. cl1atngEtS:l1ave,l::le,,~:#rW:tll})e"'..de"in the original. plans and specifications and any suspension or ~andonment 'has',not exce.edeci'~ne'(l)/Ye-~:r,. ,Ifc.hangeshave been or if suspension or abandonment exceeds one (1) year, full fees shall };)t!,paid f,OJ:'a~' pe~,t" lfO"w:opk o~.nytri.lJrin.i:\Bhallbe,ci?nethat will changet.he natural flow of water causing a drainage problem: c()l'J.t~actorshau.::nOtify,tbe,~ill1ing Inspector twenty-four (24) hours in advance for all inspecticmsaiid shall rece,ive wt;it,ten: approval! bil Jbff~e_~':i()ll c~r~,be~ore proceeding. wi th. successive phases of the job. Tb.".i$sUAA:ce ,l;)~_::' "m;;_,g:r:,~he~l:WJ;(lvalof. drawings and specifications shall not be construed to be ape~it for. .~r a!'1aWroval. '~"J1ioJ;"'~ion' of-the provisions of the building codes or any other ordinance, law, rule or regulation. . ~11.:p;J,a' /s~ject tp field.j.nspections. 1. 3, 4, 5, 6, Signat\J.l::e:_ date INSPSCTION RBQUBlrl' LIllllt (303)234-5933 REQUESTS MUST ~li:!\IADE BY 31'M ANY BUSINESS BUILDING OFFICE: (303)235"2855 DAY FOR INSPECTION THE FOLLOWI1ffi BUSINIlS$DAY.. 8~ ""HE~~;?-o '::: ,'~";> " "'~ '" COL.~.Rp..OO City of Wheat Ridge Building Division 7500 W 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 . Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: Plan#: Permit #: Building Permit Application Property Address: ? b ~ L T Property Owner (please print): Nt' fL,. 0-1011 ~c;.e Mailing Address: (if different than property address) <:1, 'f) () uC( Phone:?2.o -7s2-'Z~ Address: 5q~ o<;:s.: City, State, Zip: f1--~/~'j4 Contractor: @ ~~1J'\ pl,~ ___ [JI~ L-LC-. Contractor License #: % /" q Phone: "7~ - c. Z 8-.q.?? Z- Sub Contractors: Electrical City License #: Company: Plumbing City License #: 070 , j, '7 Company Mechanical City License #: Company: Exp, Date: Approval: Exp, Date:If-$'" - Z"", P Approval: Exp, Oat", 'Q Approval: ~- 2. ~g- Construction Value: $ I, ~tJ . co (as calculated per the BUilcJfng Valuation Data sheet) Use of space (description): Description of work: tZetif< ~.k. p,t4- 1"'- . c~ "$fk'-e.L -b [~ pulf),.:r ~r"f~'~ ;14..., "T'"j....f- p(.,~1 'j'4L / q It...., ~o"Y Sq, FULFt added: Squares BTU's Gallons Plan Review (due at time of submittal): $ Amps OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDlNG 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: 0 approved w/eomments 0 disapproved 0 no review required I Bldg Valuation: $ OCCUPANCY: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number: Date: 14952 12/19/02 Property Owner: AVIS VERSTEEG Property Address: 3030 INGALLS ST Contractor License No. : 19827 Company: Walrath Heating and Air Cond Co. Inc. Phone: 237-4660 Phone: 232-4343 Construction Value: Permit Fee: Plan Review Fee: Use Tax: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 ordinances, for work under this permit. Total: $2.392.00 $83.25 $0.00 $28.70 $111.95 (OWNER)(CONTRACTOR) SIGNED DATE Use: Description: REPLACING THE FURNACE IPa~~ BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Expiration Date: Approval: Expiration Date: Approval: Mechanical License No : 19827 Company: Walrath Heating and Air Cond Co. Inc. Expiration Date: 1/23/03 Approval: OKlKS Electrical License No : Company: Plumbing License No : Company: (4) (5) (6) 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 Ridge. Colorado or any other applicable ordinances of the City. 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. 'fthis permit expires, a new permit may be acquired fOf 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 approval on inspection card before proceediing with successive phases of the job. Th . ;~rmlt or the approval of d",wlngs and specifications shall not be construed to be a permit for. nor an approval of. any violation of the vi / II ~dlng codes or any other ordinance, law. rule or regulation. (1) (2) (3) Inspector ~' WHOA'1> i2 -0 C g COLOR./>.OO DEPARTME H OF PLANNING AND DEVELOPMENT BillLDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPUCfTION Building Permit Number: Date: Property Owner: AVIS VERSTEEG Property Address: 3030 INGALLS STREET Contractor License No.: 19827 Company: WALRATH HEATING & AIR CONDITIONING CO. Phone: (303)237-4660 Phone: (303)232-4343 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 applicable Wheat Ridge Ordinances, for work under this permit. (OWNERXCONIRACfOR) SIGNED '1t.-fCi.;sx.: 6)'11 f'!-:0 DATEU /'1 iV Construction Value:$ 2,392.00 Permit Fee:$ 83.25 Plan Review Fee:$ Use Tax:$ 47.84 ,- Total:$ 131. 09 Description: REPLACING THE FURNACE BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMI!NTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS; Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: 5 SCj "L Company: WESTCO Plumbing License No: Company: Mechanical License No: 1"1161.'1 Company: Wo..IICt41 l-IeCLl-1Y1Cj 1" A/cw. Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws oerhe State or Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances oftbe City. (2) TIlis permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue dale or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) lfthis permit expires, a new permit may be acquired for a fee of ooe-halfthe amount nonnally required. provided no changes have been or will he made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes h,we been or if !:u!:pen!:ion M nhalldomnel11 exceeds one (1) year, fuJI fees shall be paid for a new pennil. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shalt notify the Building Inspectortwenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance,law, rule or regulation. Chief Building Inspector I ,~^" ~ .I~~I!!\"",,,,,,,,,,,,,,,~,,,, ,,,,."r',~'7",,,,..,,w"','",,-,V ,"~'"''''''''''''''r'' , """,,,,,~,~,"_'''''m,,,.~,I,,,,,I...,,,",m!),,I,l,ii,~.1!l!~,J,ilj[l.\.~~,...",.",!I,ljIlJ~",.w""" ""I ,.I DEPARi.NT,QP'LANNING AND DEVELOPMENT Building Permit Number: 3427 >-,' ' IWfl:DlNGt.EQ"rI()NDIVISION - 235-2855 · CITY OF WtiEAT RIDGE Date: 7/15/96 75QfJ;Wf5ST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: BARBER AVIS G Proj)erty Address: 3030 INGALLS ST COl'Itractor License No. : 18505 Company: BARTELS HEATING & AlC Phone: 237-4660 Phone: 422.3589 OWNERlCONl"RACTORSIGNATURE OF UNDERSTANDING ANO AGREEMENT ~.:5t~~:~re:r:r:::~~=~~ra:,. Cj)Venlllls. " ,cr~.fllOCOlll; lhataHmeasu...mentuhown.lnd8lltgallons =-~=~~~~%r-=:~c:::.~=R~:~Uding C~ (U.B.C.)lII1CIIK Clther IpPlklabktWhelt Ridge onlln.nces, for work undor this permft. Construction Value: Permit Fee : Plan Review Fee : UseTax: (OWNER)(CONTRACTOR) SIGNED DATE Total: $1,900.00 $43.00 $0.00 $22.80 $65.80 DeSCription: EVAPORATIVE COOLER BUILDING DEPARTMENT USE ONLY SIC: Sq. Fl : ApproVal: Occupancy : Walls: Roof: Stories: Residential Units : '.. ..'....,.:. ......, EIectrieaI License No : Company : Plumbing License No : Company: Mechanical License No : Company: Expiration Date : Approval: . Expiration Date: Approval: . Expiration Date : Approval: . (1) =='::t=~~...:~~e:::r::==~'ll:c~~lawaof~Sblteof'~_Io~ZonIng (2) ::=~=~e~~autllaffzedlsnot- llIxty(BQ)dayslnlmlllUOd8t8or(B)~bulldlng_la~or (3) ~ll1li P81mi!.~._ . ITI8Y baacqulradfor a '"" or_~ amount normaIy ""Iulrad."- no __ '- bean or wi. ba _In ~ ~ __.lJlO!!lft"" WId any__orallondonmant h.. not axcaadad ona (1) yaor. 11 __... _ or W~ orabendonmant __11lyaor.fuII.__bePaldfora__ (4) No....xorahy:iNlnner_beClalHiillolwlll CIIange ll1enatural_ of_cautIng a dralnagO~. (5) ~ahWlnatIIt....~lI1Ir>8clor twenty:1our(Z4) houra In _ for a11ln8peC1tona and _ -.. _ ~ on Inapedion can! bo!onl (6) ... .'1(:~;:~:'J:r'~and .""c1lk:atIollllhall not be con_ '" be a pennIt for. _ an ~ of, ony _ of~ pIOVIslona ~lll(Ii_.IIIw.rulaorragulallon. , Chief Building Inspector THIS fJERMIT VAUD ONJ,. Y WHEt.l $1Gt.lED BY THE CHIEF BUILDIt.lG It.lSPECTOR At.lD MAYOR CALL: 234-5933 24 HOURS PRIOR TO It.lSPECTIOt.l :-!:1mjffl I I , ".: ~ " 'f""j' ;::j!!t T Ut:t'AK I Mt:N I UI- ....LANN1Nl.:> AI\/U DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH A VENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: ~'i' ,. ..,'. ..,......:.: .-' ,Ij..:e. ':. ." _~. :.:; ~roperty Own~r :' if et'S+~ 9\ Property Address: '2D30 ~Q/I.s Contractor License No.: I <'6 'S) 5 Company: Bor-le I s, ~C1tli19 Qnd !1lc Phone: a 31 . 40bo Phone: 4.,,).J - 3S13CJ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: \ qco~ Permit Fee : Y 3 ,(x) Use Tax: dla- 8e Total: t,5 .~O I hereby certify that the setback distances proposed by this permrt application are accurate. and do not violate applicable ordinances. rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record: that all measurements shown. and allegations made are accurate; that I have read and a9ree to abide by all conditions printed on this application, and that I assume full responsIbility for com liance with the Wheat Ridge Building Code (U.S. C.) and all other applicable Wheat e or nances, forwcr.{' der this permit. (OWNER)(CONTRACTOR) SIGNED ATE rk/Y'# Description :;rtls-lailed CVl EYClpora-flvt Cooler- BUILDING DEPARTMENT USE ONLY Approval: Zoning: ~jl'J' :B.d- f'~ ~'.~",f I' '!l~~" -'-, Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electncal License No : Company: Plumbing License No : Company: Mechanical License No : ....,Company : Expiration Date: Approval : " "PJiliIS~Jaffj(l~ .1A ,,'," .~, . Expiration Date: Approval: ill !'~~.lDql!lred J Expiration Date: Approvai : ill ;j,~ ~W; ~~'f - ~ (1) This pennrt was issued in aCCOrdance wiJhthe provisions set forth in yopur application and IS Subject to the laws of the State at Colorado and to the Zoning Regulations and Building Code of VIIheat Rid$l'e. Colorado or any other applicable ordinances of the City. (2) This permit shall ex~ire if (A) the work authoriZed is not commenced WIthin sixty (60) days from issue date or (8) the building authorized is suspended or . abandoned for a penOd of 120 days. (3) If this pennit expires, a new permit may be acquired for a fee of one-tlalf 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 s/:lall be paid for a new pennil (4) No work of any manner shall be done that will change the natural flow of water caus.ing a dralOage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for aU inspecuons and shall receive wntten approval on inspection card before proceedling with SUcceSSive phases of the job. . (6) The issuance Of a pennrt or the approval of drawings and specifications shall not be construeo to be a pennit for. nor an approval at. any violation of the pro VIS" of the building codes or any other ordinance. law, rule or regulation. " C~i,~fBuildln~ll1spector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION