HomeMy WebLinkAbout3516 Jay StreetINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day /
PERMIT:'' �1��GI� ADDRESS: G�V�`- JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
' a
�^�
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
' a
�^�
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT -100 ��i�-'G�C� ADDRESS:-'3� ntz�'J-1' JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
4 ho
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
4 ho
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
The City of Wheat Ridge
T bird Party Form Check List
Property Address 4
Permit Number
WIF
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address
Inspection Company rf ir? t NJ
Inspector Name
Inspector Contact info. )
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufact rer'
recommendation - n i �.--------
Inspector: Date: G�
Pro Owner Statement of Acknowled ement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof i spec ion
in lieu of the City of Wheat Rid ilding Division inspection.
Propery Owner/ Agentf-_ Date: d
This original document as well as the roofing check list, must be submitted to the Chief
Building Offical within seven days of the final inspection.
Drop off in person Submit via Email
Permit counter 2nd floor Kcoo ci.�theatridoe.co.us
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date: 7/26/17
Please add note to reverse side
VA
N/A
NIA
N/A
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
L7 Pass 0 Fall
Paz 0 rain
Structural roof components
Verify that no more than 2 layers of shingles exist
Pass D Fall
Pass A Fail
Flashing for roof and waits
if new sheathing is installed verify that it is listed in the
n Pass 0 Fall
permit description (Valuation must be adjusted)
E2
Verify sheathing nail pattern ( See policy & Proceedures)
* Pass Fall
'a
Crickets and saddles where needed
Pass E3 Fail
TX'Pass a Fait
Verify B vent must have boot same gauge as pipe
amass a Fait
Pass C; Fait
Verify vent caps
Verify no flashings are damaged or rusted
a Fait
Step flashing shall be min. of 4x4 piece per shingle
ass
0 Fail
Verify scuppers allow for proper drainage
ass
Ipass;0 Fail
lee and water shield 2' in heated wall spaces
P 0 Fall
Underlayments roust follow 2012 IRC 12012 IBC
tPass
Verify roof slope for proper drainage
$s c Fail
Pass Q Fail
Dripedge shall have min of 2" overlap
Dripedge should extend down min 2" past roof deck
Pass 0 Fall
APass a Fail
Dtipedge shall be mechanicaly fastened 12" OC
(3 Fait
90 LB roll roofing shall not be applied to roof slopes
ass
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 114:12 slope
a Pass o Fait
Above roof insulation R-25
a Pass a Fait
0 Fait
Below roof residential R-38
13 Pass
Below roof commercial R-32
o Pass 0 Fall
Modified Bitumen, EPDM, TPO min slope 114:12 slope
a Pass 0 Fail
be installed in accordance with the manufacturers
must
specifications- Must have manufactures tetter of
warranty with the address on the letter for final inspection
Lfietal Roof ahlnoles
Re+aulrements
Metal roof shingles shalt not be installed on slope less
o Pass 13 Fail
3:12
Metal valley flashing shall be the same material as roof
aPass 0Fail
Metal valley flashing shall extend a min of 8" from the
a Pass a Fail
centerline with a min. of 314 It high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs R
ulremenis
tit® shall have 8 min. 2-112;12 slope
0 Pass 0 Fall
Clay and concrete
Slopes 4:12 and under require double und+erlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
Inspector signature:i
Date of Inspection:
❑ N/A
❑ N/A
❑ N/A
❑ N/A
)cCN/A
N/A
YN/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
N/A
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
Pass
❑
Fail
Structural roof components
Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
Pass
❑
Fail
Flashing for roof and walls
Pass
❑
Fail
Structural roof components
/❑_ Pass
❑
Fail
if new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ Pass
❑
Fail
Verify sheathing nail pattern (See Policy and Procedures)
❑ Pass
❑
fail
Crickets and saddles where needed
Pass
❑
Fail
Verify B vent must have boot same gauge as pipe
Pass
❑
Fail
Verify vent caps
Pass
❑
Fail
Verify no flashings are damaged or rusted
Pass
❑
Fail
Step flashing shall be min. of 4x4 piece per shingle
Pass
❑
Fail
Verify scuppers allow for proper drainage
Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
Pass
❑
Fail
Verify roof slope for proper drainage
Pass
❑
Fail
Dripedge shall have min. 2" of overlap
Pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
Pass
%Pass
❑
❑
Fail
Fall
Dripedge shall be mechanically fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes less than
2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
❑ Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
AlN/A [3Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
�N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
�,N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
CAIA ❑ Pass I]Fail Clay and concrete tile shall have a min. 2-1/2.12 slope
/A ❑ Pass ❑ Fall Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of
6
The City of Wheat Ridge
Inspection Check List notes
Fina{ Roof
Company Name:
Inspector signature:
Date of Inspection:
CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /Oj 0
Job Address: ) 4 S
Permit Number: 2X17 0761
f
t
❑ No one available for inspection: Time AM P
Re -Inspection required: Yes LN�
When corrections have been made, call for red -inspection at 303-234-
Date:- 711ill Inspector: fC
DO NOT REMOVE THIS NOTICE
/_�l I* � 4 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: MJ 0 _
Job Address: S T L ) j4 ST
Permit Number:g (-17 0761
❑ No one available for inspection: Time / r V AM to
Re -Inspection required: Yes LN�
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1//f//[ Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703761
PERMIT NO: 201703761 ISSUED: 07/11/2017
JOB ADDRESS: 3516 Jay ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -Roof to IKO CAMBRIDGE asphalt shingle with 29SQ
HOUSE AND GARAGE 6/12 AND 1/12
*** CONTACTS ***
OWNER (303)588-1083 JOHNSON BRIAN C
SUB (303)942-1539 Phil Theriault 130200 Top That Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,453.00
FEES
Total Valuation 0.00
Use Tax 156.51 PAID
Permit Fee 172.60 i
** TOTAL ** 329.11
*** 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 - 201703761
PERMIT NO: 201703761 ISSUED: 07/11/2017
JOB ADDRESS: 3516 Jay ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re—Roof to IKO CAMBRIDGE asphalt shingle with 29SQ
HOUSE AND GARAGE 6/12 AND 1/12
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 erm>i I further attest hat I am le atly authorized to include all entities named within this document as parties to the work to be
perf�ed and:,hat all vor.�C to be performed is disclosed in this document and/or its' accornrpaning approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date % c
1. I%his 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 pen -nit 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 originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
apphcab; e or any ordinance or regulation of this jurisdiction. Approval of work is subject to ield 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 C�� 1 ri () (0 1
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 11:28 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
3516 JAY ST
BRIAN JOHNSON
3035281083
Field not completed.
-$ :�-)aq.I1
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
TOP THAT ROOFING
Contractor's License
130200
Number (for the City of
Wheat Ridge)
Contractor Phone
3035281083
Number
Contractor Email Address
JACKIEROOFING@GMAIL.COM
Retype Contractor Email
JACKIEROOFING@GMAIL.COM
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
IKO CAMBRIDGE
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
25
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
4
on the flat roof?
TOTAL SQUARES of all
29
roofing material for this
project
Provide additional detail
HOUSE AND GARAGE 6/12 AND 1/12
here on the description of
N
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)
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 PHIL THERIAULT
Email not displaying correctly? View it in your browser.
3
"000_# 4; L TOP THAT ROOFING
TOp THAN 9940 E. Costilla Ave., Suite N - Centennial, CO 80112
Is n n e v T: 303-927-6585 - F: 303-997-2109
ACC HEDITED
RU:Ii ESS
roposa u mi a o:
I op I hatoo mg
Date
Street
`3s\s k�
JobLocation/Community
Insnce Adjuster
y61 Ltd` C �
� 27 �
City/State/Zip
Insurance Company
Policy #
Home Phone
Work Phone
Claim #
)I
Tear Off:1 J.�` ❑ Ridge Vents: ❑ Low Profile Vents: ❑ Extra Work:
I�Install: : Metal Edging: ®Stepflash: ❑ Counterflash:
Felt: 1� -NQCleanup & Haul Off Trash: —
❑ Recover Roof with: -�" Cleanup Around Bushes:
Shingle Manufacturer: "t" k Roll Yard with Magnetic Roller:
Color: 5 Protect Landscaping:
❑ New Valleys w/90# einforceauQ� Clean Out Gutters: Delivery Instructions:�—
❑ W -Valley: Bad Decking to be Replaced at an Additional:
Ridge: sq. ft.
Nal: 1'14 ❑ 1'h ❑ 1'/4 5 Year Workmanship Warranty from Top That Roofing, Inc.
Replace Roof Stacks: ❑ 1.5 2" ❑ 3" [14" ❑5,, ,E] Permit Fumished by Top That Roofing, Inc.
ni
0Paint Roof Stacks:
Fepose hereby to furnish material and labor and complete in accordance with the above specifications, for the sum of $t to he made as follows:
This estimate does not obligate the home owner or Top That Roofing, Inc. in any way unless it is approved by the Insurance Company and accepted by Top That Roofing, Inc. By signing
this agreement the homeowner authorizes Top That Roofing, Inc. to pursue homeowners best interest for a roof replacement or repair at a price agreeable to the insurance co any and
to Top That Roofing, Inc. win no additional cost to the homeowner except for the deductible. When the insurance company and Top That Roofing, Inc. agree upon a price,
that price will become the final contract price and Top That Roofing, Inc. will receive all insurance proceeds for the work completed by Top That Roofing, Inc. (Initial)
We propose to comp m accordance with the above specifications and subject to conditions found above on this proposal. Payment to be made as follows:
Property Owner is / ❑ is not intending to make payment from the proceeds of a property and casualty insurance policy.
Check to be made payable to Homeowners and Top That Roofing, Inc. (Initial)
GENERAL CONTRACTOR: Homeowner acknowledges Top That Roofing, Inc. as a General Contractor and as such will be entitled to a 10% profit and 10% overhead, as ail ed by
insurance industry standards.
Top That Roofing, Inc. shall hold in trust any payment received from you until Top That Roofing, Inc. has delivered roofing materials at the site or has performed a majority of
the roofing work on your property.
Top That Roofing, Inc. carries workers' compensation, automobile and commercial general liability (bodily injury and property damage) insurance. A Certificate of Insurance
identifying our insurance carrier and the types and amounts of coverage and our insurance contact information is attached or will be provided to Customer and is
incorporated herein by reference and should be considered as part of this contract.
You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a property
and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the property and casualty
insurer that your claim has been denied in whole or in part. However, Top That Roofing, Inc. is entitled to retain payments or deposits to compensate Top That Roofing, Inc.
for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Top That Roofing, Inc. 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 roofing work on your property.
ACCEr^TANCE OF PROPOSAL: This proposal becomes the legal and binding contract 72 hours from date of acceptance. 1 1h% per month interest will be added to all accounts 30 days
past due. In addition, costs and reasonable attorney's fees for collection may be charged on any account past due over 30 days. Payment is to be made at time of completion. Warranty
will be void if payment is not made in full within 30 days. Failure to pay can constitute a mechanical lien filed against the property. All material is guaranteed to be as specified. All
work to be completed in a workman like manner to standard practices. All interior damages to buildings are excluded 90 days after completion date and the owner is notified that any
damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the
contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner is to carry fire, tornado, and other necessary insurances. Top That Roofing, Inc. is
not responsible for broken driveways. Scheduling will be done based upon date signed but limite�availability for material, crews, and weather conditions. Re -roofing does not include
decking.
Purchaser
Top That Roofing Inc. representative signature: 7 "
3 4450
�
Date: , " '
Date: 2A, 1-7
City of Wheat Ridge
Residential Roofing PERMIT - 201703761
PERMIT NO: 201703761 ISSUED: 07/11/2017
JOB ADDRESS: 3516 Jay ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -Roof to IKO CAMBRIDGE asphalt shingle with 29SQ
HOUSE AND GARAGE 6/12 AND 1/12
*** CONTACTS ***
OWNER (303)588-1083 JOHNSON BRIAN C
SUB (303)942-1539 Phil Theriault 130200 Top That Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,453.00
FEES
Total Valuation 0.00
Use Tax 156.51 PAID
Permit Fee 172.60 i
** TOTAL ** 329.11
*** 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 - 201703761
PERMIT NO: 201703761 ISSUED: 07/11/2017
JOB ADDRESS: 3516 Jay ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re—Roof to IKO CAMBRIDGE asphalt shingle with 29SQ
HOUSE AND GARAGE 6/12 AND 1/12
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 erm>i I further attest hat I am le atly authorized to include all entities named within this document as parties to the work to be
perf�ed and:,hat all vor.�C to be performed is disclosed in this document and/or its' accornrpaning approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date % c
1. I%his 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 pen -nit 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 originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
apphcab; e or any ordinance or regulation of this jurisdiction. Approval of work is subject to ield 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 C�� 1 ri () (0 1
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 11:28 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
3516 JAY ST
BRIAN JOHNSON
3035281083
Field not completed.
-$ :�-)aq.I1
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
TOP THAT ROOFING
Contractor's License
130200
Number (for the City of
Wheat Ridge)
Contractor Phone
3035281083
Number
Contractor Email Address
JACKIEROOFING@GMAIL.COM
Retype Contractor Email
JACKIEROOFING@GMAIL.COM
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
IKO CAMBRIDGE
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
25
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
4
on the flat roof?
TOTAL SQUARES of all
29
roofing material for this
project
Provide additional detail
HOUSE AND GARAGE 6/12 AND 1/12
here on the description of
N
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)
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 PHIL THERIAULT
Email not displaying correctly? View it in your browser.
3
"000_# 4; L TOP THAT ROOFING
TOp THAN 9940 E. Costilla Ave., Suite N - Centennial, CO 80112
Is n n e v T: 303-927-6585 - F: 303-997-2109
ACC HEDITED
RU:Ii ESS
roposa u mi a o:
I op I hatoo mg
Date
Street
`3s\s k�
JobLocation/Community
Insnce Adjuster
y61 Ltd` C �
� 27 �
City/State/Zip
Insurance Company
Policy #
Home Phone
Work Phone
Claim #
)I
Tear Off:1 J.�` ❑ Ridge Vents: ❑ Low Profile Vents: ❑ Extra Work:
I�Install: : Metal Edging: ®Stepflash: ❑ Counterflash:
Felt: 1� -NQCleanup & Haul Off Trash: —
❑ Recover Roof with: -�" Cleanup Around Bushes:
Shingle Manufacturer: "t" k Roll Yard with Magnetic Roller:
Color: 5 Protect Landscaping:
❑ New Valleys w/90# einforceauQ� Clean Out Gutters: Delivery Instructions:�—
❑ W -Valley: Bad Decking to be Replaced at an Additional:
Ridge: sq. ft.
Nal: 1'14 ❑ 1'h ❑ 1'/4 5 Year Workmanship Warranty from Top That Roofing, Inc.
Replace Roof Stacks: ❑ 1.5 2" ❑ 3" [14" ❑5,, ,E] Permit Fumished by Top That Roofing, Inc.
ni
0Paint Roof Stacks:
Fepose hereby to furnish material and labor and complete in accordance with the above specifications, for the sum of $t to he made as follows:
This estimate does not obligate the home owner or Top That Roofing, Inc. in any way unless it is approved by the Insurance Company and accepted by Top That Roofing, Inc. By signing
this agreement the homeowner authorizes Top That Roofing, Inc. to pursue homeowners best interest for a roof replacement or repair at a price agreeable to the insurance co any and
to Top That Roofing, Inc. win no additional cost to the homeowner except for the deductible. When the insurance company and Top That Roofing, Inc. agree upon a price,
that price will become the final contract price and Top That Roofing, Inc. will receive all insurance proceeds for the work completed by Top That Roofing, Inc. (Initial)
We propose to comp m accordance with the above specifications and subject to conditions found above on this proposal. Payment to be made as follows:
Property Owner is / ❑ is not intending to make payment from the proceeds of a property and casualty insurance policy.
Check to be made payable to Homeowners and Top That Roofing, Inc. (Initial)
GENERAL CONTRACTOR: Homeowner acknowledges Top That Roofing, Inc. as a General Contractor and as such will be entitled to a 10% profit and 10% overhead, as ail ed by
insurance industry standards.
Top That Roofing, Inc. shall hold in trust any payment received from you until Top That Roofing, Inc. has delivered roofing materials at the site or has performed a majority of
the roofing work on your property.
Top That Roofing, Inc. carries workers' compensation, automobile and commercial general liability (bodily injury and property damage) insurance. A Certificate of Insurance
identifying our insurance carrier and the types and amounts of coverage and our insurance contact information is attached or will be provided to Customer and is
incorporated herein by reference and should be considered as part of this contract.
You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a property
and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the property and casualty
insurer that your claim has been denied in whole or in part. However, Top That Roofing, Inc. is entitled to retain payments or deposits to compensate Top That Roofing, Inc.
for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Top That Roofing, Inc. 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 roofing work on your property.
ACCEr^TANCE OF PROPOSAL: This proposal becomes the legal and binding contract 72 hours from date of acceptance. 1 1h% per month interest will be added to all accounts 30 days
past due. In addition, costs and reasonable attorney's fees for collection may be charged on any account past due over 30 days. Payment is to be made at time of completion. Warranty
will be void if payment is not made in full within 30 days. Failure to pay can constitute a mechanical lien filed against the property. All material is guaranteed to be as specified. All
work to be completed in a workman like manner to standard practices. All interior damages to buildings are excluded 90 days after completion date and the owner is notified that any
damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the
contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner is to carry fire, tornado, and other necessary insurances. Top That Roofing, Inc. is
not responsible for broken driveways. Scheduling will be done based upon date signed but limite�availability for material, crews, and weather conditions. Re -roofing does not include
decking.
Purchaser
Top That Roofing Inc. representative signature: 7 "
3 4450
�
Date: , " '
Date: 2A, 1-7
";;";'f~~:l:;;I'AI.,11E'efi:6i'i~l!e;6RU";;i!;I";1""""" ;:;:;;;;"'~;';i.;'
. .'. ',. ..... .. . Occuoancvrrvpe'''''
o:rlNSPECTION LINE: (30'3)2341-5933
Inspections will oat'l>! m!lde ..ole,. th~ car~ fspostedfoi~e bllllding site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE I"SPECTOR COMIoIENT$:
INI11ALS .
Footings/Caissons
Stemwall/ (CEG) Concrete
Encased Ground
Reinforcing or Monolithic .
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines .
,
,
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
POUR No CO"CRETE UNTIL ABOVE HAS BE"" SIGNEO
ROUGHS I
Sheathing ,
Lath / Wall tie .
Mid-Roof 17&/~ J6--
Electrical Service .
Rough Electric , I
Rough Piumblng ,
Gas Piping
Rough Mechanical
Do NOT POUR FLOOR UNTIL ABOVE HAS BeEN SIGNED
I
MT~-ro'r-ro--.
I Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical .
Roof .Lut,v u1! G., ' \\'
Building Final .'i, .
Fire Department
R,OW & Drainage . ;
START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
'*NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIF/CA TE OF OCCUPANCY IS IsSueD. FINAL fNSPECTlONBY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TlON
OF A CERTlFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
i""i'~,,_,':~
~ 4
........ ~ r CITY OF WHEAT RIDGE
pr;r~ Building Inspection Division
!V (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ;:;""AL Xa? F
Job Address/Permit Number: 351' ,f;fv sr. o'B'o 7'1;
,
APPJ<aY€ D
o No one available for inspection: Time '7": 3.:> AM/PM
Re-Inspection required: Yes ~
* When corrections have been made, call for re-inspection at 303-234-5933
Date: 711(1/0'" Inspector:?
/
DO NOT REMOVE THIS NOTICE
"'"
~ A
...~ ~ r CITY OF WHEAT RIDGE
pr;r~ Building Inspection Division
!V (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ,~//':lWnf:"
Job Address/Permit Number: 35/{;' I ~ / cor- t?li'o 7t~ 1j
;') ::::: :'~I nilJf1 "do<' -,",A, ,If .;h-//7ih77
)) _ ~ _ _,-,p_ ;l s, ':{, A.' ...{)<- ~ ~ h r /z."./=- /.>/1/ .d r
;,////,/)/yy:::'
o No one available for inspection: Time 1: y, AM/PM
---- "
Re-Inspection required: ~j No
. When corrections have been made, call for re-inspection at 303-234-5933
Date:
~/.&l? Inspector: ~,.
/'
DO NOT REMOVE THIS NOTICE
-- --.-.--. -----.--.--.--------..'
--- -- ~---._.--- -_._~-- -- ------- -.-----.---"-- - _.-_.---- ------ - -. -
~'"~!W!I~..A",;,",~",,,,<.~~';~~I~~~I!JIIW~I~.~.~~~j,.,,~,llil,~1
~U~
pr
City of Wheat Ridge
Residential R.oofing PERMIT - 080747
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
080747
3516 JAY ST
3 layer T/O redeck w/ 30 yr
ISSUED:
EXPIRES:
dimensional,27 $q
07/03/2008
12/30/2008
*** CONTACTS ***
owner 303/588-1083
gc 303/484-1115
Brian Johnson
Lea Weishaar
08-0146 TKO Custom Construction Inc
.. PARCEL INFO
ZONE CODE:
SUBDIVISION:
..
UA
0474
USE:
BLOCK/LOT#:
UA
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
144.70
.00
81.00
225.70
4,500.00
.. FEE SUMMARY..
Conditions:
6 nail installation & mid-roof inspection required, Board sheeting spaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
I hereby certify that the setback distances propose9 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.
Signature of ~ontractor/OWner
date
1. This permit was issued in accordance with the provisions set forth in y~u~ applicatio~ 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
oidinancesofthe City.
2. This permi~~hall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An;eXte~siori may be granted at the discretion of the Building Official.
3. If this'perm1texpires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changea,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 permit or the ~pproval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation 0 the provisions of the building codes or any other ordinance, law, rule or regulation~
All plan revi~w is sub t d inspections.
Signature of ChiefSuild
date
INSPlIlCTION DQUBS LID: (303) 234-5933 BUILDING OFFICE: (303) 235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
(,
,t,"
~~~.(
pr
City of Wheat Ridge
Residential Roofing PERMIT - 080747
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
080747
3516 JAY ST
3 layer T/O redeck w/ 30 yr
ISSUED:
EXPIRES:
dimensional 27 sq
07/03/2008
12/30/2008
*** CONTACTS ***
owner 303/588-1083
gc 303/484-1115
Brian Johnson
Les Weishaar
08-0146 TKO Custom Construction Inc
.. PARCEL INFO
ZONE CODE:
SUBDIVISION:
**
UA
0474
USE:
BLOCK/LOT#:
UA
0/
Permi t Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
144 : ~~ ~~b'::~31
81,00 ~~
225,70
4,500.00
** FEE SUMMARY **
Conditions:
6 nail installation & mid-roof inspection required. Board sheeting spaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
t 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
applic tion and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appl' a Ie Wheat R'dg Or. ~anc ,for work under this er it. Plans subject to field inspection.
1. This permit was issued in accordanc 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 this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4, No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall 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 violat' n of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is s ec field inspections.
signature of Chief
date
INSPECTION RB
REQUESTS MUST
(303) 234-5933 BUILDING OFFICE: (303) 235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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: <7 '3 0 ~
Plan#:
Permit #: D '6 01 t-f1
Building Permit Application
:::::: :::::;Pleas~i; ~~ I~~ ~n~;~~
Mailing Address: (if different than property address)
Address 1399 7 vJ ~ 1-7- r0 a.c ~ 1
City. State, Zip C-roIdI4., ,0; - ~tJ'f0 !
Contractor --re.n ('IJ~t-~ O~f,,(.fJ'frv\ --.:t:I..,-,_
Contractor License #: Phone: 3 D3 - t.f4/f-llI5"
Phone 303 -- S<g<g-ICfi3
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
Approval:
Exp, Date:
Approval:
Exp. Date:
Approvai:
Use of space (description):
Description of work:
:3 ~ I~-~ oM
~(/.e<-'l::-. '30" r. C9;~~ SI'~<J ? 52- J110dl
Sq. Ft IL Ft added Squares L 7 BTU's Gallons
Construction Value: $ "tI ,<-
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submIttal): $
l-ed
Amps
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 (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
PRINT NAME: /.i!s L- c..J-e,' S/..a.(Ly
(CONTRATOR)
SIGNATURE:
Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer
FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required I Bldg Valuation: $
OCCUPANCY
D~PARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1082
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 5/26/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: fOSTER HUGH J_
Property Address: 3516 JAY ST Phone: 744-1503
Contractor License No, : 17601
Company: Dahlenburg Roofing Phone: 423 9513
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Total:
$550 00
$17,00
$8.25
$25.25
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 a~ree 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.
(OWNER)(CONTRACTOR) SIGNED ~ / fj)JJl? DATE S' -26 ''I s-,
C/
Description: REROOF
Use Tax:
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning:
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electricai License No :
Company:
Piumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
.
.
.
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildin9. 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 da)'s.
11this 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 approval on inspection card before
proceediing with successive phases of the job.
The issuan f 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 build. codes r any other ordinance, law, rule or regulation.
(4)
(5)
(6)
uilding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
rr~~TI1
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:
tJ 11'\0...
3 516
176. Of
1) c, i., Ie 1)," ")
Fa '^:<) 0
..)"-J
Phone:
7 <fY-/S-03
f200 f /Aj
Phone. '7 2 3 - 7 5' U
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Use Tax:
s-so
/?rY--::'
- c--
O'&~
I hereby certify that the setlJack 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 restndions of record: that all measurements shown. ana allegations
made are accurate: that I have read and agree to abide by aU conditions pnnted on this
application. and that I assume full responSibility for compliance With the Wheat Ridge Building
Gode (U.8.C.) and all other applicable Whe t Ridge ordinances. for worK under this permit.
JU
DeSCriptio
Url'<"
DATE 5-2,{-,/
Total :07<,-' oi 0_
(DWNER)(CONTRACTOR) SIGNED
Z-
BUILDING DEPARTMENT US
~dk~
~
~}) . -. I , . .,..
Approval:
Zoning:
QIlldlilrriCam~
Approval :
PQbIIC'WO"rtdr.COh1men1s~
Approval:
Occupancy:
Walls:
Roof:
Stories.
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company.
Mechamcal License No :
Company:
Expiration Date:
Approval .
.3 "P1l"ris~uJr8d~
Expiration Date:
Approval.
II P!.8;hsR~ulred.- ..:1
Expiration Date:
Approval:
II !:,~ulnRf.a
(1)
(2)
(3)
This oermlt was ISSUed In accordance With the prOVIsions set tortt'lln yopur appilcabon and IS subject to the laws of the State of Colorado and to the Zoning
Regulations and BUIlding Code of VVheat Ridge. Colorado or any ottler applicable orOlnances of the City.
Tn:s permit shall exprre If (A) trle wone: aUIMnzed IS not commencea Within SIXty (60) days from Issue date or (8) the building authonzed IS suspended or
abar'ldoned for a penoa of 120 days.
If thiS permit expires. iiI new permit may be acquired tor a fee of one-half the amount normally requIred. prOVIded no changes have been or will be made in the
anginal plans and specdicatJOns and any suspension or abandonment nas not exceeoed one (1) year. If cI1anges are made or if suspenSion or aoandonment
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 causrng a drainage problem.
Contractor Shall notify the Buildmg Inspector tv./enry-four (24) hours m advance for au Inspections and shall receive wntten approval on Inspection cara before
proceedllng With successIve pnases of the JOb.
n,e Issuance of a permit or the approval of draWIngs and specrfieatlons shall not be construed to be a permit for. nor an approval of, any VIolation of lt1e proVisions
of the bUlldmg COdes or any other ordmance. taw. rule or regulallon.
(4)
(5)
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234.5933 24 HOURS PRIOR TO INSPECTION