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3955 Allison Street
City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202101439 PERMIT NO: 202101439 ISSUED: 07/06/2021 JOB ADDRESS: 3955 Allison St EXPIRES: 07/06/2022 JOB DESCRIPTION: Replace water heater - 50 gallon Gas 40K BTUs *** CONTACTS *** OWNER (303)365-1571 LINDSLEY KRISTEN J SUB (303)458-5988 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41462.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 93.70 ** TOTAL ** 133.70 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202101439 202101439 3955 Allison St ISSUED: 07/06/2021 EXPIRES: 07/06/2022 Replace water heater - 50 gallon Gas 40K BTUs I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/06/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Water Heater Replacement Permit Application Date: Monday, July 5, 20219:38:52 AM Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. 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 a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address 3955 Allison Street, Wheat Ridge, CO 80033 Property Owner Name Kristen Lindsley Property Owner Phone 303-656-1571 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address (Leave blank if not known) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" permits@applewoodfixit.com CONTRACTOR INFORMATION Contractor Business Applewood P H & E Name Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons 19I8191E,W- IS61-I: permits@applewoodfixit.com permits@applewoodfixit.com 1.9181 Is the water heater GAS GAS or ELECTRIC? If GAS, enter # of 40 BTUs. If electric, enter n/a Where is the water Main level heater located (for example, basement, crawlspace, etc)? Project Value (contract 4462.00 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 Tracey L Johnson Permit Email not displaying correctly? View it in your browser. 7 i CITY OF WHEAT RIDGE Bu'ddin'g Inspection"Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: - e w e r Job Address: 3 q s`S` A S7L Permit Number: �) 0 G O a "7 0 y'e ❑ No one available for inspection: Time ! = 3 7 p/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date:-/ p q Inspector: —T—L",) DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201701945 PERMIT NO: 201701945 ISSUED: 06/13/2017 JOB ADDRESS: 3955 Allison ST EXPIRES: 06/13/2018 JOB DESCRIPTION: Residential Reroof: Install GAF HD Timberline 32 squares 5/12 pitch * * * CONTACTS * * * OWNER (303)656-1571 LINDSLEY KRISTEN SUB (303)803-3553 Mathew Olson 130260 Echo Repair, Remodel & Reconst *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,065.85 FEES Total Valuation 0.00 Use Tax 253.38 Permit Fee 251.85 ** TOTAL ** 505.23 *** 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 Alh-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 manufacturera€ms 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's 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. INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occutancv,t,pe Electrical Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Mid -Roof Concrete Encased Ground (CEG) Fire Inspection / Fire Protection Dist. Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service 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. Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. ROW & Drainage / Public Works Dept. Mid -Roof Fire Inspection / Fire Protection Dist. '�r is s h%e Z Lath / Wall Tie Final Plumbing Rough Electric' Final Mechanical Rough Plumbing/Gas Line Roof 22 1713 V )Y1171A1, 13i GAl° F0(L 13V A/AN Rough Mechanical Final Building Rough Framing 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. Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & 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. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 22 1713 V )Y1171A1, 13i GAl° F0(L 13V A/AN Final Window/Doors Final Building 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 from the Fire District and electrical low voltage by the Building Division. For notification of your assigned inspection time window please email insptimerequest(a)ci.wheatrid e� by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of " Protect This Card Fra- ' 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:. P F Job Address: OL I &S O ii S Permit Number: ®17 C21 9 U1 w �5 U No one available for inspection: Time 10:/0 AM/PM Re -Inspection required:k-s 6O)ef When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: 7?,,U DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /01)) Job Address: 31 SS A Lt 1 N ST Permit Number: zo )� i S -n (-1 Nye 11-77D e �,Jd ❑ No one available for inspection: Time Z {`" A PM Re -Inspection required: Yes No When corrections have been made, call for re-in_pection at 303 -234 - Date: (. rG r) 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: _ Job Address: Permit Number:' ❑ No one available for inspection: Time AMYPM✓ Re -Inspection required. Yes No When corrections have been made, call for re -inspection at 303-234-5933 ./i / Date. J Inspector:.` �"� '` DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Residential Roofing PERMIT - 201701945 PERMIT NO: 201701945 ISSUED: 06/13/2017 JOB ADDRESS: 3955 Allison ST EXPIRES: 06/13/2018 JOB DESCRIPTION: Residential Reroof: Install GAF HD Timberline 32 squares 5/12 pitch *** CONTACTS *** OWNER (303)656-1571 LINDSLEY KRISTEN SUB (303)803-3553 Mathew Olson 130260 Echo Repair, Remodel & Reconst *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA f Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,065.85 FEES Total Valuation 0.00 Use Tax 253.38 w. Permit Fee 251.85 F K ** TOTAL ** 505.23 *** 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 Alh-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 manufacturera€lms 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201701945 PERMIT NO: 201701945 ISSUED: 06/13/2017 JOB ADDRESS: 3955 Allison ST EXPIRES: 06/13/2018 JOB DESCRIPTION: Residential Reroof: Install GAF HD Timberline 32 squares 5/12 pitch 1, 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 1 am legally authorized to include all entities named within this document as parties to the work to be performed and that all xvoxk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signaturefof OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying pplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6 The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date M REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. ECHO Repair, Remodel & Reconstruction also known as L72RR R- k'CHO RRR Address: Phone: 10531 E. Chinook Trail Office: 303-803-3553 Parker, CO 80138 Fax: 303-840-0304 W W W.ECHORRR.COM it Property Owner(s):- GG A Contract Date. Address: SJ ljSb� City R.S� State Co Zip �0fl3 Home Phone #: 32? 6SG-- IS% 1 Alternate Phone #: 1A Project Representative: C QS Representative Phone #: 3®3-2)g a 93 a S Roofing Work to be completed: Price Options and Notes: Tear Off down to decking or to meet building code 1 .) Upgrade to Dimensional aminated Shingle l� Wood Sub -Fascia: Replace 2x6 @$7.00/LF Add: Re -Deck: Plywood @ $60/Sheet 2.) Upgrade to Continuous Ridge Vent Felt: 15# 30# Synthetic Double Felt Low -Pitch Add: $ 1114644 Line Valley(s) with:/ �1 3.) Upgrade to Impact R sistant Recover Roof with: L` Add: $ Year / Br / Color Recover Low Roof with: Brand/IColor 4.) Notes/Additional Trades: C", wLccS Step/Counter Flash walls/Chimney(s): S C �F d Skylight(s): Size & Ty V Metal Edging Size: Color: i. Roof Venting: Type QTY/LF ALL WORK TO BE PERFORMED PER INSURANCE PRICE AND SCOPE THIS INCLUDES ALL TRADES IN ADDITION TO ROOFING, SUPPLAMENTS, AND O&P Clean-up Includes: Gutter sweep, Yard walk, Yard Roll with Magnet, and Proper Disposal of all Roof Debris Property Owner i /is not making payment using insurance i proceeds from property insurance. Electrical, HVAC &fireplace vent to be performed by others Ifyes, Contract amount will be derived from insurance scope of loss which Reset of TV Dish and Calibration to be performed by others includes the deductible.. Contract is contingent upon insurance price approval. //}�lZ —_ Property Owner authorizes Job Sign Placement in Yard �`!f� Property Owner's Signature(s) �N,/ Property Owner authorizes ECHO Repair, Remodel & Property Owner's Sig ture(s) Reconstruction full Permission to handle all aspects of insurance Insurance Company: � o y ! cAklaim including access to all information. Claim #: -0Z ! L.l i S�'� 1> Property Owner authorizes ECHO Repair, Remodel & Mortgage Company: Reconstruction to receive supplements and all Overhead & Profit Loan Number: Released from Insurance Company unless otherwise stated in this A, contract. 1. Echo RRR reserves the right to file for supplemental insurance funds should Property Owner agrees to inform Contractor of any HOA, and your insurer's measurements be incorrect or if price increase is applicable, or if contractor Overhead and Profit is warranted at no cost to the Property Owner, and the contract price will change accordingly. Will not hold contractor liable for HOA penalties. Initial(s) 2. Per your insurer, overhead and profit shall be invoiced to your insurancc Owner agrees to company with base estimate, if applicable, and the contract price will change accordingly. make all payments to ECHO RRR, Acknowledging that otherwise liens may be instated on Initial(s) 3. This Contract authorizes Echo RRR to make adjustments and assist in insurance Property for non-payment to company. your claim for coverage a to our dwellin g y g lnitial(s) ERRR Representative's Signature: By signing this contract, you are agreeing to all Property Owner's Signature: Property Owner's Signature. and conditions listedon Date: h /3/� 7 de of this contract agreement. "Total $ Date: Amount Down $ Date: Initial Check # IAKE ALL PAYMENTS TO ECHO RRR ONLY: DO NOT MAKE PAYMENTS TO ANY OTHER PARTY: ALL CONTRACTS ARE SUBJECT TO MANAGEMENT APPROVAL. INITAL(S) A� D® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/25/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Gaslamp Insurance Services 3234 Grey Hawk Ct. Carlsbad CA 92010 CONTACT Customer Service Department NAME: p PHC No Ext: (800) 920-4125 NC No: (800)920-4107 E-MAIL ADDRESS: Certificates@p g �' remiera enc services.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Preferred Contractors Ins Co. 12497 INSURED Echo Repair, Remodel, Reconstruction 10515 Mount Columbia Pl Parker CO 80138 INSURER B : INSURERC: INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:GL Master 16-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMLDDY MMLDDY� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PC204224 9/30/2016 9/30/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 X POLICY F PRO JECT LOC PRODUCTS - COMP/OPAGG $ 1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOSAUTOS PROPERTY DAMAGE $ Per accident NON OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Verification of Coverage *Subject to all policy terms, exclusions and conditions* I.CK I lr-lk A I t MVLUCtC VHIV VCLLH I "J" City of Wheat Ridge 7500 W. 29th Ave Wheat Ridge, CO 80033 ACORD 25 (2014/01) I N S025 On14011 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Justin Duenas/TIANA �_ --- ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2,QAntoinette Kulick, 7 0 14014i From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 9:47 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. 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. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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 f 7:30-10:30 a.m., Monday through Friday to process these types of requests. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 3955 Allison Street Wheat Ridge CO Kristen Lindsley 303-656-1571 info@echorrr.com Yes CONTRACTOR INFORMATION Contractor Name Echo Repair Remodel and Reconstruction Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Parker 3038033553 Contractor Email Address info@echorrr.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material How many squares of material? Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes Yes GAF HD Timberline 32 Re -roof house. 5:12 Pitch Project Value (contract 12,065.85 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 2 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 Mathew E Olson Email not displaying correctly? View it in your browser. City of Wheat Ridge .� .Residential Electric PERMIT - 111249 PERMIT NO: 111249 ISSUED: 10/14/2011 JOB ADDRESS: 3955 ALLISON ST EXPIRES: 10/13/2012 DESCRIPTION: New 150 amp service change * ** CONTACTS * ** owner 720/231 -7330 Marylyn Lumpp sub 720/205 -9900 John Schoenecke 02 -1659 John Schoenecke ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0328 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,750.00 Permit Fee FEES 70.70 Total Valuation .00 F' Use Tax 31.50"� °°�°°` ** TOTAL ** 102.20 Comments I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and r its' accompanying approved plans and specifications. / Signature o OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. S. 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 provisiopn j ny applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fi tion. Signatur of ief Building Offical Date INSPECTION 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. ♦ 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: A�F Job Address: Permit Number: c7R'3,;4G 9 - 7YY'trVC7�r/c1� E: 'r ❑ No one available for inspection: Time J :,30 A 49- Re- Inspection required: Yes No . 'When corrections have been made, call for re at 303-234-5933 Date: J' zz a Inspector .- DO NOT REMOVE THIS NOTICE ♦ 4 4 , CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: r r r Job Address: << >� Permit Number: e�) ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303 -234 -5933 Date: - 14 - /o Inspector. DO NOT REMOVE THIS NOTICE 301ION SI1413AOPV3hf ION 0 f v✓ :joloadsul ✓ / r- f r :91e4 ££89-6£9--£0£ 78 uopoedsu.i -ei lo{ ❑eo `apaw ueeq enaq suql;oelJOO uegM . ON sad, :paambaa uogoodsul -eH wdlV 7 awil :uoi}oadsui jol algepene auo ON ❑ :aagwnN Mwaad � - �5 :ssaipptl qoP c� :adA.L uolloodsul 33110N N01103dSNI xej 6268 -LEE (EOE) • WIBO SSBZ -S£Z (EOE) � oug uolloedsul E£69-b£9 (COE) !J uolslnla uogoedsul 6ulpllne TDCHM lV3HM 9-0 A110 r Al ♦ 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: s`, ,o-4 loev-- Job Address: _ 7'75S 414 rso~ s7- Permit Number: n17'326' T / r~ ,r4 Ai41y 6( /-"Cyz No one available for inspection: Time Iv: sf M Re-Inspection required: CYO No *When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE XTER /OR GLUT /ONS EXTERIOR MAINTENANCE REDUCTION 303 -789 -7900 To Whom it May Concern: This payment is for the re- inspection fee for permit # 093269. The address is 3955 Allison St. If you have any questions or concerns please feel free to give me a call. Thank You, Nicole Schoeninger Exterior Solutions 303- 789 -7900 CITY OF WHEAT RIDGE 06/07/18 2.42 PM edbb Exterior Solutions RECEIPT NO.CD0084635 AMOUNT DPSP Reroof 26 sqs 122.00 893269 Re -insp fee 2 61.88 Re -insp fee 3 61.00 PAYMENT RECEIVED AMOUNT CK 2444 61.80 CK" 2447 61.08 TOTAL 122.88 Mailing Address: P.O. Box 1296, Englewood, CO 80150 • Physical Address: 4065 S. Eliot St., Englewood, CO 80110 t5 ♦ ! e CITY OF WHEAT RIDGE ' Building Inspection Division r (303) 234-5933 Inspection line (303) 2352855 Office • (303) 237:8929 Fax INSPECTION NOTICE Inspection Type: Amrot= Job Address: Yr-5's .44 > sz-~x,~ 57- Permit Number: ®9.a2 z c? L n®FZ L>,r ~ysr6 7aJveJ /srr ~>~Lr df Pf~~a~or J_74lF W 1 A. 2 77J iti~ Y ri v rrJEr_~-riG . T.~r7`YC/7- eXZ/ ,cr/s~/'.~?7"'ir'iS(✓. ~.f' c.~i.-o.wJ t. r&%~dr3h' No one available for inspection: Time AMA*) Re-Inspection required: ((es)--No When corrections have been made, call for re-inspection at 303234-5933 Date: -~i~- Inspector. DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division t/ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC Inspection Type: z3 l ' Y\ Job Address: (jisore Permit Number: No one available for inspection: Time /Q M M Re-Inspection required: s No When corrections have been made, callttforyre-inspection at 303-234-5933 Dater # Inspector: k DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: �ad�c�l' Job Address: 15:0 5 Permit Number: I , &Rov��D ❑ No one available for inspection: Time s ?,'ZS AM/ Re- Inspection required: Yes No * When corrections have been made, call for re-inspection at 303- 2345933 Date: , as Inspector: ®O NOT REMOVE THIS NOTICE I~ r ♦ 16 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: 'Alf f. b, , f er Job Address: gaf, Ali,', Permit Number: &s ❑ No one available for inspection: Time AMi Re-Inspection required: es No ' When' col{rrectionss have been made, call for re-inspection at 303-234-5933 Date: l N'ff'~%'~ Inspector: ti„f,~er7J. Il _r'r r DO NOT REMOVE THIS NOTICE f M rt irr) , City of Wheat Ridge Residential Roofing PERMIT - 093269 PERMIT NO: ' 093269 ISSUED: 10/13/2009 JOB ADDRESS;. 3955 ALLISON ST `EXPIRES: 04/11/2010 DESCRIPTION:'. Reroof 26 sqs ! CONTACTS owner 720/341-1609 Mary Lumpp sub 888/378-1051 Clifton Smith 09-0387 LJA'Commercial Solutions PARCEL INFO ZONE CODE: UA r USE : UA SUBDIVISION:: 0328 BLOCK/LOT#k: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: .;7,000.00 FEES Investigative Fees 181.10 Permit Fee 181.10 Reinspection Fee ,61.00 Total Valuation r e ° .00 Use Tax 126.00 TOTAL `549.20 '_onditions: ?eesdoubled for doing work without permit. 3 nail installation mid roof inspection required. Board sheathing spaced more .han:a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and vater shield required from eave edge to 2'inside 'exterior walls. ,**Contractor/Property owner shall 'provide .:ladder(s) secured in place for. npsections. Subject to field inspection. 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 applic -e Ridge Ordinances, for work under this permit. Plans subject to'field inspectio Signature of :contractor/owner !date 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 CodesS of Wheat Ridge, Colorado or any other applicable ordinances of the City... This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension maybe granted at the discretion of the Building Official. 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. 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 an approval of, any violation of the provisions of the building codes or any lother ordinance, law,. rule or regulation. All p a re w is subject to field inspections. Sign at e o(/(Chief Building Official date ,,INS CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE (303)235-2855 : REQUESTS MUST. BE MADE BY 3PMANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~oF""E9?R City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 coLORPOO Inspection Line: 303-234-5933 Building Permit Application Property Address; -2295~1/,' 5a,7 ST Property Owner (please print): Mailing Address: (if different than property address) Address: Zip: Date: Plan Permit#: Oq Phone: f- Contractor: Contractor License 0?:io3ef- Phone: Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): /S6o~i Construction Value: $ 9kqC26.00 Description of Wo& (as calculated per the Building valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft,added: Squares BTU's Gallons Amps c_ Fr ER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT eby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and ations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full nsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) /or PERSONAL REPRESENTATIVE oaf (DWNER) (CONTRATOR) PRINT NAME• /t l~/4sIGNATURE: Date: TOP WORK ORDEP, j1. �' 09,?26 9' e 7 /rtlio You are hereby ordered to stop work located at: �-7 41460 r r XTER/OR OLUTIONS EXTERIOR MAINTENANCE REDUCTION 303-789-7900 February 3, 2010 To whom it may concern, Exterior Solutions is re-roofing Mayr Lumpp's house at 3955 Allison St, Wheat ridge, Co 80033. We would like to have the permit transferred from No Drip Roofing to Exterior Solutions so thatwe can proceed with work. If there are any questions please feel free to give me a call. Thank you, Dezerae Suedmeier Exterior Solutions P- 303-789-7900 c)gi -0q9y Mailing Address: P.O. Box 1296, Englewood, CO 80150 • Physical Address: 4065 S. Eliot St., Englewood, CO 80110 ,E DEPARTMENT OF PLANNING AND BUILDING INSPECTION LINE - CITY OF WHEAT RID 7500 WEST 29TH AVE WHEAT RIDGE, CO 80215 - (3 Property Owner: Property Address: 3955 Allison St Contractor License No. : 1BB97 Company: Berkeley Canst OWNER/CONTRACTOR SIGNATURE OF UNDERSTA !!~. ! ELOPMENT og- 34-5933 E! I ul:! -2315-2855) , ! Building Permit Number: Date: 12736 9/4/01 Phone: 303-321-1796 Phone: 433 6B21 AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: $3,472.00 $97.25 $0.00 $52.0B $149.33 I hereby certify that the setback distances proposed by this per do not violate applicable ordinances, rules or regulations of the covenants, easements or restrictions of record: that all measur made are accurate; that I have read and agree to abide by all nd~IO 5 printed on thiS application, and that t assume full responsibility for compliance ith:t Code (U.B.C.) and all other applicable W t Ridge or~inan , foriw (OWNER)(CONTRACTOR) SIGNED Description: Tear off, replace 30# felt, reroo -ta ATE F-r -dl , Total: Use: BUILDIN DE ARTMENT USE ONLY 11111111111111! Approval: Zoning: IIIIIIIIIIIIIII Approval: m-1dIIIi__ Approval: Occupancy: Walls: Electrical License No : Company: Plumbing Company: Expiration Date: Approval: Expiration Approval: (1) (2) (3) This permit was issued in accordance with the provisions set f Regulations and Building Code of lNheat Ridge, Colorado or a This permit shall expire if (A) the work authorized is not comm abandoned for a period of 120 day's. If this permit expires, a new permit may be acquired for a fee original plans and specifications and any suspension or aband exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shalt be done that will change the natu Contractor shall notify the Building Inspector twenty-four (24) proceedi~.n . ifffuccessi Phasesofthel'ob. The issu e a ' he approval 0 drawings and spec of the'n4 din co 0 a other inance, law, rule or regul /'4..,' (4) (5) (6) Chief Building Inspector SIC: Sq. Ft.: 01: Stories: Residential Units: cen e No : Mechanical License No : Company: ate I Expiration Date: Approval: h il1 pur application and is subject to the laws of the State of Colorado and to the Zoning ot~ applicable ordinances of the City. ced'w thin sixty (60) days from issue date or (B) the building authorized is suspended or ne~h If the amount normally required, provided no changes have been or will be made in the meht as not exceeded one (1) year. If changes are made or if suspension or abandonment I flOW f water causing a drainage problem. rs in dvance for all inspections and shall receive written approval on inspection card before catltm shall not be construed to be a permit for, nor an approval of, any violation of the proVisions on I I DEPAf~T .,1ENT OF PLANNING AND DEVELOPMi::NT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 BuilGlng Pcrilllt NU:Tl::::>;r . Date APPL\C1\TION Ue Y1 f..,v-Cl 3'155 I1JliSlM $1". Contrac:or License No. : I g (J97 Company <t3ev-ke}e)'" (j,,,st: 'roperty Owner: PeJperty Address: 1..D"5 Phone: 3o~) 'J,:;J -119/p ~ :r;. tL Phone. 3l>3)'J33 - 6~(;)J OWNER/CONTRA ~TOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: 3?17(} ~ ql~5 1 hereby certify thaI H'e setback'distances proposed by this permit application are accurate, and do not vlolale ap:-:licabJe ordinances. rules or regulations of Ihe City ot Wheat Ridge or covenants. easemen:'i or restnctions of record; that all measurements shown. and allegations made.are accurate; I"all have read and agree 10 abide by all conditions printed on this iloplicatlon. and that assume tull responslbiliry tor compliance with the Wheat Ridge Building Code (U.8.C.) and aL other applicable Wheal Ridge ordinances. r wodqlnder this permit. Use Tax: (OWNER)(CONTRAC TOR) SIGNED Total: ATE9-4-() I Use: Description: ?ii.~1f~ ~..3() lJp/ ~ 3 -l.2b 33>J.A.~d4~;(j BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : ~Onl..:!g ~0IJ111~ Appreval : Zor, ing : l:Iul1atng~o_nl-menIS1;I Appro.;al : ~UDII.~~~r.!'S :~!lm,="ell!S=l Apprcval : Occupancy: Walls: Roof: Stories: Residential Units: Electrical Licens', No : Company: Plumbing License NQ : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: P} 121 PI This perrrut ~'. ISSUed In ac:r=croarce witn me pn:MSions set toM in yopur ~tJOn and IS sublect to the taws or the SUIte of COIO~do and to Ihe .":on.no Rl!9ulations ar.G BI.nldln9 COde or lNheat Ridge, CoIotado 01' arr, other apQI\Gjl'" on:llnanees o1lJ1e City. This pennlt :lh~il eXDIl11 II (A) the wort( aulhonz.ed IS not commeneed witnln \A1'.I(80) days rrom issue dale or (13) the buildin~ alJtnonzed IS 5uspendl!d or .1bandoned lor d penOd of 120 days. It !hIS pennrt eX::lIre5. 31 new perTnll nuty be lCl:lui~ tor I fee of one-halr tt'\<<I ~nt nOfTNlty ~ulrecl, pttIVldl!d no d'langes ha'ole been or will De INde In V'l. on91nal plans ;)'ld speoftatlOns..net any suspenslOl'l or a~ment has AQ\~~ed one (1) year. II Changes are made or If suspenSion or abllndonment exceeds.one (1 year, fulllH3 sh.I11 be patd tor a new pemwl No WOl'1l; or any manne' shall be done that will change U'\e natural now at ~,.... qusing a drainage problem. Contnc:tor shai' noldy the BuddIng lnaoeoor twenry..four (24) hOu~ m acNIfW4 ~ aU Inspec:bonS and shall receive wntten approval on inspectIOn card betonl proceectllng Wit", sua::essave pn.aMS of the job. n.e ISSuance c' a pemut or the approval of cnwinos and spedftc:abons ~ t'\QA. be construed to be a permit tor. nor an approval 01. any \I'tOlatlOtl of !he proYlSlOns of the buikilng codes or any other oralnance, law, rule or revulatlon. . ('I (5) 15) Chief Buildng Inspector