HomeMy WebLinkAbout4010 Everett Street4r City of Wheat Ridge
Residential Roofing PERMIT - 201706071
PERMIT NO:
201706071
ISSUED:
08/14/2017
JOB ADDRESS:
4010 Everett ST
EXPIRES:
08/14/2018
JOB DESCRIPTION:
Residential Re -roof to install
asphalt shingles with 25 sq.
*** CONTACTS ***
OWNER (303)257-9766
CLARK DAVID
SUB (720)684-5500
Scott Brasington
170091 GreenPoint Roofing, LLC
*** 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:
6,425.00
FEES
Total Valuation
0.00
Use Tax
134.93
Permit Fee
156.75
** TOTAL **
291.68
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
6PO/ 70 64�71
s�INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
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
Mid -Roof
49
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
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
qo
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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201706071
PERMIT NO: 201706071 ISSUED: 08/14/2017
JOB ADDRESS: 4010 Everett ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 25 sq.
*** CONTACTS ***
OWNER (303)257-9766 CLARK DAVID
SUB (720)684-5500 Scott Brasington 170091 GreenPoint Roofing, LLC
*** 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: 6,425.00
FEES
Total Valuation 0.00 �� j.,.
Use Tax 134.93 ${F -
Permit Fee 156.75
** TOTAL ** 291.68 -- -
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201706071
201706071 ISSUED: 08/14/2017
4010 Everett ST EXPIRES: 08/14/2018
Residential Re -roof to install asphalt shingles with 25 sq.
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 roperty and am authorized to obt 'n this permit and perform the work described and approved in conjunction with
this permit. I further att t t at I a le ally thoriz d in Jude all entities named within this document as parties to the work to be
per
and that al r e e is s i this document and/orfits' accompanying approved plans and specifications.
1/6/f-%
Signature of OWNED or CONTRACTOR (Circle 6ne) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalen-nit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cue or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
720-684-5500
GreenPointRoofing.com
1030 Boston Avenue
16BG reenPoint Q66gmont, 00 80501 B.
Fax; 720-68 6501
R-0-0
Residential Roof Replacement Contingency Agreement
This agreement is only in effect if the insurance company agrees Any and all supplements approved and paid for by insurance
to a POLL roof replacement. for work. performed by GreeuNint Roofing, wW be considered
Anything less than a M roof replacement and the homeowner is pad of the claim and due to GreeriPoint Roofing. This Includes
under no obligation to use the services of GmenPoint Roofing,. building code items, and permits OW may be required within
your municipabty,
The homeowner gives GrceaPoiait Roofing and its representatives
permission to represent and work on their behalf with the
homeowner's insurance company.
GretnPoing Roofing will furnish all materials and labor in
accordance, with the scope of work or estimate provided by the
insurance company.
Homeowner only pays amount:allowed and agreed upon
by Wnwance company as specIffied by their scope of work
estimate I low sheet.
The ONLY cwt to the homeowner is tbek deductible as Pad
of the polky. Any additional work to be performed above and
beyond the Insurance scope, of work will be accepted in writing
by the homeowner.
Homeowner agrees to tarnish GreenPoint Roofing with all
Insurance claim information needed including claim number,
insurance scope of work / estimate / loss sheet. Greetipoint
Roofing will perform all work in a quality manner and adhere
to an local building code requirements, Workmanship and
manufacturer warranties will be delivered upon final payment,
ter
Auth"I"d
'V.'i ';
'j -
SERVICES
.,�/G �1.� 1, ��f S'�d,� �'
of Gromftliat qo4, U, Property owner, Date
ME PREFERRED
CONTRACTOR am
ErrW
(Aio:!,Zc.orcA
Horne PtW*
7 4VLV Qt
9
Auth"I"d
'V.'i ';
'j -
SERVICES
.,�/G �1.� 1, ��f S'�d,� �'
of Gromftliat qo4, U, Property owner, Date
ME PREFERRED
CONTRACTOR am
Dan Schultz
N
From: no-reply@ci.wheatri dge.co.us
Sent: Wednesday, August 9, 2017 1:28 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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 root?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4010 Everett St 49-- Property Owner Name David Clark
Property Owner Phone 303-257-9766
Number (enter WITH
dashes, eg 303-123-4567)
97
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
dec2conal@gmail.com
Yes
CLARK 4010 Everett St - contract.pdf a---
CONTRACTOR
INFORMATION
Contractor Business GreenPoint Roofing
Name
Contractor's License 170091
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-684-5500
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 1030 Boston Ave
(Primary address of your
business)
Contractor Email Address info@greenpointroofing.com
Retype Contractor Email info@greenpointroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
25 V
No V
/11
98
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No /
Yes
25
Composition asphalt
Asphalt
main residence re -roof, 5/12 pitch
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
99
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Lisa Underhill
Email not displaying correctly? View it in your browser.
100
City of Wheat Ridge
Residential Roofing PERMIT - 201706071
PERMIT NO: 201706071 ISSUED: 08/14/2017
JOB ADDRESS: 4010 Everett ST EXPIRES: 08/14/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 25 sq.
*** CONTACTS ***
OWNER (303)257-9766 CLARK DAVID
SUB (720)684-5500 Scott Brasington 170091 GreenPoint Roofing, LLC
*** 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: 6,425.00
FEES
Total Valuation 0.00 �� j.,.
Use Tax 134.93 ${F -
Permit Fee 156.75
** TOTAL ** 291.68 -- -
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201706071
201706071 ISSUED: 08/14/2017
4010 Everett ST EXPIRES: 08/14/2018
Residential Re -roof to install asphalt shingles with 25 sq.
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 roperty and am authorized to obt 'n this permit and perform the work described and approved in conjunction with
this permit. I further att t t at I a le ally thoriz d in Jude all entities named within this document as parties to the work to be
per
and that al r e e is s i this document and/orfits' accompanying approved plans and specifications.
1/6/f-%
Signature of OWNED or CONTRACTOR (Circle 6ne) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalen-nit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cue or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
N
From: no-reply@ci.wheatri dge.co.us
Sent: Wednesday, August 9, 2017 1:28 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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 root?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4010 Everett St 49-- Property Owner Name David Clark
Property Owner Phone 303-257-9766
Number (enter WITH
dashes, eg 303-123-4567)
97
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
dec2conal@gmail.com
Yes
CLARK 4010 Everett St - contract.pdf a---
CONTRACTOR
INFORMATION
Contractor Business GreenPoint Roofing
Name
Contractor's License 170091
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-684-5500
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 1030 Boston Ave
(Primary address of your
business)
Contractor Email Address info@greenpointroofing.com
Retype Contractor Email info@greenpointroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
25 V
No V
/11
98
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No /
Yes
25
Composition asphalt
Asphalt
main residence re -roof, 5/12 pitch
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
99
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Lisa Underhill
Email not displaying correctly? View it in your browser.
100
720-684-5500
GreenPointRoofing.com
1030 Boston Avenue
16BG reenPoint Q66gmont, 00 80501 B.
Fax; 720-68 6501
R-0-0
Residential Roof Replacement Contingency Agreement
This agreement is only in effect if the insurance company agrees Any and all supplements approved and paid for by insurance
to a POLL roof replacement. for work. performed by GreeuNint Roofing, wW be considered
Anything less than a M roof replacement and the homeowner is pad of the claim and due to GreeriPoint Roofing. This Includes
under no obligation to use the services of GmenPoint Roofing,. building code items, and permits OW may be required within
your municipabty,
The homeowner gives GrceaPoiait Roofing and its representatives
permission to represent and work on their behalf with the
homeowner's insurance company.
GretnPoing Roofing will furnish all materials and labor in
accordance, with the scope of work or estimate provided by the
insurance company.
Homeowner only pays amount:allowed and agreed upon
by Wnwance company as specIffied by their scope of work
estimate I low sheet.
The ONLY cwt to the homeowner is tbek deductible as Pad
of the polky. Any additional work to be performed above and
beyond the Insurance scope, of work will be accepted in writing
by the homeowner.
Homeowner agrees to tarnish GreenPoint Roofing with all
Insurance claim information needed including claim number,
insurance scope of work / estimate / loss sheet. Greetipoint
Roofing will perform all work in a quality manner and adhere
to an local building code requirements, Workmanship and
manufacturer warranties will be delivered upon final payment,
ter
Auth"I"d
'V.'i ';
'j -
SERVICES
.,�/G �1.� 1, ��f S'�d,� �'
of Gromftliat qo4, U, Property owner, Date
ME PREFERRED
CONTRACTOR am
ErrW
(Aio:!,Zc.orcA
Horne PtW*
7 4VLV Qt
9
Auth"I"d
'V.'i ';
'j -
SERVICES
.,�/G �1.� 1, ��f S'�d,� �'
of Gromftliat qo4, U, Property owner, Date
ME PREFERRED
CONTRACTOR am
i
i CITY OF WHEAT RIDGE
9r(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
LlNo one available for inspection: Time %'� % -IM/PM
Re -Inspection required: Yes (-Np
When corrections have been made, call for re -inspection
%at 303-234-5933
Date:/`) Inspector:
DO NOT REMOVE THIS NOTICE
X � ;
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 144 z 1)
Job Address: --/� i l o T, _r 0 S F
Permit Number: . o/!%1j (" 0 1 �
❑ No one available for inspection: Time I .)'J G AM/ '
lm
Re -Inspection required: Yes No�;
When corrections have been made, call for re -inspection at 303-234-5933
< I) ja! ---
Date: �` % :� � Inspector: -�. .
DO NOT REMOVE THIS NOTICE
® CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P ;
Job Address: L4 e I 0 0�u -e n 4TH
Permit Number:
L)
d
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re-'pspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE ThIS NOTICE
t Sir
r
�-O IkW-�Y' INSPECTION RECORD
k") INSPECTION REQUEST LINE: (303) 2345933
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 thefollowing business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date InInitials or Comments
Pier
Concrete Encased Ground (CEG)
Foundation ! P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Ahove Inspections
n.. ii,r„s t%...an..11 ...rt.. e 11i 4A1.... n.s.... -r A...::=,*I of Ths* Ahave Insnections
Rough Inspections Date Inspector Comments
Initials
Wall sheathing
Mid -Roof
Lath /Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
Drvwali Screw 1 Nail
Final Inspections Date
Inspector
spe for
Comments
Final Electrical
Final Plumbing 13 1111)
Final Mechanical
Roof
Final Window/ Doors
Final Building
Landscaping & Parking ! Planning Dept.
ROW & Drainage t Public Works Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2W• For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Fire Inspection / Fire Protection Dist.
Certificate
NOTE. All items must beore s Cert
completed and approved by Manning, Public Works, Fire and Building bef
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For tow voltage permits — Please be sure that rough inspections are completed from the rut viamut aiju viv-1—1v...u—tu -
by the Building Division.
"*For Inspection Time Window Requests — Please email ins tim-pereauest@ci wheatrid ec�coM by $:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of occupancy Is Issued
Protect This Gard From The Weather
l
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 !
Job Address: 9616 Gv r kti f s t
Permit Number: 410 / eld /717s-
/
7Ss-
1 S'D1 /* " ti L.
N oylJ-)c
❑ No one available for inspection: TimeQ AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
a v•��
Date: Inspector:
DO NOT REMOVE THIS NOTICE
NOV/30/2016/WED 02:26 PM
PAX No, P, 001
FOR OMCE USE ONLY
DOW
RMLM��
:,Ili I TIF r
M-FIFTIFIFITI 11111111111111 lI1111'I11111�'I I 111 111, 1111111 lip", 1, M . . .. . ..
1111 1111.� 72117
Property Address: �41)10
PE��qbwn er (P/qaSeR�qtt_"1bQ'.Ad oj�wv) Phone& �ZS-7-Ctr7UO
Property Owner Email -
Address:
Architect./Engineer E-mail Phone:.
Contractor:
Contractors City Llci�se #- 12 o tA Phon
Contractor E'qnall Addiiss.,
0--w kdww,'
J
Electrical:
W.R. City License #
Plumbing.,
... . .... .. .
Complete aH information on BOTH sides of this form
NO/33/2013/P 02:26 PM PAX No,
D COMMERCIAL W RESIDENTIAL
► * #
■NEW COMMERCIAL,w
RESIDENTIALNEW ., COMMERCIAL
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOWREPLACEMENT
COMMERCIAL
A Ar STRUCTURE
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,)
MECHANICAL A r• REPAIR o
N/y ill. REPLACEMENT w A
SYSTEM/APPLIANCEPLUMBING III ♦ R or
REPLACMENT
ELECTRICAL
SYSTEM/APPLIANCE
w.# #" A or REPLACEMENT
• *.
amount of * w:*
a %
MW i
Sq. FtJLF Btu's Gallons
Amps Squares Other
, 302
M # #" # M+. 1. .. x. a «..,. a. � # ♦ p.
?: Y kF :4b :i i Nb If : • • It .� •F 4ik :. ,":M •. <. ... •II • fw. A. ♦ .. A..'
orb cca authorized by the legal owner ofthe property to perform the described work and amalso authorized by the legal owner 0 any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
trutbfulness of the inkmation provided on the application.
1eqEgnic &USNU (first and last same): €./ DAli : «.
L?a}4pdfV {{V MrySf 7 T' k . �SakiaAN4
y3F,.4+1 rp A, a ry1R I�{Ia N i
COMMENTS; • • d
R viawer�
Building Division Valuation; $
,:"';""~U';""",,L~ffl"'H,'O!!w~lIl!1f~~ , """"",, .lM,~""r,,II,\ln W~ """'" '"''''-"''~J., ""_,~ "., ~JlIII,,,.""""'lt__~
~ity of Wheat Ridge
1',esidential Roofmg PERMIT - 080299
i,,";~' "',:
PEDIl:'1'. lIlO:
JOB, )~SS,
DESCl!l;t>TtOll:
~-_:,--:_~,:,',~,.,\~<': J",_"::,~
,.~" CONTAC'tS ..**
owne:~ '303/257-9766
gc , .303/394-2802
:.'-,.',':" ,--j'"":,,~<~::.,,,,:
, ** 1?;~~' mto **
zoNa ~1Il. 1t.\
SuBDtVIS10NI 0283
(,,".,d'/".,,',.-.,'
-
** J'I '~y **
25yr
ISSUED:
EXPIRES:
(12.6 sgs)
04/03/2008
09/30/2008
080299
4010 EVERETT ST
t/O; .reroof w/ Supreme
3-tabs
David Clark
Tim O'Connell
01-7590 C J Roofing Co.
USE: UA
BLOCK/LOT#: 0/
perlllit V,",
Tatai 'Illlluaticm
Use ~
** T~~ **
~'t:'" -i;"'~t;) "
I
condij;.iqnll: .
6 nai~'installation & mid-roof inspection required.
ESTIMATED
FEES
126.50
.00
64.24
190.74
PROJECT VALUATION:
3,568.75
~
1 ,~:t~~~~:;~_'t'ba~:~e setback distances proposed by this permit application are accurate, and do not violate applicable
Ot:t\:irl~~~,-,~~e:.:",~:If>,:~lations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
m""I..l~t:8i','~~_~),~_,al1egations made are accurate; that I have read and agree to abide by all conditions printed on this
aPfll~'H~'''1\(,t::~7::::I.;~assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
a~lic~~~,~.t;~dWep~dinance8, for work under this pe it. lans subject to field inspection.
" "" .,.",,, ,. .., . ,,3 2t'O'if
SJ.tna~:~t
;,......_-",.,-,..,." '
1. TIt~'::::~~~4;~.;:;~'~J~d in accordance with the provisions set forth in your application and 1s subject to the laws of the
~$t:.~~-lf;::~l::~l~~c:1to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
orif~~......."e: '""'~~ty,
2.''J:b.~~::~~~~:.~l;,:~~ire 180 days from the issue date. Requests for an extension must be received prior to expiration
d~~!~,~:~:':~t'~:LQq\~y be granted at the discretion of the Building Official.
3. If:'!~'S;'J)!!i."Rti.:t'i:~1tle$, a new permit may be acquired for a fee of one-half the amount normally required, provided no
n~~~:~_~~,:o..:will be made in the original plans and specifications and any suspension or abandonment has not
:t!:x~,;'~ll}"ye.r~ If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
; 1:~!~~-<t_\ to/'a,: ,~~ )~rmit.
4.1'1o}'..,,~~??f-~,trllHUi~J', shall be done that will change the natural flow of water causing a drainage problem.
S.,;~ (~~~~,~~Jt,:_~~:'-:~ity the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
"n::*~:,~~"on::;,inspection card before proceeding with successive phases of the job.
6 'J~',:l~~"y:t/,~,_p,ermit or the approval of drawings and specifications shall not be construed to be a permit for, nor
':illt~~~l<~~'::,:,' 1olation of the provisions of the building codes or any other ordinance, law, rule or regulation.
.1~+;,:;~1.~' , Ul:lject to field inspections.
.1 -,,' 'g ~
date
._ST LINE.
.MUS'1' Sl!l' MADE BY
(303) 234-5933 BUILDING OFFICE: (303) 235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
~' _He,> ~
" /
~ '"
- ~
U M
COl.OR/>.QO
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
DA \Jtc\. C\f\f'Os',.l.
NOlO f:"~c5rC&~
~(5f()
~i() ~rr').\r f\ ~c, 0')
,
Building Permit Number:
Date:
Property Ov,.'ner:
Property Address:
Contractor License No,:
Company:
Phone: 3~57 - 97 f:6
Phone 3 ~3 y4 -9&Jd---
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 resbictions of record; that all measurements
shown, and allegations made are accurate; that I have read and agree to abide by all
conditions printed on this application and that I assume full responsibility for
compliance with the Wheat Ridge Building, Code (U.B.G) and all other applicable
Wheat Ridge Ordinances, f, rk under "thIS pe it.
"
Construction V alue:$1 S C; ~ 1!.
Permit Fee:$
Plan Review Fee:$
Use Tax:S;
TotaL$
(OWNERHCONTRACTOR): SIGNED
( DWNER){CONTRACTOR):PRINTEO
Description: T 0, !) L--A\J.~fcS ~OM+) A-'\jcl f'Up (/let:.. w ;'~ t\
S"t're.l"""lt. 25>'(. 'J - I ~bS
Sq. Ft. added
IzONING COMMENTS:
Approval:
Zoning:
BillLDlNG DEPARTMENT USE ONLY
SIC:
SqFt.:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Dale:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the Slale of
Colorado and to the Zoning Regulations and Building Codes of Wheal Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building
authorized is suspended or abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one
(1 ) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora 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 pennit or the approval of drawings and specifications shall not be construed to be a permit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Official
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 17976
Date: 11/3/2004
Property Owner: DAVID CLARK
Property Address: 4010 EVERETT ST
Contractor License No,: 17590
Company: C J Roofing Co,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone:
Phone: 394-2802
Total:
$7,900,00
$199,30
$0,00
$94,80
$294.10
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ""h l< L Y'en\'1 DATE//. (j1-a'i
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
REMOVE 1 LAYER ROOFING & INSTALL 50 YR DIMENSIONAL (ELK) 39 SQ, COMPOSITION
ROOFING,
~nin~omriienti:
Approval:
Zoning:
Diaildiim:ComiiOO:l~li:
Approval:
Dbll_,rks'~entsl~
Approval:
SIC:
Sq.
BUILDING DEPARTMENT USE ONLY
Do~me"ts from the manufacturer shall be
om/te for final roof inspection which specifY
roofing materials have been installed to meet
lJO MPH three-secolld wind gust---IBC (90
MPH wind load-UBC),
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire jf (A) the work authorized is nol commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired fOf a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or jf 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 Buil . ctor twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediin9w~"8ucce . phases of the .
The is,', uan~e of a ~'t 0 th~ of drawings and specifications shall n, at be construed to be a permit for, nor an approval of, any violation of the
provisiof}.s . 'Idi other ordinance, law, rule or regulation
.6,;~.4,
(4)
(5)
(6)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
~~< .H[<7 "'/
~ 0
_ 0
U ~
COLOR~rp
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Building Permit Number:
Date:
Property O"11er: 0,,'1" J (.-\I\lL\C...
Property Address: 'iD I U w <.R.l':.. ~L <; 'l
Contractor License No.: if ','\0
Company: LS' Reo ~~~ l",
Phone:
PhoneS!)) :?"I'-t;),!S'\:)'d
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Tota]:$
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
sho~, and al.legations made are. accurate; at I have read and agree to abide by all
condl~ons pn!lted on thiS a~pllcatio1} an that I assume full responsibility for
compliance With the Wheat Ridge uII In Gode (U.B.C) and all other applicable
Wheal Ridge Ordinances, for wo is permit.
(OWNER}(CONTRACTOR): SIGNED
(QWNER)(CONTRACTOR ):PRINTED
'^' \ ,,\\
eO^. 'wL\
su ~R.. {) ..:....."s~""'4\5
flZ\ LQ.. 1'llJ)~
-<eu.)
Sq, FI, added
IzONING COMMENTS:
Approval:
Zoning:
BillLDlNG DEPARTMENT USE ONLY
SIC:
Sq,Ft,:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical license No:
Company:
Plumbing license No:
Company:
Mechanical license No:
Company:
Expiration Date:
Approval:
Expiration Dale:
Approval:
Expiration Date:
Approval:
(1 ) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheal Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building
authorized is suspended or abandoned for a period of 120 days.
(3) If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes
have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceecled 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 violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Official