HomeMy WebLinkAbout3785 High CourtRoofing Products International, Inc.
Project LW:
INSPECTION REPORT
3785 High Ct
202101228
0223
Roofing Products International, Inc.
57460 Dewitt Street, Elkhart IN 46517
/ Fax: 574-294-3450
Email: rpiwarranty@rpiroyaledge.com
Contractor ID: C0 j
Building Name: Rb�gT ®M 111/)t -13 tL Date of Inspection: 7-9—
V 2
Address: 3 7 lirs,t�-� r G�
Registered Applicator:
SYSTEM INFORMATION
ROYAL EDGE EPDM RE -FLEX EPDM
.045 Y.060 F-] .090 ❑ RE -INF F-] .060 F-].090
FXFA [-] MA NPB ❑ BA FA
Deck Type
METAL CONCRETE LNWOOD F-] TECTUM
Type of Installation
NEW CONSTRUCTION X RE -ROOF
List all required modifications/items:
RE -FLEX TPO
.045 [_] .060 F].080
❑ FA n MA ❑ HW F-] ST
GYPSUM [-] OTHER
TEAR -OFF F-] STONE REMOVAL ONLY
Inspector: COD. G oyc!_n 'iTT' Approved: X *Conditional: **Rejected:
" If marked "approved" or "conditional", the Registered Applicator agrees to complete any items listed above and return the signed
and dated inspection report to R.P.I.
" If marked "rejected", the required modifications/items must be made and the installation must be re -inspected. The Registered
Applicator must pay a re -inspection fee for installations rejected by the inspector.
Note: This inspection report is a certification only that the RPI membrane system was installed per R.P.I's installation specifications.
REGISTERED APPLICATOR TO COMPLETE
Warranty will not be issued until all required modifications/items have been made and/or the installation re -inspected resulting in approval.
Date items completed:
Registered Applicator Signature
Date:
ZINSIM,
1* � � i City of Wheat Ridge
�� Residential Roofing PERMIT - 202101228
PERMIT NO: 202101228 ISSUED: 06/09/2021
JOB ADDRESS: 3785 High Ct EXPIRES: 06/09/2022
JOB DESCRIPTION: Reroof 18 squares of flat (0:12) pitch roof with EPDM 60 mil TPO/EPDM
*** CONTACTS ***
OWNER (303)231-9949 ORR ROBERT ALLEN
SUB (303)332-6224 CHUCK GARDNER
021423 GARDNER
CONTRACTING LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 104 /
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
18,000.00
FEES
Total Valuation
0.00
Use Tax
378.00
Permit Fee
331.10
** TOTAL **
709.10
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH &
OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must be dropped off to
the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-750 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 25-750 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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.
1* � � i City of Wheat Ridge
�� Residential Roofing PERMIT - 202101228
PERMIT NO: 202101228 ISSUED: 06/09/2021
JOB ADDRESS: 3785 High Ct EXPIRES: 06/09/2022
JOB DESCRIPTION: Reroof 18 squares of flat (0:12) pitch roof with EPDM 60 mil TPO/EPDM
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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/09/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM 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: q0q_
Job Address:5
Permit Number: 201-70Y772
/O0 0 C)
❑ No one available for inspection: Time 0 Vo A /PM
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-5933
Date:-q//O// / 0 Inspector: bad Lovf it
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: November 9, 2017
Reason: Duplicate permit pull. Permit #201708344, for 3785 High Court needs
to be closed.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 156.75 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 132.30 (acct 01-500-02-505)
Total: $ 289.05
TO:
Gardner Contracting LLC
909 Telluride Street
Aurora, CO 80011
Thank You!
W;Iol C004
Permit Technician
v T
MWI-75)s eK�
City of
�Wheat i e 10j
MMUNi7Y DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application NA
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29`h Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to):
Address: 'j 0 ` —1,P-1 f or I `1 '� S $
City: 4Vt' ;;,r_, State:
Phone: J Z ` (rc Z,2 Fax:
Co
Zip: " t o (` )
Email: r Q C�t,f !•N�/� �Jnse _ L.(1�'(
Permit #: j alt( Permit Address: 3 S'
Reason for request: .; j` I'" ,(.Q
ta
Printed Name: 63 ( 6 �a ,,A 1 _ Signature: Date: 1// 6? / 70 1,2 -
For office use only
This request has been:pproved Denied Refund Amount: $
Approved by: ,—. Date: C� J
www.ci.w h eatridge. co. u s
City of Wheat Ridge
Residential Roofing PERMIT - 201708772
PERMIT NO: 201708772 ISSUED: 11/01/2017
JOB ADDRESS: 3785 High CT EXPIRES: 11/01/2018
JOB DESCRIPTION: Remove existing comp roofing and install new GAF Timberline HD laminate
shingles; synthetic felt, ice & water shield and drip metal flashings; 7
squares (back patio area only)
*** CONTACTS ***
OWNER (303)231-9949 ORR ROBERT ALLEN
SUB (303)332-6224 Chuck Gardner 021423 GARDNER CONTRACTING, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 104 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,205.00
FEES
Total Valuation 0.00
Use Tax 46.31
Permit Fee 93.35
** TOTAL ** 139.66
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
a City of Wheat Ridge
Residential Roofing PERMIT - 201708772
PERMIT NO: 201708772 ISSUED: 11/01/2017
JOB ADDRESS: 3785 High CT EXPIRES: 11/01/2018
JOB DESCRIPTION: Remove existing comp roofing and install new GAF Timberline HD laminate
shingles; synthetic felt, ice & water shield and drip metal flashings;
squares (back patio area only)
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. further ttest that I am legally authorized to include all entities named within this document as parties to the work to be
pertormand thal�vork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sig4atureof' WNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand
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 Offial 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 andspecific 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 i tggg f=Ial er or hall not be konstrued to be a permit for, or an approval of, an violation of any provision of any
applicable code o ri r'b itiance or egulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat.'i
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(o-)-ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Pennit # D01700_�j,
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: s'�S i-�.,L, C �. 1, )� t- �: (,()�� a
Property Owner (please print): Q, ��� Phone:_5 C3 Z3 t -zi yS
Property Owner Email:_
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer: !11 /'/)�
Arch itectlEng1neer E-mail: N Phone: N I /'t
Contractor: Ab'f�r.-Z\ C )b ,�-
Contractors City License #: Phone: 5v 3 - 3 2 - (0-2,-2-4
Contractor E-mail Address: i.j�C O/V\
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION N WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
ICA 4A",.-,
Sq. Ft./LF Btu's !J i Gallons !/`!
Amps N l% -i Squares Other ro
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$22�j
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicantfor this building permit application, warrant the
truthfulness of the information provided on the application.-- —�--� -
CIRCLE ONE: (OWNER)
Signature (first and last name):
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTO)6-11
7 �--�"" ��� DATE: , 1 / t /7-C i �
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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: 's F 6 - 07 - cl
Job Address: 3 7 � S— 1-4, A r -�
Permit Number:
❑ No one available for inspection: Time `? O g AMM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: /V? Inspector: T'IJ
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201708344
PERMIT NO: 201708344 ISSUED: 10/16/2017
JOB ADDRESS: 3785 High CT EXPIRES: 10/16/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 20 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)231-9949 ORR ROBERT ALLEN
SUB (303)332-6224 Chuck Gardner 021423 GARDNER CONTRACTING, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 104 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,300.00
FEES
Total Valuation 0.00
Use Tax 132.30
Permit Fee 156.75
** TOTAL ** 289.05
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708344
PERMIT NO: 201708344 ISSUED: 10/16/2017
JOB ADDRESS: 3785 High CT EXPIRES: 10/16/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 20 sq Pitch = 4/12
Ibmy 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 partes 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.
cbb 7
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 originalpermit 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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and sleet 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
ofthis jurisdiction. Approval of work is subject to field inspection.
�riA tt1�J�. A
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
L
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, October 16, 2017 6:46 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Azn
\
Follow Up Flag:
Follow up
Flag Status:
Completed
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
i
Property Address 3785 High Ct
Property Owner Name Bob Orr
Property Owner Phone 3032319949
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Signed Proposa.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Gardner Roofing
Name
Contractor's License 021423
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3033326224
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 909 Telluride St
(Primary address of your
business)
Contractor Email Address info@gardner-contracting.com
Retype Contractor Email info@gardner-contracting.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?
Is the permit for a flat
roof, pitched roof, or
20
6300
i
/0
No
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
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? Etc)
3/12 and 4/12
20
GAF Timberline HD
Asphalt
House and small roof on backside of building next to it
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
9
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 Nick Martens
Email not displaying correctly? View it in your browser.
909 Telluride St, Aurora, CO 80011
303-332-6224 Phone -866-524-1369 Fax
To: Bob Orr
Work Proposal
Job Address:
September 12, 2017
3785 High Ct.
Wheatridge, CO. 80033
Scope of work including labor and materials:
- We will remove and dispose of existing composition roofing from detached house and apartment building
in an offsite waste disposal location
- Install new drip edge flashing on all rake and eave edges- color- Mansard Brown/Bone White
- Install synthetic felt underlayment
- Install ice and water shield around base of all roof vents and penetrations, and at eaves extending 2'
inside heated walls
- Replace roof vents and flashings.
- Install new GAF Timberline ND shingles- Shakewood �F®
- Replace all gutters and downspouts- White
- plaee�ap'Shee = Ettestttat-
ivert waaw Brown—.—
"This
rown"This proposal does NOT include any repair/replacement of EPDM membrane roofing or substrate/insulation
board
e We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of
GG� 6 $ j-0893 G_permit fee with payments as follows: $ zero down and balance in full upon completion.
Gad 3rq
Roofing, LLC shall hold in trust any payment received from you until Gardner Roofing, LLC has delivered
roofing materials at the site or has performed a majority of the roofing wort: on your property.
Gardner Roofing, LLC's workers' compensation and liability coverage insurer is Colorado Insurance Professionals,
303-755-8600. Property Owner is _X_ / is not intending to make payment from the proceeds of a property and
insurance
All material is guaranteed to be as specified.
Ali work to be completed in a workmanlike
manner according to standard practices. Any
alteration or deviation from above
specifications involving extra costs, will be
executed only upon written orders, and will
become an extra charge over and above the
estimate. All agreements contingent upon
accident, or delays beyond our control. This
proposal subject to acceptance within thirty
days and is void thereafter at the option of the
undersigned.
This price does not include any supplements
approved by Insurance Company including
but not limited to Permit Fee
Authorized
Signature:
Acceptance of proposal - The above prices, specifications and
conditions are hereby accepted You are authorized to do the work
as specified Payment will be made as outlined above. Failure to
pay will result in a property lien and an interest charge of / `/a%
per month will be made on balance unpaid
Date of Acceptance: 10 / � y ' J
Signature 6W A d !" y
Signature.
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 roofing work actually performed in a workmanlike manner consistent with standard
roofing industry practices. Gardner Contracting, LLC 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.
r
Aug 24 12 08:46a MISTER MECHANICAL
303-904-7674 p'l
Property Address: 3Ze5 14(67,k - 04 - :1aiet
P no ne (4
Property Owner (please pitiril),- e�w
Mailing Address: fif difterew than property address)
Address. - R>; - Soy �Z-S
City, State, Zip
Contractor:
Contractors City License #: Phone:
Sub Contractors:
Fie(3rical Plumbing Mechaniral
(Ax NEWCONT14"Ilic I'OK Sl(;N;vl'L RL OF (Ai)I• RSTANDIV; 1A ND V;RFV'%1LN1
thronix
, I 08N '�ol It � I 11j. I tit: W0,k tit 41IIAt'dwil -Abk; "i
It I C-Ulxi oa 0 IN: t ti of `Akftc� it It 04:v or I At I C-IM I I Ili tit I k I I'l I Ai Pw:mItcli WW' 'hO%t I) . It Id
It 1, 1 1 ,
111, tN t N; J1 «;':& A ff.1 I k' t% A! fv� itj MIJ "V it I a I I I v SIN .tti L o` 1 11 l I At) , r 4 it it -1 .a r I 11, 41
III ,%: A -J, � m d Avis ox I :v, r AN 11,1'3 31 IN j10 111 I I «M I CA i lu'vi 14 1
xni fl 'c !C-0 01A;14'I "I il,rxr 11co I I kit 11tirk/Lif hi, I I wmxr o tick propoiN I p it in thA• dA: eiotk
'ittAl A It` 1 1 ofllmwt! 11 ov'110 11� WIN Ov.ts I rt;�Ij-lekf 'It) 'It I, JAI 1W Wx vrltvl�t 'i't Tho 'qsj'4mwf1
----------
(IN LL ONI.
. 11111f" 7 v rk
SIIGNXIIRV�
DEPARTMENT USE ONLY
ZONINGCOMMENTS
Zonmg,
Re"evW
kj 1111 f) r 41 ?(111 %14?p e('0%11?I(10N;
PUBLIC WORKS CWMEN'TS
Rcm%tr
mvw, W-N (
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FIRE DEPANVAENT, -" 3rPf0%1ed W COMMW'35 '"' . d*UPPWVVJ i'-* 110 feview reqUired i M
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE . (303.234-59~3)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
18293
Date: 1/24/2005
Property Owner: MR. BOB ORR
Property Address: 3785 HIGH CT
Contractor License No. : 22199
Company: Lionheart RbofiniJ
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone :231 '9949
Phone.: 246-6455
Total:
$6,200,00
$181.10
$0.00
$111.60
$292.70
1_ hereby certify that the setback distance's proposed by this permit appliCatibiiareaccurate, and
do not violate applicable ordinances, rule's or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; thatall, measurements'shown, arid allegations
madeare:accurate;that _J have read and agree to abide by all conditions printed on this
app1ication~ and that I assume full,responsibility for complianc~with. the _ Wheat _ Ridge Building
Code (US. .C.) and all other apPlicabl~ordinances, 10. rW.,i'-rk under this permit.
(OWNER)(CONTRACTOR) SIGNED .. ~~-!!.ATE ~2..;
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Ile"'it/ft:;:o -'
INSTALL .60
Description:
REROOF APPROX 2000 SOFT I REMOVE GRAVEL. INSTALLEPS TAPER
EPDM
BUILDING DEPARTMENT USE ONLY
~~1l
Approval:
Zoning:
"B~ulG~\.I'm~li"t",,"i~
'm,#,__",!Jl!S~<!i,,"~$tl
Approval:
~li~~~~Jl~l
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
po~umenis from themanufactu/'er shall be
onslte forfinaf roof inspection which specifY
roofing malcrw!s have been installed to meet
110 MPll th'ee-secondwindgust___IBC (90
MPH wm(it{;,a4--UBC),
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 accordan~ with the provisions set fcirth iilyopur application' and is subjeCt t'b'the I~Wsof theSta:te ofCdlorado'and to the Zoning "
Regulationsand Building Code of Wheat Ridge, Coloradooranyofhe rapplicable ordinances of the Citr- '. ..' .',Oc. ..... ,,' _ _.- .'
This permit shall expire!f (A)tha work authorized is not colllmencedwithinsixty (60) days from issue date or (B)tha building authorized is susp~nded or
abandoned fora periodof120 days. ... .. -.'.. .... ..... .... . ',,:
If this permit expires, a new permit may be acquired for a ,fee of one~half the amount normally required; provided nochangeshave been or will be made inthe
original plans and specifications and any suspension or abandonment has not exceeded one (1)year. .' If changesar_e made or if suspension, or abandonment
exceeds one (1) year, full fees shall be paid for anew permit.
No work of any manner shall be done that wHI Change thenatural flow of water causing a drairageproblem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approvalonins-pectioncarcl,before
proceediing with successive phases of the job.
The issuan rmit or t I of (jrawings and specifications shall not be construed to bea permit for, nor an approval of, any violation ofthe
provo s uil' odes or any oth dinance, law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
~' WHE" ~
~ /
~ 0
_ 0
U M
('Ol.OR~~
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 Owner:
Property Address:
Cono-actor License No.:
JJt?, 1~[3 Ll~
)1 ~~ Hi:i,-C4,
Company: ~iJ2-.,Lt€A.Rt ~tf,.S
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 303- 2S \ - fI:14-C{
Phone ;63- 246-C{s5"
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 Of restrictions of record; that aU 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 wol1l. under this permit.
(ow",,",COHTAACTORlS>GHED 5r~~ DATE-2,
----
(OWNER)(CONTRACTOA) PRlNTEO DATE -; !
Description: /2e. Y'CJ::){ ~fr6K ( 2..CQC! Sf'(4- (12c:14tote- '~Ue.
:uf>t(( EPS i7~ i~5,
Sq. Ft. added :;f8 I( /00 ~I! 5:({)h
Value:$ (p;;J(jO :,'"
Permit Fee:$
Plan Review Fee:$
Use Tax'S
Total:$
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.FI.:
ONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBUC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Dale:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in acconlanoe with the provisions set lor1h in your application and is subject to the laws of the Stale of
c-..oo and to the Zoning Regulations and Building Codes of Wheat Ridge, C_ or any other applicable ordinances of
the City.
(2) This permit shall exp6re if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
aulhorized is suspended or.-Ior a period of 120 days.
(3) If this permit expi<es. a MW permit may be acquUed lor a lee of one-nalf the amount normally required, provided no changes
have been or wiH be made in the original plans and specificabom and any suspenston or abandonment has not exceeded one
(1) year. II changes have been or W suspension or abandonment excoeds one (1) year, luIIfeM shall be paid lor a MW permit
(4) No wort< of any manner shaM be done lhat will change the natural !low of wale< causing a drainage problem.
(5) Conlnlctof shall notify the Building I~ twenty-four (24) hours in advance for aM inspections and shall receive written
approval on inspection card before proceeding with success;ve phaseS of the job.
(6) The issuance 01 . permit or the approval of drawings and specifications shall not be construed to be . permit for, nor an
approval of, any \o'k)latk)n of the provisions of the buikting codes or any other on:sinance, law, ru~ or regulation.
Chief Building Official
c
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 14995
Date : 1/7103
Property Owner: ROBERT A. ORR
Property Address: 3785 HIGH COURT
Contractor License No. :
Company:
Phone: 303-231-9949
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Total:
$200.00
$23.50
$0.00
$4.00
$27.50
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 W~' i e r~n~, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED"'" if ( /J"~ DATE/-&"- 0 3
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
CHAIN LINK FENCE TRASH ENCLOSURE.
BUILDING DEPARTMENT USE ONLY
---
Approval: MK/1/3/03
Zoning: R-3
SIC:
Sq. Ft.:
PARTIAL C-1 ZONING.
---
Approval: BG/1/3/03
MUST BE PROTECTED INSIDE AND OUTSIDE. NON-COMBUSTIBLE
MATERIAL ONLY.
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanicall.icense 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediin with successive phases of the job.
The is n ~f ape . or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
p ns f I codes or any other ordinance, law, rule or regulation.
,
(4)
(5)
(6)
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPLICATION
iPolber7 Ii 0 rl
379~ JI~ a
~
Property Owner:
Property Address:
Contractor License No.:
Company:
Building Permit Number:
Date:
Phone: 3D} -d 3/- Cj'l"f'l
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDIr'!G AND AGREEMENT
Phone:
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. ~:J J J AI
~CONTRAcroR)'SIGNED ()~ {1 UA1/ DATEP-';U-O
Construction Value:$ ~oo
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total: $
DESCRIPTION:
'lP~ C/JZ~
BUILDING DEPARTMENT USE ONLY
~
---'~.
,I~- 4',..,"
-<...:
~ '~~
v <<G ~ ':\
"(-t.- .~ ".1
0/ '()'~ .'~}'
{I _.:l::;('\.
, '(:) -
eA:S 2, ..
'''''>7'i'
../. :'
~<
8'
ZONING COMMENTS: t II ~
Approval: ti ~f J :5 '
Zoning: R-3fc.-1-
/9
I
/,!~.,.J~~r4eje/; 1?'7'J,
(J()T7>I'R. NOfl ~AA.b<r.>
i41 '" ~i t1 / 0--''7
BUILDING COMMENTS: ./
Approval: '; !'/aiI-- ~ ?-
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Stories:
Koof:
Electrical License No:
Company:
Plwnbing License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Mechanical License No:
Company:
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 Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit maybe acquired for a fec"of one-half the amount nOnhally 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 tw"enty-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 ofa 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 building codes or any other ordinance, law. rule or regulation.
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DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number:
Date:
14323
8/13/02
Property Owner: BOB ORR
Property Address: 3785 HIGH CT
Contractor License No, :
Company:
Phone: 231-9949
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 m ;.%nces, for work under this pennit.
(OWNER)(CONTRACTOR) SIGNED - ?'I/'./ DATE f-C'-O:;;2J
Total:
$1,500,00
$54,00
$0.00
$30,00
$84,00
Use:
Description:
ADD ROOF STRUCTURE TO COVER EXISTING AREA. (NO ELECT.! PLUMB.! MECH, PART OF
PERMIT)
BUILDING DEPARTMENT USE ONLY
......
Approval:
Zoning:
SIC:
Sq, Ft :
.......
Approval: OM
OK
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This 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.
(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 are made 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
proceediing 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
provisi of the build.ng codes or any other ordinance, law, rule or regulation.
Property Owner:
Property Address:
Contractor License No.:
Company:
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPuctrloN
&hCJ&1..
;:!78S /lJfh Cr-
Building Permit Number:
Date:
@
Phone :
~/- 7'9C/c;
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hcacby certify that tho setbaok distances proposed by this permit application arc
aocurato. and do not violate applicable ordin.a.nces. rules or regulations oftb.e city
of Wheat Ridge or c0vena:at3. easemeDts or restrictions of record; that all
meastlr<mlOIIt3 shown, and all.g>tions made are oocurato: that I have read and
agree to obide by all oonditions printed on 1his applications and that I assume full
,ospoosibility for oomp1ianoo with tho WhoItt Ridge Bo.iIding Code (U.B.C) and
all other applicable Whoot Ridge Ordinanoos. for work undor1his pomlit.
Construction Valu. /5 o~
Plan Review Fee:
TT(;!p. TllY'
Total:
(OWNIlR)(CO~SIGNED
DATE
DeScription:
o~ t3<,s+ ~
1111_.:
ApproVal:
Zoning:
SIC:
Sq.Ft.:
__ii~_:
Approval:
at:-
~
1Itli~_:
Approval:
9ccupancy:
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) Thill PemUt was issued in accordanco with the provisions sot forth in your applicati.an and is subject to the laws ofthc State of Colondo and to the Zoning
Regulations and Building Codo of'\N'heat Ridgo, Colorado 01 any other applicablo ordinance.s of the City.
(2) This pomlit shall expire if (A) the wotk authorized i:s not cOlllIIWlCCCi within sixty (60) days from issuo date or (B) the building autb.orized is rospcndcd or
abandantldfot a period ofnO days.
(3) If this permit expires, a new p=i.t may bo acquired for a foo of one.half tho amount notmally required. provided no c:hanges havo been or will be made in
tho original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension. or abandomnr.nt
cxcllCds one (I) year. full fees shall be paid for ancwpennit.
(4) No worlc. of any manner sha11 be done that will change the natural. flow of water causing I drainago problem.
(5) Contnctor shallnotifj the Building Inspector twcnty.four (24) hoUIll in advance for all inspectians and shall receive written approva1 CIll inspoction. card beforo
pro<:~witb.sui:cossiwpha.sos ofthojob.
(6) The imlance p .t or the approval of drawings and specifications shall not be construed to be a pem1i.t for, nor an approval of, anyviolation of the
provisian:I of ding codes or any other ordinance, law, rule or regulation.
Chief Buil . ector
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City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: November 9, 2017
Reason: Duplicate permit pull. Permit #201708344, for 3785 High Court needs
to be closed.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 156.75 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 132.30 (acct 01-500-02-505)
Total: $ 289.05
TO:
Gardner Contracting LLC
909 Telluride Street
Aurora, CO 80011
Thank You!
W;Iol C004
Permit Technician
v T
MWI-75)s eK�
City of
�Wheat i e 10j
MMUNi7Y DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application NA
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29`h Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to):
Address: 'j 0 ` —1,P-1 f or I `1 '� S $
City: 4Vt' ;;,r_, State:
Phone: J Z ` (rc Z,2 Fax:
Co
Zip: " t o (` )
Email: r Q C�t,f !•N�/� �Jnse _ L.(1�'(
Permit #: j alt( Permit Address: 3 S'
Reason for request: .; j` I'" ,(.Q
ta
Printed Name: 63 ( 6 �a ,,A 1 _ Signature: Date: 1// 6? / 70 1,2 -
For office use only
This request has been:pproved Denied Refund Amount: $
Approved by: ,—. Date: C� J
www.ci.w h eatridge. co. u s
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