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HomeMy WebLinkAbout3895 Dover StreetA i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number:..�� ' r; ❑ No one available for inspection: Time ! ' AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci, wheatridge. co. uslinspection Date:_'i 4i, Inspector:_ DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2555 Office INSPECTION NOTICE Inspection Type: �NJ .L� �3-1 Job Address:3r)Ct�, cx�ti r l 2! Permit Number: r) 6 � __o 0 r)` ns -I ❑ No one available for inspection: Time 1 AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date A) a r` Inspector: ' DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202002657 PERMIT NO: 202002657 ISSUED: 12/22/2020 JOB ADDRESS: 3895 Dover St EXPIRES: 12/22/2021 JOB DESCRIPTION: Replace water line in front yard - to excavate and replace existing water service from the house to the meter in the front of the address - 40 ft long *** CONTACTS *** OWNER ( 7 2 0) 656-1212 JESSICA BAKER SUB (303)810-5321 JOSE GUERREO 120127 PIPELINE SOLUTIONS *** 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: 61000.00 FEES Total Valuation 0.00 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. 1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202002657 PERMIT NO: 202002657 ISSUED: 12/22/2020 JOB ADDRESS: 3895 Dover St EXPIRES: 12/22/2021 JOB DESCRIPTION: Replace water line in front yard - to excavate and replace existing water service from the house to the meter in the front of the address - 40 ft long 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 applicable code or any ordinance or regulation 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. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Tuesday, December 22, 2020 12:52:05 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3895 Dover St Property Owner Name Jessica baker Property Owner Phone 7206561212 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email denpermits@gmail.com Address Attach City of Wheat FPFWR Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Pipeline Solutions LLC ipillVil 6 digit number for the City of Wheat Ridge) Contractor Phone 303-810-5321 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email denpermits@gmail.com Address Retype Contractor denpermits@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or Water Line water line repair? Length of repair 40' Location of repair Front yard (backyard, frontyard, etc) Provide additional to excavate and replace existing water service from the house to details Including the meter in the front of the address. installation of clean- o uts. Project Value (contract 3250 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jose Guerrero Permit Email not displaying correctly? View it in your browser. 1* ► � i City of Wheat Ridge '/� Residential Sewer Repair PERMIT - 202002538 PERMIT NO: 202002538 ISSUED: 12/08/2020 JOB ADDRESS: 3895 Dover St EXPIRES: 12/08/2021 JOB DESCRIPTION: Sewer line repair, 10 feet in front yard, adding dual directional clean outs next to the foundation property. *** CONTACTS *** OWNER (303)434-9003 JORDSTAD HARLEY SUB (303)810-5321 JOSE GUERREO 120127 PIPELINE SOLUTIONS *** 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: 21250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Sewer Repair PERMIT - 202002538 202002538 ISSUED: 12/08/2020 3895 Dover St EXPIRES: 12/08/2021 Sewer line repair, 10 feet in front yard, adding dual directional clean outs next to the foundation property. 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 applicable code or any ordinance or regulation 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. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Tuesday, December 8, 2020 7:30:43 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3895 Dover St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Harley Jordstad [c18RbrcLl' O1818R? Property Owner Email denpermits@gmail.com Address Attach City of Wheat FPF WR Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Pipeline Solutions LLC ipillVil 6 digit number for the City of Wheat Ridge) Contractor Phone 303-810-5321 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email denpermits@gmail.com Address Retype Contractor denpermits@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 10, Location of repair Front yard (backyard, frontyard, etc) Provide additional to excavate and installed a set of dual directional cleanouts next details including to the foundation property. installation of clean- o uts. Project Value (contract 2250 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jose Guerrero Permit Email not displaying correctly? View it in your browser. *** 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 - 201800002 _j PERMIT NO: 201800002 ISSUED: 01/02/2018 JOB ADDRESS: 3895 Dover ST EXPIRES: 01/02/2019 JOB DESCRIPTION: Residential re -roof with modified bitumen on home and garage. Pitch is 2/12 and 14 squares. *** CONTACTS *** OWNER (480)313-7417 BAKER LISA M SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing *** 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: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** 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. PERMIT N0: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201800002 201800002 3895 Dover ST ISSUED: 01/02/2018 EXPIRES: 01/02/2019 Residential re -roof with modified bitumen on home and garage. Pitch is 2/12 and 14 squares. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building odes, and all applicable -municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner f the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permtt. t t rxhgg''r attcsfi that I am legally authorized to include all entities named within this document as parties to the work to be performed And t all /Wgr to be performed is disclosed in this document and/or its"accompanying approved plans and specifications. Signature of OWNI✓R 'br ,.CONTRACTOR (Circle one) I/ate 1. This permit was issued 6sed 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 shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. I NY t Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 795 McIntyre St, Golden, CO 80401 Office: 720-475-1065 c'F-lopaRoofing www.Ropa RoofinP,com General Liability Insurer: Colony Specialty, NAIC:39993 Colorado Insurance Professionals, Inc. (303) 755.8600 AGREEMENT n.ATi. OWNER(S): ADDRESS: PHONE:_,?_._.. Zr-i�._..._.....__—.... _... EMAiL: [ aSiCA.I i�jE C/�[�(1L' INSI)RANCE C0: L.;!S`r L CLAIM ht SCOPE: Shingles removed: -.,---sq. Replaced: _..._.__sq. Type' .-_L�V (.C-(=- ­__.._.—.—... Pipe bouts: IcelWatershield: ft, HiplRich, Cap ft. Starter Shingles: _­ ft.. Drip Edge: fl. Color: _. i Vent type:_No.: ... _ Chimney Flashing: _ Step Flashing: Start date: General: Both Parties agree to cooperate in good faith efforts as follows. (1) to file a property damage claim with the owner's insurance company upon executing this agreement, if damage is found. (2) to share all information related to the insurance adjusters meeting and make every attempt to attend the adjusters meeting together. (3) To provide each other with all claims reports and other information related to this claim. RopaRoofing will prepare the file for production and acquire all permits and other documents necessary to comply with local requirements. As consideration for the work provided by RopaRoofing. the owner hereby agrees to appoint RopaRoofing as their exclusive contractor. If the claim is approved: RopaRoofing agrees to complete all work outlined in the owner's insurance claims report, including all supplements and additional items agreed to by the owner's insurance company. If the claim is denied: If the inspection is denied, then this agreement is Null and Void. The owner is not responsible for any payments to RopaRoofing. Payments: The parties agree that RopaRoofing will be entitled to all insurance proceeds related to all claims subject to this agreement, and all other monies for upgrades or additional work that is approved in writing by the owner on the addendum to this agreement. The owner understands that they are fully responsible for their insurance deductibles, as stated by the Colorado I..aw 6-22-105. Waiver of insurance deductible prohibited. Payments: Owner hereby releases their insurance company to provide RopaRoofing with information related to this claim and furthermore grants permission for their insurance company to negotiate and settle all claims on behalf of the owners with third party adjusters, if necessary. Owner's Rights: Should the owner decide to cancel this agreement, it must be done within 72 hours of the date signed. This may be done via mail, email, or hand delivered letter— stating that they wish to terminate this agreement. Scope: To be defined by the Owner's insurance summary plus any additional upgrades, which they choose; and shall be attached along with the addendum to this agreement. THE; ROOFING CONTRACTOR SHAI,L HOLO) IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL, THE: ROOFING CONTRACTOR HAS DELIVFRE:D MATERIALS TO THE SITE TO WHICH THE WORK IS TO 13E; PERFORMED Olt HAS PERFORMED A MAJORITY OF'THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. Accepted by Property Owner on: Date , 0 / 1k 2— / Sales Person: Date t Ca l I'L / f `i *THIS AGREEMENT IS NULL AND VOID IF INSPECTION IS DENIED By: K B,y:.Y -= `2 Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Tuesday, January 2, 2018 10:35 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3895 clover st jessica baker 480-313-7417 Field not completed. RECIEWED JAN 0 2 2018 Per 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 Yes baker, Jessica-agreement.pdf CONTRACTOR INFORMATION Contractor Business ropa roofing Name Contractor's License 160146 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 480-861-4735 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 795 mcintyre st (Primary address of your business) Contractor Email Address brady.roparoofing@gmail.com Retype Contractor Email brady.roparoofing@gmail.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 both? (check all that apply) 14 10000 Flat roof (less than 2:12 pitch) 2 What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof.- Type oof: Type of material for the FLAT roof: If "Other" is selected above, describe here: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 2/12 14 mod bit with iso insulation boards Other (specify below) modified bitumen remove and replace roofing on house and garage 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 3 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 brady reay Email not displaying correctly? View it in your browser. I City of' 4e OMMUM-n, DEVELOPMENT g MINNIE, ULM Address: Building Permit Application 4- r -R 2 " I' , (A� Y*1'- A MMEM= Plumbing: Complete all information on BOTH sides of this form NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL w iill A WINDOW XM*M ADDITION i ,k CEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) #AF RESIDENTIAL ACCESSORY Mr • Y E (Garage, shed, deck, etc.) MECHANICAL A !! Y A REPAIR :le i L REPLACEMENT X1 M A PLUMBING SYSTEM/APPLIANCE M!A bk :• AYNr 1l fly or A ELECTRICAL SYSTEM/APPLIANCE , iNi#.. REPAIR WF AlY REPLACEMENT OTHER s .. 60' 5t4,WT SqFUL #ti's"Ions Amps Squares ottler FORM (F) 414-02-5147 1l JCce' Energy- 120743 AI'T.NO. FLOOR SPKlFY ~ ACTION TAKEN , 5HUT OFF PLlANCE OFF BOTH APPL & MErER OFF o METER 5HUT OFF OTHER 0 _ WARNING - ~ ~/ql U'7 ~. rouND, /IS SHCJMII BEIOo'Il15 NClf IN coMPIJANCE wm< OJRRENID' ~ k<~Rri<roURES AND HAZARD, (X)RRECl1ONS SHOUlD BE MADE 1ft A QU'\LlAED (ON1RICIOR. ClJNll'CT 'lOUR lDCAL BUIlDING DEPART- MENT RlR AND PERMIT REQUIREMENTS PRIOR 10 PERRJRMlNG _R WORK. NAME AND TYPE OF APPliANCE TAGGED BY mJ cusroMER I OCCUPANT SIGNATURE /'1 / .4 R JIONSHIP Of OCCUPANT TO CUSTOMER ...~~-,----~~--- .- ..-" ,,------.--..--- ------.-------. -"