HomeMy WebLinkAbout2885 Quay StreetCity of Wheat Ridge
Homeowner Roof PERMIT - 201708419
PERMIT NO: 201708419 ISSUED: 10/18/2017
JOB ADDRESS: 2885 Quay ST EXPIRES: 10/18/2018
JOB DESCRIPTION: Homeowner Reroof remove and install Asphalt Shingle with 17sq pitch -4/12.
*** CONTACTS ***
OWNER (720)272-6073 BARDS DEBRA F
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,369.00
FEES
Total Valuation 0.00
Use Tax 91.75
Permit Fee 125.05
** TOTAL ** 216.80
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
6 nails per shingle is required. Ice dam membrane is required from eave edge to 2&4499;
inside exterior walls. Board sheathing with any gap greater than 1/2" requires p:rei
sheathing overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that cannot ne
performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of
inspection or a re -inspection fee will be assessed. Subject to field inspection.
_ City of Wheat Ridge
`rr Homeowner Roof PERMIT - 201708419
r'
PERMIT N0: 201708419 ISSUED: 10/18/2017
JOB ADDRESS: 2885 Quay ST EXPIRES: 10/18/2018
JOB DESCRIPTION: Homeowner Reroof remove and install Asphalt Shingle with 17sq pitch=4/12.
I by my signature do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications
applicable building codes, and all applicable municipal codes, policies and procedures, and that I ain tl�e 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that awork�te�e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
egnature of 0 VNER 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, po plans
and procedures.
2. Thispermit 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code oranyordinance 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.
City of
__��;OrWheatj1
'9e_
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.wheatrid-ge.co.us
1 FOR OFFICE USE ONLY
Date:
Plan/Permit �L-U
Plan Review Fee:� l J �
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: � ui!L4 ST Ll LLi iLf'� gG�q
Property Owner (please print): �jr; ,¢ bAZOQ _!> Phone: 7 7o2�Q�3
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Arch itect/E ng 1 neer E-mail:
Contractor: 3 6�-/F
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:
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 ❑ 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.) -3rR- P o A-eo P1-4-,eT 6)4""a/F��-
Sr W4''/1c S t7 Ja,,A-AE .
Sq. Ft./LF
Amps
Btu's Gallons
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
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 1 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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): It DATE: /l% AD
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
a City of
W h6' at
" j�d e
COMMUNITY DEVELOPMET
g
Official Certification of Property Owner for Trade Specific Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s): �=-
� e='a R �(v
Project Property:
N6tarized signat"bre of Applicant
State of Colorado }
County of Se'¢Iscn } ss
C
0-,
The foregoing instrument was acknowledged by me this J' day of 2012 by
rG, os
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
`� (,-- My Commission Expires A1Lz J2Q0
Notary Public
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time t - - AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: r Inspector:
DO NOT REMOVE THIS NOTICE
Ilil
+� I ll i llilil li lillililll s -
Ma iling A ddress: ("if different than property address)
Address:
City, State, Zip:
on
Complete all information on BOTH skies of this fear
aura of materials to be used, etc.) " t; ij n <y/ � �r � ` ��� �� : ° ,
Sq. FULF Btu's Gallons
Amps Squares Other
Buildin D ivision