HomeMy WebLinkAbout2880 Gray StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201701351
PERMIT NO: 201701351 ISSUED: 06/01/2017
JOB ADDRESS: 2880 Gray ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Tear off all roofing, apply ice shield and underlayment; apply 19 squares
dimensional.; replace all pipe jacks
*** CONTACTS ***
OWNER (303)883-2400 BURCAR MADONNA L
SUB (303)232-0324 Bill Lynn
019976 Mills Roofing Co./Decker Lane
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,950.00
FEES
Total Valuation 0.00
Use Tax 166.95
Permit Fee 172.60
** TOTAL ** 339.55
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A1/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&4Fms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701351
PERMIT N0: 201701351 ISSUED: 06/01/2017
JOB ADDRESS: 2880 Gray ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Tear off all roofing, apply ice shield and underlayment; apply 19 squares
dimensional; replace all pipe jacks
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 ernIrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed an all k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
"!!�- / '20
Signature of OWNER 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. pen -nit 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 Budding
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 andprocedures 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
KLJ
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
CQA1amuN iTy DEVELOPMENT
Building 8 Inspection Services Division
7500 W. 29'h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its@ci.wheatridae.co.us
FOR OFFICE USE ONLY
®ate: (
Plan/Pennit l6
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be prooessed. —
Property Address: 2 ,'EC? G-C�� S7
Property Owner (please print): X11V A3U9<fW ; Phone: g,. 883 .?�!
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor: I�'l &.S
Phone:
Contractors City License #: 61 — `lam Phone:
Contractor E-mail Address: 17-9zGG5,s�z:X- KCgs�P,91
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
gNEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITIONRESIDENTIAL ROOFING
gRESDENTIAL ADDITION I 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.)
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.,
(J i -G
Sq. FULF
Amps
Btu's
Gallons
Squares ��( Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
I i, qJ O
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.
CIRCLEONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRENTATIVE) of (OWNER) (CONTRACTOR)
PRINTNAME: )x?44 //V/'� SIGNATURE: DATE: 6—"% ; V
DEPARTMENT USE ONLY
ZONING COMMMEWS: OCCUPANCY CLASSIFICATION: _
Reviewer.
TYPE OF CONSTRUCTION:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORDS
Fire Departnent ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
CITY OF WHEAT RIDGE
]�;IrBuilding Inspection Division
(303) 234-5933 Inspection line
l(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1
Job Address:�(-
Permit Number: 1 O l 3 S
- o
❑ No one available for inspection: Time � �J A /P
Re -Inspection required: Yes
*When corrections have been made, call for re -inspection at 303-234-5933
Date. -, Inspector s
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
]�;IrBuilding Inspection Division
(303) 234-5933 Inspection line
l(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1
Job Address:�(-
Permit Number: 1 O l 3 S
- o
❑ No one available for inspection: Time � �J A /P
Re -Inspection required: Yes
*When corrections have been made, call for re -inspection at 303-234-5933
Date. -, Inspector s
DO NOT REMOVE THIS NOTICE
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