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Home My WebLink About4670 Everett StreetCity of Wheat Ridge Residential Roofing PERMIT - 201703643 PERMIT NO: 201703643 ISSUED: 07/10/2017 JOB ADDRESS: 4670 Everett ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 43 sq. *** CONTACTS *** OWNER 720-326-0844 WOOD MARK SUB (303)353-1825 Edward Thomas 130045 Roof Worx LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,858.00 FEES Total Valuation 0.00 Use Tax 354.02 Permit Fee 315.25 ** TOTAL ** 669.27 *** 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 one half 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 installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Sewer Service Mid -Roof Plumbing Fire Inspection / Fire Protection Dist. Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Mid -Roof L% Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Plumbing Rough Electric' Final Mechanical Rough Plumbing/Gas Line Roof - Rough Mechanical Final Building Rough Framing NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof - Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather OpV i 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: M t 1) Job Address: yC %U E 'j -r rz K Permit Number: p I "? a 3(.Y3 ❑ No one available for inspection: Time 0-'" UAWPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -7-/V-/9 Inspector: I 4,5tQ_"__ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Mechanic PERMIT - 201709448 PERMIT NO: 201709448 ISSUED: 12/05/2017 JOB ADDRESS: 4670 Everett ST EXPIRES: 12/05/2018 JOB DESCRIPTION: Replacing 36 gal electric water heater, 4500 BTU. *** CONTACTS *** OWNER 720-326-0844 WOOD, MARK SUB (303)280-5765 Larry Benavidez 100318 Colorado Heating & Cooling *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned USE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,374.00 FEES Total Valuation 0.00 Use Tax 28.85 Permit Fee 57.10 ** TOTAL ** 85.95 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work 0bperformed 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 ermit. I further attest that I am legally authorized to include alI 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 Budding 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 Budding 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 appli ,able code or any ordinance or regulation of this jurisdiction. Apprpval of work is subject to field inspection. Signature of Chief BuNiding Official Date 1 REQUESTS MUST BE MADE Q 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat I , jg,e 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: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: P/an/Pennit # 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: () R 66 __0 - _33 Property Owner (please print): �(,�i j�(� Phone: —720-326—Al-4 Property 720'326— l - Property Owner Email: �(' )n' -J o cm f'� Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itectl'Engineer E-mail: Phone: Contractors City License #: Phone: I_ - - n " _l .,__ E-mail Address: 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 ❑ 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.) BTO. Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 13-) c)c,, 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. — ---- — -- — --- CIRCLE ONE: (OWNER) (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (O R) (CONTRACT R) Electronic Signature (fust and last name): � DATE: W ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ I i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (<UF Job Address: -1676 1:511 40/f-4 Permit Number: _Z �1�c,3 G `!3 ❑ No one available for inspection: Time T ° �9/pm Re -Inspection required: Yes b When corrections have been made, call for re -inspection at 303-234-5933 Date: V17 Inspector: DO NOT REMOVE THIS NOTICE V City of Wheat Ridge W Residential Roofing PERMIT - 201703643 PERMIT NO: 201703643 ISSUED: 07/10/2017 JOB ADDRESS: 4670 Everett ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 43 sq. *** CONTACTS *** OWNER 720-326-0844 WOOD MARK SUB (303)353-1825 Edward Thomas 130045 Roof Worx LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KTPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,858.00 FEES Total Valuation 0.00 i Use Tax 354.02 Permit Fee 315.25 - ** TOTAL ** 669.27-- *** 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 one half 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 installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703643 PERMIT NO: 201703643 ISSUED: JOB ADDRESS: 4670 Everett ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II sq. 07/10/2017 07/10/2018 asphalt shingles with 43 1, by m 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 1 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 1 am legally 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 pen -nit 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 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 an 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 applic de 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. 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. Dane Lovett 2x1703 � �3 From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, June 27, 2017 3:26 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4670 Evertte St Mark Wood 720-326-0844 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Roof Worx Contractor's License 130045 Number (for the City of Wheat Ridge) Contractor Phone 3033531825 Number Contractor Email Address misti.cordova@myroofworx.com Retype Contractor Email misti.cordova@myroofworx.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Armorshield II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 43 material selected above? / Does any portion of the No r/ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? N TOTAL SQUARES of all 43 V/ roofing material for this project Provide additional detail For house, pitch 4:12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 61 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 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 submit this application and to perform the work described above. Name of Applicant Misti Email not displaying correctly? View it in your browser. 3 WORK ORDER 12301 N. Grant Stn4vq, 0 130 ti Date 1 Home Phone Cell Phone -7 11!or k I--- --. -- C1 Roof Shirt le Upgrade, Warranty,!,'n!O�U t; pgradc- tl)fv 4 Other Upgrades: Nlain PruduA e/ Drip UdW Co", Vent AceeswryColcw Valley Mew Color, ---w Thornton, Co 80241 I%xie rI 303-15A- 1825 Fax 3()3-W4--2()25 Addrc-ss, N Approximate Instill Date;— ol- $ 0WNW—isS-r—esjmmib'le —fornon-ift---ove"He d'—epj;j— upgrades not paid by imsurame jati�n and code ....... .. . .... rkductible PrCTcAy owncr'm �4s WWW El intending to snake payment timn the proceeds of a paqvily and casualty ijt,-am ce policy. 0 Fctt Felt 0 Per insurance Claim 11 adifitional gutters WYT on claim Gutter Upgrade- Price,- LFL -ngth L . _.....__—%F DS Size-, 2x3 0 R4 06" SteeL 4?rMtsninum: 0 KAMA Material Stared: Production Nok-'s: Replaw,ment Cosi (RCV)l Plus Upgradeb Taw ('004 of job Lets Down Paynicat Balance Due 2 No", or A,4ditional TernK: FN ' RC V amount is the extitiliated arnount -andstiviect --tochani�fiaW4 On �Unforel�,, conditions find for insurance work, The actual work perfornvd bRktof Worx and coverage amounts included cmi the claim - 2 Upon Completion of Work, a Final Invoice will he j to the cusitgner aid tier insurance wort an additional invoice is Sent to the clicia"; insurance carrief. 111C final invOice amotint will include the original RCV amount plus any unftmeNetm w0ditions and paid as incurred i1cm (j,e, paruit). For ittstaunce %wk, the amount will ifteludc any supplements, for aWitiunal wart done that was not included on the initial insur&wC claitti, such a' Pc"Hit tees, taxes, O&P and c(.4c required upgWes, As a result, the Wance due figurc may be, subjeet to change, -'n-e Xt Worx- LLC sw Wild in trmq any pa y"nnt r"ved —frmn you unW —Ro4jrworx— has- defiveretl roormA mawru& at Batt-®rhas rformed as M*t*y of the rwfmg work unyour proputy. You have the right 4) rescind this contract and obtain a full refund rat any &PUsit within 71 urs, alter enteling the contract, 11"you plat) to use the prc4ee&, of a pr(q)e"y and camially insane xv poliCy to pay f(X, the T 00fing work-, You May rewind this nuwl w0jrt 72 hours arwT you' rt iv watten notice from the insm, nee comarty that your claim has be" denied in wFtole (win part. I lcrwvver. Roof ()IN, 11,C is etivitled turetain payinents or depcK-its to compensale for r(xof worl actually perlimTried in a wtTkmanlike maracr consi&tellt with q Aing industrypractims. Roof %Nlojxt l.0 ay, aadard pay, wave. rutute, or promise to pay. waive of rebate all of tart of any insurance, de-ductihie applicable the insurance claim for Paymot of roofing work (per Senile Rill SSH 1 122 -3 atttcariza al at brit 17� CUAID I taanu re k uth ori z ed 4�0&t signatt = Customer Signature 711F, TERMS ON THE.. REVERW SRW HERF OF AkKVV1CW1C1,1. LV AGREFA) TO ANT) INC� RPORXrJKL) HERVIN, Date V City of Wheat Ridge W Residential Roofing PERMIT - 201703643 PERMIT NO: 201703643 ISSUED: 07/10/2017 JOB ADDRESS: 4670 Everett ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 43 sq. *** CONTACTS *** OWNER 720-326-0844 WOOD MARK SUB (303)353-1825 Edward Thomas 130045 Roof Worx LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KTPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,858.00 FEES Total Valuation 0.00 i Use Tax 354.02 Permit Fee 315.25 - ** TOTAL ** 669.27-- *** 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 one half 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 installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703643 PERMIT NO: 201703643 ISSUED: JOB ADDRESS: 4670 Everett ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II sq. 07/10/2017 07/10/2018 asphalt shingles with 43 1, by m 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 1 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 1 am legally 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 pen -nit 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 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 an 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 applic de 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. 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. Dane Lovett 2x1703 � �3 From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, June 27, 2017 3:26 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4670 Evertte St Mark Wood 720-326-0844 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Roof Worx Contractor's License 130045 Number (for the City of Wheat Ridge) Contractor Phone 3033531825 Number Contractor Email Address misti.cordova@myroofworx.com Retype Contractor Email misti.cordova@myroofworx.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Armorshield II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 43 material selected above? / Does any portion of the No r/ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? N TOTAL SQUARES of all 43 V/ roofing material for this project Provide additional detail For house, pitch 4:12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 61 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 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 submit this application and to perform the work described above. Name of Applicant Misti Email not displaying correctly? View it in your browser. 3 WORK ORDER 12301 N. Grant Stn4vq, 0 130 ti Date 1 Home Phone Cell Phone -7 11!or k I--- --. -- C1 Roof Shirt le Upgrade, Warranty,!,'n!O�U t; pgradc- tl)fv 4 Other Upgrades: Nlain PruduA e/ Drip UdW Co", Vent AceeswryColcw Valley Mew Color, ---w Thornton, Co 80241 I%xie rI 303-15A- 1825 Fax 3()3-W4--2()25 Addrc-ss, N Approximate Instill Date;— ol- $ 0WNW—isS-r—esjmmib'le —fornon-ift---ove"He d'—epj;j— upgrades not paid by imsurame jati�n and code ....... .. . .... rkductible PrCTcAy owncr'm �4s WWW El intending to snake payment timn the proceeds of a paqvily and casualty ijt,-am ce policy. 0 Fctt Felt 0 Per insurance Claim 11 adifitional gutters WYT on claim Gutter Upgrade- Price,- LFL -ngth L . _.....__—%F DS Size-, 2x3 0 R4 06" SteeL 4?rMtsninum: 0 KAMA Material Stared: Production Nok-'s: Replaw,ment Cosi (RCV)l Plus Upgradeb Taw ('004 of job Lets Down Paynicat Balance Due 2 No", or A,4ditional TernK: FN ' RC V amount is the extitiliated arnount -andstiviect --tochani�fiaW4 On �Unforel�,, conditions find for insurance work, The actual work perfornvd bRktof Worx and coverage amounts included cmi the claim - 2 Upon Completion of Work, a Final Invoice will he j to the cusitgner aid tier insurance wort an additional invoice is Sent to the clicia"; insurance carrief. 111C final invOice amotint will include the original RCV amount plus any unftmeNetm w0ditions and paid as incurred i1cm (j,e, paruit). For ittstaunce %wk, the amount will ifteludc any supplements, for aWitiunal wart done that was not included on the initial insur&wC claitti, such a' Pc"Hit tees, taxes, O&P and c(.4c required upgWes, As a result, the Wance due figurc may be, subjeet to change, -'n-e Xt Worx- LLC sw Wild in trmq any pa y"nnt r"ved —frmn you unW —Ro4jrworx— has- defiveretl roormA mawru& at Batt-®rhas rformed as M*t*y of the rwfmg work unyour proputy. You have the right 4) rescind this contract and obtain a full refund rat any &PUsit within 71 urs, alter enteling the contract, 11"you plat) to use the prc4ee&, of a pr(q)e"y and camially insane xv poliCy to pay f(X, the T 00fing work-, You May rewind this nuwl w0jrt 72 hours arwT you' rt iv watten notice from the insm, nee comarty that your claim has be" denied in wFtole (win part. I lcrwvver. Roof ()IN, 11,C is etivitled turetain payinents or depcK-its to compensale for r(xof worl actually perlimTried in a wtTkmanlike maracr consi&tellt with q Aing industrypractims. Roof %Nlojxt l.0 ay, aadard pay, wave. rutute, or promise to pay. waive of rebate all of tart of any insurance, de-ductihie applicable the insurance claim for Paymot of roofing work (per Senile Rill SSH 1 122 -3 atttcariza al at brit 17� CUAID I taanu re k uth ori z ed 4�0&t signatt = Customer Signature 711F, TERMS ON THE.. REVERW SRW HERF OF AkKVV1CW1C1,1. LV AGREFA) TO ANT) INC� RPORXrJKL) HERVIN, Date ,, ►: • • ": • ion Mailing Address: (if different than property address) Address: S r' City, State, °i ?` ., bftaffincineer- chits Engine r E -mail: Phone.. Complete all information on BOTH sides of this o q. FtJLF Btu's . na g Gallons Amps square Other (Contract value or the cost of &H materials d labor included in the _entlre project) 'PRESENTATIVE) of (OWNER) (CONTRACTOR) . r Ivlslon Valuation: