HomeMy WebLinkAbout4840 Ingalls Street�tqo 3 ,54((s si ,
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INSPECTION
RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
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
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
�^
Plumbing
Final Electrical
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector Comments
Initials
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.
Mid -Roof
�^
Lath / Wall Tie
Final Electrical
Rough Electric'
Final PlumbingC
Rough Plumbing/Gas Line
Final Mechanical
Rough Mechanical
Roof 3
Rough Framing
Final Window/Doors
Rough Grading
Final Building
Insulation
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.
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 PlumbingC
q(/ZI,—Oe,44 0
Final Mechanical
01 309
Roof 3
Final Window/Doors
CFeVEIZO BV) OP
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
The City of Wheat Ridge'` ,
09,Tl�d Party Form Check List
Property Address (�
Permit Number
Permit Issued Date
Owner Information
Property Owner Information —i/ -r e,—r
k, n 4
Property Owner Address
Inspection Company r41 .
Inspector Name 'a
Inspector Contact info. _ ) —
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendation �en
Inspector: Date:
Pro rt Owner Statement of Acknowled ement
*1 hearby acknowledge that am the owner of the building referenced above and I give
my consent for the listed ir, -pa y inspection company to perform my roof ins ction
in lieu of the City of Whe idg uilding Division inspection.
Propery Owner/ Agent: Date:
A )-
This original document as wII a the roofing check list, must be submitted to the Chief
Building Offical within seven days of the final inspection.
Drop off in person Submit via Email
Permit counter 2nd floor Krcoo � Zci.wheatrid e.co.us
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
_Roof Inspection
3 N/A 0 Pass t7 Fail
D N/A ipm 0 Fall Structural roof components
:1 N/A ' Pass 0 Fail Verify that no more than 2 layers of shingles exist
KN/A Pass 0 Fail dashing for roof and walls
o Pass ❑ Fail If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
'N/A 0 Pass 0 Fail Verify sheathing nail pattern ( See policy & Proceedures)
N/A 0 pass 0 Fail Crickets and saddles where needed
R N/A A- Pau a Fail Verify B vent must have boot same gauge as pipe
0 N/A � Pass 0 Fail Verify vent caps
i3 N/A Pass 0 Fail Verify no flashings are damaged or rusted
* N/A ,Pass 0 Fail Step flashing shall be min. of 4x4 piece per shingle
• N/A pass c Fail Verify scuppers allow for proper drainage
• N/A � Pass 0 Fail Ice and water shield 2' in heated wall spaces
c N/A Pass 0 fail Underlayments must follow 2012 IRC / 2012 IBC
* N/A�( Pass 0 Fail Verify roof slope for proper drainage
* N/A /�_ Pass 0 Fail Dripedge shall have min of 2" overlap
* N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck
N/A xi Pass 0 Fail Dripedge shall be mechanicaly fastened 12" OC
N/A �Q" paw Fail 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
0 Pass €3 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
N/A Q Pass 13 Fail Above roof insulation R-25
N/A � Pass ca Fail Below roof residential R-38
�,/A Pass Fail Below roof commercial R-32
)(N/A Q Pass c Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A 0 Pass 0 Fail Metal roof shingles shalt not be installed on slope less
3:12
N/A
a Pass 0 Fall Metal valley flashing shall be the same material as roof
t� N/A 0Pass 0 Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A Q Pass c Fail Clay and concrete the shall have a min. 2-112:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
-��~i�f.�,.s�-�.�.�
inspector signature:
Date of inspection:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
RoofI_nsoection
a N/A a Pass Q Fail
o N/A Pass n Fall Structural roof components
* N/A Pass p Fall Verify that no more than 2 layers of shingles exist
p N/A Pass 0 Fail Flashing for roof and walls
40 Pass Q Fall if new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
XN/A 0 Pass o Fail Verify sheahing nail pattern ( See policy & Proceedures)
/ .N/A Q pass o Fait Crickets and saddles where needed
- m N/A Pass R Fail Verify B vent must have boot same gauge as pipe
0 N/A Pass a Fail Verify vent caps
C1 N/A Pass o Fail Verify no flashings are damaged or rusted
0 N/A Pass 0 Fail Step flashing shall be min. of 4X4 piece per shingle
a N/A Pass 0 Fall Verify scuppers allow for proper drainage
0 N/A j� Pass 0 Fail Ice and water shield 2' in heated wall spaces
❑ N/A Pass 0 Fart Underlayments must follow 2012 IRC / 2012 IBC
❑ NIA Pass 0 Fail Verify roof slope for proper drainage
c N/A Pass v Fall Dripedge shall have min of 2" overlap
0 N/A Pass Q Fall Dripedge should extend down min 2" past roof deck
0 N/A �( Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC
,/A 0 Pass 0 Fall 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides wlt*n min, slope of
112
�N/A a Pass o Fait Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
' N/A o Pass C Fall Above roof insulation R-28
AN/A u Pass a Fail Below roof residential R-38
N/A a Pass 0 Fall Below roof commercial R-32
(N/A a Pass 0 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Mz 1 Reof Shingles Reauirements
*N/A 0 Pass 0 Fail Metal roof shingles shall not be installed on slope less
3:12
A 0 Pass Q Fail Metal valley ftshmg shall be the same material as roof
N/A a Pass Q Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs„ eQui menta
N/A a Pass 0 Fall Clay and concrete the shall have a min. 2-112.12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
N
Company Name: Cs -6,,e
Inspector signature:
Date of inspection:
City of Wheat Ridge
Residential Roofing PERMIT - 201706320
PERMIT NO: 201706320 ISSUED: 08/18/2017
JOB ADDRESS: 4840 Ingalls ST EXPIRES: 08/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 17 sq
*** CONTACTS ***
OWNER (303)948-0337 KIRKER NANCY
SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2337 / I-70 CORRIDOR BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,100.00
FEES
Total Valuation 0.00
Use Tax 107.10
Permit Fee 140.90
** TOTAL ** 248.00
*** 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) 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.
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.
1* e ' s City of Wheat Ridge
1W IV
Residential Roofing PERMIT - 201706320
PERMIT NO: 201706320 ISSUED: 08/18/2017
JOB ADDRESS: 4840 Ingalls ST EXPIRES: 08/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 17 sq
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. 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 ll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
gna ure of OWNER or CONTRACTOR (Circle one) Date CJ
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. 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 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 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.
0
Signature of C r ui ding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BU INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 201 ;70 C32, V
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 16, 2017 2:56 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
O
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 (^1
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 4840 Ingalls Street Wheat Ridge, CO. 80033
Property Owner Name Nancy Kirker
Property Owner Phone 303-948-0337
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
57
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 Kirker.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business ProWorx
Name
Contractor's License 150175
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-948-0337
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 5938 South Van Gordon Street Littleton, CO. 80127
(Primary address of your
business)
Contractor Email Address info@proworxco.com
Retype Contractor Email info@proworxco.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 17/
the entire scope of work:
Project Value (contract 5100
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
58
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
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? What is the roof
pitch? Etc)
Yes
17
Owens Corning Duration Shingle
Asphalt
Detached Single Family 4/12 and 6/12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
59
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 William Szymanski
Email not displaying correctly? View it in your browser.
60
Office:303.948-0337 Fax:303-948-0237
MADE IN
t L�.�" ct :.c• t � ... t
1
I nc vasa_a._,
.,
g
M008o W.
€lildiN tk
When the trtaeramm Co. and PmVftrx come to an aWeernent on price, that price WiN be the firsgr{ canto OMOWI . PrOWclM
will receive all insurance proceeds for the worts completed. ProWorx 94ii hold In trust any payment pecobted tram the
c Stan w unto
have been delivered to your property.
+e ^os a Layers
tinder ayrn tMateriafiAIr,1 e Roof Pitch. �C
$r tTd o€ S°Tirsg a
Drip Edge Typet Valley UndMartt@rlt
S y' ,e of Shingle ;
Drip Edge Color Ice"water Shletil ..5.
Nails: 1-1 44 1-1 t2"— 1-3-!4-X dean Up R Haut Off 7rash
Color of Shingle- b -~ Ri.
Prtact Vt'arran'
Replace Pipe Jacks:` Prt3tikbrx to fsiTttstT ITTs1
R:dge Material Typet
Step Rashing
Vent 1.— 7yp2
Counter Flashing iIL r
zzi mCE —ammn i Anenuri: YO una ais: g-} p(Zo:. l r � q '"� 1 p ;"e I -Vi- ' • � L ,�rrn+'-
�x�r r b ' ¢ � i, (( "`f C 4 j 4A d' V r te + /� A' 4
Included OTHER GHMM DESIMPTION AMOUNT
Reca r ; Re p,$ceGunem
RePas leaks /i Where?
We propose to furnish material $ tabor to compike work in accordance with specifitations above, #or th* eulm of:
'std Isssiaftme rF kS-menta tOtel �nlQiirl
A axkwde dales of service:
=° =s -AS .W c . r TO RES, -IND Tii:S CO%TRACT 6 OBTAIN A FULL REFUND OF ANY OEF , tT WITHIN 7: HOURS AFTER SII} i3 T i iNtTt� T. # CUSTL�1.lfR c*f Apy� � tt®
ca wisF^� F A PI. PERTY & OAS;JALT V INSURANCE POLICY TO RAY Foft rKE ROOFING WORK. YOU MAY RESCIND itcss CONTRACT
r P,_++ T«E t%'SJP£P'FIAT VOUP CSA",. HAS BEEN DENIED Ho EdER. PR(}WORX is ENTITLED TO RETAIN F�1YA#E ftS M LTEPiY T rp m Ya f1F xrt III, �
ACTLl.ALLY PERFORMED *4 A 1t`0%sWANLIKE MANNER CONSISTENT WITH aTANLTAriii ROLTFI4;(j "� F,00 '
COLORADO SENATE BILL 38 COMPLIANCE. PROWORX CANNOT PAY, WAIVE,, REBATE OR PROMISE TO PAY, W OR R�ltATE All OR
INSURANCE OEp$1CTiBLE APPLICA TIp E INSURANCE CLAIM ICOR PAYMENT FOR ROOFING WORK ON V%A PROPQIRTY
ACCEPTED BY; _ C /
1 r Di�+TE:
h ar } e. the seoWrser Pro ttrx to pursue an agreeable r l mentfre ,,
s t <nier , s This I dogs not obligate the ►sometnvner unless a Pas► prime sr4ath t. a Inskounce compeny,
by the in
# rpt exper se v�,== slot sxt epi the deductible amount plus any addend ups deP amt T+ce company b iieiWtarx.
afire nt
consists O� s and conditions on the frt?rTt and backside of this documentt.. work by �e C aw. �1�e
PRi3WORX REP:��
-- _ _ ,.__DATE:—
s
`=I O A}RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I`�1 r.j
Job Address: L -I19 Yo T„Qg, 54
Permit Number: o o G °3 o
p r 4c^ n tAe- - : 1-9 .
❑ No one available for inspection: Time 'd': It' AM
Re -Inspection required: Com'` No
When corrections have been made, call for re -inspection at 303 -234 -
Date: g a'9 Inspector: -7-'L
DO NOT REMOVE THIS NOTICE
MEMMEM
I FOR OFFICE USE ONLY I
o f (#f different than property ,address)
Address;
City, State, Zip:
lectdcaal: Plumbing: Mechanical:
WR City License t# KR, City License# W.R, City License
Complete it information on BOTH sides of this form
(Check all that apply)
St{. FULF Stu's Gallons
Amps aquas � Other