HomeMy WebLinkAbout2920 Otis Court•
City of Wheat Ridge
Residential Roofing PERMIT - 201703777
PERMIT NO: 201703777 ISSUED: 07/12/2017
JOB ADDRESS: 2920 Otis CT EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning 30 year Oakridge asphalt
shingles - 28 sq.
*** CONTACTS ***
OWNER (303)668-2323 BURNHAM DENNIS
SUB (303)377-8679 Tom Black 060113 Tom Black Roofing Co-Manke Con
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,650.00
FEES
Total Valuation 0.00
Use Tax 160.65
Permit Fee 172.60
** TOTAL ** 333.25
*** 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.
' d City of Wheat Ridge
Residential Roofing PERMIT - 201703777
PERMIT NO: 201703777 ISSUED: 07/12/2017
JOB ADDRESS: 2920 Otis CT EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning 30 year Oakridge asphalt
shingles - 28 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be erformed is disclosed in this documentFd/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 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 andspecific 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 !is 24�z
of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applice or r cul on 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.
Dane Lovett ?Z W S 71
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 7:57 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
Property Owner Email
Address
2920 Otis M� GT";
Dennis Burnham
3036682323
Field not completed.
Do you have a signed
No
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Tom Black Roofing
Contractor's License
060113
Number (for the City of
Wheat Ridge)
Contractor Phone
303-523-7915
Number
Contractor Email Address
tblackl964@hotmail.com
Retype Contractor Email
tblackl964@hotmail.com
Address
DESCRIPTION OF WORK
/
ou re -decking the
Areg e
y
No ✓
roof?
Description of Roofing
30 year OC Oakridge
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
28
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
/
TOTAL SQUARES of all
28
roofing material for this
project
Provide additional detail
House 5/12
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract(
7650
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 Tom Black
Email not displaying correctly? View it in your browser.
3
•
City of Wheat Ridge
Residential Roofing PERMIT - 201703777
PERMIT NO: 201703777 ISSUED: 07/12/2017
JOB ADDRESS: 2920 Otis CT EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning 30 year Oakridge asphalt
shingles - 28 sq.
*** CONTACTS ***
OWNER (303)668-2323 BURNHAM DENNIS
SUB (303)377-8679 Tom Black 060113 Tom Black Roofing Co-Manke Con
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,650.00
FEES
Total Valuation 0.00
Use Tax 160.65
Permit Fee 172.60
** TOTAL ** 333.25
*** 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.
' d City of Wheat Ridge
Residential Roofing PERMIT - 201703777
PERMIT NO: 201703777 ISSUED: 07/12/2017
JOB ADDRESS: 2920 Otis CT EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning 30 year Oakridge asphalt
shingles - 28 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be erformed is disclosed in this documentFd/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 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 andspecific 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 !is 24�z
of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applice or r cul on 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.
Dane Lovett ?Z W S 71
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 7:57 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
Property Owner Email
Address
2920 Otis M� GT";
Dennis Burnham
3036682323
Field not completed.
Do you have a signed
No
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Tom Black Roofing
Contractor's License
060113
Number (for the City of
Wheat Ridge)
Contractor Phone
303-523-7915
Number
Contractor Email Address
tblackl964@hotmail.com
Retype Contractor Email
tblackl964@hotmail.com
Address
DESCRIPTION OF WORK
/
ou re -decking the
Areg e
y
No ✓
roof?
Description of Roofing
30 year OC Oakridge
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
28
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
/
TOTAL SQUARES of all
28
roofing material for this
project
Provide additional detail
House 5/12
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract(
7650
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 Tom Black
Email not displaying correctly? View it in your browser.
3
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: AF
Job Address: 2 rI G _
Permit Number: U17 v�X77 �
LI No one available for inspection: Time ir��3 A,WPM
Re -Inspection required: l�f No
When corrections have been made, call for re -inspection at 303-234-5933
n 71{
Date: Y/ / Inspector: I
DO NOT REMOVE THIS NOTICE
J
u
I
0
U-8 --1
=7
•ZIMr
-0
(D
M
(D
c
C:L
ro
v 0
IdY
0 CL Cr
no e�
0
0,
c,7,*
a
0
ID
W
;D (D
a
(a
CD
)
5
CL
CD 0
@
C>.
0
Wr a
M
0 CCD:
ry o
L (D
(Co
(D 0�
0
WB
03
to
0)
c
CL
Wheat jj c
City of
COMMUNi DEVELOPMENT
t a ♦ s �r i r
� rw iiC
+• • •
Bu il d i n g Perm A
>«,. ,.�
P G
0
' t, s _-.
;p VU III•
Address;
CZ
It , State, s
s
0
Contractors City License M Phone: t
Contra E -mail Add
Sub Contractors:
W.R. City License # "� �- W.P. City License `� W.R. City Lice
informati Complete all BO TH sides of this form
Amps Squam O#W
1 : I
Cc
SuNi" Division Valuation: S
2
# +t s #' i
Electrical Contractor
' big Contractor
icense
i 1►
a • - Agent
Date
*This appfication must be signed by each sub-contractor can ink; the samc
River North Environmental Testing, Inc.
3650 Chestnut Place
Phone 303-297-0079
Denver, Colorado 90216
Fax. 303.292 -1461
www,RNETesting.com
REPORT F TEST RESULTS
PLM Bulk Asbestos Analysis using EPA /R -93111
VLAP Lab Code 200448-0
Clie D. Burnham
Project: L 1 199
Lab4D No. Layer No. Asbestos
on Asbestos
Sample ID Description L.aye Ty (0/16)
Components ( °fQ}
PLMI - 096 -01
1 LAYER 1 LAYER 1 None Detected
Cellulose 2%
Drywall, _White and Brown, Ion- 80 0 /0
Other Non-Fibrous 80°!o
Homogenous, Fine
Material
Grained/Fibrous
LAYER 2 LAYER 2 Cone Detected
Other Non-Fibrous 100%
Mud, White, Homogenous, Fine 20%
Material
ADDITIONAL COMMENTS: All separable layers (except paint) within the same sample are analyzed and
reported individually. Composite asbestos percent is reported, if applicable, by visual estimation.
ND _ None Detected TIC = Trace, less than 1.0%
/el
Analyst inttare Date: ".'"
101`1
^�4y0y�
µ y
m
►'� s
• CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 237 -8929 Fax
r ' INSPECTION NOTICE
Inspection Type 1) .0 e r
Job Address c ,, E; 0 5'e C
Permit Number ! ?5
0
J
9
❑ No one available for inspection: Time f Aw M }
Re- Inspection required: Yes No)
❑ No one available for inspection: Time < BwM
Re- Inspection required: es No
ve been made, can for re- inspection
City of Wheat Ridge
r 0000r_
Residential Roofing PERMIT - 102095
PERMIT NO: 102095 ISSUED: 09/02/2010
JOB ADDRESS: 2920 OTIS CT EXPIRES: 09/02/2011
DESCRIPTION: Reroof 27.48 sqs with 20 yr GAF shingles
* ** CONTACTS * **
owner 303/237 -8067 Helen Roberts
sub 303/816 -1888 Derek Lindsay 02 -2377 Infinity Restoration
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0516
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,500.00
FEES
Permit Fee 172.60
Total Valuation .00 D.�ZJ(���
Use Tax 135.00 "`�- ---_-
** TOTAL ** 307.60
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be 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.
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
appli,,cation and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
�ppl' able Wheat Ridge Or finances, for work under this permit. Plans subject to field inspection.
J ( I ":!,
anature of contractor er date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension . or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review 's 'ect to field inspections.
Signature of C' a lding Official date
INSPECTS REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
of W "&tT City of Wheat Ridge Building Division
m 7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
o Inspection Line: 303 - 234 -5933
OCORA�
Building Permit Application
Date:
Plan A
Permit #:
Property Address: a l aO Ck
Property Owner (please print) NXL \-c n , Phone: 303 -a,3, - 10 : °1
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: Lnti nit tg (ZesASpc - wYt n
Contractor License #: 41 377 Phone: 303- a6
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #: Mechanical City License #.
Company Company:
Exp. Date: Exp. Date: Exp: Date:
Approval: Approval: Approval:
Use of space (description): construction Value: $ 1.20 • o
Description of Work: - _(is calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft. /L.Ft added: Squares a1•ti4 BTU's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR)
PRINT NAME: SIGNATURE: Date: