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Home My WebLink About3112 Mountain Shadows Drivei CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: s U,:,; Job Address: A��" f 49r— Permit Number: V Z'D7, r _7 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: �� Inspector: DO NOT REMOVE THIS NOTICE 41 Inspection Type: Job Address: Permit Number: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE e le U No one available for inspection: Time "j, AM/,,P-M Re -Inspection required: Yes No, When corrections are complete, schedule re -inspection online. Date: �`Inspector: DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge �� Residential Sewer Repair PERMIT - 202002675 PERMIT NO: 202002675 ISSUED: 12/28/2020 JOB ADDRESS: 3112 Mountain Shadows Dr EXPIRES: 12/28/2021 JOB DESCRIPTION: Sewer line repair in back yard, 20 feet. *** CONTACTS *** OWNER (443) 994-4806 WHITTIER NICHOLAS DAVID SUB (720)296-7972 TREVOR HARVEY 130129 AFFORD A ROOTER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Sewer Repair PERMIT - 202002675 202002675 ISSUED: 3112 Mountain Shadows Dr EXPIRES: Sewer line repair in back yard, 20 feet. 12/28/2020 12/28/2021 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�permrt. I further attest that I am leg ally 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 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 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 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 requ�ired 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, anviolation of any provision of any applicable code 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. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Thursday, December 24, 2020 11:29:05 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3112 Mountain Shadow Dr Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Nick Whittier Field not completed. CONTRACTOR INFORMATION Contractor Business Afford -A -Rooter Name Contractor's License 130129 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-296-7972 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email affordarooter99@gmail.com Address Retype Contractor affordarooter99@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 20' Location of repair Backyard (backyard, frontyard, etc) Provide additional N/A details including installation of clean- o uts. Project Value (contract 1500.00 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application 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. Person Applying for Robin Fulton Permit Email not displaying correctly? View it in your browser. 1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202002624 PERMIT NO: 202002624 ISSUED: 12/18/2020 JOB ADDRESS: 3112 Mountain Shadows Dr EXPIRES: 12/18/2021 JOB DESCRIPTION: Sewer line repair in the front yard - 2 10' repairs both 10' spots will have clean outs - 20' long *** CONTACTS *** OWNER (443)994-4806 WHITTIER NICHOLAS DAVID SUB (303)519-0240 R. ANDREW RUSSELL 120161 THE ELITE PIPE MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31700.00 FEES Total Valuation 0.00 Use Tax 77.70 Permit Fee 109.20 ** TOTAL ** 186.90 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. 1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202002624 PERMIT NO: 202002624 ISSUED: 12/18/2020 JOB ADDRESS: 3112 Mountain Shadows Dr EXPIRES: 12/18/2021 JOB DESCRIPTION: Sewer line repair in the front yard - 2 10' repairs both 10' spots will have clean outs - 20' long 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�permrt. I further attest that I am leg ally 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 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 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 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 requ�ired 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, anviolation of any provision of any applicable code 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. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Friday, December 18, 2020 1:41:53 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3112 Mountain Shadows Dr Wheat Ridge Property Owner Name Nicholas Whittier Property Owner Phone 443-994-4806 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email nia Address Attach City of Wheat WRP 12-18-2020 Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business The Elite Pipe MD Name Contractor's License 120161 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 7206624381 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email david@elitepipemd.com Address Retype Contractor david@elitepipemd.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 20' long Location of repair Front yard (backyard, frontyard, etc) Provide additional 2- 10' long repairs both 10' spots will have clean outs details including installation of clean- o uts. Project Value (contract 3700 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application 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. Person Applying for David salvidrez Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 1l7 Permit Number: ❑ No one available for inspecti n�iia�e AMi�M Re -Inspection required: Yes o When corrections have been made, schedule for re -inspection online at: h ttp✓/www. ci. wheatridge. co. uslinspection Date.3 Inspector: y DO NOT REMOVE THIS NOTICE e i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:�-- Job Address: Permit Number:%/',�� f ❑ No one available for inspection: Time M, Re -Inspection requiredYes o When corrections have been made, schedule for re -inspection online at: http://Www.ci.wheatridge.co.uslinspection Date:/ --',2-',- P"'? Inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Boiler Replacement PERMIT - 201902484 PERMIT NO: 201902484 ISSUED: 11/27/2019 JOB ADDRESS: 3112 Mountain Shadows Dr EXPIRES: 11/26/2020 JOB DESCRIPTION: Replacing 199k BTU, 95% efficiency gas boiler in basment. *** CONTACTS *** OWNER (773)994-4806 WHITTIER NICHOLAS SUB (303)232-6611 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,678.00 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 434.24 ** TOTAL ** 474.24 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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 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 partes to the work to be performed and that all work to be erormeisdisclosed 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 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 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 gra ting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apph%ible code or apy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Jhief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reply@ci.wheatridge.co.us Sent: Tuesday, November 26, 2019 4:05 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 3112 MOUNTAIN SHADOWS DR NICHOLAS WHITTIER 7739944806 PERMITS@APPLEWOODFIXIT.COM WHEAT RIDGE CC0).pdf CONTRACTOR INFORMATION Contractor Business APPLEWOOD PLUMBING HEATING AND ELECTRIC Name 1 Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3034585988 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@applewoodfixit.com Retype Contractor Email permits@applewoodfixit.com Address DESCRIPTION OF WORK What type of unit is being Boiler installed? Number of BTUs 199000 What is the efficiency 95 (%) of the unit? Is the unit GAS or GAS ELECTRIC? Where is the furnace or BASEMENT boiler located (for example, basement, crawlspace, etc)? Project Value (contract 20678 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 work Yes may not begin on this property until a permit z 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. 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. Person Applying for lacey mabe Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: QQ 06/0 3 ADDRESS , Iafi Un'» `0C -JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext, 206 Water Underground u( 1,17 Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof u( 1,17 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan PERMIT:r� IADDRESS:JI1 �.1�'I +m!�� lS JOBCODE:1`�i) Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls. i 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 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 q Al F Job Address: 7 Il q`� Matl4 k- I) J hri dagI )r Permit Number: 2o0o f003 ❑ No one available for inspectio Time � AM/PM Re -Inspection required: Yes 00 When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: g7—% DO NOT REMOVE THIS NOTICE W i CITY OF WHEAT RIDGE 9�(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 3 i i Permit Number: a p 1-7 e 5- g o 3 11 ,*on fi ��;1* ,-1c,� fin ❑ No one available for inspection: Time q - ) 7 4PPM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: ►a 2,;?')17 Inspector: `7`b DO NOT REMOVE THIS NOTICE 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: S In e /-I 1-- Tj f Job Address: 5,��C,4a0s br Permit Number: ❑ No one available for inspection: Time 1 �) -A-:M/PM Re -Inspection required: Yes N61 *When corrections have been made, call for re -inspection at 303-234-5933 r , Date:" / Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705803 PERMIT NO: 201705803 ISSUED: 08/09/2017 JOB ADDRESS: 3112 Mountain Shadows DR EXPIRES: 08/09/2018 JOB DESCRIPTION: REVISION; ADDING DECKING 90 squares Residential Re -roof to install GAF asphalt shingles - 90 sq *** CONTACTS *** OWNER (720)724-6614 CHAN JAMES SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 56,000.00 FEES Total Valuation 0.00 Use Tax 1,176.00 Permit Fee 777.85 ** TOTAL ** 1,953.85 u *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201705803 PERMIT NO: 201705803 ISSUED: 08/09/2017 JOB ADDRESS: 3112 Mountain Shadows DR EXPIRES: 08/09/2018 JOB DESCRIPTION: REVISION; ADDING DECKING 90 squares Residential Re -roof to install GAF asphalt shingles - 90 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 ame 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 ennrt. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed an at all vyok to be performed is dis osed�in this doaunent 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 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 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to ieId inspection. Signature of Chief Building Official Date ..,,p„ �.e..m...— c,,. ., .11.~ REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jjdg,e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY I Date: T� c��c Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Prooerty Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: G Y"o Phone: 72(o Contact Person: r, I\ I,v`�C Phone: —�U� - Contractor: I Contractors City License #: Contractor E-mail Address: I 11 Phone: �J Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps Btu's Squares l V Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHOR/ZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)1117 PRINT NAME: tel. (I� t L�- SIGNATURE: DATE: �l l ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201705803 PERMIT NO: 201705803 ISSUED: 08/09/2017 JOB ADDRESS: 3112 Mountain Shadows DR EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 90 sq *** CONTACTS *** OWNER (720)724-6614 CHAN JAMES SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 48,000.00 FEES Total Valuation 0.00 Use Tax 1,008.00 Permit Fee 706.55 ** TOTAL ** 1,714.55 *** 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) 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. . A 1 City of Wheat Ridge r Residential Roofing PERMIT - 201705803 PERMIT NO: 201705803 ISSUED: 08/09/2017 JOB ADDRESS: 3112 Mountain Shadows DR EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 90 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 perto d that all work to be peLformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in thepermit 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. 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 maybe 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 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 o egu tion of this Jurisdiction. Ap roval 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. Dan Schultz `Z017075 0__� From: no-reply@ci.wheatri dge.co.us Sent: Friday, August 4, 2017 5:15 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 3112 Mountain Shadows Dr Chan, James (720) 724-6614 formularoofing1 @gmail.com �I;7i4,S5 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Formula Roofing Name Contractor's License 110274 Number (for the City of� Wheat Ridge) Contractor Phone 3036008696 Number Contractor Email Address formularoofingl@gmail.com Retype Contractor Email formularoofing1 @gmail.com Address DESCRIPTION OF WORK Are you re-decking the No r roof? Description of Roofing GAF Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 90 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 l t 90 (pitched + flat) of all 2 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Install New Ice&Water with new Drip edge pitch 6/12 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 Dominick Orrino Email not displaying correctly? View it in your browser. 3 Customer Name: James Chan Address: 3112 Mountian Shadows Dr. Customer Phone:720-724-6614 Ph#2 Email: h.n::a•u. •m Claim -Insurance: Trgypipm ► .1/ ■ Adjuster Name: Tom Cooke _ - =Ma ter i t , WTATIIrA ;TOPP[R ROOrINf: COMPACTOR Rep: Beau Liss Phone: 303-898-2727 Email: Beau(a formularoofing.com Pitch: 5/12 Trailer Access: Yes Stories: 2 Adjuster Phone: Adjuster Email: TCOOKE2@travelers.eom Customer Ini ' Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Shingle Manufacturer: AGREEMENT Style of Shingles: Camelot 2 Color of Shingles Number of Squares: V7— Tear off # of layers: 4560 Columbine 5t. V1_ Replace Plumbing Jack: Replacing all Denver, CO 80216 FORMULA 303.600.0696 ROOFING a REMODELING Nailing Pattern: 6 per fAX 303.600.0654 Building Solu?ons for Colorado Customer Name: James Chan Address: 3112 Mountian Shadows Dr. Customer Phone:720-724-6614 Ph#2 Email: h.n::a•u. •m Claim -Insurance: Trgypipm ► .1/ ■ Adjuster Name: Tom Cooke _ - =Ma ter i t , WTATIIrA ;TOPP[R ROOrINf: COMPACTOR Rep: Beau Liss Phone: 303-898-2727 Email: Beau(a formularoofing.com Pitch: 5/12 Trailer Access: Yes Stories: 2 Adjuster Phone: Adjuster Email: TCOOKE2@travelers.eom Customer Ini ' Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Shingle Manufacturer: Style of Shingles: Camelot 2 Color of Shingles Number of Squares: V7— Tear off # of layers: Install Felt: Synthetic/3QIh V1_ Replace Plumbing Jack: Replacing all Replace Roof Vents: gppladnq all Ice and Water ShieldEves, valleys, penetrations Nailing Pattern: 6 per Drip Edge: Rill PP Appropriate County /City Code Requirements Clean-up and haul off all trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. Additional Warranty: Adding system plus. Homeowner Total Cost: 5 $49,742.35 Excluding permit and code requirements Gutters Full replacement (Chqrrn;;l gray) Windows Screens/Glazing Bead N/A Paint Fi ill ngint ($8,97.5-1110) Fence/Deck Siding Additional Comments: Doing all Roof related work as outline on insurance estimate. Customer By signing this contract 1, the property owner, agree to the above listed work being completed Initials as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power of Attomey to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with any and all dealings regarding the current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which, in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate CityiCounty Authority, Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds Customer allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling Initials once the work has been completed and funds have been released. 13�1 THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the property, whichever occurs first. Deposit Received: $Alone Approximate date of service commencement: TBD Insurance claims proceeds: Owner to remit ACV insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Lpon signing of the contract the owner reserves the right to a three day rescission period. if the contract is canceled after that three day period, customer will pay 25% of contract price. Customer Signature: ,TRsvies G/,0-4'7 Date: 06/30/2017 Customer Signature: / Date: 22 Formula Representative: C &L k L-! 55 Date: 06/29/2017 Doc ID: a011763a19d3ld33031246ebf6f6f545517a8f67 " V, 41 City of Wheat Ridge �r Residential Roofing PERMIT - 102735 PERMIT NO: 102735 ISSUED: 12/13/2010 JOB ADDRESS: 3112 MOUNTAIN SHADOWS DR EXPIRES: 12/13/2011 DESCRIPTION: Reroof 80 sqs with 30 yr dimensional shingles * ** CONTACTS * ** owner .303/202 -6033 Phil Zarlengo sub 303/674 -5951 Farley Lozonick 10 -0376 Archform LTD ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0714 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 23,000.00 FEES Permit Fee 410.35 Total Valuation ,00 , Use Tax 414.00 ** TOTAL ** 824.35 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. 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, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized b e legal owner of the property and am authorized to obtain this permit and perform the work described a appr i onjunction with this permit. I further attest that I am legally authorized to include all entities named wi do ent as art ies to the work to be performed and that all work to be performed is disclosed in this d4cumen s' nying a proved plans and specifications. �lgnatyre oy� V �x o.L�CONTRACTOR (Circle one) Date 1. This permi 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 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 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 in ec - Signature h' Building Offical Date I' INSPEC ION 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. ity of V YlctG Date: COMMUNiTy T3EiVE1,01TM EN f Plan # Building & Inspection Services Division Permit # 7500 W. 29 Ave., Wheat Ridge, CO 80033 �> Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Property Owner (please print) XI L Z, 4e Mailing Address: (if different than property address) Address: - �~ a r s Contractor: Contractors City License #: Sub Contractors: Electrical: Plumbing'. Phone: Mechanical: City License # City License # ,,. City License # Description o Contract Value: 2% ..$ ^A114 Review Fee (due at time of submittal): Squares WV - BTU's Gallons'. Amps -'- Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback dlstagges'prpposed by this permit appllcabon,.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. CIRCLE ONE: (OWNE O /NwT.�RA,C,,T�O/� �r (AUTHROIZED REPRESENTATIVE) of � � CONTRACTOR) PRINT NAME: �++7 �^+W^��✓'�' Sfti"RE: DATE: Bldg Valuation: $