HomeMy WebLinkAbout3148 Benton Streeti CITY OF WHEAT RIDGE
�Building Inspection Division
(303) 234-5933 Inspection line
�(303) 235-2855 Office • (303) 237-8929 Fax
,t1 PECU0 OT C
Inspection Type:'
Job Address:
Permit Number: 7727,
❑ No one available for inspection: Tim` AM/PM
Re -Inspection required Yes `t No
When corrections have been made, c.(i f tion
933
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nil A//1T n�ew�°■--
le CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:"
1 T
Job Address: �-
Permit Number:
❑ No one available for inspection: Time
Re -Inspection required: YeKz No'
�,F`'
*When corrections have b ' �`�
een made, schedule for re -inspection online at:
http://www,ci.wheatrifirlAn
N City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202000975
PERMIT NO: 202000975 ISSUED: 05/29/2020
JOB ADDRESS: 3148 Benton St EXPIRES: 05/29/2021
JOB DESCRIPTION: Electrical upgrade, 200 AMPS in house.
*** CONTACTS ***
OWNER (510)517-0998 MOE ALLISON
SUB (303)218-3555 ARENO KIRKENDOLL II 170182 KIRK ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,850.00
FEES
Total Valuation 0.00
Use Tax 143.85
Permit Fee 156.75
** TOTAL ** 300.60
*** 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. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
4 City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202000975
PERMIT NO: 202000975 ISSUED: 05/29/2020
JOB ADDRESS: 3148 Benton St EXPIRES: 05/29/2021
JOB DESCRIPTION: Electrical upgrade, 200 AMPS in house.
I, by in 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
thispermit. 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 that all work to be performed is disclosed in this document ancUor 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 the permit application and accompanyingplans 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change. of the na-tural 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, is uance or gra - i . g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
ap i le Bode or 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.
City of Wheat Ridge
05/29/2020 09:28 CBBA
Eloctrical upgrade'
CUA022782 HMUVM}
HPSP 3148 8onton St 300.60
APPL/PERMIT N0: 202000975
PAYMENT RECEIVED AMOUNT
PP / 7213 300.6O
AUTH CODE: 75793941
TOTAL 300.60
________________________
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, May 28, 2020 6:49 PM
To: CommDev Permits
Subject: Online Form Submittal: Electrical Service Change/Upgrade Permit Application
Categories: Dina
Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
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 Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
3148 Benton St
Julian Kollmeyer
952-412-1841
Wheat Ridge Electronic Payment Form.pdf
CONTRACTOR INFORMATION
Contractor Business Kirk Electric LLC
Name
Contractor's License 170182
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-642-5258
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address Info@kirkelectricservice.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
Info@kirkelectricservice.com
Upgrade
200
House
Provide additional details, Electrical service equipment upgrade from 100 amp to 200
if needed. amp.
Project Value (contract $6850.00
value or cost of ALL
materials and labor)
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
PJ
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 Areno Kirkendoll II
Permit
Email not displaying correctly? View it in your browser.
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:
Job Address: Gerdn r\
Permit Number: Dq,
❑ No one available for inspection: Time ` 'y5 ' 'SAM/PM
Re -Inspection required: Yeq,( No//
�a
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 Sewer Repair PERMIT - 201901795
PERMIT NO: 201901795 ISSUED: 08/27/2019
JOB ADDRESS: 3148 Benton St EXPIRES: 08/26/2020
JOB DESCRIPTION: Sewer line repair in backyard - 3 ft long/ installing cleanouts
*** CONTACTS ***
OWNER (510)517-0998 MOE ALLISON
SUB (720)319-4501 IAN BROWN 180100 SEWER LINES ONLY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,750.00
FEES
Total Valuation 0.00
Use Tax 57.75
Permit Fee 93.35
** TOTAL ** 151.10
*** 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.**
, A City of Wheat Ridge
Residential Sewer Repair PERMIT - 201901795
PERMIT NO: 201901795 ISSUED: 08/27/2019
JOB ADDRESS: 3148 Benton St EXPIRES: 08/26/2020
JOB DESCRIPTION: Sewer line repair in backyard - 3 ft long/ installing cleanouts
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 authonzed
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 that all work to be peri"ormed 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 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 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or ai�Lordinance or rkplation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Ofecial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
[cf
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 26, 2019 4:43 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application
Categories: Kim
Residential Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
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 Yes
residential sewer line or
water line repair - in yard
only?
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 ATTACH
RANDOM
DOCUMENTS**
3148 Benton St
Allison Moe
510-517-0998
allison.moe83@gmail.com
CC Auth.pdf
CONTRACTOR INFORMATION
1
Contractor Business Sewer Lines Only
Name
Contractor's License 180100
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-562-9800
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address info@sewerlinesonly.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
Location of repair
(backyard, frontyard, etc)
Provide additional details
including installation of
clean -outs.
info@sewerlinesonly.com
Sewer Line
3'
Backyard
Clean -outs will be installed
Project Value (contract 2750
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 Lisa Miller
Permit
Email not displaying correctly? View it in your browser.
PECTION RECORD
iN�P CTIQNREQUESTLINE. (303) 23 33
Inspections will not be paafonned wars dela OW is p0ow as tbo projoat siva.
Call the inrpoctioln est im boimv 11►09 p^ to rocalve an mon thofQUow brass day,**
insplecter Must Sign ALL Spiiitoos petrdnlent to psis P
Foundation Inspections Date Inspector r�rnsetttl
Pier
Foundation / RE Letter
Undergroundf$Iab Inspections Date
Elecbtoat
Sew Sorvioe
Rough inspections
wall Sheathing
Mid4W
Lath / Wali Tie
Rough Electric •
Rough PlumbinWfts Line
Date
Rough Framing
Insulation
Drywall Screw I Nall
Final Inspections Date
Final Electrical
Final Plumbin
Final Mechanical
Roof
Final Window / Doors
Final Building
Landscaping & Parking / Planning Crept.
ROW & Drainage / Public Works Dept.
Fire inspection /Fire Protection [fist.
wrtNft
comments
inspections from those entities should be requested
one week In advance, For landsciaping and parking
Inspections call 303,236,200. For ROW and drainage
Inspections call 303430-28511. For fire Inspections
contact the Fire Frtatectlon District for your project.
NOTE. All Items must be completed and approved by Plonning, Pubifo Wanks, Fire and Building before a Cer(Scolt
Of Occupancy is Issued. Approval of the Final Building Inspection does not const/tute authcrlsatian of occupancy,
"or low voltage permits --Please be sure that rough Inspections are completed from the Fire District and electrical low voltage
y the Building Division.
'For Inspection Time Window Requests — Please email InsQtimeracuest9cl wheatr ae.t>a.us by 0:00 A -M, the day of the
ispection with the property address in the subject line of the email,
Occupancy Is Not Permitted Until A Certificate of Occupancy is Issued
Prc tei'ct This Card From The Welaa fir
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division.
(303) 234-5933 Inspection Ii
(303) 235-2855 Office • (303) 237-8929 Fax
r INSPECTION NOTICE
Inspection Type: )�0
Job Address: 3
Permit Number: D-621-702-00
❑ No one available for inspection: Time
Re -Inspection required: Yes No:�
When corrections have been made, call for re -inspection at303-234-5933
Date: &f PCS ! / 17 Inspector: (�/ / D
DO NOT REMOVE THIS NOTICE
z
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: to i D
Job Address:
Permit Number:
-7/1
❑ No one available for inspection: Time ?, 1 '7 6 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re spection -03-234-5933
��
Date:_, .r Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702180
PERMIT NO: 201702180 ISSUED: 06/19/2017
JOB ADDRESS: 3148 Benton ST EXPIRES: 06/19/2018
JOB DESCRIPTION: RE -SHINGLE USING ASPHALT SHINGLES 17 SQ
*** CONTACTS ***
OWNER (510)517-0998 MOE ALLISON
GC (303)777-0333 Ron Tutton
021585 Homestreet Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,200.00
FEES
Total Valuation 0.00
Use Tax 130.20
Permit Fee 156.75
** TOTAL ** 286.95
*** 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 k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
i CITY -OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM PM
Re -Inspection required: Yes (IN o
When corrections have been made, call -for re -inspection at 303-234-5933
Date: �O/3 % Inspector: se) 2qjkt-
,P
DO NOT REMOVE THIS NOTICE
INS4�4�OD�SVECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
I mi
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy /YType
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
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
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
_
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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City of Wheat Ridge
Residential Roofing PERMIT - 201702180
PERMIT NO: 201702180 ISSUED: 06/19/2017
JOB ADDRESS: 3148 Benton ST EXPIRES: 06/19/2018
JOB DESCRIPTION: RE -SHINGLE USING ASPHALT SHINGLES 17 SQ
*** CONTACTS ***
OWNER (510)517-0998 MOE ALLISON
GC (303)777-0333 Ron Tutton 021585 Homestreet Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,200.00
FEES
Total Valuation 0.00
Use Tax 130.20
Permit Fee 156.75 -
** TOTAL ** 286.95
*** 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 A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702180
PERMIT NO: 201702180 ISSUED: 06/19/2017
JOB ADDRESS: 3148 Benton ST EXPIRES: 06/19/2018
JOB DESCRIPTION: RE -SHINGLE USING 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 app;amauth
cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property anorzedtoobtain thisin conjunction with
thisermrtIfurtherattestthatIam lallyauthorizedtoinclude all entities named within this document as parties to thework to be
performed and that all work tobe perrmed 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial and is not guaranteed.
4. No work of an mann shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit ho s all n ify the Building and Inspection Services Division in accordance with established policy of all required
inspectio nd shall not oceed ce I work without written approval of such work from the Building and Inspection Services
Divisi
6. The : suance or gr ti a permit sha not be construed to be a permit for, or an approval of, any violation of any provision of any
app cable code or ordin ce or re lation of this Jlirisdiction. A cawork is subject to field inspection.
Signature of Chief B lding Offic' 1 Date
REQUESTS MUST BE E BY 11: 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time req ests will be ccepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am an 8.00am, the morning of the inspection. Please put the address of the inspection in the subject line.
9797 E. �A51. K AVE tliTE 5
CFNTENN14-,-+J!30112 BB
PH. 303-7T7 0333 ' —T
HomeStreet
FAX 303-649-2194
ROOFING, INC,
"Find us at Troubteshootor corn on
Torn Martino's exclusive referral list"
NAMEE-MAIL ADDRESS
N) I1�,.►_ Y`�t t- _
STREP= �^'� DATE to
'f �i __ _ _ `7 .......... ....
CITY �Z' i ESTIMATOR
...........
PHONE J APPROXIMATE DATE OF SERVICE
We Propose Qj.CL JCir
To furnish material and labor complete in�accorcance vvith specifications below for theq im of:
Payment to be mace as foliaws: 2,Qi 0 __ dowr�::k f balance upon completion of v.
SPECIFICATIONS FOR LABOR AND MATERIAL
TERMS AND CONDITIONS
{please ead refuel j
::l Recover roof with At W
D Tear off
U Install felt .
O Style of shingles
LI Calor of shingles
Ll New Valleys ;
U Ridge __�Z
!J Galvanized Nails or Staples
J Replace plumbing jacks n,.
Paint root stacks
Install _ ... .- _. FYI edging_yi_
J Turbine vents -
u Tar and grv !
U Year, guarantee on labor
�, HomeStmet Roofing, inc. to furnish all
� material and labor
Permit furnished by HomeStreet Roofing, Inc.
Clean-up & haul off all trash from roof
Rall yard with magnetic roller
Gutters cleaned of roc debris
J Extra work _,. (DC7 ��} ca.t'1Il-.r
HomeStreet Roofing, Inc. will hold in trust any payment from
the property owner until the contractor has delivered the
roofing materials to the jobsite or has performers a majority
of the roofing work on the property.
INSURANCE ALLOWANCE AGREEMENT
Inve agree to retain HomeStreet Roeting, Inc. o rfipla:^e anc/nr repair the rod'
tris property arora:w I one':i, cr .l ngrnl a nn HomeStreet floAng, Inc oblaining
in.,urannp, rontpp.ry's appr,-val and payment to nave ser,u work dove. It is undeist(
ante agreed liat HomeStreet Ru ting, Illic, is to csmact my irsutance carrier and m
wr:h ;their represenlawt ;n order l* discuss the repair or replacement r,,ork to be don:
file Wperly. Upon irtsurarce car ior's and HoinacStmet Roofinc, I^c. agreeriont to
ex-.ent,c the damages ant cost of fixing them, HcrroStroet Rcotng, Ind. may begir to ::
or said propo-t;. HOkrEO'vVt%ER*S OUT-OF-POCKET G3iP=NS[ WILL NOT Cxr[
HOn"EOWNEP'S INSURANCE POLICY DEDUCTO F FE)Ft WORK AGREED UP
BETWEEN TI IC !NSURANGE cAnn.Eft AND HCN.IESTREE I Hoo`inc, Inc. Nomec°r.
also agrees to ftriFAls all nacp 4Ary rincLmPrilation for claim ialsa prmiling W,, pe'tir
oDcurrentairr, to tacilitw.e payment from insurance currier artd!cr A;arlga.Ie Cortrpa
HomeStreet Aooftng, Inc, reservEs the right it) hie for settlement claim du- to ma;era
'abur sour a c hue to at -,krill cInviron-tern or lrtsurarce rreasurar.ents are proven t
'ncd eh :.
All r^zterfa! is 'Aiarantred to be specified. Alkwork is In toe cnmple:P.n in a vrnrkn
Him manner according to standard practices. Hnmeawnan hereby ackno.vlacge
HomeStreet Noofina, Inc. may be su::joct o de ayx oeuasisned to rc,lenienl weal
Ia ar disputes, material oho"ages an ;;or i isurance carrier deieys which a e beyond
can ro of Homestreet -i o'ing, Inc. and hereby accepts any delays occasioned by or.
al of Vlese ci cumS'an es n f 0 mstallafion of your roof. Homo nor grarits full accts
the entire property for Staging and xecutior of woe-, unless otnerr rse agr_ed
Alteration er dcv do .-• from the abo m specifics -.ions involving extra costs
executed only upon wrttter, crde and will become an extra chBnjA over and aotyo.,
esint N. Also, HomaStrpat Rc Muni !ric..esarv" trip right :o hip ler supe a nPnf dm
d ie In afgrial nr ab r pricy increases MR to to the -,torn environnient or if nsura
mP su.ernen s rrK or U' e.'1 to be incontsi:,. Labor and F-sterial warranty covers _:i
Homeowner tc carry fire, tornado and all necessary insurances. HomeStreet Roo
inc. vil, not be rospon ble for ory oompsc for or deo mpressron of the nomc that r
oft
in walls or floors cracking, An extra charge wit reser if Tiny s ding M'. oro or F
remaeal is needed for prninor installlrion of roof flashing or gutta .epiarer-enr WE
not be respr,nsible fo dama ;es to -hese materials, if maters,. need io he rP-lacei
Ne etent of any logal acuor by tt a parties wissintt tits, (il that runtrhel. Iho u8si, p
shkill psiv.11pf revnilin,t .,sew s t rea�uiistil2. alk,rnr-fs lees an.. cost m addition to all a
awarood retef. t
In§urance Com,nary:
Policy No.#:
Date:
Claim No 4:
Signature:
Date:
ACCEPTANCE OF PROPOSAL
You have the right to rescind this contract and obtain a full refund of any deposit within
72 hours after entering into the contract. If you plan to use the proceeds of a property
insurance claim to pay for the roofing work you may rescind this contract within
72 hours after you recieve notice from the insurer :hat tiie claim has been denied in whole or in
part. Homestreet Roofing cannot pay, waive; or rebate the homeowner's insurance deductible
in part or in whole. Cancellations occurring after the third day will incur a charge of
20 percent of the fug rite ct amount or insurance claim amount, whichever is
applicable. d
Signature
HomeStreet Roofing, Ir. Representative
OUR SURETY & LIABILITY INSURER;
David Leigh DBA 4 Comers Insurance Ser.
1657 Ensenada Way, Aurora, CO 80011
Ph: 720-98"-2471, Fax: 303-221-3350
Signaturel6�7
Signature
Date of Acceptance / /
Antoinette Kulick ao 1:1- p a % (�,
From:
no-reply@ci.wheatridge.co.us
Sent:
Sunday, June 11, 2017 5:49 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
3148 BENTON ST.
ALLISON MOE
510-517-0998
Field not completed.
Yes
CONTRACTOR INFORMATION
Contractor Name
HOMESTREET ROOFING INC.
Contractor's License
021585
Number (for the City of
Wheat Ridge)
Contractor Phone
303-777-0333
Number
Contractor Email Address
rontutton@msn.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
rontutton@msn.com
Address
DESCRIPTION OF WORK
Is this application for a
Yes
new permit for a
residential roof?
Are you re -decking the
No
roof?
Description of Roofing
TAMKO 30 YEAR
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
17
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
17
roofing material for this
proj ect
2
Provide additional detail HOUSE AND GARAGE
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6200
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 RON TUTTON
Email not displaying correctly? View it in your browser.
3
Certificate 1111
Of Completion
Building Division
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001
Permit#:201500620 Issued: 11/18/2015
Stipulations: Basement bathroom
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met.
Site Address: 3148 Benton ST
Owner; ALLISON MOE
3148 BENTON ST
WHEAT RIDGE CO, 80214
Contractor:
For the Following Purpose: Residential Remodel
Code Editions NO change shall be made in the USE of
2012 ICC/2014 NEC this building without prior notice
2006 ICC/2011 NEC and a new Certificate Of Completion
2006 ICC/2005 NEC from the City of Wheat Ridge.
Other el
Chief i ding pspector —To—n-ir-ng �Administrator
CERTIF' I CATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
FOR OFFICE USE ONLY
City of � a�er�
F991e
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Fridge, CO 80033 Frere review
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-231-5933
Building it Application
please complete all highlighted areas on both skies of this, form. Incomplete applications may not be processed.
Property Address
Property Owner Email*
�r
Mailing Address: if different than property address)
Address:
Cit , State,Zi
Architect/Engineer E-mail: Phone:
Contractors City ;L.l n s ho
Contractor E-mail dress:
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.F. City license # W.R. City License
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc)
RESIDENTIAL ACCESSORY STRUCTURE
w.
MECHANICAL x•• x • a. +* or REPLACEMENT
PLUMBINGx er • x ar x w or ■s r.. x
,ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTWE,2 Ckescribel
Sq. FULF Btu's Gallons
Amps Squares Other
m
3G)'
INSPECTION RECORD Occupancy/Type
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
-
Reinforcing or Monolithic
/l3
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
ruun NUUUNUNCIC UN IILH VVe nAS MLLNDIGNtu
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground)
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
-
Roof
/l3
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking &- Landscaping
`
' "NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS'CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
' � Building Inspection Division
�r (303) 234 -5933 Inspection line
r (303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: '69 0,4
Job Address: S
Permit Number: /0-10/7
n
i r
C
i
€ 7 No one available for inspection: Time '49 AM /F9
Re- Inspection required: Yes t No
* When corrections have been made, Gaff for re inspection at 303 - 234
Date: w -10 Inspector:
f 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: GFCrB' !7
Job Address: f�( l�E zi 7,nin 5r
Permit Number: I n ?t() ( 7
I
❑ No one available for inspection: Time 10' 7F AM/PM
Re- Inspection required: Yes No
* When corrections have been made, call for re - in pection at 303
Date: O - Z - t) Inspector: kb.,
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 102017
PERMIT NO: 102017 ISSUED: 08/23/2010
JOB ADDRESS: 3148 BENTON ST EXPIRES: 08/23/2011
DESCRIPTION: Reroof 17 sqs with GAF Royal Sovereign shingles
* ** CONTACTS * **
owner 303/601 -9548 Todd Christensen
sub 303/425 -1083 Matthew Rock 01 -7908 Rock's Roofing
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0525
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,534.00
FEES
Permit Fee 172.60
Total Valuation .00
Use Tax 135.61 C
** TOTAL ** 308.21
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 mad are accurate; that I have read and agree to abide by all conditions printed on this
application and that I as full re ona ibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
S
s ble Wheat R" Ord' nc esA under this permit. Plans subject to field inspection.
Signature of coxtbractor /owner 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.
S. 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 rev'ew s subject to field inspections.
Signature Building Official date
INSPEC ON 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.