HomeMy WebLinkAbout3680 Eaton StreetFrom: no-reolv(alci.wheatridae.m. us
To: Comr-Dev Perm is
Subject: Online Form Submittal: Residential Egress Window Pennit Application
Date: Wednesday, December 8, 2021 10:50:51 AM
Residential Egress Window Permit Application
This application is exclusively for RESIDENTIAL EGRESS WINDOWS ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORMAN D
ENGINEER LETTER STAMPED DETAIL SHOWING THE U -VALUE OF THE
WINDOWCUT 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
existing EGRESS
window(s) needing
vertical cuts only?
PROPERTY INFORMATION
Property Address 3680 Eaton St. Wheat Ridge, CO 80212
Property Owner Name Nick
Property Owner Phone 360-470-2237
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address - Do not enter
a contractor email
address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
n.a.stuth@gmail.com
Wheat Ridae Payment auth form. Did
CONTRACTOR INFORMATION
Contractor Business GREAT ESCAPE EGRESS
Name
Contractor's License
160161
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
7202381264
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Michelle@GreatEscapeEgress.com
Address
Retype Contractor
Michelle@GreatEscapeEgress.com
Email Address
01:K161CiI91 ffl0N]&TO(6]N:/
Number of EGRESS 2
windows being
replaced
Location of EGRESS Bedroom 1, Bedroom 2
window(s) being
replaced (for example,
master bedroom,
kitchen, bathroom,
etc):
What is the u -value of .26
the EGRESS
window(s)? City of
Wheat Ridge requires
the u -value to be .30
or better on windows.
Attach copy of GEEW 2021 026 3680 Eaton St Wheat Ridae CO 80212.odf
Engineer stamped
letter showing vertical
cuts detail and u -value
Project Value (contract 3500.00
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 Paul Kruse
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
Inspection online form: http://www.cl.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: &"r' ADDRESS._ -j �F-« ��� JOB COD7,:
T
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
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
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
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT; L/41 ADDRESS:_ ) E-C�--6 Z JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
P
320 Drywall screw and Nail
321 Moisture board / shower walls
2
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
P
406 Final Mechanical Commercial
407 Final Plumbing Residential
2
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address 3680 Eaton St Wheat Ridge
Permit Number 201800141
Permit Issued Date 01/12/2018
Owner Information
Property Owner Information Mark Brown
Property Owner Address 3680 Eaton ST Wheat Ridge Co 80033
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforthh-Travis Stanforth
Inspector Contact info. 720-940-1180 TStanforthCBCna gmail. com
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to be in compliance with the minimum requirements of the 2012
IRC and 2012 IBC as well as the City of Wheat Ridge Policies and Procedures and
manufacturer's reco endation and specifications.
Inspector: Date: lz�
Property Owner Statem94 of Acknowledgement
*1 hereby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge B�iad.DivEo irispe,ctic
Property Owner/Agent: Date: �/'
This original document, as well as the roofing checklist, must be submitted to the Chief
Building Official within seven days of the final inspection.
Drop off in person
Permit Counter 2nd Floor
7500 W. 2911 Ave
Wheat Ridge, CO 80033
CBC Wheat Ridge Roof Inspection Packet
Submit via Email
Kcook(a ,ci.wheatridqe.co.us
Page 2 of
6
1 i F •
Mid -Roof
Roof it 202110
O N/A D Pass 13 Fail
Pass c Fall
Structural roof components
Cl NIA
0 Fall
Verify that no more than 2 layers of shingles exist
* N/A � Pass
Pass sa Fail
Flashing for roof and walls
to N/A
0 Fall
If new sheathing is installed verify that it is listed in the
0 Pass
permit description (Valuation must be adjusted)
I N/A ❑ Pass 0 Fail
)
Verify sheathing nail pattern ( See policy & Proceedures)
0 Pass 13 Fail
Crickets and saddles where needed
XN/A
Pass 0 Fair
Verify B vent must have hoot same gauge as pipe
M N/A
a N/A Pays 0 Fall
Verify Fent caps
Q Fail
Verify no flashings are damaged or rusted
0 N/A A Paas
D N/A ; Pass 0 Fail
Step flashing shall be min. of 4x4 piece per shingle
0 N/A )r Pass i? Fail
Verify scuppers allow for proper drainage
Pays ea Fall
Ice and water shield 2' in heated wall spaces
0 N/A
0 N/A � Paas a Fall
Underlayments must follow 2012 IRC / 2012 IBC
Paw 0Fa;l
NIA Pa
Verify roof slope for proper drainage
a Fall
Dripedge shall have min of 2" overlap
a N/APass
c Fail
Dripedge should extend down min 2" past roof deck
0 N/A X/ Paz
U N/A )y Pass Q Fail
Dripedge shall be mechanicaly fastened 12" OC
Q Fall
90 LB roll roofing shall not be applied to roof slopes
rvA a Pass
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with rain. slope of
1:12
Q Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A a Pass
0 Paas a Fail
Above roof insulation R-25
N/A
NIA Q Paas 13 Fail
Below roof residential R-38
c Pass 0 Fall
Below roof commercial R-32
;NlA
A Paw o Fail
Modified Bitumen, EPDM, TPO min slope 114:12 slope
must be installed In accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
�e�ef WOU!
&"uI e-- the
a Pass a Fail
metal roof shingles shall not be installed on slope less
N/A
1
3:12
l
a Fail
Metal valley flashing shall be the same material as roof
N/A El Pass
Metal valley flashing shall extend a min of 8" from the
/A a Pass a Fail
centerline with a min. of 3/4 " high splash diverter
Mb built4n at the flow line with sections overlapping a
a min. of 4"
Tllg Roo ®Mi�n�®nCs
0 Fail
Clay and concrete the shall have a min. 2-11 slope
- NIA a Pass
aynrtent
Slopes 4:12 and under rewire double underlay
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
Company Name: Certified Building Co sultants
Inspector Signature:
Date of Inspection:
CBC Wheat Ridge Roof Inspection Packet Page 3 of
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Ro�af_In esA, c#1on
13 N/A a Pass 0 Fall
p N/A >� Pass 0 Fail Structural roof components
* N/A Pass a Fail Verify that no more than 2 layers of shingles e)ist
* N/A /Pass a Fail Flashing for roof and walls
a Pass o Fall If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
0 Pass 0 Fall Verify sheahing nail pattern ( See policy & Proceedures)
CZ Pass a Fall Crickets and saddles where needed
a N/APass a Fail Verify B vent must have boot same gauge as pipe
* N/A X Pass is Fall Verify vent caps
C1 N/A Pass o Fall Verify no flashings are damaged or rusted
Q N/A Pass 0 Fall Step flashing shall be rain:. of 4x4 piece per shingle
a N/A Pass a Fall Verify scuppers allow for proper drainage
0 N/A Pass et Fail Ice and water shield 2' In heated wall spaces
la N/A Pass a Fail Underlayrnents must follow 2012 IRC / 2012 IBC
0 N/A Pass m Fail Verify roof slope for proper drainage
0 N/A Pass Q Fail Dripedge shall have min of 2" overlap
o N/A Pass 0 Fall Dripedge should extend down min 2" past roof deck
D N/A Pass 0 Fail Dripedge shall be mechanicaly fastened 12" OC
N/A ci Pass 0 Fall 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios,, carports, open on gree sides WO mtn. slope of
9:12
N/A o Pass o Fall Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A 0 Pass c Fail Above roof insulation R-25
t N/A a Pass D Fall Below roof residential R-38
NIA o Pass D Fail Below roof commercial R -32
A c pass 0 Fall Modified Bitumen, EPDM, TPC} min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final Inspection
Ma1 &S f� lea &eguiremenk
N/A D Pass 0 Fall Metal roof shingles shall not be installed on slope less
3:12
WA 0 Pass �► T-411��E11 vail�r �sil nt� afia�1 il� the same ma#esiat as r®af
N/A o Pass 4 Fail Metal valley flashing shall extend a min of 8" from the
_ centerline with a min. of 3/4 " high splash diverter
rid built-in at the flow line with sections overlapping a
a min. of Orr
File E122—ft 29U1 rats
N/A 0 Pass 0 Fall Clay and concrete the shall have a min, 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 5 of
5
City of Wheat Ridge
Residential Roofing PERMIT - 201800141
PERMIT NO: 201800141 ISSUED: 01/12/2018
JOB ADDRESS: 3680 Eaton ST EXPIRES: 01/12/2019
JOB DESCRIPTION: Residential reroof remove and install GAF Timberline HD Asphalt Shingles in
weathered wood with 15.05 squares. Pitch=4/12.
*** CONTACTS ***
OWNER (303)520-4540 BROWN MARK A
SUB (303)750-4295 Seth Curry 170393 4th Dimension Concepts
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,020.00
FEES
Total Valuation 0.00
Use Tax 126.42
Permit Fee 156.75
** TOTAL ** 283.17
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201800141
PERMIT NO: 201800141 ISSUED: 01/12/2018
JOB ADDRESS: 3680 Eaton ST EXPIRES: 01/12/2019
JOB DESCRIPTION: Residential reroof remove and install GAF Timberline HD Asphalt Shingles in
weathered wood with 15.05 squares. Pitch=4/12.
I, bm signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
app 'c le building codes, and all a e municippal codes, policies and pr cedures, and that I am the legal owner or have been authorized
by th legal owner of the pr and am thorized to obta' permit a perform the work described and approved in conjunction with
thisit. I further a at I am le y authorized d all entitie amed within this document as parties to the work to be
perfp d and th w o s /or its' accompanying approved plans and specifications.
Sig ture or CONTRACTOR (Circle one) Date
1. his pe was issued based on the information provided in thepermit applic ' n and accompanying plans and specifications and is
s bject to t compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. is permit s all expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
r ceived prior o the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
ficial and maybe subject to a fee equal to one-half of the original ermit fee. 1
3. I his permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
re irements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the hief 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, an violation of any provision of any
applicable code or anyo dinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
e.
Signature of Chief Building Official ate
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
La enia Reimer C:>�
(,l
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, January 12, 2018 9:02 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories:
STOP WORK ORDER, Gina
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
3680 Eaton
Mark Brown
Property Owner Phone (303) 520-4540
Number (enter WITH
dashes, eg 303-123-4567)
Al -6, � _�
Property Owner Email
mzeitgeist@icloud.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Brown- Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
4th Dimension Concept
Name
Contractor's License
170393
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
7206970232
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
1730 S. Abilene st. suite 204
(Primary address of your
business)
Contractor Email Address
jcontreras@4thdc.com
Retype Contractor Email
jcontreras@4thdc.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
15.05
the entire scope of work:
Project Value (contract
6020
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
PJ
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
15.05
GAF timberline HD in weathered wood
Asphalt
remove and replace laminated shigles
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
3
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.
Name of Applicant Seth Curry
Email not displaying correctly? View it in your browser.
h 1
nn 4h Dimension Concepts, LLC
cep s &Ctwl;� ace �f ae sea& 0� a010,0.4d'(11
M 1_11 i BBB. r
O- 1,
PROPERTY OWNER
PRIMARY PHONE
STREET ADDRESS
SECONDARY PHONE
N
CITY, STATE, ZIP
EMAIL ADDRESS
INSURANCE COMPANY CLAIM #
PROPOSAL DATE
Scope of Work:
Roofing Manufacturer
Roofing Product Roofing Color
4DC - 5 Year Roofing Labor Warranty
4DC - $1,000,000 Liability Insurance ❑ Register Manufacturer Warranty
Provide City Building Permit
❑ Tear off--!— Layer(s) of Composition &_ Layer(s) of
Inspect Decking & Attic
❑ Install All New Decking ❑ Replace Damaged Decking Where Necessary
%E] Install Starter Course Shingles
Install Underlayment—.0 Install Ice & Water Shield along Eaves & all Protrusions
Install Drip Edge (Color
E], Fortify valleys using—❑ Install Valleys — Closed- _-Open_ (W)
❑ Install Upgraded Ridge Vent System
❑ Install New Turtle Vents El Install New Step Flashing (sidewall, chimney, skylights)
1771 Install Upgraded High Profile Ridge Cap ❑ Install Classic Style Ridge Cap Install New Vent Pipe Flashing (aka. jack or boot)
Install Design Course along Headwalls
0 Remove & Cove P Detach & Reset -
4
�ElSweep Site with Magnetic Roller
Clean Up Trash & Clean Out Gutters F] Other
Additional Work/ Special Instructions:
Approximate Date(s) of Service: 'Pa ment Terms:
(4th Dimension Concepts is not responsible for ai , , . , Icasualty insurance carrier's delay or denial of an insurance claim, in whole or in part).
WORK TO BE COMPLETED IN ACCORDANCE WITH THE SPECIFICATIONS ABOVE FOR THE COST OF: $
Ar
r 11�
'1�; 1 lle6 _ I $ , � :;, " —Dollars
By approving this agreement, the property1owner authorizes 4h Dimension Concepts, LLC to represent the best interests of the property owner for restoration of
damages. 4"' Dimension Concepts, LLC shall communicate with the property and casualty insurance company to come to an agreement for works to be performed.
Following approval of claim, 4th Dimension Concepts, ULC will complete specified work for a price agreeable to the insurance company and to 4" Dimension
Concepts, LLC with no additional cost to the property owner except for the deductible. This agreed upon price shall become the final contract price, and 4'h
Dimension Concepts, LLC will receive all insurance proceeds for work completed by e Dimension Concepts, LLC.
The property owner isla's not EIntending to make payment from the proceeds of a property and casualty Insurance policy. Pursuant to C.R.S. Section 6-22-105,
4th Dimension Concepts Cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for
payment for work on the covered property. e Dimension Concepts shall hold in trust any payment received within financial institution until the delivery of
materials.
Pro_pe4y OZ_Ir'(s) Signature(s)
e Dimension Concepts Representative Signature
1730 S. Abilene St. Suite 204
Aurora, CO 80012
www.4thdc.com
4 �ewtkwew " Co#,rp"
If O�
Acceptance Date
%
Acceptance Date
Office: (303) 750-4295
Fax: (303) 459-5111
" ' City of Wheat Ridge
- r�
Residential Roofing PERMIT - 102084
PERMIT NO: 102084 ISSUED: 09/01/2010
JOB ADDRESS: 3680 EATON ST EXPIRES: 09/01/2011
DESCRIPTION: Reroof 15 sqs
* ** CONTACTS * **
owner 303/424 -8379 Alcott
sub 303/670 -3048 Terry Harper 01 -8383 Harper Services
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0460
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Permit Fee 140.90
Total Valuation .00
Use Tax 108.00
** TOTAL ** 248.90:x`t;,-s ^.,,
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contractor /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.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of violation of the provisions of the building codes or.any other ordinance, law, rule or regulation.
All placylreAe , n subject to field inspections.
Signature
INSPECTION 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.
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Building S. Inspection Services Division Permit
7500 VV. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 ` Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Buil PerrnitApplicatioD
Property �tld ess: 3 (080 9 ii
C Q TDY�
Property Owner (please print): A le- a - _ Phone:_ y LS/ • � 3 ]�
mailing Address: (if different than property address)
Address: 5c• t
City, State,. Zip: —
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Corifra .: c s
Contractors City License #: Phone: 3& 3 4 7 o Soy 3o 3 G f'
SubCoratrar_Ydrs
Electrical Plumbing: Mechanical: J063
City License # City License # City License #
�Grto. C o d /&_ Prf Contract Value:
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r � � � e` Review Fee (due at time of submittal):
Squares IS BTU's Gallons Amps Sq Ft. $
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 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 (OWNER) (CONTRACT or (AUTHOR/ZEDREPRESENTATIVE f (OWNER) (CONTRACTOR)
PRINT NAME: •
SIGNATURE: G l �. rLe- DATE:
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