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6840 W. 36th Place
j s City of Wheat Ridge Residential Roofing PERMIT - 201706948 PERMIT NO: 201706948 ISSUED: 09/05/2017 JOB ADDRESS: 6840 W 36th,PL EXPIRES: 09/05/2018 JOB DESCRIPTION: residential re -roofing replace and install GAF Armorshield II asphalt shingles with 25sq pitch=5/12 *** CONTACTS ***" OWNER (319)431-1747 RICHARD PETERSON SUB (720)254-1462 Matthew Kempton 120061 Platte River Roofing Company *** PARCEL INFO *** *ZONE CODE: UA / Unassigned USE: UA,/ Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Use Tax 252.00 Permit Fee 236.00 ** TOTAL ** 488.00 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. A It City of Wheat Ridge Residential Roofing PERMIT - 201706948 PERMIT NO: 201706948 ISSUED: 09/05/2017 JOB ADDRESS: 6840 W 36th PL EXPIRES: 09/05/2018 JOB DESCRIPTION: residential re -roofing replace and install GAF Armorshield II asphalt shingles with 25sq pitch=5/12 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesfthat I am legally authorized to include all entities named within this document as parties to the work to be performed an at 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Up Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz ' +? 7b &94V 4-, From: no-reply@ci.wheatridge.co.us Pl VCk4! lIZ Sent: Thursday, August 31, 2017 9:46 AM To: CommDev Permits 7 Subject: Online Form Submittal: Residential Roofing Permit Application 71 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 C 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 L Property Address 6840 W. 6th Place Property Owner Name Richard Peterson Property Owner Phone 319-431-1747 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email rjonpl@gmail.com Address �J_ �F 60 41 Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes PRR WR 6840 W 36th Contract.pdf / CONTRACTOR INFORMATION Contractor Business platte River Roofing Company Name bL Contractor's License 120061 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 720-254-1462 19112 Mt. Zion Golden CO 80401 Contractor Email Address mrkempto@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: mrkempto@gmail.com 25 ✓ Project Value (contract12000 value or cost of ALL materials and labor) Are you re -decking the No roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 42 Does the scope of the project include a pitched roof (2:12 or greater pitch)? No ✓ -, 7c v6v- G( -P-40 Provide any additional complete re -roof remove all layers detail here on the description of work. (Is this f ouse or rage? What is the roof pitch? Etc) ! ) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of Yes Yes Yes Yes Yes 43 fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Elaine Laird Email not displaying correctly? View it in your browser. W :1 PLATTE RIVER ROOFING a, f3f38. RATING � • � > ..� .. a. IN110umlis FOR MG, co.rox�an So. 720.254.1462 ITAMIKO CertainTeedEl 4047 S. Wisteria Way, Denver, CO 80237 / Fax: 303.597.4122 aeon■e Pana rs www.plafteriverroofing.com / platteriverroofing@gmail.com CONTRACT FOR ROOFING SERVICES CUSTOMER ► t Ptkb ) t' Jt4 r � t) f.i DATE ADDRESS (c Y L` �./ • 36 t— P 1- PHONE 3 t '7 1 '► }y f ) CELL -31-11 CITY, STATE, ZIP l�%�>� �r`� i EMAIL N ` LA- THE APPROXIMATE DATE(S) OF SERVICE: PLATTE RIVER ROOFING INTENQS TO COMMENCE WORK PURSUANT TO THIS CONTRACT AS FOLLOWS: Lr.i s L WGl— �wcjl,w ►3- f�f 21 LL.Z3. 'L'!_ 2�. C 29 Z If the property owner plans to use the proceeds of a property and casualty insurance policy Issued pursuant to Part t of Article 4 of Title 10, C.R.S. to pay for the roofing work, pursuant to C.R.S. § 6-22-105, Platte River Roofing 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 roofing work on the covered residential property. Platte River Roofing shall hold in trust any payment from the property owner until delivery of the roofing materials at the residential property site or until Platte River Roofing has performed a majority of the roofing work on the residential property. Weather Permitting: Should the weather, at the sole discretion of Platte River Roofing, be unsuitable to perform the work described above, Platte River Roofing shall notify Customer in writing when said work shall commence, but in no case will said work commence later than __ days after the weather is no longer a factor and has been deemed suitable for the performance of the agreement. INSURANCE INFORMATION INSURANCE COMPANY 5f6 i -k Py`i-O-J" PHONE POLICY NUMBER CLAIM CG 6- 15 Id Z_ -L a SCOPE OF WORK MANUFACTURER /QUANTITY 1$� ROOF TYPE CIA 5 5 4 COLOR t Rb X- PROTECT LANDSCAPING REPLACE PLUMBING BOOTS x REMOVE ALL LAYERS TO DECKING %e REPLACE AND PAINT VENTS ,If REPLACE ROTTEN / NON CODE COMPLIANT DECKING X 6 NAILS PER SHINGLE X60 PER SHEET INSTALL RIDGE SHINGLE )( INSTALL DRIP EDGE k REPLACE METAL FLASHING RIDGE TYPE S All X INSTALL NEW FELTX HAUL AWAY ALL DEBRIS (NO ROLL OFF DUMPSTER X #30 _ #15 x MANUFACTURERS' WARRANTY ICE AND WATER SHIELD ON EVES/PER CODE PLATTE RIVER ROOFING '1 YEAR LABOR WARRANTY x PLATTE RIVER ROOFING WILL PULL ALL APPROPRIATE �K PERMITS AND FILE FOR FINAL INSPECTIONS HOA approvals are the responsibility of the Custo er x Satellite Dish realignment is the responsibility of the Customer X DETAILS C = Tf C �i6 t TOTAL PRICE $ 7 . -� 11 u i/ r in 5 ! CHECK $ t $ t o� )<.•u.. 3 CHECK C7 °`1-C r CHECK $ CHECK $ z -1 HOMEOWN5&9 SIGNATURE DATE / TIME COMPAN�REP DAT 1 TIME This agreement includes and is subject to the Terms and Conditions found on the back side of this page. i�i 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: "tea !c - !i1'1 . d Job Address: 90 W 31- 4) l Permit Number: 2 0 1-7 0 1,9 y g j - Q C 0 -q` ❑ No one available for inspection: Time AMM Re -Inspection required: Yes to When corrections have been made, call for re -inspection at 303-234-5933 Date: ! ! 5- 4-7 Inspector: Tt 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: -3,-�, C- Lt , _o J� __,,_� Job Address: S H C, Vj 3�, 0v Pt.._ Permit Number: 2 � ► -2- O G 9 L( � Pt,r V 4 — J ❑ No one available for inspection: Time I 1 , ► 5-' A PM Re -Inspection requiredY s No When corrections have been made, call for re -inspection at 303 -234 - Date: )11 I `i 11 -4 Inspector�N,.,: (cxa _ DO NOT REMOVE THIS NOTICE iM �► Jilin dress: (if different than property address) Address: Ci ty, State, hitectfE gir r E-mail hone Complete all inform ation on BOTH sides of this form gri titan of: (Check all that apply) INSPECTION RECORD Occupancvfrvpe 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. vv� INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Sheathing Reinforcing or Monolithic Lath /Wall tie Weatherproof / French Drain Mid -Roof Building Final Sewer Service Lines Electrical Service Fire Department Water Service Lines Rough Electric R.O.W & Drainage CONCRETE SLAB FLOOR Electrical (Underground) Plumbing "(Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Roof Lath /Wall tie Mid -Roof Building Final Electrical Service Fire Department Rough Electric R.O.W & Drainage Rough Plumbing I Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof o2' Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PU13LICE 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 CONSTITUTE AUTHORIZATION OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ f, l i CITY OF WHEAT RIDGE Building Inspection Division f (303) 234 -5933 Inspection line r (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: PrFr Job Address: 6),Sgo 6,L), Permit Number: /Pik I01 ' V ( % €u lY IV'On Q �J 7('fl ifq f f No one available for inspection: Time A PM Re- inspection required: Yes t When t corrections have been made, call for re inspection at 303 - 2345933 Date: Inspector: �r DO NOT REMOVE THIS NOTICE k, " 1 City of Wheat Ridge Residential Roofing PERMIT - 102704 PERMIT NO: 102704 ISSUED: 12/07/2010 JOB ADDRESS: 6840 W 36TH PL EXPIRES: 12/07/2011 DESCRIPTION: Reroof 19 sqs with 30 yr dim. shingles * ** CONTACTS * ** owner 303/913 -1460 Sam Lombardy sub 720/281 -2301 Francisco Peraza 09 -0257 Peraza Roofing ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,600.00 FEES Permit Fee 140.90 • Total Valuation .00 Use Tax 100.80 ** TOTAL ** 241.70 c9 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 'gnature, do hereby attest that the work to be performed shall comply with all accompanying approved plane and spec' ca @�li cable building codes, and all applicable municipal codes, policies and procedures, and that I am the le own or- have'"Hs n authorized by the legal owner of the property and am authorized to obtain this permit and perform e work, scribed and a roved in conjunction with this permit. I further attest that I am legally authorized to include all e ?named within this document as parties to the work to be performed and that all work to be performed is disclosed in this current �Dd�o ccompanying approved plans and specifications. nature o 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 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 fie i ction. Sig na re Chief Building Offical Date IN ECTION 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. Cit of Y Wheatj�idge Date: COMMUNITYDFVELOPMENT Plan # Building &Inspection Services Division Permit# �� •� (i -�, 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303- 237 -8929 Inspection Line: 303 - 234 -5933 q Building Permit Application ro ` A v fj �z • U) a! r �/ " det ess3 Property Owner (please print) ZD4�� i it� "em V�� f/ Phoneme 03 Mailing Address: (if different than property address) Address: (9 ( 3 j )v C,,A --C 1f "37— City, State, Zip: 1� eo R 03 RO OM : : epp, �Efa a r i eti'C� Contractors City License #: 0 0, - 7- Phone: M INIoAt�a�t4 Electrical: Plumbing: Mechanical: City License # City License # City License # s es"°erint on7o` of Contract Valuer 6 �o 1 NSri4 -l� Zt' 3d �c /1`� i e E � r w !� y n � - f �% $ © 7 t ,APE � ! l�"LChJ fiC9l� r�-� J " iN (t s Review Fee (due . at time of submittal): '7 8 40 f�, $ Squares BTU's Ilons Amps _ Sq Ft. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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 (AUTHORIZED RE S ATIVE) of (O R) (CONTRACTOR) PRINT N ArvrF,)—(,}tJ('.e Md P SIGNATURE: 1'�`E _ DATE: {a l c S