HomeMy WebLinkAbout3770 Newland StreetCity of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: January 9, 2018
Reason: Contractor cancelled permit for 3770 Newland Street as the work was
included on a separate permit, Permit No. 201704223 needs to be refunded.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 172.60 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 157.71 (acct 01-500-02-505)
Total: $ 330.31
TO:
Gold Star Premium Roofing
1425 Brentwood Street
Lakewood CO 80214
Thank You!
Z,: C004
Permit Technician
i
City Of
COMMUNITY DyELpQMENT
City (.f Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.89,
Refund App
lication
plete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
)ved without prior, approval from the Building Official. The refund application must be received by the
it Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
3t Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033.
Name/Name (to whom check should be made out to):�� t� C� P r_0,."t t
S7--
State: (fle Zip:
ae:� s� 6J Fax: Email: 5 PZ X295 Pe
Permit #: wt) t �% �► _ Permit Address:
0
for request:
A-0
t�-
LA-�
0 �-
- _ -.
Name: "
Signature: Date:
office use only
s request has been:. proved Denied
Refund Amount: $ 3�03
)roved by:
Date: j1q /I
www.ei.wheatridge.co.us
City of Wheat Ridge
Residential Roofing PERMIT - 2017042:23
PERMIT NO: 201704223 ISSUED: 07/17/25,17
,VB ADDRESS 37"1i Newland ST EXPIRES: �7/17/M8
JOB DESCRIPTION: Residential 'Re -roof to install Tkamko Heritage asphalt shingles with 24 sq,
ACT +r
OWNER 214-8rj2-5359
joHN mooRE
5 LYS (303)593-2761
Caine Knapp
170225 of Star ire miwm Roo -Flag
PARCEL INFO
ZONE CODE.
UA Unagsiq-ted
VA t Linasol9ned,
SURnIVISION CODE:
UA Una!�,,siq ".4
BLL0T#; C,
FEE UMARY
mo- 01
0
ESTIMATED
PROJEC'Ir .`,t -TI R® 7, 510, �V
FEES
Total Valuation
0*.00
Use Tax
151,71
Permit Fee
* * TOTAL * *
172.60
330.31
ifN
COY,4MTS
CONDITIONS
auAyir4r
Effective Decefter 1, 2C14, alt sus I nsta t i veo-a an ap dr r)o f
to
inspection, conducted when 2 perce' o e ra co rig �k 2n$ t Prior to final
0
.e en
is
I
approval. Installation of roo,, eath', (n or o rlay e- .TA i roved inspection
prior to installation oi. ANY ov ngs is�:tequir on the en ire roof wher, spaced
Co
or board sheathirig with ANY aha Cee he on I rol� ex.,:itf4. Asph,*_t shin lea are
reTalred to be �fastened to the f with- imn;m of 6, nails per `�`nTie. -4ce and
water shield is required. Rare r F C _7 a reqt�lred. A ladder , xl, r,ling 3 feet., above
the roof cave and seclized it, pla - ex�,ired to be provided for all r,,of _napctlons.
Roof ventilation is required to c w- I
th applicable codes and/or
instlallation instructions, whichev a rore stringent. In order to pass a*f`in4l inspection
of elastomeric or sirailar type roof verings, a letter of inspection and approval frog; tine
manufacturer technical representative stating that "th4a app-lication of the roof' at tproject
addrass} has been applied in accordance with the installatroo
ion instruction fore (f
material brand name) roof covering" is requited to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 FITCH: 3rd party inspection will he requiter.$, the 3rd
party inspection report will be collected at final roctf 4nSpeCtjt,-n performed by City of
Wheat Ridge. if report is not available the final inspe,!tion will not be completed,
. . .. . . .....
City of Wheat Ridge
`Residential Roofing PERMIT - 201704223
P
PERMIT NO: 201704223 ISSUED: 07/17/2017
JOB ADDRESS: 3770 Newland ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 24 sq.
*** CONTACTS ***
OWNER 214-802-5359 JOHN MOORE
SUB (303)593-2761 Caine Knapp 170225 Gold Star Premium Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,510.00
FEES
Total Valuation 0.00 n•'
Use Tax 157.71 -
Permit Fee 172.60
** TOTAL ** 330.31
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A 4� City of Wheat Ridge
Residential Roofing PERMIT - 201704223
PERMIT NO: 201704223 ISSUED: 07/17/2017
JOB ADDRESS: 3770 Newland ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 24 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of WR or CONTRACTOR (Circle one) Date
I, This permit was issued based on the information provided in the permit application and accompanying Flans 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or 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 any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Bu 8f cial ¢ ..� —� Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
-;61764o-:?r-3
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 7, 2017 3:20 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof? o
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3770 Newland St
Jeff Moore
2148025359
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Gold Star Premium Roofing
170225
3035932761
Contractor Email Address jspearsgspr@gmail.com
Retype Contractor Email jspearsgspr@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
No
Tamko Heritage
Asphalt
Field not completed.
How many squares of the 24
material selected above?
Does any portion of the No v
property include a flat
roof?
If yes, how many squares Field not completed
on the flat roof?
TOTAL SQUARES of all 24 v
roofing material for this
proj ect
Provide additional detail House 4/12
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7510.00
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 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 Caine Knapp
Email not displaying correctly? View it in your browser.
Goed S6ar Premium
Roofing inc
GOLD STAR PREMIUM ROOFING INC SMALL HOLD INTRUST ANY PAYMENT FROM HOMEOWNER UNTIL ROOFING MATERIALS HAVE BEEN DELIVERED
1425 Brentwood Street Unit 14 Lakewood, CO 80214
AGREEMENT
Q, (� THIS AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL
Name :��J ` ' Date: t J
Address: G j�Q j ?S lam- City/State: / ` Zip:
BillingAddress: City/State: _----__._---------__---____ Zip:
Home Phone:
ROOFING SPECIFICATIONS -1-r,
ade of Shingle 00 '2 �',rStye `1,,,
C or of Shingl yTuvidge�i�
l : 2 -Story:
Off:
Icand Water Shield: }�j
02f --n—:1
y: = LF —_
- 750's T rc ines R.
umping Jacks: �p
Nr pto Edging: —.
ove debris from roof, gutters and ya
I y d with magnetic roller
Pr ect landscaping
urnish Permit
SIDING SPECIFICATIONS
❑ Existing Grade of Siding
❑ Style of Siding:
❑ Backerboard:
❑ Fascia:
❑ Soffit:
❑ Wraps:
Siders Edge:
❑ Remove debris from yard and protect landscaping
❑ Furnish Permit
Work Phone:
SPECIAL ATTENTION AREAS
❑ Cover Pool:
❑ Existing Gutter Damage:
❑ Existing Driveway Damage:
❑ Leaks:
❑ interior Damage:
❑ Emergency Repair
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ Yes ❑ No
COMPANY'S LIMITED WARRANTY
5 YEARS WORKMANSHIP
PAYMENT SCHEDULE
First Payments Due on Delivery of Material
Paid Date: / 1 CK#: @ $
Paid Date: / ! CK#-. @ $
Balance Due on Completion
Paid Date CK#: @
BALANCE $
Insurance of Warranty Certificate and Waiver Upon Final Payment
GENERAL CONTRACTOR: Homeowner acknowledges GSPR is acting as a general contractor in CO and as such will be entitled to
Overhead and profit as allowed by insurance industry standards.
INSURANCE/MORTAGE NOTE: I hereby authorize the insurance and/or mortgage company below to make any checks payable jointly.
TERMS: This agreement does not obligate the property owner or GSPR also known as (Gold Star Premium Roofing Inc) in any way un-
less it is approved by the insurance company and accepted by GSPR. By signing this agreement the homeowner authorizes GSPR to
pursue homeowners best interests for a roof/siding replacement or repair at a "price agreeable" to the insurance Co. and GSPR with
no additional cost to the homeowner except for the deductible. The approximate cost of services based on damages are
$ The final scope and price agreed on between the insurance company and GSPR shall becorne the final contract price for
the insurance approved scope of work. Upgrades are hom owners responsibility.
Approximate Dates of Service: These dates is are subject to change due to unusual delays in transportation of
materials, ordinary weather delays, or by any other ca ss re onable control of Contractor.
Accepted by homeowner on: Date: / / BY.:/C
Insurance Co.
Mortgage Co -
Field Supervisor:
Claim #:
Acct. #.-
Management Approval
City of
Wh6at i
d le
Cf DEVELOPTENT j g —
m
Address: C.
City, State, Zip: N
City License # City License # City License #
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16337
BUILDING INSPECTION LINE -(303-234-5933) Date : 10/13/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: BOB & ROSE MOORE
Property Address: 3770 NEWLAND ST
Contractor License No. : 21790
Phone : 424-1411
Company : American West Construction, LLC Phone : 455-0038
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cerl:ify that the setback distances proposed by lhis permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or
covenants, easements or restrictions of rec that all measurements shown, and allegations
made are ar.curate; that I have read and a re to abid y all conditions printed on Ihis
applicalion, and that I assume full responsibi y for co iance with the W heat Ridqe Building
Code (U.B.C; J and all other applicable Vu1h,e t Rid o i ances, for work under th1is permit.
(OWNER)(CONTRACTOR) SIGNED ` DATE y O., (Z O
Construction Value :
$500.00
Permit Fee :
$30.55
Plan Review Fee :
$0.00
Use Tax :
$6.00
Total:
$36.55
Use :
Description : SEWER LINE REPAIR IN YARD. INSTALL NEW CLEAN OUT
X:a
BUILDING DEPARTMENT USE ONLY
Zoning Comrtients. SIC : Sq. Ft. :
Approval :
Zoning :
Bultding Cnmments:.:
Approval:
Publie Works Cofinmernts:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 21790 Plumbing License No : Mechanical License No :
Company:AmericanWest Company: Company:
Construction, LLC
Expiration Date : 10/13/2004 Expiration Date : Expiration Date :
Approval : OKIKS Approval : Approval :
(1) This permit was issued in acwrdance with the provisions set foRh in yopur application and is subject lo the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Cotorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authonzed is nol commenced within sixty (60) days fmm issue dale or (B) the building aNhorized is suspended or
abandoned for a period of 120 days.
(3) If tYiis pertnit expires, a new pertnit may be acquiretl for a fee o( one-half the amount normally required, provided no changes have been or will be made in the
ori£linal plans and specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or ahandonment
exceeds one (1) year, Full fees shall be paid for a new permit.
(4) No work of any manner shail be done that will change the naWral flow of watar causing a drainage problem.
(5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance (or all inspections antl shail receive writlen appmval on inspection card before
proce~ ng with successive phases ot the job.
(6) .S~y9~su~nce f a it or the approval of drawings and specifcalions shall not be constmed to be a permit for, nor an approval o[ any violation of the
p ing cotles or any other ordinance, law, rule or regulation.
visiy(~5 o
Chief BuildirraJ Inspector
Please sign Terms and Conditions on reverse side of page
CODIDIUNITY DEVELOPMENT DEPARTMENT
WHG9
= j ' p BUILDING IIVSPECTION LINE - 303-234-5933
CITY OF V1'HEAT RIDGE
7500 WEST 29TH AVENtiE
~ o`oR' QO V1'HEAT RIDGE, CO 80033 -(303-235-2855)
A PPLreA Tr'aN
Property OHner: Ib7h o-&
Property Address:
Contractor License No.: ~J
CompanY: falv[E/'j~C
0"'NHR/COSTMCTOR SIGRATURE OF CSDERSTAYDI.'JG AND ACREENfENT
I hcrcby cmify thal lhe setback distan<a proposed by thrs pcnnit application arc accuatc,
and do not viola¢ applicable wdinanccs, rula or ttgulations of thc City o(R'hnt Ridge of
covrnanis, easements or rcs[rictions ofrccord; tha(all measurerrcnts shown, and allegations
made arc accurate, that I have rcad and agrcc to abidc by all conditions pnntcd on this
application and that I assumc fuil rcsponsibiliry for compliance with the R'heat Ridge
BuildingCode (U.B.C) and all other2jiplicably,N'hcat Ridg<Ordinanca, (or work undtt
thfs pertnil
ONT'ER)(CONTMCI'ORJ:SIGN Ek DATE IO•-~~'U~
(ON7.ERXCOATRAQOft)-. PRI!.TED DATE
Building Pemtit Number.
Date:
Phone:
Phone: 3G,3
Construction Value:$ ~-p p `
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTI01:
t vu~
kv-,,_
BUILD1nG DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONIN6 C.OMMEN73:
Approval:
Zoning:
BUIIDINb COMMENTS:
Approval:
PU6LIC WORNE COMMEME:
Approval:
Occupancy: Walls: Roof: Stories: Residential Uniu:
Electrical License No: Plumbing Licease No: Mechanical License No:
Company: Company: Company:
Expvation Date: Expirarion Date: Expua6on Datc:
Approval: Approval: Approval:
(7) Tha permu.ss iuued in attwdanc< witA the pmmions srt fonh in your applicaum md ¢ subject a de 6ws of tAe Suw of Cobndo and a ihe Zoning
Regu6tions and Buildinj Codes of K'Fnt Ridge. Cobndo or any oiher aypGcabk ordinances of Jie Ciry.
This pertnit shill u.pim if (A) die work wUwrixcd'u M commrnccd xiihin siuy (60) dari from, issu<dau or l81 s<buildiny amhorized is susyendcd m
abandoned for a pmod of 120 days.
(3) If 1Fu yennit er.prtes, i ntu pennis ma) be acQUirM fa a fee of oM-lulf d. amoum nomull) rcqwrcl pro,,deC m changC hav< Eeen or w ill h made
in ibe origind plaus and syecifications uW any sufpcnsion aabandonmentlus oa eueadd pK (l) ycar. If changcz bn been rn if susyenswn w
abandonment cn<eeds oM ( I)),nar. PoII fsa shali be paid (or a neu pmvii
(a) No work of anY ma^^o shalt be do^s Uui u'iU chav{c Je mNral Ibwof raer ousing a Mimg probkm.
/5) Cmvatur shall ooufy th BuiMin` Impsar twmq-fav (21) 6ours io advaoa f« all insyaUOns aod shall rtcckv wnpeo approvil on imyacuon card
bdort pmcadmy witE wttcssi.e pAases of tbcjob.
(b) The issuancs of a pcrmii a tbe appmwl of dnwings nd ryeciGcauons shatl mi h crostrvcd w be a permit for. nwr an appm.al oL any %wLnon of ihe
proiiswns of the buiMing coda a"y aha ordinaMe, hx, ruk or rtguhnon.
Chief Building Inspector
FROM : Fer9usn Homes PHOhJE N0. : 303 425 1653 Au9. 03 1999 02:47Pt1 PS
Ferguson Homes
6275 Sirnms St., #200
Arvada, CO 80003
Phone - (303) 425-6606
FAX - (303) 425-1653
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FROM : FerguSn HomeS
PHONE N0. : 303 425 1653 Aug. 04 1999 02:48PM P2
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