HomeMy WebLinkAbout3845 Newland Streetr City of Wheat Ridge
Residential Roofing PERMIT - 201704003
�N
PERMIT NO: 201704003 ISSUED: 07/14/2017
JOB ADDRESS: 3845 Newland ST EXPIRES: 07/14/2018
JOB DESCRIPTION: REVISION: ADDING DECKING TO EXISTING PERMIT
Residential Re -roof to install Tamko Heritage asphalt shingles with 25 sq.
*** CONTACTS ***
OWNER (303)550-9979 VENDENA DINA
SUB (303)995-7909 John E. Hopper
090140 1st Choice Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,300.00
FEES
Total Valuation 0.00
Use Tax 237.30
Permit Fee 236.00
** TOTAL ** 473.30
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201704003
PERMIT NO: 201704003 ISSUED: 07/14/2017
JOB ADDRESS: 3845 Newland ST EXPIRES: 07/14/2018
JOB DESCRIPTION: REVISION: ADDING DECKING TO EXISTING PERMIT
Residential Re -roof to install Tamko Heritage asphalt shingles with 25 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 ermit. 1 further att hat I am legally authorized to include all entities named within this document as parties to the work10 be
p orm and that work o 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 issue n.the-inTo-rnation 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 m writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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. App proval of work is subject to Held inspection.
- �a ` U
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
C�� Wheatj�idge
MMUNITy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(dki.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit #
2(;110
Building Permit Revision/Amendment Application
leo,c5
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: JulC�N Wk
Owner (please print): (doxy V e -O j
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Phone:
Contact Person: vlti AJ d p De C Phone:
Contractor: IAF Gtr ���c Poo ` N
- �K
Contractors City License #: 0 t 0 / qQ � Phone: ._�C�� f7, 5 - I- Oct
Contractor E-mail Address: � c) V1 N C. Irl 6 jD0-6c
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
�lb(�J- F of
MCA sus -�'F e�F
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
`2-- , ,�00
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 ORIZED REPRESENTATIV of (OWNER) ONTRACTOR
'�t./l i " �
PRINT NAME: 06W ` t ` C- C -N/
A SIGNATURE: c DATE: `� (Z (
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
+
Building Division Valuation: $
(D0--
X- -
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
`2-- , ,�00
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 ORIZED REPRESENTATIV of (OWNER) ONTRACTOR
'�t./l i " �
PRINT NAME: 06W ` t ` C- C -N/
A SIGNATURE: c DATE: `� (Z (
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
+
Building Division Valuation: $
r City of Wheat Ridge
Residential Roofing PERMIT - 201704003
PERMIT NO: 201704003 ISSUED: 07/14/2017
JOB ADDRESS: 3845 Newland ST EXPIRES: 07/14/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 25 sq.
*** CONTACTS ***
OWNER (303)550-9979 VENDENA DINA
SUB (303)995-7909 John E. Hopper 090140 1st Choice Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8"800.00
FEES
Total Valuation 0.00 _ r
Use Tax 184.80 _
Permit Fee 188.45
** TOTAL ** 373.25
*** 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 - 201704003
PERMIT NO: 201704003 ISSUED: 07/14/2017
JOB ADDRESS: 3845 Newland ST EXPIRES: 07/14/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 25 sq.
I, by my s gnatu e, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable builds g codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the lega own r of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. fu er attes{ that I am legally authorized to include all entities named within this document as parties to the work to be
performed an tat all work to be performed is disclosed in this document a d/or it 'accompanying approved plans and specifications.
Signature OWNER or CONTRACTOR (Circle one) Date I
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
o
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett �l -?o 4 -cc
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July S, 2017 12:24 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? w %c W OVL
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
3845 Newland St
Roxy Vendena
303-550-9979
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
1 st Choice Roofing
Contractor's License
090140
Number (for the City of
Wheat Ridge)
Contractor Phone
303-995-7909
Number
Contractor Email Address
ss.morris@hotmail.com
Retype Contractor Email
johnehopper@gmail.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
Tamko Heritage
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
25
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
25
roofing material for this
project
Provide additional detail
House
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
8800
Project Value (contract
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 John Hopper
Email not displaying correctly? View it in your browser.
3
ARREEMEHT
Over st
51,0000 V* Roofing PREFERRED
s • CONTRACTOR
Roofs
+�c Exteriors Inc.nc.
Installed inspector Namei�
inspector Number ='Certified
Since 1998 rstopperRaaflna°r
Irl
own pate Email
Street Ceil Ffs a Work phone
City W k
sr— C—) I zip
Home phone
Preliminary scope {subject to insurance approval): 5 year Workmanship Warranty
,Near Off 15�:: Roll Magnet Through Yard
,,CS'� Recover Roof with S'`l l o Gutter Specs- Linn6`
-
o Below 2:12�`Above 6:12 o Above 12:12 -F� Gutter Size: 5"Color:
.er'VentilatiorUDBox cadge o Other Downspout Size: 2x3" 3x4" Color:
❑ Ice & Water Shield to local code ❑ Gutter Screen or Helmet Style
in Shingle./Color _Mt> o Additional Details
o Hip and Ridge eStandard o High Profile W 5
AT'Decking o OSB ❑ CDXi�Zther At wi-r-,.�
o Underlayment ❑ 15 lb o 30 lb n Other Y
.z, Metal Edge Color Xyl i ! � � �
,
o Valley in Closed ❑ Open t (-Ar - (1161_ t
,r,�ipe Flashings o 3/1 ol-ead— C4. 616 tto 23
o Nails o Open Eaves
Chimneys »Size Dish
a Solar Panels o Swamp Cooler o A/C Unit "
a Tempered Skylights ❑ Dome Skylights,P r ji
Terms: By signing this Agreement, the Customer retains the Company ( ist Choice Roofing and Exteriors Inc. ) as it's General Contractor, and Exclusive Represehiative, to negotiate and
attempt to settle their insurance claim in the manner the company deems most approporate. This agreement does not obligate the Customer or Company In any way until Customer's
insurance company acknowledges damage, at which time customer will delivery to the company, within 3 business days, their deductible. Customer understands that the interests of
the company are aligned with their own, and agrees to act in a cooperative and supportive manner in advocacy of the negotiations by the Company, with their insurance company,
and to provide copies of all correspondence, written and verbal, and to provide other various forms of support If requested by the Company. Once settled and accepted by the
Company, all proceeds are hereby assigned to the Company. Customer's signature below also signifies acceptance of all terms and conditions, an the front and back of this
Agreement. The Company, at it's sole option, will perfom any or all work approved by the insurance Company In any workman like manner they deem most appropriate.
r
Customer s out of parker expense not to exceed deductible, plus upgrades, or oddltionol non -insurance related items. Custom Il7l+ I.
Estimated Date of Roof Corn�letion f �� Estimated Cost of Repairs _ W
l5nbifa to charge, and OMM deflmd br ftrW aoa*wad hnurance ettSmatel
D Customer Signature Receipt of Payments Received:
Customer Signature
<1s Choice Rep Signature
The Company shall hold in trust any payment received from you until delivery of roofing material to the site.
AS OF 6/6/12, ROOFING CONTRACTORS IN COLORADO ARE PROHIBITED FROM WAIVING, DISCOUNTING,
REBATING, OR IN ANY WAYREDUCING THE AMOUNT THE CUSTOMER IS REQUIRED TO PAY FOR THEIR
DEDUCTIBLE AND ANY VIOLATION IS PUNISHABLE AS A CLASS Z MISDEMEANOR
(303) 733 -ROOF 1235 York Street, Denver, CO 80206 (877) 977 -ROOF
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M 10
Job Address: ?)?j,45 1�tyj wt t� 0
Permit Number: '2-01-7 04 ®U 5
❑ No one available for inspection: Time,1z- G7AMO
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
-Fbdf INSPECTION RECORD - --
INSPECTION REQUEST LINE: (303) 234 -5933
OccuparicyType -
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 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
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing /Stemwall P.E. Letter
Do Not Pour
Concrete Prior To A proval Of The Above Inspections
und /Slab Inspections
I nspector
Initials
Comments
nderground)
ice (Underground)
=(Below
oDate
ce (Underground)
elow / In -slab)
low / In -slab)
Do Not Cover Underground
or Below /In
-Slab Work Prior
To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
omments
Comments
Wall Sheathing
Roof Sheathing
Lath /Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed
Without
Approval Of
Above Rough Inspections
Rough Framing
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
3 iJ
FinatBuilding /frame
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.
Fire Inspection / Fire Protection Dist.
`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.
vc;uPartcy Is ivot vermittea until A uertiticate of Occupancy Is Issued
Protect This Card From The Weather
f a �'
r CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type 6 mAZ A2: �=
Job Address 5 &V4' .•a,. ,IAAeo fir°
Permit Number
i
E,.
h
R
❑ No one available for inspection: Time : ? AM
Re- Inspection required: Yes /N
*When corrections have been made, call fo re-inspection at 303 - 234 -5933
Date: S Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
Residential Roofing PERMIT - 110819
PERMIT NO: 110819 ISSUED: 07/14/2011
JOB ADDRESS: 3845 NEWLAND ST EXPIRES: 07/13/2012
DESCRIPTION: Reroof 21 sqs with Owens Corning shingles
* ** CONTACTS * **
owner 303/912 -3887 Torrey Johnson
sub 303/761 -6400 J. Bretz 01 -8118 Excel Roofing, Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0403
BLOCK /LOT #:
0/
Conditions:
6 nails per shingle is required. Ice dam membrane is required from save 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. Subject to field inspection.
1, 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 performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all 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. n
Signature Nff4aW Building
NVREQUEST LINE: (303)234`6533 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
07/14/2011 16:19 303 - 761 -6442 EXCEL ROOFING INC
AM zb rAX jU, 237 8929 303 Se5t Vey
1 2 %*C)
PAGE 02/02
0001/001
� �� T 7h City of
� /� h6a-tP� =Date COMMUyN[Y7Y DkVELOPMBNT t
Budding Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 " Fax: 303- 237 -8829
Inspection Line. 303 - 234.5933
Facsimile Building permit Application
Pro "PQ�'Addifes`�" � 1 '1Q,UJ� ��
Property Owner (please print} r 7 e-,-, l
Rhone: (a- 3 kz) V1 Mailing Address (if dMerenf than property address)
Address: fo, bD 2
City, state, Zip:
ko p01
6ahYt� qr: , )-
Contractor License #: Phone: — 1 1 n f
Use of sppaace (description): IP
D:f3 crlptieh; jiNArIE v \ (2, y CXZ�eri S Ci,rnt�l o
t _ _ s •cb
`W- d«no.dr �kSly� {�� PlatR1 le w (due at 6me ofsubmldaQ:E
Sq. Ft.lL.Ftadded- Squares Z` BTU's Gallons Amps
OWNER I A S SIGN A Wan OF UNDERSTANDING AND AGREEMENT
I herehy cart that the sefback djstances proposed by this perm(t application are aeourafe, and do not violate appUrabte ordinances,
roils ar regtflaItons of the City idge or of Wheat R Covenants, eesements. or restrictions of reconf; that alt measurpJrrentg shown, and
all eg nAl ate; t t i
wl made are aCapha have read and a fee abide by all conditions printed on this apPiicalion and to chat I alturne full
vasppoonsibility for comp @ante with the Wheat RIdgO Bu,Ydfng Code (I,B.C) and all othe(apptibte Wheat Ridge Ordinances, for work
andcrthis pennR plans subject to field Inspection,
ClRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRES TIME of (OWNER) (CONTRATOR)
t
PRINT NAME: l r0 _ SIGNATURE
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Credit Card P men t : credit rd listed on file,
Print name: „`fi�Le - n�iM e
�-' Signature:
Building Permit
CTTY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheahidge, CO 80033
303-235-2855
.
GIYq[Wri
Residential Electric
Permit Number
19250
9/23/2005
Inspection Line
303-234-5933
. PROPERTY 3845 Newland St Unit:
owxEx: Mazk Phelps (720) 299-6247
Description
Remove fuse box, add new panel, 2 new small appliance branch cirwiu. Re-feed existing circuiu.
Units: . Occupancy: Walls: Roof: Stories: Sq Feet: 0
f herebY ractlS Vat the eelbaek dbhoiw propoutl bY eNS permiupplkatlao an ocovro[q md Do not vbYh apptlaEk ordieevm, rvla or rtydatlem oftie Gty of
{VYeN Itltlge or mveo.ty aeemmb or ratrictl c ofrtcorE; N~t ~11 mwaremmb ~hoxv, ~vd Wkg~tb~u m~de+re ~c~urate: tL~t 1 ~ave reW uJ ~prte b~blde br
~tl rooditbe+ ov thie ~pplkatbo, ond t I wume reapo~uNNty for complience wlth Ne Whnt Ridge BuildMe Code N.B.C.) Sed N otha ~ppliwbk
Wha[Aldee forworlcuntlaNb rml
D _ G-23-0
I pd, pe'mi[wu beM N ucorNOtt w1W Q. pmv4bw wt fortb iv your appllntbn md N.ubJeN lo Me Wws of tYe Sta[e of Cobndo ud ro tAe ZoeioL
Re{olctlom aod BdId1oL Code of Whmt RIdL., ColonEa or any oNer ~pptl~bk oNineoca otthe Clty.
= 1h4prmk sh.11 ect,4ei((A)theworlcouNOAUd4noteommeueedwlMNdary(bO) days WmiweEateor(B)dreUWltliuGmutharYWYxupaededor
abaodooed for a peAOd of 120 dayx
3 V thb pendt aspire; o new pwormll mry be uqvlred for a t of omhaHNe smouut vormaliy rtqu4d, proHded vo cWnge+hove Eeea or Mll be mvde N the
orlpnd pWUUd Ve~.tlom wd my ewpmebo or oEmdovmmt hu ooNZCeedN one (1) yur.If chmte+an mede or If awpeotlon or Mevdoomevt
. ezseed; oue(1)Y.,NU fa.fha bePW fr. n. permit.
4 Moxrorlcofmymioversha06edooeWa[MNChm`et6enutunllbwofwateruuelnesdnWaLe Pr^bkm.
5 Cwtrmebr AY eotlfY tbe BufldlvL I^^Put^r twmty-four (24) houn badvance for aI11mWNOw cvJ obJl reedve wdnen aPProvel m byMioo Cmd b<<on
prettedWt wiN ntteuive pLUeee otthe Job.
6 The4weaMopermltorthupprovtlofAnwing+andspeclMetloe.eho0m[be<omtruWrobe.permtltoqnorwvapprovdo4arrYviolatl^oohhe
provbbm o(Ihe bvildioG a^d°s or aoy other orE~vma, Uw, rvk or rc`ulatbo.
S[Cdlm
DATE
CM1IefHUlWiv~Inepeclar
. Friday, Sepcember 23, 2005 Page ] of 1
PUILDING _P-ERMI-T
For inspection this permit must be posted on
the site and visible from the street.
TERMS AND CONDITIONS
As applicant for a building permit in the City of Wheat Ridge, 1 do hereby agree to the
terms and conditions set forth below for the issuance of a Certificate of Occupancy in
connection with this building permit. The issuance of a Certificate of Occupancy
requires:
1) The completion of all required landscaping and related site improvements.
Inspections are performed by the Planning and Zoning Division.
2) The completion of site drainage/grading requirements per the approved site
grading plan and/or final drainage report and plan, if such report and plan is
applicable. For all residential and nontesidential projects with an approved final
drainage report and plan, a letter of certification is required from the civil engineer
of record. Inspections are performed by the Public Works Department.
3) The completion and acceptance by the City of Wheat Ridge of all required public
improvements, or a Development Covenant or cash escrow may be required in
lieu of construction, as determined by the Public Works Department. The Public
Works Department performs public improvements inspections.
4) The completion and approval of a Certificate of Occupancy Application form and
final inspections. Inspections are performed by the Building Division.
All the above 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 a Certificate of
Occupancy nor permission for occupancy. Occupancy of the structure is not
permitted until the Certificate of Occupancy is issued. (Uniform Building Code,
Section 109)
The City is not responsible for any real estate closings or other agreements concerning
the property which may be affected by failure to complete the above items and obtain a
Certificate of Occupancy.
I have read, understand and agree to the foregoing terms and conditions. I have
received a copy of the application forj~ertifiFate of Occupancy.
Name
Signature: ,4::~~_c~------~. ~ - Date:
COMMUNITY DEVELOPMENT DEPARTMENT
~ of w"EqT,p BUILDING INSPECTION LINE - 303•234-5933
~ ~ ~ CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
°~~oano° Q PPT.F!'d
Property Address:3`~j(.~S
Contractor License No.:
Company:~' L(py~- GlQ.~~Yl~ti
Building Permit Number:
Date:
Phone: ~ 7~ aqq-6~ 9M
/ /
Phone: ~ `~o- 3G L~1..~7J
OWNER/GON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildina Deat. Valuafion Figure: $
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
- V31UC:$ a,QL~w
Wheat Ridge or covenants, easemenGS or restrictions of record; thatall measurements
shown, and allegadons made are accurate; that I have read and agree to abide by all
POririlY Fee:$
conditions printed on this application and that I assume full responsibility for
compliancewiththeWheatRid eBuildingCode(I.B.C)andallotherapplirableWheat
P1aL1RCV1CWF0e:$
Ridge Ordinances, for work n^r this permit. P s su j ct to feld inspection.
Se TaX:
(OWNER)(CONTRACTOR): SIGNE DATE 9 ~3
@
TOtal.y
Use of Space (description)+ -->UI - ' ~2o X! V.'te"- I'$vvIr/ I
Description of work: p.~ Ov O V u p,~ ~~,i 40-~`~`
sm, ~rP~~o.wez c!✓&V/'5
Sq. Ft. added /
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(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 Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(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) Contrector 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 specifcations shall not be construed to be a pertnit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subJect to field Inspections.
Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company: