HomeMy WebLinkAbout3335 Nelson Street2017070`4 Y
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
x/12
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
1'L . j _1
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
"For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A City of Wheat Ridge
Residential Roofing PERMIT - 201707044
1
PERMIT NO: 201707044 ISSUED: 09/07/2017
JOB ADDRESS: 3335 Nelson ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles = 36 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)235-0286 SERNKA KRIS
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00
FEES
Total Valuation 0.00
Use Tax 194.29
Permit Fee 204.30
** TOTAL ** 398.59
*** 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.
City of Wheat Ridge
f Residential Roofing PERMIT - 201707044
f
PERMIT NO: 201707044 ISSUED: 09/07/2017
JOB ADDRESS: 3335 Nelson ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)235-0286 SERNKA KRIS
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00
FEES
Total Valuation 0.00
Use Tax 194.29
Permit Fee 204.30
** TOTAL ** 398.59
*** 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.
City of Wheat Ridge
v-
`' Residential Roofing PERMIT - 201707044
PERMIT NO: 201707044 ISSUED: 09/07/2017
JOB ADDRESS: 3335 Nelson ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq
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 property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I an 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 ol OWNER br CONTRACTOR (Circle one) ' Date'
I . This pe it 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 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 an 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 e or ordrrt��e or gu ' tion of this jurisdiction. Approval of work is subject to field inspection.
O � t
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
.
A4...
Urban Exteriors
Urban Exteriors, LLC
3440 Youngfietd Street, Suite 179
Wheat Ridge, CO 80033
303.552.4467
y1w"i-banexteriorstic.com
VA .1�
CR�
1.7BBL L:ULUMADO AOuI1%. 6 ASS01 IAIION
Owner's Name: f ) /
Insurance Company: , A4A
Address:
Xk"Phone
s
#-.
City:
State: Zip:
6V
Claim #:
Phone #:
Project Project Manager:
✓1
_
Mobile #:
Phone # .
Email:
Date:
1/WE, the Owner(s) of the premises described above authorize Urban Exteriors, tic, hereinafter referred to as "Contractor", to furnish all materials
and labor necessary to roof and/or improve these premises in a good, workmanlike and substantial manner according to the following terms,
specifications and provisions: a.Descrip�n f the work and the materials to be used: .� +^ Av.
U11 r 4. ✓t1 ` i`c1r L .—� ,, -� . 7 e� Ise �/ x 4 l
INSURANCE.: THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS ANY UPGRADES CHOSEN OR ANY NON
COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE IS PAID BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO fr SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE
INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OF WORK WILL BE DEFINED BY THE
INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. ANY ADDITIONAL WORK MUST BE SUBJECT TO A
CHANGE ORDER AND/OR CONTRACT SIGNED BY THE PARTIES. V r
b. Description of any areas that will NOT be worked on: lf'.o°t`tiftu-s llc�l LIC
This list of specifications may be continued on subsequent pages (see page number helowJ
--f'
c. Payment: Contractor proposes to perform the above work, (subject to any additions and/or deductions pursuant to authorized change orders), for the
r 6e +)
Total Sum :� of $ {el., 0Down Payment $�'��
--
d. Commencement and Completion of Work: Substantial corKmencement of work shall mean either the physical delivery of materia s an• ce `
premises or the performance o nlab hall be subject any permissible delays as per provision (5) on the reverse side.
Shingle Mfg, Type & Color: V✓- i—/1Z5/0%/ ✓`I Labor Warranty: S yrs, transferrable - provided upon payment in full
e. Acceptance: The contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this
agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the panties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contract Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attached Notice of Cancellation form an explanation of this right.
ALL CHECKS MV$T B4 MADE PAYABLE TO URBAN EXTERIORS, LLC.
1
latur `` date
Signature date
i
?1 hereby grant urban Exteriors
permission to speak with my insurance
company for the purpose of resolving this
claim.
(Urban Exteriors has permission to
discuss my claim with my mortgage
comoanv. if aonlicable.
t: �� : •�,�' � � ; ;r .;�., 1.
i
Dane Lovett 2,0 1 70 < 0 l l
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 6, 2017 1:21 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 Y_
Property Address 3335 Nelson St
Property Owner Name Kris Sernka
Property Owner Phone 303-235-0286
Number (enter WITH
dashes, eg 303-123-4567)
121
Property Owner Email
Address
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
Field not completed.
Yes
Sernka, Kris Contract 1.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
Urban Exteriors, Ilc
D L-
150142
303-552-4467
3440 Youngfield St, Ste 179 Wheat Ridge, CO 80033
Contractor Email Address jennifer@urbanexteriorsllc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
jennifer@urbanexteriorsllc.com
36
."Woo-,
No/
122
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
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
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
No /
Yes/
5/12
36
GAF Timberline
Asphalt
house and garage
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.
Yes
Yes
Yes
123
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant John Hess
Email not displaying correctly? View it in your browser.
124
City of Wheat Ridge
f Residential Roofing PERMIT - 201707044
f
PERMIT NO: 201707044 ISSUED: 09/07/2017
JOB ADDRESS: 3335 Nelson ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)235-0286 SERNKA KRIS
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00
FEES
Total Valuation 0.00
Use Tax 194.29
Permit Fee 204.30
** TOTAL ** 398.59
*** 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.
City of Wheat Ridge
v-
`' Residential Roofing PERMIT - 201707044
PERMIT NO: 201707044 ISSUED: 09/07/2017
JOB ADDRESS: 3335 Nelson ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 36 sq
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 property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I an 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 ol OWNER br CONTRACTOR (Circle one) ' Date'
I . This pe it 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 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 an 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 e or ordrrt��e or gu ' tion of this jurisdiction. Approval of work is subject to field inspection.
O � t
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
.
A4...
Urban Exteriors
Urban Exteriors, LLC
3440 Youngfietd Street, Suite 179
Wheat Ridge, CO 80033
303.552.4467
y1w"i-banexteriorstic.com
VA .1�
CR�
1.7BBL L:ULUMADO AOuI1%. 6 ASS01 IAIION
Owner's Name: f ) /
Insurance Company: , A4A
Address:
Xk"Phone
s
#-.
City:
State: Zip:
6V
Claim #:
Phone #:
Project Project Manager:
✓1
_
Mobile #:
Phone # .
Email:
Date:
1/WE, the Owner(s) of the premises described above authorize Urban Exteriors, tic, hereinafter referred to as "Contractor", to furnish all materials
and labor necessary to roof and/or improve these premises in a good, workmanlike and substantial manner according to the following terms,
specifications and provisions: a.Descrip�n f the work and the materials to be used: .� +^ Av.
U11 r 4. ✓t1 ` i`c1r L .—� ,, -� . 7 e� Ise �/ x 4 l
INSURANCE.: THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS ANY UPGRADES CHOSEN OR ANY NON
COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE IS PAID BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO fr SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE
INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OF WORK WILL BE DEFINED BY THE
INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. ANY ADDITIONAL WORK MUST BE SUBJECT TO A
CHANGE ORDER AND/OR CONTRACT SIGNED BY THE PARTIES. V r
b. Description of any areas that will NOT be worked on: lf'.o°t`tiftu-s llc�l LIC
This list of specifications may be continued on subsequent pages (see page number helowJ
--f'
c. Payment: Contractor proposes to perform the above work, (subject to any additions and/or deductions pursuant to authorized change orders), for the
r 6e +)
Total Sum :� of $ {el., 0Down Payment $�'��
--
d. Commencement and Completion of Work: Substantial corKmencement of work shall mean either the physical delivery of materia s an• ce `
premises or the performance o nlab hall be subject any permissible delays as per provision (5) on the reverse side.
Shingle Mfg, Type & Color: V✓- i—/1Z5/0%/ ✓`I Labor Warranty: S yrs, transferrable - provided upon payment in full
e. Acceptance: The contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this
agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the panties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contract Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attached Notice of Cancellation form an explanation of this right.
ALL CHECKS MV$T B4 MADE PAYABLE TO URBAN EXTERIORS, LLC.
1
latur `` date
Signature date
i
?1 hereby grant urban Exteriors
permission to speak with my insurance
company for the purpose of resolving this
claim.
(Urban Exteriors has permission to
discuss my claim with my mortgage
comoanv. if aonlicable.
t: �� : •�,�' � � ; ;r .;�., 1.
i
Dane Lovett 2,0 1 70 < 0 l l
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 6, 2017 1:21 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 Y_
Property Address 3335 Nelson St
Property Owner Name Kris Sernka
Property Owner Phone 303-235-0286
Number (enter WITH
dashes, eg 303-123-4567)
121
Property Owner Email
Address
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
Field not completed.
Yes
Sernka, Kris Contract 1.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
Urban Exteriors, Ilc
D L-
150142
303-552-4467
3440 Youngfield St, Ste 179 Wheat Ridge, CO 80033
Contractor Email Address jennifer@urbanexteriorsllc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
jennifer@urbanexteriorsllc.com
36
."Woo-,
No/
122
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
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
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
No /
Yes/
5/12
36
GAF Timberline
Asphalt
house and garage
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.
Yes
Yes
Yes
123
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant John Hess
Email not displaying correctly? View it in your browser.
124
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: 6c� OIDO
Job Address:
Permit Number:
❑ No one available for inspection: TimeobJ-J &PM
Re -Inspection required: YesNo
When corrections have been made, call f re-inspecltion�at 303-234-5933
Date: Inspector: `�I lc_
O10T REMOVE THIS NOTICE
i &I Y OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
_(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 00
Job Address: Jzib-5
Permit Number: 12, U I -10 -10 �}
I�
i
•l
.I
❑ No one available for inspection: Time ��`J AM PM
Re -Inspection required: Yes No
When corrections have been made, call f e -inspection at 303-234-533
Date: iD _Inspector:
DO NOT REMOVE THIS NOTICE �'
i &I Y OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
_(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 00
Job Address: Jzib-5
Permit Number: 12, U I -10 -10 �}
I�
i
•l
.I
❑ No one available for inspection: Time ��`J AM PM
Re -Inspection required: Yes No
When corrections have been made, call f e -inspection at 303-234-533
Date: iD _Inspector:
DO NOT REMOVE THIS NOTICE �'
FOR OFFICE USE ONLY
City of
Building! & inspection Services Division
7500 W. 291' ,Ave., Whet ridge, CO 80033 Plan Review
Office: 303-235.2355 * Fax: 303-237-3929
Inspection Line, 303-234-5933
Building Permit Application
*
Please complete all highlighted areas a t5 sides of this form. incomplete applications may not be processed.
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail.- Phori
Contractor:
Contractor E-mail Address:
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.k City License # W.R City License #' W.R. City License #t
Other City Licensed Sub: Other City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this fora
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
AL ADDITION#
SYSTEM/APPLIANCECOMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,)
MECHANICAL REPAIR
PLUMBING a•• Y REPAIR
■ js M . • s
CMENT
ELECTRICAL a sra • •• o REPLACEMENT
OTHER D>.
r t to oe usea, etc.
46 ?t4-fet4y
q. FULF Btu's Gallons
Amps Squares Other
Sent from my Wad
Melissa Macke
III III I I I 1 11 1 1 1, " 111111 1 '1 NIPPON'
From: Mark Kuepper <rnarkkuepper@icIoud,com>
Sent: Tuesday, August 04, 2015 9:53 AM
To: Melissa Mackey
Subject: 3335 Nelson st. Sewer line repair
Replace sewer line from bouse to property line. Pipe bursting
0
INSPECTION RECORD
INSPECTION LINE: (303) 234 -5933
OccupancvlTVpe
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.
2 22C A J c,,.j CL V 1—C h4n 461
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
UNTIL AUUVt OAS OttN
Heating (Underground) I I 1 _ 11
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
PRIOR TO PROCEEDING
Electrical
Plumbing
Mechanical A �+
Roof
Building Final
R.O.W S Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '
"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 A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
,r
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
J (303) 235 -2855 Office ' (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: _ (F4'P• r'cf
Job Address /Permit Number: s 3 Al'A ", 3 lor '
� d
w1h 4o ears' nitrr^
t ..
❑- No one available for inspectio Time AM/ f M'
Re- Inspection required: Yes
When corrections have been made, call for re- inspection r at 303 - 234 -5933
Date: i ' Inspector:
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
NSPECTI
Inspection Type: k0 F' rVQ
Job Address: Sb�1
Permit Number: �9d�
V , v
❑ No one available for inspection: Time j 3 AM OM
( Re- Inspection required: Yes -
i
When corrections have been made, call for re- inspection at 303- 234 -5933
Date: J - )1 - 4 o Inspector: /v I\
DO NOT REMOVE THIS NOTICE
~11I
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office " (303) 235-2857 Far
INSPECTION NOTICE f
Inspection Type: Afir P 0r;- ~
Job Address/Permit Number: ~1~3Ff a~ '
I-or
F.
P
f l
~r
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, ca I f r e-inspec ~o at 303-234-5933
I
I.
Date: Inspector: j
i
DO NOT REMOVE THIS N TIU
3
0511G/O1 . 08: 2G: 08 UNCC Poye 1
WIITROI 00001 UNCC 05/16/01 00:26 HM 0314305 000 NORM NCW GRID LI2CQ
Ticket Nbr: 0314305
flriginal fall flatu• f1S/iF/f11 Timn• !17•?9; CM flr• lWR
LOf1Cf tXCdV UdtO . US/21/U1 IllnO: U/: UU HM txtendea ]Ob: N
Lucale By Dale . 05/18/01 Time: 11:59 PM Hia Nuliue: 120 MeeL: N
State: CO County: JEFFERSON City: WHEAT RIOGE
Addr: 3335 Street: NELSON ST
Near Intersection(s): 32N0 AVE W
Grids: 035069W28N* . . Legal: N
Type of Work: SPRINKLERS Exp.: N Boring: N
Location: LOC ENTIRE FRONT OF LOT **ACCESS OPEN
Company : BLOCK'S PLUMBING & HEATING
Calluf . Ml1RK BLOCH Pliuliu: (303)'128-5300
Alt Cont: CELL PH Phone: (303)601-7314
Oone for: H/0
RPmarkS:
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