HomeMy WebLinkAbout3880 Moore StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Friday, November 19, 20214:52: 10 PM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided
below once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 3880 MOORE ST WHEAT RIDGE, CO 80033
Property Owner Name NADINE EDGINGTON
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
303-241-1450
N/A
CONTRACTOR INFORMATION
Contractor Business NW EXTREME INSTALLERS INC
Name
Contractor's License 210044
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 Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
What is being replaced
Number of window
and/or doors being
replaced
Location of
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
1.1101.id83E:Yil
permitting@premierservicegrp.com
permitting@premierservicegrp.com
Doors
IC77GACagQ11'M
What is the u -value of 20
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of EDGINGTON Product Specifications 1.odf
window/door cut sheets
showing sizes and u -
value
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 2431.74
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Elissa Steenrod
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201703064
PERMIT NO: 201703064 ISSUED: 07/01/2017
JOB ADDRESS: 3880 Moore ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 year asphalt shingles &
Modified Bitumen rolled roofing with 37.62 sq. .(32.04 sq. pitched, 5.58 sq.
flat)
*** CONTACTS ***
OWNER (303)241-0974 EDGINGTON DANIEL M
SUB (720)328-1971 Todd Halaburka 110084 Aspen Roofing & 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: 9,668.34
FEES
Total Valuation 0.00
Use Tax 203.04 1 D
Permit Fee 204.30
** TOTAL ** 407.34
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703064
PERMIT NO: 201703064 ISSUED: 07/01/2017
JOB ADDRESS: 3880 Moore ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 year asphalt shingles &
Modified Bitumen rolled roofing with 37.62 sq. (32.04 sq. pitched, 5.58 sq.
flat)
I, by m 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 authorizedto include all entities named within this document as parties to the work to be
performed a that all wo e performed i sclos d in this document and/or ' ' acco ippan ing—a-p7pr vedd plans and specifications.
CA*'%0_ `
Signature of WNER or CONTRACTOR (Circle one) Date
I . This pennit 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 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 border shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official V Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dane Lovett ,-)n���
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 20, 2017 10:56 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application f I
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3880 Moore St
Daniel Edgington
3032410974
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
Aspen Roofing & Exteriors
110084
7203281971
Contractor Email Address Elizabeth.aspenroofing@gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email Elizabeth.aspenroofing@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 30yr and Mod Bid
Asphalt, Rolled
Field not completed.
How many squares of the 32.04
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares 5.58
on the flat roof?
N
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
House with a flat and a shed that is 1.54 SQ
Project Value (contract -Ttso--
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 Elizabeth Pinder
Email not displaying correctly? View it in your browser.
3
jrRoofingV8a,
Exteriors
7500 W. Mississippi Ave
Suite B-145
Denver, Colorado 80226
(303) 900-4116 ' am
Locally Owned and Operated www.AspenRoofmLandExteriors-com Fully Licensed and Insured
PROPOSAL MPECTFULLY, SLTB TO:
{ Name z
i
Address
1 City, St.
Telephone X03. Zyi, �19�5/
Alt. No ?off — Ly/ A40K IV ell
SCOPE OF WORK:
Re- Roof ONew Construction
Tear Off i� g oof 2 SQ W/ Waste
ype Layers
Repta en! Damaged/ Decking as necessary
�1�r` r &e f a A4r 2-
riv e%
CDX OSB COOLPLY
[Felt Paper I5# 30 # SYN
I`❑( Closed Valley System
20" Galvanized Valley Flast ing
Ixlce and Water Shield in _/Valley W Chimney (s)
Metal Drip Edge Color
2" x 2" 2" x 4"
[Roofing Nails 1 V." 11/2"
❑❑ AT Dish IV14
tarter Strip
ReFlash Chimney(s) 1112 and other walls as
needed Wood Brick
❑ Reflash Skylights # .'
License info on back
WORK TO BE PERFORMED AT:
Date _/ i _,x_„ Date ! / (C.,k)
Address
City, St-
Material
L
iaterial Location
Insurance Company.
❑ Ventilation
Ridge Vent
Air Hawks
Wind Turbines Power Vent
Remove
Replace
Keep
❑ Pipe Jack 1 %" 2"
3" 4"
oof Vents 4" 8"
t all Vents to Match Shingle Color
P,F-emove ALL Trash from Gutters/ Job Site
Magnetic Nail Sweep Yard and Driveway
_,Pool Cover
lace Aspen Roofing & Exterior Sign in Yard
Yr. Workmanship arrancy
Notes: A. , 'i
Z
a -&7-4F L a r ire
T
Contractor is entitled to Overhead and Profit when
claims involves 3 or more trades
I MAN"UFACTLRER: HIP & RIDGE WARRANTY
GAF ELK - Certainteed- Atlas High Ridge 3 Tab
Owens Corning -O ' 3 Tab (standard) 25 yr.
SHINGLE COLOR: fJ 1 (Length) Architectural /
30 yr
NOTES/ EXTRA: 40 yr f
50 yr/ lifetime I
ADDITIONAL DETAjRS:
Property Owner is J / is not intending to make aavment
From the proceeds of a property and casualty insurance policy_
a%
Respectfully Submitted By:
By Si ' WSi. H..,,
TOTAL PROPOSAL PRICE: S 7 fJ 21
DUE UPON ACCEPTANCE: $ 1 , . 14
Cust initials DUE UPON COMPLETION: $ 7 V_T_ 7 .OD
PlusPermit & Supplements_ trust in
mors Safes Rep (stgvauue) Aspen Roofing & Exo6ors Saks Rep (print) sales Rep Cell #
e all terms and conditions on the reverse side. "Know Your Rights and D res"
jo -,-9--17 �� ;,ti R _ t��,��
Date Homeon
Daze Homeowner (Print n ) tJ
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: ' `{
Job Address:
Permit Number: _2e-V-�6, 5r) G e-0
r; t-
❑ No one available for inspection: Time i' AM/
Re -Inspection required: Yes (N)
when corrections have been made, call for re -inspection at 303-234-5933
Date: �r i r `�! (�? Inspector:l
i
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M ' d
Job Address: 3 S a T w a a #e 5, -4 -
Permit Number: 2 p )-7 p ?,f) t, '-)
❑ No one available for inspection: Time i i = 5- 3 @/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: q 3 8 Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD OccupancvlTVpe
®'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
Q n u.. _ . ,; tf A9 -zvAi
v — —
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
— .t
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
FINALS
Electrical
Plumbing
Mechanical
Roof
— .t
Building Final
Fire Department
R.O.W & 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
♦ 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: Ptin
Job Address: X36190 weor e i
Permit Number:
❑ No one available for inspection: Time C3 AN M-)
Re-Inspection required: Yes No
"When corrections have been made, call for -i spe tion at 303-2345933
r~ ~ 1
Date: Inspector: ~a
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
INSPEC NOTICE
Inspection Type: �lt
Job Address:
Permit Number: C)
U - f -
0 '
4 (f
El No one available for inspection: Time 4, A
Re- Inspection required: ` !�s No
* When corrections have been made, call for � inspection at 303 - 234 -5933
Date: �� Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
I (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: -prat
Job Address: f31J %ra2.!'
Permit Number: 6 1290 (0
� �S�'ed -
wbf -
ZIA
iv ru
oaf16 -.1 f - lee, iiUs�Pi �io � 2
t
El No one available for inspection: Time ! AM M
Re- Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
:i
Date: 3 -/2 — 10 Inspector: Al
nn Alf )T RFMf7VF TH /C AfrMifIF
r
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Far
INSPECTION NOTICE
Inspection Type: n! k1~n G
Job Address: 41390 h?„ofze 9
Permit Number: og2 go6
s
r
,
No one available for inspection: Time is VC < fPM
Re-Inspection required: '9e No
"When corrections have been made, call for re-Inspection at 303-234-5933
Dater -s ' inspector: Ir-oy
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ~rv~! 12e~qF
Job Address: ~a~da~E .sr-
Permit Number: 07,~?'?W4
77 ,q-d 7c7A ~ 9L~-,/07~ 557_-. R
~.Ar7~f°!2 rsOO>"iSiv' >ez'~° ff5 x ~ ~s~d~ s5
C'frrv7>rn.~ 1~~~ e.z=~s'6' • r~i~d~',z.~ S.~~s~u!G
f~c~Jh/ • l~rJc A210k ro r/ y ? rd/S~~cTiny
❑ No one available for inspection: Time O•'Y'.SS AM/
Re-Inspection required: (:r-,-:._No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: ,,215//0 Inspector: u~,,~~~
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
r' (303) 234-5933 Inspection line
(303)235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P&-,)~
Job Address: 3696 l nnilF >F
Permit Number: Mr,Z MA
r 7FCf ~ Ntb !°i~ Al liwnrob lhd7
❑ No one available for inspection: Time P Uj-0 AMem
Re-Inspection required: /Yes) No
When corrections have been made, call for re-Inspection at 303-234-5933
Date: e'1` Inspector: F'fa,rr'
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: lpmr-
Permit Number:
E
4E~
Y
f?
I
❑ No one available for inspection: Time A
Re-Inspection required: Yes /NO//'
When corrections have been made, call for re-inspectio at 303-234-5933
1 F:
Date: ~O' F { Inspector:?
DO NOT REMOVE THIS NOTICE
" , City of Wheat Ridge
_r-
Residential Roofing PERMIT - 092906
PERMIT NO: `092906 ISSUED:` 10/01/2009
JOB ADDRESS:. 3880 MOORE ST EXPIRES.: 03/30/2010
DESCRIPTION:. Reroof 22 sqs
CONTACTS
owner 303/940-9720 Daniel Edgington
sub 720/530-6331 Alfred Farias 09-0042 Citywide Roofing LLC
**PARCEL INFO
ZONE CODE: UA "USE: UA
SUBDIVISION:: 0207 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,843.00
FEES
Permit Fee
Total Valuation 181.00 C4)Y3L J-'!~1 ?
Use Tax 123.17
**TOTAL 304.27
Conditions:
6 nail installation & mid roof inspection required, Board sheathing spaced more
thanes 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield' required from eave edge to 21 inside exterior walls..'
Subject to field inspection.
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 abideby all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code :(I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to `field inspection.
Signature of contractor/owner date
1. This permit was issued in accordance with the provisions' set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any.. other applicable
ordinances of the City.;.'
2 This permit shall expire: 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired fora 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, 'l full fees shall
be paid for alnew permit.
4. No: work of any manner shall be done. that will change the natural flow of water causing a drainage :problem.
5 Contractor shall notify the Building inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6 The issuance of a permit: or the approval of drawings and. specifications shall not be construed to be a permit for, nor
an approval o£, a iolation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All.. plan p%vi~i w-uub]ect to field. inspections.
INSPECTION:. REQUEST LINE: (303)234-5933 'BUILDING. OFFICE:. (303)235-2855
ZEQUESTS MUST BE MADE BY 3PM ANY BUSINESS iDAY FOR '.INSPECTION THE :FOLLOWING BUSINESS DAY.
eW" 'T~ City of Wheat Ridge Building Division
Date:
; m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
co 90 Inspection Line: 303-234-5933
LORD Permit#:
Building Permit Application
Property Address: 3880 Moore St, Wheat Ridge, cc 80033
Property Owner (please print): Daniel Edgington Phone: 303.940.9720
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: City Wide Roofing
Contractor License Phone: 720-271-0811
Sub CO, ,ractiirss
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description):
pescrlpflo~aof work Reroof due to hail damage
Construction Value: $ 6843
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 22 BTU's Gallons Amps
OWNERICONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) 00010 YACAM) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: Jacnn Purdy SIGNATURE: Jason Purdy Date: 10-1-2009
FOqM (M) 414-02-7123 XCEL ENERGY
RODPEW3990, 7
CITY-TOWNORCWNTV ROOH
. .
CU9TOMEHN APi Np
A"}~ (pqINT) ~ 1,~~[7
~ " ACTION TAKEN
OWNER171 TENqNT ~ AGEN7 SPECIFV ~ NO SHUT OFF
~ oTHER APPLIANCE OFF
BOTH APPL 8 METER OFF
{~~~~Q ❑ METER SHUT OFF
CONDITION TO BE CORqECTEU AS 6NOWN BELOW CREA7ES AN NAyEptq~TE pAZ/~pD.
BUILOING DEVAR7yEN7 FOq 7NIS EpUIPiAEN7 AWST NOT BE GUT BACK IN
SEpVICE UNTIL pEPAIRS ANDA THOROUGX INSPECTION MAVE BEFj~ MADE CONTRACTpR. CqFffqCT YOUR LOCpL
PEqFOpMING pppUF1ED
' CODE AND PEqM1T pEWINEMENT9 pp~OR i0 BY q XEPAIR Wppg,
5h1E ANO TVpE OF dPOi ieun~
l
~ rvn run i MER INFORMATION, PHONE: '
TIME t P
DATE
:UPq SIGNhTURE
TIME
ONiE
F ~C ANTTpGU6TpMER ' ,
wAn, (K) .,a.U-I,z, puesuc sen~'G~t t;umrwnK ut' wwnswu 7^L /p{
ADOM!$S RYV~S .
. . ~
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CUS1iM1EP NAME IININTI '
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OWNER ~ TENANTD AGENT 4OTHER ~ P~~ L~ dD5
CONOITION TQ BE CORRECTED AS SXOWN 9ELOW CflEATEA N~R~D HpZpRO. 7HIS EOUIPMENY MUST NOT BE PUT BAf,K IN
BSEflYICE I1N71C flEPAIRS AND q THOflOUGH INSPECTION HAVE BEEN MAOE BY A pUALIFIED CWLOING DEPAflTMENi FOfl COOE AN~MIPflE0U1BEMENTS PflIOB T ON7HACTOR. CONiACT YOUfl LOCAL
O PENFOflMING_qEPAIR WOflK.
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DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
~ CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
7478
7/20/98
Property Owner :
Property Address : 3880 Moore Street
Contractor License No. : 20033
Phone : 467-3428
Company : Lonewolf Field Services Phone : 670-4372
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 accurete; that I have read and ayree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Construction Value : $677.00
Permit Fee : $27.50
Plan Review Fee : $0.00
Use Tax : $10.16
Total: $37.65
Use:
Description : Replacing fuel line that is encased in concrete. Replacing 3" flue that is deteriorated to water heater
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permtt was issuetl in accordance with the provisions set forth in yopur applicatlon and is subject to the laws of the State of Colorado antl to the Zoning
Regulations and Buildiny Code of Wheat Ritlge, Coloredo or any other applicable ordinances of the City.
(2) This petmit shall expire if (A) the woAc aNhorizetl is not wmmencetl within sixty (60) days from Issue tlate or (B) the building authorized Is suspended or
abandoned for a period of 120 tlays.
(3) IF this permit expires, a new peimil may be acquired for a fee of one-half the amount nortnally requireQ provided no changes have been or will be made In the
original plans antl specifiqtions antl any suspension or abandonment has not exceeded one (t) year. If changes are matle or ff suspension or abandonmenl
exceeds one (1) year, PoII fees shall be paitl for a naw permit.
(4) No work of any manner shall be tlone ihat will change ihe natual Flow of water causing a dreinage problem.
(5) Conirac[or shall notiry the Bulltling Inspector iwenry-four (24) hours in advance for all inspectlons antl shall receive written approval on inspecGon caM beFOre
proceediing with successive phases of the ~ob.
(e) The Issuance of a permit or ihe approval o~drawings and specifwtions shall not be construed to be a peimit for, nor an approval of, any violatlon of the provisions
otthe buildinq codes or any other ortlinance, law, rule or regulaGOn.
"Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLAIdNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :V c{ I v_-('
PropertyAddress:'3'9 q 0 M ooc-Phone: ~~s7~3y2~
Contrector License No. O O 3 3`
Company -~o ~~~,,~o1T ~l e-`~+ J% c, , . Phone: O"''I 3 7 z
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : (D~ 7 aO
I hereby certihr that the setback distances proposed by this permd application are accurate, pg~mit FB0 :
and do not violate applicable ordinances, rules or regulations of the City ot Wheat Ridge or
covenants, easements or restriclions of record; that all measurements shown, and allegations
made are accurate; that I have read and ayree to abide by all conditions printed on this USB Tax :
applitalion, and that I assume full resp nsibility for compliance wdh the Wheat Ridge Building
Code (U.B.C.) and all other applicabl e Ridge o=ATE-7-,20- der this pertn it. TOt01 (OWNER)(CONTRACTOR)SIGNE ~ US2:
Rc_° 0.C1 vx ~ v C.1 \ t Y~l~ ~yal~ r S cYl
Description
BUILDING DEPARTMENT USE ONLY
SIC : Sq. FL :
Approval:
Zoning :
SQIfB(ff~t:b~Ts~
Approval:
P_UBICa~~
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Eiectrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiretion Date :
Approvat:
$0.00
Mechanical License No b d 3 3
Company: FI'J~
SG'~~/ 1CJ~~
Expiration Date : b-'26-C?9
Approval:
(1) This peimil was luued In accoreance vnth the provisians sel lonh in yopur apolicauon anG is suqea to tne Wws ol the State ol CobraEO aiM to IM Zoninq
Regulations aM BuilCiry Code o/ Wheat Ridye, CWaaEO a any other applicable oNinances o/ the CFty.
(2) This pemut shaU expire d(A) the woAc auUwrizeC Ls nW Wmmenced wiNin sizry (60) days hom lasue Oate a(8) the DuilEinp aulhaized is suSperMed w
abarWOned la a peAOd a1120 days.
(J) 1f inis pefmit expires, a new pemul maY be x+GUired la a lee W one-haN the artaunt nortnalry reQuirea. povided no chanqes have been a win De maCe in the
original 01aro anA speci(KaUOns and any auspension or aEanCOnment Ms not exceeEeE one (1) year. II Uarpee are ma0e a if suspension p oOanEanmanl
eacecds ane (7) year, Ntl (eee shali Da palE la a new pertnit.
No work ol any manner shall ba Cone Nal vnll change the natural flow ol water wusing a dainage proDlem.
(5) Con4actot sfwll ralify the Buil0lnp Inspector twenry-lour (24) Iwurs in aCvance la ail inspectons anC snail receive wntlen aDProv'+I on Inspenion card betwa
proceeUiiny wM su[cesslve ohaxa ot Ux lob.
(e) 1Ta issuance of a pemut a the approvet o(Crowin9s anE speafiratlms shan rot De conswed to De a pemtil la, nw an sppraval of, erry NoWtion ol the qovislona
. W the buiWinp codes a arry other pCinanca, law, ruh a re9uWlion. Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION