HomeMy WebLinkAbout4355 Parfet Streetx
PEPM'iT: 2 )1 V ZZ q ADDRESS: JOB CODE:
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
3�(
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
3�(
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
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Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
3�(
304 Sheer Inspection
305 Insulation
306 Mid -Roof
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307 Metal / Lath / Stucco'
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
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312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVEO vR ADDITIONIA1 INSPECTIONS
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Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
The City of Wheat Ridge
Third PaFor heck Lid
Property Address
Permit Number
Permit Issued Date
Owner Information
Property Owner Information Pe -1�-- G e ; z o
Property Owner Address 3 2 f?
Inspector Information
Inspection Company , — ,,a LL
Inspector Name ,rj,y ,I. /
Inspector Contact info.
Inspector Statement and Acknowledgement
" I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I Nearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendat' s an cifications.
Inspector: --�4 ; L �j Date: _1c, "I %
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge 13 iId*gq_D''vision inspection.
Propery Owner/Agent: Date: - I�
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
❑ N/A
C�-N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
;� -' "/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
N/A
N/A
N/A
N/A
N/A
N/A
❑ Pass
❑ Pass
E4 Pass
.Pass
Pass
".Pass
❑ Pass
Pass
Pass
Pass
Pass
Pass
Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Frail
❑ Fail
❑ Fail
❑ Fail
❑
Fail
❑ Fail
❑ Fail
❑ Fail
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Structural roof components
Verify that no more than 2 layers of shingles exist
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattlnm (sen Fairy & Procedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
Ice and water shield 2` in heated wall spaces
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
Ddpedge shall have min of 2" overiap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
Below roof residential R-38
Below roof commercial R-32
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shin les Rearairfimr"a&r *s
❑ Pass ❑ Fail Metas roof shingles shall not be installed on slope fess
3:12
N/A ❑ Pass ❑ Fair Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-112:12 slope
Slopes 4:12 and under require double underlayment
Roof insl2ection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
❑ N/A
❑ Pass
Pass
ail
❑ Fail
N/A
19 -Pass
❑ Fail
❑ Fail
❑ N/A
C�-N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
;� -' "/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
N/A
N/A
N/A
N/A
N/A
N/A
❑ Pass
❑ Pass
E4 Pass
.Pass
Pass
".Pass
❑ Pass
Pass
Pass
Pass
Pass
Pass
Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Frail
❑ Fail
❑ Fail
❑ Fail
❑
Fail
❑ Fail
❑ Fail
❑ Fail
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Structural roof components
Verify that no more than 2 layers of shingles exist
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattlnm (sen Fairy & Procedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
Ice and water shield 2` in heated wall spaces
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
Ddpedge shall have min of 2" overiap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
Below roof residential R-38
Below roof commercial R-32
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shin les Rearairfimr"a&r *s
❑ Pass ❑ Fail Metas roof shingles shall not be installed on slope fess
3:12
N/A ❑ Pass ❑ Fair Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-112:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
Notes
Company Nme:
Inspector signature: t:70 4 leu
Date of Inspection: _/0 --_3 / _/ %
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof lnsuecdon
❑ N/A
Pass ❑ Fail
Q N/A
R. Pass Q Fail
Structural roof components
❑ N/A
Pass ❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
❑ Fail
Flashing for roof and waits
Fail
if new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
Pass n Fail
Verify sheathing nail pattern (See Policy & Prneodures)
Q NIA
Pass Q Fail
Crickets and saddles where needed
❑ NIA
Pass ❑ Fail
Verify B vent must have boot same gauge as pipe
Q N/A
Pass ❑ Fail
Verify vent caps
❑ N/A
-Pais Q Fail
Verify no flashings are damaged or rusted
0 N/A
� Pass ❑ Fait
❑ Pass ❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
Verify
,dNIA
scuppers allow for proper drainage
Q N/A
�v
19 Pass [ Fail
Ice and wafer shield 2' in heated wall spaces
❑ N/A
Pass [j Fats
Underiayments must follow 2012 tRC / 2012 [BC
Q N/A
(Pass Q Fai{
Veffy roof slope for proper drainage
❑ N/A
Pass ❑ Fall
Dripedge shall have min of 2" overlap
Q N/A
Pass Q Fail
�Oi`ass
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass ❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
1djA
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
0 Pass ❑ Fail
Modified Bitumen, EPDM, TPO min slope 114:12 slope
N/A
❑—t Pass ❑ Fall
Above roof Insulation R-25
N/A
❑ Pass 1--1 Fail
Below roof residential R-38
N/A
❑ Pass ❑ Fail
Below roof commercial R-32
N/A
❑ Paim Q Fail
Modified Bitumen, EPDM, TPO min slope 114:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer`s letter of
warranty with the address on the letter for final inspection
Metal Roof Shin les Reeirarlrearteriiis
N/A
p Pais ❑ Fair
Metal roof shingles shall not be installed on slope less
x:12
N/A
❑ Pass Q Fail
Metal valley flashing shall be the same material as roe,
N/A
Q Pass p Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
_Tile Roofs Requirements
N/A
❑ Pass p Fail
Clay and concrete file shall have a min_ 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The Cly of Wheat Ridge
Inspection Check List notes
Final Roof
notes
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61) eAA-,)
Company Name: L�
Inspector signature:
Date of inspeciiorr,�i _ 3 7
�� �u��e f ��i'�-e•�92,
City of Wheat Ridge
Residential Roofing PERMIT - 201708224
f
PERMIT NO: 201708224 ISSUED: 10/11/2017
JOB ADDRESS: 4355 Parfet ST EXPIRES: 10/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 27 sq
Pitch = 4/12
*** CONTACTS ***
OWNER (303)907-0781 CERNIK PETER SAMUEL
SUB Cole Schemer 170233 Superior Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,219.06
FEES
Total Valuation 0.00
Use Tax 214.60
Permit Fee 220.15
** TOTAL ** 434.75
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
► ' City of Wheat Ridge
Residential Roofing PERMIT - 201708224
PERMIT NO: 201708224 ISSUED:
JOB ADDRESS: 4355 Parfet ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with
Pitch = 4/12
10/11/2017
10/11/2018
ROOF DECKING - 27 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 , the legal owner or have been authorized
by the legal owner o he property am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I furt r a st tha egally authorized to include all entities named within this document as parties to the work to be
perfo d a th t w - e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or r inance or regulation of this 'urisdiction. Approval of work is subject to field inspection.
a
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2 0 C 17 v
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, October 10, 2017 8:18 PMS
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status:
Completed
Residential Roofing Permit Application
s�
m
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 LtLi
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
''
Property Address 4355 parfet st wheat ridge co 80033
Property Owner Name peter cernik
Property Owner Phone 303-907-0781
Number (enter WITH
dashes, eg 303-123-4567)
101
Property Owner Email cernikpeter@yahoo.com
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Peter C. Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Superior Roofing & exteriors
Name
4,
Contractor's License 170233
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-295-8588
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 1675 Tahlequah Dr Colorado Springs Co 80915
(Primary address of your
business)
Contractor Email Address cole@cosuperiorroofing.com
Retype Contractor Email cole@cosuperiorroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 27sq ,
the entire scope of work:
Project Value (contract 10219.06
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
102
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 27
part of the PITCHED
roof?
Describe the roofing 40 year architectural shingle
materials for the
PITCHED roof:
Type of material for the Asphalt, Tile/Clay/Concrete
PITCHED roof -
Provide any additional House roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
103
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 Cole Schemer
Email not displaying correctly? View it in your browser.
104
Superior Roofing and Exteriors, LLC
Email: timCcD-cosuperiorroofing.com
5925 Galley Rd., #73674
Colorado Springs, CO 80970
(720) 432-4582
AUTHORIZATION TO REPAIR �i
Homeowner (Insured): - l Ire- C ���'I / /`_
Address: Lif 3 S S P& Y' Ic r V--TT
City/State: w h r q ,d zip: 1900 --?3
Email:
Job Site Address (if different from above): u
Home Phone:
Work Phone:
Cell Phone:
_V V _P_E ,_.�l0R
ROOFING & EXTERIORS
ROOFING SPECIFICATION tt
Shingle Year: 25 30 (0 50 Life Hail Resistant Color: S fi o rsy,—�
Brand: WIR .rte /f-ry %��re hG*hW-/' Pitch(s): /12 /12 /1
Story(s): �_ Layers: _L Tear Off: V No Ice & Water: Overhang Depth 2 -LI
"
Felt: Vents: (!W D&R Drip Edge: CS) (gPe LF in Est. a CC Color: WGi
Decking: $70 / Sheet R&R if needed Furnish Permit: 1f Skylight(s): AVQ Magnetic yard for nails:
Remove Trash from roof, gutters and yard: V- Protect landscaping where applicable: 1^
GUTTERS SPECIFICATION
Gutters: Color: L✓ r t Size: " 6" Downs: 2"x3" 3"x4"
Replace All: (_ r% (No LF in Est. Gutter screens: Yes
DELIVERY INSTRUCTIONS & NOTES
Material delivery: Shingles rooftop Yes No Other items driveway placed: Middle on RT or LT side (Drive clear)
Approximate dates of service: Property owner preferred completion date: / / Driveway Damage: Yes No
By law, SIRE shall hold, in trust, any payment from the insured until roofing materials have been delivered to the
property or until SRE has performed a majority of the roofing work on the property. (Senate Bill 12-038).
Total Ir�sprance Claim
*TOTAL AMOUNT
PROCEEDS BREAKDOWN
*The total amount of the agreement can change with additional money from applicable overhead and profit, deductible, permits
supplements, taxes, and upgrades. I/we understand that the company is a general contractor and is entitled these payments from the
insurance company.
Customer Initials X
Please make checks payable to: Superior Roofing and Exteriors, LLC
Payment Schedule
1. First insurance draft or equal sum due upon signing as a deposit to start work.
2. Final balance due upon completion of work, to include applicable overhead and profit, deductible, permits, supplements, and upgrades.
PAYMENT DATE:
Client Signature
Field Representative:
CHECK# :
Date
AMOUNT: $
Client Signature
Date
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17528
BUILDING INSPECTION LINE -(303-234-5933) Date : 8/9/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: TRISH DOLLER
Property Address : 4355 PARFET ST Phone : 421-2809
Contractor License No. : 22065
Company : Finch Installation Phone :(720) 934-1859
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 regulalions of the City of Wheat Ridge or
covenants, easements or reslrictions of record; that all measurements shown, and allegations
made are accurate; Ihal I have read and a9ree 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 W heal Ridge ordinances, for work under this permit.
(OW NER)(CONTRACTOR)
Construction Value :
$3,500.00
Permit Fee :
$126.50
Plan Review Fee :
$0.00
Use Tax :
$42.00
Total:
$168.50
Use : TEAR
DEC
INSPECT
NEW Description : FLA6H NG, ATT C V NOTSF TAMKO 30 YR DKMENS ONAL NL TARIP EDGE.
NEW PIPE
BUILDING DEPARTMENT USE ONLY
7tioril#~dQrn~nts:
Approval :
Zoning :
6~Idi~i~ ~c~i►1►$nf§;~
Approval :
pi;lilf~;WW"o~rks~Eqm~ieilts:=
Approval :
Occupancy: Walls
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issuetl in accoMance with the provisions set forth in yopur application and is subject to the laws of the State ot Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authonzed is not commenced within sixry (80) days from issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days.
(3) If this permit expires, a new permit may be acquiratl for a fee of one-half the amounl nortnally requiretl, provided no changes have been or will be made in e
original plans antl specifications and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full tees shall be paitl (or a new pertnit.
(4) No work of any manner shall be done that will change the naNral flow of water causing a drainage problem.
(5) Contrector shall notify the Building Inspeclor hventy-four (24) houre in advance for all inspections and shall receive wnrien approval on inspection card before
proceediing wdh suc sive pha
(6) The issuance mit approval of d s and specifcations shall not be construed lo be a permil for, nor an approval of, any violation of the
provisio ildi otles c auy; er ordinance, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17528
BUILDING INSPECTION LINE -(303-234-5933) Date : 8/9/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: TRISH DOLLER
Property Address : WPARFET ST Phone : 421-2809
Contractor License No. : 22065
Company : Finch Installation Phone :(720) 934-1859
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT r~nstruction Value : $3,500.00
I hereby certiTy that lhe setback distances proposed by lhis permit application are accurate, and Permit Fee : $1z6.50
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or $0.00
covenants, easements or restrictions of record; that all mea9urements shown, and allegatlons Plan RevieW Fee :
made are accurate; that I have read and agree to abideby aUconditions rinted on this Use Tax : $42.00
application, and that I assume full responsibility for mpl~ioK ith t heat Ridge B ildin
Code (U.B.C.) and all other applicable Wheat ' e ordi , f rk under thi y1nitG , Total : $168.50
(OWNER)(CONTRACTOR) SIGNED DAT /
Use /0O
:
x-,N.5_o TEAR
DEC
SPECT
AMKO 30 YR DKMENSIO AL NSTARIP EDGE. NE ~
NEW Description : FLA6HING, ATTIC VENTSFF~IN
c
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Zoning Conomerifa:,
Approval :
Zoning :
I Bliil}Ing~Ctt!'tjt~t¢~ts.'
Approval :
Publ;c.W.a"""Commiienty:.
Approval :
Occupancy : Walls :
Electrical License No :
Company :
Expiration Date :
Approval :
Roof
Plumbing License No :
Company:
Expiration Date :
Approval :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issued in accordance with ihe provisions set (orlh in yopur application and is subjed to the laws of the State of Colorado and to the Zoning
Regulations antl Building Code ot Wheat Ridge, Colorado or any other apDlicable ordinances of the City.
(2) This permit shall expire if (A) the worK authorized is not commencad within sinly (60) days from issue date or (B) the builtling authorized is suspentled or
abandoned for a periotl of 120 days. rovided no chan have ~een or will be made in the
(3) If this permit expires, a new pertnit may be acquired (or a fee of one-half the amount normally required, p 9es
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
ezceeds 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) Contreclor shall notify the Building Inspector twenty-four (24) hours in advance for all inspeclions and shall receive written approval on inspecHon card before
proceeaiin success' pase thejob.
(g) The jse of a d or lhe approva drawings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violalion of the
vi ' of t uildin Co ny other ordinance, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
Date:
a~ w"Eqrq gUILDING INSPECTION LINE - 303-234-5933
~ o CITY OF WHEAT RIDGE %'j 5 Z Sf s~
~ ^ 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
`~~oap~° APPLICATION
!~p~ Lt~2
Property Owner: Phone:
~
Property Address: L/~jrj's~,4e-) e.i S~. 3a 3 ~-(Z 1 z
Contractor License No.:
Company: JyvCl4-1 ti5 i 4(/-~7iuN Phone: 20 4 3Li ~ gS0j
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING ANO AGREEMENT
I hereby ceAify ihal the setback distances proposed by this pertnit aOP~ication are
accurate. and do not violate applicable ordinances, rules or regulaGOns of the Ciry o(
W heat Ridge or wvenants, easements or restrictions of record; that ail measurements
shown, and aUegations ma0e are accurate: Uiat I have read and apree to abitle by all
wnditions printed on this aOP~ication and thiiirt I assume f responsibiliry for
compliance with the Wheat Ridge Buil mg<.B.C) C all other appiicable
Wheat Ridge Ordinances, for work un~(thi t/
pWNERNCONTRACTORI'.51GNfD DATE b ~ GL.
Value:5 3i 500,
Permit Fee:$
Plan Review Fee:$
Use Tax:~
TOial:$
1 ~
(OWNER)(CONTRACTOR):PRINTED i'/l/1i ~ J~~`~ e I~
~ ti N
v
Description L y S Z 2 L A 7 evc '}-,~4L o {~p t j ~✓(sE~ ,1~L5 1[
•T:v 5~.2 c. ~ t c k...1n. C- 1 ' .
- Tvh l~0 3~ 7tz ~ji`N.cx's~u,~'aL
Sq. Ft. adtled ,_,.rti ~A A-
BUILDING DEPARTMENT USE OrLY
ONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBIIC W ~RKS COMMENTS:
Approval:
ccupancy: Walls: Roof: Stories: Residential Units:
ElecUical license No: Plumbing License No: Mechanical license No:
Company: Company_ Company:
Expiration Oate: Expiration Date: Expiration Date:
Approval ApprovaP F4nprovaL-
(1) This permit was issued in axordanoe wiM the Drovisio^s Set toAh in your applicalion and is wW W the laws of the Stale of
Cdorado and W the Zoni^9 Regutations and Buildiny Codes oT W heac Ridpe, Cdorado w any other apD~icaDIe ortlinances oi
ihe Ciry.
(y) This permN shall expire ii (A) the work authorized is not commenced within sixty (60) Oays from issue date or (8) the bui ing
auUqrized is su5pan0ed w aba^da'ed for a period of 120 days.
(3) tl this pertnn expires, a new permit may be acquirod for a fee ot one-hali the amount required, has Vmt exnoeeAed one
have been a Mrill be made in U~e aqina~ plans antl sDecificetions anE a^Y wsDe^s~^
(t) year. It charvges have been or N suspension w abandonment exceeCS one (1) year, full fees shall be paid for a new partnil.
(4) No work o( any manner shall be done that will change the naturai Bow of water pusing a dreinape problem.
(5) Contradw shall ^oUN the 8uildi^fl l^gPeckf twenty-four (24) hairs in atlvance tor all inspecUOns and shall receive wriden
approval on inspection card beforo {xoceedinp wIN successive phases of the job.
(5) The issuance oT e pertnit or the approval ol drawfnps an0 spadfica0ons shall mt be consWed to be a pertnit (or. nrn an
approval of, any violation of the provisions at the building codes w any other oMinance, law, rule or regulation.
Chief Building Officiai