HomeMy WebLinkAbout4660 Otis Street44o oils Si. 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
PL " F—
2
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
Wall Sheathing
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
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
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
City of Wheat Ridge
3 A
?�� Residential Roofing PERMIT - 201707028
PERMIT NO: 201707028 ISSUED: 09/07/2017
JOB ADDRESS: 4660 Otis ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 34 sq
Pitch = 8/12 (3rd party inspector required)
*** CONTACTS ***
OWNER (303)883-4535 NAZARENUS LISZA
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,581.00
FEES
Total Valuation 0.00
Use Tax 411.20
Permit Fee 362.80
** TOTAL ** 774.00
*** 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.
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: L10'7 f�� F
Job Address: q(060 t,:) lS S
PermitNumber:
❑ No one available for inspection: Time ,� (�, AM/PM
Re -Inspection required: Yes j`No
When corrections have been made, call for re -inspection at 303-234-593
�/3
Date: 0 Inspector:__ T
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 21,11�'1 PFL
Job Address: 'Wk) cwl'5
Permit Number: 21)/70 ?05ff
`lo one available for inspection: Time ASPM
Re -Inspection required:' Yes ; No
When corrections have been made, call for re -inspection at 303-234-5933
Date: /-/,/G' • / 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
INSPECTION NOCE
Inspection Type:2
Job Address: IW 60 t
Permit Number: 2O/fib
0
r
LlNo one available for inspection: Time 'j_ M
Re -Inspection required:, No
c�
When corrections have been made, call for��l r"""e -inspection at 303-234-5933
Date: r - _ E inspector:'
DO NOT REMOVE THIS NOTICE
® City of Wheat Ridge
_:"00000" Residential Roofing PERMIT - 201707028
PERMIT NO:
201707028
ISSUED:
09/07/2017
JOB ADDRESS:
4660 Otis ST
EXPIRES:
09/07/2018
JOB DESCRIPTION:
Residential Re -roof to install
GAF Timberline
asphalt shingles - 34 sq
Pitch = 8/12 (3rd
party inspector
required)
*** CONTACTS ***
OWNER (303)883-4535
NAZARENUS LISZA
SUB (770)433-8211
Gary Cummings
170102 Home
Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN
GRANGE,
WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 19,581.00
FEES
Total Valuation
0.00
Use Tax
411.20
Permit Fee
362.80
** TOTAL **
774.00
*** 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
�r Residential Roofing PERMIT - 201707028
PERMIT NO: 201707028 ISSUED: 09/07/2017
JOB ADDRESS: 4660 Otis ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 34 sq
Pitch = 8/12 (3rd party inspector required)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further- attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all w k to erformed is disclosed in this document and/or its' accom anying approved plans and specifications.
l/
Signature of R or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official andmaybe subject to a fee equal to one-half of the original ppermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or grantin of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or arr"o finance or regulation of this 'urisdiction. Approval of work is subject to field inspection.
rta�'
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Home Depot Contractor License Numbers:
CO: 30122, EC -7930, 21167, PC.0003126, MP.00190074, MP.00189758, PPRBD 20766, Fr, CO: 30122, EC -7930, 21167, PC.0003126,
MP.00190074, MP.00189758, PPRBD 20766, Fr, CO: 30122, EC -7930, 21167, PC.0003126, MP.00190074, MP.00189758, PPRBD 20766,
Salesperson Name and Registration Number:
Tim R Miltersen :
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
Lisza Nazarenus
[Denver —� 10322718
First Name
Last Name Branch Name Lead #
4660 Otis st
WHEAT RIDGE CO 80033
Customer Address
City State Zip
(303) 883-4535
Home Phone#
Work Phone#
Cell Phone#
lisza.nazarenus@yahoo.com
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
9500 W. 49th Ave. Unit A-100 Wheat Ridge
Address City
or Email CustomerCanceIlationWest@homedepot.com
CO 80033
State Zio
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME
CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU.
OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT
HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acknowledged by:
X
Customer's Signature
09/01/2017
Date
Contract Price and Payment Schedule: Payment of the Contract Price is due upon completion unless
a different payment schedule is specified in the State Supplement.
Contract Price $ 19580.22
Minimum 25 % deposit $
4895.00
Includes all applicable discounts, rebates, and , taxes.
Excludes finance charges.*
Due Immediately
Remaining balance $ 14685.22 Due upon completion
Finance Charges
*Any interest payments or other finance charges will be determined by Customer's separate cardholder
or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's
payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or
loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service
Provider may collect Customer's payment(s) made payable to The Home Depot.
Insurance proceeds will *1 will not ❑ be used to pay some or all of the total amount of sale.
Description of Work to be Performed:
Installation of Roofing
A more detailed description of the work to be performed is included in the section entitled Scope of Work
which appears on page 3 of this Agreement.
Anticipated Delivery Date / Installation Schedule
Approximate Start Date: 9/27/2017
Approximate Finish Date: 9/31/2017
All dates are approximate and subject to change based on unforeseen events including inclement
weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if
applicable.
Electronic Records Authorization: You are entitled to a paper copy of this Agreement if you choose. If you
consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and
written communications related to this agreement. By contacting your Service Provider, you may update
your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents
at no charge. By providing your consent and verifying your email address above, you confirm that you
have access to a computer that can receive and open emails and PDF documents.
By initialinc this paragraph, I consent to receive only electronic records related to this transaction.
I I Initial
Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange for Service
Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise,
including special order merchandise that may be custom made, as specified in this Agreement. Do not sign
if blank or incomplete. (Service Provider's/permitting information may need to be provided to You later.)
By signing, you acknowledge that you have read, understand, and accept this Agreement in its entirety,
including the General Terms and Conditions and State Supplement, if any. You further acknowledge
receiving a complete copy of this Agreement. Keep it to protect your legal rights.
X C 09/01/2017
Custumees Signature Date
X
X--
Sales Consultant's'<t::aturc
Date
09/01/2017
Date
License number(s) held by or on behalf of the Home Depot:
2
CO: 30122, EC -7930,21167, PC.0003126, MP.00190074, MP.00189758, PPRBD 20766, Fr, CO: 30122,
EC -7930, 21167, PC.0003126, MP.00190074, MP.00189758, PPRBD 20766, Fr, CO: 30122, EC -7930,
21167, PC.0003126, MP.00190074, MP.00189758, PPRBD 20766, Fr
License numbers are subject to change in accordance with local or state government processes. For the most
current listing of license numbers held by or on behalf of the Home Depot, please visit www.homedepot.com/
licensenumbers.
Scope of Work
Job M (internal Reference) Products: Spec Sheet(s) M Project Amount
Warranty:
The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in
the following documents:
Warranty HDE-520 Advanced Protection Roofing Warranty
Name(s):
9
Roofing ❑ Siding H Windows Insulation
10322718
❑ Gutters/ Covers ❑ Entry Doors ❑ 0
10322718
$ 19580.22
❑ Roofing ❑ Siding ❑ Windows Insulation
❑ Gutters /Covers ❑ Entry Doors ❑ 0
$
❑ Roofing ❑ Siding ❑ Windows Insulation
$
❑ Gutters /Covers ❑ Entry Doors ❑ 0
Roofing ❑ Siding ❑ Windows Insulation
❑ Gutters/ Covers ❑ Entry Doors ❑ 0
$
SubTotal
$19580.22
Sales Tax
$ 0.00
Total Contract
$19580.22
Amount
Warranty:
The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in
the following documents:
Warranty HDE-520 Advanced Protection Roofing Warranty
Name(s):
9
THE HOME DEPOT
GENERAL TERMS AND CONDITIONS
DEFINITIONS: "You"/"Your" means the customer identified in the Agreement. "Home Depot" means
solely that legal entity identified in the Agreement as the Contractor, and none of its affiliates,
subsidiaries, parents, agents, representatives, employees, officers, managers or directors. "Service
Provider" means an independent contractor authorized by Home Depot, and the Service Provider's
employees, agents, subcontractors, and any others for whom the Service Provider is responsible.
"Home" means the real property, fixtures and any physical improvements where the Services
are performed. "Agreement" means the Home Improvement Agreement between You and Home
Depot, plus (1) any Change Orders; (2) the State Supplement, if any; (3) these General Terms
and Conditions ("General Conditions") and any documents referenced in or attached to any of the
foregoing.
2. SCOPE: The Agreement is for (1) the delivery and furnishing of goods, equipment, materials,
and hardware and (2) any related labor and services, including without limitation, construction,
consultation, fabrication, erection, installation, inspection, maintenance, repair, and testing
(collectively, "Services"), as more particularly described in the Agreement. Home Depot may
perform Services directly or may arrange for Services to be performed by an Service Provider.
Notwithstanding any language to the contrary in any other portion, provision, or term of this
Agreement, Home Depot does not provide, authorize, or arrange for architectural, engineering or
other licensed design services, nor does Home Depot provide, authorize or arrange for structural
changes to Your Home.
3. HOME DEPOT'S RESPONSIBILITIES: Home Depot or Service Provider will complete the Services
in a workmanlike manner and in accordance with applicable law without causing damage to Your
Home, provided, however, that Home Depot or Service Provider will not start or continue with any
Services upon discovery of any condition at Your Home that Home Depot or Service Provider
deems in its sole discretion to be hazardous or unsafe. Unless specifically contracted to do so,
neither Home Depot nor Service Provider is obligated to repair such pre-existing hazardous or
unsafe conditions at Your Home.
4. ASSIGNMENT/SUBCONTRACTING: Home Depot and Service Provider may assign this
Agreement, or any right herein, or any monies due or to become due hereunder, and may delegate
or subcontract any obligations or Services hereunder without Your consent. This Agreement shall
not be assigned by You without first receiving Home Depot's written consent, which may be denied
in Home Depot's sole discretion.
5. YOUR RESPONSIBILITIES
a. Payment: You agree to pay Home Depot in full for the Services pursuant to the terms of this
Agreement.
b. Safe Access: You agree to provide Home Depot and Service Provider safe and complete
access ("Safe Access") to Your Home, including any means of egress or ingress, and access
to any property, buildings, or structures necessary for the staging, temporary storing and
performance of the Services ("Work Area"). Safe Access includes, without limitation, the
following: (1) obtaining in advance of the Services consent, permission, or relief from any
covenants, easements, restrictions, or other legal encumbrances affecting the Work Area;
(2) providing the location of utilities, whether underground, concealed, overhead or visible,
to Home Depot or Service Provider; (3) removing from the Work Area physical impediments,
hazards, and building code or zoning violations that affect directly or indirectly the Work Area;
(4) removing unsafe working conditions and hazardous materials, including environmental
hazards, from the Work Area; (5) providing sanitary facilities to Home Depot or Service Provider
convenient to the Work Area (or, alternatively, paying for the rental costs of such facilities);
(6) providing all utilities, including without limitation, power, water, ventilation and climate
control, in and for the Work Area; (7) removing from and protecting against minors, pets,
guests and visitors in the Work Area; (8) keeping permits, if required, visible at all times;
(9) disengaging, suspending or terminating any security systems protecting the Work Area;
4
(10) providing adequate temporary storage space as needed for Home Depot's or Service
Provider's performance of the Services; and (11) not interfering, impeding, impacting or
otherwise disrupting the Work Area at any time during Home Depot's or Service Provider's
performance of the Services.
c. Services are to be performed by Home Depot or Service Provider. If You attempt to perform or
assist with the Services in any way, You assume all risk for property damage and for injury to
Yourself and others.
6. MODIFICATIONS AND CHANGE ORDERS: Without invalidating this Agreement, You may
authorize Home Depot or Service Provider to perform Services beyond the scope of the Agreement
("Change Work"). A Change Order shall be issued by Home Depot or Service Provider on behalf
of Home Depot, which You may accept by signing. Upon Your signing of the Change Order, it
shall become part of this Agreement, subject to all of the terms of the Agreement. Change Work
may also result from Home Depot or Service Provider encountering conditions at the Work Area
that impact, impede or otherwise interfere with the performance of the Services, requiring an
increase in cost, time, or both. Following the discovery of any conditions that impact, impede or
otherwise interfere with the performance of the Services (including, without limitation, the following:
previously undisclosed or unidentified legal encumbrances in the Work Area, building and zoning
code violations, concealed and unforeseen physical and hazardous conditions, the presence of
underground or overhead utility lines, rocks, roots, buried debris, mold, asbestos, lead paint, or any
condition differing from what You represented), Home Depot may immediately ask for a Change
Order or discontinue the Services without further obligation to You. If You decline a Change Order
request, You or Home Depot may terminate this Agreement as set forth below.
7. CREDIT CARD TRANSACTIONS: If payment is made by credit card, Your cardholder agreement,
to which Home Depot is NOT a party, will determine the total cost of Your purchase, including any
initial payment/deposit You may make and all interest charges and fees. You will be further subject
to Your cardholder agreement's terms and conditions.
8. FINANCED TRANSACTIONS: If You are financing this transaction in whole or in part, Your
separate loan agreement, to which Home Depot is NOT a party, will determine: (i) the amount
financed or the sum of the credit extended; (ii) the associated finance charges — or the dollar
amount the loan will cost You; and (iii) the total payment — or the amount paid upon making all
scheduled payments. You will be further subject to Your loan agreement's terms and conditions.
9. TITLE AND RISK OF LOSS: The title to and risk of loss for any materials or goods provided to You
that originate from Home Depot (1) shall pass to You when paid for in full by You or (2) shall pass to
You when paid for in full by the Service Provider as part of the Services. Title to any other materials
or goods provided by Service Provider shall pass to You upon completion of the Services.
10. WARRANTY AND LIMITATION ON WARRANTIES:
a. Warranty: Unless otherwise stated in the Warranty section of the Agreement or in the State
Supplement, Home Depot warrants for one year from their completion date that all Services shall
be performed with good workmanship and shall conform to the requirements of the Agreement. A
"Defect" shall be any Services that are found not to be as warranted. During the warranty period
and within a reasonable time after receiving notice from You of a warranty claim, Home Depot may,
at its sole option (a) correct or replace each Defect, or (b) remove each Defect and refund the full
purchase price thereof to You. Provided, however, that all warranties are voided if anyone other
than Home Depot or Service Provider performs work upon or otherwise modifies any materials or
Services provided under this Agreement.
b. Limitation on Warranties: THE WARRANTIES PROVIDED IN THIS AGREEMENT ARE
STRICTLY LIMITED TO THE FOREGOING EXPRESS WARRANTIES CONTAINED IN
SUBPARAGRAPH A, IN THE WARRANTY SECTION OF THE AGREEMENT, IF ANY, OR IN
THE STATE SUPPLEMENT, IF ANY. YOU ACKNOWLEDGE AND AGREE THAT NO OTHER
WARRANTIES ARE MADE OR GIVEN BY HOME DEPOT OR SERVICE PROVIDER, INCLUDING
ANY WARRANTY FOR FITNESS OF PURPOSE, WARRANTY OF MERCHANTABILITY, OR
ANY OTHER ORAL, EXPRESS OR IMPLIED WARRANTIES. HOME DEPOT'S EXPRESS
5
WARRANTIES ARE VOIDED FOR ANY DEFECT CAUSED BY ABUSE, MISUSE, NEGLECT,
LACK OF PRESCRIBED OR STANDARD MAINTENANCE, OR IMPROPER CARE/CLEANING.
ANY MANUFACTURER'S WARRANTIES PROVIDED FOR GOODS, MATERIALS, OR
EQUIPMENT WILL BE PASSED THROUGH BY HOME DEPOT TO YOU, AND YOU AGREE TO
LOOK SOLELY TO SUCH MANUFACTURER FOR REMEDY OF ANY DEFECT IN SUCH GOODS,
MATERIALS, AND EQUIPMENT. HOME DEPOT MAY ASSIST YOU WITH WARRANTY CLAIMS
AGAINST MANUFACTURERS.
11. RIGHT OF CANCELLATION: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY BY
DELIVERING WRITTEN NOTICE TO HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS
DAY AFTER SIGNING THE AGREEMENT. THE STATE SUPPLEMENT CONTAINS A FORM
TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. Your payment(s)
will be returned within ten (10) business days after Home Depot's receipt of Your notice. You must
make available for pickup by Home Depot or Service Provider, at Your Home and in substantially
the same condition as when delivered, any materials, goods, or equipment delivered to You.
Alternatively, You may contact Home Depot for instructions regarding return shipment at Home
Depot's expense.
12. TERMINATION: This Agreement may be terminated by Home Depot for its convenience, and by
either party for cause if the other party fails to correct a material breach within ten (10) days after
receiving notice from the non -breaching party identifying the breach. In the event Home Depot
terminates this Agreement because You fail to provide Home Depot or Service Provider Safe
Access to perform the Services, or if either party terminates the Agreement because You decline a
Change Order request resulting from unforeseen or hazardous conditions, then You shall pay Home
Depot for Services provided through the date of termination plus any costs or expenses incurred by
Home Depot or Service Provider as a result of the termination.
13. PAYMENT: You will not pay anything to Service Provider, although Service Provider may present
this Agreement to You for Your review and signature and/or collect Your payment(s) to Home Depot
on Home Depot's behalf.
14. CLAIMS, DISPUTE RESOLUTION, CHOICE OF FORUM AND CHOICE OF LAW:
a. This Agreement shall be governed by and interpreted in accordance with the laws of the State
where the Project is physically located.
b. JURY WAIVER: YOU AND HOME DEPOT IRREVOCABLY WAIVE ANY AND ALL RIGHT TO
TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THE
SERVICES OR THIS AGREEMENT.
15. SEVERABILITY: The parties intend for the terms and conditions in the Agreement to be
complementary, consistent, and enforceable under applicable laws. In the event any term or
condition in the Agreement violates applicable law, such term or condition shall be severed from the
Agreement, but only to the extent necessary to avoid such violation, without invalidating any other
terms and conditions of the Agreement.
16. ENTIRE AGREEMENT: This Agreement is the final, integrated, and exclusive expression of the
parties' agreement, which supersedes all prior and contemporaneous offers, orders, agreements,
understandings, representations, proposals, confirmations, and negotiations between the parties,
whether oral or written. No course of dealing, usage of trade, course of performance, course of
conduct, or any other evidence of additional or different terms shall be admissible to contradict or
vary any term in the Agreement.
17. SECURITY INTERESTS; LIENS: If You make all payments as required under this Agreement,
no security interest will be placed against Your property by Home Depot. If a security interest is
placed on Your property, it creates a lien, mortgage, or other claim against Your property to secure
payment and may cause a loss of Your property if You fail to pay as requested. After paying on
any completed phase of the Services and before making any further payments, You should request
from Home Depot or Service Provider a signed, unconditional release from, or waiver of, any right
0
to place any claim against Your property applicable to the work then completed. You may ask an
attorney about Your rights to discharge security interests.
18. RETURNS: Custom order merchandise (i.e., goods that are custom made, uniquely altered, color -
matched, shaped, sized, or otherwise uniquely designed or fitted to the requirements of a particular
space) is non -returnable, and its purchase price cannot be refunded unless incorrectly ordered by
Home Depot or Service Provider, or unless damaged beyond repair in delivery or by Home Depot
or Service Provider. Special order merchandise may be returned, and a refund for all or part of the
purchase price provided, in the discretion of Home Depot. Please contact customer care department
at 1-800-553-3199.
19. AGREEMENT/SERVICE ORDER COMMUNICATION PREFERENCES:
a. www.myhomedepotproject.com You can visit www.myhomedepotproject.com at any time to
access Your account for the following:
* update Your Agreement/Service Order Communication Preferences (email, text, Auto Call)
* contact The Home Depot for order assistance
* view latest order status
* take action to schedule pickup for Your Service Order(s)
b. Text Message Communications: If You signed up to receive updates about Your Agreement/
Service Order(s) via text message, You may receive multiple messages per order (including current
and future orders) via automated technology to the mobile phone number You provided. The total
number of messages received depends on the number of orders placed and order activity. Standard
message and data rates apply. Not all carriers covered. You can text STOP to 97710 to stop (You
will be sent a confirmation message). Text HELP to 97710 or call 800 -HOME -DEPOT for help. You
can also visit www.myhomedepotproject.com to access Your account to update Your Agreement/
Service Order Communication Preferences, contact The Home Depot, and take action on orders.
c. Auto Call Communications: If You signed up to receive updates about Your Agreement/Service
Order(s) via electronic voice communications (Auto Call), You may receive multiple pre-recorded
phone calls per order (including current and future orders) via automated technology to the phone
number You provided. The total number of calls received depends on the number of orders placed
and order activity. You can press 9 during a call to opt out or call 800 -HOME -DEPOT for help. You
can also visit www.myhomedepotproject.com to access Your account to update Your Agreement/
Service Order Communication Preferences, contact The Home Depot and take action on orders.
d. Email Communications: If You signed up to receive updates about Your Agreement/Service
Order(s) via Email, You may receive multiple Emails per order (including current and future
orders) via automated technology to the Email address You provided. The total number of
Emails received depends on the number of orders placed and order activity. You can visit
www.myhomedepotproject.com to access Your account to update Your Agreement/Service Order
Communication Preferences, contact The Home Depot, and take action on orders.
20. QUESTIONS? If The Home Depot store and Authorized Service Provider are unable to answer Your
questions, You may contact The Home Depot Customer Care Department at 1-800-553-3199.
7
Dane Lovett
2,0 10701�
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 6, 2017 10:56 AM
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
Property Address 4660 Otis St
Property Owner Name Lisza Nazarenus
Property Owner Phone 303-883-4535
Number (enter WITH
dashes, eg 303-123-4567)
61
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
n/a
Yes
Nazarenus roof contract - 103227
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)
HomeDepotDepot USA
�L
170102
8017102507
9500 W 49th Ave, #A-100
Contractor Email Address jamie@reedysetgo.com
Retype Contractor Email jamie@reedysetgo.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 34
the entire scope of work:
Project Value (contract 1958
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
62
Does the scope of the No /
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the Yes /
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch? 3/12, 4/12, and 8/12
How many squares are 34
part of the pitched roof?
Describe the roofing GAF Timberline HD
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof:
Provide any additional This is for a 2 -story house.
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.
63
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 Jamie Reed
Email not displaying correctly? View it in your browser.
64
A . City of Wheat Ridge
Residential Miscella PERMIT - 201707058
PERMIT NO: 201707058 ISSUED: 09/08/2017
JOB ADDRESS: 4660 Otis ST EXPIRES: 09/08/2018
JOB DESCRIPTION: Permit for siding: tear off and replace aluminum siding with 36.5 squares
7inch clapboard vinyl siding to all sides of house.
*** CONTACTS ***
OWNER (303)883-4535 NAZARENUS LISZA
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 40,737.00
FEES
Total Valuation 0.00
Use Tax 855.48
Permit Fee 626.05
** TOTAL ** 1,481.53
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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
thisermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performedand that all to a per is disclosed in this document and/ its' a com anying approved plans and specifications.
Signature of 94NER 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 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 construct to be a permit for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of thisrisd"c tion. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat j ge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date_ ('i j
Planmennit #
Plan Review Fee:
Building Permit Application
'"*"` Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I
Property Address: 4660 Otis St, Wheat Ridge, CO 80033
Property Owner (please print): Lisza Nazarenus Phone: 303 883-4535
Property Owner Email;
Mailing Address: (if different than property address)
Address:
Citv. State. Zir):
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Home Depot USA
Contractors City License #:
170102
Contractor E-mail Address: iamie@reedysetgo.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 801 710-2507
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
F6ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft/LF
Amps
Tear off and replace aluminum siding with 36.5 squares of 7" clapboard vinyl siding to all sides of home.
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$_40737_00___._.__
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any pennit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness ofthe information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZEWEPRESENTATIVE) of (OWNER) (CONFAACTOR)
Electronic Signature (first and last name): Lu DATE: 9/7/17
ild
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201707739
PERMIT N0: 201707739 ISSUED: 09/27/2017
JOB ADDRESS: 4660 Otis ST EXPIRES: 09/27/2018
JOB DESCRIPTION: Residential window replacement of 3 like for like with retrofit vinyl
windows, with a U-value.28 or better, according to manufacturer's
specifications.
*** CONTACTS ***
OWNER (303)883-4535 NAZARENUS LISZA
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,930.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 61.53
** TOTAL ** 111.53
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all wark t _ be performed is disclosed in this document a /or its' accompanying approved plans and specifications.
Signature of ACNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies andprocedures.
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, anew 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, 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 o ief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
C itV of
W heat R dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits .ci.wheatridge.co.us
FOR OFF CE USE ONLY
Date:
'1A71 7
Plan/Permit # t
Plan Review Fee: l
/ !�z
Building Permit Application
I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 4660 Otis St, Wheat Ridge, CO 80033
Property Owner (please print): Lisza Nazarenus Phone: 303 883-4535
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: Home Depot USA
Contractors City License #: 170102 Phone: 801 710-2507
Contractor E-mail Address: iamie(a�reedysetgo.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
.
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CITY OF WHEAT
' BuildingRIDGE
(303 234-5933 Inspection Division
(303) 235-2855 Inspection line
(303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type; �lp � A- ,b
Job Address;
Permit Number:O F S -5+-
❑ No one available for ins
pctionue: Time) , J
Re -Inspection required: A4P
Yes�'No �
When corrections have been made,�ayr e
Date: /O /% / 7 inspection at 3 3-2 q_ 33
Inspector:
Do Nor
RE
-' T
� A 4� City of Wheat Ridge
.� s
]��
/ i / Faxed Roof Permit PERMIT - 093736
PERMIT NO: 093736 ISSUED: 10/30/2009
JOB ADDRESS: 4660 OTIS ST EXPIRES: 01/31/2011
DESCRIPTION: Reroof 38.66 sqs
* ** CONTACTS * **
owner 303/906 -3486 Ted Foster
sub 303/986 -5080 Jennifer Peterson 01 -8987 Pyramid Roofing
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0373
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY **
Extend Expired Permi
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION: 6,842.82
FEES
90.55
181.10
.00
123.17
394.82
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED.
6 nail installation & mid -roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from save edge to 2' inside exterior walls.
** *Contractor /Property owner shall provide ladder(s) secured in place for
inpsections.
Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
- - -of -all required inspections and shall not proceed or conceal work without written approval of such work from the - -- - --
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field. inspection.
Signature of
REQUESTS
7 Ding uitical Date
EST LINE: (303)234 - 5933 - BUILDING OFFICE: (303)235 -2855
BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CITY OF WHEAT RIDGE
12/14/10 2:50 P14 edbb
Billy Joe Hollingswo
RECEIPT NO:CDD005572
AMOUNT
DPSP Reroof 38.66 sqs
90.55
093736
Extend Expiredreimi
90.55
BPSL LIC -CLE- TOTAL FEE
75.00
018987
PAYMENT RECEIVED
AMOUNT
VS 5233
165.55
Auth Code:
045116
TOTAL
165.55
12/14/2010 12:29 FAX
Z003
Pyramid Roofing authorizes the city of Wheat Ridge to withdraw pa nt of $90.55 off the credit card
we have on file (last four digits = 5233) in order to reactivate permit tuber 093736. Please fax us a
receipt at (303) 423 -0831.
Jordan Pendley
Production Manager
♦ 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:O
Job Address:h~
Permit Number: 44S 11,
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes' No
When corrections have been made, call for re-inspection at 303-234-5933
Date: 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
INSPECTION NOTICE
C V s'
Inspection Type: VA
Job Address:
Permit Number:, 7
No one available for inspection: Timed AIVI/~N
Re-Inspection required: Yes No
' When corrections have been made, call for re-inspection at 303-234-5933
Date: ' 0 C)OA Inspector: ( '0~
DO NOT REMOVE THIS ~OTICE
aA~
ok
l~ flcem,~v_OJSoa~sa ?o o 5i y ~~~i>cmv~'a,
h
" 1 ` City of Wheat Ridge
K
(~z PERMIT NO: Y
'EXPIRES:
a;,
rr.r~ o~,~u iruci
:.'sb'1'llA[d1L''L "YXU.lhU1''-: VALUATION:
'
FEES
t
Permit Fee
181
10
Total Valuation
.
.00
'
Use Tax
123.17
"
TOTAL
304.27
r;
Conditions:
Both front and back of permit need
to be posted on
;job site. If one o
is not present, INSPECTION WILL NOT
BE PERFORMED. -
'INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE:: (303)23
law„rule or 'regulation.
855
INSPECTION RECORD Occupancy/Type
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.
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
It UN IIL AIJUVE "As CEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO N
OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
INSPECTIONS TO BE SIGNED PRIOR TO PRI
Framing
CITY OF WHEAT RIDGE
Insulation
YB/3Bl09 2:13 PH edb
Drywall Screw
Billy Joe Hollingswe
FINALS
I Electrical
Plumbing
Mechanical
Roof
Buildina Final
Fire Dep
R.O.W &
RECEIPT-NO:CDA003054 -
AMOUNT
BPSP Reroof 38.66 sqs
304.27
893736
Permit Fee
181.10
Use Tax
123.17
PAYMENT RECEIVED
AMOUNT
VS 5233
304.27
Auth Code:
021416
TOTAL
304.27
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping I I I 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
Oct 30 09 11:36a Pryamid Roofing
303 423 0831 p.1
n City of
r ~O(q1 ~ WheatPdge Date:
COMMUNITY DEVELOPMENT Permit#:1~~~
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: 6(3 L/ L 5=s ~
Property Owner (please print): to FO-S+& Phone: 30 3 Ye (a
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor E~i fCs6ffvy,A +ryn~
Contractor License#: Lo ~1 Phone: ~d3 6;2 b
Sub Contractors:
Company Name: License#: Expiration Date: Trade/Profession: Approval:
Use of space (description): ReR-uor'
Description of work: C L-,A'ft.
Sks„AtI(-V$ + -P„may L,yLy_ OC~ Dui v Plan Review (due attimeotsubmittal):5
Sq. Ft1L.Ftadded: Squares -3-1[6 BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with 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! (CONTRACTOR) or ERSONAL REPRESEATATIVE of (OWNER) (CONTRATO ?
PRINT NAME: Ra9B~ wlikxs -SIGNATIJRE: Date: / L J6
DEPARTMENT USE ONLY,
ZONING COMMENTS:.
- -Zoning: - -
Reviewer. - - -
PUBLIC WORKS-COMMENTS: - -
Reviewer.- - - -
-BUILDING DEPARTMENT COMMENTS: - - OCCUPANCY:
Reviewer: - - - -
FIRE DEPARTMENT::1 O approved w/ comments ❑ disapproved El no review required Bldg Valuation: $
Credit Card Payment: Use credit card listed on file. Date: io -3o' `mil
Signature: , n l
Print name: 13e(( -+6,
INSPECTION TICKET
doe
ADDRESS
DATE: y BLDG. PE RM ITM~
PERMITB
BLDG. CONTR. (?-~~'~^'r-I SUBCONTRACTOR
DATE INSP. REQ.
7YPE OF INSP. ~LLL.~
INSPECTION MADE '"j-
REMARKS
INSPECTION TICKET
i3
JOB
ADDRESS ~G!{l U' 1 !
DATE: l` BLDG. PERMITM
PERMITN
BLDG. CONTR.
SUBCONTRACTOR
DATEINSP.RE V /DTYPE OF INSP'^"''•
INSPECTION MADE~/~
REMARKS
6
INSPECTION TICKET
JOB `I
ADDRESS
DATE: -~t BLDG. PERMITM / -5 ~5 I
PERMITN
BLOG. CONTH. SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION
REMARKS
W a~
-b ~~6 L
W.R.FORM &19
W.R. FORM 619