HomeMy WebLinkAbout3680 Marshall Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: n O rs
Permit Number: 20,z C7 0.1 y
❑ No one available for inspection: Time r� �
- /,AM/'P'M
Re -Inspection required: Yes o
When corrections have been made, schedule for re -inspection online at:
h ttp://www. cL wheatridge. co. usrnspection
Date: /O % `?1Za Inspector: .5;>0
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: P F / i
Job Address: !L Zo r,!' ,* S�
Permit Number: zy;?o to / e_% //
1e)e-"/
4
A
f' lei' ..f -a i a
❑ No one available for inspection: Time M
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at;
http://www. ci. wheatridge. co. usfinspection
Date:���nspector: S><:;�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202001411
PERMIT NO: 202001411 ISSUED: 07/28/2020
JOB ADDRESS: 3680 Marshall St EXPIRES: 07/28/2021
JOB DESCRIPTION: Replace 40 gallon, 40K BTU gas water heater on main level
*** CONTACTS ***
OWNER (303)478-5104 HAL L I DAY BARB E T TA L
SUB (303)232-6611 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21954.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 62.03
** TOTAL ** 102.03
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202001411
202001411
ISSUED: 07/28/2020
3680 Marshall St EXPIRES: 07/28/2021
Replace 40 gallon, 40K BTU gas water heater on main level
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation 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 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Tuesday, July 28, 2020 12:42:20 PM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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 a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
3680 MARSHALL ST
1:1GA C7 :l'fi M. F -A I l 111EVA
3034785104
PERM ITS@APPLEWOODFIXIT. COM
CONTRACTOR INFORMATION
Contractor Business Applewood Plumbing Heating & Electric
Name
Contractor's License 18236
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
Number of gallons
191819y, W-11661-1-3
PERM ITS@APPLEWOODFIXIT. COM
PERM ITS@APPLEWOODFIXIT. COM
BQ
Is the water heater GAS
GAS or ELECTRIC?
If GAS, enter # of 40000
BTUs. If electric, enter
n/a
Where is the water MAIN LEVEL
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2954
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
Permit
LACEY MABE
Email not displaying correctly? View it in your browser.
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax 9
INSPECTION NOTICE xd w
Inspection Type:
Job Address: C. Q d ryl AR 3 1 o i I ej, 1
Permit Number: a U /-7
❑ 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 REMOV THIS NOTICE
Mal Mo > Nlt�_EQ'n 11013
r
N S P C T I O N CORD Occupancv/TSP
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Ap roval 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 Ins actions
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.
W! IWW VWLag& PER11I►S — riease uu sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
For notification of your assigned inspection time window please email insptimerequestkci.wheatridize.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificr ' •y Is Issued
City of Wheat Ridge
` Residential Roofing PERMIT - 201701819
?ERMIT NO: 201701819 ISSUED: 06/09/2017
JOB ADDRESS: 3680 Marshall ST EXPIRES: 06/09/2018
TOB DESCRIPTION: Reroof main house and shed; GAF Timberline; 25 squares
k** CONTACTS ***
OWNER (303)478-5104
HALLIDAY BARBETTA
L
3UB (303)898-5915
Matthew Mazur
170111 Summit View Roofing
k'ti* PARCEL INFO ***
7,ONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 12,677.71
FEES
Dotal Valuation
0.00
�Jse Tax
266.23
Permit Fee
251.85
** TOTAL **
518.08
*** 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 sheathin overlay) requires an approved inspection
prior to installation of AN =xceeding
erings and is requ entire roof when spaced
or board sheathing wi Y gap A1/2 -inch exists. Aspha s i are required to
be fastened to the oof deck with a minimum of 6 nails per shingle.`1c and er shield is
required. Eave d rake metal is required. A ladder extending 3 feet above the r f eave
and secured i place is required to be provided for all roof inspections. Roof v tilation
is required t comply with applicable codes and/or manufacturera€ms install
instructions, ichever is more stringent. In order to pass a final ' ection of
elastomeric or si r type roof coverings, a letter of ins on and approval from the
manufacturer's tec re resentative statin "the application of the roof at
(project address) has been applied in accor ance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
3
INSPECTION RECORD
Inspection online form: http://www.cl.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 P ) to recei a -,an ins ecti the following business da
PERMIT''ADDRESS: ��% ��� / JOB CODE: �2F
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
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.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
0-
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
304 Sheer Inspection
305 Insulation
306 Mid -Roof
0-
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
l
PERMIT: LV 7 `
ADDRESS: "J JOB CODE:
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.
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: fYl
Job Address: 3 u IYl A P 5
Permit Number:
c_,uY< N -0v
U� .1 S u
/l((� G Q �— � l;L 5 l 8 M d j IT r U- VV
t
❑ No one available for inspection: Time 6 AM/PM
Re Inspection require qes�'
No
When corrections have been made, call for re -inspection at 303-234-
Date:- 7 Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax 9
INSPECTION NOTICE xd w
Inspection Type:
Job Address: C. Q d ryl AR 3 1 o i I ej, 1
Permit Number: a U /-7
❑ 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 REMOV THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701819
PERMIT NO: 201701819 ISSUED: 06/09/2017
JOB ADDRESS: 3680 Marshall ST EXPIRES: 06/09/2018
JOB DESCRIPTION: Reroof main house and shed; GAF Timberline; 25 squares
*** CONTACTS ***
OWNER (303)478-5104 HALLIDAY BARBETTA L
SUB (303)898-5915 Matthew Mazur 170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,677.71
FEES
Total Valuation 0.00
Use Tax 266.23
Permit Fee 251.85
** TOTAL ** 518.08
*** 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 k/2 -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 manufacturera€ms 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's 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 - 201701819
PERMIT NO: 201701819 ISSUED: 06/09/2017
JOB ADDRESS: 3680 Marshall ST EXPIRES: 06/09/2018
JOB DESCRIPTION: Reroof main house and shed; GAF Timberline; 25 squares
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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attes that I am legally authorized to include all entities named within this document as parties to the work to be
performed an that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
natuire of OWNER or CONTRACTOR (Circle one) Date
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, .OF
and procedures.
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 originalermit fee.
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 andprocedures 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.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official 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 insptimerequestgci.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.
Kimberly Cook
(�
From: no-reply@ci.wheatri dge.co.us
Sent: Thursday, June 8, 2017 7:29 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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 24-48 hours, 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. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
3680 Marshall St., Wheat Ridge, CO 80033
Barbetta Halliday
303-478-5104
barbyhalliday@comcast.net
Yes
CONTRACTOR INFORMATION
Contractor Name Summit View Roofing
i'—
Contractor's License 170111
Number (for the City of
Wheat Ridge)
Contractor Phone 720-965-0126
Number
Contractor Email Address jreid.summitview@gmail.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing GAF Timberline
Material
How many squares of 25
material?
Provide additional detail Main house and shed.
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 12,677.71
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
2
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 Jake Reid
Email not displaying correctly? View it in your browser.
MM
V 1
PREFERRED
fONTRAaOR VROOFING A+ RATED
Contract for Repairs U
Name: Ff ''(T( -k 1 l.L 1 r)A4 Phone:
Job Address:_
`516tl�t- 5! Email:
City/State/Zip: )�6 T 9 `06- C W a" a o 3
Insurance Co: AL.L_-"Tq]rf_ _Claim # C*1'5(o 1 q 3, 4).7
CONTRACT FOR REPAIRS INCLUDE:
Manufacture
GAF Shingle/tile color 110 / WAFD LA)"-
V Install new shingles So Clean up removal
_Tear off Shingle Layers go Felt paper 15# b 30# Syn
Referral Bonus $100 -&. Flashing Metal b Ice/Water b
_Drip Edge _ XpLRoof Venting -per existing vents
Skylights# Size _ZgStarter/Ridge High profile
_10Pipe vents Base and Sealer Permits/Inspections
_Protect all Landscaping Syr Labor Warranty
FON A
W k.
11-1.34 FT), t 1(VTeA,otZ
Rcc nnt- - gR r_4
Csvrn�A CAILm 30) w1+<TS
I 1 Cash Bid Price and estimate scope: Summit View Roofing, Inc. will perform the above specifications for
the amount of $
F'iQ The Insurance contract price and scope INSURANCE WORK TERMS/SCOPE: By signing this agreement,
the Owner authorizes SUMMIT VIEW ROOFING INC. to pursue and perform all repairs approved by the
insurance company and SUMMIT VIEW ROOFING INC. at a price agreed to by the insurance company
(Replacement Cost Value) and SUMMIT VIEW ROOFING INC. SUMMIT VIEW ROOFING INC. is not
obligated to perform any part of the scope that is not approved by the insurance company. The final price and scope
agreed between the insurance company and SUMMIT VIEW ROOFING INC. shall become the final contract price
and approved scope of repairs (final insurance contract price and scope). SUMMIT VIEW ROOFING INC. will
perform the final insurance contract price and insurance scope at NO COST TO THE OWNER, EXCEPT FOR THE
INSURANCE DEDUCTIBLE. For payment schedule please see below and terms and conditions on back of
contract.
Total Insurance contract price/Replacement Cost Value:
677,71 -f _5'wLc^o rs
Payments shall be: Initial ACV (Actual Cost Value) check payable upon receip(Jo< initialsO
Remaining amount due upon receipt of Depreciation checks and any checks for Supplemental workW% itials $
633 PCS) t'Duc, w r Ds Yw R1Wr-. tri
CEPTANCE OF CON'T'RACT
SUMMIT VIEW ROOFING INC. is hereby authorized to perform all prescribed repairs for the "final insurance
r ntract nrive and scone" or the "cash bid price." The terms and specifications"--
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INSPECTION RECORD
_(
,�04 INSPECTION REQUEST LINE: (303) 234 -5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector
omments
Comments
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing /Stemwall P.E. Letter
Do Not Pour Concrete Prior
To Approval
Of The Above Inspections
Underground /Slab Inspections
Date
Inspector
Comments
omments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below/ In -slab)
Heating (Below / In -slab)
Do Not Cover Underground or Below /In
-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Comments
omments
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed
Without
Approval Of Above Rough Inspections
Rough Framing
Insulation
Drywall Screw /Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
7 ��
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
❑ No one available for inspection: Time Z!a: €'s )PM
Re- Inspection required: Yes No
When corrections have been made, call f re-inspection at 303 -.
Date: / /F' e/ Inspector: ^ �
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
r00 00 r_
Residential Roo fing PERMIT - 110714
PERMIT NO: 110714 ISSUED: 06/22/2011
JOB ADDRESS: 3680 MARSHALL ST EXPIRES: 06/21/2012
DESCRIPTION: Reroof 27 sqs with 30 yr shingles and 3 sqs modified
* ** CONTACTS * **
owner 303/456 -7413 Robert Williams
sub 303/432 -8426 Earl Dodge 01 -9011 Roofix, LLC
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0477 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,100.00
FEES e
Permit Fee 204.30
Total Valuation .00 e�
Use Tax 163.80
k
** TOTAL ** 368.10 --
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, appli building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or hav ee authorized the legal owner of the property and am authorized to obtain this permit and perform
the work describ d an approved co junction with this permit. I further attest that I am legally authorized to include all
entities named w this doc ent s partie the work to be performed and that all work to be performed is disclosed in
this document a its' acc ying app v plans and specifications.
Signature of OWNER or CONTRA OR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field i pe n.
Signature 'ef Building Offical Date
INSPE ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS .DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
W City of
W �r h6, at ` �b� Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit #,
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303- 235 - 2855 * Fax: 303- 237 -8929
Inspection Line: 303- 234 -5933
Build Permit Application
Property AddTSS_s �, C� /�13 "1 / S4''
p 303^ `^9f(*- 7 Y , 3
Property Owner (please print): 1ta62A (A;i I( (gigs Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
E Co�acto;: �, 6C.�y
Contractors City License #: Phone: ? j O &
Suti_ontractoXS
Electrical: Plumbing: Mechanical
City License # City License # City License #
Uescrtutlorto #.workE �-Z 5guswi -t- re rbe-F
wsk f r •' 0 V-A&.$ iCe rv. 3a •yr•
Contra Valu Od-
W"O.�
/
Squares &� BTU's
Y S
p
Gallons_Amps
a ..� -�� p�' -
Sq Ft.
Review Fee (due at time of submittal):
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to li t entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRES N ATIV of WNERkrONTRACTOR)
PRINTNAME: D Vr. SIGNATUR ` DATE: �V� � •
I
11
Bldg Valuation: $
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9507
9/17/99
Property Owner :
Property Address : 3680 MARSHALL ST
Contractor License No. : 19034
Phone : 456-7413
Company : APH Service Co., Inc. Phone : 2956622
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 restridions 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 wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTR4CTOR)
Construction Value :
$2,000.00
Permit Fee :
$69.25
Plan Review Fee :
$0.00
Use Tax :
$30.00
Total:
$99.25
Use:
Description : 90K BTU furnace, gas valve, combo air, SSU
BUILDING DEPARTMENT USE ONLY
~ o-- o SIC : Sq. Ft. :
Approval:
Zoning :
Approval :
~ AApproval6P ~
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expi-ation Date :
Approval:
(1) This permit was issued in accordance with ihe provisions set /orih in yopur applicadon and is sub'ect to the laws of the State oF Coloretlo antl to the Zoning
Regulations antl euiltling Cotle of Wheat Ritlye, Colorado or any other applitable ordinances of ~e City.
(2) This permit shall expire if (A) the work authorizetl is not commenced within siMy (60) days from issue date or (B) the building authonzed is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, providetl no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceetletl one (1) year. If changes are made or it suspension or abandonment
exceetls one (1) year, full fees shall be paid (or a new permit.
(4) No work of any manner shall De tlone that will change lhe natural flow of water causing a draina9e problem.
(5) Contractor shall notiy the Builtling InspeMOr twenty-four (24) hours in advance tor all inspec6ons and shall receive written approval on inspection wrd 6efore
proceetliing with successive phases o( theJ'ob.
(6) The issuance of a pertnit or the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation o! [he provisions
otthe bmlding codes or any other ordinance, law, rule or regulation.
Chief Building, nspector
4-
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIoN
Property Owner: PebG,ii;r Wi 0) ~s
Property Address : ~'jp to &f s Phone
Contractor License No. : I") C?jLJ
Company : Q Q " / GL W Phone :
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 measuremen[s shown, and allegations
made are accurate; lhat t have read and agree to abide by all conditions printed on this
application, and [hat I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable eal Rid e ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED I A-yT%`P' DATE / C P
Construction Value : a Grt'o ~
Permit Fee :
Use Tax :
Total :
Use:
Description: ~NhIJ-Fq ~ PS'Jhllrt) ('nnmbp Q'r ~ SSU
BUILDING DEPARTMENT USE ONLY
Zoning;GOmm~ts, SIC : Sq. Ft. :
~s...LLu
Approval :
Zoning :
Builiiing~Commen `a
Approval:
P`ublTcWVaksg"~ ~r'~
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This pertnit was issued in accoMance with the provisions set forth in yopur appliration and is subject to the laws ot the State of Caloredo and to the Zoning
Requiations antl BuilCing Code of Wheal Ritlge, Coloredo or any other apDliwble orEinances of the Ciry.
(2) This Dermit shall expire if (A) the work authonzetl is not commenceA within sissty (60) days fmm issue Oate or (8) the buil0ing authorized is suspended or
a6andoned for a period of 120 days.
(3) If this permit ezpires, a new pertnrt may be acquired for a fee of one-half the amount normally reduired, provided no changes have been or will be made in the
onginal plans and specifcations and any suspension or abandonment Oas not ezceeded one (1) year. tl Uanges are made or il suspension or a0andonment
exceeds one (1) year, full fees shail be paiA for a new permit.
(a) No work o/ any manner shall be tlone Ihal will change the natural Ilow ol water causing a drainage problem.
(5) Contractor shall notify the Building Inspetlor twenry-four (24) Oours in advance for all inspections and shail receive wntlen aOPfoval on inspection tard before
proceetliing with successive phases of ihe'ob.
(6) The issuance of a permit or the approval o~drawinqs an0 speuLwtions shall not be construed to be a permil for, nor an apProval of, any violation of the provisions
ol the building codes or any olher ordinan<e, law, mle or regulation.
Chief Building Inspector