HomeMy WebLinkAbout3960 Marshall StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work
Date: Monday, February 28, 2022 11:29:10 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Electrical Service
Change/Upgrade/Electrical Work
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3960 marshall st Wheat Ridge CO 80033
Property Owner Name Jeremy Marck
Property Owner Phone 303-908-3402
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Electronic Payment Form 2.28.22 sianed.Odf
CONTRACTOR INFORMATION
Contractor Business R&A Enterprises of Denver
Name
Contractor's License 210365
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-653-7232
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email rlefavor@radenverelectric.com
Address
Retype Contractor rlefavor@radenverelectric.com
Email Address
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200a
Location of work
back of house
(garage, house, etc)
Provide additional
remove and repalce existing service. Make old interior panel a
details, If needed.
junction box. Existing panel location does not have clearances
per code. New panle location exterior.
Project Value (contract
5000
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 Rick LeFavor
Pe rm it
Email not displaying correctly? View it in your browser.
M A 4 City of
r'Wh6atfOMM(,.1
�idITY DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(3ci.
FOR OFFICE USE ONLY
Date: 6/-1/0/
Plan/Permit # 20Z 0) & 1� 7 -
Plan
Plan Review Fee: 2 Z /'v 1 60
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: .3 `I A
Property Owner (please print): E ct i� K y Phone: ?Ly
Property Owner Emai
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
Citv. State. Zin:
Arch itectlEng ineer E-mail:
Phone:
Contractor Name: \0C. S
tvrr� cti �c.`�.c
�/ � c( •s E c..c
City of Wheat Ridge License #:120 LZ 3 Phone:1?,Q45W 66,92 -
Contractor
6S2 -
Contractor E-mail Address: a v o Z' CU c311 0 0 9 t✓G ^'►
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
❑C0MFAERCIAL [RESIDENTIAL
Provide description of work: For ALL projects, 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.
Ct` C ✓Cl C . � R� -\-\-c V4 N. C� �, c ..c -
"t �
Y
Sq. FULF L-( BTUs
Amps squares For Solar:
Gallons
KW # of Panels Requires structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage: _
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ q_ S 50 "°
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 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 list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): n �L / ��� DATE: _ � ^ V "Zig Z
Printed Name• G v V L u'Z e;L.-� _
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
O. O 0
N 0 = CD
a0 Q j.
N O -
Q= m
o sy NCD
O ao
0 3 3 m
cu o N vCD
v m � .
m C
_� OA N
� o CRD�
�.o
m �
3 o rn
v CD
c
3.Ca)
D) 3 CD
CLM
CD
C 3
CD
9-0 7 C
cp(D
3 CCD c
_ Cn
coo
3 3 O
C CD
a
N CD
N 3 3
m C a
CD O
CD
0 � 3
N (D 3
O
0 3
3 cQ
a� CD
0 CD m
o_
N Cl,
D7
N CD CD
c 3
n m
�CDCD
0� o
Qcr
CD CD
N c N
m sv O
a W
7 N
N (O T
'CD
�� M
� N n
CD
n °7 Q
3 p0j
3 D 0
o v
m �" ^
Dy
= N
o
cn D
cD CD 0
CD 3
(D X O
0 3 CD
c
m 3 6
0-
0
Q
o CD
CL -0 iQ
CA
n CD D
N �
O
W
a wn D n ^n C7 ^n 0 -0 v" D Cp n
CD w� �D0 m O m O 3 NSD 0
� (n ° c
m 00 3 m`Q v'm v'm o'm a Ori * _*STyT�
S. 3 y (n z OD
Cn ryN, �?
CD 7 Z O. u) (0
N CD. �Il...�
rs 3 m N c c O ,'D,`1 ....
o `° m CD - O w m 0) * 0 a�b
3 02, o _ 3 CD J I�
0 CD CD 0
o O Cn
m c rt 00 cCD
e -r
z z M m N rt
n n D n D CD W r:
v O N r O O
m D n 0 U 0 X ci V�
�. _� n• o
C�" CD CD" O N r Q
CD W .0•. .n.. O" N O 0 O O O A T CD
N CSD A � CD N r d o. d d CO a w
Ut c) CD fD CD CD CD N
CD N N O CD (,7
C1 Cp - O N N N N N N
N.N.. 0 u O O CO77 O OT
O
d �7 00* 0 a u® Q
co CD
N A n b9 b9 6) v) n v
N cc O O 2 6
O O
CD
tT � CSD
C m n w cn tp c7 ccn U m rn o
z 0 o IA
O® 3 3 N N �. 0 r C77 7 C N CQ
07 CD (D O m CL " d C7 0 CD--�
_ Co 5c O p D o CO `�C .0 m o �1
n CD CD S tr K T Zl
n (D co CCD CD 0 CD d .0�.. z N N z
CL n o o ° 0 00 CD 0 °' m D o a
w z0 a N s m 3 -- 0 CD�
a p CO s CD
N T
N O CD (D N O
CL
..
S
z o
N
5.
z
m
CD
o
U)
o m
ACD
0
ao.
CD
W
n
w
(D
o
Cn
I:
rt
0CD
p
m
o T
CD ❑�
m
Cn
.o�D.
y
m
m
y+
0
y
= ;-uCD
El
d
C1
Q
y
7
3
y
CD _ <]
O of
A:
�/±
(D .<
CD
•�',
® c
3
-
CD
CD
n 0
`�
m
0
w a
0
O
p
a
m
o
Q
0°
a
0
0
0
CD v
cin
fD x s
0D
3
o
Cb
m m
m
o
CD
m
m
a
N
c
3 C ®T
D
N
°0
W
Z
—
O
❑
D N
N
O
-
Xk
a
1
00_7
N
O
N
N
u.❑❑❑`Q
O
Con
C)
O
m
'c
V
3
❑0
N
CD
O
n
u
V n
N
O
00
W CL
(Dc'o
BD
A
B
mj
Ca
O
00
O
OD
O
O
C7 CjoCj
T
O
C.
O
O
oQ
N O p
n
in
N
n
in
p O
s m
O
c
O
Cn
N
`G
CD
N N
0
O
T
0 D7
=
CD
m.
m
m
CCD
�
y
o
po 0
O
T
O
N
°
d
m
07
3
cn CD
Xk
Q
m
07
3
<
3 90
n
P.
n
D
o
N
m
Q
v
o
g
T
��
D
0
ry�p
j R`E
c
<
d
v
N
N
W
0 o
D
CD
CD
v
C�31
o
Co
w
= 3
3
m"
W
o
m
o
y
CD
rn
o
0 0
Ca TvoAD n-oCn
Q X S O w N O N c
� �
U)
c
N
N
T
C) .�
0a
N
3
N N
N CD
0
N
1pm�
O
c
O'
N
X
co .3
0 W -0 �m o 076
Q
(n
�
@ w � T O o 3
co CD
N 000(7 7"O j O
r V
CD
>>
0D
Om
O
n Et
0
O -4 41 CD o
O
8 rn�
N
CpO
CD0
CJ
z
Ey'
'c�
ODa
0
a
co
00
C N
0
sa
m CD
00
Wa
CD
I_
w
.O
�h
0
-n
m W
m
KN
C
C/' 0'
D VIA
n D
C) 197
zm
z
nZ
N O
T
z0
0D
00
r Z
m
-i %U
m=
D Q
r m
n
�a
r 1
W o
M D
X
-i 0
C Z
Z7
z 17
M 0
O M
ic
-� -� f st--
��� INSPE
CTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occu a c Type
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
V1_
Sewer Service
Underground/Slab Inspections
Date Inspector
Comments
Comments
Initials
Electrical
Mid -Roof
Sewer Service
Plumbing
Rough Electric "
1��\►.L�n..�'�ti<a.Nla�.�1.L�.1. ��1��lJ��le;1/II.rT�l I IrT� _ - W_TiN�.V
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.
.. ------ ---- ------^..- •...^• .�wZJ ....,r,.,.,.......nNicwu nvni UPI-, F H U visuicl anp eteCtrlcal IOW 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
Residential Roofing PERMIT - 201702175
'ERMIT NO: 201702175 ISSUED: 06/19/2017
SOB ADDRESS: 3860 Marshall ST EXPIRES: 06/19/2018
fOB DESCRIPTION: RESHINGLE USING ASPHALT SHINGLES 25SQ
** CONTACTS ***
)WNER (720)693-9254 KABRICK KYLE J
3C (720)600-7236 Christopher Gonzales/Clayton P 170209 Colorado Roofing Solutions
** PARCEL INFO ***
;ONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
k** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Potal Valuation 0.00
Jse Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** 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 A�/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 manufacturer&€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
Building Inspection Division
--(303) 234-5933 Inspection line
�(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: c
Job Address:
Permit Number: U1 -70
❑ No one available for inspection: Time AM/I
Re -Inspection required: Yes `N�
When corrections have been made, call for re -inspection at 303-234-
Date:- cYl lO r17 Inspector: V
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703833
PERMIT NO: 201703833 ISSUED: 07/12/2017
JOB ADDRESS: 3960 Marshall ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration laminate asphalt
shingles 25 sq (22 sq pitched / 3 sq flat)
*** CONTACTS ***
OWNER (303)908-3402 MAKE JEREMY
SUB (303)905-2123 Donny Brust 170307 Kodiak 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: 6,425.00
FEES
Total Valuation 0.00
Use Tax 134.93
Permit Fee 156.75
** TOTAL ** 291.68
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703833
PERMIT NO: 201703833 ISSUED: 07/12/2017
JOB ADDRESS: 3960 Marshall ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration laminate asphalt
shingles 25 sq (22 sq pitched / 3 sq flat)
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 le ally authorized to include al[ entities named within this document as parties to the work to be
performed and tly0, 11 p k to b need is disclosed in this document ar�d/or its accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Dame P
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 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicablLcode 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.
Dane Lovett 2O 1702 K3
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 29, 2017 3:00 PM
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 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 fora Yes
residential roof? L; � � j 7
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3960 Marshall St Wheat Ridge CO 80033
Property Owner Name Jeremy Make
Property Owner Phone 3039083402
Number
Property Owner Email jdogmake@yahoo.com
Address
4D
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Kodiak Roofing
Contractor's License
170307
Number (for the City of
Wheat Ridge)
Contractor Phone
3039052123
Number
Contractor Email Address
donny@kodiakroofingcolorado.com
Retype Contractor Email
donny@kodiakroofingcolorado.com
Address
DESCRIPTION OF WORK
Are you re -decking the
N
roof?
Description of Roofing
Owens Corning Duration Laminate
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
22
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
3
on the flat roof?
TOTAL SQUARES of all
25
roofing material for this
/
project
Provide additional detail
House re -roof only, 4/12 pitch
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract ,F,6t36�
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Donny Brust
Email not displaying correctly? View it in your browser.
3
-vr
X001AK
ROOFING -
3222
OOFING3222 E 1St Ave Unit 521 Denver CO 80206 — 303.905.2123
E-mail
itreet L� �� �t.,:40 1 City �/�% L � LCLJ & State Zip�PJ
Ne propose to Turnish all materials and labor completed in accordance with the specifications below for the sum o REP ` CEMENT COST VALUE (RCV) per insurance
Iroceeds plus any supplements that may apply to your claim. Upon approval of your claim, Kodiak Roofing will file for any and all supplements which may include building
;ode items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy
provisions and will become part of this contract as if contained herein. Kodiak Roofing, as your general contractor, will negotiate a fair and equitable settlement agreeable
)y both your insurance company and Kodiak Roofing based on competitive market rates for labor and materials with NO ADDITIONAL COST TO YOU, except your deductible
and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof replacement
you will not be obligated to this contract and/or may enter,into an acceptable repair agt with Kodiak Roofing.
�c
Roofing Manufacturer �t'VA,c; TypemenL �`�-'t 1� Color CLI_6i
Tear off layer(s) of composition or woad shingles
[ ] Install decking (7/16" OSB)
Install new felt)[,115 Ib [ ] 30 Ib [ ] Synthetic j
Install pre -painted eave metal to code - Color Lt✓J
Valley(s) will be closed [ ] Valley(s) will be open
Ridge(s) to be color -coordinated
Ridge(s) will be 'High Profile Ridge' color -coordinated shingles
? Install new pipe jacks
� Replace vents as needed [ ] Slant back ATurtle
Re -flash chimneys and all wall abutments as needed and if possible
(stucco or siding may be a deterrent)
[ ] Install ridge vent on appropriate ridges
6rh Install ice and water shielalleys VJFP netr tions
V r J& -Laves - Courses
Install_ nails per shingle
Clean out gutters
Five (5) year workmanship warranty
Make a magnetic sweep of driveway and yard for removal of any nails
Remove all debris resulting from above work
Special instructions
/'lt '1A iii e/ i �'� 6
WIL
*Balance due is equal to the amount of out of pocket expenses
as agreed upon by the homeowner and is in addition to all other
insurance proceeds as described above. If no insurance claim is
involved then balance due is the total contractual amount due.
Insurance Company
�/�,15A Claim # boat`2 ; Pj Z:6 /9 to Lead
I (We) hereby authorize and instruct the insurance company and all lien holders to include the name of Kodiak Roofing as Co -Payee on any subsequent loss drafts or checks after today's date as
indicated below.
i (We) also authorize any legal representative and/or Agent of Kodiak Roofing to obtain information necessary to complete any funding process relative to claim number as referred above.
I (We) further authorize Kodiak Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Kodiak Roofing.
I (We) hereby authorize and/or instruct Kodiak Roofing to act as my (our) general contractor for the above mentioned claim number and instruct my (our) insurance company to release the
customary 10% overhead and 10°% profit for scheduling and coordinating any and all trades needed.
�
Date of Acceptance�lrr
� Homeowner's
Representative =
Kodiak Roofing - 3222 E 151 Ave Unit 521 Denver CO 80206 - Phone 303.905.2123 -Fax 303.600.9935 - www.kodiakroofingcolorado.com
INSPECTION RECORD Occupancyaype
'VANSPECTION 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.
�aC /IY1�1sir0( X I1/7`'W/5x 4„/-, ,
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
fi !I
.
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical
Heating (Underground)
YOUR NO UONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric -
Rough Plumbing
Gas Piping
Rough Mechanical
TO PROCEEDING
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
fi !I
.
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
king &Landscaping
r NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
ERTIFICATE 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
- -�lt
ve CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office " (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type ±0 �s �ert�izvS
Job Address FF49
Permit Number 1fO.
A € ,12
a
a
❑ No one available for inspection: Time / A
Re- Inspection required: Yes
�►
y CITY OF WHEAT RIDGE
{ j Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address
Permit Number
e
t, ❑ No one available for inspectinn: Time AM /PM
h
Re- Inspection required: /Yes No
'When corrections have ben_nzad , c II or re- inspection at 303- 234 -5933
r
= Date: ' f ' Inspector;? tf
DO NOT REMOVE THIS NOTICE
A' x Jul '/✓ 15'1757
City of Wheat Ridge
r 0 0 00r_ Resid. Windows /Doors PERMIT - 110378
PERMIT NO: 110378
ISSUED:
04/12/2011
JOB ADDRESS: 3960 MARSHALL ST
EXPIRES:
04/11/2012
DESCRIPTION: Replace 5
windows with .35
or better
windows
* ** CONTACTS * **
Owner 303/859 -2772
Joe Brenkert
gc 303/232 -3979
Cheryl Huerta
11 -0009
Legacy Direct Wholesalers, Inc
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0801
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 2,944.00
FEES
Permit Fee
50.00
Total Valuation
.00
�1d0'0 (p0
Use Tax
52.99
** TOTAL **
102.99
Conditions:
Windows shall have .35 or better U- factor. Glazing within 24 inches of door
edges or within tub enclosures shall be safety glazing.
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 na d within this document as parties to the work to be performed and that all work to be performed is disclosed in
t docume and or its' accompanying approved plans and spe ifications.
Signature f OWNER or CONTRACTOR (Circle one) k 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.
1. 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.
S. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Signature of Chief Building Offical
Date
'i. INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
''rr: REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
C�UMAIUNI'lY Ul:�rtic'>vNnr -.n,r
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 " Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Date:
Plan #
Permit #
Property Address: �glon
Property Owner (please print): T 2 I SG ra� U re r� I� e (/ci Phone: , o3 3s9
Mailing Address: (if different than property address)
Address 5- W (JAS
City, State, Zip:
�� I I
Contractor:
Contractors City License
Sub Contractors:
Electrical:
City License #
Phone:
Plumbing:
City License #
Description of work:
G a- S t S
Mechanical:
City License #
Contract lye
$ Ni
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft
ONN INGR /CONTRACTORSICNtA']JIZ.S UN Ill : WS TivN1)1NGANDAUR1
I [)archv cc[tily that the setback distances piaposed by this permit application are accuralc and do not violate applicable ordinances,
rules or nneulations of the City of W heat Ridge or covenants, casements 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 per issued based on
this application; that I am the legal owner or have been authorized by the legal o\+ner of the property to perform the described Nora k
and nm also authorized by the legal owner of any entity included on this application to list that entity on this application.
C IRCLE OArE: (OWNER) F4'ONTRACTOR)�Z(AUTHORIZED REPRESENTATIVE) ol'(OWNER) (CONTRACTOR)
n
PRINT NAME:
SICNATIJRE: q HATE: -'�-��
DEPARTMENT USE NLY
ZONING COMMENTS:
Zoning:
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
OCCUPANCY:
PUBLIC WORKS COMMENTS:
Reviewer:
EIRE DEPARTMENT:: ❑ approved wl comments rI disapproved F. no review required I Bldg Valuation:
rlTy ~ . . . . . r . lv_ . ~ ~ ~ . _ ~ ~.5 . F
a.'1~:. . x'. n ~ {..'.u;`.: . . . ~
' ..,.5` , . J.
~T
Builciing Permit
CITY OF WHEAT RIDGE
7500 wae 29TH avenue
Whestridge, CO 60033
303-235-2855
. .
raye~wr~~aa~
Permit Number
18869
6/21 /2005
Inspectiort Lfne
303-234•5933
Residential Mechanical
PROPERTY 3460 M8YSh8ll St Unlt:
owtvEx: 'Seth Cochran (303) 910-7801
DessripNon. Insta115500 CFM evaporative cooler with 1 drop includes electdc by Miller Quality Contracting - license
#7160
Uefts: . : Oceupancy: Walls: Roof: Stories: Sq Fcet:
[ hwebY uwf1' thiat IYtuWack d4tmcm Proposetl bY tWn permit stPPlkadou are accunh, mod do ool vbble ~PplkWle oNlemvea, rub or rmlatloo of IM City of
Whem R(dee er Ouvomn, mwmanb errafrlcllam ofncord; Nat aII meawrtmmb Aown, and alleeatbmwde are oseunle; that I Aave rtW uC sps b-Ulde by
ell canWka. pelytqi en tW apptleYbn, and Ihat I wume t411 raPOnaibNty for mmpWoce witb the Wheat Ald`e BuiWW[ Cotle (U.B.C.) anE YlotOm apptlMk .
wheat iUdp orEbaou4 /oraorY anam N1e permic .
SICd7ED DATL
1 TW pemll w'u Iwed Naaordmuce with theprovNbv 10 Portb N your Ipptlmtlon and le oWjcet [o the Iawm of the StWe ofCobnao uA W He lnelng
RqW~tlou uM HY1Wn~ Code ot Wbe~t 1UdLa ~ubnde or ~ny o~her apptlubk ardinmm of [qe City.
2 11W peeW1'~h~tl esptre tt(A) Ne work ~vNarlsed 4 m[ eommeneW .Nbin el~ly (b0) J~yi from luue d~te or B) ~ buddW~ ~uNO'hetl b wpaWd or
abandoxd6va pqlcdof120tlrya JIf NY pemk eaplra, a uwpaNt may be aequUetl tor a fa afooo-hNf Ne anouot normnllv rtqubed, prvNdetl no cluntp Ure 4re er wlG be mode le tM
oftInJ pko. W~pal0eatloa.nJ ony mryaube or abvndoommt lut not eaceeEed one (1) ynr.IfeWniu .rt sade or If smqomba mobeodoraaat
exaeb we (1) Ymfj fiiY fen,batl Ls paid for & new permlL .
d NawmkMurynwxrAdlb<EOnetAitwNehmeetheveNnlMwatwohrwutln[+dnlnqeprobkm. 5 ContrYCfor YhN9 no4fy t4e Buildlog inryaror twmty-four (21) 6oun In atlmnce for aY Inry <iom mE Mn11 ruelve wtlttm ~ppnvd on Inyecllan eW be(orc
proeadieS wIH oueexMvs phun of the Jab.
6 The i.u«a(u permit or the approval of dromley and ryecitkmtbn. s4a11 not b<wemved to be a pemit for, ear an approwl of, aoy Mobibv o(Ihe .
prav41ow9EfL6UDIMln! eodao or any other ordinumq hw, ruh or re{ubtbo. Tuesday, ]une 21, 2005 Page 1 of 1
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Nwnber:
oF WHE4T
BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE J 9 6 5 3
~ 7500 WEST 29TH AVENIIE
WHEAT RIDGE, CO 80215 - (303-235-2855)
C~C OR A~~
~Pii"i"~l ~ ,yHHi FTINA~p
4 ~
Property Owner. Seth Cochran
PropertyAddress: 3960 Marshall St Phone: 910-7801
Contractor License No.: 4945
Company:pasterkamp Heatina & Air_ Codnitioina Phone
OWNER/CONY2ACTOR SIGNATURE OF UNDERSTANDING AND ACREEMEN7
I hcreby certify tha[ Ihe setback distances proposed by Ihis pertnit application are accurate, CORSYLllCt10II V21UC: $ 19$ 4. O O
anddonotviolateapplicableordinances,rulesorregulationsof[heCity ofWhea[Ridgeor
IJermltFee:$ 69.25
~
covenanCS,easementcormsvictionsofrewrd;[ha[allmeasurementsshowqandallega[ions
made are accurate; that I have read and agree to abide by all condi[ions printed on Ihis
Plan Review Fee:$
application and that I usume full responsibiiity for compliance with the Whci1 Ridge
B
ildi
C
d
U
B
C
d
Il
h
li
bi
Wh
id
Use 'lax:$ 23
81
u
ng
o
e (
.
.
) an
a
o[
er app
ca
c
ea[ R
ge Ordinances, for work under
.
Ihis permit ^
Total:$
(OWNER)(CONTRACTOR):SIGNED_ DATE ' CS
93.06
Description: Insta1f~5500 CFM evaporative cooler with 1 drop
includes electric by Miller Quality Contracting-license #7160
BUILDING DEPARTMGNT USE ONLY
SIQ Sq Fc
ZONING COMMENTS:
ApprovaC
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residen[ial Units:
Electrical License No: 71 60 Plumbing License No: Mechanical License No: 4945
Company: Miller Quality Company: Company: pasterkamp Heating
Contracting & Air Conditioning
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(I) This pennit was issued in acwrdance with the provisions set forth in your application and is snbject to the laws o£the State of Cobrxdo and to the Zoniny
Regnlafions and BnilNng Codes of Wheat ffidgq Coiomdo or any othcr applicable ordinanecs of Uu City.
(2) iLis pertnit shall exp've if (A) the work xuUhodzcd is nol commenced within sixry (60) days &om issue dale or (B) the building authoriz<d is susprnded or
abandoned for a periad of 120 days.
(3) If tliis permit expires, a new pennit mxy be uqnired for a fee of one-haif the vnount mnnally rcqnimd, proviAed no dianges have been or will be mxde in
Ihe original plans and speci6cations and any suspension or abandonment has mt exceeded one (1) year. If changes have 6een or if suspension nr ahanAnnm<m
exceeds one (1) yeaq ftdl fees shall be pvd for a new penni[.
(4) No work of any manna shall be done that will change tlm naniral flow of water cansing a drainag< pmbian.
(5) ConTxetorshalfnotifytheHuildinglnspectorhventy-four(24)honrsivadvancefaraIlinspectionsandshallre<eivewriltenappmvaioninspectionenrdbefore
pmceeding witli successive pAases oF tlmjob.
(6) 'Itie issnance of a pemi[ or the appmval of drawings and specificatlons shill not be consmied to be a permit foq nor an appmval of, any violition of the
pmvisions of ihe bnildiag codcs or auy ot6er ordinmce, law, rvle or mgulafiov.
Chief Building Inspector