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Home My WebLink About51 Hillside DriveCity of WheatR- e - COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax 303-237-8929 Inspection Line: 303-2345933 Email: permits(3ci.wheatridge.co.us FOR OFFICE USE ONLY Date: PlaniPermit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 51 Hillside Dr Wheat Ridge, CO 80215 Property Owner (please print): Carol Watkins Phone: (303)237-0276 Property Owner Email: conservationcoa gwestoffce. net Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) City, State, Zip: Wheat Ridge, CO 80215 Architect/Engineer E-mail: Contractor Name: Conservation Construction City of Wheat Ridge License #: 021066 Contractor E-mail Address: kcochranecc@gmah com Phone: 303237.1687 {main office) For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Krista J. Cochrane x:720.726.5472 klesk/direct) CONTACT EMAIL(please print): kcochranecc@gmahcom 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 # unsery 303237-1 Hy Scale Technical Drawing Onstruun oe°�°°° 8026=sn Mi L9111,11 d 41111;[,] aewd Job: Watklns081721 PO #WATKINS081721 Order #7722704-1 YOUR PROFESSIONAL -CLASS PRODUCT D3z3,168, C/O Del very By Design Maximum Opening 51Ee'. 361/8"x ]915/16" Unit Size (Inside Z Bar) LIiIUII Denver CO 80216 TlPU,Tlp ounlee Z Bat)'. Spectrum Series Storm Door- Model291 Full View Leaf Huge Locations'. ]19,281/16", 48 CPS, 6939 Custom Opening Size 36'x]9" Minimum Opening SEe'. 3539 x7813/16" Maximum Opening 51Ee'. 361/8"x ]915/16" Unit Size (Inside Z Bar) 3519/32"x7839 TlPU,Tlp ounlee Z Bat)'. 37 39 x]9 CPS Leaf Huge Locations'. ]19,281/16", 48 CPS, 6939 slffi slEe'. 351/B"xCIE I/B" INSIDE VIEW Hinge on the Right ®' Outside Looking In - or/U" 1.04 11 0.86 1 ADDITIONAL PERFORMANCE RATINGS Moll Job: Watkins081721 PO #WATKINS081721 Order #7722704-1 DETAILS Spectrum 291 Full View Custom Opening Size: 36" x 79' Coal Black Standard Z -Bar Pre -Hung Color Matched Leaf Hinge Hinge on Right (Viewed from Outside) 1-12" Color Matched Bottom Expander Bright Brass Townsend Handleset (DH252) Assign a Random Key Number Handleset Prep at Standard Location (39") on Left (Viewed from Outside) Color Matched Dual Closers (DH220-13) Clear Glass Two Screens Tuesday septemner 14 2021 1 Due to variances in color and manufacturing process, Images shown may vary from final product I Prices are valid for 30 days. I Terms and Conditions of sale- uwwt presda comherms ro Pro Via THE PROFESSIONAL WAY 2150 SR 39, Sugarcreek OH 44681 800.669.4711 877.735.2057 Fax www.provia.com SHIP TO - 432383 CONSERVATION CONSTRUCTION C/O DELIVERY BY DESIGN 6260 WASHINGTON ST UNIT 1 DENVER, CO 80216 303-237-1687 (Fax) Acknowledgement PO NUMBER: WATKINS081721 JOB NAME: WATKINS081721 ORDER DATE: 09/17/2021 EST SHIP DATE: ROUTE: SEAT HOLD: Checking Inventory PAY TERMS: 1% 10/NET 30 DAYS ORDER TYPE: SI Doors/Window INV TO - 432380 CONSERVATION CONSTRUCTION 8101 WCOLFAX AVE LAKEWOOD, CO 80214 303-237-1687 303-237-1580 (Fax) For Status Updates on all Orders, See: Active Order Dashboard MODEL SD STORM DOOR 1 EA RM Model 291 Base Price Z -Bar Build -Out Color Matched Leaf Hinge 1-1/2" Color Matched Bottom Expander Bright Brass Townsend Handleset Storm Door Surcharge DISCOUNTS BASE: 42%VOLUME: 15% Spectrum 291 Full View Custom Opening Size: 36" x 79" Coal Black Standard Z -Bar with Build -Out (Eastern) Pre -Hung Color Matched Leaf Hinge Hinge on Right (Viewed from Outside) 1-1/2" Color Matched Bottom Expander Bright Brass Townsend Handleset (DH252) Assign a Random Key Number Handleset Prep at Standard Location (39") on Left (Viewed from Outside) Color Matched Dual Closers (DH220-13) Clear Glass Two Screens U -Factor: 1.04 Solar Heat Gain Coefficient: 0.86 Visible Transmittance: 0.90 Energy Star: Order Fulfillment Dashboard SUB -TOTAL: 19071914 11 LV/ 4:Z61 Y V 11 A 1197161 91IRYt14 *10 CVA 1�71�IU]�r7N�N Confirminq Order Receipt. An update will be sent when ship -date is confirmed. View the online Fulfillment Dashboard for current leadtimes. PLEASE MAKE ANY CHANGES WITHIN 24 HOURS OF TRANSMISSION. Page 1 of 1 Generated September 17, 2021 8:35 AM EST Complete all highlighted fields. ❑COMMERCIAL ❑x 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. Sq. Ft./LF Replacing entry door with no change to the structure. BTUs Gallons Amps ____ Squares ____ For Solar: ___ 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) $ 910 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) (CO CTOR) or (AU IORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) i Signature pirst and last name): _: _ 10/26/2021 Printed Name: Krista J. Cochrane ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: A, City of WheRdge COMat MUNITY DEVELOPMENT City of Wheat Ridge Mwicipal Building 7500 W. 291° Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 BUILDING DIVISION CREDIT CARD AUTHORIZATION FORM "This form will be shredded once payment is processed" DATE: COMPANYNAME: Conservation Construction NAMEOFCARDHOLDER: Conservation Construction (AS IT APPEARS ON CARD) BILLING ADDRESS: 8101 W. Colfax Avenue Lakewood, CO 80214 CONTACT PHONE: 303.237.1687 CARD INFORMATION.' CARD TYPE: (Circle One) VISA MASTERCARD CARD NUMBER: 4246-3152-5775-4760 CARD EXPIRATION DATE: 08/22 CVV NUMBER: 031 (3 DIGITNUNMER ON RACROF, I, the applicant for this Credit Card Authorization Form, warrant the truthfulness of the information provided in this application. I fiutber attest that I am legally entitled to authorize the City of Wheat Ridge to process any and all building permit related charges authorized by me or my authorized agent to this card and, through the execution of a Building Permit Application form provided to the City, and by my signature below, do authorize such charges. ELECTRONIC SIGNATURE: . / DATE: www.eLwheatrhlgaw.as ASPECTI O E�� t�-nRM: http://www.ci.whea�rl'i;,cc.ual;,jfzoection ASPECTION REQUEST LINE. ;303; rAl not be performed unless this card is posted on the project site ion before 11:59 p.m. (midnight) to receive an inspection the following business day.** In¢nnr4nr M ief Cinn All 1 mien \ Is) aidol nawl•]Irflro]r:xJrrel ir.7I.\ llir .TF_7EN:i0T�79F Tl rT11rT-.Tr3iTTSTJ�� Underground/Slab Inspections Date Inspector Initials t -c. iodation Inspections Date Inspect® InitiComments �fs Pier Concrete Encased Ground (CEG) Foundation/ P.E. Letter mien \ Is) aidol nawl•]Irflro]r:xJrrel ir.7I.\ llir .TF_7EN:i0T�79F Tl rT11rT-.Tr3iTTSTJ�� Underground/Slab Inspections Date Inspector Initials Electrical Comments Sewer Service Plumbing up Not hover unaerarouna or tsaiownn-miah Wnrk Prinr Tn dnnrnv2l of Thn Ahrnvn Ine►�e,.+:.,..� 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 ,1 Final Window/Doors Final Building NOTE: All items must be completed and approved by Plannk Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building _ �a . 7 :. . ,es not constitute authorization of occupancy. "For low voltage permits — Please be sure that ro:r , .6peoLo,,� by the Building Division. ,ornnlati-rl frnm th F District a 1�, 6 gal o�J e a. Ziac Wit•` 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: 92E — Job Address: 1 is1 r Permit Number: ;;20) 70, —TsIq ❑ No one available for inspection: Time T`:5 Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303-234-5933 P�l Date:, <�.� ` ' % Inspector: C i� r I%r DO NOT REMOVE THIS NOTICE N 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-____ ype:/" l �0 Job Address: N : I%S l /fig Permit Number: ? (.1 Z o3)? j q ':�vU," ❑ No one available for inspection: Time �• � s tbPM Re -Inspection required: Yes (NO) When corrections have been made, call for re -inspection at 303-234-5933 Date://71 Inspector: /'t DO NOT REMOVE THIS NOTICE A . City of Wheat Ridge Residential Roofing PERMIT - 201703819 PERMIT NO: 201703819 ISSUED: 07/12/2017 JOB ADDRESS: 51 Hillside DR EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 33 sq. *** CONTACTS *** OWNER (303)237-0276 CAROL JOHNSON WATKINS TRUST SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00 FEES Total Valuation 0.00 �- Use Tax 336.00PA-F Permit Fee 299.40 ' ** TOTAL ** 635.40 *** 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 elastcmeric 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 - 201703819 PERMIT NO: 201703819 ISSUED: 07/12/2017 JOB ADDRESS; 51 Hillside DR EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 33 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am fhe 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 perto ed and that all work to be pert- rmed is disco d * this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (tCircle one) Date k 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a 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 re uired 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 applrca,ble sQde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official 1%W Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett (�� Fn 61 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 29, 2017 10:37 AM r To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application r N Residential Roofing Permit Application This application is exclusive) for new permits for residential roofs and for licensed pp Y 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 o 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 51 Hillside Dr Carol Watkins 3032370276 jwiles@interstateroof.com 16 -S4�� 1 4 C) 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 Interstate Roofing Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 33 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 33 roofing material for this project Provide additional detail house, 4:12 pitch here on the description of K work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 16000 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 John Quante Email not displaying correctly? View it in your browser. 17- 7T 7- s��y retorrellSt Coti1 NTERSTATE Roorl�vG Submitted To c sro�t A "fJC'i S matey ! Email Street Insurance Company �'I f� �` Claim# r Phone 3 -2-0 /.rte, .Z 7A/ Alt. Phone Citylyh -164 �r �a� State e``e Policy# Zip 9 O.2/, Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc-- however, interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work, d4 j Shingle Manufacturer (�A J' Type J!,rr Fi* /dr3 CokA'/� 1l. l-b-dLL'ohAnt_ jig Tear off I layers of composition shingles ❑ Tear off one layer of wood shingles Install Decking (7/16" OSS) f� Install new felt T[- Install pre -painted eave metal to code - Colo Br Charcoal Tan Gray White int- Valley(s) will be closed ❑ Valleys will be open V, ,,rfl-Aidge(s) to be color -coordinated ❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles g Install new pipejacks I", Replace Vents as needed rye Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) (❑ Install In. ft. of series ridge vent ❑ Install In. ft. of ice & water shield to code Install nails per shingle (� Clean out gutters ! 5 year workmanship warranty Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000. general aggregate Make a magnetic sweep of driveway and yard for removal of any nails (� Remove all debris resulting from above work %❑ Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you except for your deductible.. The final scope and price agreed on between the insurance company and Interstate Roofing. Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Rooting Inc. that are app oved by the insurance company for additional work or increases in costs become a part of this contract. P y, � L/L Approximate Dates of Service: �' These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weathe delays. 4 by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive. or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent toss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any fundine process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc, to pickup in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: $ Date: Rep Initials' Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance Client Signature() Representative Corporate Headquanig s t Colorado Springs Office Fort Collins Office 1000 W. 47th Ave. 2161 N. Academy Blvd, P 970.482.7722 F. 970.682.1018 Deriver, CO 80211 Colorado Springs, CO 80909 roll Free 877.898.8144 P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 a vww.interstateroof.com Cheyenne Office Black Ins. Agency 1010 S Greeley Highway 9600 E Arapahoe Rd 11205 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 307.534.2553 (303) 397-7820 www.interstateroot.com info @ interstateroof.com 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M1 S Job Address: !!�_/ /`% i / 1 S ; c� Permit Number: :I_ r_, a 0 / 12()9UU� ❑ 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 NS P ECT I O N hECORD OccuQancy/Type 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.** E Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments i Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To ADoroval Of The Above Insnections Underground/Slab Inspections Date Inspector �spia for I Comments Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Above Insnections Rough Inspections Date Inspector Initials Comments Wall Sheathing ---- - Inspections frc one week In ad - inspections call inspections call 1. 1-ur uree uis fYtft,%1%j" ", contact the Fire Protection District for your project. Mid -Roof Lath / Wall Tie Rough Electric'" Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final inspections DateI Initials of Landscaping & Parking / Planning Dept. I 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 ` f • /6- 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. r'ur "uw vu"[age permits — Hease oe sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests — Please email n L)t by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 61 City of Wheat Ridge Residential Miscella PERMIT - 201700189 PERMIT NO: 201700189 ISSUED: 02/09/2017 JOB ADDRESS: 51 Hillside DR EXPIRES: 02/09/2018 JOB DESCRIPTION: Cov. siding w/ 14 squares of siding with James Hardie = 268 sq ft fascia & soffit. *** CONTACTS *** OWNER (303)237-0276 CAROL JOHNSON WATKINS TRUST GC (303)237-1687 John McDade 021066 Conservation Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,700.00 FEES Total Valuation 0.00 Use Tax 390.60 Permit Fee 394.50 r ** TOTAL ** 785.10• *** 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. All work shall comply with applicable codes and ordinances and is subject to field inspections. 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit 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. W_o'�' , 6�_� 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 insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. • c r cat 1 C Date: COMMUNI IY l /FVF10I'MFNT �-' Permit#: Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: 51 Hillside Dr. Property Owner (please print) : Har 1 an Watkins Mailing Address. (if different than property address) Address: Phone: 303-237-0276 City, State, Zip: Contractor: Conservation Construction Contractor License #: 021066 Phone: 303-237-1687 Sub Contractors: Company Name: License #: Expiration Date: Trade/Profession: Approval: Use of space (description): Description of Work: Cov. siding w/ 14 sq of siding Construction Val uep $ 21,700 w/Jame plan Review (due at time of submittal): $ Hardie siding =268 ft fascia& soffit Sq. Ft /L Ft added: Squares 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 PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: �di a_-kn,jL SIGNATURE: ,->dn�t �.�� Date: 2/9/17 DEPARTMENT USE ONLY ZONING COMMENTS Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS OCCUPANCY Reviewer FIRE DEPARTMENT. ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ Credit Card Payment: Use credit card listed on file. Date: _ Print name: Signature: City of Wheat Ridge Building Permit Submittal List The foliovgiriq ttemp re re cared for the single- or two family building permit submittal for the property located at 51 H111 11 S 1 2 ny of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review. This sheet must be submitted with the building permit application. Please initiai beside each required item, signifying that it has been included. Review Required by Building f Planning ❑ Public Works SUBMITTAL DOCUMENTS: Plans ❑ Three (3) full-sized (24" x 36") plans (Contents of plans detailed in the Single- and two-family handout) - yellow heading 7 Three (3) stamped sets of foundation plans. ❑ Three (3) copies of a grading and erosion control plan ❑ One (1) copy of a soils report DOCUMENTATION: ❑ One (1) completed building permit application. 13 One (1) property deed ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city) ❑ One (1) building permit submittal list. ❑ One (1) Grade/Fill permit The following items are required for the COMMercia) Or MUlti-family building permit submittal for the property located at If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review If you had a pre -application meeting with Staff, you must submit the checklist you received. Otherwise, this sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included Review Required by: ❑ Building ❑ Planning ❑ Public Works SUBMITTAL DOCUMENTS: Plans ❑ Four (4) full-sized (24" x 36") plans (Contents of plans detailed in the Commercial & Multi -family handout) - pink heading C Two (2) copies of a final drainage report and plan OR Two (2) copies of a drainage letter and plan ❑ Two (2) copies of a grading and erosion control plan ❑ Two (2) copies of a traffic impact study OR Two (2) copies of a trip generation study DOCUMENTATION ❑ One (1) completed buiiding permit application ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city) ❑ One (1) building permit submittal list. 0 One (1) Grade/Fill permit. zoo In [ L009 -ON H01' ] 8Z:0 f1H.I. LTOZ/ZT/TO .111 f., � �._�_�-' � •. . � p"" (303) 197«1687 ywL {399) 237=1 SIN SC�FFX• . � 1NGiEVY�'i�.A4G� � SdLr�YIIBUTUTx: " _— f WID7E _42 � p 'LoT M WOW To" OFF (# O� FF."Ei?: .. C Lola= 1 { t COLOR: Ti" on tri or r$a� 5T;o OF S�(UTT am W7NR�AW SLf m (XN-- S'HgGL.R DOOR WMAP9: ; _ DOUBM DOM WRAPS:•_.._ I�,/iR�LGB i)iybYi Reu'S: DoXMLE %;A"b'R DOOR WRAPS. SCRUM DOOR IR & Rk _ RUM WR,AM'_. -.- Pdn WRAPS. l7O�OT;(WRAPI�: DistoiuTgruccx): - VvVT cur ]&- M> TEIR (K h ty: - • -- -- RF-Rt1U'1•R CASY � TY DR VIP: ' HARD NAII.'.X_2L_ TEAR O FT Y Lit TO 39VJ DNIQIS SNVH SLTLZ98£O£ 80.,ZT 9TOZ/ZT/T0 C000 [L009 -0.%z gor] 6Z:O MU LTOZ/ZT/10 �DEALEpR. HANS SIDING 2133 S. SIELLAIRE ST. STE 81 DENVER,C0.80222 contact= 303-908-9884 Fax. 303-862-7176 5 g PRUJ�C: r ADDRESS: 1 M=w 1'l SALESMAN: DATE ORDEF.ED7 j QTY. Li.O.M. COLOR PRODUCT DESCRIPTION 22- S COMMAV,,tfSTDG PCS. TRIM . �, ----� INSIDE CORNER PO T PCS. PCS. PCS. _ STARTER STRIP= STEEL,VINYL SQ INSULATION-FORMFIT 478'SUPER P. EA_ J-BLOCKS(LIGHT BLOCKS) FA. RECESSED J-BLOCK(ELEC r/SPICIu;) EA. j EXHAUST VENT(DRYER VENT) EA. HOSE BIB EA. GABLE VENT IM, OCTAGON VNC LBS. SIDLNG NAIL 2.5", 1.5" ` P` L. SOLID SOFFIT VENTED SOFFIT 4 -1 PCS.. / SOFFIT J -CHANNEL TRIM COIL:( V SMOOTH LBS TR34 NAILS I TBS. CAULKING r + TBS. BOTT CAULKING TOUCH UP PAINT TOUCH UP PAINT i BAG BAG i CLIP SCREW: kAT OA.D, HEX HEAD SHUT'T'ER: SIZE - PR. TRIM COIL: V SMOOTH ;� J Z0 39Va 9NIQIS SFIV 9LTZZ98606 80:ZT 910Z/Z.T/10 WATKINS120916 ilia ji DEN ORDER' HAt S Sl[ If 2133 S. J;ELLAIRE ST. STE #1 DENVER,C0.80222 contact: 303-908-9864 Fax= 303-•862-7176 • •"ir DF-5CRIPTION IN • �1 r. .- twb ZRO r 1/� may... AS ,7 ZO 39Vd JNIQIS SNVI 9LTIZ98EOE BCA:ZT 9T6Z/ZT/I© PCS. 1ti TRIM >G�v PCS. ! �� PCS. _ INSIDE CORNER PO` T PCS. STARTER STRIP= STEEL_,VINYL SQ� INSUL.ATION:FORMFIT VX&SUPER R ! F -A J-BLOCKS(LIGHT BLOCKS) F_A. V RECESSED J—BLOCK(ELECT/SPICbT_-lr) _— 2� EA. EA. % EXHAUST VENT(DRYER VENT) HOSE B® EA.GABLE VENT 12X8, OCTAGON vn,T SIDING VAIL, 2.5", 1.5' SOLID SOFFIT f cx� PSL - VENTED SOFFIT PCS.. SOFFIT J -CHANNEL •�RLS._ I� i LBS. TRIM COII V SMOOTH TRIM NAL—, - TBS. _ CAULKING CAULHING TOUCH UP PAINT BOTT. TOUCH UP PAINT BAG cern " BAG PR.-�t sCRFM AD, HEX HEAD 5HU'ITER: SIZE- TREM COIL: V SMOOTH !/ ,7 ZO 39Vd JNIQIS SNVI 9LTIZ98EOE BCA:ZT 9T6Z/ZT/I© C RY (aA U • s «, l I p ig 0 i�1��1��i�� / Uu�o��! 01 I��l 51 Hillside Dr. ` to e rrat : r Carol Watkins Phon 303-237-0267 q (if different than property a ddress) ddreb am `stir License Z Bldg Valuation. Conservation Construction IF V A384362 1 OA/20114 CUSTOMER P.O. WATKINS1080614 L-1 3950 MEDFORD DRIVE Phone: 800-827-4369 LOVELAND, CO 80 800-601-3227 www.AmerimaxW!ndows.com Please respond IMMEDIATELY with any cotrections. DONOTre- send original Order Form. Thankyou. 9�� 11 mmm im T Ak's v L�j I I ff r m M-3 m PRODUCT / DESCRIPTION Please respond IMMEDIATELY with any corrections. DONOTre- send original Order Form. Thankyou, SALPSORDEKNO, DATE ORDERUD ,1384362 104/20/14 am TOTAL: ACKNOWLEDGEMENT SAL ES ORDER NO, # m- w PRODUCT/ DESCRIPTION 1%. ME F mmmm Please respond IMMEDIATELY with any coffections. DONOTre- send original Order Form. Thankyou. =3= im ONTINUED 1 3950 LOVELAND, CO 80538 Fax 800-601-3227 www.AmerimaxWindows.com L. m#1 F#T;f WITWIT.- N., PAYMENTTERMS • NET 30 60 ASHIN TON ST !DENVER, CO 80216 • USA Ph:(303) 237-1687 TOTAL Pease respond IMMEDIATELY with any corrections. DO NOT re- SUBTOTAL send original Order Form. Thank you. TAX 11:59 P.M. Electrical: Plumbing: : a ' l: City License City License Of City License (Fully describe work to be performed - Attach additional shoot If awry) cp ac n windows with no changes to the structure. (125,00 Review at time Of Walp. Squares BTU's Gallons to David Haas 1' `` r i respon Please IMMEDIATELY c orreofio ns, : .,. sen original Order Form 1. Pa 9 of T+G�TAL.: :� � 1 60 4 3960 MEDFOR I DRIVE Phone: 800 -827 -4369 SHIPPED VIA FOS POINT LOVEL.AND, CO 80538 Fax: 800 DENVER WAREHOUSE ORIGIN www.AmerimaxWindows.com PAYmENTT Rms TAXC NET 30 CID CON101 CON103 CONSERVATION CONSTRUCTION CONSERVATION CONSTRUCTION SOLD 8007 WEST COLFAX AVENUE SNIP 6360 WASHINGTON ST LAKEWOOD, CO 80214 DENVER, CO 80216 TO USA Ph.(303) 237 -1687 F :( 03) 237 -1580 TO USA Ph :(303) 237 -1687 = REQUESTEE A T UNIT I RICK E �e T'D. PRICE L INE PRODUCT DESCRIPTION ORDERED I� 001 VW3900HP 2 05/22114 3900 HOPPER Craftsman Portrait Hopper () DES Block -Frame 18" x 24-7/8"43-1.11 Glass: 3/4 "- Double 1/8 LOWE 366 NEAT TEMP 5/32 NARROW REED TEMP Mixed Gas WHITE Spacers Screen: Extruded FULL ULTRA VIEW HD 002 VW3900PIW 1 05/22114 3900 PICTURE WINDOW Craftsman Portrait PIC -WDW (0) DES Stucco -Frame 68 -7/8" x 9" 128 -UI Glass: 3/4''-Double 3/16 LOWE 366 NEAT TEMP & 3/16 CLEAR TEMP Mixed Gas WHITE Spacers no screen * *U -Value =0.28 SHGC =0.23 VLT= 0.54 ** 003 VW390OPW 1 05/22/14 3900 PICTURE WINDOW Craftsman Portrait PIC -WDW (0) DES Stucco -Frame 68 -7J8" x 80 -3/8" 150 -UI Glass. 3 /4 "- Double 3/16 LOWE 366 NEAT TEMPS 3/16 CLEAR TEMP Mixed Gas WHITE Spacers no screen **U-Value =0.28 HGC =0.23 VLT= 0.54 ** 004 VW610067 5 05/22/14 CAULK X89500 BEIGE 005 VW0022113 62 05/22/14 DTR 1" X 1 -1 /2" L -ANGLE 006 VW0023888 31 05/22/14 respon Please IMMEDIATELY c orreofio ns, : .,. sen original Order Form 1. Pa 9 of T+G�TAL.: :� � ACKNOWLEDGEMENT Na 11360966 Aw �'' i CUSTOMER P.O. WATKINS/042914 M-1 3950 MEDFORD DRIVE Phone: 800-827-4369 i $141PPEoviA LOV ELAN D, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN 4 m-----'-- . ..... .... www.AmerimaxWindows.com l PAYMENT TERMS NET 30 15360 WASH INGTON ST 'UtNVER, CO 80216 USA Ph:(303) 237-1687 ETOT *L I:== Please respond IMMEDIA TEL Y with any corrections, DONOTre- SUBTOTAL send original Order Form. Thank you. TAX " A �!�'!�c C' Building & Inspection Services Division 7500 W 29" Ave- Rwlg ("0 Office 303-235-2855 ' Fax, Inspecivon Re(jUest Unea Building Permit Application Property Address, 51 Hillside Dr, Date, pll'a"n A # David I laas P h o,,-� e (303))237-0276 Mail ing Addres s: f de r Adoress, 51 Hillside Dr. &ty' Z�p Wheat Ridge, CO 80215 Contractor Conservation Constru.ction Ct tetra ctors City License #1' 021066 Phone. 303-237-1687 C�ty �,Jcen"�e �4 A 2e,,,,5c igbon of work (FuRy descObe work to bt perl'orrned - Attach, sheet Replacing 2 windows with no changes to the structure. Cc,,�nwac,! k,�.'Mue of a0 wark V 2584,00 Fl e ex I ' (ANN E It N' IN XC 1 1 R S I "A A, 11 11,t I D ERS1 1) 1 X N D k Ji L NI V I Vi R n . 1-1, CAI: 'C" N1 k f.O I h' 1, 1 i IN <ZLL) R Z I "R I Rt N 1 1 1 11 k David Haas 06/ 10/2013 i'M DEPARIVENTUSE ONLY 5'tev�ew' W,AU,,')�NG DEVARTNAPO' ","XWMENTS PUWJC CX)NAMEN OCCUPANCY Fax Server 6/6/2013 2:40:56 PM PAGE 1/001 Fax Server r I 3960 MEDFORD DRIVE Phone 800-827-4369 DENVER WAREHOUSE ORIGIN LOVELAND, CO 80638 Fax: 800-601-3227 I _�AS www.AmerimaxWindows.com TERM S NET 30 TAX VOCE CO CON101 CON103 CONSERVATION CONSTRUCTION CONSERVATSON CONSTRUCTION SOLD 8007 WEST COLFAX AVENUE SHIP 5360 WASHINGTON ST LAKEWOOD, CO 80214 TO DENVER, CO 80216 TO USA Ph (303) 237-1687 FAX:(303) 237-1580 USA Ph:(303� 237-1687 RE UES�TED Ll 0 Yo Te A �UNIT �PRICE�EX�I �LINE �P�RODUC�T/DESCRIPT�10N �OR 0 001 VW38002L 1 06/19/13 3800 2 LITE Craftsman Portrait 2-LITE (OX) DES Stucco-Frame 110-5/8" x 36-5/8" Oriet21,694 of Op.Sash 148-Ul Left Glass: 3/4"-Double 3/16 LOWE 366 NEAT & 3/16 CLEAR Rgt. Glass: 3/4"-Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.29 SHGC=0.22 VLT=0.51** 002 VW38002L 1 06/19/13 3800 2 LITE Craftsman Portrait 2-LITE (XO) DES Stucco-Frame 110-112" x 36-3/4" Oriel:21.719% of Op,Sash 148-Ul Left Glass: 3/4"-Do ubfe 1/8 LOWE 366 NEAT & 1/8 CLEAR R9t. Glass', 3/4"-Doubie 3/16 LOWE 366 NEAT & 3/16 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0,29 HG -0.22 VLT=0.51** 003 VW610067 4 06/19113 CAULK XB9500 BEfGF SUPPLEMENTAL GLASS WARRANTY CHARGE Please respond IMMEDIATELY with any corrections, DONOTre- send original Order Forin. 717ank yoti. F TOTAL. f; 0 0 qt I t 7 f" z - wk� gor ; oz '-4 KOW VIOZ/V - ---------- W8 IV -JL- - jr o essaa spq (-f+ ON1 aal CTRAZIO d PGLVZ960ZL essa:) 9 90: 90 i� � V10 Joil wnut E" J p Payment Due 'p4a c4mptodon. City of Wheat Ridge Building Division Date: 7500 W. 2 9 Ave., Wheat Ridge, CO 80033 �� Office: 303-235-2855 * Fax: 303-235-2857 Plan #: Inspection Line 303-234-5933 ° tc R Permit #: MEM Property Address: r ' k , Dr L Property Owner (please print): phone: mzmmz�� Address: - .a City, State, Zip: Contractor Contractor License #: Phone: IL12-:Z Sub Contractors: Company Company Company 1401011M Use of space (description): L4 Description of work: no Sq, Ft,/L. Ft added: Squares _ BTU's Construt�ifna e- fas calculated per the Suildinq Valuation Data sheet) Plan Review (due at time of submittal): BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required Fax Server 6/4/2012 6:51:32 PM PAGE 1/002 Fax Server A W - ----- ------- AIESORNN T 11223813 1#41 604 PRODUCT/ DESCRIPTION Please respond IMMEDIATELY with any corrections, DONOTre- SUSTOTM a send original Order Form. Thankyou, A Page I of 2 Please respond IMMEDIATELY with any corrections. O NOT re- SUBTOTAL a send ofigi al Order Form. Thank yore. T AX Page 2 of TOTAL: 604 3950 MEDFORD DRIVE Phone: 800 - 827 -4359 �� «�� v� V1WAR HOU ClENV FOB PONT ORIGI LOV Nth, 80538 Fax 000 - 601 - 3227 'tn741w. a inerimaxbP. cr rrr NET 30 c o CON101 CON10 3 CONSERVATION CONSTRUCTION CONSERVATION CONSTRUCTION SOLD 801037 WEST COLFAX AVENUE SHIP 5360 WASHINGTON ST LAKEWOOD, CO 803214 T O DENVER, CO 80 }216 TO USA Ph:(3033) 237 -1687 F (303) 23'7 -1580) USA Ph.(303) 237 - 1687 QTY. REQUESTED t3R� �LIVEW .� �$NfT IC L 7'[�. PRIC LIN P RODUCT/ / DESCR 005 VW610067 7 06/18/12 CA ULK X895030 BEIGE 006 VW0032 117 77.50 06/18/12 DSTR /4" X I" L -ANGLE 0017 VW380303L 1 06/18/12 38001 LITE SLIDER Craftsman Portrait 3 (XOX) DES Stucco - Frame 110-3/4" x 37`° Srfe6:33. 33% of End 148 -UI Lett Glass: 1/8 LOWE 366 NEAT 1/8 CLEAR Ctr. Glass: 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt.: 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Scree Extru ENO BETTERVUE * *U- Value= 01.29 SHGC =0.22 VLT= 0.51 ** SUPPLEMENTAL GLASS WARRANTY CHARGE Please respond IMMEDIATELY with any corrections. O NOT re- SUBTOTAL a send ofigi al Order Form. Thank yore. T AX Page 2 of TOTAL: 13064 - ON 'Jor 1 62:ZT Ml sa Zln/ouso A at#4 tooft 4 OQ Awtiat Wti AS WO rlrn�� FRI wmqim� q —FT7 KTUWFF i i � NIWE M= mm INSPECTION RECORD OccuaancvlTvpe .� 'V I INF' (3(131 93d_5Q33 OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 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 J OB FOUNDATION INSPECTIONS DATE INSPECTOR I N ITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain 7y 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 (Underground) Plumbing (Underground) ROUGHS YOUR NO Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical INSPECTIONS TO BE Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final 7y 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. Parking & Landscaping ""NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OFOCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. T CITY OF WHEAT RIDGE Building Inspection Division f (303) 234 -5933 Inspection line (303) 235 -2855 Office ,- (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type r" 1t4 f L!i s A Job Address Permit Number t f < $� 7 fh R ''' /i `itl,} 7 k . ) f f kt % €: C; Pfirl bo' % i ,$£.S'Vtm j./ / yep i q ❑ No one available for inspection: Time zF:I /PM Re- Inspection required: Yes When corrections have been made, call , ire -I pe tidn at 303- 234 -5933 J (r Date: Inspector: —f l��. DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Resid. Windows /Doors PERMIT - 110579 PERMIT NO: 110579 ISSUED: 05/20/2011 JOB ADDRESS: 51 HILLSIDE DR EXPIRES: 05/19/2012 DESCRIPTION: Replace 4 windows- no structural changes * ** CONTACTS * ** owner 303/237 -0276 Harlan Watkins sub 303/237 -1687 John McDade 02 -1066 Conservation Construction ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0675 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,050.00 FEES...; .. , Permit Fee 50.00 Total Valuation .00 oC3 Use Tax 36.90 ** TOTAL ** 86.90 Conditions: Windows shall have a .35 or better U- factor and shall have safety glazing if within a tub enclosure or if less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 2006 IRC applies. 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 th' cumentard /or its' accompanying approved plans and specifications. Signature of WWNER 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 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. Signatur of Building Offical Date INSP TI REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUSTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Building Permit Application Date. plan ik Permit M Property Address: `j � Property Owner (please print): �J�� `�� ( [,� ( -� tn� Phone: `ZCn Mailing Address: (If different than property address) Address: 7 Contractor: CQ,)s r-J<::, +CC-sc) CoI'y n)c�tl�fl Contractor License #: e) a ( b (a Ce 7- Phone: 303 - o ??> - 7 - (�.� Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp, Date: Exp. Date: Exp, Date: Approval: Approval: Approval: Use of space ( description): 65 tndor,,S 'Q « C� P } Construction Value: $ °gn Description of work' 1 (as calculated per the Building Valuation Data shoat) A'f L-)'`."5 +-J ` < . Plan Review (duo at time of submittal); $ Sq. Ft. /L. Ft added: Squares 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 Wheal Ridge Building Code (I,B.C). and all other applicable Wheat Ridge Ordinances, for work under this permit, Plans subject to field Inspection. CIRLCEONE:: (OWNER) CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( PRINT NAME: A UC- e5( T=t I A�—, SIGNATURE: Date: ZONING COMMENTS: Zoning: Ravla,ver. PUBLIC WORKS COMMENTS: Revlewer: BUILDING DEPARTMENT COMMENT$! Reviewer: FIRE DEPARTMENT:: O approved w/ comments ❑ disapproved 0 no review required OCCUPANCY: City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 " Fax: 303 - 235 -2857 Inspection Line: 303 -234 -5933 DEPARTMENT USE ONLY. zooiaooz IVA l :or INA ttozioai90 f` A CITY OF WHEAT RIDGE jr0 Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 101 Job Addres 24gzzli f , Permit Number *` 1-7 �a Date: ction required: Yes N rections have been ma e, cq �1.2 - 7 1 11 Inspector: _ DO`NO1 ime , or re -inspe at 303-234w5.4 City of Wheat Ridge _ Resid. Windows /Doors PERMIT - 110241 PERMIT NO: 110241 ISSUED: 03/14/2011 JOB ADDRESS: 51 HILLSIDE DR EXPIRES: 03/13/2012 DESCRIPTION: Replace 6 windows- no structural changes * ** CONTACTS * ** owner 303/237 -0276 Harlan Watkins sub 303/237 -1687 John McDade 02 -1066 Conservation Construction ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0819 BLOCK /LOT#{: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION:_ 2,700.00 FEES ` Permit Fee 50.00' Total Valuation .00.��, Use Tax 48.60 ** TOTAL ** 98.60 Conditions: Tempered glazing is required within 24 inches of doors, in tub enclosures, and as required by code. Replacement windows shall have a U- factor of .35 or less. Inspection prior to covering is required. Subject to field inspections. 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 thiy' 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 required inspections and shall not p 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 ins ct Signature o Building Offical Date INSPEC ON REQUEST LINE: (303)234 -5933 .BUILDING OFFICE: (303)235 -2855 i. REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Building Division Date: 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 - 2855 " Fax: 303 - 235 -2857 Plan #: co oaaoo Inspection Line: 303 -234 -5933 Permit #,, Building Permit Application Property Address: "51 T4 t ( `moo c , T�c- Property Owner (please print) H,- ,r c ki n Lo�cti{- Phone: 303 - 7XI - 6a Mailing Address: (if different than property address) Address: State, Contractor: (- ICe t[�(1 Contractor License #: 0:21 a 116 [ - [ ( Phone: :3,!2) - a Z77 - 1 Cg3 Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #, Company: Company Company: Exp. Date: Exp. Date: Exp, Date: Approval: Approval: Approval: Use of space (description): T�_o p[G� .e e - - construction value: $ �. �bC� o O Description of work: 4 p r (as calculated per the Suildin 1 aluation pats shoot) ` \ nc Plan Review (due at time or submiffoo: s So, Ft. /L.Ftadded: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheal Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 1 have read and agree to abide b all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.0) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to Hold Irispoctlon. CIRLCE ONE:: (OWNER) (CONTRACTOR) or. PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR) PRINT NAME: 74 Ltc4 -�5�7 t'r� t G�n. SIGNATURE: dne ^—� !se IJo11�'� . Date:3 - I I ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENT$: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: O approved wl comments ❑ disapproved ❑ no review required OCCUPANCY: DEPARTMENT USE ONLY zoo /z000 XBJ 9MT INA TTH /TU10 CER' i*t,,the building constructed and/ .stratQr 10/26/10 13:35:49 City of Wheat Ridge Page 1 bp701 -Ss PERMIT INFORMATION - 102203 mmackey PERMIT INFORMATION: Permit #: 102203 Permit Type: Res. Accessory Struc Permit Dt: 09/20/2010 Expires: 09/20/2011 LAND PARCEL INFORMATION: Zone Cd: unassigned Funct Use: Unassigned Subdivision: PARAMOUNT HEIGHTS PA Cent Type: Miscellaneous Legal: JOB DESCRIPTION: 14 x 24 Storage Building FEES Permit Fee Plan Review Fee Plan Review Addtiona Total Valuation Use Tax QTY DUE 12,600.00 251.85 .00 101.89 .00 61.81 12,600:00 .00 12,600.00 226.80 642.35 Address: 51 HILLSIDE DR Parcel Cd: 39- 284 -02 -001 OWNER: Harlan Wathins Address: 51 Hillside Dr City /St /Zip: Wheat Ridge CO 80033 DO: 1 Last Zone Dt: Annex Dt: Lot: PAID: 251.85 101.89 61.81 .00 226.80 642.35 Block No: 0 SetBacks- Front: 0.0 Left: 0.0 Right: 0.0 Back: 0.0 CONTACTS: owner Harlan Wathins 51 Hillside Dr Wheat Ridge CO 80033 7203206795 sub C4N Ted's Sheds Ted Peterson 13280 W. 43rd Dr Wheat Ridge, CO 60403 3032160242 PARCEL INFORMATION: 10 Structure Type RANG 20 Year Built 1954 30 Property Type RESID PERMIT CONDITIONS: SS: Approved. Zoned R -1. Subject to field inspection. Note: Owner /Contractor is responsible for locating proeprty lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. KC: Approved per plans and notes on plans. Must comply with 2006 IRC and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspection. APPROVALS: Req Apprv'1 Date Approver Note -------------- - - - - -- -- - - - - -- ------------------------ - - - - -- ------------------------------------------------------------ Zoning 09/17/10 SS REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 09/20/10 CREATED FROM APPL# 10 -0348 09/17/10 Given to SS for review. 09/17/10 Approved and given to KC for review. INSPECTION INFORMATION: # TYPE CONTR# CALLED CNCL WHO REQ DT INS DT STATUS 10/26/10 13:35:49 bp701 -1s PERMIT INFORMATION - 102203 .mmackey 1 POU:FOundation Insp. 01 -7557 10/04/10 no KC 10/04/10 10/04/10 COMPLETE 2 FRI:Framing Rough Insp. 01 -7557 10/21/10 no BCSI 10/22/10 10/22/10 COMPLETE 3 BFI:Building Final Insp 01 -7557 10/21/10 no BCSI 10/22/10 10/22/10 INCOMPLETE 4 LFI:LandscaPing Final 01 -7557 10/22/10 no BS 10/25/10 10/25/10 COMPLETE 5 BFI:Building Final Inap 01 -7557 10/25/10 no EC 10/26/10 10/26/10 COMPLETE INSPECTION RECORD OccuoancvlTvpe 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 no inspection the the following business day. rl �' I J� �.r./vrn ,- INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INS XDrain INSPECTOR INITIALS COMMENTS: Footings /Caissons Mid -Roof Stemwall / (CEG) Encased Ground Electrical Service Reinforcing or Mon Rough Electric . 4. Weatherproof / Fre Sewer f6 0 � Gas Piping Service Lin Rough Mechanical Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICS WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical Heating (Underground) ROUGHS Sheathing r' Lath / Wall tie� Mid -Roof Mechanical Electrical Service Roof Rough Electric Rough Plumbing f6 0 � Gas Piping Fire Department Rough Mechanical R.O.W & Drainage i DV VC mar IUNa IU be WI NtU PKIUN IU FKUGGGUING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final f6 0 � Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICS WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping 5' * * 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 CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER `. CITY OF WHEAT RIDGE 1 / Building Inspection Division (303) 234 -5933 Inspection line. (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address ,5' ®�rs,of a� Permit Number r, ispection: Time AMa Inspection Type bR /Aj t Job Address Permit Number 6'// f f ❑ No one available for inspection: Time 'A WRM re been made, call for re -in Date: x DOS r, l i V CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line r (303) 235 -2855 Office ` (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type e�� o Job Address r i Permit Number I(, a n ❑ No one available for inspection: Time A /P Re- Inspection required: Yes Nod Inspector: DO NOT REMOVE THIS NOTICE * CITY OF WHEAT RIDGE 1 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ` (303),237 -8929 Fax INSPECTION NOTICE , I Inspection Type � a MAJ h Job Address Permit Number ♦ i CITY OF WHEAT RIDGE 1� 9r �Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: ��7AJ _ 7741G Job Address: S/ 11111Si n,{ 13x2 Permit Number: �r� ''�nrJF13 F ❑ No one available for inspection: Time AWE_& Re- Inspection required: Yes r When corrections have been made, call for re- inspectlon at 303-234 933 Date: 4 //0 Inspector: a c G, DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge _ Res. Accessory Struc PERMIT - 102203 PERMIT NO: 102203 ISSUED: 09/20/2010 JOB ADDRESS: 51 HILLSIDE DR EXPIRES: 09/20/2011 DESCRIPTION: 14 x 24 Storage Building * ** CONTACTS * ** owner 720/320 -6795 Harlan Wathins sub 303/216 -0242 Ted Peterson 01 -7557 Ted's Sheds ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0675 BLOCK /LOT #: 0/ ** FEE SUMMARY ** Permit Fee Plan Review Fee Plan Review Addtiona Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECMINS: FEES 251.65 - 101.8 61. 0% � 226.80 642.35 12,600.00 Conditions SS: Approved. Zoned R -1. Subject to field inspection. Note: Owner /Contractor is responsible for locating proeprty lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. KC: Approved per plans and notes on plans. Must comply with 2006 IRC and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all messurements wn, an a ati s legon made are accurate; that I have read and agree to abide by all conditions printed on this application ,a' that S'a sume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other appliaablri as R ge rd ances, for work under this permit. Plans subject to field inspection. — l Sig t,re 5f, ntractor /owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired Ear a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. - 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All pl i is subject to field inspections. Signaturof ief Building Official date INSP TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 Cit or q�C` Y y heat COMMUNITY DEVELOPMENT 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 P i operty Aaui es f - % f u S i l ip vg_ Property Owner (please print): R X_kt J t e) A-r H t c C Phone: 72-p - 3 zo ( 7 `7 Mailing Address: (if different than property address) Address: City, State, Zip: cioritractor.: S S / C / tom S Contractors City License #: Phone: /- D §4 contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # f�es�rinYion��fi�orli Sto 2ra� Bu l c min ® r c l, Contract Value: w $ - ©60 — L Review Fee (due at time of submittal): 22 Squares BTU's Gallons Amps SgFL-J�: $ L I' 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 this application. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATTVE) of (OWNER) (CONTRACTOR) PRINT NAME: r ® PC 'iC25o j SIGNATURE: - DATE: 2—/ 0 r r ✓ r4 % r s � � r r ✓ r ��' >oG�04�2�i r�'ye //J '� �GG � / �On1IirQ �, / � r r 7 ✓,,,c,' ,' S � ✓yi,�, w i ,F' .d '1 u��`` r -. / i rf, hx <f �, r.. � '� r'�^= � 1„ry +� L Z .+ '��.t �..f a ,�' s" � � j,� ��zf.�� ✓�� i � y �Cr � r ✓.✓ aU1LDJ AEPARTME ENjs /�Jf�,h¢�✓ f i1L6l�s ✓ �/�''//W'�� v , c�T`% Bldg Valuation: NSPECTIwN RECORD Occupancy/Type '�V°INSPECTV (303) 234 -5933 Inspections will not be made uniess this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL S PACES 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 INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Water Service Lines "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. P()11R NO CnNCRFTF IINTII ARnVF HAS RFFN CV:NVn CONCRETE SLAB FLOOR Electrical (Underground) - Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall ti - Mid -Roof .. - Electrical Service Rough Electric Rough Plumbing INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Gas Piping "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. Rough Mechanical i ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation - Drywall Screw FINALS _. Electrical Plumbing - Mechanical .. - Roof Building Final 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. Parking & Landscaping: "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: NJ' Job Address: V R " 1 5,VE OV, Permit Number: oq, l 9( Vt,r,,, US ❑ No one available for inspection: Time i 1 `f t) jAM//PM °1 Re-Inspection required: Yes (No) When corrections have been made, call for r -ins eotion at 303-234-5933 Date: ~ ~-/tea Inspector: lid DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE n . Inspection Type: Job Address /Permit Number: 5f /-/.'//s,�" la laS/ a�a(d'tno ❑ No one available for inspect i Via{ AM M Re- Inspection required: 'YesN When corrections have been made, call for re- inspection at 303- 234 -5933 - Date: 60 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: �Ad. Job Address: i 1 r, Permit Number: fir, (?t ❑ No one available for inspection: Time 4 AM /�nnf Re- Inspection required: Yes `� No When corrections have been made, calf for re inspection at 303 - 234 - 5933 Date: �.� -!`;C Inspector: i 1� n, Q DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE f~ Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address: .S'd Ajl.llSiofi . Permit Number: ovJ~?Fl gYt6'7 4C-fie. Ifs .°'ft"W117, e. ,SY ^ CJ O" 4 _LS-Iui 3r A- LAp&df /d 1'kk M15iilyd 71,o rJ i i i ❑ No one available for inspection: Time AM/PM Re-Inspection required: No *When corrections have been made, call for re-inspection at 303-234-5933 Date: 9° e9' Inspector: DO NOT REMOVE THIS NOTICE ♦ 1, A i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: .ni')r Job Address: L l ~r f r ; tic- Permit Number: G ❑ No one available for inspection: Time a'rV) AMOM} Re-Inspection required: e) No When corrections have been made, call for re-inspection at 303-234-5933 Date: r'CT Inspector: } ~'n~, L L, DO NOT REMOVE THIS NOTICE ' A City of `Wheat Ridge Residential Roofing PERMIT - 091881 PERMIT NO: 091881 ISSUED:: 0.9/01/2009 JOB.. ADDRESS: 51 HILLSIDE DR 'EXPIRES: 02/28/2010 DESCRIPTION:. Reroof36 sqs.. ***CONTACTS owner 303/237-0276 Harlan Watkins sub ? 303/727-1110 Michael O'Donnell 02-.2175 A-1 Roofing PARCEL 'INFO ZONE CODE: UA USE: UA SUBDIVISION: 0675 BLOCK/LOT#: 0./ **'FEE SUMMARY ESTIMATED PROJECT :VALUATION: 6,372.00 FEES Permit Fee 181.10 pp Nr~ & Total Valuation .00 g-~D`n 7J fp` Use 'Tax 114.70 tt t ,~-E TOTAL v,. .:295.80 Conditions: 6. nail installation mid roof inspection required. Board sheathing spaced more thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shieldrequired from eave edge to 2' inside exterior walls. Subject to field inspections. 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 a Ordinances, for work under this permit. Plane subject to field inspection. - rzz 9 Signature of coneractor/owner date 1. Phis permit was issued in accordance with the.: provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of. the city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to. expiration date. A extension may. be granted at the discretion of the Building Official. 3. If this permit expires, %a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications. and any suspension or abandonment has not exceeded one (1) year.. If changes. have been or if suspension or abandonment exceeds one (1) year, full 'fees shall be paid for -:a new.; permit. 4. No work of any. manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor. shall notify; the Building Inspector twenty-.four (24) hours in advance for. all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job.' 6. The issuance of a permit or the approval of drawings and. specifications shall not be construed to be a permit for, nor. an approval of, violation of the provisions of the building codes or any other ordinance, law,. rule or regulation. '11 p1 r s subject to field 'f pe i na. Signatur Building Officia " data INSPE. TION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303.)235-2855. REQUESTS MUST BE `MADE BY 3PMANY BUSINESS DAY FOR INSPECTION THE.. FOLLOWING BUSINESS DAY. City of ]O~PrWh6atp,.dge Date: COMMUNITY DEVELOPMENT Permit GtJ~ 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: `j Property Owner (please print): Mailing Address: (if different than property address) Arlrirpcs- -z Use of space (description): - 04. Descripttion of work: Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares 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 PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: S I t , y Contractor: A - :I- app ~J R . Contractor License Phone: 7~So3 - -7277- l t t O Credit Card Payment: Use credit card listed on file. Date: Print name: Ey',,Qel l ap/ 1lo Signature: City of Wheat Ridge Residential Plumbing PERMIT - 07 637 PERMIT NO: JOB ADDRESS: DESCRIPTION: 070637 51 HILLSIDE DR BACKFLOW PRBVENTOR FOR ISSUED: EXPIRES: SPRINKLER SYSTEM 06/26 2007 12/23 2007 '* '* * CONTACTS '* ** OWNER 303/237-0276 HARLAN WATKINS .. ** PARCEL INFO ZONE CODE: SUBDIVISION: ** UA 0675 USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION: FEES 30.55 .00 1.80 32.3'5 100.00 ** FEE SUMMARY -** Comments: SUBJECT TO FIELD INSPECTION I hereby certify that the setback distances proposed by this permit application are accurate, a ordinances, rules or regulatIons of the City of Wheat Ridge or covenants, easements or restrict measurements hown, and allegatIons cSe are accuratej that I have read and agree to abide by a application d that'! assume f re nsibility for compliance with the Wheat Ridge Building applicabl eat Ridge Ordi c,a, fowork under thia perm~, lana~j;;t to field inapecti do not violate applicable ona of record; that all 1 conditions printed on this ode (l.B.C) and all other 1. This permit was issued in accordance with the provisions set forth in your application and i subject to the laws of the State of Colorado and to the Zoning ;Regulations and Building Codes of Wheat Ridge, Colorado r any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be rec ived prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, anew permit may be acquired for a fee of one-half the amount normal y required, provided no changeshaV'e been or will be made in the original plans and specifications and any suapenai or abandonment has not exceeded one (I) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora new permit. 4. No work of any, manneX' shall be done that will change the natural flow of water causing a dr nage :problem. 5. Contractor sh4Il notify the ,Building Inspector twenty-four (24) hours in advance for all in ctiona and shall receive written approval on inspection card 'before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be const d to be a permit for, nor an approval Of, any violation of the provisions of the building codes or any other ordinance law, rule or regulation. All: plan revie' subject to ield inspections. Signature of date INSPBCTION RiQ~ST LINE. REQUESTS MUST BE MADE BY (303) 234-5933 BUILDING OFFICE: (303) 235- 855 3PM ANY BUSINESS DAY FOR INSPECTION THE FOL WING BUSINESS DAY. .' ~'" .HE~r 1'/ ~ " - ~ U ~ COl.OR"'~.P COMMUNITY DEVElOPMENT.DEPARTMENT BUllDtNG INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) MINOR APPLiCATION Bui ing Permit Number: Date: I PLAN # Property Owner: Property Address: Contractor License No.: Company: ;<. {.A.-rJ '4-/ ~ f # Sf /.JIIISIDC Di0 U,L'UL' c<,(!It; Cb !?Crz-I 5 one: 30 3 z 37 0'2- 7 b OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildina Dept. alualion Figure: $ 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 aUegations 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 (J.B.C) an all other applicable Wheat Ridge Ordinances, for work under this ermit. Plans subje t to field inspection. <E c'1L-~/o '4~L Value:$ /CPO Pe it Fee:$ Plan Rev ew Fee:$ se Tax: Total:$ (OWNER){CONTRACTOR): SlG (OWNER)(CONTRACTOR):PRI 0 DATE Use of Space (description): Description of work: ~ N 5/1,d-I".. /L L,:Vf 5'(5 k Y'1--t Sq, Ft. added BillLDING DEPARTMENT USE ONLY Ie: Sq.Ft.: ONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: IRE DEPARTMENT COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Resident I Units: Electrical License No: Company: Plumbing License No: Company: nical License No: ny: Expiration Date: A reval: Expiration Date: A reval: (1) This permit was issued in accordance with the provisions set forth in your application and is su ect to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any her applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from ssue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally r qulred, provided no changes have been or will be made in the original plans and specifications and any suspension or aband nment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees hall be paid fora new permit (4) No work of any manner shall be done that will change the natural flow of water causing a drai ge problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspect ns and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be constru d to be a permit for, nor an approval of. any violation of the provisions of the building codes or any other ordinance, law, rul or regulation. All plan review is subject to field inspections. Chief Building Official A . City of Wheat Ridge Residential Roofing PERMIT - 201703819 PERMIT NO: 201703819 ISSUED: 07/12/2017 JOB ADDRESS: 51 Hillside DR EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 33 sq. *** CONTACTS *** OWNER (303)237-0276 CAROL JOHNSON WATKINS TRUST SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00 FEES Total Valuation 0.00 �- Use Tax 336.00PA-F Permit Fee 299.40 ' ** TOTAL ** 635.40 *** 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 elastcmeric 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 - 201703819 PERMIT NO: 201703819 ISSUED: 07/12/2017 JOB ADDRESS; 51 Hillside DR EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 33 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am fhe 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 perto ed and that all work to be pert- rmed is disco d * this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (tCircle one) Date k 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a 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 re uired 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 applrca,ble sQde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official 1%W Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett (�� Fn 61 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 29, 2017 10:37 AM r To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application r N Residential Roofing Permit Application This application is exclusive) for new permits for residential roofs and for licensed pp Y 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 o 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 51 Hillside Dr Carol Watkins 3032370276 jwiles@interstateroof.com 16 -S4�� 1 4 C) 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 Interstate Roofing Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 33 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 33 roofing material for this project Provide additional detail house, 4:12 pitch here on the description of K work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 16000 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 John Quante Email not displaying correctly? View it in your browser. 17- 7T 7- s��y retorrellSt Coti1 NTERSTATE Roorl�vG Submitted To c sro�t A "fJC'i S matey ! Email Street Insurance Company �'I f� �` Claim# r Phone 3 -2-0 /.rte, .Z 7A/ Alt. Phone Citylyh -164 �r �a� State e``e Policy# Zip 9 O.2/, Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc-- however, interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work, d4 j Shingle Manufacturer (�A J' Type J!,rr Fi* /dr3 CokA'/� 1l. l-b-dLL'ohAnt_ jig Tear off I layers of composition shingles ❑ Tear off one layer of wood shingles Install Decking (7/16" OSS) f� Install new felt T[- Install pre -painted eave metal to code - Colo Br Charcoal Tan Gray White int- Valley(s) will be closed ❑ Valleys will be open V, ,,rfl-Aidge(s) to be color -coordinated ❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles g Install new pipejacks I", Replace Vents as needed rye Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) (❑ Install In. ft. of series ridge vent ❑ Install In. ft. of ice & water shield to code Install nails per shingle (� Clean out gutters ! 5 year workmanship warranty Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000. general aggregate Make a magnetic sweep of driveway and yard for removal of any nails (� Remove all debris resulting from above work %❑ Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you except for your deductible.. The final scope and price agreed on between the insurance company and Interstate Roofing. Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Rooting Inc. that are app oved by the insurance company for additional work or increases in costs become a part of this contract. P y, � L/L Approximate Dates of Service: �' These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weathe delays. 4 by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive. or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent toss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any fundine process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc, to pickup in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: $ Date: Rep Initials' Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance Client Signature() Representative Corporate Headquanig s t Colorado Springs Office Fort Collins Office 1000 W. 47th Ave. 2161 N. Academy Blvd, P 970.482.7722 F. 970.682.1018 Deriver, CO 80211 Colorado Springs, CO 80909 roll Free 877.898.8144 P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 a vww.interstateroof.com Cheyenne Office Black Ins. Agency 1010 S Greeley Highway 9600 E Arapahoe Rd 11205 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 307.534.2553 (303) 397-7820 www.interstateroot.com info @ interstateroof.com