HomeMy WebLinkAbout4628 Estes StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Thursday, December 23, 2021 1:53:11 PM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4628 Estes St.
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Steve Basler
3039492755
Field not completed.
CONTRACTOR INFORMATION
Contractor Business Mountain Breeze Heating & Air, Inc.
Name
Contractor's License 100067
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-288-2515
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
mountainbreezeheatingandair@hotmail.com
Address
Retype Contractor
mountainbreezeheatingandair@hotmail.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
60K
What is the efficiency
96
(%) of the unit?
Is the unit GAS or
Gas
ELECTRIC?
Where Is the furnace or
Basement Mechanical Room
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
4388.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for James Morse
Permit
Email not displaying correctly? View it in your browser.
AS": CfiION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:
ADDRESS:
JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: I-1 -i 1-15 ADDRESS: Ll Z, rt�S<}zJ J JOB CODE: %ZJ2
Rough Inspection continued
g p
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
- a q
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
- a q
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
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: C-/ Ggi - ,,
Job Address: L4(.39 06
Permit Number: -- o ) '-7 0S-
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ►a a a /1'? Inspector: — -b
DO NOT REMOVE THIS NOTICE
i -C7--
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: Ll c 9 -
Job Address:�-
Permit Number: _Q O l "7 O 9 r LI S
C's(J (Yo l>, �l
11 n 1 C>, ' C-tF r S P —f �Po ate- i !1 S r.V It 1
❑ No one available for inspection: Time IZ= e4 &/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ►a La L7 Inspector: 7-6
DO NOT REMOVE THIS NOTICE
i _----,-CITY OF WHEAT RIDGE
�
Building Inspection Division
(303) 234-5933 Inspection line
�(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:,
° /%'�
Job Address: (n 1S ST
Permit Number: `Z() ( %(P I A�
'Fi UIn i
4 No one available for inspection: Time U2- Amtm
Re` Inspection required: Yes No
When corrections have been made, call for re ' spection at 0 234- 933
Date: 2 1 -7- Inspector: 0
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:,"'--)- '/y0/ ADDRESS: JOB CODE: -'
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
-
104 Foundation Setback Cert.
-,j %
105 Stem Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections �' �'
Underground ! Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
-,j %
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
_
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: U i -t %4<v i ADDRESS: 1-1&2- it JOB CODEkJ_
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
City of Wheat Ridge
Residential Plumbing PERMIT - 201709401
PERMIT NO: 201709401 ISSUED: 12/04/2017
JOB ADDRESS: 4628 Estes ST EXPIRES: 12/04/2018
JOB DESCRIPTION: 10' sewer repair c/o's in the front yard. SDR pipe fittings
strongback couplings squeegee.
*** CONTACTS ***
OWNER (303)905-3101 MCCOY RICHARD KIRK
SUB (303)287-9009 Brad Wakeham 130022 Trench Right LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,800.00
FEES
Total Valuation 0.00
Use Tax 100.80
Permit Fee 125.05
** TOTAL ** 225.85
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work 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 atte�that am legally authorized to include all entities named within this document as partes to the work to be
performed and that.all-Cvo t e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of R or CONTRACTOR (Circle one) Date
I. This pe ` t was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject o the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division ,.
6. The issuj6c_e o granting ofapgr*iit shall -not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable dman e r1 t' n of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat
COMMUNITY DEVELOPMEN I -
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits@ci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
Plan/Permit #
owl � Ci `3L�o
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:`��,c: 5 5'
Property Owner (please print): �('>;���� p, Phone
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
j
Contractors City License #: / / ``/) Phone: %�'C�4�1
Contractor E-mail Address:
For Plan Review Questions & Commenters (please print):
CONTACT NAME (please print): �/ ` Phone:1`��7�
CONTACT EMAIL(p/ease print): �e_o Z ICZ-2i
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) ,
Sq. Ft./LF
Amps
Btu's Gallons
Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): <<�,�.� �4 A DATE: %
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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:
Job Address: l dF- 45�.7�s-
Permit Number: 0/70 9qo
❑ No one available for inspection: Time E�1 AM/,P�M
Re -Inspection required: YesCNo �'
�
When corrections have been made, call for re -inspection at 303-234-5933
1
Date:/ -;"'5,/7 Inspector: �JOAI G, IL-4—
DO NOT REMOVE THIS NOTICE
_.f City of Wheat Ridge
Residential Roofing PERMIT - 201709145
PERMIT NO: 201709145 ISSUED: 11/17/2017
JOB ADDRESS: 4628 Estes ST EXPIRES: 11/17/2018
JOB DESCRIPTION: Permit to Install 20 squares Malarkey Legacy asphalt shingles 4/12
*** CONTACTS ***
OWNER (303)905-3101 MCCOY RICHARD KIRK
SUB (720)887-1265 Andrew Rock 060056 Rocky Mountain Roof Doctors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Total Valuation 0.00
Use Tax 189.00
Permit Fee 188.45
** TOTAL ** 377.45
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201709145
PERMIT NO: 201709145 ISSUED: 11/17/2017
JOB ADDRESS: 4628 Estes ST EXPIRES: 11/17/2018
JOB DESCRIPTION: Permit to Install 20 squares Malarkey Legacy asphalt shingles 4/12
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 erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attat I am le authorized to include alI entities named within this document as parties to the work to be
performed and that a to/b r /e isclo this ment and/or its' accompanying approved plans and specifications.
ter% /�
Signature of OWNER or COFACTOR (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 Of ibial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Dat8 UAB.
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Antoinette Kulick ���` 4 v -A' LiS
From: no-reply@ci.wheatridge.co.us
Sent: Friday, November 17, 2017 1:16 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application 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 (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
4628 Estes St
Richard Kirk and Gayle McCoy
303-905-3101
kirkmccoy7@gmail.com 4
45
*11
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed McCoy Signed Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Rocky Mountain Roof Doctors
060056
720-887-1265
Contractor Address 11905 Quay Street
(Primary address of your
business)
Contractor Email Address rockymountainroofdoctors@live.com
Retype Contractor Email rockymountainroofdoctors@live.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
20
• @I
No
Pitched roof (2:12 pitch or greater)
46
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4:12
20
Malarkey Legacy Asphalt
Asphalt
Reroof house
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
47
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Andrew J. Rock
Email not displaying correctly? View it in your browser.
48
ROOF
DOCTORS
11905 Quay St. Broomfield, Co 80020
Phone: 720-887-1265 Fax 303-4654222
WWW. rocKymauntainroofdoctors. corn
Richard/ Kirk and Gayle McCoy
4628 Estes Street
Wheat Ridge, Colorado
Helping you and your rooi io iul` 0`6 u ia
Date: 09/15/2017
Phone: (303) 905- 3101 Claim Number: 0616136D6 E-mail kirkmccoy7(ftmail corn
Re -roof (as per insurance adiustment dated 06-08-2017 (line items 6-16 18 and 20):
• Remove one layer of the existing shingles.
• Replace damaged decking (if any) at $1.75 per square foot. Initial
• Apply Ice & Water Shield to all eaves, pipes, valleys and vents.
• Apply synthetic felt underlayment to roof surface.
• Install a new roofing system complete with new metal flashings on all pipes, edges, and vents.
• Not included: Line items 1-5, 17, 19, and 21
• Install a 5" seamless gutter system complete with 2 downspouts on front elevation.
Malarkey Highlander $12,432. Initial
Shingle Color Sienna Blend
Gutter Color: Colonial Red
Plus Incurred Costs to Insurance Company (per building code):
• Install drip edge at all eaves. [Please see attached City of Wheat Ridge building policies.]
Additional- (209 In. ft. x $2.22 = $464)
• Install a saddle behind chimney. [Please see attached 2012 Code R1001.17 on page 266.]
Additional- $650
Soffit and Fascia:
• Install a 4" grooved vinyl soffit and custom fabricate new metal flashing and install over existing soffit and textured metal
fascia.
2. Soffit and Fascia $4,598. Initial
Soffit Color: Desert Sand
Fascia Color: Desert Sand
Plus additional incurred costs (if any)
Payment made: Check #6056- $1,837
Remaining Balance: $16,307
Lffe time warranty on workmanship
All work will comply with building code. Permit not included. (Payable by insurance when incurred)
All debris removed from site
After detaching and re -setting satellite, signal adjustment may be needed from your satellite company. (Not included.)
Insurance claims: The State of Colorado prohibits any roofing contractor from paying, waiving, rebating, or offering a promising to pay,
waive, or rebate all or part of any deductable that applies to an insurance claim.
Hanover Insurance Company: 303-393-2300
We propose hereby to furnish material and labor- complete in accordance with the above specifications for the sum of: $ 18,144.00
$ Eighteen thousand one hundred forty-four Dollars
Payment terms: 10% due upon acceptance, 50% due upon delivery of materials, and 40% due upon completion
Respectfully submitted: Andy Rock
Any alteration or deviation from the above specifications may result in an extra charge over and above the estimate.
Acceptance of Proposal
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work specified. Payments will be
made as outlined above. If you decide that you want to cancel this contract, you have 72 hours froiA the date the contract is signed
with a full refund of deposit paid within 10 days. After the 72 hour period of the signed con it is non-refundable. Work to be
completed within 180 days of ig / co tract.
Date of Acceptance: / % Authorized Signature: 1
.I_""_.~,,,,,,,,,_.~.. ,,'y'~ _,,,,,.lkll.,.~..,~,,, L, ,~IL~,., ,,~, ,,,,~~.J1 II ,,,..,, II,~ ,J"TJ.I,~Ull,I::><lk,~~I!~ll~
,"Hf,4l'
(~ 11'" City of Wheat Ridge
,
Residential Electric PERMIT - 070907
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
070907
4628 ESTES ST
upgrade electrical
ISSUED:
EXPIRES:
service to 200 Amps.
08/27/2007
02/23/2008
*** CONTACTS ***
owner 303/456,5053
gc 303/432-1041
Kirk McCoy
Paul M, Knapp
02,0962 Fresco Electric LLC,
** PARCEL INFO
ZONE CODE:
SUEIDIVISION:
**
UA
0215
USE:
BLOCK/LOT#:
r,3
0/
-
** FEE SUMMARY **
PE':rmit Fee
Total Valuation
Une Tax
*ojl, TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
108.30
1:~::~ ~~
2,250.00
-
COlIunents:
Munt meet 2005 NEC
I herebY certify that the setback distancetll proposed by this permit application are accurate, and d() not violate applicable
ordinances. rules or reSJ:Ula.t.tons pf the City of Wheat Ridge or covenants, easements or restrictions of record; that all
rllec;,surements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I aBsUinetul1 responsibility for compliance with the Wheat Ridge Building COde (I.B.C) aM all other
<',_Ie 1ftleat Ridge 0 inanceiS, for work under' this permi . PI s subject to field inspection.
I~~. fI:
Si~:rnature.ot 'contra-cto
1. Th;i.s 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 theCity~
2. This permit shall expire ISO 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 ~y 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 suspenBionor abandonment has not
exceeded one {l)yeu.It"pl1anges have been or it' suspension or abandonment exceeds one (1) year, full fees eMll
be paid. for a new permit.
4. No ,work of anymarmer ehaU be dohe that will change the natural flow of water causing a drainage problem.
5. Contractdrshallnotify the Building Inspector tWenty~four (24) hours in advance for all inspections and shall receive
written, approval on inspection card before proceeding with euccessive phases of the job.
6. The is,suance of ape tor the, approval of drawings and specifications shall not be construed to be a permit for, nor
anapp~oval of~ ation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All,plan rev! je~t to field inspections.
date
Signature of Ch
INfIP.CTION RBQUIlST LINE. (303) 234-5933 BUILDING OFFICE: (303) 235,2855
REQUESTS MUST BE MADE BY 3PM 1\1!lY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
,8/27/2007 10:37 FAX 3034636031
FRESCO ELECTRIC INC,
~ 0002/0002
City of Wheat Ridge Building DivisIon
7500 W. 29th Ave" Wheat Ridge, CO 80033
Office: 303-235,2855 . Fax: 303,235-2857
Inspection Line: 303-234,5933
Date:
Plen#:
Permit II:
Building Permit Application
Address:
Property Address: qt.?:;'!? 6s.tes,
Property Owner (please print)Ju:r_ f.}1 c' Gy
Mailing Address: (if different IIlan property address)
S~V\^-e..-
/ft)A Uh-f
Sf,
Phone,
?o3 l/S{,- StJ5j
City, State, Zip;
t.,dr
F (Cf.:~ S [0 El ~..(:f (. L. IN (" .
,
5/87
I (j)
,
<g003~
Contractor:
Contractor License II:
Phone:
'Sbi --L/ s;;HDt./ I
Sub Contractors:
Electrical City License #; o~oCllo d' Plumbing City License II:
Company: Fr"'~CD e1ocH~(., <..llMl', Company
Mechanical City License #:
Company:
Exp, Date: o,j ...,~I 0<\
Approval:
Exp, Date:
Approval'
Uae of space (descMption): ~~,..(L)(l,g,
Description of work:
UfJro..1- .Rler:h'<:p-l 'SeNI[f:,
Exp, Date:
Approval:
Construction Valu.: $ H(Jd S' () , bb
(CiS cfI{ofJ'afed per the Building Va/uaUo/l Data sheet)
fo Plan Review (dlJeat tJme ofsubmitUiQ; $
.jmA "'f's'
sq, FtJL,Ft MdOd:
Square.
BTU's
Gallons _ Amps
OWN~RlCONnIACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify th<1t the setback. distanccs propo$od by lhls pcrrnll apf,lliCU!iurl Sill;,! ijOl,.'l.Ilijt~, tlmJ UU flut viottlte tlpplit:l;1bte urUintUlceS,
rul68 or re!]ulatlons of the City of Wheat RIdge or covemm'~. easements (I strldlon$ of record: thot ~II measurements $hown, and
allf;;1~l;ltiunv ImIde are accurate; that I have read and agree to abide by all mons printed on this application and that I aS1'i1J1TlfII full
rosponsibHily fOi" complianco WiU1 U'f.:: WIIlI",t Hiuylo! ~uil(jinQ Code (I,B.C) 1:1 d II other applicable Wheal ni ge Ordinances, for work
under this permit. Plans s.u,c.ct. to.fi~~ctron.
GIRLCEONE:: (OWNER)~IIACTO!9 or PERSONALREPRE T liVE 0 0 E) ( Nt ATOR) <;7/~,) ~
PRINT NAME ]""" LJ:;~'3i~-;"~Mk.. SIGNATURE: D't":~
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
l1evlewer'
/"'UBLlC \NORKS COMME;NT$:
l1evitl:wer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
FIRE DEPARTMENT:: n i'lpprovful wi cnmmant5 n dl5approved 0 no review required I Bldg Valuation: $
OCCUPANCY: