HomeMy WebLinkAbout4705 Cody StreetI-7CyytINSPECTION RECORD
SPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occup m /Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Roughns ions
Date Inspector
Initials
Comments
V111111111rSheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
"For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201703727
PERMIT NO: 201703727 ISSUED: 07/11/2017
JOB ADDRESS: 4705 Cody ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF
DECKING - 22 sq. (16 sq pitched / 6 sq flat)
*** CONTACTS ***
OWNER (720)933-3371 LARSEN MARK
SUB (303)862-9841 David Kole 160113 Colorado Western Construction
** 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: 7,372.75
FEES
Total Valuation 0.00
Use Tax 154.83
Permit Fee 172.60
** TOTAL ** 327.43
*** 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 elastomeri.c 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.
�D coc(y 5L X01.76 _372
INSPECTION RECORD °ccupanc
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector
Initials
Comments
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
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
�� f
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Nlease be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201703727
PERMIT NO: 201703727 ISSUED: 07/11/2017
JOB ADDRESS: 4705 Cody ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF
DECKING - 22 sq. (16 sq pitched / 6 sq flat)
*** CONTACTS ***
OWNER (720)933-3371 LARSEN MARK
SUB (303)862-9841 David Kole 160113 Colorado Western Construction
*** 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: 7,372.75
FEES
Total Valuation 0.00
Use Tax 154.83
Permit Fee 172.60
Misc. Fee 25.00
** TOTAL ** 352.43
*** 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 ancve
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
party inspection report will be collected at final roof inspection performed
Wheat Ridge. If report is not available the final inspection will not be comEl-i .
2 i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTIC
Inspection Type: A 110
Job Address: H -10 -
Permit Number: '? c, I -7 ()1 %2
❑ No one available for inspection: Time �3 AM/6M
Re -Inspection required: Yes &
When corrections have been made, call for re -inspection at 303-234-5933
Date:1�6 /(�Inspector: I `� /(
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: A~
Job Address: K702 ( 674 T
Permit Number: % U Z&1 7 Z 7
s-,
❑ No one available for inspection: Time ' �'4' /PM
Re -Inspection required: Yes' % �/f ) &f3`}e
When corrections have been made, call for re -inspection at 303 4-5933I
'
Date:
t7 Inspector:
DO NOT REMOVE THIS NOTICE
1. City of Wheat Ridge
� Residential Roofing PERMIT - 201703727
PERMIT NO: 201703727 ISSUED: 07/11/2017
JOB ADDRESS: 4705 Cody ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF
DECKING - 22 sq. (16 sq pitched / 6 sq flat)
*** CONTACTS ***
OWNER (720)933-3371 LARSEN MARK
SUB (303)862-9841 David Kole 160113 Colorado Western Construction
*** 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: 7,372.75
FEES
Total Valuation 0.00 k u
Use Tax 154.83 f� _
Permit Fee 172.60 a "�-
** TOTAL ** 327.43
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703727
PERMIT NO: 201703727 ISSUED: 07/11/2017
JOB ADDRESS: 4705 Cody ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF
DECKING - 22 sq. (16 sq pitched / 6 sq flat)
I, b my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally authorized to include 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 1pr CONTRACTOR (Circle one) Dale
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
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 geld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 201 10� IZ— 7
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 12:15 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
Property Owner Email
Address
4705 Cody St
Mark Larsen
720-933-3371
Field not completed.
C L_tt rVf
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Co 16�/-(160113
3038629841
Contractor Email Address kolecwc@gmail.com
Retype Contractor Email kolecwc@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
Yes
Asphalt Composition Shingles
Asphalt
Field not completed.
16
Yes
6
TOTAL SQUARES of all 22
roofing material for this
project
Provide additional detail This is a remove and replace of the existing damaged shingles
here on the description of on the roof of the house. The pitch on this roof is 4:12
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
7
,137Z,75 -
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 David Kole
Email not displaying correctly? View it in your browser.
3
6595 S Dayton St. #1550
Greenwood Village, CO 80111
Telephone: (303) 862-9841
�
*1�-,
OWOCOLORADO WESTERN CONSTRUCTION
AGREEMENTS
Name: /ter Af ��, .-1�s. Date: a 44—
Address:
4.
Address:
City/State: l l�,� ��"�P Zip: �'4,0o E-Mail:J�,-,,�
Home Phone.2ao -T33.- 337/ Work/Cell Phone: r� - o S�
SalesRep:J-�,- Phone::2a..eStorm Date: k' (�
THE CONSUMER PROTECTION/ROOFING BILL DOES NOT ALLOW A ROOFING COMPANY TO
WAIVE, PAY OR REBATE ANY INSURANCE DEDUCTIBLE
Approximate/Scope of Services/ Materials & Costs
Based on Current Known Damage Report !C DAMAGE REPORT
Replace with: Shingle Manufacturer.�i. -YI ,S Line
Color ,- Year Manufacturer Warranty CDo Roo -+- A 4 a rX
Labor Warranty: year (Guarantee against leaks)
Starter 7shlip and Ridge>c R&R Pipe Jacks u, 41�1S
%�R&R Attic Vents Type: urbinertle_Ridge_Other y p
"Kaint roof stacks to match shingles
>Ee and Water Shield/R&R Valley Metal
4—KR&R Step Flashing K R&R Chimney Flashing _Lg_Md Sm
4/68,R Rolled Roofing/ &R Modified Bitumen
AIA &R Satellite Dish, Qty_�#—Special Instructions
Roof Pitch:�s7/12-9/12_10/12-12/12_over 12/12
Steep Charge sqr---
jReplace Decking (7/16 in. OSB)
KR&R Skylight, Qty_ _D&R Swamp Cooler '7-b
TOTAL SQUARES 2
APPROXIMATE COST $
APPROXIMATE DATE OF SERVICE/_Z__/ I
COLORADO WESTERN CONSTRUCTION LIMITED WARRANTY
5 YEARS REPLACEMENT OR REPAIR ON WORKMANSHIP
GENERAL CONTRACTOR. Homeowner acknowledges COLORADO WESTERN CONSTRUCTION as a general contractor and as such shall be
entitled to overhead and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead
and profit.
TERMS: By signing this Agreement, you, the homeowner, authorize COLORADO WESTERN CONSTRUCTION (the "Company") to act on your
behalf and pursue your best interests with your insurance company in determining an appropriate roof and/or siding replacement or repair
at a "price agreeable" to both the insurance company and Company with no additional costs to you except for your insurance deductible.
When the "price agreeable" is determined it shall become the basis of the final contract price which consists of INSURANCE PROCEEDS
INSURANCE DEDUCTIBLE (the "Final Contract Price") and you authorize Company to in labor a aterials in accordance with the Final
Contract Price and the specifications set out herein and on the reverse side hereo and a :omplsuch rep ent or repair.
Accepted by (Homeowner) Dater :Z1—/%
(Print Full Name) (Signature)
Insurance Representative Agreement: It is understood that Colorado Western Construction will be contacting my insurance representative
and or meeting on my property to determine scope of loss (property damage) and compensation lo
�+ffor loss (amount to be repaired)
Insurance Company ` Claim# 00 ) ap
Property Owner Signature: Date
COLORADO WESTERN CONSTRUCTION SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL COLORADO WESTERN CONSTRUCTION
HAS DELIVERED MATERIALS OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY
1. City of Wheat Ridge
� Residential Roofing PERMIT - 201703727
PERMIT NO: 201703727 ISSUED: 07/11/2017
JOB ADDRESS: 4705 Cody ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF
DECKING - 22 sq. (16 sq pitched / 6 sq flat)
*** CONTACTS ***
OWNER (720)933-3371 LARSEN MARK
SUB (303)862-9841 David Kole 160113 Colorado Western Construction
*** 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: 7,372.75
FEES
Total Valuation 0.00 k u
Use Tax 154.83 f� _
Permit Fee 172.60 a "�-
** TOTAL ** 327.43
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703727
PERMIT NO: 201703727 ISSUED: 07/11/2017
JOB ADDRESS: 4705 Cody ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF
DECKING - 22 sq. (16 sq pitched / 6 sq flat)
I, b my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally authorized to include 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 1pr CONTRACTOR (Circle one) Dale
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
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 geld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 201 10� IZ— 7
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 12:15 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
Property Owner Email
Address
4705 Cody St
Mark Larsen
720-933-3371
Field not completed.
C L_tt rVf
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Co 16�/-(160113
3038629841
Contractor Email Address kolecwc@gmail.com
Retype Contractor Email kolecwc@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
Yes
Asphalt Composition Shingles
Asphalt
Field not completed.
16
Yes
6
TOTAL SQUARES of all 22
roofing material for this
project
Provide additional detail This is a remove and replace of the existing damaged shingles
here on the description of on the roof of the house. The pitch on this roof is 4:12
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
7
,137Z,75 -
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 David Kole
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3
6595 S Dayton St. #1550
Greenwood Village, CO 80111
Telephone: (303) 862-9841
�
*1�-,
OWOCOLORADO WESTERN CONSTRUCTION
AGREEMENTS
Name: /ter Af ��, .-1�s. Date: a 44—
Address:
4.
Address:
City/State: l l�,� ��"�P Zip: �'4,0o E-Mail:J�,-,,�
Home Phone.2ao -T33.- 337/ Work/Cell Phone: r� - o S�
SalesRep:J-�,- Phone::2a..eStorm Date: k' (�
THE CONSUMER PROTECTION/ROOFING BILL DOES NOT ALLOW A ROOFING COMPANY TO
WAIVE, PAY OR REBATE ANY INSURANCE DEDUCTIBLE
Approximate/Scope of Services/ Materials & Costs
Based on Current Known Damage Report !C DAMAGE REPORT
Replace with: Shingle Manufacturer.�i. -YI ,S Line
Color ,- Year Manufacturer Warranty CDo Roo -+- A 4 a rX
Labor Warranty: year (Guarantee against leaks)
Starter 7shlip and Ridge>c R&R Pipe Jacks u, 41�1S
%�R&R Attic Vents Type: urbinertle_Ridge_Other y p
"Kaint roof stacks to match shingles
>Ee and Water Shield/R&R Valley Metal
4—KR&R Step Flashing K R&R Chimney Flashing _Lg_Md Sm
4/68,R Rolled Roofing/ &R Modified Bitumen
AIA &R Satellite Dish, Qty_�#—Special Instructions
Roof Pitch:�s7/12-9/12_10/12-12/12_over 12/12
Steep Charge sqr---
jReplace Decking (7/16 in. OSB)
KR&R Skylight, Qty_ _D&R Swamp Cooler '7-b
TOTAL SQUARES 2
APPROXIMATE COST $
APPROXIMATE DATE OF SERVICE/_Z__/ I
COLORADO WESTERN CONSTRUCTION LIMITED WARRANTY
5 YEARS REPLACEMENT OR REPAIR ON WORKMANSHIP
GENERAL CONTRACTOR. Homeowner acknowledges COLORADO WESTERN CONSTRUCTION as a general contractor and as such shall be
entitled to overhead and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead
and profit.
TERMS: By signing this Agreement, you, the homeowner, authorize COLORADO WESTERN CONSTRUCTION (the "Company") to act on your
behalf and pursue your best interests with your insurance company in determining an appropriate roof and/or siding replacement or repair
at a "price agreeable" to both the insurance company and Company with no additional costs to you except for your insurance deductible.
When the "price agreeable" is determined it shall become the basis of the final contract price which consists of INSURANCE PROCEEDS
INSURANCE DEDUCTIBLE (the "Final Contract Price") and you authorize Company to in labor a aterials in accordance with the Final
Contract Price and the specifications set out herein and on the reverse side hereo and a :omplsuch rep ent or repair.
Accepted by (Homeowner) Dater :Z1—/%
(Print Full Name) (Signature)
Insurance Representative Agreement: It is understood that Colorado Western Construction will be contacting my insurance representative
and or meeting on my property to determine scope of loss (property damage) and compensation lo
�+ffor loss (amount to be repaired)
Insurance Company ` Claim# 00 ) ap
Property Owner Signature: Date
COLORADO WESTERN CONSTRUCTION SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL COLORADO WESTERN CONSTRUCTION
HAS DELIVERED MATERIALS OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY
A i CITY OF WHEAT RIDGE W
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P P I
Job Address: ti 7 D;
Permit Number: �)10 1 1; C Q ti J -7
U
❑ 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
City of
},.
t -I' e
atM�II P'LP
?Ct'1164�Wh
+s
"e'
COMMUNITYD
jig,
Permit
g4 EVELOPMENT
StAlding Division
7500 W2e Ave., Wheat Ridge, CO 80033
11 303-237-8929
Inspection- 303-234-5933
Facsimile Building Permit Application
. }}: .} , }
Proporty •(please« «
Mailing Address:diftrent thanpropedy address)
Address:
State, $
I.lk
V M 5
& 4
1f M �• � � . � � '}fir ��"� �
t
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D~ARTIUIENT OF PLANNING AND DEVELOPMENT
" BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
4914
4/21/97
Property Owner :
Property Address: 4705 CODY ST
Contractor License No.: 18505
Company: BARTELS HEATING & NC
Phone: 423-2977
Phone: 422-3589
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
"$1,500.00
$49.50
$0.00
$18.00
$67.50
I hereby certify that the setback dl$tances proposed by this permn application are accurate,
and do not violate applicable ordinances, rules Of regulations of the City of Wheat Ridge or
covenants, easements or res,tOctions 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 l.assumefuUresponsibility for compliance with the Wheat Ridge Buikting
Code (U,B.C,) and all other appllcebie Wheat Ridge ordlna~ces, for wall< untier this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
Description:
REPLACE FURNACE
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. FI.:
Approval:
Zoning:
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
II
Expiration Date :
Approval:
.
Expiration Date :
Approval :
.
(1) This pennitwas issued in accordance with the prQVisions set forth In yapur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and BuitdlngCode of Wheat RId1Je. Colorado or any other applicable ordinances of the City. .
(2) This permit shaUexpire if (A) the workauthonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a pe~' of 120 d s.
(3) If this permit ewk'e8,amM . may be &c:qL.Jired for a ~ of anHalt the amount nonnally reqL.Jired, provided no changes have been or witl be made in the
orlginalplans and ons and any susoensk>n or abandonment has not exceeded one (1) year. If changes are made or if sL.Jspensionorabandonment
exceedaone (1) year, fulHeesshanbe paid for a new permit
(4) No work of an: . MershllU be done that wfUchange the natural flow ofwater causing a drainage problem.
(5) Contractor . .tv the BuIldtng Inspector twenty..four (24) hours in advance for all Inspections and shaD receive written approval on Inspection card before
proceedil . . $UCC8ssJv& phases of the lob. . .
(6) The iss of a permit or the approval or drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provIsiOns
of the iI 9 or~aw, rule or regulation.
uilding Inspector
THIS PERMIT VALID ONL V WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MA VOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: t \ e.1 bau t r-
Property Address: lflO 'S c.o~ s+n:"e.-t
Contractor License No,: l1Q5()5
Company: 'e:JC1 r -\e ( S t-\ed+in 9 Of\O A- \ L
Phone: L/J3 - J, Cfl J
Phone: l/ J-o.. - ;) 5 \) q
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Use Tax:
i '500 w
yq.5D
I <ODO
10 150
Permit Fee:
(O....'NER)(CONTRACTOR) SIGNED
Total:
Description :J::n c'" \Q [/ (). qJ, ,000 e,1V1
,<-('{>\ aCe ment
BUILDING DEPARTMENT USE ONLY
':":llH"!"'",:,,' ""j 11' 7
Approval:
Zoning:
.:'~!,~l .;.;'" ;..1,," ;1)- r
..
,
Approval:
~!L' ~u'j':\.!~..~'llll!".1l..)j
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
i
I
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
21 ,pra:ris~~l!!~~
Expiration Date:
Approval :
. LPoJ!l1s_@quired, J
Expiration Date :
Approval :
lIi
.~L\;A: .c;'i:-.
(1)
(2)
(3)
This permrt was issued in accordance with the provisions set forth in yapur application and IS subject to the laws of the State of Colorado and to the Zoning
RegUlatIOns and Building Code of VVheat Ridge. Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced Within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires. a new permit may be acquired for a tee of one.half the amount normally required. providM 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 are made or If suspension or abandonment
exceeds one (1) year. full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a dramage problem.
Contraclor shall notify the Building Inspector twenty.four (24) hours in advance for aU inspectlons and shalt receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permIt or the approval of drawings and specifications shall not be construe<:! 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.
(4)
(5)
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION. 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company: SE).. F
AdarW\
4Qa~
2 ,e/bat.> e(2
Cody st-
Phone: 'I2J. ~'1? '7
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: "oo"'l" .1'"'-'"
Permit Fee:
Plan Review Fee:
Use Tax:
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~~/iJt/h~'- DATE /.;-lJ-f?
Description:
Total:
Z.2:l1lil:lllC.Qmmenl!:j 4:- '-t. '" -:r
Approval: ~ ~
Zoning: p.tC-
BullaI~Cbmment5ll
Approval:
SIC:
Sq, Ft.:
I (
fA, jvv<v '''-\)
64<- CL
~
,
~<.
~ablR!1't8if.~9.mm'jJ~]1
Approval:
Occu pa ncy :
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
III mtllli1l.lRjJj'Q![i1'I
Expiration Date:
Approval:
. IHllIlmaf[tml~_
Expiration Date:
Approval:
.
.1..'I.i~m .
(1)
(2)
(3)
This permit was issued in accordance with the proviSions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and BuildinQ Code of VVheat Ridge, Colorado or any other allplicable ordinances 01 the City.
This permit shall expire If (A) the work authonzed is not commenced within sixty (50) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow or water causing a drainage problem.
Contractor shall notify the Building Inspector twenty.four (24) hours In advance for ail inspections and shall receive written approval on inspection card before
proceedling with successive phases of thel'Ob.
The issuance of a permit or the approval 0 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.
14)
5)
(6)
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
""'"'''''1''''''''1''' ,,"" "",' ',", "~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,J,,,,,, "'''l''''w".""",' ",,,,,,,,,~,,,,,,..,, """''''''''''''J''",_'''',,,'''''',,, "",""""'i ' '^ ",,,,,,,,,.,,~,,,,''''i
f' ..""""!~,,,,, ,
J DERARTMENT OF PLANNING ANP DEVELOPMENT Building Permit Number: 4820
BUILDJN~ INSPECTION DIVISION - 235.2855
CITY OF WHEAT RIOGE
7500 WEST 29TH AVENUE
WHEATRIOGE, CO 80215
,,'
t'
Date:
4/4/97
Property Owner:
Property Address: 4705 CODY ST
Contractor License No. :
Company:
Phone: 423-2977
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
Permit Fee :
Plan Review Fee:
Use Tax: ,
Total:
$450.00
$22.00
$0.00
$9.00
$31.00
I hereby certify that the setback dl$tanees proposed by this 'perm~ application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or re$trictions of record~ that aU me8$urements shown, and allegations
made are ""curate; that I have reed and agree to abide by all conditions printed on this
application, and that I S$SUme Mlreaponslbililv for compliance with the ~at Ridge Building
Code (U.B.C.) and all othflr aPPIIcab~idg~nances, for work under this perm~.
(OWNER)(CONTRACTOR) SIGNED I'Ur.i yt;/fi~h 'C> DATE 0/- t/_ 97
Description: 6' FENCE IN BACK YARD
BUILDING DEPARTMENT USE ONLY
SIC:
6' PRIVACY FENCE MEETS REQUIREMENTS
Sq. Ft.:
Approval:
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
.
Expiration Date:
Approval:
.
Expiration Date:
Approval:
.
(' ) This permit was Issued In accordahCe with the provisions set forth In yopur application and is subiec:t to the laws of the Slate of Colorado and to th& Zoning
Regulations anctBuilding COde of Wheat Ridge; Colorado or any other applicable ordinances of the City. .
(2) This permit ShaH expire W(A} the work authorfzed Is not commenced within sixty (80) days from issue date or (B) the bUilding authorized is suspended or
abandoned: for a period of 120 days. .
(3) If this permltexpires, a new permit may be acquired for a ,. of one-half the amount normally required, provided no changes have been or wiHbe made in the
original ptans .and.spec::ifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1)year, fuU fees shatl be paid for a new pennit.
(45) No work of anyl'tWiU1ner Sha!lbe donethatwill change the natural now of water causlng a drainage problem.
() Con~actor shaH notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approVal on inspection card before
proc:eedUng with .\lOCeSlriv8 011.... oIlhe Job,
(6) The issuance at 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 pro\ilslons
oIlhe ~e.~. :;r;?,ru:;;:;tion.
f uilding Inspector
HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234"5933 24 HOURS PRIOR TO INSPECTION
, tv",,,,},,,,,", FJ:,rV C iF tIT ;1).1.
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