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10390 W. 41st Avenue
r City of Wheat Ridge Residential Roofing PERMIT - 201706364 PERMIT NO: 201706364 ISSUED: 08/21/2017 JOB ADDRESS: 10390 W 41st AVE EXPIRES: 08/21/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 31 sq *** CONTACTS *** OWNER (720)935-7690 P PLUMMER FAMILY TRUST SUB (303)797-8600 Kevin Trizna 170246 M4 Roofing & Gutters *** 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: 15,264.54 FEES Total Valuation 0.00 Use Tax 320.56 Permit Fee 299.40 ** TOTAL ** 619.96 *** 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) 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. 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 - 201706364 PERMIT NO: 201706364 ISSUED: 08/21/2017 JOB ADDRESS: 10390 W 41st AVE EXPIRES: 08/21/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 31 sq 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 7am le all authorized to include all entities named within this document as parties to the work to be performed- 11 work to be per ed is disclosed in this document and/or its' accompanying approved plans and specifications. �1-- -- Signature of OWNER o CONTRACT' (Circle one) Date t 1, This permit was issued base on tie 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 maybe 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 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 app code or any ordinance or re ulation of this jurisdiction. Approval of work is subject to field inspection. C� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 2,0t 70 C 6 I From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 17, 2017 2:23 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 Duplex are on the property? PROPERTY INFORMATION Property Address 10390-10398 W 41 st Ave Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Pat Plummer 720-935-7690 Field not completed. 41 W17 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 Plummer Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business M4 Roofing & Gutters Name Contractor's License 170246 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3037978600 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 4719 S Santa Fe Circle (Primary address of your business) Contractor Email Address rhonda@m4roofing.com Retype Contractor Email rhonda@m4roofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of work: Project Value (contract 15264.54 value or cost of ALL materials and labor) Are you re -decking the No roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 42 Does the scope of the project include a pitched roof (2:12 or greater pitch)? 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? What is the roof pitch? Etc) Yes 31 GAF Timberline HD Asphalt Tear off and reroof - 2/12 pitch 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 43 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 Rhonda Bedwell Email not displaying correctly? View it in your browser. 44 Tear Off 2 / 3 layers of existing shingles U Wood shake tear off Mtstall f5#`! 30# felt paper / Synthetic underlayment Install Certainteed ;r / Tamko / Malarkey / Owens Corning [)'Shingle: r7+%en�1 ©rShingle Color: r— iai> v-1lei o I ❑ Install decking (7/16" OSB) /}.- ; ' Q�tnstaN Ice and Water shield gr.Qu a r t~ t rte' • 'i'' ©' Install new step flashing: Color: Black / Greyro rt~/ Ull LT)nstall new drip edge on rakes Color: Brown /o� Other: © Install new drip edge on eaves Color: Brown hi / Other: install new roof vents Paint roof vents and stacks to blend with shingle color 0Naii & seal new pipe flashing and vents Clean up & remove debris 'Magnetize yard for nails 0 Clean gutters KiC,( ytti6T Krovilocal building permit de anufacturer's warranty based on which shingle is installed rovide a 60 -month installation warranty. (Not valid until account is paid in n 1.7 Approximate Dates of Service ;5"D pt Gutters: f" Gutter size: ❑i 5" 136" ❑fie js++ xtI❑ tt+r?r Total Gutter Length: t1 % Total Downspout Length. Downspouts: ❑ 2"x3"❑3"x4"❑F,epla�tt;,_;r=tt7t>.r Color: \/Q4 Special Instructions: I; GAF Warrant SYSTEMS PLLh t GOLDEN ?LED_ : i s See addendum The approximate costs of the services based on damages known at the time this contract is entered is $ % a M4 Contracting, LLC, however, will perform the scope of work approved by the insurance company for the anniont or `thy InKII(A approved proceeds, with no additional cost to you except for your deductible. The final scope and price agreed ,n 'Nilw stirs insurance company and M4 Contracting, LLC shall become the final contract price for the insurance approved 1',u: ill` responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not c--ikcPr;W Vit the scope of coverage provided by your insurance policy. Supplemental claims billed by M4 Contracting, LLC, that arf, annf;ON4-'b" insurance company for additional work or increases in cost become a part of this contract. When the insurance company and M4 Contracting, LLC agree upon a price, that amount will be the final i�ontr;wt amid- #6r, 'v"All Contracting, LLC will install the roof. M4 Contracting, LLC will receive all insurance proceeds for the work completed by Nt4 C€ fitm'ctrn�.:: s If the insurance company does not approve the roof replacement, then this contract is null and void. M4 Contracting, LUC shrill h6l0n`fhgl any payment from the property owner until the roofing materials have been delivered to the )obsite or has perforam€d 43'rrttSk+rf t%'? roofing work. 144 Contracting, LLC Repres,6ntative le Date ; We may withdraw this proposal it not accepted win 10 days. Acceptance of Proposal - 144 Contr ting, LLC Is authorized to do the work as specified In the TERMS above, ; • j rl Clig erlAuthorized Agent Date I have read and understand the terms and conditions listed on the back side of this page; Homeowner Initials: Scanned by CamScanner a A ; City of Wheat Ridge Residential Roofing PERMIT - 201706364 PERMIT NO: 201706364 ISSUED: 08/21/2017 JOB ADDRESS: 10390 W 41st AVE EXPIRES: 08/21/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 31 sq *** CONTACTS *** OWNER (720)935-7690 P PLUMMER FAMILY TRUST SUB (303)797-8600 Kevin Trizna 170246 M4 Roofing & Gutters *** 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: 15,264.54 FEES Total Valuation 0.00 Use Tax 320.56 Permit Fee 299.40 ** TOTAL ** 619.96 *** 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) 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. 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. 20 1706364 INSPECTION RECORD 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 Occupancy/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 Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments WSheathing 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 T� 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 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: I � F Job Address: lh 1�1 4 Permit Number: ,-Cid "� � ❑ No one available for inspection: Time ) S ` 6/PM Re -Inspection required: Yes No When c/orrre do s have been made, call for re -inspection at 303 -234 - Date: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE k Inspection Type: f� f Job Address: �� _7 t�/ �// ` ' ,1 Ut Permit Number: ❑ No one available for inspection: Time ,1` �'"�' AM/ Re -Inspection required: Yes No When corrections have been made, call for -re -inspection at 303 -234 - Date: c�` 'rte —inspect r.:�'�,s 1 DO NOT REMOVE THIS NOTICE FORM (F) 414 -02 -5147 wcv �T TAT yr q �a g � b $»' ad k.• � A A PT g ADDRESS CRY TOWN OR COU�vNtt tee. fIAOR N 4 CUSTOMER NAM (PRINT) ' ACTION TAKEN ❑ NO SHUT OFF LA OFF SPECIFY pf ,( - ❑BOTH APPL. &METER O'. OWNER ❑ TENANTW' AGENT ❑ OTHER ❑ �,..- 'p�` " p ❑ METER SHUT OFF - WARNING - THE CONDITION FOUND, AS SHOWN BELOW, IS NOT IN COMPUANCE WITH CURRENTLY ACCEPTED PRACTICES AND PROCEDURES COULD CREATE A HAZARD, CORRECTIONS SHOULD BE MADE BY A QUALIFIED CONTRACTOR CONTACT YOUR LOCAL BUILDING .DE MENEFOR CODE AND PERMIT PRIOR TO PERFORMING REPAIR WORK e NAME AND TYPE OF APPLIANCE CONDITIO"YN,t+TO BE! RRECFED i f " N ^ ...FaB . � e C :YC YilFj Ye�p'.Y ..+ R�r ` J' " AT .✓�n�.' <'�F' ^! I o . C.✓A, ° �'n se��eI Pfi° 1�..F(r C }�, r• f ✓`"a`�f !'fF',. "..; s' : „ ✓,F I '�?`�. - ~ FOR FURTHER INFORMATION, PHONE TAGGED 8Y �,yY �'} di TIME �^` �r"{ DATE {r CUSTOMER / OCCUPANT SIGNATURE TIME' f DATE REIATTONSHIP OF OCCUPANT TO CUSTOMER FORM (M) 414 -02 -1123 Xcel Energy 13,00 � AOGP SS CITYTOWN OR FOUNT_Y FLOOD J ppT NO, "CdSiORlER NW ` TAKEN � ❑. NO SHUT OFF ` sPEaFr ❑ APPLIANCE OFF OWNER TENANT AGENT OTHER ❑ BOTH APPL: &METEF E ❑ METER SHUT OFF CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. IS EQUIPMENT MUST NOT B UT BACK P I SERVICE UNTIL REPAIR$ AND ATHOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR. CONTACTYOUR.LOCAI BUILDING DEPARTMENTFOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK: NA AND TYPE OF AFgL NCE g5 pt CQNDITION TO CORRECTED _ l r ''' I FOR FURTHER INFO 4MA _ I N PHONE: I " TAGGED BY _ Tr E C TO fl,/OGC NTSIGNFTUR /Fp% h T GATE R TIO SHIP OPO Q, ANTTO CU' O ff+ / �%