HomeMy WebLinkAbout7675 W. 48th AvenueFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Friday, October 15, 20213:48:43 PM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 7675 w 48th ave. wheat ridge, CO 80033
Property Owner Name iiam wynne
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
719-237-1626
CONTRACTOR INFORMATION
Contractor Business fix it 24/7
Name
Contractor's License
18042
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-659-3400
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@fixmyhome.com
Address
Retype Contractor
permits@fixmyhome.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of work
house
(garage, house, etc)
Provide additional
2 200 amp panels 125 amp sub platinum safety system
details, if needed.
Project Value (contract
22832.00
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 chad caruso
Permit
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Friday, September 10, 20213:40:05 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 7675 w 48th ave. wheat ridge, CO 80033
Property Owner Name iiam wynne
Property Owner Phone 719-237-1626
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email iiamwyn@aol.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business fix it 24/7
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 chad caruso
Permit
Email not displaying correctly? View it in your browser.
Name
Contractor's License 180142
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-659-3400
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@fixmyhome.com
Address
Retype Contractor
permits@fixmyhome.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
80
What is the efficiency
80
(%) of the unit?
Is the unit GAS or
gas
ELECTRIC?
Where is the furnace or
basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
5875.00
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
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time7CM,/PM
Re -Inspection required: Yes No
When corrections have been made, 11 for —insp iloWat-303-234-5933
Date: Inspec
DO NOT ROVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
L77 -
INSPECTION NOTICE'
ti.
Inspection Type:
Job Address: • U•.,. ;'T4 P�(
Permit Number: l ' ( __19
❑ No one available for inspection: Time"` CAM/PM
Re -Inspection required: Yes, -No
When
*When corrections have been made, schedule for re -inspection online at:
http://www.ci.wheatridge.co.us inspection
Date:?-2,4Inspector.
City of Wheat Ridge
` E -Res. Electrical Service PERMIT - 201901939
PERMIT NO: 201901939 ISSUED: 09/12/2019
JOB ADDRESS: 7675 W 48th Ave EXPIRES: 09/11/2020
JOB DESCRIPTION: Electrical upgrade, 200 AMP in house, new meter , 40 circuit panel.
*** CONTACTS ***
OWNER (303)210-0378 KANE JEREMY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA J Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00
FEES
Total Valuation 0.00
Use Tax 47.25
Permit Fee 93.35
** TOTAL ** 140.60
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 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 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
Divisi
6. The ' su rice r grant. of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
app ` e c e or a dinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cot; of W h e.ml t Rzdge
QP /?[i19 14;56
CryA02155
$F'SF 7675 W 48th
AFF'. TERMIT
PAYMENT RECEIVED
PP r 1169
Dina Kern
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 12, 2019 10:15 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Categories: Dina
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS"
7675 W. 48th Avenue
Jeremy Kane
303-210-0378
wheat ridae.pdf
CONTRACTOR INFORMATION
A
O
Contractor Business Current Installations
Name
1
Contractor's License 80190
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-458-8411
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address lisa@current-installations.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
lisa@current-installations.com
Upgrade
200
house
Provide additional details, new meter housing, 40 circuit panel
if needed.
Project Value (contract
value or cost of ALL
materials and labor)
200 00 Ad,0'
p0f
Yl
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
2
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.
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 Lisa Marie Patterson
Permit
Email not displaying correctly? View it in your browser.
Occupancy/Type
INSPECTION RECORD -
INSr'r.CTION ONLINE FORM: http://
INSPECTION REQUEST QUWESTrLdINEc 303) 234-5933 aspx?fid-79
Inspe=ctions will not be performed unless this card is posted on the project site. —
.:e nest an Inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
g p
L _-__ _ --
�— Inspector Must Sign ALL Spaces pertinent to this project
Date Inspector Comments
ro 4,ldation Inspections Initials
Pier _
Concrete ncased Ground (CEG)
Foundation / P.E. Letter royal Of The Above Inspections
Do Not Pour Concrete Prior To App
Inspector Comments
Underground/Slab Inspections Date Initials
Electrical
Sewer Service
Plumbing
Do Not Cove_
Rough Inspections
Wall Sheathing
Mid -Roof
Lath /Wall Tie
Rough Electric
Rough PlumbinglGas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw /Nail
Final Inspections
round or Below/In-Slab Work Prior To
Date Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection I Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Date I Inspector
Initials
I Of The Above Ins
Comments
Comments
ns
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.
Final Building
NOTE: All items must be completed the Final approved Building Pnanning, P
pecton does, not �onstiFute auire thorization ing�o�cupancy.re a �ficate
of Occupancy is issued. Approval •
—Please be sure that rough inspections are completed from the Fire District and electrical low voltage
*For low voltage permits
by the Building Division.
Occupancy Is Not Permitted t This Cardntil A 'ficate of F From The Weather occupancy Is Issued
Protect
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 oq por-
Job Address: %7 J W 48 th ,-V'2
Permit Number: 700 02-4) 37
❑ No one available for inspection: Time 3• 3 AM�
Re -Inspection required: Ye No
When corrections have been made, call for re ns ectio 3 234-5933
Date: i ILZ I 1 d �- Inspector: A
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
Inspection Type: k10 i
Job Address: 7 6 75 i-✓ 1-/ 8' A r
Permit Number: 20 I '70 Z93 7
❑ No one available for inspection: Time -3o AMO
Re -Inspection required: Yes 6�
When corrections have been made, call for re -inspection at 303-234-
Date:- 7 A // 7 Inspector: - GA 10
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
' Residential Roofing PERMIT - 201702837
PERMIT NO: 201702837 ISSUED: 06/29/2017
JOB ADDRESS: 7675 W 48th AVE EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential re -roof to install Malarky Vista asphalt shingles - 26 sq.
*** CONTACTS ***
OWNER (303)949-8214 BUTLER KIRK T & TIFFANY
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,360.00
FEES
Total Valuation 0.00
Use Tax 238.56 _
Permit Fee 236.00 1
** TOTAL ** 474.56
*** 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 A3z-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 manufacturers€T's 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&439;s technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702837
PERMIT NO: 201702837 ISSUED: 06/29/2017
JOB ADDRESS: 7675 W 48th AVE EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential re -roof to install Malarky Vista asphalt shingles
26 sq.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin�> approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
)-7
Signature,d OWNER or CON"['RACTQA (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of CBuilding Official- - - _ ® Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.eo.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick U1702$37
From: no-reply@ci.wheatridge.co.us
Sent: Saturday, June 17, 2017 9:31 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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
7675 W. 48th Ave
Tiffany Butler
303-949-8214
Field not completed.
��Iw.s6
lqtn
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
• ► I I : _ C07 111 : ►7 7 �iI_0
Contractor Name J&K Roofing
Contractor's License 019983
Number (for the City of
Wheat Ridge)
Contractor Phone 303-425-7531
Number
Contractor Email Address kathyv@jkroofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email kathyv@jkroofing.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:
00
alarkDVista
Asphalt
Field not completed.
How many squares of the 26
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
01
TOTAL SQUARES of all 26
roofing material for this
project
Provide additional detail
here on the description of
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)
House roof pitch 5/12
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT
'► J&K Roofing
BBB 13000 W. 43rd Drive Golden, CO 80403
Phone: 303-425-7531 Fax: 303-425-1562§
www.jkroofing.com
Representative t Contact >�> - �1 - '43 55 Date 20''1'7
_
Name t 't , �e. � 'T`� �,a,,.,,`-� �`��-� Phone 1 email
Address +� ?�?� City Zip
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY:
[�I- ecover roof with I`n 4M gar
❑ Color of shingles j,& Zcjj j,
[�,dti �Y �, 5fcy
nufacturer's Warranty VV-'-
..•-.. �.,.z
&�-Tear off L y>
UAT stall Underlayment i l)n
E�oub all Eaves�5 J -
e -Flash -Chimney and/or Skylights
ew Valleys
ice Ridge
entilation
alvanized Fasteners lrr
Replace Plumbing Jacks
mroof stacks to match
Cs7.lr9Fallr,��d at, Metal Edging
❑ Patio or Flat roof
FPYear Warranty on labor
bofing to furnish all material and labor
r Included NOT Included
/Clean-up debris and haul off all trash from roof
ET HR�oil yard with magnetic roller
t-t'Gutters cleaned of roofing debris
E"ecking Repairs $ a per
❑ Hidden Layers (tear off) $ per layer
(Camer) (Policy Number)
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
❑ Extra work ' Cn�!�O(
-1 Sry-, % %Q, - `' ast tie
The property owner is_ is not using proceeds from
property and casualty insurance policy.
$ tett
Deductible if applicable
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date ¢tc
TOTAL ESTIMATE $ jl(, ), 11 4
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J & K Representative s Date(e—S 'q
------7
Homeowner i/ Date cam" 117
(Claim #) (Adjustor) Homeowner
Co.)
(Mortgage Loan Number) Expiration Date
Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J & K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
03) 235-2855 Office @ (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -5
Job Address: tAl )IL
.pVpiit Numbe0 Z S---32
f
0
Re -inspection required::;" Yes ,No
When corrections have been made, call for re-inspecefdn�t 3103-234-593
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
f 303) Building Inspection Division
(303) 234 -5933 Inspection line
235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type.
Job Address:
Permit Number:
¢ ❑ No one available for inspection: Time AM)PM
Re- Inspection required: Yes No
When corrections have been made, calf for re- inspection at 303 - 2345933
Date: _� / ' Inspector /�zir..��
DO NOT REMOVE THIS NOTICE
l
INSPECTION RECORD OccupancvfTVp
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
$ION TION INSPECTIONS DATE
/Caissons
_ / (CEG) Concrete
Ground ng or Monolithic roof / French Drain rvice Lines vice Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath /Wa tie
Mid -Roof
Electrical Ser
Rough Elect
Rough Plumb
Gas Piping
Rough Mechanical
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Departme
ROW &D
INITIALS COMMENTS:
FO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ECTIONS TO BE SIGNED PRIOR TO PROC EEDING
rall,ayc INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS
-- [VOTE: ALL 17 EMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICAT OF OCCUPANCY NOR PERMISSION F OR OCCUPANCY.
i CITY OF WHEAT RIDGE
Building Inspection Division
-door (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICEr
Inspection Type: t 1 cf > ~I
Job Address:! c /r i err
Permit Number: C9 7
❑ No one available for inspection: Time AM/PM
[ Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-2345933
r Date: ///m ln2 Inspector:
DO NOT REMOVE THIS NOTICE
r
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: loVlo>/r wP
Job Address:
Permit Number: O?Y KI R
dc~~~rR
4-11
S~s~ls~
1/✓' Alwe'c
/r11 1 ~d r..td/~ TO
/z, C11 4- ~15°~
' 7yr
❑ No one available for inspection: Time 1'; SO Pm
Re Inspection required: Yes _ No
When corrections have been made, call for re-inspection at 303-234-5933
Date`: r n Inspector:
DO NOT REMOVE THIS NOTICE
F City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-2345933
pGUR p
Building Permit Application
Date:
Plan
P,Prmit z~
bq_ 1-7q3
-7~~s l,tlg. ~~e
Property Owner (please print): Y~ i f V_ Q UJ_ A Q')r Phone: - 8o'5GGS
Mailing Address: (If different than property address)
Address: SCUNN-e
I//«((~~X l 1~1 CSI - I l W . H n' Q✓
Contractor License Phone:
9N ~
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: l /Approval: Approval:
Useofs ace descri tlon):T ip~AC (11 eyiS~'i f1Ci Construction Value: s -7 1-11 R~
- (as calculated per the Building Valuation Data sheet)
S~10 i 2 r611J~';N
v n t „ u uj/ One ) o dye,' C_10~' ELF Plan Review (due at time of submittal): $
Ti akne, 30y(' /
Sq. FtA.Ft added: Squares '24 BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application era accurate, and do not violate applicable ordinances,
ruleI or regulatlons of the City oP Wheat Ridge or covenants, easements or resVic) ons of record; that all measurements -shown, and
allegations made are accurate; that I have read and agree to abide by all cond(Gons printed on This applicat on and that I assume full
respomlbllity for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this parmi4 Plans subJect to field Inspection.
CIRLCEONET:: (OWNER) (CONTRACT1OR) or PERSONALRE`PENTATIVEo (C1O,N~TRATOR)
PRINT NAME IQ-A~E~ MnrJ~Y~ SIGNATURE'~,~ wU Date: