HomeMy WebLinkAbout2953-2963 Reed StreetA 1 City of Wheat Ridge
Residential Roofing PERMIT - 201703710
PERMIT NO: 201703710 ISSUED: 07/11/2017
JOB ADDRESS: 2953 Reed ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Fox Hollow Gray asphalt
shingles with 40 sq.
*** CONTACTS ***
OWNER (303)232-3524 ARNESON ESTHER
SUB (303)979-4444 Steve Becker 021658 National Home Improvement, Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,417.99
FEES
Total Valuation 0.00
Use Tax 323.78
Permit Fee 299.40
** TOTAL ** 623.18
* * * 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.
D-95-3 INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridgs:co.us/inspection
INSPECTION REQUEST LINE: (803) 234-5933
Occupancy/Type
Inspections will not be performed unless thi card is p® don the pec t ite.
"Request an inspection before 11:59 p.m. (midnight) to receive ins ti' the f o dd
1 . n �-,
Inspector Must Sign ALL Spaces pertinent to this rojec
Concrete Prior To Approval UT I ne Aoove inspections
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approval UT I ne Aoove inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
nn hint CnvPr Underground or Below/In-Slab Work Prior To Approval Of The Above inspections
Rough Inspections - Date Inspector
Initials
Comments
Wall Sheathing
Mid -Roof r
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 vonage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Vr
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
.V
Inspection Type:
Job Address:
Permit Number: 207n S710 r
❑ No one available for inspection: Time 0.' A(
__ ..
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: �' / C/' Inspector: �/t,/(;/ lko—
DO NOT REMOVE THIS NOTICE
t
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line_��9�j
(303) 235-2855 Office • (303) 237-8929 Fax 1
INSPECTION NOTICE
Inspection Type: Mo r
Job Address: ,p 5 3 ,
Permit Number: -;�tO/7O 37/0
❑ No one available for inspection: Time f? ° la.� ( �/PM
Re -Inspection required: Yes NO
When corrections have been made, call for��C774
re-inspecctiion at 303-234-593
/3
Date: , ' 17 Inspector: �
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE i
Building Inspection Division
(303) 234-5933 Inspection line_1�9�j
(303) 235-2855 Office • (303) 237-8929 Fax j
INSPECTION NOTICE
Inspection Type: Po F
Job Address:
Permit Number:
V__'FIA/A-�,
" yl� g I 'j. ' I , I -
❑ No one available for inspection: Time
Re -Inspection required: Yes (No
a
When corrections have been made, call for�0�;/r774�e-inspecctiion a
t303-234-593
/3
Date:—?, 4 ' Inspector:
DO NOT REMOVE THIS NOTICE
A ¢ City of Wheat Ridge
r
Residential Roofing PERMIT - 201703710
PERMIT NO: 201703710 ISSUED: 07/11/2017
JOB ADDRESS: 2953 Reed ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Fox Hollow Gray asphalt
shingles with 40 sq.
*** CONTACTS ***
OWNER (303)232-3524 ARNESON ESTHER
SUB (303)979-4444 Steve Becker 021658 National Home Improvement, Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,417.99
FEES
Total Valuation 0.00
Use Tax 323.78
Permit Fee 299.40
** TOTAL ** 623.18
*** 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.
11 by m 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 [ 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that al,work to be per#ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sknature of OWNER or CONTRACTOR (Circle one) Date
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, 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 Budding
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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c r any ordinance 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.
City of Wheat Ridge
Residential Roofing PERMIT -
201703710
PERMIT NO:
201703710
ISSUED:
07/11/2017
JOB ADDRESS:
2953 Reed ST
EXPIRES:
07/11/2018
JOB DESCRIPTION:
Residential Re -roof to install GAF
Timberline HD
Fox Hollow Gray asphalt
shingles with 40 sq.
11 by m 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 [ 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that al,work to be per#ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sknature of OWNER or CONTRACTOR (Circle one) Date
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, 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 Budding
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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c r any ordinance 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.
Dane Lovett� " 037 0
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 4:31 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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 many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 2953 Reed St, Wheat Ridge, CO 80033
Property Owner Name Robert & Esther Arneson
Property Owner Phone 303-232-3524
Number
Property Owner Email Field not completed.
Address
$ � 7-3, / F`
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 National Home Improvement, Inc.
Contractor's License 021658
Number (for the City of
Wheat Ridge)
Contractor Phone 303-979-4444
Number
Contractor Email Address nhi@nationalhomeimprovement.com
Retype Contractor Email nhi@nationalhomeimprovement.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing GAF Timberline High Definition Shingle in Fox Hollow Gray
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 40
material selected above? /
Does any portion of the No v
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof? /
TOTAL SQUARES of all 40 ✓
roofing material for this
proj ect
Provide additional detail This is for a duplex with a 4:12 pitch
here on the description of
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)
15417.99
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 Steve Becker
Email not displaying correctly? View it in your browser.
3
General Contract for Roofing & Insurance Repairs
National Home Improvement, Inc.
6732 W. Coal Mine Ave., #444, Littleton, CO 80123
Phone: 303-979-4444 • Fax: 303-979-6441 • email: nhi n,nationalhomeimprovement com
Name
�r f {
e 0 _/7
Insurance Carrier
Email
Color
2 ."
Color --
Claim #
Home Phone
U2
7 ? l
Approx Start Date
Cell
Upgrades
Approximate End Date
Upgrades
Address
eta 5 3 /
�C-c-� �f .
Job Address
" C �y��
City/St /Zip
City/SU Zip
This agreement is entered into by the above named parties for value one to the other for promises made herein as of this date. All agreements, scope
of work and specifications are contained herein and are as outlined below. No verbal agreements exist outside this written agreement,
Scope of Work — Insurance Claim
Scope of work shall be as approved by insurance carrier. The approved insurance estimate -summary -report, including supplements, becomes the
minimum scope of work (unless otherwise excluded below) and the approved insurance scope becomes an addendum and part to this agreement. Any
upgrades or additions to scope shall be outlined below and/or as noted in an addendum which shall be referenced herein.
Scope of Work — Not Insurance
Scope of work shall be as outlined below and/or as noted in an addendum which shall be referenced herein.
Product & Work Specifications
Roof Brand
Ridge ` (( t>.(
Grade/Style ` L _> �1-2C-� ��
Valleys r -
Color
Felt
Metal Edging
1
Vents %7 � - r ue_4 /-- _ i� 1,I
Color
2 ."
Color --
e K-6_— `�
�,. c. /t Cc — "IG
ld C C. X/
c jL' 'ri 6,_1
Upgrades
$
Upgrades
$
Glpgrades fees are not reflected in the approximate cost of services stated below. These up?rade Prices to be added to insurance totals upon final invoicing
ADDENDUM (further specifications) attached? Yes No. This contract is page 1 of
Appro ',,ate cost of service based on insuMye elated damages known t time of thi cact.'`�`✓.`ie/
>
The actual cost of services shall be Replacement Cost Value (RCV) which is the final line item CC , plus overhead & profit, taxes, permit reimbursements and
supplements approved and paid for by the insurance carrier. Owner is responsible for deductible, non-recoverable depreciation and code upgrades when they are not the
responsibility of the insurance company. Added to the total cost of services will be any selective upgrades. NHl cannot pay, waive, rebate; or promise to pay, waive,
rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property according to Colorado State Law. If the
repair is not related to an insurance claim. the total amount stated is the total anzoutnt of the contract not including permit fee reimbursement which will be added at
time offznal invoice. Full payment is due upon completion.
Payment to be made as follows: ACV click..( rst insurance check), or that amount which is released by mortgage holder, due upon completion of roof. Full
balance is due upon comp'e ' n o et fire �e�e as outline above. Forms of acceptable payment are cash or check only. Properly endorsed insurance checks are
acceptable. NF [hAs�hall hold in rust riy payment receive from you until NI -II has delivered roofing materials at the site or has performed a majority of the
roofing wort: on your- roperty. j
NHI Consultant
All conn•acts subject to revieir & approval by management.
Acceptance of scope and specifications: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as outlined above. Property Owner is/ is not intending to make payment from the
proceeds of a property
/and casualty insurance policy. This contract is subject to the terms & conditions as stated on the back page and is hereby acknowledged
Signature su.fitt,t ��L,� ���� Date of Contract:
Individually and on behalf of all co-owners of the Property
A ¢ City of Wheat Ridge
r
Residential Roofing PERMIT - 201703710
PERMIT NO: 201703710 ISSUED: 07/11/2017
JOB ADDRESS: 2953 Reed ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Fox Hollow Gray asphalt
shingles with 40 sq.
*** CONTACTS ***
OWNER (303)232-3524 ARNESON ESTHER
SUB (303)979-4444 Steve Becker 021658 National Home Improvement, Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,417.99
FEES
Total Valuation 0.00
Use Tax 323.78
Permit Fee 299.40
** TOTAL ** 623.18
*** 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.
11 by m 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 [ 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that al,work to be per#ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sknature of OWNER or CONTRACTOR (Circle one) Date
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, 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 Budding
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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c r any ordinance 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.
City of Wheat Ridge
Residential Roofing PERMIT -
201703710
PERMIT NO:
201703710
ISSUED:
07/11/2017
JOB ADDRESS:
2953 Reed ST
EXPIRES:
07/11/2018
JOB DESCRIPTION:
Residential Re -roof to install GAF
Timberline HD
Fox Hollow Gray asphalt
shingles with 40 sq.
11 by m 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 [ 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that al,work to be per#ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sknature of OWNER or CONTRACTOR (Circle one) Date
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, 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 Budding
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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c r any ordinance 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.
Dane Lovett� " 037 0
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 4:31 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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 many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 2953 Reed St, Wheat Ridge, CO 80033
Property Owner Name Robert & Esther Arneson
Property Owner Phone 303-232-3524
Number
Property Owner Email Field not completed.
Address
$ � 7-3, / F`
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 National Home Improvement, Inc.
Contractor's License 021658
Number (for the City of
Wheat Ridge)
Contractor Phone 303-979-4444
Number
Contractor Email Address nhi@nationalhomeimprovement.com
Retype Contractor Email nhi@nationalhomeimprovement.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing GAF Timberline High Definition Shingle in Fox Hollow Gray
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 40
material selected above? /
Does any portion of the No v
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof? /
TOTAL SQUARES of all 40 ✓
roofing material for this
proj ect
Provide additional detail This is for a duplex with a 4:12 pitch
here on the description of
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)
15417.99
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 Steve Becker
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3
General Contract for Roofing & Insurance Repairs
National Home Improvement, Inc.
6732 W. Coal Mine Ave., #444, Littleton, CO 80123
Phone: 303-979-4444 • Fax: 303-979-6441 • email: nhi n,nationalhomeimprovement com
Name
�r f {
e 0 _/7
Insurance Carrier
Email
Color
2 ."
Color --
Claim #
Home Phone
U2
7 ? l
Approx Start Date
Cell
Upgrades
Approximate End Date
Upgrades
Address
eta 5 3 /
�C-c-� �f .
Job Address
" C �y��
City/St /Zip
City/SU Zip
This agreement is entered into by the above named parties for value one to the other for promises made herein as of this date. All agreements, scope
of work and specifications are contained herein and are as outlined below. No verbal agreements exist outside this written agreement,
Scope of Work — Insurance Claim
Scope of work shall be as approved by insurance carrier. The approved insurance estimate -summary -report, including supplements, becomes the
minimum scope of work (unless otherwise excluded below) and the approved insurance scope becomes an addendum and part to this agreement. Any
upgrades or additions to scope shall be outlined below and/or as noted in an addendum which shall be referenced herein.
Scope of Work — Not Insurance
Scope of work shall be as outlined below and/or as noted in an addendum which shall be referenced herein.
Product & Work Specifications
Roof Brand
Ridge ` (( t>.(
Grade/Style ` L _> �1-2C-� ��
Valleys r -
Color
Felt
Metal Edging
1
Vents %7 � - r ue_4 /-- _ i� 1,I
Color
2 ."
Color --
e K-6_— `�
�,. c. /t Cc — "IG
ld C C. X/
c jL' 'ri 6,_1
Upgrades
$
Upgrades
$
Glpgrades fees are not reflected in the approximate cost of services stated below. These up?rade Prices to be added to insurance totals upon final invoicing
ADDENDUM (further specifications) attached? Yes No. This contract is page 1 of
Appro ',,ate cost of service based on insuMye elated damages known t time of thi cact.'`�`✓.`ie/
>
The actual cost of services shall be Replacement Cost Value (RCV) which is the final line item CC , plus overhead & profit, taxes, permit reimbursements and
supplements approved and paid for by the insurance carrier. Owner is responsible for deductible, non-recoverable depreciation and code upgrades when they are not the
responsibility of the insurance company. Added to the total cost of services will be any selective upgrades. NHl cannot pay, waive, rebate; or promise to pay, waive,
rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property according to Colorado State Law. If the
repair is not related to an insurance claim. the total amount stated is the total anzoutnt of the contract not including permit fee reimbursement which will be added at
time offznal invoice. Full payment is due upon completion.
Payment to be made as follows: ACV click..( rst insurance check), or that amount which is released by mortgage holder, due upon completion of roof. Full
balance is due upon comp'e ' n o et fire �e�e as outline above. Forms of acceptable payment are cash or check only. Properly endorsed insurance checks are
acceptable. NF [hAs�hall hold in rust riy payment receive from you until NI -II has delivered roofing materials at the site or has performed a majority of the
roofing wort: on your- roperty. j
NHI Consultant
All conn•acts subject to revieir & approval by management.
Acceptance of scope and specifications: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as outlined above. Property Owner is/ is not intending to make payment from the
proceeds of a property
/and casualty insurance policy. This contract is subject to the terms & conditions as stated on the back page and is hereby acknowledged
Signature su.fitt,t ��L,� ���� Date of Contract:
Individually and on behalf of all co-owners of the Property
lot 9 1
1101-19:01111 Ni 11 I'V40111 #
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 pm. to receive an inspection the following business day,
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections 4-7-NiTifil
Monolithic Slab Reinforcement
#,I# =1111-P14#14101t
gmm=.
m
Finat Plumbing
ILA
ROW Drainage I Public Works Dopt,
Fire inspection / Fire Protection, Dist.
", M. " - ORION q11
Occupancy Is Not Perrn d ntil A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Fro :
.1111 all
Inspections will not be performed unless this card is posted on the projecA site.
r e inspection request line before 1. 1:59 p.m. to receive an inspection the following business day.
Foundation Inspections
Monolithic Slab RaInIbrceowmt
MEMMI=
Water Service (Underground)
Plumbing (Selow / In -stab)
WOW M*10
�WIK=
M
Final Plumbing
Final Mechanical
M
KI
11111111p�i
ROW & Drainage Public Works Dept
a♦
R , 1 .1 -
it 0 i I
0 , c cupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Inspections will not be performed unless this card is posted on the project site.
Call tbe inspection request line before 11:59 p.m. to receive an inspection the following business day.
Inspector SignALL Spaceso this project
Foundation Inspections Inspector Comments
Initials
Monolithic Stab Reinforcement
# ^� * o ♦ :.
## #'
.E. Letter
6- Pour Concrete Prior To An -n -r
Underground/Slab Inspection Inspector
Is
Initial-
tdca
*�% ii�i� (Underground)
City of W-�eat Ridoe
Iry ..w4 :i
Final Inspections
Initials
Final Electrical
Final • #
Final Mechanical
Final Building / Frame
Landscaping & Parking Planning Dept.
one week in advance, For landscaping and pa g
ROW & Drainage / Public Works Dept inspections call 303-235-2846. For RO and d ag
inspections call 303-235-2861. For fire i
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your projec .
"Note: Ali 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.
N16-04-25 05:50 Lakeside Heating 3034638837 >> P V2
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Im
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Iri
•:I a �+ iInspections will not be perfortned unless this card is posted n the project site.Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Foundation Inspections I
Tron N.• `-
ConcreteCaissons
*# Ground
## # P.E.
a
Underground/Slab Inspections 0.
4 '
Electrical (Underground)
♦ ` # #
Plumbing w * N
Heating(Below
Rough Inspections.
Wall Sheathing
Roof
Lath /Wall Tie
Rouah
y N #
#
•
t #
#
Rough #
Insulation
Drywall Screw / Nail
#. N:.
Final Inspections
FinalFinal Electrical
Plumbing
Final Mechanical
w�
Landscaping & Parking Planning Dept.
ROW & Drainage I Public Works Dept,
inspections call 303-235-2861 . For fire inspections
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project.
"Note: Aft 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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From
2016-04-25 05:51 Lakeside Heating 3034638837 >>
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212
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ZA
�'+.tii+n �:. ° ��.�,, ,.'4 't e� t,�^,f • ,f" F ..s"" �'.� ii wn`:,�§� a � �'� x T'(��d� it I 9 a'p��i� � I ip
r
�..
s s� . tF ♦` ♦ ik
. a
0
INSPECTION RECORD Occupancy/Type -
1 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.
�G 1f1 Clary -4� J n 1 A/V �
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS -
DATE
NSPECTOR
I INITIALS
COMMENTS:
Footin sons
Electrical (Underground)
Stem EG) Concrete
Encas
m
'
-
Heating (Underground)
Reinfor Monolithic
2
Weath / French Drain
Building Final
-
Sewer Service Lines
r
Water Service Lines
R.O:W & Drainage
WRoughElectnc
,
'
Electrical
CONCRETE SLAB FLOOR.
Plumbing
Electrical (Underground)
Plumbing (Underground)
m
'
Heating (Underground)
Roof
2
Building Final
r
'
R.O:W & Drainage
WRoughElectnc
,
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS..
..
ice
`=
ic
Rough Plumbing
Gas Piping
^'
Rough Mechanica l
,?
Framing
Insulation
Drywall Screw
UNTIL
I
D PROCEEDING
FINALS
Electrical
Plumbing
Mechanical
-
Roof
2
Building Final
Fire Department
R.O:W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS..
Parking & Landscaping
* *NOTE: ALL ITEMS MUST BECOMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY 'IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: _j,rifC 1'
Job Address: 1 753 - , 5 R, S 7
Permit Number:
i� n
0
❑ No one available for inspectio Time' �J AM /PM
Re Inspection required: Yes
"When corrections have been made, call for re -insp ctfon a"03 -5933
f
Date: a /Z9 Inspector:
DO NOT REMOVE THIS NOTICE
r
I
Ci
P
O rRf D ivu.opmrNT !jgc
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Date: 2-3
Plan #
Permit #
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
pr Building Permit Application
Property Owner (please print), Phol
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Corttrac #ov: __
C"' I .
Contractors City License #: Phone:
§ k9§00***
Electrical: Plumbing: Mechanical:
City License # City License # City License #
b"MM164�6��'
Contract Value: OQ
$ 5
Review Fee (due at time of submittal):
Squares JJ $
BTU's Gallons Amps Sci Ft.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTA E) (OWNER) TRACTOR)
PRINT NAME(fA5j� �WA 1- ?/ht SIGNATUR
6 DATE: 2z�
Bldg Valuation: