HomeMy WebLinkAbout4015 Newland StreetCity of
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COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 291" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
12ermitsa,ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension: �'il-l� �� VIA -5
Permit # Property Address: g o (S
Phone # 3039M'43__ Email Address: A/lGt.. f e OACL � 1 � e . C o ✓�
Reason for extension request: F00_u_5 W (L S 0 V" P y W 3v
Joy -le- e? yok5 Ute. U) ( 0-c"A i o 7EZvX_C l
0yXs v s.
Number of days requested: -(��' C� S -7 -5 �I �� -,-1S 'Four c'or r�'� eq
Printed Name:
/;L�L)
(�.(O� ature: Date: o� 0
For office use only
This request has been: Approved ❑ Denied Extended until: 11/28/2020
Approved by: Date: 9/28/2020
www.ei.wheatridge.co.us
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 201901778
PERMIT NO: 201901778 ISSUED: 08/23/2019
JOB ADDRESS: 4015 Newland St EXPIRES: 11/28/2020
JOB DESCRIPTION: SWO Kitchen remodel, replacing appliances, countertops, new tile, paint;
bathroom remodel, new can lighting
*** CONTACTS ***
OWNER ( 9 7 0) 379-6648
MENDO ZA M I GUE L
GC (303) 886-7437
MARY RIVAS
180389 NUHAUS 303 LLC
SUB (720)225-8502
RICARDO VENEGAS
140206 R&D ELECTRICAL SERVICES
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 24,160.00
FEES
Total Valuation
0.00
Plan Review Fee
287.33
Use Tax
507.36
Permit Fee
442.05
Investigative Fees
442.05
** TOTAL **
11678.79
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Remodel PERMIT - 201901778
201901778
4015 Newland St
ISSUED: 08/23/2019
EXPIRES: 11/28/2020
SWO Kitchen remodel, replacing appliances, countertops, new tile, paint;
bathroom remodel, new can lighting
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 thispermit and perform the work described and approved in conjunction with
this,permrt. I further attest that I am leg ally 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 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 requ�ired
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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: `- n w l n rte"
Permit Number:
t
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
h ttp.I www, ci. wheatridge. co. us!►nspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Remodel PERMIT - 201901778
PERMIT NO: 201901778 ISSUED: 08/23/2019
JOB ADDRESS: 4015 Newland St EXPIRES: 08/22/2020
JOB DESCRIPTION: SWO Kitchen remodel, replacing appliances, countertops, new tile, paint;
bathroom remodel, new can lighting
*** CONTACTS ***
OWNER (970)379-6648 MENDOZA MIGUEL
GC (303)886-7437 MARY RIVAS
SUB (720)225-8502 RICARDO VENEGAS
180389 NUHAUS 303 LLC
140206 R&D ELECTRICAL SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,160.00
FEES
Total Valuation 0.00
Plan Review Fee 287.33
Use Tax 507.36
Permit Fee 442.05
Investigative Fees 442.05
** TOTAL ** 1,678.79
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Remodel PERMIT - 201901778
201901778
4015 Newland St
ISSUED: 08/23/2019
EXPIRES: 08/22/2020
SWO Kitchen remodel, replacing appliances, countertops, new tile, paint;
bathroom remodel, new can lighting
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 fftest-;that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and jlaut all work to be performed i� sclosed in this document and/or its' accompanyin approved plans and specifications.
Signature of O ER or CONTRA VOR (Circle one) Date
I . This permi -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 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 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 oPa permit sh of be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or anydmanoe or re ti n of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
MWheat I ,d�c
WT -y DCVFI.OPMLNT
Building & Inspection Services
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # M,
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
/ti&lid: ,
Property Address:
Prooerty Owner
Property Owner Email: f) l C.t,r LA �Vl,�k; ('' 04 C' , rr n ri 1
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: Po
City, State, Zip: �)J�
Architect/Engineer E-mail
Contractor Name:
0
Lc--,,
Phone:
Phone: 9'1 D 3gChoV1 V
City of Wheat Ridge License #: .3u 9 Phone: ,U 3 q &V -7q 3 J:
Contractor E-mail Address: k&uS 303 �"� 1 CI DuA :. Cc,r'n
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): 1 y cur, a VZ J (A S Phone: 30 Z E L14 3
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
lr/ �L
60 1,53c d 06e- -
Z -0
6e -
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Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
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Amps Squares For Solar: lour # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
,t� -V
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) -(AUTHORIZED REPRESENTATIVE) of (OWNER) 2(C,ONTRACTOR)
Signature (first and last name): DATE:
11.9
Printed Name: (j- 1/ I
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
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OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
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TULLIO ENVIRONMENTAL SERVICES
833 S. Vance St. Suite 102
Lakewood, Colorado 80226
(303) 842-6361
tullioenviro*gmail.com
ATTN: GA A ,,M.A >+
To whom it may concern:
Attached are the results of Phase Contrast Microscopic (PCM) analysis for airborne fiber
concentration through the air -filter samples that were taken and analyzed for clearing project
number 1!9 t, f7aS'S''A onEJ2cV1ft . This project is located at
. All of T.E.S.'s PCM analysts participate and
are proficient in the Indus ial Hygiene Proficiency Analytical Testing (IHPAT) under the
American Industrial Hygiene Association's (AIHA) Laboratory Quality Assurance Program.
Under the IHPAT.
Before samples are analyzed, our chain -of -custody procedures assure that the air sample
casings and sealant are inspected for damage on intake. Samples are logged and recorded into
our company log book and are given a unique LN number for internal record keeping and
precision sample tracking. All of our client's records are considered confidential and will not be
discussed with any person or agency not associated with your organization.
The results detailed in this report apply only to the samples received. Standard analytical
procedures include the removal, quarter -sectioning, and slide preparation of the cellulose -ester
membrane filter. Using a positive phase -contrast microscope equipped with a Walton -Beckett
graticule, fibers are counted and samples are calculated in accordance with NIOSH Method 7400.
Only fibers grater than five microns in length with a length -width ratio equal to or greater than
3:1 were counted. If you have any questions regarding the content of this report or would like to
make any suggestions that may improve our quality of service, please do not hesitate to contact
US.
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TULLIO ENVIRONMENTAL SERVICES
FINAL CLEARANCE MONITORING
PHASE CONTRAST MICROSCOPY
(PLEASE PRINT NEATLY)
Client: Project No: dyrj 7,4SgQ-Project Location:
Contractor• /yj " E "%6,tt- Work Area: Approximate Footage:",
T.E.S. Representative: Aggressive Sampling1,,eYes No(Put Why at Bottom)
Sample No: P/ •0 3 Results 0.007 f/cc
Ct - ay B. t,;n7L f/cc
cz - OC" 4")=_*n - '"I f/cc
G G - Or, .4D0_j_Vcc
C4 _ o;R"- ,— _ f/cc
T. E.S.
Final Clearance Samples ��
PASS CLEARANCE STANDARDS
Failed clearance Standards
Clearance Standards
EPA clearance guideline of 0.01 f/cc
All Clearance samples to be less than the background samples
Other (Please list)
Samples were analyzed utilizing the NIOSH 7400 Method as reference.
Comments: Comments must be made when less than five samples were collected.
AHARA regulations require five samples for all containment's.
If aggressive air sampling wasn't used.
Supervisors Signature — Date d
u � N1 c-
CJ�o.c�+�v t�\vMh' �5 c•�c\e�
r—t, yv✓,
work shall comply with the
following codes: 2012 IRC, 2012
Water hammer arrestors are required IECC & Z7 NEC.
at quick -closing valves R2903.5.
� hey of
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4PPROVED
R�ed for Code Com
plans[ Xam, e,
jhe i45Uantf Of o pe,R�n O/ O
7 -
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and tatnputolions shall not be a
o�y of the prcnnsions of the Witting code a of i
presuirift to give outhotito vplate of torte
ty
codes or other o,euwnces of the city shall not
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Smoke alarms shall be required in
each sleeping room and outside each
sleeping area per 2012 IRC, Section
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Carbon monoxide detector(s)
required within 15 ft of all sleeping
areas.
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201706 S32
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 Aonroval Of The Above Insnections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
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.
Sewer Service
Floodplain Inspection (if applicable)
Plumbing
Fire Inspection / Fire Protection Dist.
Do Not Cover Und
Rough Inspections
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
round or Below/In-Slab Work Prior ToApproval_Of The Above Ins
Date Inspector Comirnb is
Initials
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.
ror low voltage permits — nease De sure tnat rougn inspections are compietea rrom the Tire 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
rE
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: 11 () e7
Job Address: 0 l s' W/
Permit Number: 'a o 17 0 b 5"- 3 D
1- ,-IC1 F-1 )1--nIrieC1
❑ No one available for inspection: Time &PM
Re -Inspection required: Yes I ,
When corrections have been made, call for re -inspection at 303 -234 -
Date: 9/7-1 1 / Inspector: T-('�,
DO NOT REMOVE THIS NOTICE
i CITY'OF WHAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 141
Job Address: N a lI- X& w I z "1 5-4
Permit Number: a o ►7 O G 9"3
r (1
❑ No one available for inspection: Time '� !,R AM/&
Re -Inspection required: Yes to
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: -
DO NOT REMOVE THIS NOTICE
► A ✓ City of Wheat Ridge
�r Residential Roofing PERMIT - 201706532
PERMIT NO: 201706532 ISSUED: 08/24/2017
JOB ADDRESS: 4015 Newland ST EXPIRES: 08/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 19 sq
*** CONTACTS ***
OWNER (303)669-2295 DIPIETRO CAROLYN J
SUB (303)660-9394 Guy Smith 090201 GBS Enterprises 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: 8,325.00
FEES
Total Valuation 0.00
Use Tax 174.83
Permit Fee 188.45
** TOTAL ** 363.28
*** 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 - 201706532
PERMIT NO: 201706532 ISSUED:
JOB ADDRESS: 4015 Newland ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles
08/24/2017
08/24/2018
19 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 theroperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further a esNhat I am legally authorized to include all entities named within this document as parties to the work to be
performed and thatAf work to be per#sZ�ned is disclosed in this document and/or its accompanying approved plans and specifications.
Z s /
7
r'
Signature of OWNER orSs OR (Circle one) Date
I. This permit was issued based_on� 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 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 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 issu r granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab a co. or any or or r ala on of this jurisdiction. Approval of work is subject to field inspection.
Y1#�MkA
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
2v1706 S3Z
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, August 22, 2017 3:08 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 Ulm
Property Address 4015 Newland St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Carolyn Dipietro
303-669-2295
81
4 16� -:2t
Property Owner Email info@gbsroofing.com
Address
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 4015 newland st.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
gbs enterprises inc
PL -
,9902'r
010201
303-660-9394
6801 S emporia St #103 Greenwood Village co 80112
Contractor Email Address info@gbsroofing.com
Retype Contractor Email info@gbsroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
19
the entire scope of work:
Project Value (contract
8325.00
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
82
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
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
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No
Yes
19
dimensional
Asphalt
house 4/12 and shed 4/12
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.
Yes
Yes
Yes
83
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.
Name of Applicant Amanda Malone
Email not displaying correctly? View it in your browser.
84
6801 S. Emporia St. #103
Greenwood Village, CO 80112
www.gbsroofing.com
ENTERPRISES
OOFING
SUBMITTED TO: PHONE/EMAIL:
Email: info@gbsroofing.com
Phone: 303-660-9394
Fax: 303-660-1405
-1: IIVJ VI— � ��F�C I . i L/111V / R / /11v 4/ 40c,J ) / �4.
( Valley type B Year guarantee on labor
4 Replace plumbing jacks A L -M Permit furnished by GBS Roofing
E7 Metal,edg size % e Color�1 2( Insurance papers provided
E8v or, ak s
SPECIAL INSTRUCTIONS
- I (we) hereby authorize and/or instruct the insurance company and all lien holders to communicate with and include the name GBS Enterprises, Inc. as Co -Payee
on any subsequent loss draft checks after today's date as indicated below
- I (we) hereby authorize and/or instruct any legal representative and/or agent of GBS Enterprises, Inc. to obtain any and all information necessary to negotiate
the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above
NOTICE:
If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of articl e 4 of title 10, C.R.S., to pay for the
roofing work, pursuant to section 6-22-105 it is unlawful for the contractor to pay, waive, rebate all or part of any insurance deductable applicable to the insurance
claim for payment for work on the covered residential property.
We Propose to furnish all materials and labor required to complete in accordance with the above stated specification, for the sum of:
Y s�/1,
Deposit $ %.i" Due upon completion $ ff , � _ TOTAL $,
UPON COMPLETION OF WORK THE UNDERSIGNED PURCHASER AGREES TO MAKE PAYMENT IN FULL THE AMOUNT SHOWN ABOVE.
GBS shall hold in trust, any deposit from the property owner until material delivery to the jobsite or a majority of the roofing work has been completed on the above property
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard
practices_ All interior damage to buildings is excluded 90 days after completion date and the owner is notified that any
damage to contents will be the responsibility of the owner and his insurance company. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Scheduling
will be done based upon date signed but limited to availability for materials, crews and weather conditions.
ACCEPTANCE OF PROPOSAL: This proposal becomes a legal binding contract 72 hours from dale of acceptance.
Cancellation of this contract can be made with written notice within 72 hours of date of acceptance and will allow the
property owner to rescind the contract for roofing services and obtain a full refund of any deposit. The properly owner
may also rescind this contract within 72 hours of notice from the insurance company for a claim that is denied in whole
or part if the work being contracted for is to be funded from the proceeds of a properly and casualty insurance claim.
Interest at the rate of 1-112% per month (18% per annum) will be added on to all accounts 30 days past due. In addition,
costs and reasonable attorney's fees for collections may be charged on any account past due over 30 days. Payment
will be made as outlined above. Failure to pay can constitute a mechanics lien fled against property. Cancellation ofthe
contract may be achieved by paying a cancellation fee in the amount of 5% ofthe contract price. All returned checks are
subject to a returned check charge fee.
All proposals are subject to approval by Management.
P
/ FINISH DATES
Custom7pro
al Date
Note: Tal may be withdrawn by us if not accepted
within
GB Approva Date
GBS Enterprises is a Registered Corporation in Colorado and is insured by Colony Ins CO & Pinnacol Assurance p 41190,
Denver Agency 210 University Blvd, sle 600 Denver, CO 80206-4661 303-892-6900
f
DESCRIPTION
Existing roof type ">' Imo -(
Vents, ' ter'
4
Existing number of layers / Tear Off No
E
Galvanized nails 6 per shingle
,in
Install felt
f
E!�
Patio or Flat Roof
,JEf
Replace with: r., Jc; /'Y/ ��'
I, T/t� x( 10 /
Q
Protect landscape where needed
CPT
Color of shingle
Gutters cleaned of roofing debris
Manufacturer's limited warrant
'' Jz-
-C)
Clean up and haul off all trash from roof
Impact Resistant No Class
1,N
Roll vard with maonetic roller
( Valley type B Year guarantee on labor
4 Replace plumbing jacks A L -M Permit furnished by GBS Roofing
E7 Metal,edg size % e Color�1 2( Insurance papers provided
E8v or, ak s
SPECIAL INSTRUCTIONS
- I (we) hereby authorize and/or instruct the insurance company and all lien holders to communicate with and include the name GBS Enterprises, Inc. as Co -Payee
on any subsequent loss draft checks after today's date as indicated below
- I (we) hereby authorize and/or instruct any legal representative and/or agent of GBS Enterprises, Inc. to obtain any and all information necessary to negotiate
the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above
NOTICE:
If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of articl e 4 of title 10, C.R.S., to pay for the
roofing work, pursuant to section 6-22-105 it is unlawful for the contractor to pay, waive, rebate all or part of any insurance deductable applicable to the insurance
claim for payment for work on the covered residential property.
We Propose to furnish all materials and labor required to complete in accordance with the above stated specification, for the sum of:
Y s�/1,
Deposit $ %.i" Due upon completion $ ff , � _ TOTAL $,
UPON COMPLETION OF WORK THE UNDERSIGNED PURCHASER AGREES TO MAKE PAYMENT IN FULL THE AMOUNT SHOWN ABOVE.
GBS shall hold in trust, any deposit from the property owner until material delivery to the jobsite or a majority of the roofing work has been completed on the above property
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard
practices_ All interior damage to buildings is excluded 90 days after completion date and the owner is notified that any
damage to contents will be the responsibility of the owner and his insurance company. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Scheduling
will be done based upon date signed but limited to availability for materials, crews and weather conditions.
ACCEPTANCE OF PROPOSAL: This proposal becomes a legal binding contract 72 hours from dale of acceptance.
Cancellation of this contract can be made with written notice within 72 hours of date of acceptance and will allow the
property owner to rescind the contract for roofing services and obtain a full refund of any deposit. The properly owner
may also rescind this contract within 72 hours of notice from the insurance company for a claim that is denied in whole
or part if the work being contracted for is to be funded from the proceeds of a properly and casualty insurance claim.
Interest at the rate of 1-112% per month (18% per annum) will be added on to all accounts 30 days past due. In addition,
costs and reasonable attorney's fees for collections may be charged on any account past due over 30 days. Payment
will be made as outlined above. Failure to pay can constitute a mechanics lien fled against property. Cancellation ofthe
contract may be achieved by paying a cancellation fee in the amount of 5% ofthe contract price. All returned checks are
subject to a returned check charge fee.
All proposals are subject to approval by Management.
P
/ FINISH DATES
Custom7pro
al Date
Note: Tal may be withdrawn by us if not accepted
within
GB Approva Date
GBS Enterprises is a Registered Corporation in Colorado and is insured by Colony Ins CO & Pinnacol Assurance p 41190,
Denver Agency 210 University Blvd, sle 600 Denver, CO 80206-4661 303-892-6900
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
.FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
- Footings /Caissons !
Electrical ( Underground)
- -
Stemwall / (CEG).Concrete
Encased Ground
Plumbing (Underground)
Reinforcing or Monolithic
Weatherproof/ French Drain
Heating (Underground)
Sewer Service Lines
DO. NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Water Service Lines.
ROUGHS'
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
a�
POUR NO CONCRETE UNTIL
ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Plumbing.
Electrical ( Underground)
Mechanical
Plumbing (Underground)
Roof
Building. Final
Heating (Underground)
Fire Department
DO. NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
R.O.W & Drainage v
ROUGHS'
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
Sheathing
* `NOTE: ALL ITEMS 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
OFA.CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Lath / Wall tie
Mid Roof.
Electrical Service
Rough Electric
Rough Plumbing
?
Gas Piping
Rough Mechanical
ABOVE
INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing'
insulation'.
Drywall Screw,
I
FINALS
Electrical'
Plumbing.
Mechanical
Roof
Building. Final
Fire Department
R.O.W & Drainage v
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 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
OFA.CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
i
b
i
OCCUPANCY NOT PERMITTED UNTIL CERT" "ATE OF OCCUPANCY IS ISSUED
PROTECT THIS r �pF _ETHERe
.. •- CITY OF WHEAT RIDGE
1 Building Inspection Division
(303) 234 -5933 Inspection line
303 235 -2855 Office * 303 237 -8929 Fax
INSPECTION NOTICE
Inspection Type 6&&Z .
Job Address Vols 41AIy1,or✓o r
Permit Number Ord
)ection: Time _V 15 AM &I
des
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
_(303) 235 -2855 Office (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: K",
Job Address: LIU5 I/ e�I4a roc t
Permit Number: 144L, 74
P f ? 4tlf'Fft.+ t re (�11,A" <'AT f I MT,'frD ,DL
J v
rort c
❑ No one available for inspection: Time AM M
Re- Inspection required: (Yes No
i
When corrections have been made, call for re 5 at 303
Date: U7-fo inspector: L(P_ ;
DO NOT REMOVE THIS NOTICE
♦ Ai CITY OF WHEAT RIDGE
/ Building Inspection Division
( J (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NO CE
Inspection Type: V"% d a`V'c
Job Address: 4kU ( S L)-Q.y UU\
Permit Number: _ / OC %-7z=l
❑ No one available for inspection: Time L /PM
Re-Inspection required: Yes
"When jcorrrecdo}ns have been made, call for re-fnepection at 303-234-5933
Dater _ '10 Inspector; ( 4\
DO NOT REMOVE THIS NbTICE
" ' City of Wheat Ridge
Residential Roofing PERMIT - 100879
PERMIT NO: 100879: ISSUED: 04/08/2010
JOB ADDRESS: 4015 NEWLAND.'ST EXPIRES: 10/05/2010
DESCRIPTION: Reroof-17 sgs'with 30 yr Tamkoshingles
'***-CONTACTS
owner Carolyn DiPietro
sub 303/287-2839 G.R. Brayton 01-8044 Roofco, Inc.
**'PARCEL INFO
ZONE CODE : UA USE: UA
SUBDIVISION: 0403 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED ` PROJECT VALUATION: `4,000.00
FEES
Permit Fee 126.50 rr~/ I
Total Valuation .00
Use Tax 72.00
**'TOTAL 198.50
Conditions:
6 nail installation mid roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2'' inside exterior walls.: ***Contractor
or Property owner shall provide ladder(s) 'secured in place for inpsections. It
is the responsibility of the person/firm requesting the inspection to insure
roofs are clear for inspection. Scheduled inspections that cannot be performed
due to inclement weather must be cancelled prior to 8:30 a.m. on the day of
inspection or a re inspection fee of $61.0.0 will'be assessed.
I hereby certify that the :setback distances proposed by this permit applications 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 a da t I assume full responsibility for compliance with the Wheat Ridge Building Code.-(I.B.C) and all other'
apple 1 edge Ordinances, for work under this permit. Plans subject to field inspection.
~~e~: ' ~ - p2lJ/ D
i nature c ntractor/owner date
1. This permit was issued in accordance with the provisions set forth in your application: and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat 'Ridge, Colorado or any other applicable
:ordinances of the City..:`
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date An extension may be granted at the discretion of the Building Official.
3. If this permit expires„ '.a new hermit may be aceuired for a fee cf-one half the a .nr n met h r rare vidPit n
changes have been or will be made in the original plans and specifications and any suspension orabandonment has not
exceeded one C(1) year. It changes have been or if suspension or abandonment' exceeds one (1) year, full fees. shall
be paid for a'-new permit.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The'. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor.'
andapproval of, any violation of the provisions of the building codes or any ;other ordinance, law,: rule or regulation
All plan/revAw is subject to field inspections.
Signet u of(dhief Building Official date
INSP CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 13PM ANY:; BUSINESS`. DAY FOR:: INSPECTION THE FOLLOWING 'BUSINESS DAY
City of
W heat doge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Off' 303 235 285 *
Date: f1-y-2prC)
Plan #
Permit #
Ice. - 5 Fax.303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Pr4jierty Address_3 ~/~~ii/l~ ) T
Property Owner (please print)`. -7A17- Uw \ , ~1 Phone:
Mailing Address: (if different than property address) Address:
City, State, Zip:
Contractor:
Contractors
City License #
License 0-/ nn ~ Phone: D 33 -,2 r7-- 2 r~ J?~
Plumbing: Mechanical:
City License # City License #
Mfork~':
~jd/= ✓ / SO (G %~Y7L G? Contra t Value:
$ t2sn, J0
Review Fee (due at time of submittal):
Squares Z-7-BTU's Gallons Amps Sq Ft. $
OWNERWONTRACTOR 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.
CIRCLEONE:. (OWNER) (CONTRACTOR). or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME. ''!hZ1~ E7" /L SIGNATU : DATE: - `-z
FIRE n'EPARTry7ENTti "q approved w/ norpSneRts , ❑ disapproved EP ,no rev~ev,/regmred < Bldg Valuation $
i