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I
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: �/ d 9 - t— fie,
Job Address: e w a, nd S 'f
Permit Number: o/ S 0 G 1 -' 7
i` (1 r,,L I
v
❑ No one available for inspection: Time q = 0 S M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 `7 / 8 Inspector:
DO NOT REMOVE THIS NOTICE
Is—
CIT Y
s—
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 01 1 cf
Job Address: 1-I A)'- w�-
Permit Number: 2 a S c o R 7
W�
❑ No one available for inspection: Time =) 7 AM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: 6 JS / )fa Inspector:
DO NOT REMOVE THIS NOTICE
A e City of Wheat Ridge
Residential Roofing PERMIT - 201800197
PERMITT NO: 201800197 ISSUED: 01/19/2018
JOB ADDRESS: 4665 Newland ST EXPIRES: 01/19/2019
JOB DESCRIPTION: Residential re -roof on house and garage with IKO Cambridge asphalt
shingles. Squares: 31 Pitch:
Pitch: 12/12 (16.26 squares) 6/12 (21 squares)
*** CONTACTS ***
OWNER (720)261-9909 SOKOL HOWARD
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,400.00
FEES
Total Valuation 0.00
Use Tax 260.40
Permit Fee 251.85
** TOTAL ** 512.25
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
11 by my signature, do hereby attest that the work
applicable building codes, and all applicable mur
by the legal owner of theproperty and am author
this permit. I further attest that I am leg�ally autho
perfrmed and that all wotk to.�pertor�fed is di
e performed shall comply with all accom
11 codes, policies and procedures, and th,
to obtain this permit and perform the wo
I to include all entities named within this
Sed in this document and/or its' accomnai
nyingg approved plans and specifications,
am the legal owner or have been authorized
described and approved in conjunction with
roument as parties to the work to be
ng approved plans and specifications.
� nature 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 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
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 f any
inspection.
..yam....: �0.
Signature of daid'fitcial "*m/ Date
REQUESTS MUST BE MADE BY 11:59PM ANY SUSINESiA)AY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT -
201800197
PERMIT NO:
201800197
ISSUED:
01/19/2018
JOB ADDRESS:
4665 Newland ST
EXPIRES:
01/19/2019
JOB DESCRIPTION:
Residential re -roof on house and garage with IKO
Cambridge asphalt
shingles. Squares: 31 Pitch:
Pitch: 12/12 (16.26 squares) 6/12
(21 squares)
11 by my signature, do hereby attest that the work
applicable building codes, and all applicable mur
by the legal owner of theproperty and am author
this permit. I further attest that I am leg�ally autho
perfrmed and that all wotk to.�pertor�fed is di
e performed shall comply with all accom
11 codes, policies and procedures, and th,
to obtain this permit and perform the wo
I to include all entities named within this
Sed in this document and/or its' accomnai
nyingg approved plans and specifications,
am the legal owner or have been authorized
described and approved in conjunction with
roument as parties to the work to be
ng approved plans and specifications.
� nature 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 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
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 f any
inspection.
..yam....: �0.
Signature of daid'fitcial "*m/ Date
REQUESTS MUST BE MADE BY 11:59PM ANY SUSINESiA)AY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
9858 W. Girton Drive Proposal Date:
Lakewood, CO 80227 R F U L
Phone: 303-984-ROOF(7663)1-RnPE.
This proposal may be wit drawn y 1-Derfuj
Roofing & Restoration if not accepted within 30
Fax: 855-696-7776 ROOFINRESTORdays from the above date.
PROPOSAL FOR: toot— _
Name: ..('
Job Address 1l
City, State, Zip: 3
Phone:
Mailing Address:
(If Different)
Email Address: 14 o
Best y to contact:
Tear Off or
a eaves are open or cl sed.
Inspect Decking: Deteriorated existing decking
replaced at cost of $ ----Per Sq. Ft. Homeowner
will be notified if any damaged wood is found during tear off.
stall ice shield on eaves and in valley(s) Ivy C1�J<
_Zr'Install drip edge ay,!e Color
J Install underlayment i w �c. ( f
/Recover roof with
year manufacturer warranty.
��SWnqlemanufacturer
color
6 Nail every shingle
.'Install t I1 ��=� ridge style
,Zinstall pipe jaeks,----�re—ad jacks swamp cooler
z'step flash sidewalls ----�gtep flash chimney step flash skylight
-Derful Roofing & Restoration will provide general liability insurance
of at least $2,000,000 and Workers Compensation of at least $500,000
C an up and haul of roofing debris �ean out gutters
.QMagnetic sweep of surrounding area lean around landscaping
required Permits furnished by 1-Derful Roofing & Restoration -
t4be reimbursed by Insurance Company
1-Derful Roofing & Restoration five year warranty on labor
. Current Ventilation -mak Recommended
C r)ar-lina rannmmanriatinn nn vantiIntinn
SUBMITTED BY: 1 -DE �I ROOF NG RATION
1-Derful Rep:���
Cell Phone: YY 7 — -70-3,,,
Insurance Company:
Adjustor Information: T in—f^-
Policy Number:
Claim Number:
/Gutters:
'Extra work c -fm '
Special instructions:
Outlet
1-derful Roofing and Restoration shall hold in trust any
payment received from you until 1 •derful has delivered
roofing materials at the site or has performed a
majority of the roofing work on your property.
$ /J -O0 " deductible to be collected
at time of material delivery.
$ initial total claim amount
as of / /20 This
price is subject to supplements/adjustments.
Roof work to be completed within 21 days of final
INSURANCE ALLOWANCE AGREEMENT If so, homeowner must read and sign below.
/We agree to retain 1-Derful Roofing & Restoration (contractor) to repairlreplace the damaged or entire portion of the property described on this contract contingent upon the contractor obtaining my insurance
company's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount
of damage, the cost of the repair or replacement of the damage to the above property. Upon the insurance carrier agreement with the contractor and the down payment being made the work will be scheduled
and may begin on a first in first out basis.
Checks shall be made Payable to 1-Derful Roofing & Restoration.
In the event that the insurance carrier fails to negotiate in a fair and reasonable manner, the contractor shall not be held liable and this agreement will be void. The contractor will release the complete file to the
Commissioner of Insurance at the customer's request.
Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary
documentation for the claim (including documentation to facilitate payment from insurance carder and/or mortgage holder). The contractor reserves the right to file for supplemental claims due to material and/or
labor increases due to a storm environment or to insurance adjuster's mistakes, errors or omissions.
Insurance
Claim
Uwe agree by signing above to all the contract conditions on both the front and back of this agreement
e�dl 0 6�19�4
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, January 18, 2018 3:59 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
4665 Newland St
Howard Sokol
Property Owner Phone 720-261-9909
Number (enter WITH
dashes, eg 303-123-4567)
al' -T-rlre�'
J,g-1,
,�? x -
Property Owner Email
1 derfulcolleen@gmail.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
17-0394 Sokol.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
1-derful Roofing & Restoration
Name
Contractor's License
070171
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-984-7663
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
9858 W Girton Dr
(Primary address of your
business)
Contractor Email Address
1 derfulcolleen@gmail.com
Retype Contractor Email
1 derfulcolleen@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
31
the entire scope of work:
Project Value (contract
12400.00
value or cost of ALL
materials and labor)
Are you re-decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
6
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 Colleen Jacobsen
Email not displaying correctly? View it in your browser.
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
12:12 16.26 Sqs & 6:12 21 Sqs
31
IKO Cambridge
Asphalt
Re -Roof House & Garage
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
7
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: oto
Job Address: /./i�v �t ��1� d
Permit Number: 7-U
.,140, 1 , , ;.d 'j
V T 4, '
❑ No one available for inspection: Time " AM/ '
Re -Inspection required: Yes Nc
When corrections have been made, call for re -inspection at 303-234-5933
Date:X_ r�l-% Inspector: I
DO NOT REMOVE THIS NOTICE
01/05/2011 WED 16:58 FAX 303 237 8929 - .303 Best way - -- 1- aersul rooting IQt003/003
... - ................. ....._. -._. ... - ... ....... ....... .. .............
��U INSPECTION RECORD o ccuoancv/Tvoe
®'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
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALB
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
-
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
g
/.P FS' p p
ll Ue
-
KPiping
PRIORTOPRO CITY OF BNEAT RIDBE
B1 /85/11 2:46 PM edba
Judy Antener
Drrrrnr umnnnenr.rr
Service
lectric
lumbing
g
Rough Mechanical
ABOVE
INSPECTIONS TO BE SIGNED
Framing
Insulation
Drywall Screw
DPSP Rersaf 37 sqs with I 435.80
FINALS 118818
Electrical Permit Fee 236,88
Use Tax 199.88
Plumbing ;
Mechanical PAYMENT RECEIVED MOUNT
MS 1912 435.88
Roof Auth Code:
- 885389
Building Final TOTAL 435.88
Fire Department
------------------- --- ---
R.O. W & Drainage INSPECTIONS FOR PLANNING & ZONING. FIRE AND PUBLIC WORKS SHOULD
CALLED
Parking & Landscaping BE AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING(BUILDING AND PUBLIC WORKS BEFOREA
CERTIFICATE OF OCCUPANCY IS ISSUED- FINAL INSPECTIONBY THE BUILDING DIV /SIQfy.DOES NOTCONSTITUTEAUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE ii OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ A�
•- CITY OF WHEAT RIDGE,
Building Inspection Division
(303) 234 -5933 inspection line
(303) 235 -2855 Office ` (303),237-8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address
Permit Number
o No one available for inspection: Time 0: 54;s 'AMPM
Re- Inspection required: Yes No)
When corrections have been made, call or re -in pecti at 303 - 234 -5933
Date: -' Inspector: P 9
DO NOT REMOVE THIS NOTICE
i`
r CITY OF WHEAT RIDGE
j Building Inspection Division
(303) 234 -5933 Inspection line
(303),235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type R
Job Address q
Permit Number e Loo
�Gl^fLI( 'IE ` QL e �(� r� ✓L. OmJ�I.i PXF �'.'iMP
Lta ryl'e r,. tSaA'?I t.' 3 mil"[ �tx t�Pii G.r�1`. Ftt� " ,�f —raf:iF
" ❑ No one available for inspgction: Time G (AgIPM
Re- Inspection required: fYesi No
When corrections have been made, call foe- irtgpe ,t' n at 303 - 2345933
Date: �n 11 Inspector: Jj : CC L
DO NOT REMOVE THIS NOTICE
♦�A
.� r CITY OF W
30) 2 Building Ins
4 p
(303) 34 -593:
(303) 235 -2855 Offit
inspection i ype
Job Address
Permit Number
❑ No one available for inspection: Time fh' AM M
Re- Inspection required: Yes
When corrections have been made, call
for rr re-inspection at 303- 234 -5933
r Date: /✓tLOZ Inspector c�
'_ DO NOT REMOVE THIS NOTICE
" 4� City of Wheat Ridge
1�
Faxed Roof Permit PERMIT - 110018
PERMIT NO: 110018 ISSUED: 01/05/2011
JOB ADDRESS: 4665 NEWLAND ST EXPIRES: 01/05/2012
DESCRIPTION: Reroof 37 sqs with IKO Camb. shingles, redeck 16 sqs
* ** CONTACTS * **
owner 720/261 -9909 Howard Sokol
sub 303/984 -7663 RONALD E. ANTENER 07 -0171 1- DERFUL ROOF & RESTORATION
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0373 BLOCK /LOT##: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 12,350.00
FEES
Permit Fee 236.00
Permit fee additiona 53.70
Total Valuation .00
Use Tax 199.80
Use tax additional 22.5
** TOTAL ** 512.00
Conditions: -
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
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
will be assessed.
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 all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER 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.
S. 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 y applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field s t
Signature WChi4l Building Offical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CITY OF WHEAT RIDGE
01/27/11 10:36 AN edbb
Judy Antener
RECEIPT NO:CD8005756
AMOUNT
DP5P Reroof 37 sqs with I
76.20
110018
Permit fee additiona
53.70
Use tax additional
22.50
PAYMENT RECEIVED
AMOUNT
V5 1912
76.20
Auth Code:
027074
TOTAL
76.20
01/27/2011 10:36
3039844860
1DERFUL ROOFING
ERFUL
CNG°& R'ESTORATI'ON
M
To:
Attn:
Fax:
FAX COVER PAGE
Date: i ],;L ( (
City of Wheat Ridge
Building Dept
303 - 237 -8929
Pages - (including cover)
From Colleen Jacobsen
Fax: 303- 984 -4860
Phone 303-984-7663
Permit #: 110018
PAGE 01101
Confidential For Review Urgent
Please Call ASAP Response Requested
Please add sheathing to the above permit for 16sgs.
Please charge the credit card listed on file.
Please schedule the sheathing inspection for a morning inspection for 1- 28 -1.1.
If there are questions please call Colleen 303 - 984 -7663
Thank you,
Judy Antener
9864 W GIRTON DR., LAKEWOOD, CO 80227
303- 984 -7663 Fax 303 -984 -4860
01/27/11 10:35:23 City of Wheat Ridge Page 1
bp340 -iq ESTIMATE OF VALUATIONS AND FEES mmackey
THE FOLLOWING INFORMATION ARE ESTIMATES ONLY AND NOT ACTUAL VALUES.
CODE - -- DESCRIPTION - - -- - - -- VALUATION- - - - - - -- -FEE - -- -USE TAX
prm Permit Fee 1,250.00 53.70 0.00
totva Total Valuati 1,250.00 0.00 0.00
use Use Tax 1,250.00 0.00 22.50
TOTAL VALUATION: 1,250.00
FEES VALUATION: 1,250.00
PERMIT FEE: 53.70
USE TAX: 22.50
OTHER FEES: .00
TOTAL FEES: 76.20
" ' City of Wheat Ridge
r4 000r,
Faxed Roof Permit PERMIT - 110018
PERMIT NO: 110018 ISSUED: 01/05/2011
JOB ADDRESS: 4665 NEWLAND ST EXPIRES: 01/05/2012
DESCRIPTION: Reroof 37 sqs with IKO Cambridge shingles
* ** CONTACTS
* **
owner 720/261
-9909
Howard
Sokol
sub 303/984
-7663
RONALD
E. ANTENER 07 -0171 1- DERFUL ROOF & RESTORATION
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0373
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 11,100.00
FEES
Permit Fee 236.00
Total Valuation .00
Use Tax 199.80
** TOTAL ** 435.80"
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED.
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
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
will be assessed.
1, 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 all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER 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 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.
/l . O
Signature o /A uilding Offical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
INSPECTION RECORD RD Occupancy/Type
'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.
r.le'_k r � �V # ra
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION
DATE
INSPECTOR
INITIALS
COMMENTS:
Footing
Stemwoncrete
EncaseReinforlithic
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Weathech Drain
*RoUGHS
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
*RoUGHS
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRO CITY OF WHEAT RIDGE
Framing 01/05/11 2:46 PIN edba
Insulation Judy Antene'r
Drywall Screw RECEIPT 140.-CDA005465 AMOUNT
BPSP Reroof 37 sqs with I 435.80
FINALS 110018
Permit Fee 236.00
Electrical Use Tax 199.80
Plumbing PAYMENT RECEIVED AMOUNT
Mechanical U5 1912 435.80
Roof Auth Code.-
005389
Building Final TOTAL 435.80
---------------------------------------
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
' * 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
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
01/05/2011 14:44
Property Address:
3039844860
1DERFUL ROOFING
PAGE 01101
In
city Of
`� W h6zt j age
COMMUI`]I.TY DEVELOPMENT
Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855 * Fax- 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Property Owner (plez
Mailing Address: (ff different than property address)
Address: 1- _. o .
City, State, Tip:
Contractor.
M7
Phone: 3 - Y �( Y -
Sub Contra
co mpany Name License M Exf trafion Date TradetProfessl Ap proval:
Use of space (description): • - -- _ _ -
Description of workrR e_ C _ 1 (w�G! S j. I
r .L, �u �4v.17Y1� 3o Plan Review [due attlme Ofsubn?iff&Q :4
Sq. Ft1L.Ft added; S uares BTU's Gallons Amps
� OWNERICONTRACTOR 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,
rWCS or regulations of the City or wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that 1 have read and agree to abide all conditions printed on tnls application and that I assume full
responstblity for compliance with the Wheat Ridge Building Code (I�C) and ail other appumble Wheat Ridge ordinances, for work
under this permit Plans subject t0 fiald 'section.
CIRLCEONE.: (OWNEfo (CONTRACTO t r PERSONAUREP NTATNE Of(OWNEW
PRINT NAME: / SIGNATURE: �
ZONING COMMENTS=
Zoning:
Reviewer
DEPARTMENT USE ONLY
PUSIJC WORKS COMMENTS:
Reviewer.
9uiLDiNG O�n[rm7ENTCOMMC+tTS: OCCUPANCY:
Reviewer
FIRE DEPARTMENT.: D approved w1 comments Q disapproved ❑ no MWEW requiretl Bldg Valuation: $
Credit Card Payment: Use credit /i on fil . Date:
Print name: J��� Si nature:
Facsimile Building Permit Application
gzto
cry of
~WheatF~idge Temporary Placement Permit
COMMUNIII'DEVELOPMEN7
for Construction Dumpsters and Storage Containers
Community Development Department
City of Wheat Ridge
7500 W. 29th Avenue
Wheat Ridge, CO 80033 (303) 235-2855
Date:
Phone: 303/42-4-695*
Property Owner:
Address of Dumpster/Container: q6 5-C) Colt S`7-AEF7-
Size_of proposed dumpster/container: ✓ O Cu. Yds.
Dumpster/Container Company: r>2" o//oTf ~(~pckv rt~v ~t5oas
Dumpster/Container Company Address: /0120 ioG 7ti~ff. BRrny~7`E~ t a.
Dumpster/Container Company Phone Number: (-3a3) ;ZfJf3' 5,2T
Will dumpster/container be located on private property? Yes No ❑
Will dumpster/container be located on street? Yes ❑ No Q
(If yes, a separate right-of-way permit is required.)
* THIS PERMIT EXPIRES FIFTEEN (15) DAYS FROM DATE OF APPROVAL.
APPROVAL DATE:
Permits are approved subject to the following conditions:
1. Temporary dumpsters/containers may be allowed in all zone districts and must be located on private property.
2. If impractical to locate on private property, a right-of-way permit may be obtained from the Public Works Department
pursuant to Article III of Chapter 21 of the Wheat Ridge Code of Laws. Contact 303-235-2861.
3. Temporary dumpsters/containers shall not be located so as to create sight, traffic, or safety obstructions.
4. Dumpsters/containers shall not black sidewalks or impede pedestrian traffic.
5. The area surrounding the dumpster/container shall be kept clean and free of debris.
6. Permittee is required to keep this permit displayed so as to be visible from the street.
7.. Permittee assumes all liability and holds the City harmless against all claims, damages, suites, penalties, fines
and liability for injury or death to persons or loss or damage to property related to the placement of a
dumpster/container in the City right-of-way.
8. The repair of any damage to pavement, curb, gutter, landscaping resulting from the placement, use or removal of the
dumpster/container shall be the responsibility of the applicant and shall be performed to the satisfaction of the City.
Fee: 35.00
Signature of Applicant:
Approved By:
Planning Division
Building Division
Public Works
I A bhp€q s 405 IQ(:~I,SILA-~JD '57 uJ A6-fr& (v CJ
S. io6=