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Home My WebLink About4580 Balsam Street2o17o6 qJ4 g5Bo �a(sQ� S� 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 Occu anc /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 followinLy business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of Thp Ahnva lln¢nor-fir%nc Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Annrnval of Tho ehr►.,n Rough Inspections Date - - Inspector Initials ---- 'r v .■w div L■v■■J Comments Wall Sheathing Mid -Roof _ c- % 7 & J Lath / Wall Tie Zt .� 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 1 Q r 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. VN w•• V0 Layw NV1 i111L* — r'lGabc uG bure uiai rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather A 4' City of Wheat Ridge Residential Roofing PERMIT - 201706419 PERMIT NO: 201706419 ISSUED: 08/22/2017 JOB ADDRESS: 4580 Balsam ST EXPIRES: 08/22/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 30 sq (26 sq pitched / 4 sq flat) *** CONTACTS *** OWNER (303)425-9994 CULNA FAMILY TRUST SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,192.00 FEES Total Valuation 0.00 Use Tax 277.03 Permit Fee 267.70 -----_ ** TOTAL ** 544.73 *** 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. J �� PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706419 201706419 ISSUED: 08/22/2017 4580 Balsam ST EXPIRES: 08/22/2018 Residential Re -roof to install asphalt shingles with ROOF DECKING - 30 sq (26 sq pitched / 4 sq flat) 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 bythe 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. '9/2 /1 —7 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4 No work of 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, an violation of any provision of any applicable cod 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 ? 0/110 M q From: no-reply@ci.wheatridge.co.us Sent: Friday, August 18, 2017 10:26 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application �ySL 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 tpL Property Address 4580 Balsam St Property Owner Name Patricia Culna Property Owner Phone 303-425-9994 Number (enter WITH dashes, eg 303-123-4567) 101 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Culna (2) Contract.pdf CONTRACTOR INFORMATION Contractor Business J & K Roofing Name J L. Contractor's License 019983 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) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 30 the entire scope of work: Project Value (contract 13192 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 102 Does the scope of the project include a flat roof (less than 2:12 pitch)? How many squares are part of the flat roof? Describe the roofing material for the flat roof: Type of material for the flat roof. If "Other" is selected above, describe here: 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 oof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes 1 4 Modified Bituman Other (specify below) Modified Bituman Yes we Malarkey Vista Asphalt House - Pitch 5/12 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. 103 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. 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 Kathy Vendegna Email not displaying correctly? View it in your browser. 104 CONTRACT J&K Roofing BBB_ 13000 W. 43rd Drive • Golden, CO 80403 B R > Phone: 303-425-7531 • Fax: 303-425-1562 •'J> www.jkroofing.com RepresentativerQ-. ��p�, < Contact 1 �t73�-b �D 'J �s Date AL20 % 7 Name �/< < i d C�. hct Phone l °; '`r l / / email Address �d S�,l vti > �/ Q� I City 4/ h_d-7'_ 1e r C� Zip ?6033 Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS TERMS AND CONDITIONS. PLEASE READ CAREFULLY: ❑ Recover roof with / " `d (-j ` k -v_- t/ I f ❑ Color of shinglesS , I g�_f Li Do -1 ��^^ ❑ Manufacturer's Warranty f -r s•� ❑ Tear off / Ld %4 e,�— Id &4, /vd {—�( ❑ Install Underlayment ❑ Double all Eaves S ❑ Re -Flash Chimney and/or Skylights y �S ❑ New Valleys — - CtE 4- t,J T�2 SNo��v ❑ Replace RidgeZ� ❑ Ventilation / ❑ Galvanized Fasteners sv./d i (S /L�.- ❑ Replace %9' i Plumbing Jacks ❑ Paint roof stacks to match ❑ Install Z Metal Edginr— ❑ Patio or Flat roof /v fiof . • vim s+-� F-1- Year Warranty on labor ❑ J & K Roofing to furnish all material and labor ❑ Permit: �� Included NOT Included ❑ Clean-up debris and haul off all trash from roof Roll yard with magnetic roller Gutters cleaned of roofing debris $ Hidden Layers (tear off) $ b k per layer f (Policy Numbew) b 6.15 I DD,sU1 h/'Ovk 9AVa4P#1 fcLaim xl (�lusto� Decking Repairs (man age Go.) (Mortgage Loan Numbed Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance D Policy #C�/SU0061/7�02 ) El Extra work r�d� , (� 4 7�5, w• •�+ddw� Pct 251 Lf 9-11 The property owner is is not_ using proceeds from property and casualty insurance policy. 0c, Deductible if applicable $ (vim Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date S i, TOTAL ESTIMATE $ I Z, 3Zg 6 3+ r c ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J&K Represent 0ve Date �6,_1 Homeowner Date_____ Homeowne�41' ieL` _ Date��? Expiration Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours atter entering the contract. If you plan to use the Proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied In whole or In part. However, J & K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed In a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION 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: qQ I QOF Job Address: y 5 -SO Permit Number: 9LO/70 41 ❑ No one available for inspecti7No Time 0� AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 i p Date: 17 % Ins ector:_MTS DO NOT REMOVE THIS NOTICE a i CITY OF WHIfAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30(o M ID e Job Address: s A1. T Permit Number: lj11� ❑ No one available for inspection: Time A ./P Re -Inspection require0.6, No When corrections have bell for r - pect'on at 301Y-234-5933 Date: Inspector: DO NOT REMOVE THIS WOTICE 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: -306 1�82 Job Address: L-16-00 Ag Sgh% 5 Permit Number: .2o / 706 q1 ❑ No one available for inspectio : Time a AM/PM Re -Inspection required: Yes o � When corrections have been made, call for re inspection at 303-234-5933.. Date: 01 //7 Inspector: frf DO NOT REMOVE THIS NOTICE tl� 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: IL9 Job Address: Yiq 0 <f -1 Permit Number: 170 y ❑ No one available for in ction: Time ick-d't/ AM/PM Re -Inspection require : Yes No When corrections have bee ade, call for re -inspection at 303-234-5933 Date: c14011 7 Inspector: trl Thi DO NOT REMOVE THIS NOTICE FORM (F) 4T4 -02-5747 Xcel Energy° 1 2 z gDDRE55 ` CIN- OW�N / OR COU T FLOOR gPl' NO. CUSTOMER NAME (PRINT) y� o ARIONTAKEN 0 N SHUT OFF El APPLIANCE OFF OWNER TENANT ❑ AGENT ❑ OTHER [1 3 S r D BOTH APPL. & METER OI s ❑ METER SHUT OFF - WARNING - THE CONDITION FOUND, AS SHOWN BELOW, IS NOT IN COMPLIANCE WITH CURRENTLY ACCEPTED PRACTICES AND PROCEDURES COULD CREAM A HAZARD, CORRECTIONS SHOULD BE MADE BY A QUALIFIED CONTRACTOR CONTACT YOUR LOCAL BUILDING DEI MENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK- -. NAME AND NPE OF APPLIANCE � }�/) DITION Oe D T Z ' e CON ,� C�.L�/za FOR FURTHER INFORMATION, PHONE TAGGED BY TIME CU MER(OC6UP9NY SIC)NAPRE /y /! TIME bA (✓j� f fffjF I INSPECTION RECORD OccupancV[TVpe `'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 INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground :2 zc /o Reinforcing or Monolithic dfZl� Rough Electric Weatherproof/ French Drain Rough Plumbing Sewer Service Lines - Water Service Lines Rough Mechanical CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) r Heating (underground) ROUGHS Sheathing _ Lath /Wall tie Mid -Roof :2 zc /o Electrical Service dfZl� Rough Electric Building Final Rough Plumbing Fire Department Gas Piping R.O.W S Drainage Rough Mechanical Parking & Landscaping ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation _ Drywall Screw FINALS Electrical Plumbing Mechanical - Roof dfZl� Building Final Fire Department R.O.W S Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE 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 OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER . s ! o CITY OF WHEAT RIDGE Building Inspection Division 0 (303)234 -5933 inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: & G Job Address: /75-~Eo , S i Permit Number: /0 0 o2 21 ❑ No one available for inspection: Time AM/PM Re-inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 Date: - 1 Inspector: 1✓?~~a . f O NOT REMOVE THIS NOTICE 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: Job Address: V59'0 9,,~LS%kr r7- Permit Number: f ❑ No one available for inspection: Time /I % AY'/PM Re-Inspection required: Yes When corrections have been made, call for re-inspection at 303-234-5933 Date: G4D Inspector: DO NOT REMOVE THIS NOTICE ~~oF""E^r~,o City of Wheat Ridge Building Division m 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 °O<oRno° Inspection Line: 303-234-5933 / Buildin er Property Addiiss v O Property Owner (please print): Mailing Address: (if different than property address) Address: Application City, State, LG c Contractor License Sub Contractors: Electrical City License Company: Exp. Date: Use of space (description): Description of work: S Gt~~2~5 i~/~ Mechanical City License Company: Exp: Construction Value: $ (t/l..-o' / calculated per the Building Valuation Data sheet) at time of submittal): b Sq. Ft./L.Ftadded: Squares BTU's Gallons Amps OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) CONTRALTO or PERSONAL R PRESENTATIV f ( R) (CONTRATOR) PRINT NAME/2/ / rjj4 SIGNATURE E~ p o Date: / ,o20/r✓ Phone: r --10 Date: Plan Permit Phone0 Jy" V Plumbing City License Company Exp. Date: