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HomeMy WebLinkAbout4040 Jay StreetA i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ((25 L__^,A va Job Address: Permit Number:"` ❑ No one available for inspection: T~ M/PM Re -Inspection required: Yes No When corrections have been made, schedule for speed online at: httpJ/www.ci.wheatridge.co.u-qfinspecti n Date: A j Inspecto --.._ 11 / i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: JobAddress:. f Jam"" Permit Number: P ❑ No one available for inspection: Time Ir "s—) .x6M/M Re -Inspection required es, No When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.uslinsped 'o Dated Inspector . DO NOT REA10VE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office �INSPECTION NOTICEy� Inspection Type:z• Job Address: Permit Number: a-t?2;� "7 `^1 ❑ No one available for inspection: T� e M Re -Inspection required: Yes�'N0 When corrections have been made,'.."dGle for re -inspection online at: http✓/www. ci. wheatridge. co. usrnspection Date: Z-) ..Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201902139 w. PERMIT NO: 201902139 ISSUED: JOB ADDRESS: 4040 Jay St EXPIRES JOB DESCRIPTION: Water line repair, 40 feet. *** CONTACTS *** OWNER (720)380-1433 GRAEVE DAN SUB (720)550-8825 JUANA MARTINEZ 10/08/2019 10/07/2020 170054 SHARK EXCAVATION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,900.00 FEES Total Valuation 0.00 Use Tax 39.90 Permit Fee 74.10 ** TOTAL ** 114.00 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I by in 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 thispemit, I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pe r/f�Ymed nd 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 I . This permit was issued used an 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, po plans 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 maybe subject to a fee equal to one-half of the originalppermit 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 pennits is at the sole discretion of the Chief Budding 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 issuPe granting of permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicaborny ordi e or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201902164 PERMIT NO: 201902164 ISSUED: 10/11/2019 JOB ADDRESS: 3930 Balsam St EXPIRES: 10/10/2020 JOB DESCRIPTION: Replace 100K BTUs, 80% efficiency, gas furnace in utility closet *** CONTACTS *** OWNER (303)379-0339 RAUDABAUGH KENNETH R & CAROL SUB (303)431-8015 EDWARD TERRANOVA 019402 AAARK HEATING & AIR CONDITIONI *** 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: 2,606.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 54.73 ** TOTAL ** 94.73 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermrt. I further attest that I am le ally authorized to include al[ 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 andlor its' accompanying approved plans and specifications. Signature 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 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 issuance o nting of a pe it shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable coany�prdmanr 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. NB021867 St iiPrFLfPERMTT NO PAYMENT RECEIVED FT 5200 AUTH. CODE! 652M TOTA,L Kimberly -.k � Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, October 10, 2019 3:28 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Kim Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 3930 Balsam Street Carol Raudabaugh 303-379-0339 Field not completed. D00006.pdf CONTRACTOR INFORMATION Contractor Business Aaark Heating & Air Inc Name 1 Contractor's License 019402 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-431-8015 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address mgagnon@aaark.com Retype Contractor Email mgagnon@aaark.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 100k What is the efficiency 80% (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or utility closet boiler located (for example, basement, crawlspace, etc)? Project Value (contract 2606 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit z 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. Person Applying for Michelle Gagnon Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �.) \- �- Job Address: �-��` �� - ` 5 Permit Number: Y U \,/ e CA to �Y r •. 1 � ! i /A \ �.'� (0 '. ✓ :'iL. , Lash +, iC ❑ No one available for inspection: Time AM/PM Re -Inspection required: No No When corrections have been made, schedule for re -inspection online at: h ttp://www. cL wheatridge. co. uslinspection Date: Inspector: t cam- ) \ -1(' DO NOT REMOVE THIS NOTICE 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: Job Address: Permit Number: ❑ No one available for inspection: Time Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303 -234 - Date: I E> - `Iz Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge x Residential Sewer Repair PERMIT - 201902139 PERMIT NO: 201902139 ISSUED: 10/08/2019 JOB ADDRESS: 4040 Jay St EXPIRES: 10/07/2020 JOB DESCRIPTION: Sewer line repair, 40 feet. *** CONTACTS *** OWNER (720)380-1433 GRAEVE DAN SUB (720)550-8825 JUANA MARTINEZ 170054 SHARK EXCAVATION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,900.00 FEES Total Valuation 0.00 Use Tax 39.90 Permit Fee 74.10 ** TOTAL ** 114.00 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201902139 PERMIT NO: 201902139 ISSUED: 10/08/2019 JOB ADDRESS: 4040 Jay St EXPIRES: 10/07/2020 JOB DESCRIPTION: Sewer line repair, 40 feet. 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 thispermit. I further attest that I am legally authorized to include a1I 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. Sig_ nature of OWNER or CONTRACTOR (Circle one) Date I, This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chlef Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. - IV" t' City of ifrWh6atR,d COEie MMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits oki.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 4 Property Owner (please print): (� ��;� ` ���� t n Phone: �t - �(%S Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: C' _�C' ­C�' City, State, Zip: Architect/Engineer E-mail: Phone: Contractor Name: 5L��<a S j s ��� i ��(,�a/A City of Wheat Ridge License #: Phone: Contractor E-mail Address: , V re,( �-_P,lrr, , rt�_ke��r\ 0. r" - For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone:an 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 # Complete all highlighted fields, if applicable. ❑COMMERCIAL PRESIDENTIAL 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. Sq. Ft.�LF I > BTUs Gallons Amps Squares For Solar: KIM # 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) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER' _ONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) r Signature (first and last name):—= DATE: Printed Name: � �UC} Vii - 1YkS- I\f- 7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: g ' ' it l e �._ IJ 4:�= Job Address: Permit Number: ❑ No one available for inspection TimeI Re -Inspection required: Yes.,; No When corrections have been made, schedule for re -inspection online at: httpYlwww.ci. wheatridge.co.uslinspection Date:- / L? - T_Inspector: - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: g ' ' it l e �._ IJ 4:�= Job Address: Permit Number: ❑ No one available for inspection TimeI Re -Inspection required: Yes.,; No When corrections have been made, schedule for re -inspection online at: httpYlwww.ci. wheatridge.co.uslinspection Date:- / L? - T_Inspector: - DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Electrical PERMIT - 201902077 PERMIT NO: 201902077 ISSUED: 10/02/2019 JOB ADDRESS: 4040 Jay St EXPIRES: 10/01/2020 JOB DESCRIPTION: Replace existing meter with 150A Meter Main w/Lever bypass and replace interior load center. **REVISION: Replacing galvanized water pipe with pex and copper, new emergency floor drain and new laundry box and correct drains in crawl space, and new shower valve in main bath. *** CONTACTS *** OWNER (720)380-1433 GRAEVE DAN SUB (970)545-1152 BENJAMIN SUB (720)341-8781 SCOTT CHOKA 190286 ELECTRICAL EDGE 190291 ROYAL PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / EARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,000.00 FEES Total Valuation 0.00 Use Tax 231.00 Permit Fee 220.15 ** TOTAL ** 451.15 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. City of Wheat Ridge i Homeowner Electrical PERMIT - 201902077 PERMIT NO: 201902077 ISSUED: 10/02/2019 JOB ADDRESS: 4040 Jay St EXPIRES: 10/01/2020 JOB DESCRIPTION: Replace existing meter with 150A Meter Main w/Lever bypass and replace interior load center. "REVISION: Replacing galvanized water pipe with pex and copper, new emergency floor,drain and new laundry box and correct drains in crawl space, and new shower valve in main bath. 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 roperly and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesthat I am le ally 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 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 Building Official and may be subject to a fee equal to one-half of the original ppermit fee. 3. If this permit expires, a new permit may be required to be obtained. Lssuance 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 code or any ordinance pr regulation of this jurisdiction. Approval of work is subject to field inspection. r ,k. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat fkjdge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 I FOR OFFICE USE ONLY I Dare: Pl GA-), Plan Review Fee: Email. PermnsLw_c1.w1ieatndqe.co.us Building Permit Applicattm *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): �� J �� � bQ�� Phone: Property Owner Email; Tenant game (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Adaress: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License #: Contractor E-mail Address: Phone: &°•tet LJ rp Phone: 0,-" For Plan Review Questions & Comments (please print)): CONTACT NAME (please print): - ty—A Cf ,, Phone: CONTACT EMAIL(please print): KI E Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: N.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted field,. ❑COMMERCIAL )0 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. V-�e?1'4 C�e- L3AJ v;.t n; �', (> �`►'� Zr J ter-, c o O d/ 1� P—�As�' ."'� e Ok I Cr A -k O"'J /t,1.� � t �4- � ✓ `�' ��C w �� V t U+< ✓r. fn...¢� �-- t�-Q S �--�R- S Sq. FULF BTUs Gallons Amps Squares For Solar: KW # 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) OWNER&ONTRACTOR 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 1 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) (CONTRACTO or(AUTHORIZED PR SENTATIVE) of (OWNER) (CONTRACTOR) S Sienat re (first and last name): DATE: )ii ' % 9 Printed Name: �Scb 1 t7 ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of Wheat P..,d c COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor: Electrical Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor Permit #: Phone #: Master #: (required field) Date Company Name: Phone #: `72,,b , State License #:� Master #: Wheat dge Licen 4 i.:?`-` (required field) �o— 7 t z cw SigQliure of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date City of Yl j Wheat i e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): 1 Project Property:[] Pro*ect Type: 'r, L� Notarized igna a of Applicant State of Colorado } County ofJ � ss t e Ll ':174 ate. The foregoing instrument was acknowledged by me this 7 day of 20L by c�n eu TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 -� My Commission Expires Notary Public City of Wheat Ridge E -Res. Electrical Service PERMIT - 201902077 PERMIT NO: 201902077 ISSUED: 10/02/2019 JOB ADDRESS: 4040 Jay St EXPIRES: 10/01/2020 JOB DESCRIPTION: Replace existing meter with 150A Meter Main w/Lever bypass and replace interior loadcenter *** CONTACTS *** OWNER (720)380-1433 GRAEVE DAN SUB (970)545-1152 BENJAMIN 190286 ELECTRICAL EDGE *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permIt I further attest that I am legally authorized to include 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 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 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 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,,mance o 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. r t'f of Wheat RiAgA 10./02f2019 10M) CBA Rep ac -e resat rj�f�021f — AMOUNT PPSP 4040 jay St AF'F'1'FE-MITT w!O; 2-01900-0717 PAYMENT RECEPVED AMOUNT F'F' / 4156 15 CS � 35 AUTH CODE; 64887449 T iTt;l 15 6 .3 5 ----------------------------------------- Kimberly Cook aIo? From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 2, 2019 7:36 AM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS" 4040 Jay St, Wheat Ridge, Co 80033 Dan Graeve 7203801433 Auth WR Graeve.pdf CONTRACTOR INFORMATION Contractor Business Electrical Edge Name Contractor's License 190286 Number (This is a 5 or 6 1 digit number for the City of Wheat Ridge) Contractor Phone 970-545-1152 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address electricaledge15@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Is this an electrical service upgrade or change? Number of Amps Location of upgrade/change (garage, house, etc) electricaledge15@gmail.com Change 150 Rear of house Provide additional details, Replace existing meter with 150A Meter Main w/Lever bypass if needed. and replace interior loadcenter Project Value (contract 3000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal 2 owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Benjamin Jon Edge Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE _.9Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ` - '�'�1 ►-`�� fl(�0 �/ kor Job Address: 7�ik/ - Permit Number: : 019d 2 41 �. ❑ No one available for inspection: Time 0,� `' /PM �zl Re -Inspection required: Yes 1 lN01 When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: be. ,e Love* DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Window Replacement PERMIT - 201802816 PERMIT NO: 201802816 ISSUED: 10/23/2018 JOB ADDRESS: 4040 Jay St EXPIRES: 10/23/2019 JOB DESCRIPTION: Remove and install 10 windows total, 6 Bedroom, 1 Living Room, 1 Dining Room and 2 Kitchen. Like for like with no structural changes. U -value .32 or better. *** CONTACTS *** OWNER (708)287-9212 CINDY STAHLER SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., 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: 11,240.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 236.04 ** TOTAL ** 286.04 *** COMMENTS *** ** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. City of Wheat Ridge E -Res. Window Replacement PERMIT - 201802816 PERMIT NO: 201802816 ISSUED: 10/23/2018 JOB ADDRESS: 4040 Jay St EXPIRES: 10/23/2019 JOB DESCRIPTION: Remove and install 10 windows total, 6 Bedroom, 1 Living Room, 1 Dining Room and 2 Kitchen. Like for like with no structural changes. U -value .32 or better. 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 ermIt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in 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 issuance or grantm' of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applic�code or any rfiinance 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. Lagenia Reimer ,�( f I )_�( ) J O From: no -reply@ ci.wheatridge.co.us Sent: Monday, October 22, 2018 11:18 PM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Gina Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 4040 Jay St Cindy Stahler 708-287-9212 Field not completed. Attach Credit Card Stahler credit card form - 10845142.pdf Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS CONTRACTOR INFORMATION 04/ 1 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) Home depot U.S.A., INC. 2869365501 -)(- 1-76) 0 2- 303-940-5738 9500 W 49th Ave #A-100, Wheat Ridge, CO 80033 Contractor Email Address jamie@REEDYSETGO.COM Retype Contractor Email jamie@REEDYSETGO.COM Address DESCRIPTION OF WORK Number of window 10 and/or doors being replaced Location of 6 Bedroom, 1 Living Room, 1 Dining Room, 2 Kitchen window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the .32 window(s)/door(s)? City of Wheat Ridge requires the a -value to be .32 or better on windows.. Attach copy of Stahler specs - 10845142.pdf window/door cut sheets showing sizes and a -value Project Value (contract 11240 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for VA compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jamie Reed Permit Email not displaying correctly? View it in your browser. `o O d L N C d C :ern 3a �m 0 00 0 N C J O y 0 d E Er y =LL J m U I°yX d X X X X X X X N m J J J J J > d d a a a a a c a N (.j o'a o'a o: a o: Q o' a a o' Q a a< a o'a A J w a3 w a3 w s3 N ¢3 w ¢3 N s3 w ¢3 w a3 C C 0 •3 U U U C U z tC75 O dIr _d M t o y N N N V l a 0 0 ry j n N d w N C O O ? 0 d d OI Ol OI OI OI Ol i11 N a 3 3; 3 3 3; Syr Lad 3 L 0 0 O L p0 o o L p o o o ff p0 `o O L p0 O L do O O'�' d o p0 o "o J L O U H mo N w Z H. z N w Z H w w w Z N w Z w z M w Z W z f 10 c N U' w w w d N w Z W z N w Z Q U 3 a d C W y 0 !eluozuOH a �, N ` C d ~ IWAJOA l6 a N d o d d ro uogeo0- m leluozuoH L N a 1eoiuep 0 v � uOpOO-1 0 v 3 W Rued d z Jo1op (seo 'S '3) ed4i In c m n n n n n n d n aE O L 146ieH o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N m m A T M M M N w cli M d c2 J O !r d 4lp!M O 0 0 0 0 0 0 0 L 3 O O O O O O N O W O ri ri ri ri O ri Jouelx3 3 0 v 3 Jouelul x x x x x x x x `O 3 3 3 3 3 3 3 3 d 3 0 Uw m m r 3 3 0 0 v° m O L 3 O V N d U U a m U y o Z a z a z a Z a z a Z a z a z a r U in N N N N N M N .d. N Z N N O C O 3> t S — E a r r r r r r r r 3 v E i° d t m E i. y U z z z z z z z z 0't= z: 0 0 a N a a N a N a N a a M a c c U c_ N z a C d M O O O O N > ~ W C gV a V d O) Q T ♦- 30 - o d m r r c E U m y o i J O Y C_ ; V O W w N pw N W N W W W Z U A m O O N O 2 d 9 (L w 6] m w t0 p C dN tTtl O O _ m # W311 N m a w w n o0 d m L N 0 N L N C U7 O d C H oo-o c 00 m ` o J O r0 y¢ T C J a . o OO N O T O d LL J m U j Ii N X - N N X X N 'O � N E O` v o y j a a N m C C 0 N 6 u z c O !E N mN Q N d _mN W O O S N W C c w E N O i O c 0_ 3 3a m �0o mwz Quoio Nmz IU Q 3 W N � IEIUOZIJOH O- U) N m c m IeO!IJGA v ° 0 $ m � � uOpOO-1 L le{uOZIJOH 0 a 0 IeO!1Jep v � uOpeoO-1 c c a d WeuEd z Jo1Op (J9 J 'S '3) edR1 in E O rn 146ieH o of 0 of m o o m m 4;p!M o 0 � m 0 0 n m JOPOIX3 0 0 3 3 U Joueiul 3 3 D U d ; 0 3 (A O O 9 m m aci ^ U m O d IL U1 J z L L N N 3 m O Y m N O Z aO r r 3 v E a L c_ N U z z O v 3f 0 0 3 N N C p (n N z C aL v 0 O O L T; 00 j N m O N O } N 75 W 0 LL c ¢ H 3 O 0 A E o o o `o 0.5 J m v O 3 O O` O o S H 2 f yc_ O O A 2 o N O N No Y Y C R tV O O d m cc # W311 m 0 INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: 017c�6`( ADDRESS: f JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation r%.. -- •.v.. . --.. vv..v.� I 1IVI 1 V NNl—ca — 1 rIC mauve inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground I _ _ -..- �...... v.. -y1 VMIIM \JI L UI%JYY / 111-0IQu vvvr.< r -nor 10 Approval Ur i ne Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof I _ 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:' " ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector CommentsInitials 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 408 Final Plumbing Commercial 321 Moisture board / shower walls _ 322 Rough Grading 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 323 Miscellaneous 413 Flood plain Inspection** Final Inspections Date Inspector CommentsInitials 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof _ 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. / 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: L/ V q - � ,Ing i Job Address: 6/£ tl e 4, S4 - Permit Number: _20 1777 F o I` /o � +_T fl n Ct I 1l 1 ,Sr-,P_f1 i 1 X;1 ❑ No one available for inspection: Timeq= q5- PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: J/9 Inspector: DO NOT REMOVE THIS NOTICE NO i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 @ G - 01 "a/ Job Address: `4a s -/,o Permit Number: '3 c r`7 o 8 q:s a ❑ No one available for inspection: Time I = 5-3 AIV14 Am Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: Il t /)-7 Inspector: DO NOT REMOVE THIS NOTICE ► " , City of Wheat Ridge y Y Residential Roofing PERMIT - 201708682 PERMIT NO: 201708682 ISSUED: 10/27/2017 JOB ADDRESS: 4040 Jay ST EXPIRES: 10/27/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 27 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)424-4000 SPIELMAN CHARLES EDWARD SUB (303)877-8369 Jason Venzara 160085 Big Creek Roofing & Renovation *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00 FEES Total Valuation 0.00 Use Tax 273.00 Permit Fee 251.85 ** TOTAL ** 524.85 *** 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. Property Owner Email Field not completed. 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 17167 Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Big Creek Roofing and Restoration Name Contractor's License 160085 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-877-8369 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 6145 Broadway Ste. 2 (Primary address of your business) Contractor Email Address jason@denvercoroofers.com Retype Contractor Email jason@denvercoroofers.com Address DESCRIPTION OF WORK TOTAL SQUARES of 27 the entire scope of work: Project Value (contract 13000 value or cost of ALL materials and labor) Are you re-decking the Yes roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 54 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) 5:12 27 Owens Corning Duration Asphalt House and 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 owner of the property to 55 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 Jason Venzara Email not displaying correctly? View it in your browser. 56 Big Creek Roofing & Restoration 1277 Adams St. Denver CO 80206-N- 303.877.8369 0206_ 303.877.8369 Rep: Av ❑ Cash Sale cP-_- This Agreement Subject to Insurance Company Approval Name �, 4-4* r f`f ,S� � � t" - �`� Email: Address r"'� �1 Q I/ • Phone: - -L/ `�y 00 _Insurance: City/St/Zip -0'e"s7 v`_.�r`4 (dam %� Claim #: - 0r.'2 i Roofing Specifications Remove OFF/ON il'� 14 (ee, C Shingles r1t"Pe-rS t`C-✓r Color of Shingles Underlayment a �� I—kn. t-� 't Ice & Water Shield Manufacturer's Warranty L - 4.- - - � Pipe Flashings a 1 Roof Vents { 'r 44 e, f L, t'f Valley 'e Ridge'' Inspect Deck for Rotten Wood: 3 sheets at $0: $45/EA "sheet after: ❑ Replace plywood/CDX ,)- � Metal Edge a' • ° '5 X Q, Starter QRe -flash Chimney e r' ! r ��.,-• , , r € i Roll Yard with Magnetic Roller (pickup nails) . Workmanship Warranty/c --i e,e ;4(%:'x' 4' f ? ;��ef, Gutter Specifications - R/R Gutters R/R Downspouts A 1, 1 8' Size of Gutter Size of Downspout �e Color of Gutter Color of Downspout I -A-411 (' Gutter Screen Special Instructions (Siding, Paint, Extras): I b 0 Q Vif e !A !1eA 1-i � " 4- a Ivo e & ?C ob, --4- • R Roofing: $ Gutters: $ $ f :3 `� �-1 _ a I The approximate costs of services based on damages known at this time are entered as: $ 1 � e Big Creek Roofing & Restoration, LLC (the "Company'), however, will perform the scope of the work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you other than your deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE COMPANY HAS DELIVERED ROOFING MATERIALSAT THE RESIDENTIAL PROPERTYSITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. f AMOUNT. $ Date: _ ej'Ar ^Senior Project Manager Initials. I (We) also authorize any legal representative and/or agent of The Company to obtain'information necessary to complete any funding process relative to the claim number referenced above. I (We) further authorize The Company to pick up in person any loss drafts or checks on both my (our) behalf of The Company. -- '1 I � Date of Acceptance: {`' ��" /! Owner's Signature(s): Representative: A ROOFING CONTRACTOR THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY ISSUED PURSUANT TO C.R.S. § 10-4-101 et seq., SHALL NOT ADVERTISE OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. ANY REPRESENTATION, STATEMENT, OR OTHER COMMUNICATIONS NOT WRITTEN IN THIS AGREEMENT, ARE AGREED TO BE INVALID, AND NOT RELIED ON BY EITHER PARTY AND, DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. 1. This agreement is subject to the credit and pricing approval of the management of Big Creek Restoration and Roofing, LLC. (the "Company"). 2. Payment is due for the materials when delivered. Payment is due for the remainder of this agreement with the completion of each individual trade, including applicable overhead and profit, such as: Roofing, Siding and Trim, Gutters, Awnings and carports, Interior Repairs, Punch list, Painting. In the event a final inspection is required before the "Customer" chooses to pay, the "Customer" shall agree to pay the total balance due, less 10% as hold -back until the final inspection and any subsequent punch list is completed. 3. Should default be made in payment of this agreement, a lien will be placed on the property and charges will be added from the date of substantial completion at the maximum allowed by law. Any person or company supplying labor and materials for this improvement to your property may file a lien against your property if that person or company is not paid for their contributions. 4. The "Company" and the "Customer' agree that all disputes shall be resolved in accordance with the laws of Colorado and the county in which the agreement is executed. The Company and Customer waive any right to request a jury trial, and the Company shall be entitled to recover its attorney's fees and costs for any claim or action brought to enforce this Agreement should it prevail on such claim. 5. The full amount of all money as specified by an agreed price, or as specified by the "Full Scope of Insurance Proceeds' does not include any extras such as carpentry repairs, or any repairs not specified, and not covered by the "Full Scope of Insurance Proceeds", that is necessary to complete the repair process as required by local building codes, and, building officials, or as to satisfy cosmetically, the "customer". 6. If the "Customer' chooses not to pay for a part of the scope of agreement, an individual line item, or a trade, the "Customer" releases the "Company" of its obligation for the performance of that component with regard to the integrity of the building system as a whole. 7. The "Company" is not responsible for damage below the roof due to leaks caused by excessive wind greater than 55 mph, ice damming or hail, at any time during the construction process, or during the warranty period. 8. The "Company' will not be responsible for slight scratching and denting of gutters, oil droplets in driveways, hairline fractures in concrete, damage to landscaping, or minor broken branches on plants and shrubbery. 9. This agreement cannot be canceled once negotiations begin with your insurance company, and/or, material has been delivered to your job -site without written mutual agreement of both parties. 10. If this agreement is canceled by the customer, "Customer' agrees to pay the "Company" 25% of the agreement price for: 1) Consulting Services Rendered, or 2) Liquidating fees. If materials have been returned due to this cancellation, the "Customer' agrees to pay an additional fee of 25% for restocking fee. 11. The "Company" reserves the right to supplement the Insurance Company for increases in the "Full Scope of Work", and/or, documented price increases. "Customer" agrees to allow these supplements to paid directly to the "Company". 12. All excess materials remain the property of the "Company". 13. "Full Scope of Insurance Proceeds" shall be defined as the full price for repairs and replacements allowed by the insurance company. 14. If any provisions of this agreement should be held invalid or unenforceable, the validity and enforceability of the remaining provisions shall not be affected thereby. WARRANTY OUR STANDARD WORKMANSHIP WARRANTY IS FOR FIVE (5) YEARS. IN ADDITION, WE WILL PROVIDE YOU WITH A WRITTEN WARRANTY UPON RECIEPT AND VERIFICATION OF YOUR PAYMENT IN FULL FOR THIS AGREEMENT. COPIES ARE AVAILABLE FOR YOUR PERUSAL. 15. We will not honor our warranty on agreements that are not paid in full. 16. The Company reserves the right to cancel this contract at any time at which time all outstanding invoices are due for all completed portions of work as completed. PLEASE MAKE ALL CHECKS PAYABLE TO BIG CREEK ROOFING AND RESTORATION, LLC. 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: EF, , Job Address: Ll0 H Q 1�).0 A� W ST Permit Number: 2,�>( 70Z_ GO) PQy'vUo,-2 . ❑ No one available for inspection: Time 0950 AMO Re -Inspection required: Yes,/'N' When corrections have been made,cal_l for re -inspection at 303-234- Date:- 7 /2 of /7 Inspector: GA 10 -- DO NOT REMOVE' THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division 00000 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: A�l= Job Address: V0110 ,1,4 5 7 Permit Number: /7 79, 4 1 El No one available for inspection: Time.// (Amiipm Re-inspection required: Yes When corrections have been made, call for re- inspection at 303-234-5933 Date: X'z�, lnspecto;,,� DO NOT REMOVE THIS NOTICE -9011ON S/H1 3A0W3H ION 00 :joloedsul E66S YEZ EOE p ugpgedsq - ar jo{ /luo `epees uaeq envy suorpeubo usyM, ON sa :pannbei uogoodsul -a» awLL :uoipedsui jol algeliene auo ON ❑ e C hb 6 �2 - 0 :aagwnN llwaad �! :ssaippV gor roc :adAl uoiloadsul 301ION N0I133dSNI Xe-4 6e68-L£Z (£O£) • 0 OVY0 3980 -3£Z (£OE) eu!l uo±;oedsu/ gg69-peg (eo£) uolslAlU uol;oodsul 6ulppn8 3JQIfi 1H3HM dO A113 r o {a 301ION SIH13/IOW3d ION 00 ? u :aoloadsul � :OILa 8869-4EZ - Coe 3e uoiJve € ui -ei joj peo `epow ueeq envy suogoevoo uegM, ON sa :paainbaa uoiloedsul-98 Wdv ` ewil :uoi;oodsui aol apupine euo ON ❑ wn iw a 'aaq N }. a d p n7q� �Jj7(77 :ssaappV qop :adR1 uol;aadsul 33110N N01133dSNI Xd 6Z68 (808) • ee9JO 9980 - B0Z (000) � �- euil'uoijdedsu/££69-PSO (£0£) /mil f, uolslnla uol;aadsul 6u!pl!ne 30(31H 1V3HM =10 A113 E: " 1 City of Wheat Ridge r4000r Residential Roofing PERMIT - 100994 PERMIT NO: 100994 'ISSUED: 04/20/2010 JOB ADDRESS.:. 4040 JAY ST :EXPIRES: 10/17/2010 DESCRIPTION: Reroof:19 sqs with Owens Corning. shingles ***`CONTACTS owner 303/424-4000 Charles Spielman sub 303/758-7663 Jason Gillis 09-0242 d-7 Roofing, LLC PARCEL !INFO ZONE CODE: UA .'USE: UA SUBDIVISION:- UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,363.00 FEES Permit Fee -.126.50 Total Valuation .00 Use Tax 60.53' 'TOTAL 187.03 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 1/2-1 requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Midroof".inspection is not required on permits purchased after 4/18/10. 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 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 the Wheat Ridge Building Code.(I.B.C) and all other applicable Wheat Rid e Ordinances, for work under this permit. Plans subject to field inspection. i Signature of coiractor/owner :date 1. This permit was issued in accordance with thee. 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 ofthe 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 l: the Building Official. 3. If this permit expires, {a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment. has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees; shall be :paid for alnew permit: 4. No work of any manner shall be done that will change the natural flow of water causing a drainage' problem. 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. Theissuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any zother ordinance, law, rule or regulation. All!plan re 'ew subject to field inspections. Signature Ch Building Official date INSPEC ON 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.'. 01-21-10;11:03 ;d-7-Roofing 3032352857 City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 > Office: 303-235-2855 " Fax: 303-235-2857 mm o..p i. Inspection Line: 303-234-5933 ;3037587667 # 1/ 1 Data: Plan Permit M. Building Permit Application PropertyAddressi 7a\,) r Property (li'mne'r (please print): Phone: Mailing Address: (if different than property address) Address: i Construction value: S Use of space '(description): rL- mof~ Descrlbtiori of Work:; (as calculated per the Building Valuation Data shwo ,7~~tr11 , n 5 ^ jS 1 r'~,yry©1u/~S ~(/1,(/V~~ Plan Review (due at time of submiuap: $ _ PKyy5 '`~.''tl : ~"ILl ~ V3~ ff' 1-Vl l Sq. Ft./L.Ft a dad: Squares [01~ BTU's Gallons Amps OWNERICdNTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cerkify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or re..91 lations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations i(iadg are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibiO for compliance with the Wheat Ridge Building Code and all other applicable Wheat Ridge Ordinances, for work under thj6 irmlt. Plans subject to field inspection. CIRLCE ONE: ((OWNER) (CONTRACTOR) or PERSONAL RZT- ATIV fQg6R) (CONTRATOR) PRINT NAME: Na#~.11 GI I l~iS _ SIGNATURE: Data.. i. DEPARTMENT USE ONLY F ING COMMENTS: Zoning: Reviewer. PUSuo WORKS COMMENTS: Reviewer. EulLDING:DEPARTMENT COMMENTS: OCCUPANCY: Reviewer ji.. I; : 'II Bldg Valuation: Fine DEPARTMENr::ll0 approved wl comrnwft D disapproved 0 >ro review requlred 9 I....... Oub CC,bntrsctors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date:, Exp. Date: Exp. Date: Aooroval: Approval: Approval: