HomeMy WebLinkAbout6550 W 30th Avenuei CITY OF WHEAT RIDGE
Building -if spection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: (o SS—V w f" 4-hLve
Permit Number: p )-7 Q 3 r -?y
t7_1 !1 G par
❑ No one available for inspection: Time rh#PM
Re -Inspection required: Yes 9
When corrections have been made, call for re -inspection at 303 -234 -
bate: -9 I j)/Q Inspector: `-t—b
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: T-1 /-10 / SCA 4n ilG / I? -e5)
Job Address: U-) 001 /IV-e
Permit Number: ;7 0/ ?, C)i v �{ /
❑ No one available for inspection: Time -50 AM/PM
Re -Inspection required: Yes N
When corrections have been made, cal r re -inspection at 303-234-5933
Date:—b' / ` / Inspector:
DO NOT REMOVE THIS NOTICE
w City of Wheat Ridge
Residential Mechanic PERMIT - 201801341
PERMIT NO: 201801341 ISSUED: 05/09/2018
JOB ADDRESS: 6550 W 30th AVE EXPIRES: 05/09/2019
JOB DESCRIPTION: Install new ductless mini -split heat pump
*** CONTACTS ***
OWNER (949)413-6496 PETERSON KATHERINE M
SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Cooling
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,308.00
FEES
Total Valuation 0.00
Use Tax 69.47
Permit Fee 109.20
** TOTAL ** 178.67
*** COMMENTS ***
*** CONDITIONS ***
work shall comply with 2012 IRC & 2014 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 a11 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.
1 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 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 ranting of a p it shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable co any^ordinanppr 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.
C`it� of
, at +e
t £ih1�ALJ�`Ill DEVELOPMENT
Building & inspection Services Division
7500 W. 291, Ave., Wheat Ridge, CO 80033
office: 303-235-2855 * Fax: 303-237-8929
inspection Line: 303-234-5933
Frn.ail: perTJts(d,)ci.wheatridqe.co.us
FOR OFFICE USE ONLY
Date:
�" ll
Plan/Permit #
Plan Review Fee:
Building Permit Application
x Please complete all highlighted areas on both sides of this fonn Incomplete applications may not be processed."
Property Address:
Phone:
Pronertv Owner (please print):
Property Owner Email,
Mailing Address: (if different than property address)
Address:
State
ArchitectlEn ire �
Architect/Engineer E-mail:
Contractor: Cooper Heating and Cooling
Phone:
Contractors City License #:
18111 Phone: 720.361.4245
Contractor E-mail Address: kdaniels@coopergreenteam.com
For Plan Review Questions & Comments(please print):
CONTACT NAME (please print):
Kathi Daniels Phone: 720.361.4245
CONTACT EMAIL(please print): kdaniels@coopergreenteam.com
Sub Contractors:
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 information on BOTH sides of this form
❑ COMMERCIAL XRESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please 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. FtJLF Btu's Gallons
Amps Squares Other
Project Value: (Co act value or the cost of all materials and labor included in the entire project)
'I-),nV i
--
OWNERCONTRICTOR 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
,,A ith applicable City of Wheat Ridge codes and ordinances for work under any pennit 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
ntity included on this application to list that entity on this application. 1, thea uilding permit application, warrant the
nuthfulness of the information provided on the application.
CIRCLEO.VE. (OWNER) (C NTRACTOR) r (AUTHORIZED REPRESENTATIVE (OWNER) (CONTRACTOR)
Signature (first and las e): DATE:
ZONING GOMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS -
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY, CLASSIFICATION:
-I Building Division Valuation:
City of Wheat Ridge
Residential Roofing PERMIT - 201703174
PERMIT NO: 201703174 ISSUED: 07/03/2017
JOB ADDRESS: 6550 W 30th AVE EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 22 sq.
*** CONTACTS ***
OWNER (949)413-6496 PETERSON KATHERINE M
SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, 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: 6,000.00
FEES
Total Valuation 0.00
Use Tax 126.00
Permit Fee 140.90
** TOTAL ** 266.90
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201703174
PERMIT NO: 201703174 ISSUED: 07/03/2017
JOB ADDRESS: 6550 W 30th AVE EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration Storm asphalt
shingles with 22 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 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.
kigpature of OWNtR 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 reuired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection trvices
Division.
6. The issue_ ce 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
apphcab'le c ` e or any ordinpee or,. guI tion 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz
001763 ��4-
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 21, 2017 9:17 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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
Property Owner Phone
Number
6550 W. 30th Ave.
Katherine Peterson
949-413-6496
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Core Contractors, Inc.
110052
303-295-2220
Contractor Email Address docs@coredoes.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
docs@coredoes.com
No
Owens Corning Duration Storm
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 22
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No t/
Field not completed.
z
TOTAL SQUARES of all 22
roofing material for this
project
Provide additional detail Remove & replace asphalt shingles from main house and
here on the description of attached garage. 5/12 pitch.
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract( $6,000.00
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 this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Tomas Wolfram
Email not displaying correctly? View it in your browser.
K
■
■ Z _ ■ :4=,
ROOFING SYSTEMS
Property Owner
Peterson, Katherine
Property Address
6550 W 30th Ave
City/State Zip
Wheat Ridge 80214
Primary Phone number
949-413-6496
Email Address
Katherine.m.peterson@gmail.com
Terms:
Agreement
"Doing it right matters"
Effective Date
06/08/2017
4501 Logan St,
Denver, CO 80216
303.997.1559
Secondary Phone Number
By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as
agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor
and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the
replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or
CORE in any way, unless the damage is approved by homeowner's insurance carrier.
Roofing Scope:
The roofing system replacement includes all shingles,
underlayment, valley linings, and miscellaneous flashing,
per local applicable municipal code. This also includes full
clean-up of the property and a 5 year Roof Workmanship
Warranty (on full roof replacement only). A one year
workmanship warranty is included on all non -roof work
Additional Roofing Scope Notes
NA
performed by CORE.
Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system.
10,000.00
Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this
contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE.
Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with
that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you
authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the
primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You,
the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and
profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to
the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a
scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the
deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work,
viiti` 3.
must be requested in writing, by the property owner.
If, you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1
of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING
CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART
OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR
ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON
DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK
IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION
FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE
ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE
OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY.
All estimates or contract amounts include a 3.5% discount for cash or check transactions.
Property Owner's Initials
Right to Cancel
You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours
after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the
roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your
claim has been denied in whole or in part.
Property Owner
Peterson, Katherine
Property Owner Signature
Date
06/08/2017
Insurance Company
State Farm
PiDV,I REG BY C C3" iV8 Vdtyt4 _37iiC£ii�tj iS in i1 I1� ;,[ tt 1."0j (.. —ka.. ,? -Li i_ .3
s_ __ _ _.... _..__.�_
CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that:
(a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR
PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID
FOR THE CONTRIBUTIONS.
1. All contracts are subject to approval of our credit department and office without exception. The person
executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this
contract to be effective under any conditions.
2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE
ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 ~/z) PERCENT PER
MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN
THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL
BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT.
3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or
other perils, as is normally contemplated to be covered by home owners risk insurance or business risk
insurance, or unless a specified written agreement is made therefore prior to commencement of the work.
4. Should legal action be necessary, because of any act that might arise during the course of this agreement,
CORE shall be entitled to all costs incurred in connection with such action, including a reasonable
attorney's fee.
5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be
tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of
Colorado.
6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or
other materials) not covered by insurance, discovered during construction and required by governing code or
necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and
materials basis unless STATED IN THIS CONTRACT.
7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes,
fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the
control of CORE Contractors, Ins. whether of a similar or dissimilar nature.
8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner,
the owner shall be financially responsible for all work performed based on the following milestones
(percentages are additive).
a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of
total bid.
b. Substantial agreement or scope confirmation with insurer — 5% of total bid.
c. Ordering and scheduling of work — 2% of total bid.
d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if
the owner terminates this agreement while physical work is ongoing, they shall be responsible for all
costs related to that line item, plus general contractor overhead and profit.
9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to
termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors,
subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work
that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid
by the owner within 30 days of invoice date.
10. If material has to be reordered or restocked because of a cancellation by the customer; customer will
have to pay the restocking fee assessed to CORE by the supplier.
11. If any provision of this contract should be held to be invalid or unenforceable, the availability and
enforce -ability of the remaining provisions of this contract shall not be affected thereby.
12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN
ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do
not survive the execution of this contract.
13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for
the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE
Contractors, Inc. herein.
14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible
for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof
and siding during the repair of the roof.
15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. If
pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems
on a time and material basis.
16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE
AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES.
canvas
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: W 10
Job Address: 0,1550 1 4J
PermitNumber: '2-00 Q 221:7!r
ILI
❑ No one available for inspection: Time AM VM
Re-Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1/Inspector: bl-,--
DO NOT REMOVE THIS NOTICE
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" ' City of Wheat Ridge
Residential Roofing PERMIT - 101217
PERMIT NO: ,101217 ISSUED : 05/13/2010
JOB ADDRESS:: 6550 W:30TH SAVE EXPIRES: 11/09/2010
DESCRIPTION:` Reroof ' 18 sqs with 30 yr -GAF /ELK °shingles
* ** CONTACTS * **
owner 303/579-0687 Noah Kaueman
= sub 720/276 -2168 Stephen Wade 01-9433 AW Exteriors
UBDIV161UN: Ubl7
*:FEE SUMMARY **
ESTIMATED
- PROJECT'.:
FEES
Permit Fee
Dotal Valuation
126.50
.00
q-- �.La.,,
Use Tax
64.80
TOTAL **
'191.30
ION: 3,600.00
or_;a_re-in
on
leme
�u
35-285S
OLLOWING BUSINESS DAY..
� �E
City of
Wheat W I
L ge
Date:
- COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division
Permit # l U
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Adtlress fp J SCE L✓ ' 16T -- ' 7/
Property Owner (please print): IV641-1 11<�je1FAj
Phone: 303 - S ?`1' 06 ,P7
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Coritracto JTGr) Cx
Contractors City License #: Phone:
7Zo - 27G
sup;oatractorss
Electrical: Plumbing:
Mechanical:
City License # City License #
City License #
bes%r��tton >Of work�l
.2
c I T71 G � 3DY
.Contract Value:
$ 3600
Review Fee (due at time of submittal):
Squares g BTU's Gallons Amps Sq Ft. $
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,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I.have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) nj / ( 9 OWNER) (CONTRACTOR)
Sl PRINT NAME: ✓ khPOC SIGNATURE:. / DATE:
T, 1 � r ;i
FIRE pEPAR7MENT, ❑ approved wt required Bldg Valuation $
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner.
Property Address
Contrector License No. :
Company :
Phone:
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Valuel
I hereby certity that the setback distances proposed by this pertnit application are awurate, peffTllt F@E :
and do not violate applicable ordinances, rules or regulations of the City of Wheat RiCge or
covenants, easements or restnetions of record: that all measurements shown, and allegations
matle are accurete: that 1 have reatl and agree to abide by all eonditions printed on this US@ T0X :
applieation, antl that I assume full responslbility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permrt.
~l( Total :
(OWNER)(CONTRACTOR) SIGNEH~--- DATE~ 1_7 L~
Description ~s
rtx,.~[~ lr~~c.a l
BUILDING DEPARTMENT USE ONLY
Occupancy : Walls : Roof : Stories : Residential Units :
up C;
Electncal License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date :
Approval:
j PfdnsRequired. L]
Expiration Date :
Approval :
,3 Piiins Required ~
Expiration Date :
Approval :
A _ o*.t,. aftLrMW
(1) This permit was issuetl in accortlance wilh the provisions set forth in yopur apphwtion antl is su01~~ to the laws of the Slate of Colo2tlo anC to lhe Zoning
Regulabons antl BuilOing Cotle of Wheat Ritlge, Coloratlo or any otber apOli~DIe orEinances ot the Cily.
(Z) This UO etl W a a l penotl pt (AZt~ h ~e ~~rk authonzetl is not commencetl within sixry (60) tlays trom issue dale or (B) Ihe building authorizetl is suspenEed or
aban
(3) If this permrt eapires, a new Oermi[ may be acqutretl for a fee of one-half the amount nortnally requireQ provitletl no changes have been orwlll Ee matle in the
original plans antl speci0calians and any suspension or abandonment has not exceedetl one (1) year. If changes are ma0e or if suspension or abantlonment
exceetls one (1) year, WII fees shall be paid Por a new permit.
(4) Na work of any manner shall 6e tlone that will change the naWral flow ot water causing a tlrainage problem.
(5) ConVactor shall noU1y the Builtling Inspector twenry-tour (24) hours in atlvance for all mspections antl shall recene wntlen ap0foval on inspecUOn cartl DePore
proCEEtliing With SuCCESSiVe ph25es of the lob.
(6) The issuance o permit or the apProval ot tlrawings antl specifications shall not be constmetl to be a permrt for, nor an approval ol. any violatlon ol the provisions
of the bUllOing OES of ny Olhef OftllnancE, laW, rUle Or fegulation.
Chief B ding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION