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HomeMy WebLinkAbout10400 W. 33rd Place6 digit number for the City of Wheat Ridge) Contractor Phone 3038105321 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email denpermits@gmail.com Address Retype Contractor denpermits@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 10, Location of repair front yard (backyard, frontyard, etc) Provide additional Cleanouts next to the foundation details including installation of clean- o uts. Project Value (contract 2200 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 Yes been 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 Jose Guerrero Permit Email not displaying correctly? View it in your browser. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Monday, November 22, 202112:57:30 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 10040 W 33rd PI Property Owner Name Thomas Delfino Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) KI8191016181LoIl]Ell Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Pipeline Solutions LLC 0q o�) WINSPECTION P0 INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type i�m Z_, Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing ,E Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather (®foo �33�� ��, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Tyne Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an insnectinn the fnllnwino hrne;"PQQ .tom\, ** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter .�.�.i.��ra•.�aa�a�a�raru.��rr.\r�r.�...\•\.r.�\c-u�•aa:r �•a:Tc.r�r_r_r_�t Underground/Slab Inspections Date Inspector Comments omments Electrical Sewer Service Plumbing - .lzr�-a-yaw•�.i-iV.1/. Qr\Y_Ir1I 1 .lr'AVA�. -rt•z�ar a,caa��.� � Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 1 Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof fi ,� Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *Fnr In\.I -14— -—;4- DL.,.. - L'_ ,. .. •�_' _ - - .• • .y„ ,,,o� c� uvo a]U t U111F IVLVU ��vnI LIM- rare U Strict ana electrical low voltage by the Building Division. s Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: y 67'1 - E 19 Job Address: 6 4 C)a V") 3a� rd t�L Permit Number: 00 14 6 (cc) T u rz F,-, ,)P C,, al e G l Ik r r l (-" N),-, I I �iP cs e4,; ❑ No one available for inspection: Time ! : 17 AM1<j J Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: o r Inspector: C .All DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Mechanic PERMIT - 201707157 PERMIT NO: 201707157 ISSUED: 09/12/2017 JOB ADDRESS: 10400 W 33rd PL EXPIRES: 09/12/2018 JOB DESCRIPTION: residential replacement of furnace 97% efficiency and a/c 3ton electrician to hook up to current *** CONTACTS *** OWNER (303)232-3857 ZACHMANN WILLIAM F SUB (303)421-3572 William Buras 017865 Lakeside Heating & A/C SUB (303)979-1641 John J. McGrath 019585 McGraths-Overall Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,000.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00s.r �"99 '1W Total Valuation 0.00 } } I , Use Tax 231.00 ** TOTAL ** 331.00 *** 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 am authorized to obtain this permit and perform the work described and approved in conjunction with thi er t. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be p r orm d and that allpork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. M Signatureof OWNER or CONTRACTOR (Circle one) Date 1. 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 maybe 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 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable-Qudg or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. a � • Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ' City of C4MMUN11Y D�Pr 9 Building Division 7500 W. 29°' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax 303-237-8929 Inspection Line: 303-234-5933 104,, ceimiie Building Permit Application Pncww OMI w (please prt�i• 6� :)) � l`i ��J Pr��tte: Addrasts: (ild r+snt ttlsrl prof* aatdrm) c� uaa se Cil `� 5 now. v'c(n� t, re- -A,u 195SI5, Zlec•� . ctse 4desg#ion): t� oescrl . � '>) N/Iw 9-) 71 - fe Ak Re'O ce,Yt- W )N -t v PftnFisevtewr (due at treeal� a:$ ��e'R hoops �r,tx,s�� y a'" Ftll Ftadde� Squares MUS CdOM UVROUVIUMIRAMORSHMUNWOF UNDEMANDING AND AGREBIOff I hereby caft #W gee setbe* aierNnass p by vele pe n it appio Mon are aeaaale, and do not , rules « repr!!!one o1 the Cby of vMlesaet itklpe diovener><s, easanaTis « reestriotlorrs of record; that stsown. arx allepeuores made ace scourer f d I hewn: reed and agree to abide al ,,, Darn, prkftd on Uft est mid ® I OMM fug ��Aor %WAMR* roe nlrh see WedCode PAC) and alt other appNoabfe Wheat FWW Ontunwes, for work pemA. PWrrseeebjectto AME of } (COUMTOR} t7tl�: (OIIYNER)�'- PERSONAL ftEPR {�R WWNAfYNif3NICtt1RI_: .� gate: s.� _.�z� -zj4a 27 '' „;fi +• � s .i ti�hU�� �'y. ��. '`.,..�'si'— �' L . 5r. �Fy�Rrt�yty�'^.ryl ¢.'r, , tw �. b.- :•t "tr �Fit alt 35sw_kt�ry>{ ,�r�o ,, �i-5,y�i -_?��`��� 3J'^., f' - � �,`!�,.T, _ .i,��`1=��'S'�Y5 -�' '+�`�1'��' °ard-�, �""+. `'sem- ..:c ."• 'i +,{� .;fix l z I. , 'f ' �L�`{� JZ `: �w ; d j,S 3�''� si � �+ W �3'-T b ��" "� p. - t V- G �•l �.!W.�.�dP'/YR.T a armaw�rusouuii�is 5 x�F3F � a _ V— : i Credit Card Past: Use Credit card l eft d on M& Date: _ _+ Print name: �`%,�,(fa!-Rc Signature: City of Wheat Ridge Residential Mechanic PERMIT - 201707157 PERMIT NO: 201707157 ISSUED: 09/12/2017 JOB ADDRESS: 10400 W 33rd PL EXPIRES: 09/12/2018 JOB DESCRIPTION: residential replacement of furnace 97% efficiency and a/c 3ton electrician to hook up to current *** CONTACTS *** OWNER (303)232-3857 ZACHMANN WILLIAM F SUB (303)421-3572 William Buras 017865 Lakeside Heating & A/C SUB (303)979-1641 John J. McGrath 019585 McGraths-Overall Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,000.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00s.r �"99 '1W Total Valuation 0.00 } } I , Use Tax 231.00 ** TOTAL ** 331.00 *** 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 am authorized to obtain this permit and perform the work described and approved in conjunction with thi er t. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be p r orm d and that allpork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. M Signatureof OWNER or CONTRACTOR (Circle one) Date 1. 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 maybe 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 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable-Qudg or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. a � • Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ' City of C4MMUN11Y D�Pr 9 Building Division 7500 W. 29°' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax 303-237-8929 Inspection Line: 303-234-5933 104,, ceimiie Building Permit Application Pncww OMI w (please prt�i• 6� :)) � l`i ��J Pr��tte: Addrasts: (ild r+snt ttlsrl prof* aatdrm) c� uaa se Cil `� 5 now. v'c(n� t, re- -A,u 195SI5, Zlec•� . ctse 4desg#ion): t� oescrl . � '>) N/Iw 9-) 71 - fe Ak Re'O ce,Yt- W )N -t v PftnFisevtewr (due at treeal� a:$ ��e'R hoops �r,tx,s�� y a'" Ftll Ftadde� Squares MUS CdOM UVROUVIUMIRAMORSHMUNWOF UNDEMANDING AND AGREBIOff I hereby caft #W gee setbe* aierNnass p by vele pe n it appio Mon are aeaaale, and do not , rules « repr!!!one o1 the Cby of vMlesaet itklpe diovener><s, easanaTis « reestriotlorrs of record; that stsown. arx allepeuores made ace scourer f d I hewn: reed and agree to abide al ,,, Darn, prkftd on Uft est mid ® I OMM fug ��Aor %WAMR* roe nlrh see WedCode PAC) and alt other appNoabfe Wheat FWW Ontunwes, for work pemA. PWrrseeebjectto AME of } (COUMTOR} t7tl�: (OIIYNER)�'- PERSONAL ftEPR {�R WWNAfYNif3NICtt1RI_: .� gate: s.� _.�z� -zj4a 27 '' „;fi +• � s .i ti�hU�� �'y. ��. '`.,..�'si'— �' L . 5r. �Fy�Rrt�yty�'^.ryl ¢.'r, , tw �. b.- :•t "tr �Fit alt 35sw_kt�ry>{ ,�r�o ,, �i-5,y�i -_?��`��� 3J'^., f' - � �,`!�,.T, _ .i,��`1=��'S'�Y5 -�' '+�`�1'��' °ard-�, �""+. `'sem- ..:c ."• 'i +,{� .;fix l z I. , 'f ' �L�`{� JZ `: �w ; d j,S 3�''� si � �+ W �3'-T b ��" "� p. - t V- G �•l �.!W.�.�dP'/YR.T a armaw�rusouuii�is 5 x�F3F � a _ V— : i Credit Card Past: Use Credit card l eft d on M& Date: _ _+ Print name: �`%,�,(fa!-Rc Signature: IN A i wl OF WHitAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax . INSPECTION NOTICE Inspection Type: o (. - /YI 1 Job Address: J o LI n w 3 '3 r d P I Permit Number: o r '7 o t, co S LI 11 fly coin ❑ No one available for inspection: Time AM& .Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: I o a L/ 17 Inspector: T b - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:F:T,"/"L E. , M Job Address: lo 1300 t,,/ 33 1z- Permit Number: 2 0/'%O ?/5 m ❑ No one available for inspection: Time' + AM/PM Re -Inspection required: Yes i No, When corrections have been made, call for re -inspection -'at 303-234-5933 k Date: Inspector: X' DO NOT REMOVE THIS NOTICE s City of Wheat Ridge Residential Roofing PERMIT - 201706054 PERMIT NO: 201706054 ISSUED: 08/14/2017 JOB ADDRESS: 10400 W 33rd PL EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install Decra Shake(stone coated steel) - 19 sq *** CONTACTS *** OWNER (303)232-3857 ZACHMANN WILLIAM F SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,479.00 FEES Total Valuation 0.00 Use Tax 304.06 VAID Permit Fee 283.55 f ** TOTAL ** 587.61 l *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. A t City of Wheat Ridge Residential Roofing PERMIT - 201706054 PERMIT NO: 201706054 ISSUED: 08/14/2017 JOB ADDRESS: 10400 W 33rd PL EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install Decra Shake(stone coated steel) - 19 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this ermit and perform the work described and approved in conjunction with this a mIt I further attest that I am leggally authorized to include al entities named within this document as parties to the work to be pe and that all work to b_I�ert need js disclosed in this document and/or its' accompanying approved plans and specifications. 1A PAF r Signature of OWNER or C1*8NTRACTircle one) Date / I. This permit was issued based on the inf nnation provided in thepennit application a d accompanying pplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 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 pen -nit 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 applicably or any ordinance or re uloati n of this jurisdiction. Approval of work is subject to field inspection. R er>wr� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz C.0 W6 05� From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 10, 2017 3:17 PM To: CommDev Permits—v Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane C3 G Residential Roofing Permit Application Ls This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION bL Property Address 10400 W. 33rd PI Property Owner Name Bill Zachman Property Owner Phone 303-232-3857 Number (enter WITH dashes, eg 303-123-4567) 53 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes zachmann contract.pdf CONTRACTOR INFORMATION Contractor Business J & K Roofing Name DL Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 19 / the entire scope of work: Project Value (contract 14479 value or cost of ALL materials and labor) Are you re -decking the No / roof? / 54 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: If "Other" is selected above, describe here: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) M Yes 19 Decra Shake Other Stone Coated Steel House - Pitch 4/12 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. 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 55 has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 56 CONTRACT ftNWE J&K Roofing BBB.13000 W. 43rd Drive Golden, CO 80403 Phone: 303-425-7531 • Fax: 303-425-1562 www.ikroofing.com Representative ,T� Z�-;JTEX Contact !1 --lo — tjnc-,9�qj, Date/1 20J3 Name 1,�1� 1 ,.� '7_0" i!� — Phone 30 3_a V — 39 5-% email sesGr,�,.,r. i� tirT Address 10 Vl00 City WV r 9=06C Zip sw33 Pinnacoi Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS TERMS AND CONDITIONS. PLEASE READ CAREFULLY: Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CS00061742 Extra work 'k - Recover roof with lk _ _ �AColor of shingles_(A&Cg rr nwf Manufacturer's Warranty tA-T- NAL 9r�8"6AtA-1[AM Xr` Tear off D&4 �- Install Underlayment S�(( �t�� r w &)r'`�� •�- f� K- P� Gr{l�, The property owner is K is not_ using proceeds from (I Double all Eaves property and casualty insurance policy. Re -Flash Chimn and/or Skylights N & _Y D New Valleys Replace Ridge QSI Ventilation '�4 Galvanized Fasteners �_Q 'i�t.� _ $ Replace &V. - 62, 1R& Plumbing Jacks 0 Paint roof stacks to match V Install() a,&L1r Metal Edging N6Aes:W_fLs Patio or Flat roof Year Warranty on labor �d J & K Roofing to furnish all material and labor 16 Permit: X Included NOT Included MClean-up debris and haul off all trash from roof Roll yard with magnetic roller Deductible if applicable $ S -J .tl.7- Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date A SNP c(Sce r 1 TOTAL ESTIMATE $ S. Lill ALL PROPOSALS ARE SUBJECT TO MANAG T A R AL �r� JC g FV-rAA A"19--gii-n Gutters cleaned of roofing debris ) l� Decking Repairs $-1-M 2jVJ5 5Z {� Hidden Layers (tear off) $_ per layer J&K Representative Date`g t k�'a Homeowner Date -S-7-111-1 ( lei) (Policy Number) PP001-1316-)1( Homeowner Date (claim #) (Adjustor) Expiration Date _ $ l (Mortgage Co.) (Mortgage Loan Number) You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the Proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION Foundation inspections # i fill . . . . . . . . . . . . . . . . . . . . - - - - - --------- NUNN Mechanical M 1itm o lin Comments Comments isrucipancy israot pOrlid I fif A Cei'l hC Of Occupancy Is Issued Pr^f'%*-# Thle irkoal CoNmoillol SAN—tol Inspector Initials Landscaping & Parking Planning Dept, _N ROW & DrWnsge Public Works Pt. Fire Inspection / Fire Protection Dist. isrucipancy israot pOrlid I fif A Cei'l hC Of Occupancy Is Issued Pr^f'%*-# Thle irkoal CoNmoillol SAN—tol PEE//201/ 02:57 PM FAX No, P.00 City of at Illllu II I cc OMMUNITY DWELOP NT .. Building Division 7500 W. 290 Ave., Wheat R14ge,80033 • ; 303-237-8929 Inspection Facsimile Building Permit Application •� Propertyi(pleaseprint): IL Mallin# V` # # (ifi propertyaddress) A r dre e •. �:. * #4714 °... aM ".,: a. ...� ...,. A. � :. �. _ ��;. Signature: ♦ i CITY OF WHEAT RIDGE fj O r Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: illi�JAl©�1= Job Address: /UY�W et> 37,eo 1 Permit Number: /OkP /S 6 &N all t , ❑ No one available for inspection: Time 3: AM, _ Re- Inspection required: Yes When corrections corrections have been made, call for re- inspection at 303 -234 -5933 Date: Z/4i , Inspector: DO NOT REMOVE THIS NOTICE II ♦ ♦ CITY OF WHEAT RIDGE 1 Building inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: �x 4 C'�"� ry a - (� ❑ No one available for insoectionM AM /PM Re- Inspection required: Yes "When corrections have been madd, ct(II for re- inspection at 303-234-5933 Date: Inspector: _ DO NOT REMOVE ♦ i CITY OF WHEAT RIDGE � 100 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: lova> /JrsT ��i /cc Permit Number: J /D�Ja6 pI r . ; I ` ❑ No one available for inspection: Time /D: 50 AM M Re- Inspection required: Yes `"When corrections have been made, call for re inspection at 803 - 2345933 Date: 3-1 - /ca Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD OCCUpancy/TYpe 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. f 1 1044o lv_ 33 / na 74 1, //)n /5L INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground - Reinforcing or Monolithic —/ 2 —1 0 RV - Weatherproof / French Drain Rough Plumbing Sewer Service Lines Gas Piping Water Service Lines - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE O F OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Plumbing (Underground) - Heating (Underground) Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - ROUGHS Sheathing Lath / Wall tie Mid -Roof - Electrical Service —/ 2 —1 0 RV Rough Electric Building Final Rough Plumbing Fire Department Gas Piping R.O.W & Drainage Rough Mechanical Parking & Landscaping ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation _ Drywall Screw FINALS Electrical Plumbing Mechanical - Roof —/ 2 —1 0 RV Building Final I Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE O F OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line J (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ry-) r ti 1 Job Address: 104166) LC). 33 c Q Permit Number: fly/ S~ r ~ vhoy~ u °G o o~C &1e__,r(v)* 1 r 3 1~ ~ ~ (fit S . ~ f? t?!°, yI 6 ❑ No one available for inspection: Time rat/ / PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: l /d Inspector: r DO NOT REMOVE THIS NOTICE ~oF WHegrq City of Wheat Ridge Building Division Date: °m 7500 W. 29th Ave., Wheat Ridge, CO 80033 _ Office: 303-235-2855 * Fax: 303-235-2857 Plan ~Otoano° Inspection Line: 303-234 5933 Permit ".106 r~ Building Permit Application 4n Property Owner (please print): "~a"r Uv~ Phone: -Zav? ' Mailing Address: (if different than property address) Address: 1 ovlc)b W City, State, RUM: Contractor License Phone: '22' MESNOW Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Use of s ace descri tion): I Construction Vstue: D1 V( J , ryyyy~~~~~~ 1r~ ~,,.,,>r~ S (as calculated per the Building Valuation Data sheet) ;,n_/~'~ 6a a r7.Y V Cd' lJt3 t lA+~l ` Plan Review (due at time of submittal): $ T (6c o Sq. Ft./L.Ft added: Squares 1H, BTU's Gallons Amps 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 measurement3-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 Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEONE:: (OWNER) (CONTRACTOR) or PRINT NAME: PERSONAL REPRE NTAT VE f - R) (ORATOR) SIGNATURE: Date: a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: (O&M9 Plan Permit U 0/ Building Permit Application Property Address; l ©LLOO ~G~ Property owner (please print): Zs~Gj /~!n y~ Phone: Mailing Address: (if different than property address) Address: City, State, Contractor: Contractor License Phone: Sub Contractors: Electrical City License Plumbing City License#: Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work: / e-~ Sq. Ft./L.Ft added: Construction Value: $ ~~OO (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Squares BTU's Gallons Amps -16) 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEONE:: (OWNER) NTRACTOR PERSONAL REPR ENTATIVE Of OW~NAER) (CONTRATOR) Q PRINT NAME. e4 94'4n '(SIGNATURE: 4442-4 ~ Date: :,I Bldg Valuation: $