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HomeMy WebLinkAbout2895 Newland StreetOccupancy/Type ' Ci RECORD tb.F4t jA',-' FORM,.- http://www.ci.wheatridge.co.u.s/lnspnc',ion INSPECTION REQUEST LINE: (303) 234-5933 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 Initials Comments Electrical Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Sewer Service S — /110 -F,'5 © Plumbing Roof 7i �vE Final Window/Doors Do Not Cover Underaround or Below/In-Slab Work Prior To Annroval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof S — /110 -F,'5 © Lath /Wall Tie Roof 7i �vE Final Window/Doors Rough Electric " 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. 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 7i �vE 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 >y the Building Division. Occupanc +ted Ur, 'li A Certificate of_Ocr-1 nor - I- - 4' City of Wheat Ridge Residential Roofing PERMIT - 201705245 PERMIT NO: 201705245 ISSUED: 08/02/2017 JOB ADDRESS: 2895 Newland ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with OSB ROOF DECKING- 33 sq. *** CONTACTS *** OWNER (303)763-9114 NEELY MARC S SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,059.13 FEES Total Valuation 0.00 Use Tax 232.24 Permit Fee 236.00 PAID ** TOTAL ** 468.24 *** 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. r City of Wheat Ridge �. Residential Roofing PERMIT - 201705245 PERMIT NO: 201705245 ISSUED: 08/02/2017 JOB ADDRESS: 2895 Newland ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with OSB ROOF DECKING - 33 sq. I, by my signature, do hereby attest applicable building codes, and all al by the legal owner of the property a this permit. I further attest that I am perfoptned and that all work to be pi t the work to be performed shall comply with all accompanying approved plans and specifications, cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized am authorized to obtain thispermit and perform the work described and approved in conjunction with ,,ally authorized to include all entities named within this document as parties to the work to be irmed is discl s this document arorits' accoying approved plans and specifications. Signature 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 maybe 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 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 Chief Building Official — Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 25, 2017 4:26 PM To: CommDev Permits _ z 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 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 r AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 2895 Newland St //r/�� Mark Neely �� 3037639114 jwiles@interstateroof.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Field not completed. CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name Contractor's License -Be, ver-- qp Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing OSB Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 33 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 33 (pitched + flat) of all 2 roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) REDECK permit for house and garage Project Value (contract r3 -W& 1 l 1 l 3 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 John Quante Email not displaying correctly? View it in your browser. 3 0)0AB 3b nOp�YOppfm� referrallst-0com NTERSTATE ROOFING Submitted To M 0, r C, J 6Ce n N U l_sA Date 3-'2 - t7 Email Street Q,UA 1 " Sk. Insurance Company 5 C", Claim# _ Phone 1.0,731- I i 1% Aft. Phone City t State_ Zlp S 7 1 4 Poficy# Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.; however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. icy Tear off 121 1 layers of composition shingles (VIall Decking (7/16" OSB) I all new felt F/,;0alI pre -painted eave metal to code - Color Brown Charcoal RAtdtl ey(s) will be closed e(s) to be rotor -Coordinated i will be "High Profile Ridge" color -coordinated shingles tall new pipejacks ❑ Tear off one layer of wood shingles TanGray White int. ❑ Valleys will be open V Vents as needed chimneys and all wall abutment as needed and it possible (stucco or siding may be a deterrent) In. ft. of series ridge vent ��In. ft. of ice & water shield to code talG� nails per shingle K�'3a ut tters earovorgmanship warranty rstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate Make a magnetic sweep of driveway and yard for removal of any nails move all debris resulting from above work�-a �N�1 02� S eclat instructions -� The approximate costs of the services based on damages known at the time this contract is entered is `p q () y 6 © (_., es� !'o�IH Interstate Roofing, Inc., however will perform the sco nLwQLk roved by the insur any for thea suran d r no additional`cos s to r our ded' a ma scope and price agr tween the insurance company and Interstate Roofing, Inc. shall become the final contract pr ce for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. l Approximate Dates of Service:_ These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weath6r delays, or by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6.22-105, 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 work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent loss drafts or checks after today's date as indicated above. f (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing, Deposit Amount: Interstate Roofing shall hold In trust any payment from the prbperty owner until I tterstate Roofing has di materials at the residential property site or has preformed a majority of the roofing work on the property. (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance 5 " G 1- t 7 Client Signature(s) �� Representative Corporate Headquarters Co! do Springs Office Fort Collins Office Cheyenne Office Black1a. Agency 1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970.482.7722 F. 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205 Denver, CO 80211 Colorado Springs, CO 80909 Tal Free 877,898.8144 Cheyenne, WY 80211 Englewood, Co 80112.3726 P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 www.interstateroof.com R 307.634.2553 (303) 397-7820 www.interstateroof.com infoQinterstateroof.com A .r City of Wheat Ridge l Residential Roofing PERMIT - 201704302 PERMIT NO: 201704302 ISSUED: 07/18/2017 JOB ADDRESS: 2895 Newland ST EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 33 sq. *** CONTACTS *** OWNER (303)231-0074 NEELY MARC S SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,200.00 FEES Total Valuation 0.00 Use Tax 235.20 Permit Fee 236.00 ** TOTAL ** 471.20 *** 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. 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. r City of Wheat Ridge ' Residential Roofing PERMIT - 201704302 PERMIT NO: 201704302 ISSUED: 07/18/2017 JOB ADDRESS: 2895 Newland ST EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration asphalt shingles with 33 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 authorlized 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 alI entities named within this document as partes to the work to be performed and that all work to be permed is d' closed 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 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 rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or an ordinance or regulation of this jurisdiction. Approval of work is subject to ►eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Ov) (70 4-- From: no-reply@ci.wheat ridge.co.us Sent: Monday, July 10, 2017 3:57 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 2895 Newland St Marc Neely 303-231-0074 jwiles@interstateroof.com 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 Interstate Roofing Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No V roof? Description of Roofing O/C Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 33 material selected above? / Does any portion of the No v property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 33 V/ roofing material for this proj ect Provide additional detail house, 4:12 pitch here on the description of 1 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract11200 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 John Quante Email not displaying correctly? View it in your browser. 3 ) �S312 referlr8list 0111 NTERSTATE _ ' ROOFING BBB Submitted To Email Md.+M = ♦' i �s • -m Street-7.Q1s ��1\��,Q Insurance Company �' - ca Claim* Date 3--21- ( 7 Phone City ' I State Zip Policy# Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.; however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Tear off t1 i t layers of composition shingles �t VJd all Decking (7116" OSB) all new felt pre -painted eave metal to code - Color Brown Charcoal I V will be dosed ,i0" e(s) to be color -coordinated idge{s) will be "High Profile Ridge" color -coordinated shingles �staii new pipejacks ❑ Tear off one layer of wood shingles Tan Gray White int. ❑ Valleys will be open r Vents as needed chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) In. ft. of series ridge vent / In. ft. of ice & water shield to code L—f (AV aiC� nails per shingle a out gutters ear workmanship warranty 1 rstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate R'Malke a magnetic sweep of driveway and yard for removal of any nails move all debris resulting from above work Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is $ S �a ©©� � �,(Qtil+� Interstate Roofing, Inc., however, will perform the sco rk a roved by the insur any for thea surart r no additional "costs to r ur ded a na scope and price agree tween the insurance company and Interstate Roofing, Inc. shall become the final contract pr ce for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract.t These dates of service are subject to change due to unusual delays in Approximate Dates of Service: � transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part i of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, 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 work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to Include the name of Interstate Roofing, Inc. as co -payee on any subsequent loss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: $ P ( V Date: V PeA hro fti e Rep. Initials: -,J14 Interstate Roofing shall hold in trust any payment from the pr perty owner until I tele Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance J " 71- 1 7 Client Signature(s) ZaZ Representative Corporate Headquarters Cot do Sprtnga Offfee Fort Collins Office Cheyenne Office Black/agency 1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970.482.7722 F. 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205 Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 817.698.8144 Cheyenne, WV 80211 Englewood, Co 80112.3726 P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 www.interstateroof,com P. 307.634.2553 (3031397-7820 City of Wheat Ndge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: q1N I Plan/Permit # ,�q 64' Plan Review Fee: � 14, "�) Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: `/ L/ �) �n �� 7-` Property Owner (please print): �j G��/��L� Ile) Phone: Property Owner Email: / z //�'/y/ (a') / � )Ieo ''-zv%n Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEngineer E-mail: Contractor: Phone: Contractors City License #: P--: z � [_...� Phone: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL 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.) hl %Yu 145pGla/// L%a�r��/mss Sq. Ft./LF //U0 Amps Btu's Squares '27 Gallons Other 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 pen -nit 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 pennit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) XSignature (first and last name): DATE: 7 � 1 / DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer OCCUPANCY CLASSIFICATION: a r City Of / Wheat il!dgle 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) Project Property: �% ��,� NoiaA�signatvr0-6f Aifp'licant State of Colorado } County of J��' V_44Cor\ } ss +h The foregoing instrument was acknowledged by me this a2 day of J, 2017 by eo�c e_ 14ea.. F RA D ODEAN TARY PUBLIC OF COLORADO RY ID 20164015481 ON EXPIRES APRIL 22, �1��� My Commission Expires ;g120 20 Notary Public 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: 2S1S_ Permit Number: 220 / `� O o /11 A r U/,.t i C k rZ ❑ No one available for inspection: Timer / AM/PM Re -Inspection required Yes No *When corrections have been made, call for re -inspection at 303-234-5933 1 r- / 1 Date: �/'2 f % Inspector:W ___ 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: Q / / Job Address: ? c/� /1/E I/Ve 14A11-:) S' Permit Number: J No one available for inspection: Time= f Am/Pm Re -Inspection required: Yes /No When corrections have been made, call for r" Date: hJ e'. ' Inspector: 'at 303-234-5933 FOR OFFICE USE ONLY CAN, of L, �c Prop" Owner prino� Marc Neely Phone: 303-231-0074 Address* Same as Above Contractor: Thd at Home Services, Inc MN= Contractor E-mail Address: copermits9gmail.com Plumbing: WR City License # Phone: Phone: 1-855-712-8899 Mechanical: WR City License # Complete all information on BOTH sides of this form $ NEW ..STRUCTURE 0 ELECTRICAL SERVICE UPGRADE $«:\ RESIDENTIAL d STRUCTURE 0 COMMERCIALROOFI $ COMME IAL ADDITION E&DENT / f##:y\ $ RESDENTIAL ADDITION R WINDOW REPLACEMENT» $ COMMERCIAL ACCESOtY STRUCTURE »<<(Garage,shed, deck, ©\) RESIDENTIAL ACCESSORY w,av... (Garage, shed, deck, etc,) $ MECHANICAL«w_.«\ REPAIR\ $ ELECTRICAL SYSTEM/APPLIANCE\\// / @e»/scribe .\\.... \ . ........ .......... (For ALL projects, flw, provide =¥y2y¥description performed, including current use ofareas, proposed usessquare footage, existing condition and proposed new condition, appliance size and efficiency,«!!w4 amount of materials to be<»* r °° <?1,»< © ®P11111 Fil,l Sq.F!%F , . . . Btu's Amps Squama . .. . . . . . air . N I 4R A Ck 1,6 4A IZ V, cr, tf, z Cl z 'ryCD LP Pr Property O wner )ULI� Phone: Adds City, State., ;dip: s a Licen Mec ha n ical: y Im " - I C`l LE lT1VR. (O (CONTRACTO (A HOR ` PR ArI P of (O (CONTRACT City of Wheat Ridge r4000or Residential Fence PERMIT - 091396 PERMIT NO: 091396 : ISSUED: 08/18/2009 JOB ADDRESS.: 2895 NEWLAND ST EXPIRES: 02/14/.2010 DESCRIPTION: Replace 180.5 if ft of 6' . fence ,(vinyl . . fence) CONTACTS.*** owner 303/961-5393 Mark & Brenda Neely gc 303/217-3340 Ray/Deanna Davis _09-0048 RD. Davis. Enterprises LLC PARCEL INFO..** ZONE CODE: R-1 USE: UA SUBDIVISION:. 0508. BLOCK/LOT#: 0/ **:FEE SUMMARY 'ESTIMATED PROJECT VALUATION: -5,000.00 Permit Fee 144.70 ripit Plan Review Fee 94.06Total Valuation00 Use Tax -90 .00 r TOTAL 328.76]~b Conditions: MR: Approved. Note: Owner/Contractor is responsible for locating proeprty lines and constructing improvements according to the ;approved plan and required developmentstandards.The -.City is not responsible for inaccurate: information submitted within the plan set and any construction errors resulting from inaccurate 'information. Ihereby 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 aw~e accurate; that a have read and agree to abide by all conditions printed on this ~.appI Tat n d that Y assume ful resp n`sidility for compliance with the Wheat Ridge Building Code (I.B.C) and all other . appli.e W eat Ridge Ordinance for Vrk;'mder this permit. Pllaan-s. subr}gct to field inspection. Signature o co 'ractor/owner -date 1. This permit was issued in accordance with the 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 of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration r date. An extension may be granted at . the discretion of the Building Official. y 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no ?J 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 a new permit. 4..Nowork 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. She issuance of a permit or the approval of drawings and specifications shall not be construed to be apermit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. .F All plan review is subject to field inspections. x. Signature of Chief Building Official : date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 y, REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE. FOLLOWING BUSINESS DAY. r ,c a City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: 0zp16i(3 Plan C0/ -0IN Permit cqI,-376I& wl F~-, Building Permit Application Property Address: -~g [6 4JC-wLA vb 5-r Property Owner (please print): tY)AR i( RAID 13RE.v D A A/E6 Ly Phone: 3o3' 961 - 53g 3 Mailing Address: (if different than property address) Address: State, Zip: Contractor: O DAVaS Contractor License M Sub Contractors: Electrical City License Company: ZCC. Phone: 303-~ )~`33L1~ Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $~6-znl 02 Description of work': (as calculated per the Building Valuation Data sheet) ~zEpLo4c`~U6 /6(:j VQ NER FEEr' Plan Review (due at time of submittal):$ ~o r -rpm- '/-EK E Sq. Ft./L.Ft added: Squares 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 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. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNNEERR))~~(.J~,O~N~T~RATOR) PRINT NAME: XAA<NE D ftV1s SIGNATURE: ✓CI'L~-u`,~ 'v\ Date: off°Y J--:) 3-Z) L,9 1 m h z m Y, eu O 0 35'-0" 21' 11 N G7 a ~ N fD 0 fD L<. U) V co O d1 N n v v (D N o~ ;0 9J 00 00 'O (D X !n3 O (D 00 m 00 N 43'-0" m N W VJ Z m m 7) 0_ Please Note: Owner J contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information e, -:matted within the plan set and any ccnstracuon aulti:;g Gr:m inacc nsr z irforme:; n N 9Nx-7 f