HomeMy WebLinkAbout5140 Swadley StreetPERMIT: 70 %0'2� q� ADDRESS: �(U "� ��' . JOB CODE:
INSPECTION RECORD M2
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
-- •--.. --. ---- .,.., 1-pplvval v, 11-C muuvu inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int,
205 Plumbing Underground Ext.
206 Water Underground
Il_ \1_a /+----_ �----------
_ %II —I I" w„ � wl%jv„ I it _%;iau vvui K rnor 1 o Approval UT I ne Apove Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
316 Rough Mechanical Residential
Date
Inspector
CommentsInitials
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
41
Final Inspections
402 Gas Meter Release
Date
Inspector
CommentsInitials
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
41
409 Final Roof
.�
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
► City of Wheat Ridge
r' Residential Roofing PERMIT - 201707748
PERMIT NO: 201707748 ISSUED: 09/27/2017
JOB ADDRESS: 5140 Swadley ST EXPIRES: 09/27/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 42 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)423-2287 JOHN A & JANEIL Y CILLESSEN RE
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,794.00
FEES
Total Valuation 0.00
Use Tax 226.67
Permit Fee 220.15
** TOTAL ** 446.82
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
► A City of Wheat Ridge
Residential Roofing PERMIT - 201707748
PERMIT NO: 201707748 ISSUED: 09/27/2017
JOB ADDRESS: 5140 Swadley ST EXPIRES: 09/27/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 42 sq Pitch = 4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all y�ork to be pe.4Ened is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWV or CO�CTDR (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 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 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 issu , e granting of a permit shall n t be construed to be a permit for, or an approval of, an violation of any provision of any
applicab e c �n oorrdrrfird7i�'°or re fiat n of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett � U I (W'77 q l/
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 22, 2017 1:09 PM C
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed �y
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 5140 Swad ey St.
Property Owner Name JaNeil Cillessen
Property Owner Phone 303-423-2287
Number (enter WITH
dashes, eg 303-123-4567)
65
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
v
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
Q
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
C-1`
5
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 5140 Swad ey St.
Property Owner Name JaNeil Cillessen
Property Owner Phone 303-423-2287
Number (enter WITH
dashes, eg 303-123-4567)
65
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed cillessen contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Homeguard Roofing and Restoration
L-
130138
720-708-4126
6850 W 52ND AVE SUITE 106
Contractor Email Address fernl@homeguardroof.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
fernl@homeguardroof.com
42
N
Pitched roof (2:12 pitch or greater)
66
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
42
GAF Timberline HD
Asphalt
Replacing roof on the main structure
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
67
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 Terry Marks
Email not displaying correctly? View it in your browser.
68
144
HOME6UARD
MMUMrosanox
City:JA(y_ y,&.
Project Address: (if different from above]
SURETY AND LIABILITY INSURER INFORMATION
Colony insurance- Policy Number OTE21366
Contact, GiA RiGk Management, (3031423.0162, ext 136
6850 W. 52nd Avenue Suite 106 Arvada, CO 80001
Office. 720.708.4126 Fax 720.42t8658
info@?oHomeGuardRoofcom HomeGuardRoof.com
CUSTOMER INFORMATION
LL- Vol. *00 k&I
ACCREDITED
BUSINESS
BOB Rating: A+
Home#: Cett#:i :1 JJ 17 _Email:
' e r
Irl �-i3
Insurance Company: •
Claim No: Deductible,
A(,,
Al
Representative: Name: + l l wJ i
Phone:
j`
(r �/�/
Tzq
Project Manager: Name:
Phone: Ifi�ikK i(r� lQJ V1allY1Q�' ar
CD, r
NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BiE PROVIDED
S UCTURES INCLU13EED(, � fsain Detached Garage ❑ Other
Janufac.urer: f`` ` Type:'
ype Color:
SERVICE AGREEMENTS
GAF ROOFING SYSTEMS
tdge Material: E�F4
LwJ Underlayment: 5 01
V. [
Leak Barrier ley Per Code Penetrations
5o -year
manufacturer warranty
5o -year
manufacturer warrantyDrip
srAHt>etRo
Edge Eaves ❑ Color
25 -year service policy
10 -year service poticyunuMceurorrarrmty
ieawAiichmwa a"
Flashing Sidewall ❑Chimney
Non -prorates
Nc^-Prcrate7
.. t ,�a
ii""'raoi
g.„
Ventilation ❑,,,((( rile El Ridge ❑Edge ❑Other
t rd Transferrable
Trarsferrab-e
6- a *rte arra
15 ,
,e.•
P mbing Boots
aint Al! Roof Accessories
a
ROOF SYSTEM
trash from roof gutters & yard
iemove
all laevo &drivev✓ith magnetic sweeper
Furnish
Material -
Manufacture Standard
177
permit ❑Miscellaneous:
Workmanship5yrs
LOW SLOPE AREAS Material NIAj Type
Out-of-pocket upgrade costs
Manufacturer. N A Cotor
Customer initials
ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
Vdditional areas of construction will be repaired or replaced with high grade materials of like kind and quality
tters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skytight ❑ Other
Notes
SERVICE AGREEMENT
a••a
Meeriat - Manufacture Standard
6ert+manship
Repair ? y: Fuit Replacement 2 yrs
'Scope of Restoration Seances Pranded shaft include any additional supplements and services approved by Customer's insurance company and accepted by Company.
TERMS OF RESTORATION SERVICES TO BE PROVIDED
?t^as Agreement does NOT obligate the Customer nor Company in any way unless the insurance cta.m is approved for repairs or replacement to the above mentronedywmtten scope of
restoratren se ices to be provided try Customer's insurance rompany and eycepted by Company. Custorrme s yign3ture betow signifies acceptance of all terms and conditions of this
Agreusement, including alt terms on the reverse side hereof. Customers total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items.
Ctomer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. Ail r:ork is installed per the
manufacturer's installation instructions & the loco!- 4 d codes. �� ri-r-7
Agreed per: t•Slt�'A.11C P s�hall be the , at amo„*t d.,e to Ccmps j under tics greement, which is subject to any ad - t ;rs andlor deductions pursuant to
=utt,cnzed insurance supplements or as set forth on the re.terse side hRmof. Tot3i-siimated cost of any non -insurance upgrades shaft be: $
Approximate Dates of Service. Substantial commencement cf e c =r3' rne3- e f sr a i:af detrre of m e1a1 onto the premises or the perlarmance any la or and shit be
ruble -.t to any permissib e delays as cer crovision 141 on tf e V erre s se Approximate Start date: ^ Approximate Completion Date: r(_
$l sign ng this Agreement yr_ agree rho' {:u nava s sa af.< i" r. , .. cel : he .3rtt ng contained nerein- This contract is subject to Company
agement review & app[ovaL i accept the above terms of this contract FM authOrtze Company to proccad. '
A dam arce
!ia z -a:e:. a the Things to Remember- document u
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. & 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THiS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. S 6-22-104: YOU, THE BUYER, MAY CANCEL THiS AGREEMENT AT ANY TIME
WITHIN 11 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
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: d :f` —
Job Address: S d VJAa f,�j Si
Permit Number: % 017 0 7'74?
❑ No one available for inspectio � Time l . 2�_ A
Re -Inspection required: Yes
When corrections have been made, call for re-innsspec tion at 3133=2 4-5 33
Date: 12M%� Inspector: Gl
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City of Wheat Ridge
�d
Residential Roofing PERMIT -
201707748
PERMIT NO:
201707748
ISSUED:
09/27/2017
JOB ADDRESS:
5140 Swadley ST
EXPIRES:
09/27/2018
JOB DESCRIPTION:
Residential Re -roof to install GAF
asphalt shingles
- 42 sq Pitch = 4/12
**Revision add redecking 42sq***
*** CONTACTS ***
OWNER (303)423-2287 JOHN A & JANEIL Y CILLESSEN RE
SUB (720)708-4126 Terry Marks
130138 Home Guard
Services LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,075.25
FEES
Total Valuation
0.00
Use Tax
295.58
PAID
Permit Fee
283.55
** TOTAL **
579.13
�l
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City of Wheat Ridge
Residential Roofing PERMIT - 201707748
PERMIT NO: 201707748 ISSUED: 09/27/2017
JOB ADDRESS: 5140 Swadley ST EXPIRES: 09/27/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 42 sq Pitch = 4/12
**Revision add redecking 42sq***
I, by my signature, d
hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appl�ca le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfor ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
A/Z a
Signature of OWNER or('CONTRACTO (Circle one) Date
I . This permit was issued based on-thr lnformation provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an 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. Theissuance_ r granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicabl@ co or
any-ord r re hti n 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.
i� City of
W heat j�idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 07 %
Add to Permit # //V 7
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner (please print): , 1 c
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State,
Phone: (303) �23-2-Z�7
Submitting Company:
4-&7e
cegrd
906++
Contact Person: _ _%.a
4 k A
1 i u rlc�
Phone:
Contractor: A' yy � wu r—cl l'oc,-�"gg
Contractors City License #: 130 Phone: (72-c) ic9_3 --Y295
II__
Contractor E-mail Address: /a``ka �Io�cp�uctr c,rnpt.• Corn
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour – 2 hour minimum).
Description of revised/amended work:
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$^, z� v �5
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLEONE. (OWNER) qZONTRACTORJ, (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: b i l V L A k I w n d I SIGNATURE: && Z, DATE: / l 2 S/
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required Building Division Valuation: $
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: 3 0 6 - /I% , J
Job Address: wcz c/ /LC W,S _V
Permit Number: a o f -7 0 'i -7 c_/ g
(macCf`tl1 r 4L
❑ No one available for inspection: Time 10 -3 cD- MM M
Re -Inspection required: Yes P/
When corrections have been made, call for re -inspection at 303-234-5933
Date:—i G i q i 7 Inspector:
DO NOT REMOVE THIS NOTICE
_ 6 T AIM F*1WAt RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: aq , L 6 ,kf
Job Address: g"I No a�-
Permit Number: a o 1-7 D -7-7 y53
C4
01 j - 1C o r u l! o 4- 4 n nt1*s �
X 00 X 1) 6-70 -A-V /,^P—
ice -;r
,^U(c �e r- cx< n tl 7 n _r✓ ocA�.rz n 4%,
Add isAec,417,,kia 4 iac-_ rn �-
❑ No one available for inspection: Time S-�3 AMI
Re -Inspection required: (9 No
When corrections have been made, call for re -inspection at 303-234-5933
Date: io A8 / bInspector: -T--D
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
j Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: "� u
Job Address: _
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
* When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: Inspector: n 4
DO NOT REMOVE 4W NOTICE
♦ i CITY OF WHEAT RIDGE
]�;'r Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: l
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: Inspector:
DO NOT REMOVE HIS NOTICE
♦ i CITY OF WHEAT RIDGE
�-j Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: +
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been made, call for re- inspection at 303- 234 -5933
Date:
F
41
City of Wheat Ridge
Residential Roofing PERMIT - 091913
PERMIT NO:. 091913 ISSUED: 09/02/2009
JOB ADDRESS: 5140 SWADLEY ST '.EXPIRES: 03./01/2010
DESCRIPTION: Reroof 41 sqs.
***.:CONTACTS
owner-303/884-6056 Jon Cillison
sub;.. 303/452-3144. Donald: Dickhaut 06-0194 Pinpoint Construction LLC
**-PARCEL INFO
-ZONE CODE: UA USE:. UA
SUBDIVISION: 0071 'BLOCK/LOT#:. _.0/
**-FEE. SUMMARY ESTIMATED PROJECT VALUATION: 10,340..00
- FEES
PermitFee 253.90
y' Total Valuation .00
Use Tax 186.12 $TOTAL w.. i 440.02
r Conditions:
• 6.nail installation & mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart re
quires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.
Subject to field inspections.
~G
a;~• 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
3". measurements hown, and allegations. made are accurate; that I have read and agree. to abide by all conditions printed on this
application d. that I assu full responsibility for compliance with the Wheat Ridge Building Code .(I.B.C). and all other
applicabl W eat Ridge r i antes,.for w k under this permit. Plans subject. to field inspection.
~I Sign re of contractor/owner da e
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
r. 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
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires.;. a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one. (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid fora new permit.
4. No work of any manner shall be done that will change the natural. flow of water causing a drainage problem.
5. Contractor. shall notify the Building Inspector twenty-four (24) hours in advance for. all inspections and shall receive
written approval on inspection card before proceeding. with successive phases of the job.
" 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit f0T, nor'
an approval of, an violation of the provisions of the building codes or any other ordinance, law, rule or regulation..
All plan revi ubject to field inspections.
' Signature o hi Building. Official date
INSPECT ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR 'INSPECTION THE FOLLOWING BUSINESS DAY..
I,
of W"EqT~ City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
r
°Ooano° Inspection Line: 303-234-5933
Building Permit Application
Date: N a r C
Plan A
Permit O q
Property Address: S'/ yej S t v'4d 4 y 57
Property Owner (please print): j -by C)/y Phone: 3 -ENO-40054
Mailing Address: (if different than property address)
Address: 13Dac
City, State, zip: 41? V0 41 ~/a ova y
Contractor: 4V --lz vFVT O6&x7l ga-/e i
Contractor License C) ( ~7
Sub Contractors':
Electrical City License
Company:
Phone: 3o 2- yS2 -3/
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: nnc nnApproval: Approval:
Use of space (description): VYb" /GUU Construction Value: $ J6, 3 LCU
DCscfiption Of wUrl(; (as calculated per the Building Valuation Data sheet)
T4f jr e,tr= 3 s~h+¢ k T cs ~liNk/~ Plan Review (due at time of submittal): $
-ZYX7411 30,vw rw 06~rvt.JA dc4r/
Sq. Ft./L.Ft added: Squares /l! / 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 insl ection.
C/RLCE ONE:: (OWNER) CONTRACTOR or PERSONAL REPRESS IVE of (OV ) (CONTRATOR)
PRINT NAME: 67wA,,A Id cdJrfAd u 7- , SIGNATURE: Date:
j!~ Bldg Valuation: $