HomeMy WebLinkAbout4115 Upham StreetINSPECTION REQ.
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 M) to receive an inspection the following business day
PERMIT: AOMYJI�0�� ADDRESS: I JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above 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
POP
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
POP
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: ADDRESS: JOB CODE:Y�
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
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
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
Property Address
Permit Number
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address
The City of Wheat Ridge
Third Party Form Check List
Inspector Information
Inspection Company
Inspector Name ,dc
Inspector Contact info.
RZE
Inspector Statement and Acknowledgement
* I hearty acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommends' q d specifications`.�
Inspector:o�fl�Z��--�j� Date:
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge Building Divi ' n inspection.
Propery Owner/Agent: � Date:
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
C N/A
Pass
Pass
❑ Fail
❑ Fail
Verify that no more than 2 layers of shingles exist
Flashing
for roof and walls
�1
❑ Pass
Q Fail
If new sheathing is installed verify that it is listed in the
�4/A
Q
permit description (Valuation must be adjusted)
Pass
❑ Pass
❑ Fail
Verify sheathing nail pottorn (Seo Policy g, Procedures)
7"A
❑ N/A
Pass
❑ Fail
❑
Crickets and saddles where needed
❑ N/A
Pass
Fail
Verify B vent must have boot same gauge as pipe
01 N/A
E -Pass
❑ Fail
❑ Fail
Verify vent caps
Verify no flashings are damaged or rusted
❑ N/A
5_D1/A
2 -_Pass
❑ Pass
❑ Fail
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
❑ NIA
❑ N/A
E Pass
Z—Pass
EJ Fail
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A—Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
❑ N/A
O—Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
❑ N/A
Dass
2" Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ Fair
Dripedge shall be mechanicaly fastened 12" OC
[A_N/A
❑ Pass
Q Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
N/A
N/A
❑ Pass
El
❑ Fail
1:'12
►Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Q Fail
Above roof insulation R-25 p
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shinaies Reauiremen#s
N/A
❑ Pass
Q Fail
Metal roof shingles shall not be installed on 510po 1e��
N/A
❑ Pass
❑ Fail
3:12
Metal valley flashing shall be the
N/A
❑ Pass
❑ Fail
same material as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
N/A
a min. of 4"
Tile Roofs Requirements
❑ Pass ❑
Fail
Clay and concrete file
shall have a min. Stopes
4:12 and under require double u de/ aymentpe
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
O ' A-77 Lt u "
vt vc car L,r c v v�� 11 4-- — � e> �--.-�
Company Name: / l — L L L
Inspector signature:
Date of Inspection: — !�_,
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A ❑ Pass ❑ Fail
❑ N/A Pass ❑ Fail Structural roof components
❑ N/A ,[-.�/ Pass 17-1FailVerify that no more than 2 layers of shingles exist
N/A I�Pass ❑ Fail Flashing for roof and walls
❑ Pass ❑ Fail If new sheathingis installed stalled verify that 1t is listed in the
permit description (Valuation must be adjusted)
;N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy $ Procedures)
2�w ❑ Pass ❑ Fail Crickets and saddles where needed
❑ N/A 19 Pass ❑ Fail Verify B vent must have boot same gauge as pipe
❑ N/Aass ❑ Fail Verify vent caps
E]N/A ie ' ass ❑ Fail Verify no flashings are damaged or rusted
❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle
N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage
❑ N/A Ef Pass ❑ Fail Ice and water shield 2' in heated wall spaces
❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A Z—Pass ❑ Fail Verify roof slope for proper drainage
❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap
❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck
❑ N/A 9Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC
[Z N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A ❑ Pass ❑ Fail Above roof insulation R-25
N/A ❑ Pass ❑ Fail Below roof residential R-38
N/A ❑ Pass ❑ Fail Below roof commercial R-32
N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Meta! Roof Shinalas Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less
3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double undedayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Oq
'� � ►_ � �t C - �l -tet S-�=�1(� .
J
Company Name: L, cam, / C --
Inspector signature:
Date of Inspection: 1�r—
City of Wheat Ridge
�11Residential Roofing PERMIT - 201801607
PERMIT NO: 201801607 ISSUED: 06/01/2018
JOB ADDRESS: 4115 Upham ST EXPIRES: 06/01/2019
JOB DESCRIPTION: Reroof 4/12 pitch with Oakridge asphalt shingles; 20 squares total
*** CONTACTS ***
OWNER (303)408-9282 KISSELL DAVID F
SUB (303)582-4252 Julio Blanco/Eduardo Vasquez 160145 Highline Roofing & Gutters Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,689.09
FEES
Total Valuation 0.00
Use Tax 350.47
Permit Fee 315.25
** TOTAL ** 665.72
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201801607
PERMIT NO: 201801607 ISSUED: 06/01/2018
JOB ADDRESS: 4115 Upham ST EXPIRES: 06/01/2019
JOB DESCRIPTION: Reroof 4/12 pitch with Oakridge asphalt shingles; 20 squares total
1, byy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
pplicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
y the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
t isermit. I further attest that I am legally authorized to include all entit es named within this document as parties to the work to be
p formed and that all work to be performed is disclosed in this documen and/or its' accompanying approved plans and specifications.
91
4.
5.
6.
natui'e..of OWNER or CONTRACTOR (Circle one) D e
This permit was issued based on the information provided in the pe t application and accompanying glans and specifications and is
subject to the compliance with those documents, and all applicable st tutes, ordinances, regulations, policies and procedures.
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 andmay be subject to a fee equal to one-half of the original permit fee.
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.
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.
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.
The issuance or granting of a permits all not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or an dinance or r lation of this jurisdiction. Approval of work is subject to field inspection.
e" /Y*�
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook CU � � U 00 �
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, May 31, 2018 2:33 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: REJECTED, Kim
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 4115 Upham St
Property Owner Name David Kissel
Property Owner Phone 3034089282
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
tldandys@comcast.net
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
4115 Upham St ESTIMATE.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Highline Roofing and gutter
Name
Contractor's License
160145
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-224-6866
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
15423 E Batavia Dr. Aurora, CO. 80011
(Primary address of your
business)
Contractor Email Address
highlineroof@gmail.com
Retype Contractor Email
highlineroof@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
20
the entire scope of work:
Project Value (contract
$16,689.09
value or cost of ALL
materials and labor)
Are you re-decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
z
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 20
part of the PITCHED
roof?
Describe the roofing oak ridge
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional Roof house
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
3
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Highline Roofing & Gutters, Inc.
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: February 16, 2018
Reason: Customer cancelled work request prior to start of work. Contractor
requested to have permit #201708354, for 4115 Upham Street closed out.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 252.20 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 350.39 (acct 01-500-02-505)
Total: $ 602.59
TO:
Highline Roofing & Gutters, Inc
15423 E Batavia Drive
Aurora, CO 80011
Thank You!
W,; C004
Permit Technician
City of
V`! heat j�idge
COMMUNITY DEVELOPMENT
vs -.2 -Zo)
City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29`h Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to): /h JY1-!A/e�j(�j�Z�
Address: 1 5'V2 3 L /5,i o/t ,fin
City: I' h,41 State: (!0 zip:
Phone: ?Q,6 y 6 ff �( Fax:
Email: I11h/Ii1,*JL X06/- fVAMA--/I- • Coat .
Permit #: /) Q / � Q K ) 5 q Permit Address: ?/ % S() Ply AAA 5T`
Reason for request: IU 0 i J? £'A -Q 0) `,) C l
1Printed Name: i�fZ Signature: Date:
For office use only
This request has been:'T Approved ❑ Denied Refund Amount: $
Approved by: 41) Date: c � &
www.ci.wheatridge.co.us
HIGHLINE ROOFING & GUTTERS INC
_., 15423 E. BATAVIA DR
AURORA,CO 80011
Ph: 720 224 6866
z. hinhlinPrnnfr")amni l nnm
Name t Address
David Kissel[
4115 Upham St
Wheat Ridge CO- 80033
-Tear oH° 1 layer of roofing downt to deck
-Replace rutted decking areas
-Drip edge 2x2, eaves and rakes
-Color of drip edge: Brown
-lce%water shield: valleys & eaves
-Rc-flash chimney & sidewalls
-Apply 30# felt
-New plumbing bom 1 1 t?
-Ventilation: 8 low profile
-Nails shingles using 5 galvanizeds nails per shingles
-Ridge cap shinglc:l-ligh definition
-Roll property with magnetic sweeper
-Remove debris and haul away
-Protect lanscaping, clean site daily.
4145 Upham St
Wheat Ridge CO. 80033
Description
page 1
Total
Estimate
Date
Estimate #
10/2512017
2016
i Project
HIGHLINE ROOFING & GUTTERS INC
15423 E. BATAVIA DR
AURORA,CO 80011
Ph: 720 224 6866
=" highlineroofogmmaii.com
Name 1 Address
David Kissel!
4115 Uphwn St
Wheat Ridge CO. 80033
Description
'ESTIMATE VALID FOR 30 DAYS*
HIGHLINE ROOFING & GUTTERS, INC.
Highline Roofing & Gutters. Inc.
DATE: 10.125;017
HOMEOWNER / r
DAIS _V�L-7_._��
Estimate
Date
Estimate #
10123.2017
1 2016
I Project i
I have reviewed the above estinvite and autluxize I ighline Ratftng & Gunres, Inc. to proceed with serviccs as specified at the a6ovc referenced.
4145 Uphwn St_
Wheat Ridge CO. 80033 Total 516,689.09
Page 2
+1 I
Dane Lovett Z o 17 N) ,� L
From: no-reply@c i.wheatridge.co.us
Sent: Monday, October 16, 2017 11:46 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
1p_ /
Property Address 4115 Upham St
Property Owner Name David Kissel
Property Owner Phone 3034089282
Number (enter WITH
dashes, eg 303-123-4567)
41
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
david tldandys@comcast.net
Yes
Attach Copy of Executed 4115 Upham St. ESTIMATE.ipa
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)
Highline Roofing and gutter
a
160145
720-224-6866
Contractor Address 15423 e.Batavia Dr
(Primary address of your
business)
Contractor Email Address highlineroof@gmail.com
Retype Contractor Email highlineroof@gmail.com
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
20
16,685.09
No
Pitched roof (2:12 pitch or greater)
42
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 20
part of the PITCHED
roof?
Describe the roofing oak ridge
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional house roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
43
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 HIGHLINE ROOFING & GUTTERS, INC.
Email not displaying correctly? View it in your browser.
44
HIGHLINE ROOFING & GUTTERS INC
_., 15423 E. BATAVIA DR
AURORA,CO 80011
Ph: 720 224 6866
z. hinhlinPrnnfr")amni l nnm
Name t Address
David Kissel[
4115 Upham St
Wheat Ridge CO- 80033
-Tear oH° 1 layer of roofing downt to deck
-Replace rutted decking areas
-Drip edge 2x2, eaves and rakes
-Color of drip edge: Brown
-lce%water shield: valleys & eaves
-Rc-flash chimney & sidewalls
-Apply 30# felt
-New plumbing bom 1 1 t?
-Ventilation: 8 low profile
-Nails shingles using 5 galvanizeds nails per shingles
-Ridge cap shinglc:l-ligh definition
-Roll property with magnetic sweeper
-Remove debris and haul away
-Protect lanscaping, clean site daily.
4145 Upham St
Wheat Ridge CO. 80033
Description
page 1
Total
Estimate
Date
Estimate #
10/2512017
2016
i Project
HIGHLINE ROOFING & GUTTERS INC
15423 E. BATAVIA DR
AURORA,CO 80011
Ph: 720 224 6866
=" highlineroofogmmaii.com
Name 1 Address
David Kissel!
4115 Uphwn St
Wheat Ridge CO. 80033
Description
'ESTIMATE VALID FOR 30 DAYS*
HIGHLINE ROOFING & GUTTERS, INC.
Highline Roofing & Gutters. Inc.
DATE: 10.125;017
HOMEOWNER / r
DAIS _V�L-7_._��
Estimate
Date
Estimate #
10123.2017
1 2016
I Project i
I have reviewed the above estinvite and autluxize I ighline Ratftng & Gunres, Inc. to proceed with serviccs as specified at the a6ovc referenced.
4145 Uphwn St_
Wheat Ridge CO. 80033 Total 516,689.09
Page 2
+1 I
Dane Lovett Z o 17 N) ,� L
From: no-reply@c i.wheatridge.co.us
Sent: Monday, October 16, 2017 11:46 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
1p_ /
Property Address 4115 Upham St
Property Owner Name David Kissel
Property Owner Phone 3034089282
Number (enter WITH
dashes, eg 303-123-4567)
41
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
david tldandys@comcast.net
Yes
Attach Copy of Executed 4115 Upham St. ESTIMATE.ipa
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)
Highline Roofing and gutter
a
160145
720-224-6866
Contractor Address 15423 e.Batavia Dr
(Primary address of your
business)
Contractor Email Address highlineroof@gmail.com
Retype Contractor Email highlineroof@gmail.com
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
20
16,685.09
No
Pitched roof (2:12 pitch or greater)
42
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 20
part of the PITCHED
roof?
Describe the roofing oak ridge
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional house roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
43
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 HIGHLINE ROOFING & GUTTERS, INC.
Email not displaying correctly? View it in your browser.
44
r . City of Wheat Ridge
rf
Residential Roofing PERMIT - 201708354
PERMIT NO: 201708354 ISSUED: 1.0/16/2017
JOB ADDRESS: 4115 Upham ST EXPIRES: 10/16/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 20 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)408-9282 KISSELL DAVID F
SUB (303)582-4252 Julio Blanco/Eduardo Vasquez 160145 Highline Roofing & Gutters Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,685.09
FEES
Total Valuation 0.00
Use Tax 350.39
Permit Fee 315.25
** TOTAL ** 665.64
*** 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.
City of Wheat Ridge
r Residential Roofing PERMIT - 201708354
PERMIT NO: 201708354 ISSUED:
JOB ADDRESS: 4115 Upham ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles
10/16/2017
10/16/2018
20 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
thisermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Gni ,
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 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 re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance dation of this jurisdiction. Approval of work is subject to field inspection.
ua , 11\. IW.nt._70
Signature of Chief Building Official Date —
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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 Scott Jeffrey
Email not displaying correctly? View it in your browser.
12
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof.
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5:12
28
GAF Armorshield II
Asphalt
Remove and replace roof unit on house with GAF Armorshield
11
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
11
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 Gutierrez - Signed Contract.odf
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)
Mile High Roofing, Inc.
120089
720-248-7374
Contractor Address 8120 Sheridan Blvd.
(Primary address of your
business)
Contractor Email Address office@milehighroofinginc.com
Retype Contractor Email office@milehighroofinginc.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 28
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
both? (check all that
apply)
o11
No
Pitched roof (2:12 pitch or greater)
10
Antoinette Kulick
From: no-reply@ci.wheatri dge.co.us
Sent: Wednesday, November 8, 2017 11:22 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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 (enter WITH
dashes,eg 303-123-4567)
Property Owner Email
Address
3855 Allison St
Gary Gutierrez
720-854-9370
Field not completed. ` L4
!S
N
O
CITY OF WHEAT RIDGE
Building Division
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001 (303)235-2855
Contractor's License # - 120089
Mile High Roofing Inc.
Scott Jeffrey
4580 FLOWER ST
WHEAT RIDGE CO 80033
Bus Phone: (720)248-7374
Fax:
Type of License Expires On Amount
----------------------------------- ----------- --------
Roofing Contractor 05/31/18 75.00
Person(s) able to pull permits - Scott Jeffrey, Matt J
effrey, Russ Perkins
i
Chief Building Official 05/10/17
�1 COLORADO'S ROOFING AUTHORITY
Client's Name: C..r
Property Address. _S
Cell #:
Mortgage Company:
Damages Result of Wind at
MILE HIGH ROOFING, INC.
9053 UTICA ST, WESTMINSTER, CO. 80031
Work #:
Hail or Other (Specify if Other):
Insurance Company: i" • ^ f 4' _ Claim #:
City
State, t, Zip:
Email:
Account #:
Approx, Date of Loss: ' \t
Client has hired Mile High Roofing, Inc "MHR' to assist and process its Claim so that it can avoid the unfamiliar and inconvenient insurance claims process. Client understands
that MHR is not a public insurance adiL ster, but desires for MHR to discuss with the Adjuster the scope of repairs needed on the Property. Therefore, Client directs its Insurance
Company and/or Mortgage Company () vhich term shall include any lien holder) to discuss any and all aspects of the Claim with MHR. Client directs its Insurance Company and/or
Mortgage Company to include MHR a a payee on all drafts, checks and other instruments issued in payment of the Claim. Client authorizes its Insurance Company and/or
Adjuster to forward any estimates ors pes of work to MHR.
Client hereby assigns MMR any and al proceeds of its insurance benefits (including all supplement$) for the Claim which is identified by its number in this Contract and Client
hereby directs its Insurance Company t include MHR as a payee on all drafts, checks and other instruments issued in payment of the Claim. Furthermore, Client agrees that any
and all payments received from the Insurance Company by Client shall be immediately endorsed to the order of MHR and delivered to MHR. The parties hereto further agree that
MHR shall be entitled file a supplement 1 Claim, as necessary, for material or labor increases and/or incorrect measurements.
IF CLIENT HAS A REPLACEMENT COST VALUE POLICY, CLIENT'S OUT OF POCKET EXPENSES WILL NOT EXCEED CLIENT'S INSURANCE POLICY DEDUCTIBLE FOR
WORK AGREED UPON BETWEEN THE INSURANCE COMPANY AND MHR.
Client hereby authorizes MHR to proce d with the description of work as outlined in theCtaim, If, the Work described in this Contract is in excess of the work described In the
Claim, Client is responsible for paymen of the difference unless the contract is cancelled by Client pursuant to the cancellation policy set forth herein. MHR agrees to commence
and complete the Work in a commerci By reasonable period of time, and agrees to complete the Work in accordance with alf applicable laws, rules, regulations, ordinances and
codes. 'Completion" of the Work shall deemed to have occurred when. Mile High receives the final approval of the Work from the applicable authority, if required, or otherwise
upon notice of completion from MHR. v1HR shall not be liable for any delay in performance under this Contract caused by events beyond its reasonable control. Client hereby
agrees that MHR shall have access to he Property for the staging and execution of the Work. If Client fails to reasonably cooperate with MHR so as to prohibit, interfere with or
delav the Work. MHR shall have the na t to terminate this Contract upon delivery of written notice to Client and shall have no liability to Client as a result.
MHR shall provide the fo
lowing materials, labor, tools, equipment and supervision (the "Work") required as selected by Client or its
representative and w
U perform the Work in a
good workmanlike manner according to standard practices within the industry.
Id TEAR OFF F ` \. "
t A.r C
_ 9 _ vEaTuriolaSYSTEM.-
W DECKING. .. 5�11L
L y
ICE AND WATER SHIELD:
HIE .F,vL V n f CS.'•a hs
�j UNDERtAYMENT: / h
MATERIAL: G 11 t "Zt
VALLEYS•
COLOR'
O PIPE JACKS: �)
n
n
HIP AND RIDGE:t��✓
DRIP EDGE: :- =w�
a, zS
eN �S MISC.: Ct\
r
1j NAILS: hi
'fit' 'mei!
Est Cost of Work:
r r
Co f.5 GUTTERS:
DOWNSPOUTS:{ f^ +•U V Q { w C 4 r
Ii—® COLORS:
Q MISC.:
Est Cost of Work.,
✓ (�
TOTAL Est. Cost of Work. Y+ .
2!
Initial Pavinent/Date: /
This Contract constitutes the entire agement between Client and MHR with respect to the Work, takes precedence over all prior written or oral agreements between Client and
MHA, and this Contract may not be oditied or amended except by a written agreement signed by Giem and MHR. Yf Chem fails to pay WhiR any amounts due under tiros
Contract within five (5) days of Compl tion of the Work or upon Client's receipt of funds from the Insurance Company for the portion of the Work to be paid by the Insurance i
Company (whichever comes first), Clien agrees to pay all costs of collection plus reasonable attorneys' fees and ten (10) percent interest per annum. '
The Total Cost of Work and all other a nts set forth in this Contract are estimates based on what is known about the condition of the roof and the damages to the roof as of the j
date the parties enter into this Contra(t. If the damage to the roof is more extensive than known as of the date of the Contract, if current market labor and/or material prices i
increase or if the condition of the roof omplicates the project, the Total Cost of the Work set forth in this Contract is subject to change.
Approximate dates of service: _ ^z` /� to /^�y� / , . Please note that the dates of services are subject to change due to unusual delays in
delivery and transportation of materia Is, weather delays, or other causes beyond the reasonable control of MHR.
Any payment made by CI!6nt t s IHR will be held by MHR in its bank account for the benefit Client and It will remain Client's property (i.e. the payment
will be held in trust) until MHR he delivered roofing materials to the Property or has performed a majority of the Work on the Property. I
I
i
j
LC IENT DAIS; / c v / 1 DAZE: /o?2
PRINT: �.Ai4= i fl 2_ PRINT:
SIGN: a' ��— �Ei.a — SIGN: I
_.._Important terms and conditions are included on the second page otthis Contract. Please read the entire Contract. �� I
' W, City of Wheat Ridge
r 4 0000r, Residential Electric PERMIT - 111335
PERMIT NO: 111335 ISSUED: 10/31/2011
JOB ADDRESS: 4115 UPHAM ST EXPIRES: 10/30/2012
DESCRIPTION: 200 amp service upgrade and 3 new circuits
* ** CONTACTS * **
owner 720/219 -9774 Dave Kissell
sub 303/202 -5030 PAUL PARSONS
02 -0650 KELLY ELECTRICAL SERVICES INC
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE: UA
BLOCK /LOT #: 0/
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document an or accompanying approved plans and specifications.
or CONTRACTOR
This permit was issued based on the information provided in the permit application and accompanying plans and
ape ications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
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.
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.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval o£, 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.
2.
3.
4.
5.
6.
Burlarng Ortical
Date
# REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY,
�oF "' " City of Wheat Ridge Building Division
m 7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 ' Fax: 303 - 237 -8929
°Oto "PC° Inspection Line: 303 - 234 -5933
Building Permit Application
Date:
Plan #:
Permit #:'t J
Property Address: 7� S � 1� ,T.
Property Owner (please print) 4 _74;1 6,izl/ Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: Ar�llzl
Contractor License #: Ph
Sub Contractors:
Electrical City License #:o Plumbing City License #: Mechanical City License #:
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval:
Approval: Approval:
Use of space (description): Construction value: t _
Description of work; /1 (as calculated per the B�ding aluafton Data sheet)
��`j// /L'E'� / ✓E 4 //&�) Gb�f - al L!r/W /o Plan Review (due at time of submittal): $
C Z0 41W OSL. M* 1
Sq. Ft./L.Ftadded: 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) ONTRACTO or PERSONAL REI
PRINT NAME: 4&1-ze" i'ae SIGNATURE:
(CONTRATOR)
Date: Ze 11
Residential Miscella PERMIT - 110776
PERMIT NO: 110776 ISSUED: 07/06/2011
JOB ADDRESS: 4115 UPHAM ST EXPIRES: 07/05/2012
DESCRIPTION: Chainlink dumpster enclosure
* ** CONTACTS * **
owner 303/422 -7004 David Kissell
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
UA
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 500.00
FEES
Permit Fee 35.00
Total Valuation .00 2 �
Use Tax 9.00j0"O�wp
** TOTAL ** 44.00
Conditions:
Chain link fence must have wooden slats and be 6 feet tall.
Subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this ddocc and /or a ompanying approved plans and specifications.
or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
S. 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 app icable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspectionA -
Signature of
Date.
INSPECTION 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.
City of
`/y IZ t,q C gC Date: W 2-
COMMUNITY DEVELOPMENT
.Plan#
Building & Inspection Services Division Permit f�Q fro
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property
PropertyOwner(pleaseprint) y/ / �( l� r`� S 1 14_ Phone:3 3 `' y
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractors City License #r' Phone:
�WContracfdrsu+
Electrical: Plumbing: Mechanical
City License # City License # City License #.
DescrlDttoti: of work:
Vi a`_ /..rc�iv�i/i. �2a�� � Contract Value
X! D t
Review Fee d e at time of submitta
Squares BTU's Gallons Amps Sq Ft. $
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. (O ER) ( CONTRACTOR) or of (OWNER) (CONTRACTOR)
PRINT NAME: D A Y 7 � ` 4 a SIGNATURE: .:._rp,�`�g /�� DATE:
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♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
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
!1
Date: ✓ Inspector: '!'
D NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
Residential Roofing PERMIT - 091324
PERMIT NO: 091324 ISSUED: 08/14/2009
JOB ADDRESS: 4115 UPHAM ST EXPIRES: 02/10/2010
,:.DESCRIPTION: Reroof. 40 sqs..
` ***CONTACTS
owner 303/422-7004 David Kissell
sub 72.0/381-0365 Michael Terry 09-0206 Glacier Roofing
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION:, UA BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,500.00
FEES
Permit Fee 217.50
Total Valuation .00`
Use Tax 153:00 ~`97(a '
TOTAL 370.50
Conditions
6. nail installation mid-roof inspection :required. .Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
11 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 t is pefmit Plans subject to field inspection.
Signature of contractor 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
g; date. An "extension maybe 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 for a 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
M 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 for, nor
v an approval of, any violation of the any provisions of the building codes or an other ordinance, law, rule orregulation.
All plan review rs ubj ect to field inspections.
Ni
' Signature of ilding' Official date
INSPECTI• R QUEST LINE: (343)234-5933 BUILDING OFFICE: (303)235-2855
'REQUEST MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r
c'
d,
y F W"E??qo City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
CO~ORP~O Inspection Line: 303-234-5933
Building Permit Application
Property Address;/o%.fJJ
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Date:~
Plan
Permit
3 AWL 76 6 `
City, State, Zip:
Contractor:
Contractor License Phone: 7c) j 9Q 1 7'r 3 /
Sub Contractors;
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
So V O r~
Use of space (description): Construction Value: $
Dblkrlptlon Ot WOrk (as calculated per the Buildinq Valuation Data sheet)
Plan Review (due at time of submittal): $
/ (CI~.Qi'" 2~~ Jry Gl /dam s/✓3 CO~Ec~'..
Sq. Ft./L..F-t/added: r Squares VO 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) (C T R) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: T~kkV t~~ T-~-✓-V - SIGNATURE: Date: /
Bldg Valuation: $