HomeMy WebLinkAbout4410-4412 Tabor Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: i U K' S_
Permit Number:
❑ No one available for inspection: Time riAM/PM
e
Re -Inspection required: Yes 1110
When corrections have been made, call for re -inspection at 303-234-5933
Date: ` 1"1 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
. Residential Sewer Repair PERMIT - 201900776
a'" T
PERMIT NO: 201900776 ISSUED: 04/24/2019
JOB ADDRESS: 4410 Tabor St EXPIRES: 04/23/2020
JOB DESCRIPTION: Residential sewer repair 30 feet of 4 inch sewer in yard. SDR cleanouts.
*** CONTACTS ***
OWNER BRANDO HARLAN
SUB (720)312-9102 MANUEL GUERRERO 120127 PIPELINE SOLUTIONS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,200.00
FEES
Total Valuation 0.00
Use Tax 46.20
Permit Fee 93.35
** TOTAL ** 139.55
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900776
PERMIT NO: 201900776 ISSUED: 04/24/2019
JOB ADDRESS: 4410 Tabor St EXPIRES: 04/23/2020
JOB DESCRIPTION: Residential sewer repair 30 feet of 4 inch sewer in yard. SDR cleanouts.
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7�e 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
per armed and that all work t 'b performed is disclosed in this document and/or its' accompanying approved plans and specifications.
A .i - a /_ /
,, , — - __-�__ --- -
�Signatuie-of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The iss nce or granti ` of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
appli co e or any inance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat P dge
MMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: //
L- /
Plan/Permit #
Pa�ew 7ee
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: A C�:%}2 S�
N k � "1 7& Hylccr✓1 -5(q/1610
Property Owner (please print): - Phone: -9 0 -
Property Owner Email: "` c.� vi r\ i ru �' � > I � ,_ (nom
Tenant Name (Commercial Projects Only)
r- o
Property Owner Mailing Address: (if different than property address)
Address: ' 0, Vy'\ p
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name:
City of Wheat Ridge License M
Phone:
Contractor E-mail Address: Vn ✓1 ri Ak_4 cup t6
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): n Ya GJ At i (Z) Y'4 2-4; Phone:
CONTACT EMAIL(p/ease print): L\A 0 v- L� v C' rLQ c, -
Sub
,
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
[]COMMERCIAL �] RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
i(cz1
Sq. FULF
for, V �- '�L/
BTUs
4( i
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provi the a�/plication.
CIRCLE ONE: (OWNER) (CONTRACTSIR) or (UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Sianature (first and last name): `) /vim �C r — DATE: r
Printed Name:/_jam /��� %r,�r✓�c��
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
INSPECTION RECORD
Inspection online form: http://www.cl.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 day
PERMIT; jam' Q ADDRESS: 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
G
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
G
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
r
PERMIT: ADDRESS: L`/L�,ba,� .a: JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
403 Final Electrical Residential
317 Rough Mechanical Commercial
404 Final Electrical Commercial
318 Boiler / Furnace
406 Final Mechanical Commercial
319 Hot water tank
407 Final Plumbing Residential
320 Drywall screw and Nail
408 Final Plumbing Commercial
321 Moisture board / shower walls
L t
410 Final Window/Door
322 Rough Grading
411 Landscape/Park/Planning'`
323 Miscellaneous
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
Final Inspections
Date Inspector
Initials
Comments
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
L t
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address 4410 Tabor Street
Permit Number 201800494
Permit Issued Date 3-1-18
Owner Information
Property Owner Information Linda Gieseler
Property Owner Address 24,41U IVAkl 2
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth;Travis Stanforth
Inspector Contact info. 720-940-1180 TStanforthCBC(@..gmail.com
Inspector Statement of Acknowledgement
*1 hereby 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 Building Department.
*1 hereby 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 a e Ci f Wheat Ridge Policies and Procedures nd
manufacturer's recmmen i ns n specifications.
Inspector:;27Date: v
o.........a., n..,....., 046-4. ...,.a .. w..V......,�...a...........�
*1 hereby acknowledge that I ani_" 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 Buildigg.L4vision inspection.
Property Owner/Agent: Date: 3-2--/S
This original document and permit rd, as well as the roofing checklist, must be
submitted to 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
Submit via Email
Kcook(aD_ci.wheatridge.co.us
CBC Wheat Ridge Roof Inspection Packet Page 2 of 6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Roof Inspection
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
N/A
❑ Pass
❑ Fail
If new sheathing is installed, verify that it is listed in the permit
description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (see Policy and Procedures)
N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
❑ N/A
& Pass
Pass
❑ Fail
❑ Fail
Verify vent must have boot same gauge as pipe
Verify
�
vent caps
❑ N/A
j6 Pass
❑ 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
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC/2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper damage
❑ 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
Pass
❑ Fail
Dripedge shall be mechanically fastened 12" OC
N/A
❑ Pass
❑ Fail
90 LB roof 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
Above roof insulation R-25
161 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
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less than 3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
i, 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 the sections overlapping a min. of 4"
Tile Roof Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
N/A
❑ Pass
❑ Fail
Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of
6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
CBC Wheat Ridge Roof Inspection Packet
Page 4 of
6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
❑ N/APass
❑ Fail
Structural roof components
❑ N/A
N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑
❑ N/A
Pass
[,Pass
❑ Fail
❑ Fail
Flashing for roof and walls
Structural roof components
N/A
/❑—Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
N/A
❑ Pass
❑ Fail
permit description (Valuation must be adjusted)
Verify sheathing nail
N/A
❑ Pass
❑ Fail
pattern (See Policy and Procedures)
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
ass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
❑ N/A
Pass
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ Fail
Underlayments must follow 2012 IRC/2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
o N/A
Pass
❑ Fail
Dripedge shall have min. 2" of overlap
❑ N/A
N/A
Pass
❑ Fail
Dripedge should extend down min. 2" past roof deck
❑
Pass
❑ Fail
Dripedge shall be mechanically fastened 12" OC
N/A
❑ Pass
-a Fail
90 L$ roll-ro-Offing s-hai� not be applied to roof slopes less than
2:12 slope: Exception, detached garages, patios, carports, open
N/A
on three sides with min. slope of 1:12
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shin les Requirements
N/A
N/A
❑ Pass
Pass
❑ Fail
Metal roof shingles shall not be installed on slope less than 3:12
N/A
❑
❑ Fail
Metal valley flashing shall be the same material as roof
❑ 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
Tile Roof
the flow line with the sections overlapping a min. of 4"
Requirements
N/A
N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
❑ Pass
❑ Fail
Slopes 4:12 and under require double underla me
y nt
CBC Wheat Ridge Roof Inspection Packet
Page 5 of
6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
Company Name: Certifie uilding C
Inspector Signature:
Date of Inspection: %!
/ 7
CBC Wheat Ridge Roof Inspection Packet
Page 6 of
City of Wheat Ridge
{00,0AResidential Roofing PERMIT - 201800494
PERMIT NO: 201800494 ISSUED: 02/22/2018
JOB ADDRESS: 4410 Tabor ST EXPIRES: 02/22/2019
JOB DESCRIPTION: Residential re -roof on duplex with Atlas Pinnacle shingles. Squares:35;
Pitch:5/12.
*** CONTACTS ***
OWNER (303)674-6170 GIESELER FAMILY TRUST
SUB (303)660-5133 Chris Horning&Christopher Teem 140211 Priority Restoration Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00
FEES
Total Valuation 0.00
Use Tax 210.00
Permit Fee 204.30
** TOTAL ** 414.30
*** 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201800494
201800494
4410 Tabor ST
ISSUED: 02/22/2018
EXPIRES: 02/22/2019
Residential re -roof on duplex with Atlas Pinnacle shingles. Squares:35;
Pitch:5/12.
I, by my signature, do her
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 rmit. I fyrther attest that I am legallied to include all enfties named within this document as parties to the work to be
performed apd that all work to
be�;rt�tm��edaTs"disclosed in this documnt and/or its:. accompanying approved plans and specifications.
Sig ure oP OWNER or /1CONTRAC (Circle one) ,$ate
I , his permit was issued baaed e information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify, the Building and Inspection Services Division in accordance with established policy of all 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 o , ranti� of a ermit shall not be construed to be a permit for or an approval of, an violation of any provision of any
apphca leacod r ai7jrdi rr6'gulation of this jurisdiction. Approval of work is subject to field inspection.
r
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CUSTOMER AGREEMENT
H
■�
7340 South Alton Way 11-J. Centennial. CO 80112
Phone: 303-660-5133' Fax. 303-660.5148
Email: Into®Priority- Restaratianv�
Web' ww.Pnority-Rzstoration.comom
Restoration
Licensed & Insured * Locally Owned & Operated
1 s rr'
ACCREDITED
ESS
Property Owner
Email
Date
i %trema or=Se1et2
�7 _ Ib- 1'1
Street Address
Priority Estimator
+4 k C) t' sl-R_e-ev-
City, State, Zip
Insurance Company
krvrT- e, -,o IF C-0 PV0 3.3
Phone
t,3
Work Phone
Claim#
-t17'1'4- 1�71 -V
[ I
V+� b25
W No Deposit Required* LJ 20 Year Roof Labor Warranty Q Gen. Liability/Workers' Comp. Q OSHA Certified
Estimated Z1Tg119, Estimated Full Partial Repair
Start Date Completion Date dw
1(00
• • • Fu I Partial Repair Damage: Yes No Type:
,111-6 �S GARAGE PATIO SHED SHED2 STUCCO VINYL WOOD OTHER:
Shingle I Color: va� Style:
Drip Edge Color:
tt�.lf Inspect Decking LI Inspect Flashings 5.- - Res
L•J Clean Up & Remove Trash LJ Permit L.f.:
Color:
ull Partial Repair
6" - Comm. Alum. Steel
Color: k&ATZ i
Work to be completed according to the above specifications in the amount of:Lt�) J
(not to include insurance supplements. permit costs or any unforeseen construction costs) $A��Balance due u on com letion l:AP_ 0_u>a'j�
® R R CASH SALE
i"� lZ1 tom}
® INSURANCE AGREEMENT. The homeowner authorizes Priority Restoration, Inc. to represent their best interest in
pursuit of full replacement costs for damages believed to be covered under homeowner's insurance and allows Priority
Restoration, Inc. to deal directly with the insurance company regarding this claim. This contract does not obligate the
homeowner or Priority Restoration, Inc. until the claim is approved by the insurance company, and accepted by Priority
Restoration, Inc. Upon approval of claim, Priority Restoration, Inc. will complete all specified work at a price agreeable to
the insurance company (RCV only) and Priority Restoration, Inc. with no additional cost to the homeowner except for the
deductible. Final agreed upon price will become the final contract price, regardless of estimated contract price above, and
we request that all payments also be made payable to Priority Restoration, Inc. * "Priority Restoration, Inc, will hold in
trust any payment from property owner until we have delivered roofing materials to the jobsite or until a majority
of the roofing work has been performed."
I (We) agree, by signing below, to all the contract conditions on both front and back, of this agreement.
-,
Homeowner's Signature:
Date of Acceptance: E' _'t0 k-1
Representative Signature:
V, 66
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, February 21, 2018 12:55 PM
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 Duplex
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
4410 Tabor Street
Linda Gieseler u
303-674-6170 ` v e y p i r p_`t
chrishorning@priority-restoration.com
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Yes
Signed Gieseler Contract.pdf
CONTRACTOR INFORMATION
Contractor Business Priority Restoration Inc.
Name
Contractor's License 130
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)
Contractor Email Address
Retype Contractor Email
Address
303-660-5133
7340 S ALTON WAY UNIT 11-J
chrishorning@priority-restoration.com
chrishorning@priority-restoration.com
DESCRIPTION OF WORK
TOTAL SQUARES of 35
the entire scope of work: ;
Project Value (contract ; $10,000.00
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)
Pitched roof (2:12 pitch or greater)
2
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
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5/12
35
Atlas Pinnacle Asphalt Shingle
Asphalt
Reroof Duplex
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
3
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 Christopher Horning
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F~}„p
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: (t I{f)rs
l Job Address: (f1//V,4/V 7_46rr
E ` Permit Number:
Al .
f:
4' ~mlrc
❑ No one available for inspection: Time A M6)
Re-Inspection required: Yes loo
"When corrections have been made, call for re-inspection atv v3-234-5933
Date: 1 .6,-erq Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: h'' Z✓a ° ~i z> g -
r
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
Dater Inspector:
DO NOT REMOVE THIS NOTICE
c _d , ~ sz ~ !T o.i
3('t33,~kR95
City of Wheat Ridge
Faxed Roof Permit PERMIT - 092631
PERMIT NO: 092631 ISSUED: 09/22/2009
JOB ADDRESS: 4410-4412 Tabor St. EXPIRES: 03/21/2010
DESCRIPTION: T/o: Install 41 sqs of GAF 30. yr dimensionals
***:CONTACTS-***
owner 303/919-0916 Arnold Gieseler
gc 303/777-0333 Ron Tuttori 02-1585 Homestreet :Roofing'. Inc.
**:PARCEL' INFO
ZONE CODE: UA USE: UA
SUBDIVISION;. 0081 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,800.00
FEES
Permit Fee` 217.50
Total Valuation .00
Use Tax 158.40 TOTAL 375.90
TS.cocayt)
#450 9a'
Conditions:
6 nail installation mid roof inspection required. Board sheathing spaced more
thana 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 inspection.
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
i.
applicable Wheat. Ridge Ordinances, for work under this permit. 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
date. An extension may be granted at the discretion o£'. 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 S(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
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
an approval of, any violation of the provisions of the. building codes or any :ether ordinance, law;. rule or `regulation.".
A11: plan r(ervvie i 506 ject to field inspections.
Signature of /O ief ilding official date
INSPECTIO 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.
♦I4i
r City of
Date:
eat
0.I~MUNITY'DMLOI'dviElV'x`•-~Z perrnlt#:
eiMtrip_MAdslo n
f nUU vv.. zy,.. F,, - ea t -
Office: 303-235-2855 Fax 303-237-8929
Inspection line: 303-234-5933
le Building Permit Application
Property Owner (please print): f'~ Ste. 2 ._Phone. 3 ry~ailing Address: (ifdifferenfthan prop ertyaddress)
Address:
Sam,
QUY. State, Zip: r'
Contractor License Phone: `t D3- 7-7 7-033
Use of s ai;a.. >:iescri tion):
c~ ✓ "~ih1'~ ~ ~ I O rrs L Plan Ravlax+ (due et time of submRtaQ: r
Sq. FUL.Ft added: Squarer, ! BTU's Gallons Amps
STOP WORK ORDER
You are hereby ordered to stop work located at:
By order of the City of Wheat Ridge Building Department
for the following reasons:
s°"~t'~ r~',/:*•f~t.~~ .p9.~~s.r:~:'.~. ~If'~~,' ~,.s'n'.r"e~ I~OP~CJ f•f~ ~~r"Oc'~,>`?! ~