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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 Email not displaying correctly? View it in your browser. 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'~,>`?! ~