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4669-4679 Otis Street
City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: June 30, 2017 Reason: Permit was paid for by incorrect contractor. Permit #201702676, for 4669 Otis Street needs to be closed out. Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ 442.05 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 505.09 (acct 01-500-02-505) Total: $ 947.14 TO: 1St Colorado Roofing 5815 W. 6th Avenue Suite 2A Lakewood, Colorado 80214 Thank You! k�'n eOO4 Permit Technician City of Wheat -Midge COMMUNITY DEVELOPMENT (1�91a_gPI City of Wheat Ridge Municipal Building 7500 W. 29'h 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. 291h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): � COturc%�0 �ft j , L�( Address: Sb (S W C -K Syi e 2A City: L_44W63 Phone: 3 03- �0 - S SS G Fax: State: (D Zip: � b 2 lit Email: D(b�()4`mP�) s�c6lond.co-Ani Permit #: 201-7Q2,6_76 Permit Address: Am o++ ,i S'I Reason for request: W r Printed Name: �uh 717,_A+ Signature: Date: �(� ( For office use only This request has been: Approved Denied Refund Amount: $ Approved by: Date: % ! t o/ / www.ci.wheatridge.co.us City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: June 30, 2017 Reason: Permit was paid for by incorrect contractor. Permit #201702676, for 4669 Otis Street needs to be closed out. Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ 442.05 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 505.09 (acct 01-500-02-505) Total: $ 947.14 TO: 1St Colorado Roofing 5815 W. 6th Avenue Suite 2A Lakewood, Colorado 80214 Thank You! k�'n eOO4 Permit Technician City of Wheat -Midge COMMUNITY DEVELOPMENT (1�91a_gPI City of Wheat Ridge Municipal Building 7500 W. 29'h 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. 291h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): � COturc%�0 �ft j , L�( Address: Sb (S W C -K Syi e 2A City: L_44W63 Phone: 3 03- �0 - S SS G Fax: State: (D Zip: � b 2 lit Email: D(b�()4`mP�) s�c6lond.co-Ani Permit #: 201-7Q2,6_76 Permit Address: Am o++ ,i S'I Reason for request: W r Printed Name: �uh 717,_A+ Signature: Date: �(� ( For office use only This request has been: Approved Denied Refund Amount: $ Approved by: Date: % ! t o/ / www.ci.wheatridge.co.us 06/30/17 11:26 City of Wheat Ridge Page 1 of 2 Valuation/Fee Money Postings List/Update cr121_pg.php/Job No: 87129 USER: KCOOK In Update Mode Permit Receipt Payment Fee Amount No No Date Code Description Paid 201702676 CDA015120 06/30/17 PRM Permit Fee 442.05- 201702676 CDA151120 06/30/17 USE Use Tax 505.09 - TOTAL 947.14- 06/30/17 11:26 cr121_pg.php/Job No: 87129 City of Wheat Ridge Valuation/Fee Money Postings List/Update Page 2 of 2 USER: KCOOK GL Posting Summary GL Account Description Debits Credits 01-101 BPS PERMIT PAYMENTS 947.14- 0.00 IST WR/C7 01-500-02-505 BPS PERMIT PAYMENTS 0.00 505.09 USE TAX 01-510-00-516 BPS PERMIT PAYMENTS 0.00 442.05 BUILDING TOTAL 947.14- 947.14 Online Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=... Online Form Submittal: Residential Roofing Permit Application no-reply@d.wheatridge.co.us Sent: Thursday, June 15, 2017 4:21 PM To: Permits CommDev Categories:Antoi nette Residential Roofing Permit Applic, n This application is exclusively for new perms for resid oofs and for nsed contractors only. This type of permit is ONLY ein sed online --do no ome to City Hall to submit an appli ersonermits a processed and is' ed in the order they are received. U WILLI EC TAC TE HEN YOUR PE MIT IS READY FOR PIC WILL t3 GIV A SPE C DATE AND, ME WINDOW TO COMPLE T TRANS CTI You will notified if yota;;l contractor's license or i ra has expi `;ed, an you may u ate those 14 41, documents at the time u ar ssued yo permi ermits ar rrently bgi4�ng processed within 3-5 iness ays, subj` ct to ch e based o olume:;v For all other requests ; Homeowners wishing obtainoofin ermit must ply for the "tin person at City Hall evision existin ermi '(for exampl o add redec g) must be completed i erson City Hall'; II of non -roofing rmits must, completed in person at Cit all. T Building vis' will be open f 7:30-1 0 a.m., Monday throu Frid to proces types of requests. ' THIS APPLICAI REROOFING U Is this application for a residential roof? S NOT CONSTITUTE A PERMIT. MIT HAS BEEN ISSUED. Yes How many dwelling units are 3- or 4- Units on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this BEGIN 4669-4679 Otis Street Rita Weller (303) 233-4332 wellerre@quest.com Yes 1 of 3 6/30/17, 11:31 AM Online Form Submittal: Residential Roofing Permit Application property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Contractor Email Address (permit pick-up instructions will be sent to this email) Retype Contractor Email Address DESCRIPTION OF WORK https://wnnail.ci.wheatridge. co.us/owa/?ae=Item&t=IPM.Note&id=... Colorado Roofing Contractors, LLC 120085 (720) 833-8396 annie@coloradoroofingco.com annie@coloradoroofingco.com Are you re -decking the roof? No Description of Roofing r & R asphalt shingles (Owens Corning "Duration" Tomak Material Select Type of Material: Asphalt If "Other" is selected above, Field not completed. describe here: How many squares of the 55.93 material selected above? Does any portion of the: , a No property include a flat roof? If yes, how many squares on Field not completed. the flat roof? TOTAL SQUARES of all 55.93 roofing material for this project Provide additional detail house - multi here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 2 of 3 6/30/17, 11:31 AM Online Form Submittal: Residential Roofing Permit Application Project Value (contract value $24,052.07 or cost of ALL materials and labor) https:Hwnnail.ci.wheatridge.co.us/owa/?ae=ltem&t=IPM.Note&id= SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes 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 may Yes not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Annie Candelaria Email not displaying correctly? View it in your browser. 3 of 3 6/30/17, 11:31 AM PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706852 201706852 ISSUED: 4669 Otis ST EXPIRES: Residential re -roof for 4669-4679 Otis to install asphalt shingles with 51 sq. Pitch = 5/12 09/01/2017 09/01/2018 Owens Corning Duration *** CONTACTS *** OWNER (303)233-4332 WELLER RITA E SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,750.00 FEES Total Valuation 0.00 mak, Use Tax 288.75 Permit Fee 267.70 l ** TOTAL ** 556.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. 41 City of Wheat Ridge Residential Roofing PERMIT - 201706852 PERMIT NO: 201706852 ISSUED: 09/01/2017 JOB ADDRESS: 4669 Otis ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Residential re—roof for 4669-4679 Otis to install Owens Corning Duration asphalt shingles with 51 sq. Pitch = 5/12 1, 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesrthat 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 performe isdisclosed in this document nd/or its' accompanying approved plans and specifications. ��D,D�� �— -•7 Signature of OWNER or CONTRACTO (C e one) Date I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and 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 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 rcquired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuanceborgranting 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 ter any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. reterraustisl-cem INTERSTNUE - - -- ROOFING Submitted To 1Cc G t "{ Datet4 t'_1 7 Email Phone Alt. Phone Street `/46 2 - V619 Q �.� jS4-.Ci7 A)IZ. State -6:;, ZipOD 3- Insurance Insurance Company Claim# �� �� 5 Ply# Scope of Work and Matedals to be provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.; however, Interstate Roofing is riot obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Tear off L� layers of composition shingles ❑ Tear off one layer of wood shingles Install Decking (7(16" OSB) Instafi new felt Install pre -painted eave metal to code - Color tlBrown N Charcoal Tan Gray White int.,____ Valley(s) will be closed ❑ Valleys will be open Ridge(s) to be color -coordinated ❑ Ridge(s) will be "High profile Ridge" color -coordinated shingles 9- install new pipejacks Replace Vents as needed Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install In, ftof series ridge vent ❑ install in. it. of ice & water shield to code pw Install nails per shingle ❑ Clean out gutters 5 year workmanship warranty Interstate Rooting, Inc, will provide general liability insurance coverage of $2,000,000, general aggregate Make a magnetic sweep of driveway and yard for removal of any nails Remove all debris resulting from above vYg/grk�� 7PSpeciallnstructions �.<JrJl? __ C✓�d� .tt i�r�. a� �c The approximate costs of the services based on damages known at the time this contract is entered is $ 0 I `� .5 Interstate Roofing, inc., however, will perform the scope of work approved by the insurance company for the am unt of the insurance appro proceeds. with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. Approximate gates of Service: &© + These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.A.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc, as co -payee on any subsequent loss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize InlgrssttateRoofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. DepositAmount:$ _ Date: Interstate Roofingshall hold in trust an D Initials' y payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance ( Client Si nature�{ '^ ''} „ 2ti�' �1 s (s) -, t UG . Representative Q Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Black Ins. Agency 1050 W 47th Ave. 2161 N. Academy Blvd. P. 970.482,7722 F. 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205 Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 303.763.9114 F. 303.789.3790 P. 719.471-9752 F. 719.597,44" www.interstate,,00f.com P. 307.634.2553 (303)397.7820 www.interstateroot.com info 9 interstateroof.com Dan Schultz 4 tJt /CJ From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 29, 2017 12:32 PM To: CommDev Permits L 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 0 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 Z 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 4669-4679 Otis St Rita Weller 303-233-4332 jwiles@interstateroof.com 81 /, /,::! ,Vsy 9/3a�r� P�Z 1, —e-1- . -r �� k10 4 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 17-6777 CONTRACT08032017.pdf CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name Contractor's License 019938 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-763-9114 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 1000 W 47th Ave (Primary address of your business) Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 51 the entire scope of work: Project Value (contract (L13750 value or cost of ALL materials and labor) Are you re -decking the No I/ roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 82 Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 51 part of the pitched roof? Describe the roofing O/C Duration materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional L5:12pitch detail here on the description of work. (Is this for a house or garage? What is the roof pitch? 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 submit this application 83 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 John Quante Email not displaying correctly? View it in your browser. 84 City of Wheat Ridge r Residential Roofing PERMIT - 201702676 PERMIT NO: 201702676 ISSUED: 06/27/2017 JOB ADDRESS: 4669 Otis ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Remove and replace asphalt shingles (Owens corning Duration Tomak) 55.93 squares multi family *** CONTACTS *** OWNER (303)233-4332 WELLER RITA E SUB (720)833-8396 Steve Dye 120085 Colorado Roofing Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,052.07 FEES eK Total Valuation 0.00, ': Use Tax 505.09 _ Permit Fee 442.05 ** TOTAL ** 947.14 -- *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midreof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€'"s 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's 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 - 201702676 PERMIT NO: 201702676 ISSUED: 06/27/2017 JOB ADDRESS: 4669 Otis ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Remove and replace asphalt shingles (Owens corning Duration Tomak) 55.93 squares multi family I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyinapproved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t 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 permit. I further attest that I am le ally authorized to include all entities named within this document as pames to the work to be performed anthat all wtto be performed �s disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTO (Circle one) Date 1, This permit was issued b don th ormation provided in the permit application and accompanying plans and specifications and is subject to the compliance wi se 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 re uired to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all rec uired inspections and shall not proceed or conceal work without written approval of such work fi-om the Building and Inspection Services Division. 6. The issuance or granting ofe permit shall to co fru d to be a permit for, or an approval of, any violation of any provision of any applicable code or any ord a ce or r gulatt diction. Approval of work is subject to geld inspection. -� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 15, 2017 4:22 PM To: Permits CommDev 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. 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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 fora Yes residential roof? p � ���ri l.©l How many dwelling units 3- or 4- Units are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4669-4679 Otis Street Rita Weller (303) 233-4332 wellerre@quest.com c- Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Colorado Roofing Contractors, LLC 120085 (720) 833-8396 Contractor Email Address annie@coloradoroofingco.com (permit pick-up instructions will be sent to this email) Retype Contractor Email annie@coloradoroofingco.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing r & R asphalt shingles (Owens Corning "Duration" Tomak Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 55.93 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? P] TOTAL SQUARES of all 55.93 roofing material for this project Provide additional detail house - multi here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract $24,052.07 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Annie Candelaria Email not displaying correctly? View it in your browser. 3 CITY OF WHEAT RIDGE. - _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M i Job Address: Permit Number: "�%(�►%('��-;2 ! o fZ a t- Cow a.6; NSpr- CM6 ❑ No one available for inspection: Time 5� AMkb Re -Inspection required: Yes No When corrections have been made, call for re -i pection at_30Y-234-593 Date: q&1117- Inspector: t DO NOT REMOVE THIS NOTICE Aug 07 2013 1:04PM HP LASERJET FAX city Of h6at R-� DEVELOPMENT P*wwmito 2--&($NO2! , M a lli fV Addms: (if d#)I&Mnt then PMP*4tY SddmSS) Mdrew X�o - AmhftWEf4ntwr E4nall PTMa + m� Vw ca= iwfo on Sid" Of Ws • t M Building pqrMit Application slow of thIs ftm InCOMOOft app "y not a * p,**,d* ---- ----- -- ArchiteaMn9ineer E-mail: Phone: # t I . � 11 1 . # : IIIIIIIiIIIIIIIIIII MOMMMIN�-R- O#w OV Licensed Sub: O#w City Lill Sub: city License # City License # M M , oil • x 1 M . I • Of ..,: mom- 3 `► d' m LO # # Y! t ✓ � r w: M m Wa Of this fo Aug 07 2013 I:OSPM HP LASERJET FAX mom# 1 13 lop *lit 01 =7 rmwwwn 0 U'll I �%* # 1 11111; "I'll # 0 . ..... .. .. ..... t rr C so jnfo�m Ittiort On i5TH sides of this form n mm FXMM =1 a r + « C « Sub Contracto(S: W.R. City License # W.R. City Lice W.R, City License �t Other Sub: Othm City Licensed Sub: City umse * City License # c a ll i on BOTH sides 4this form Aug 07 2013 1:13PM HP LHSERJET FAX p.14 I f • low qilllil 11 1111111qipiiii�j TFUL Ir FTMT=773��� j Phon Ote�ee Contractors C4 Ucense #- . • - Lem 77 E3 M= F-r E PlumbIng: W,R. City License At Complete I OU information on BOTH sides of this form Inspections will not be made unless this card is posted on the builds CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical YOUR HAS BEEN SIGNED TO BE SIGNED Insulation Drywall Screw FINALS Electrical Pl umbing Mechanical Roof Building Final Fire Departrn R.O.W & Drains Call by 3:00 PM to receive inspection the following business dji.. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB TION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Caissons - / (CEG) Concrete Ground OPECTION ng. or Monolithic roof / French Drain rvice Lines rvice Lines INSPECTIONS FOR PLANNING & _ - _ -- SHO C BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BOIL VCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DO OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OC. DT PERMITTED UNTIL CERTIFICATE;` PROTECT THIS CARD FROM THE e ( ) ( ) ax INSPECTION N TICE Inspection Type: t r- Job Address: Q L, ~9 °I i i~ Permit Number: (59 ❑ No one available for inspection: Time 3- A /PM Re-Inspection required: Yes A1o *When corrections have been made, call for re-inspection at 303-2345933 Date: U~ Inspector: DO NOT REMOVE THISINOTICE ♦ i CITY OF WHEAT RIDGE ~-r Building Inspection Division (303) 234-5933 Inspection lin 303 235-2855 Office • 303 237-8929 F ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIOI~.NOTICE Inspection Type: Job Address: 7f Permit Number: -?G1, ❑ No one available for inspection: Time j C). S3 )AP M Re-Inspection required: Yes (No When corrections have been made, calf for re-Inspection at 303-234-5933 Date: 11,~J,/'1 _ Inspector: DO NOT REMOVE THIS OTICE City of ;Wheat Ridge Residential Roofing PERMIT - 093964 PERMIT NO: ? 0939647 'ISSUED:`. 11/10/2009 JOB ADDRESS:-4669 79 Otis St '-EXPIRES: 05/09/2010 DESCRIPTION:. Reroof 55 sqs CONTACTS owner 303/233-4332 Weller sub 1 303/234-1539 S.Kowalski/M.Kowalsk 01-7246 Any Weather Roofing, Inc. PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:: 0373 .BLOCK/LOT#: 0/. FEE SUMMARY ESTIMATED PROJECT VALUATION: 12,500.00: FEES Permit Fee 290.301 ~o Total Valuation 00 jtl Use :Tax 225.00 515.30... <,..w, TOTAL 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. k**Contractor/Property owner shall provide 'ladder(s) secured in place for inpsections.+ 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 applicable Wheat :Ridge Ordinances, for work under this permit. Plans "subject to 'field inspection. < z s,/~Z Signature of 'ontractor/owner date 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. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official: If this permit expires, a new permit may be acquired fora 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 anew permit. No work of any manner shall be done. that will change the natural flow of water causing a'drainage problem 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.'. The : issuance of a permit or the approval of drawings and.: specifications shallf not be construed to be a permit for, nor an appro 1 any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. A11' ew is subject to field' inspections. igna "'e o Chief" Building: Official date NSPECTION REQUEST LINE: (303)234-5933 BUILDING' OFFICE:: (303)235-2855 EQUESTS MUSTS BE MADE BY 3PM:: ANY BUSINESS DAY FOR INSPECTION THE `FOLLOWING BUSINESS DAY. ,OF WHEAr~~O City of Wheat Ridge Building Division Date: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan c o Inspection Line: 303-234-5933 °~onPO Permit Building Permit Application Properly Address; .14669--79 a ms S I 3n3 Property Owner (please print): L" r, LE E,q Phone: q:3 3 2 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: AI)VLaea-t.l,'e0- 2-0CtP-Iti c Contractor License ®i-) a LI Phone: ('303) ~3 4 -Z S3 Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Poe z 12 ~oQ Construction value: $ 1 a St~Q. Description, of Work (as calculated per the Building Valuation Data sheet) tJ e~J -lei-TI T-Q- wR7~ev2i New Me,TA LED(ie Plan Review (due at time ofsubmittao:$ 33y(L 0im%PAStowhL Sq. Ft./L.Ft added: Squares 5.4' 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 'nspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: ST5V O.4 T_ ILo< gip. SW SIGNATURE: Date: C-1'O -a Bldg Valuation: