HomeMy WebLinkAbout4485 Independence Streeti CITY OF WHEAT RIDGE
_1�9�Building Inspection Division �.
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 10:� �� 2
Job Address: Lf 9T:7 ST
Permit Number: Zo 17 O (67 ��
❑ No one available for inspection: Time j/ AM/PM
Re -Inspection required: YesrfV0
�J
When corrections have been made, call for re -inspection at 303-234-5933
Date: 5 11�-IIV Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: �%(o ADDRESS: 4q�S^�LyAgAY, �VJOB,C/,ODE: I?kr
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
r% 61 ..4 n-....
vv .wt rvuI %,UIIC.ICIC rnvr i u Approval Ur I ne ApOVe 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
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
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
PJOB CODE-:
Rough Inspection (continued)
316 Rough Mechanical Residential
Date
Inspector
I
CommentsInitials
317 Rough Mechanical Commercial
318 Boiler / Furnace
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
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.
Final Inspections
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
Date
Inspector
Initials
Comments
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
C
i CITY OF WHEAT RIDGE
Building Inspection Division _
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: y )I - 12cW�
Job Address: 44 S I t\_342
Q
Permit Number: 'D J �9 D(�,
J
❑ No one available for inspection: Time �� -I A-M/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: `' i z, hInspector: .__,k .,
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 201800906
PERMIT NO: 201800906 ISSUED: 04/03/2018
JOB ADDRESS: 4485 Independence ST EXPIRES: 04/03/2019
JOB DESCRIPTION: Residential reroof permit remove and install Asphalt Shingles with 16
squares. Pitch 4/12.
Detached Garage.
*** CONTACTS ***
OWNER (720)937-5026 ZIETZ FREDERICK A JR
SUB (303)921-2358 Brent Donnelly 170163 Wapiti Enterprises
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,175.00
FEES
Total Valuation 0.00
Use Tax 129.68
Permit Fee 156.75
** TOTAL ** 286.43
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201800906
PERMIT NO: 201800906 ISSUED: 04/03/2018
JOB ADDRESS: 4485 Independence ST EXPIRES: 04/03/2019
JOB DESCRIPTION: Residential reroof permit remove and install Asphalt Shingles with 16
squares. Pitch 4/12.
Detached Garage.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
ptzrformed and that all rk to be perform d ' disclosed in this document nd/orit' accompanying approved plans and specifications.
� v�FN
Signature of OWNER or CONTRACTOR (Circle e) Date
1. 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 original permit fee.
3, If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signattre of'C ie T Bui�ng O icia Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer c)a
From: no-reply@ci.wheatridge.co.us
Sent: Monday, April 2, 2018 3:46 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?'
W C �►�S. eg ,
PROPERTY INFORMATION
Property Address 4485 Independance St Wheatridge
Property Owner Name Fred Zietz
-1-
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
720-937-5026
brent.wapiti@gmail.com
Yes
Attach Copy of Executed Zietz Contract.ipeg
Contract
CONTRACTOR INFORMATION
Contractor Business Wapiti Enterprises
Name
Contractor's License 170163
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-921-2358
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 8454 Sugarloaf Rd Larkspur, CO 80118
(Primary address of your
business)
Contractor Email Address heather.wapiti@gmail.com
Retype Contractor Email heather.wapiti@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 16
the entire scope of work:,-. _
Project Value (contract 6175.00
value or cost of ALL
materials and labor)
PJ
Are you re -decking the No
roof? '
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
What is the specific pitch 4:12
of the PITCHED roof?
How many squares are 16
part of the PITCHED
roof?
Describe the roofing Asphalt
materials for the
PITCHED roof: `
Type of material for the Asphalt
PITCHED roof:
Provide any additional Detached Garage
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
3
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.
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 Heather Donnelly
Email not displaying correctly? View it in your browser.
Larkspur. CO 80118 ""r "dotwgfmwi
7V(303) 921-2358
Email: brent@WaoitienterDrises.COm Gemini Insurance CO
PROPOSAL / CONTRACT Bell-ScottInsuranceGroup
$55-766-3980
R
D Replace rotte
pd
s�■
n
layer(s) ofT
plywood decking
Re -deck entire roof area.
Drip edge eve 2"x4" Rake 2"X2".
Ice/water shield Eves_ Valley -__-
Synthetic felt
Recover roof with
Roof color `i '
Ridge type Si Fasteners
Valley type
Replace attic vents add
Approximate start date:
Additional Work:
❑ Install _
X- Replace
'E'r Paint all
ElReflash
■
all plumbing pipe flashing
roof penetrations
❑ Skylights ❑ Chimney
Replace step flashing color:
Protect landscaping 4 Roller magnet
Clean up and haul off all debris
Provide permit / schedule inspection
Furnish all material, labor & insurance
Material warranty
Labor warranty _
Approximate complete date:
Roof Price: _S (01 k"15'.010 Permit: t 'cam Contract: �
The final payment is due on completion - not upon final inspection by any municipality - any questions or corrections requested by an inspector will be corrected as a
warranty item. 3% will be added to all credit card transaction.
I/We agree to retain Wapiti Enterprises to replace and/or repair the roof on the property aforementioned, contingent upon Wapiti Enterprises obtaining my insurance compan±
approval and payment to have said work done. It is understood and agreed that Wapiti Enterprises is empowered to contact my insurance carrier and meet their representativ
in order to negotiate the payment (as to the amount of damage to the above property), and to discuss the repair or replacement work to be cone on the property. Upon
insurance carrier's and Wapiti Enterprises aggreement to the extent of damages and the cost of fixing them, may begin work on said property. HOMEOWNER'S OUT -OF
POCKET EXPENSE WILL NOT EXCEED THE HOMEOWNER'S INSURANCE POLICY DEDUCTIBLE AMOUNT FOR WORK AGREED UPON BETWEEN THE INSURAN(
CARRIER AND WAPITI ENTERPRISES. Homeowner also agrees to provide all necessary documentation for claim, also providing all pertinent documentation to facilita
payment from insurance carrier and/or mortgage company.
All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Homeowner hereby acknowledges
that Wapiti Enterprises may be subject to delays occasion by inclement weather, labor disputes, material shortage and/or insurance carrier delays which are beyond the
control of Wapiti Enterprises and hereby accepts any delays occasioned by one or all of these circumstances in the installation of your roof. Homeowner grants full acce
to the entire property for staging and execution of work unless otherwise agreed. Wapiti Enterprises will not be liable for any damage to soft or defective driveways due
staging of work area and/or delivery of materials,
Alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become and extra charge over and above the
estimate. Also Wapiti Enterprises reserves the right to file for supplemental claim due to material or labor price increases due to a storm environment or if insurance
measurements are proven to be incorrect. Labor and material warranty covers roof only. Homeowner to carry fire, tornado, and all necessary insurance.
WE AT WAPITI ENTERPRISES ARE PROUD OF OUR SATISFIED CUSTOMERS AND THE MANNER IN WHICH WE HAVE SERVED THEM
WE CERTIFY THAT ALL MATERIALS AND LABOR WILL BE PAID UPON COMPLETION OF OUR WORK AND CONCURRENT WITH RECEIPT OF PAYMENT IN FU€
AS AGREED, WAIVES ALL MECHANIC LIEN RIGHTS.
You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a propert,
and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the property and casualty
insurer that your claim has been denied in whole or in pari. However, Wapiti Enterprises is entitled to retain payments or deposits to compensate Wapiti Enterpris,
for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Wapiti Enterprises will hold in trust any payme
from property owner until the contractor has delivered roofing material to the job site or has performed a majority of the roofing work on the property. Wapiti
Enterprises cannot pay, waive, rebate, or prqpi Ise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofint
work on your property. Property Owner is LA / is not intending to make payment from the proceeds of a property and casualty insurance policy.
Acceptance of Contract: in Witness whereof the undersigned have hereunto subscri ed their ames the day and r first above writte , the above prices,
specifications and conditions are satisfactory and hereby accepted. You are author to do t wo pecif d. ent will be madt as ou ined above.
Buyer has three (3) day right to revision. /
ignature Date
Authorized Signature
Signature Date
# ." 4CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:`�� a� ,
Job Address:
Permit Number: O J -- 0
❑ No one available for inspection: Time ;a 'S- (&�/PM
Re -Inspection required: Yes to
When corrections have been made, call for re -inspection at 303-234-5933
Date:A (J(`i Inspecto . >U )� r
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ti C�G
Job Address: y 4 % s
Permit Number: Q o) -7:� D '-13y
❑ No one available for inspection: Time % I (tJ /PM
Re -Inspection require 1 Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ail 1,0� Inspector
DO NOT REMOVE THIS NOTICE
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: ->C
Permit Number: ' O)-- 009C)(
❑ No one available for inspection: Time C{', 1(c- � ' PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: L4!e J 4 Inspecto6i
� c
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
__1�9�(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3ohr n�
Job Address: I y k ::LA,) d r, e
Permit Number: (:;XD) 77 0 G -4 S 3
❑ 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 -
Date: InspectokTA1-
`>l
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 0(- A l- J
Job Address: L! y S s = dPF r cl F Sf
Permit Number: -3 o,-7 o y 3 t-! 9
6�1 ,
d- e o o 1C r1 rn,
(Jrin�fd n Ad . a SSC 4-C
�
1i /' 0 rims , r-" 41, 't
t.✓ C ca ' n n 1 o C
❑ No one available for inspection: Time / ; s_? A
Re -Inspection required: YesV9
When corrections have been made, call for re -inspection at 303-234-5933
Date: a 7li 7 Inspector: _T
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Res. Accessory Struc PERMIT - 201706783
PERMIT NO: 201706783 ISSUED: 01/04/2018
JOB ADDRESS: 4485 Independence ST EXPIRES: 01/04/2019
JOB DESCRIPTION: Homeowner permit for a shed. (AS BUILT) 384SF. Frame construction on
concrete pad. Attached to existing detached garage. No electrical or
mechanical. For storage purposes only.
*** CONTACTS ***
OWNER (720)937-5026 ZIETZ FREDERICK A JR
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,745.60
FEES
Total Valuation 0.00
Plan Review Fee 439.60
Use Tax 309.66
Permit Fee 283.55
Investigative Fees 283.55
** TOTAL ** 1,316.36
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
All roughs to be done at Framing Inspection.
NOT APPROVED AS AN INDEPENDENT DWELLING UNIT.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal own r of the property and m authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I f her attest at I am le lly authori e to include all entities named wit in this document as parties to the work to be
per
that all��rto b� ed dis led in this document and/�r its' accompanying approved plans and specifications.
Signature of OVVNEI�'-Of COAT&ACTOR—fCir`cle ono _,, Date < t
1. This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature ofChie ifc�i'n Official Date
REQUESTS MUST BE E BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
4x
Res. Accessory Struc
PERMIT - 201706783
PERMIT NO:
201706783
ISSUED:
01/04/2018
JOB ADDRESS:
4485 Independence ST
EXPIRES:
01/04/2019
JOB DESCRIPTION:
Homeowner permit for a
shed. (AS BUILT) 384SF. Frame
construction on
concrete pad. Attached to existing detached garage.
No electrical or
mechanical. For storage purposes only.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal own r of the property and m authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I f her attest at I am le lly authori e to include all entities named wit in this document as parties to the work to be
per
that all��rto b� ed dis led in this document and/�r its' accompanying approved plans and specifications.
Signature of OVVNEI�'-Of COAT&ACTOR—fCir`cle ono _,, Date < t
1. This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature ofChie ifc�i'n Official Date
REQUESTS MUST BE E BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat e <
COMMUNITY DEVELOPMENT "
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033,
Office: 303-235-2855 ' Fax: 303-237-8929 , j
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY ►
Pate: Y1311
Plan/Pennut #
Z - o I-10� .� g 3
Plan Review Fee:
Email: PermitsOci.wheatridae.co.us
W
Building Permit Application
'*' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "'
Property Address: 449S I_ALrelQ ( ,
Property Owner (please print): t zc�±�
Property Owner Email:91v `7,1,;�7�. G lftP((
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:
Other City Licensed Sub:
City License #
Phone: 7 1 y3?
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE B COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
ESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please 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.)
00 0 1�04' CP� , crt/, 4:��Cp Ir, e
L IN J!JPbL PrCL v
Sq. Ft./LF b) L]� Btu's Gallons
Amps Squares Other
Project Value: (C_%tract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 1 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 1 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 a plication to list that entity on this application.
CIRCLE ONE. (OWNER) CONTRACTOR) gr (AUTHORIZE REP SENT TI V of (OWNER) (CONTRAC OR)�f
PRINT NAME: - IJIL SIGNATURE: DATE: /
DEPARTMENT USE ONLY
ZONING COMMMEtvTS -
Reviewer
VAWfLIL�'- •aQj� �7i% � �
e^S.o'Q�".'r�°`"�-
BUILDING DEPARTMENT COMMENTS
Reviewer " II,,''..
S 914ho
PUBLIC WORKS COMMENTS
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received u Not Required
Water District ❑ Received ❑ Not Required
Sanitation District [] Received ❑ Not Required
O,,CLIPANCYCLASSIFICATION v
YPE OF CONSTRUCTION _�� v'J_
SPRINKLERED q
®Q( "�� 0
OCCUPANT LOAD Iv
t� �� S, -
Building Division Valuation: $
Rev. 09/2017
RESIDENTIAL Building Permit — Plan Review Worksheet
Address: Zoning:
Lot Size: sq. ft. Lot Width: 1 ft.
6100 yr-)
Property in the flood plain? �j y If yes, notify PW Floodplain Administrator and add surveying condition FLD
Subdivision: q L,� etc,,,., Gaf 4 P ( Any conflict? (Y/N)
Related Cases:
Type of project (applicable survey conditions in parenthesis):
N, Accessory ISP, ILC or site plan none if in floodplain (FLD)
❑ Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain (FLD)
❑ New ILC and site plan yes (FND) if w/in 2' of setback (NRS)
if in floodplain (FLD)
Maximum Lot Coverage: 40 % sq. ft.
Existing Improvements (footprints): Proposed Improvements (footprints):
House: I°t S t 4o sq. ft. House/addition: sq. ft.
Shed: t 6 sq. ft. Shed: sq. ft
Detached garage: 6 I G sq ft. Detached Garage: 3'6 4- (-,dm-r,,> sq. ft.--=? `eS6 Sp
Other: sq. ft. Other: sq. ft.
Total Existing 2- Sq Z sq. ft Proposed+Existing ';Z :16 sq. ft
Lot Coverage 1-'� % Lot Coverage IS . $ 2 %
Required Setbacks: FR S S R
Provided Setbacks: FR S S R
For additions or new construction, is the structure within 2 feet of minimum setbacks?
If yes, add surveying condition FND.
Maximum Height: ft. Maximum Size: sq. ft.
Proposed Height: ft. Proposed Size: sq. ft.
Does the bulk plane apply? (Y/N)
If yes, does it meet on all sides (Y/N): FR S S R
(See 26-642 and 26-120.C.1 — applies to all single-family structures (new, addition, accessory) in R -1C and R-3)
Parkland Conditions
Does the permit result in a new dwelling unit (new structure or conversion from non -res use)?
If yes, have parkland dedication fees already been paid (eg with a previous land use approval)?
If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG.
Rev. 09/2017
Streetscape Conditions
Does the permit result in any of the following conditions?
❑ Construction of new roads ❑ Platting of new lots
❑ New development ❑ Additions that increase gross floor area (not just the footprint) by
60% or more
(proposed floor area — existing floor area ) / existing floor area = % increase
If any box above is checked...
For SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L15 -ft+ sidewalk adjacent to the property?
If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required.
MULTIFAMILY—Does the frontage meet current city standards?
If not, streetscape construction or fees -in -lieu will be required.
Fees -in -lieu of dedication or construction are due at the time the permit is issued.
Access Conditions (apply to all new driveways, garages, additions, or new homes/units)
❑ For one and two-family dwellings, the first 25' of driveway area from the existing edge of
pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials.
❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer
than 25' to any property line, except when used as joint access for two or more lots.
❑ In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width.
❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses
are at least 30 feet apart, measured from the interior edges.
❑ For all uses, one access point per property is permitted.
Landscaping Conditions (apply to additions and new dwelling units)
❑ For one -and two-family dwellings, one tree for every 70 feet of street frontage is required.
Frontage of lot - width of driveway ) / 70 = (round up for required trees)
Street trees required: Street trees provided:
❑ 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O.
❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of
a C.O., an escrow agreement with financial guarantees may be allowed to ensure future
installation. 125% of the cost of the proposed improvements will be required with the agreement.
These funds will be reimbursed back to the property owner or contractor once the improvements
are in place.
Dwelling Unit
❑ Not approved as an independent dwelling unit.
NOT APPROVED AS AN
INDEPENDENT DWELLING UNIT.
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Qty of Wheat Ridge Planning Division
APPROVED
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Galvanized
corrugated
metal siding
1/2" exterior
plywood
2x6 Rafters
Spaced 19" o.c.
12
3.33
8 Feet
1/2" x 6" anchor bolt
Simpson 900 hold down
West eleveation
Scale 1/2" =1'
4 x 13 Glue Lam
Ridge
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Blocking at 8' 1 r
I L
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1/2" x 6" anchor bolt 1 112" x 6" anchor bolt
Simpson 900 hold down I Simpson 90° hold down
I
► City of
_�WhcatRdgc
MUNITY DEVELOPMENT
APPROVED
Reviewed for Code Compliance
Plan; f aminer Date
Validity at grmit The issuance ofo permitor opprovol of plans specifications
and computations shall not be o permit for, or an approval of, any violation to
any of the provisions of the buiidin code or of any City ordinances. Permits
ming, to give a thority to violate of cancel the provisions of the Building
codes a ordinances of the City shall not be valid.
4 x 6 header 2x4 to late
4x6 outlooker
2x4 plate
48 x 36 window
1/2" x 6" anchor bolt
Simpson 900 hold down
Reviewed for Zoning Compliance by the �4 t,
City of Wheat Ridge Planning Division
APPROVED
l
BY: �-
DATE: j 2 ! IS
COMMENTS: t.4 -jy, — oak
2x4 studs
at 16" o. c.
2x4 sill plate
City of ,
wheat Ridge
3.33 C
2x4 truss
East elevation
Existing structure tie-in framing detail
Scale 1/2" =1'
Double 2x4
2x4 truss
\\ 2x6 top plate
city of
Wheat Ridge
ing
2x6 Blocking
Slab information:
12" minimum depth. 6" wide at bottom, sloping 451 up to 4" minimum slab.
2 strokes #4 rebar top and bottom of perimeter.
6" welded wire mesh on rebar chairs within slab returning down and under rebar at perimeter wall.
#4 rebar drilled and epoxied to existing slab minimum 8"every 12"
North elevation
Scale 1/2" =1'
NOTE: South elevation is exact
copy of North elevation
{ Ridge
Lam
afters
?d 19" o.c.
locking
0M of
tR�dge
area
o
o
N
I W
O
Existing structure
' City of Wheat Ridge
Residential Roofing PERMIT - 201704349
PERMIT NO: 201704349 ISSUED: 07/18/2017
JOB ADDRESS: 4485 Independence ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 31 sq.
(23 sq. pitched, 9 sq. flat)
*** CONTACTS ***
OWNER (720)937-5026
ZIETZ FREDERICK
A JR
SUB (720)501-5700
Stephen Miller
170297 Copper Creek Inc
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2002 / KIPLING,
I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 7,967.00
FEES
Total Valuation
0.00
Use Tax
167.31
Permit Fee
172.60
** TOTAL **
339.91
*** 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) 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 one half 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704349
PERMIT NO: 201704349 ISSUED: 07/18/2017
JOB ADDRESS: 4485 Independence ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 31 sq.
(23 sq. pitched, 9 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I her attest that I am leFall authorized to include all entities named within this document as parties to the work to be
performed an all work to er o ed is disclosed in this docume t and/or its' a ompanying approved plans and specifications. Zo
"'AnT'4� /19
Signature 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, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
apphca_ , te_ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Q Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
06170�/E
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 10, 2017 10:57 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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? w
�� p
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4485 Independence Street
Property Owner Name Fred Zietze
Property Owner Phone 720-937-5026
Number
Property Owner Email steve@coppercreekexteriors.com
Address
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
Copper Creek Inc.
Contractor's License
170297
Number (for the City of
Wheat Ridge)
Contractor Phone
720-842-2119
Number
Contractor Email Address
steve@coppercreekexteriors.com
Retype Contractor Email
steve@coppercreekexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Owens Corning
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
23
material selected above?
Does any portion of the
Yes V/
property include a flat
roof?
If yes, how many squares
9
on the flat roof?
TOTAL SQUARES of all
31
roofing material for this
project
Provide additional detail
house 9/12, garage is 6/12
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -®6 -
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 steve miller
Email not displaying correctly? View it in your browser.
3
t4111Tu:COW21 reekE.rtc60rs.rorrs
�en+sTw
Exterior Restoration Contract
rAElS
Proqartyy Owner Name (s)
Property Address
t✓xP&T zi
City, State, Zip Email
10200 nE rjirardAw C-350
Deaver, Co 80231
Office 720 5015700
Ta{303 364 8560
Insvaad eZ Licensed
J) -p - M -s-b-)- L
Home Phone Cell Phone
_Billing Address
t fj �aiAlt_.,
��tty, State, Zip
The undersigned Property Owner or authorized agent hereby enters into this Contract with Copper Creek Inc. ("Contractor") to furnish all
material, labor and building its necessary to perform in a workmanlike manner the replacement and/or repairs as specified below for the sum
S /, Insurance Allowance (AIA'). Payment for contracted services to be made as follows:$ l ctual
Cash Value (ACV**) or lessor amount as down payment (CCC DOES NOT COLLECT ANY PARS OF THE -AIA- MO IN
TRUST PRIOR to delivery of materials prior to work starting onsite), and the balance of. $ ! t/Replacement Cost Value (RCV***)
due upon completion of work. Estimated start date: . Estimated completion date , subject to change if weather
conditions, at the sole discretion of CCC. appears to compromise the safety of the crews.
Claim S}�cilication'
f DEMOLITION:
N:7
Protect and cover siding landscaping, driveway, windows, doors, water features, etc, with tarps and plywood as necessary to protect
i from damages caused by debris. Remove associated debris from property.
Remove all roofing materials to include vents, flashings, underlayment. Inspect all visible substrate (decking) for rot, damage and
_deficiency. Per 8x4 sheet is replaced at a cost of $ per sheet and includes labor.
/ INSTALLATION ROOFING:
Install new/replace cxi g substrate (decking) as needed to provide suitable surface for installation of new materials for a cost S
per square foot / All
Install new Ice and Water Shield per municipal code and manufacture's specifications as applicable.
. Install new underlayment on remaining roof deck surfaces per manufactures specifications.
✓ Install new drip edge metal on all caves and gables per municipal codes
Install new _ 24" "W" metal Valley or _ properly flashed closed, California cut Valley.
Install new roofing material of like kind and quality as pre-existing per in n ' 1pal code include nailing pattern) and manufacture's
specifications unless marked: Manufacturer G
Calor HO initia •• date: G — T
stall new hip and ridge caps. _ e over, Raised profile, _Shingle over ridge vent, Other
_ Install new flashing at all roof protrusions per municipal code and manufacturer's specifications.
��-install new vents per municipal code and manufacturers specifications.
:�- Remove and haul away remaining roofing materials and debris. Roll yard and driveway with magnetic roller.
INSTALLATION SIDING:
---- -- ---- -Install new/replace-existing-vinyl siding and identified -trim-per-loss- statement .as needed-to.providesuitable.surface-for_instalWon. of
new materials for a cost $ per square foot /_ AIA.
Install new/replace existing garage door identified per loss statement as needed to provide suitable surface for installation of new
materials for a cost $ per square foot /_ AIA.
INSTALLATION WINDOWS:
v, Install new/replace existing window/door and metal wrap casing trim identified r loss statement as needed to provide suitable surface
for installation of new materials for a cost S per square foot /�i y
INSTALLATION GUTTERS:
Install new/replace existing gutters per loss statement as needed to provide suitable surface for installation of new materials for a cost
S per square foot ttZm&
This section applies to AIA Contracts only. Provisions 1 MUST be initialed b the P operry Or Agent
TINA 1�tLS T A y` 4 L spa I tt t.A.rl)� R�c-t-i,Lts 3 77 e72 -
INSURANCE COMPANY CLAIM # ADJUSTER'S NAME ADJUSTERS CONTACT#
I
t RRT/GAGE COMPANY LOAN # MORTGAGE CO'S ADDRESS MORT CO'S PHONE #
�fI. Contractor shall complete the Scope of Work based on AIA, with NO ADDITIONAL OUT OF POCKET EXPENSE TO
THE PROPERTY OWNER EXCEPT FOR THE APPLICABLE INSURANCE DEDUCTIBLE which cannot be
rebated or waived in part or whole in any manner per Senate Bill 12-038 (as codified at Colo. Rev. Stat 66-21-101, et
set , unless Property Owner requests upgrades or additional work in writing ("Change Order") that is not approved by the
J� insurer, This Contract is considered AIA only if the Property Owner has full replacement cost insurance coverage. Otherwise,
this is a Contract for roofing/construction services outside of AIA and certain consumer protection laws may not apply.
2. The undersigned hereby gives consent and authorization for the insurance company named above to discuss the Claim,
/ settlement terms, and supplemental charges/feesand release all pertinent claim information related to the applicable Claim to
Contractor.
.{ 3. The undersigned hereby agrees to collect and provide all documents and information related to Contractor in a timely manner.
j4. The undersigned hereby assigns all amounts due from the Property Owner's insurers and/or mortgagees for work completed by
'f the Contractor to Copper Creek Inc. This includes, but is not limited to: all direct costs, overhead and profit and any
supplements submitted to and approved by the insurer for additional work, ordinancelcode upgrades, cost increases, and
unforeseen repairs. The Contractor reserves the right to request and receive additional payments from Property Owner's insurer
due to material or labor increases, storm environment, unforeseen work including but not limited to substrate replacement, or if
`/f measurements and/or other information provided by the Property Owner or the Property Owners Insurer are incorrect.
y� 5. The undersigned agrees that Contractor may cancel this Contract solely upon Contractor's discretion if the Property Owner's
insurer is unwilling to pay fair market value for wok covered under the Property Owner's insurance policy, Contractor shall
make a good faith effort to teach an Agreed insurance allowance.
6. The Scope of Work /AIA shall be attached hereto and made part of this Contract as "Addendum i Once an AIA is reached
with Property Owner's insurer, a Jab Start Checklist shall be attached hereto as "Addendum 2".
Notice of Cancellation per SENATE BILL 12-03816-22-101 ACT
You, the buyer, may cancel this transaction at any time prior to midnight on the THIRD BUSINESS DAY after the date of this
transaction. SEE THE ATTACHED NOTICE OF CANCELLATION FORM for an explanation of this right I/We the
undersigned agree to the terms and conditions of this Contract, including all terms and conditions on the reverse side. This
Contract supersedes all previous Contracts including but not litPER
a discounts, or concessiothwhether written or
oral. Surety &Liability Policy is held by producer: DC [NSUR IlY}7 S FL1N ST. #iib WHEA "RIDG ,
• CO 33 PH -30 774 FAX 03-020.2 82_ Z `�'f� ,.7 ��
v
PROPERTYOWN AGENT SIGNATURE DATE WNE G RE TE
f
30/10N SIH13/IOW3H I0N OO
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i ry.7 r C 4 V n ■�G V V R V Occupancy/Type
cy-INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
..INITIALS
COMMENTS[I
Footings /Caissons
Stemwall / (CEG) "Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain '.
Sewer Service Lines
WaterService Lines
'. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED':.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumping (Underground)
Heating (Underground)
PROTECT THIS CARD FROM THE WEATHER
Ei No one available for inspection: Time a,— <, AM/PM)
❑ No one available for inspection: Time AM/
Re- Inspection required: (:Ye) No
*When corrections have been made, call for re- inspection at 303 -2
Date: / / Inspector:
111bpecgon I ype
Job Address 4
t= Permit Number
r
F.
i
i
I
4
i
k i
❑ No one available for inspection: j q AM /PM
Re- Inspection required: Yes N ti
When corrections have been made, cnspection at 303- 2345933
Date: f,� Inspector: DO NOT REMO NOTICE
i
i
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax /J6
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
F
❑ No x one available for inspection ) T,me AM /PM
Re- Inspection required: Yes
1
When corrections have been mad , a or re-inspection at 303234 -5933
Date: Inspector: j
DO NOT REMOVE THIS NOTICE
♦ A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line _
(303) 235 -2855 Office • (303) 237 -8929 Fax71 05�
INSPECTION NOTICE 96
Inspection Type:
Job Address: 6!L � Et��/17sG— c
Permit Number:
❑ No one available for
Re- inspection required: Ye
"When corrections have been in de, c
Date Inspector:
AM /PM
rction at 303 - 234 -5933
i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection fine
y(303) 235 -2855 Office • (303) 237 -8929 Fax ,717.,�J-S"b tr
INSPECTION NOTICE 'r 6
Inspection Type: LGG'fC1�
Job Address: elf /�✓d�G s lc
Permit Number:
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OF
❑ No one available for ins c n: Time AM /PM
Re- Inspection required: Yes o
* When corrections have b an m de, c 11 for re - i pection at 303 234 - 5933
Date: // c Inspector:
i
DO NOT REMOV HIS NOTICE
♦ i CITY OF WHEAT RIDGE
6,0 Building Inspection Division
(303) 234 -5933 inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: F✓/
Job Address: ___yYSS �>✓d€�f vv��r s i
Permit Number: /5
❑ No one available for inspection: Time � M
Re- Inspection required: (:S) No
"When corrections have been made, call for re inspection at 303 - 234 - 5933
Date: Inspecto
III DO NOT REMOVE THIS NOTICE
'' ` ♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax✓ /9�.
INSPECTION NOTICE t
Inspection Type:
Job Address:
Permit Number: _22 Jr
❑ No one available for inspection: Time AM /PM
Re- Inspection require Y es : N " o /��
"When corrections haZeenade, call Lrfor ' at 303 -234 -5933
Date: ® f Inspector: DO NOT REMOV ICE
♦ < CITY OF WHEAT RIDGE
' Building Inspection Division
(303) 2345933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: /W
Permit Number: /G
lyv , r mac, (, l y � /�/: ✓ /C�G'i
��� ern ✓,9v�/Y '�JG r>��G'i v�r
,
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i
❑ No one available for inspection: Time f /, S AM /PM
Re- Inspection required: No
G "When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: Lo { 10 Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Far
INSPECTION NOTICE
Inspection Type: i"il11 (;t :. ; �✓ '�
Job Address: /`�� %. ✓r.:; ">'�'< -i
Permit Number: 1G)/ - //0
❑ No one available for inspection: Time C%-i AM
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection at 303 - 2345933
Date: �1 ,�� Inspector:
DO NOT REMOVE THIS NOTICE
z //y -,?7/
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
I r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: /ter Alps
Job. Address: 5
Permit Number: /e)/WS8
i
i
❑ No one available for inspection: Time ff3.5 AM4M ,
Re- Inspection required: Yes
When corrections have been made, call for re-inspection at 303-234-5933
Date: G / /lip Inspector:
DO NOT REMOVE THIS NOTICE
i Citv of Wheat Ridcrp
City of Date:
�" Wheatdge
I COMMUNITY DEVELOPMENT Permit
Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Facsimile Building Permit Application
Property Address: 44 < i� G V
Property Owner (please print): V'vcA Phone: - 72-0 !.T -Y
Mailing Address: (if different than property address)
Address:
Contractor:
Contractor License #: 0q - 0225
Phone:
Use of space (description):
Des cription of work: ��_ /
OS VLO� GR I f .7 st 7 f2- rw- �0 + Plan Review (due at time of submitta0: $
6 jO:.tr rl Ars S(..in�le,54 imod 24 .t1i ( 00$1 . `1{v+ S9.
e- ❑r a Pf Rnuares BTU's Gallons Amps
OWNERICONTRACTOR 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 inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) o PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR)
PRINT NAME: SIGNATURE: J'v -C,C IMF ---- Date:
DEPARTMENT USE ONLY
ZONING COMMENTS: i
Zoning: k
Reviewer.
.PUBLIC WORKS COMMENTS:
Reviewer. 1
:BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer
`FIRE DEPARTMENT: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $
Credit Card Payment: Use credit card listed on file, Date: ZQt
Print naZ.: 1Vt� 1 V(`Pg 1 rc Gz ✓ Signature: cif
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: _�Fsc�6fmc al Sdfg�i¢i a/G
Job Address: VY'SS isr/affr i✓Q y/ ?'
Permit Number: e>73 7/S
s�"r ?,r1yi7 L �- i'� Jc .f.�G - <.r,� rwi,� t�is,�l�•.t1 �Ifr � . .dril",l.
oi✓ifl.,rdfc'"�7 rr af.� ill iii = �L.v �1�,
2PA r� rz/SsiS/ s T
k
k ❑ No one available for inspection: Time !: so AM/P,
Re- Inspection required: Yes No
"When corrections have been made, call for re inspection at 303 - 234 - 5933
' Date: 'f/ Inspector
DO NOT REMOVE THIS NOTICE
♦ 1 s CITY OF WHEAT RIDGE
Building Inspection Division
l �r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: .WRwI,E
Job Address:
Permit Number: c3937s
t) 579,41 P057iAyil df . r vs7 12 d3f4rn . 2 `.� ,d4
❑ No one available for inspection: Time /,;? AM
Re- Inspection required: cYs No
* When corrections have been made, call for re inspection at 303 - 234 - 5933
Date: b' ro _ Inspecto
DO NOT REMOVE THIS NOTICE
►I
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City of Wheat Ridge
Building Division
7500 W 29'x' Ave _
Wheat Ridge, CO 50033
Re: Zeits Residence Addition
Permit No; 093715
4485 Independence
This letter is to confirm that this office has made site observations of the referenced project, and
based on these limited observations, has found the work pertaining to the wood Imming to be in
general compliance with the plans and specification prepared by this office. We have reviewed
the 2x 12 rafter hearing condition at the east exterior wall, and have found that life rafters have
adequate bearing area and shear capacity with the rafter seat cut extending into the room.
- on thoonally, we have reviewed the capacity of the Simpson L70 angles oil the low slope ratios -----west ode of the house, and these angles have adequate capacity to carry the rafter load.
It you have any questions or require furthea assistance, please contact this office.
Sincerely,
Cody Bohall, P.E. 39 e
CEO,aPresideal
Studio 8.18. Engineering, PC
5347 E. 112th Court Thornton, CO 80233
tr: 303.255.3664 f: 303.255.3860 i:studio818engineering.com
" 4'
V, City of Wheat Ridge
Residential Remodel PERMIT - 093715
PERMIT NO: 093715 'ISSUED: 10/29/2009
JOB ADDRESS:' 4485 INDEPENDENCE ST EXPIRES: 04/27/2010
DESCRIPTION:; Remodel attached garage to -include-office/studio
CONTACTS
owner 720/937-5026 Fred Zietz
PARCEL INFO
ZONE !CODE: R-3 USE: SFR
SUBDIVISION:' 0046' :'.BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT : VALUATION: 69,148.80
FEES
Permit Fee 1,018.95
j~
Plan Review Fee 176.8"
Plan Review'Addtiona 485.45
Total Valuation .00 _ 1
~ s
~ Use Tax 1,244.68 Ato~ 1~~
" TOTAL 2;925.95..''
Conditions:
s, AT: permit approved.Business is being run from office. Business license is
required.
KC: Approved per plans & notes on plans.
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 restrictionsof record; that all
measurements shown, and allegatio made are accurate; that I have read and agree to abide, by all conditions' printed on this
applicatien and' at I a~sume 1 sponsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other
appl.", able Whe t edge rdin ce r work under thi permit. Plans subject to field inspection.
q„
Signat re of 'contra date
ej
1. This permit was issued in accordance with the provisions. set forth in your application and is subject to the caws of the
z 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
I'M date. An extension may.:: be granted:'. at the discretion of the Building Official'.
3. If this permit expires, a new permit may be acquired for 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 f(1) year. If changes'. have been or if suspension or abandonment' exceeds one (1) year, full fees `shall
be :paid for anew permit:
v 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
,c.
S. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
z% 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
x, an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation
F All plan revieyy i ject to field inspections.
Signature of ie uilding Official :date
INSPECTI N 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
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A
oFW"E^Tq City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
°ocoena° Inspection Line: 303-234-5933 Permit
Building Permit Application
}]4/~~
WRIPty Addiess 11 1 J7 r~ % ~ ~C - y~~
Property Owner (p/ease print): , Phori
Mailing Address: (If different than property address)
Address:
City, State, Zip:
~?i ZCVV
Contractor: ~ /y~~~,~
Contractor License
Phone:
ntractors"`<
RUMP:
Electrical City License
Plumbing City License
Mechanical City License
-n
Company:
Company
Company:
Exp. Date:
Exp. Date:
Exp. Date:
Approval:
Approval:
Approval:
Use of s aoe descnftion): t WL~ Construction Value: $ v
".BSCrlptlo f'.,JA/OEi (as calculated per the Building Valuation Data sheet)
f ~ Plan Review (due at time of submittal): $ i .
Sq. Ft./L.Ft added: -SAO Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE( N ) (CfONTRACTOR) or PERSONAL REP SENTA IV of (ERi (CfS TRATOR)
PRINT NAME: SIGNATURE: t Date: idol
UA U1