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10095 W. 35th Avenue
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: y o 5- I l} -,I C_ c X Job Address: loo -7 S- w 3 Permit Number: 2 O 18 d 0 S- "7 Ip i`►AaI filec ❑ No one available for inspection: Time 10 r i1,; 7 (AU/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: /0 3 /IF Inspector: I 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: t-/ 0 3 - F7, 7 ! iF JE -c Job Address: 10 0 `a S"- w 3 S )4ve Permit Number: -Do) -0 8 �g ❑ No one available for inspection: Time otm/PM Re -Inspection required: YdriZ_D�) i'" When corrections have been made, icall fort w -inspection at 303_ i D I --•° Inspect&. ---L DO NOT REM OJ. t 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: 9 0 3- is `<_ ( 0 If C Job Address: /0 o g S w 3 5 --Lb 4L.e Permit Number: '2 0) S o a S7 -7 ❑ No one available for inspection: Timed AM/PM Re -Inspection required: "Yes No When corrections have been made, call for e -inspection at 303-234-5933 Date r_- Inspector.: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE Job Address: (bQq 5 W 3G -':Ll A 2 Permit Number: 2e) <--7(v ❑ No one available for i Re -Inspection required: When corrections have been made, call for re -inspection at 303-234-5933 Date: C1-2�, id Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. A/C Replacement PERMIT - 201802576 PERMIT NO: 201802576 ISSUED: 09/21/2018 JOB ADDRESS: 10095 W 35th Ave EXPIRES: 09/21/2019 JOB DESCRIPTION: Remove 2 old AC units and install 2 new 2.5 Ton, 13 SEER AC units. Installing 100 ft of electrical line from the condenser to the disconnect. Also installation of a SSA switch. One of the old AC units was located on the roof and the replacement AC unit is going to be located on the ground next to the other AC unit. *** CONTACTS *** OWNER (720)272-4029 HOTCHKISS KATHLEEN G SUB (720)381-8845 Olga Golynko 180282 OMG Construction SUB (303)908-6195 Yan Nekhenzon 060066 Yanni Electric, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 1, ► A City of Wheat Ridge E -Res. A/C Replacement PERMIT - 201802576 PERMIT NO: 201802576 ISSUED: 09/21/2018 JOB ADDRESS: 10095 W 35th Ave EXPIRES: 09/21/2019 JOB DESCRIPTION: Remove 2 old AC units and install 2 new 2.5 Ton, 13 SEER AC units. Installing 100 ft of electrical line from the condenser to the disconnect. Also installation of a SSA switch. One of the old AC units was located on the roof and the replacement AC unit is going to be located on the ground next to the other AC 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 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 parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) 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 Budding Official and may be subject to a fee equal to one-half of the originalpenmt 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 issua a or granting o 9 permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicab Inc de cr any orcc nce 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. City of Wheat�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itstaci.wheatridge.co.us FOR OFFICE USE ONLY Dare: Plan/Permit # Plan Review Fee: Building Permit Application ' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ' Property Address: Property Owner (please print): /Jiifw d 7e� j �'y� Phone: 7,9Q:97,a Property Owner Email: Mailing Address: (if different than property address) Address: k) • City, State, Zip: /,rjked3ylalQ't-�' �� (��✓3� Arch itect/Enaineer: Architect/Engineer E-mail: Phone: Contractor. -.&L4- I-Ild V Contractors City License #: Phone: Contractor E-mail Address: 6164 elf n Sub Contractors: / -C Electrical: �Q/1nI leen �_ Ll� Plumbing: Mechanical: 01"6 � 9�C�1 W.R. City License # �?C% W.R. City License # W.R. City License # 167QO18"CT .303-96F (Vi9'5 Sao-38i-88�� Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 19 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Gars a ck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR o 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.) ZC(f mere f /C s R, 57-6 AJI /S 2eed- Sq. Ft./LF Btu's _ Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ g0D0 , 66 O%VNER/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 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE.• (OWNER) (CONTRACTOR) PR INT tiAM I&I%J__e ZONING COMMENTS Reviewer BUILDING DEPARTMEN 7 COMMENTS Reviewer PUBLIC WORKS COMMENTS Reviewer UTHORIZED REPRESENT.ATi SIGNATI. PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water Distnct ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) GATE: OCCUPANCY CLASSIFICATION TYPE OF CONSTRUCTION SPRINKLERED OCCUPANT LOAD Building Division Valuation: $ 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: " j T wAA u f `'7`' Job Address: 100rs_ to 35 _,`�, / Ir Permit Number: 206 0 i h Le ❑ No one available for inspection: Time ' ::AM%PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: In 121 fj Inspector: ft DO NOT REMOVE THIS NOTICE l ftl 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: 1-1 O"? Job Address: 10015 W 7SM-f 4 V44' Permit Number: Z 0122 19SL_ ❑ No one available for inspection: Time �n M Re -Inspection required.�/ies ,)No When corrections have Beeit-tnadeall for re -inspection at 303-234- Date:-U-' 03-234-Date:U-' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201801866 PERMIT NO: 201801866 ISSUED: 06/27/2018 JOB ADDRESS: 10095 W 35th AVE EXPIRES: 06/27/2019 JOB DESCRIPTION: 10 feet long Sewer service repair and install dual sweep cleanouts 8 to 9 feet deep located in front yard. *** CONTACTS *** OWNER (720)272-4029 HOTCHKISS KATHLEEN G SUB (720)662-4381 David Sawidrez 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00 FEES Total Valuation 0.00 Use Tax 58.80 Permit Fee 93.35 ** TOTAL ** 152.15 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perto med and t at all work to be performed is disclosed in this document and/or i 'accompanying approved plans and specifications. 7 Signature of OWNER oCEOormationctpl)erovided (Cirone) Date 1. This permit was issued 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 obe ne-half of the original ermit fee. If this ard 3 requirementls, fees and roceanew dures� for app ovaluof any new permit.. Reired to be obtained. s ssuancuance oe or extension f anew permit 1 of expired permitect s s at the 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 required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. �.. ] _ Signature of Chie d n u g ficial' Date REQUESTS NUST E MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �Wheatj�idge COMMMILINrry DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # ZOT03K Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: I ©0 ct Sy/ ..35h / '()e., W Iez, k OZ ; 69(�,/ Owner Property Owner Email: kakc; ho4Gt, ki Mailing Address: (if different than property address) Address: 5 A A r A 5 AVxy I, City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: I vu. U Phone: Phone:'? / Z 7 Z- I-( OZ Contractors City License #: (ZU 6 r! Phone: 7 1A,6 Z _ L13 61 Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # 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 ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL 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.) 6oaI "5u✓ec-� 5' - 0(' oce-F -Cot�4��. Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) C ( e<, vIvu k 5 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTATIVE) f (OWNER) (CONTRACTOR) Signature (first and last nam 6V &r2 ATE: 2 7 / DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ PERMIT: 7.01 %('%Z ADDRESS: TNT INSPECTION RECORD JOB CODE: R IZ I 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 Foundation Inspections Date Inspector Initials j Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert.. 105 Stem Walls 106 Foundation wall Insulation ` Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Com is 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground 9 0 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 9 0 307 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 07Zol 1C)6gS-/,,v--3S� Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. is } 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: r/"ttl Job Address: Permit Number: i I ❑ No one available for inspection: Time e AI /PM Re -Inspection required: Ye&." No�,,� When corrections have been made, call for re -inspection at 303-234-5933 Date: -//--3,/7 7 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 Fax INSPECTION NOTICE Inspection Type: 30� MGolr_ /_ Job Address: 169q5 4) 35t4c 4,2Ae Permit Number:2 70 7 ❑ No one available for inspection: Time -POM Re -Inspection required: Yes No� When corrections have been made, call for re -inspection at 303-234-5933 r Date:-// ` l7 Inspector: 3,JC 6111�_-I-+-- DO NOT REMOVE THIS NOTICE ► ' City of Wheat Ridge Residential Roofing PERMIT - 201707201 PERMIT NO: 201707201 ISSUED: 09/13/2017 JOB ADDRESS: 10095 W 35th AVE EXPIRES: 09/13/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 27.73 sq Pitch = 4/12 *** CONTACTS *** OWNER (720)272-4029 HOTCHKISS KATHLEEN G SUB (720)329-0009 Laya Laboe 160037 Family Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,464.46 FEES Total Valuation 0.00 Use Tax 240.75 Permit Fee 236.00 ** TOTAL ** 476.75 *** 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. ► A ( City of Wheat Ridge Residential Roofing PERMIT - 201707201 PERMIT NO: 201707201 ISSUED: 09/13/2017 JOB ADDRESS: 10095 W 35th AVE EXPIRES: 09/13/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 27.73 sq 4/12 Pitch = I, by in 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 municippal codes, policies and procedures, and that I am the legal owner or have been authorized by the leugal owner of the property and am a hoxized to obtain this permit and perform the work described and approved in conjunction with this prmit. I feurt that I am le al authorized to include all entities named within this document as parties to the work to be performed and at all wo to be perfg ed i� disclosed in this document and/or its accompanying approved plans and specifications. Signature of `OWNER or� CC ,'�TIII�n (Circle one) Date 1. This permit was issued base r�th�n ation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original ermitfee. 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 an 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, any violation of any provision of any applicable r any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. we Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 7 0 �/ 0 7-� U From: no-reply@ci.wheat ridge.co.us Sent: Friday, September 8, 2017 4:19 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a residential roof? How many dwelling units are on the property? Yes Single Family Home, Duplex PROPERTY INFORMATION Property Address 10095 W. 35th Ave. Property Owner Name Kate Hotchkiss Property Owner Phone 720-272-4029 Number (enter WITH dashes, eg 303-123-4567) P76,,7 5 73 Ltd Property Owner Email Address 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 kate.hotchkiss@gmail.com Yes Hotchkiss - 10095 West 35th Ave - CONTRACT.pdf CONTRACTOR INFORMATION Contractor Business Family Roofing, LLC Name ^�L Contractor's License 160037 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 7209897219 3119 W. 21 st Ave. Contractor Email Address roofinglady@gmail.com Retype Contractor Email roofinglady@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 27.73 the entire scope of work: Project Value (contract 11464.46 value or cost of ALL materials and labor) Are you re -decking the No r roof? 74 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof. Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes 4/12 27.73 Owens Corning Duration Architectural Shingles Asphalt We will be re -roofing the left side of the duplex. We will remove 1 layer of old shingles. We will inspect the decking and replace any areas of rot. We will reinstall Ice & Water Shield along the eaves and synthetic felt & architectural shingles. SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 75 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 Laya Laboe Email not displaying correctly? View it in your browser. 76 AGREEMENT This Agreement ("Agreement") is made on i +.t ' ,�, 20 11 between Family Roofing LLC (DBA Family Restoration), a Colorado Limited Liability Company with a incipal business address of 3119 W. 21St Ave. Denver, CO 80211 ("Family Restoration") and fC,t Js No ., %, �(, �s ("Property Owner") to perform the below described work ("Work") on the property located at c � wHAdrl',U ee" ("Property Address"). according to the Terms and Conditions on front and back of this agreement Family Restoration will advocate the Property Owner'(s) best interest in restoration of property damage and complete all work in accordance to insurance company agreed scope of loss (`Loss") and Replacement Cost Value of the insurance settlement ("Settlement"). Work shall only include :chat is covered by the Settlement and Family Restoration's cor•rpensation for such work shall he limited to the settlement's scope of work price for the %,ork ac:uallr performec be Farnih Restoration. If the insurer declines payment, the additional work will not be performed unless you agree to pay, at your own expense, for the portion of the repairs that were declined. Family Restoration has been materially induced to enter in to this Agreement by Property Owner's intent to make payment from proceeds of the Settlement. As part of this Agreement, any supplement sent to the Insurer on the Property Owner(s) behalf will be included in the Price. Property Owner Cell Phone #: "71AC 17aJ - �( �% Home Phone #: Insurance Company: —�� L�.� a l Claim #: G 5 t7 Family Restoration will furnish all labor and materials to construct and complete the following general services ("Work"): ( eear off __Li Layers of Roof Covering (Recover Roof with: OaKt -(n fq anufacturer [•"'Color. [-j"lnstall _ i r,�&r Color Drip dge on Perimeter [-pinstail : �w U_nd'erlayment ( glnstall New Flashings as Needed [•j Re -flash Chimneys and Wall Abutments as Needed 141 year workmanship Warranty lg Replace j,1,1-3 Squares of Roof 11frnstali ___3_2_ s.t of Decking (7/16" OSB - 1 free - $50 additional) (rfinstall Ice & Water Shield: 1-1 k i Length of Eaves ( fkeplace Pipe lacks: 1-3"_.,�L 14- 1 [4'Repiace Valley Metal: -7_ Length of Valley ( &Replace Roof Vents: [..Aeplace Feet of Gutters & Downspouts c �p J (-J Make a Magnetic Sweep for Removal of Any Metal Debris lel o_vy-� C6 Or l,rAemove All Debris Resulting from Above Work , Additional Work:: �11��? _ Family Roofne LLC insured bv: d Mesa Underwriters Special:% ins I MAIC: 36&3K i Phone: t3031421-&590 Al(ftrri frucfioil Will be completed in coQliance with prevailing building codes of the governing municipality. Contract Price: S --&SWC _sj#/, + 0&P + Supplements (Property owner initial Approximate Start Date: 9TT/'�_ Approximate Completion Date:T SCHEDULE OF PROGRESS PAYMENTS: The schedule of payments outlines the initial payment, due upon material delivery, and the final payment due upon completion of construction. Family Restoration will require payment of ACV amount upon delivery of materials. Initial Payment $ �7 7 '7 Substantial Completion of Construction Payment $ / ( t In accordance with Part 1 Article 4 ojtitie 10 C.R.S pursuant to section 1 Family Restoration will not pay, waive. or rebate all or part of any insurance deductible applicable to this insurance claim. Property owner attests ha F dy Restoration has not promised or agreed to pay, waive, or rebate all or part of any insurance deductible, in any form. (Property Owner initials ) ey slgntng tats agreement you acknowledge that Family Restorat on will act as a General Contractor to orchestrate all the different trades req o p'=,rm t e repairs on your home (roofing, gutters, windows, siding, painting, interior repairs, etc). Family Restoration agrees to bid .6o ...n_b .. oi..n •6e w.i.,. e..., r.. e... ee..•n to A,. avn...vH.lnn A—h— tv..,-./--I h—A — 1%n c nnnn of •..n.4 �m.n„A ,.wnn ..Arh ,.n.,. ire,.. -or i..A.. A7.... TERMS AND CONDITIONS OF THE AGREEMENT BETWEEN FAMILY RESTORATION AND i J 'in 4� 5 1. Property Owner's Responsibilities. The Property Owner is responsible to supply electrical utilities unless otherwise agreed to in writing. Electricity to the site is necessary. Property Owner agrees to allow and provide Family Restoration and its equipment access to the property. The Property Owner is responsible to remove or protect any personal property and Family Restoration shall not be responsible for personal property including driveways, lawns, shrubs, etc. 2. Delay. Family Restoration agrees to start and diligently pursue work through to completion, but shall not be responsible for delays for any of the following reasons: failure of the issuance of all necessary building permits within a reasonable length of time, funding of loans, disbursement of funds into control or escrow, acts of neglect or emission of Property Owner or Property Owner's employees or Property Owner's agent. acts of God, stormy or inclement weather, strikes, lockouts, boycotts or other labor union activities. 3, plans and Specifications. Family Restoration will obtain and pay for all required building permits. If the Property Owner cancels the agreement, the Ouner agrees to pay for any tip pennit fees already inctuicd for the picperl% 4. Subcontracts. Family Restoration may subcontract portions of this work to properly licensed and qualified subcontractors. S. Insurance. Family Restoration shall carry General liability insurance for the protection of Family Restoration's workers during the progress of the work. Property Owner warrants that he/she maintains homeowner insurance and will indemnify Family Restoration against injury to Property Owner(s)/ residents or persons on the job site at Property Owner's invitation. 6. Right to Stop Work. Family Restoration shall have the right to stop work if any payment shall not be made, when due, to Family Restoration under this Agreement: Family Restoration may keep the job idle until all payments due are received. Property Owners failure to make payment, when due. is a material breach of this Agreement 7. Clean Un. Family Restoration will remove from Property Owner's property debris and surplus material created by the Work and leave it in a neat and broom clean condition S. Limitations. No action of any character arising from or related to this Agreement, or the performance thereof, shalt be commenced by either patty against the other more than two years after completion or cessation of work under Lhis Agreement. 9. Validity and Damages. In case one or more of the provisions of this Agreement or any application thereof shall be invalid, unenforceable or illegal, the validity, enforceability and legality, of the remaining provisions and any other applications shall not in any way be impaired thereby. Any damages for which Family Restoration may be liable to Property Owner shall not, in any event, exceed the cash price of this Agreement. Family Restoration is not responsible for any damage to interiors. rafters. and or any and all housing structures resulting from remo%al of excess lavers and or the s ibrations caused during the re -roofing process. Famil% Restoration is not responsible for am «atcr damage to interiors or contents due to water leaks from roof after installation. In the event of eater leaks during warranty period. Family Restoration Itabilitt shall be limited to labor and material costs of repairing defective work on roof only Family Restoration shall not be liable for any cracks or damage to driyeways. walk%vay s. sidewalks either caused or not caused by Famil% Restoration and or its sub -contractors. Family Restoration shall not be liable for am bowed, cracked. or sapping ratter niter installation either caused or not caused b% Famil% Restoration and -or its sub -cent actors. 10. Asbestos. Lead. Mold, and other Hazardous Materials. Property Owner hereby represents that Property Owner has no knowledge of the existence on or in any portion of the premises affected by the Project of any asbestos, lead paint. mold (including dll types of microbial matter or microbiological contamination, mildew or fungus), or other hazardous materials. Testing for the existence of mold and other hazardous materials shall be performed in accordance with Colorado Law. Unless the Agreement specifically calls for the removal, disturbance, or transportation of asbestos, polychlorinated biphenyl (PCB). mold. lead paint, or other hazardous substances or materials, the parties acknowledge that such work requires special procedures, precautions, and/or licenses. Therefore, unless the Agreement specifically calls for same, if Family Restoration encounters such substances, Family Restoration shall immediately stop work and allow the Property Owner to obtain qualified asbestos and/or hazardous material Family Restoration to perform the work or Family Restoration may perform the work itself at Family Restoration's option. Said work will be treated as an extra cost under this Agreement, and the Agreement Term setting forth the time for completion of the Work may be delayed. in the event that mold or microbial contamination is removed by Family Restoration. Property Owner understands and agrees that due to the unpredictable characteristics of mold and microbic; contamination, Family Restoration shall not be responsible for any recurring incidents of mold or microbial contamination appearing in the same or any adjacent location, subsequent to the completion of the work performed by Family Restoration. Property Owner agrees to hold Family Restoration harmless, and shall indemnify Family Restoration harmless for any recurrence of mold or microbial contamination. Property Owner also agrees that Family Restoration shall not be responsible, and agrees to hold Family Restoration harmless and indemnify Family Restoration. for the existence of mold or microbial contamination in any area that Family Restoration was not contracted to test and/or remediate. Further, Property Owner is hereby informed, and hereby acknowledges, that most insurers expressly disclaim coverage for any actual or aL'eged damages arising from mold or microbial contamination. Family Restoration makes no representations whatsoever ds to coverage for mold contamination, though at Property Owner's additional expense, if requested in writing, Family Kestoration will inquire as :o the availabi;ity or additional coverage for such contamination or remediation, and it available, will obtain such coverage if the additional premium is paid for by Property Owner as an extra. 11. Standards of Materials and Workmanship. Family Restoration shall rise and install "standard grace" or "builders grade" materials on the project unless otherwise stated in the Scope of Work, the plans, and/or specifications provided to Family Restoration prior to the execution of this Agreement. 12. Interest. Overdue payments will bear interest at the rate of 1..5% per month (18% per annum). 13. Chanties in the Worh_ Should the Property Owner, construction lender, or any public body or inspector direct any modification or addition to the work covered by this Agreement, the Contract Price shall be adjusted accordingly. This includes any requirements from governing bodies as it pertains to code items and other required construction requirements. Modification or addition to the work shall be executed only when both the Property Owner and Family Restoration have signed a Change Order Agreement. 14. Excess Materials. Family Restoration has the right to order excess materials. All excess materials belong to Family Restoration. 15. Supplemental Estimates and Charges. Family Restoration reserves the right to file for supplemental insurance claim charges if insurance adjusters scope of work or recommended repairs are inadequate, incomplete. or unsatisfactory. Family Restoration reserves the right to submit supplemental insurance claim due to an increase in costs. Supplements paid by the insurance company for additional costs arising from materials, labor or additional scope of repairs are part of this Agreement as if contained herein and will be paid to Family Restoration. 16. Warranty. Any warranty from Family Restoration either express or implied shall not be effective until the Contract Price is paid in full. 'A arranp applies to root only. the A orkmanship A arrant% is for two years from the month of the roof installation. Labor warranty is sold in the went of gale force w inds 150 of p. m. i, lightning to root. hurricane. tomado, hail damage. impacts of foreign objects or other violent storm or casualty, or damage to roofs due to settlement, distortion- failure or cracking of the roof deck. wall or foundation of a building Property Owner agrees that material %%arr3nnes are limited warranties i,sued by material manufactures and are subjected to terms and limitations from each manufacturer. 17, Inspections. The final payment in full shall not be held up, or retained contingent while waiting for the city, county, insurance company. or lien holder inspection or appropriate buddrig department to complete final inspection and issue satisfactory completion. Final payments are due upon completion ofconstruction fn accordance with the terms of the Agreement. IS. Letfal and Collection Fees. Propem (hirer shall be liable for all costs ofcollectfon, including all coup costs. all attorney 's fees lboth hourly and contingency fm). and all collection agency fees in the event this Agreement is placed for collection with an anomey andior collection agency DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8471 BUILDING INSPECTION DNISION - 235-2855 CITY OF WHEAT RIDGE Date : 2/2/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner. Property Address : 10063 & 10095 W 35TH AVE Phone : 424-8570 Contractor License No. : 17202 Company : Stahl, Ina Phone : 469-1917 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 responsibilily for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Construction Value : $3,462 .99 Permit Fee : $97 .25 Plan Review Fee : $0 .00 Use Tax: $51 .94 Total: $149.19 Use: Description : Tear off to decking and install 57.33 squares Tamko Heritage 30 yr. Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permitwas issued in accordance with the provisions setforth in yopur application antl is subjedto the laws of the State of Colorado and to the Zoning Re9ulations and Building Code of Wheat Rid9e, Coloredo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the builtling authorizetl is suspentled or abandoned for a period of 120 tlays. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in the original plans antl specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or a6andonment exceetls one (1) year, full fees shall be paitl for a new pertnit (4) No work of any manner shall be done that will change the naturel Flow of water causin9 a drainage problem. (5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections antl shall receive written approval on inspection card 6efore proceediing with successive phases of thejob. (6) The issuance of a permit or the approval of drewings and specificalions shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. 4a7// _ C B d c or THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT \ ~ BUILDING INSPECTION DIVISION - 235-2855 N O~, ( ~1 CITY OF WHEAT RIDGE ~t 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : ~v e a1ccJ Property Address : ICCF16 °I' LWO 3 UJ• 95*n RV*e- Phone :qaLI." $6 Z C~ Contractor License No. : 1 '-j C) Q-- Company:'~W`1 TIAC. Phone: qulq-19 P OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :3q (o 4,qR 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 rewrd, that all measurements shown, and allegations made are accurate; that I have read an agre ~to abide by all conditions printed on this application, and that I assume full respo sibi for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable he ~tidgeArMances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED_ /r I/ -,D7CTE_ 4. L'! J USe : Description : - ~ -~0+.k- Building Permit Number : Date : Permit Fee : Use Tax : Total: $0.00 BUILDING DEPARTMENT USE ONLY A~ Approval: Zoning : SIC Sq. Ft. : Approval: I Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Piumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approvai : Approval : (1) This pemit was issued in accortlance wilh the provisions sel forth in yopur appliwtion and is suhjecl to the laws of Ne State of Colorado and to Ne Zoning Regulations and Builtliny Code of Wheat Ritlge, Coloredo or any other applicable ordinances of the City. (2) This pemit shall expire if (A) the work authorized is not wmmenced within sizry (60) Aays from issue tlate or (8) the builGing authodzetl is suspen0etl or abandoned for a periotl of 720 tlays. (3) If this pemit expires, a new pemit may be acquired for a tee ot one-half the amount normally required, provided no changes have been or will be made in the onginal plans and specifications and any suspension or abandonment has not ezceeded one (1) year. If chanqes are made or if suspension or abantlonmenl ezceedsone (1) year, NII fees shall be paid for a new pertnit. (4) No work of any manner shall be Cone ihatwill change ihe nalu2l flow ofwaterwusing a drainaga problem. (5) ConVador shall noUy ihe Building Inspectorhventy-four (24) haurs in a0vance lor all inspections and shall receive written approval on Inspection card be(ore proceediingwiNSUCCessive phaseso N feI'ob. (e) The issuance of a permit or Rhe appmval of tl2wings and specifcaUons shall not be consWed to he a pemit for, nor an approval of, any violation ol the provisions of iha 6uiltlinq codes or any oNer ortlinance, law, rule or regulation. - Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (F) 414-02-5147 PUBLICSERVICE tu ROOF - APT N0. CV'rornEPNAME(Pnlr+n . . ACTIONTAKEN . e' . U~~~ . : - . ❑ NO SHUTOFP ~ ~ sPeciFV - ❑ APPLIANCE OFF OWNERTENANT[:] AGENT~ OTHER~ : ❑ BOTHAPPL.&METEROFF- ❑ MEfER SHUT OFP - WARNING' - 'THE CONDITION FOUNO, RS SNOWN BELOW, IS NDT IN COMPURNCE WITH CUHHENTLY RCCEPTEU PflACTICES AN6 ' . PROCEDUHES RNO COULO CBFATE A HAZAHD. COflflECTIONS SNOULD BE MAOE BY R QUALIFIEU CONTIIACTOfl. CONTACT-- YOUH LOCRL BUILDING OEPAfiTMENT fOR COUE AND PEBMIT flEQUIflEMENTS P910H TO PERF HMING HEPAIH.WOBR. NAMEANDTVPEO~JFAPPIIMACE p~ o ~J. //~f~~' L ~ ~ A . / `1 / F(/ - i+'~ ~ n . / . CON6RIONT00 /F'RECTEyDJ,(!,.-~ 7-6 ` - FOR FURTHER INFORMATION, PHONE: MM~~r DATE TACaGED B`Gi~/ -7 . CUSTO EH/OCCUPAMSIGNFNPE . ~ ~ TIM.+~ OPTE ~ ~ ~ `G41014SKIP 5 OECUPANT'IGCUSTOMEfl J - I . . 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