HomeMy WebLinkAbout5825 W. 33rd Avenuei 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:" A0
Permit Number:
❑ No one available for inspection: Ti _ ;AI1A PM
Re -Inspection required: Yes No
When corrections have been made, c ?d"e-insp ce 1d`n,W 303-234-5933
Date:_6 �spector.
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:°
Job Address: 4 t�
Permit Number: 401 escz act
4
❑ No one available for inspection: Ti
Re -Inspection required l Ye o
When corrections have been made,
Date
M
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: 30c F - ,4G
Job Address: �F99T Ale
Permit Number: Jktt2490 %ate%
❑ No one available for inspection: Time ig1 � AM/PM
Re -Inspection required: Yes No./
Lf
When corrections have been made, call for re -inspection at 303-234-5933
Date: � Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Electrical PERMIT - 201801909
PERMIT NO: 201801909 ISSUED: 07/02/2018
JOB ADDRESS: 5825 W 33rd AVE EXPIRES: 07/02/2019
JOB DESCRIPTION: Electrical service change - 150 amps; wiring for AC
*** CONTACTS ***
OWNER (206)940-9996 KUMMEROW CHAD
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,750.00
FEES
Total Valuation 0.00
Use Tax 36.75
Permit Fee 70.70
** TOTAL ** 107.45
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection.
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. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Electrical PERMIT - 201801909
201801909
5825 W 33rd AVE
ISSUED: 07/02/2018
EXPIRES: 07/02/2019
Electrical service change - 150 amps; wiring for AC
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_permrt. I further attest that I am le al authorized to include all entities named within this document as parties to the work to be
performed and that all work per me disclosed in this document and/or its' accom anying approved plans and specifications.
r
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit tee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance orgra of a permit 11 not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or y rdi ance or ulation 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 dge
com
MUNITY 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: permits(fti.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date: 0
Plan/Permit # a0 0� /
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: J S a S Iry y, �K T a1\ tJC,/= L":> .
Property Owner (please print): (' H �� �� M� Phone:
Property Owner Email: C H"q' 'K J w�,r�C•n.� s �M►� f 1, , C O ��
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License M
Phone:
Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
F-1 COMMERCIAL % RESIDENTIAL
Description of work: For ALL projects, provide a detailed description of work to be performed,
including current use of areas, proposed uses, square footage, existing condition and proposed new
condition, appliance size and efficiency, type and amount of materials to be used, etc.
(� J�q-Cvyl RLL �� 0,v( n� CCr`` it TGA `�SioavaEE �,
�iV 1 Q ` J JA C
r* 5t ice
P,SC'D C�C 5�c��iCCJCPrHc.�-C ,
'V,� �� C=c�f raSFfl IN �,�o'.
Sq. FULF BTUs Gallons
Amps
Squares
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: OWNER (CONTRACTOR) or (AU OR ED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): ��� i�+'` - DATE:
Printed Name: -1 H111 J
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation: ) / (/
r City of
)h��!Pj.ge
COMMNITYVEENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or 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, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Ownerl
Project Property
Project Type: c -z F Th i< 4(.
Notarized signature of Applicant
State of Colorado }
County of ;Je'W'e_'.Soss
The foregoing instrument was acknowledged by me this Ad day of 20 by
F
ARA D ODEANTARY PUBLICE OF COLORADORY ID 20164015481ON EXPIRES APRIL 22, 2020
y e� My Commission Expires q122/20
Notary Public
lh,ZANSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
E I? ��
4 W 1.4
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Anoroval Of The Above Inspections
UndergroundIS lab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Nat Cover Underaround or Below/lin Slab Work Prior To Annroval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Plumbing 17 l Gw`
Final Mechanical
Lath / Wall Tie
Roof
Final Window/Doors
Rough Electric
Final Building
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date Inspector Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing 17 l Gw`
Final Mechanical
Roof
Final Window/Doors
Final Building
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 trom the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
INSPE
�l
Inspection o ne form: http://www.ci.wheatridge.co.us/inspecti
Cancellations must be suBW0te+vw the online ff 11111119 00199M.FM e 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: I,> 1 -1 0 ADDRESS: 59-z--5 0 33 -d -,- JOB CODE: 12
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
�V UL F-Vur %.uncreie rnor 10 Approval of The Above Inspections
(Underground / Slab Inspections I Date I Inspector I
Initials Comments
201 Electrical / Cable/ Conduit I I
1202 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
SEE OVF.P FOR
L
PERMIT: ADDRESS: 5 � Z-5(Ai3 e -d ff'z� JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof I
410 Final Window/Door
411 Landscape/Park/Planning*
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
1 "776
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.
412 Row/Drainage/Public Works**
Final Inspections
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
Date
Inspector
Initials
Comments
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof I
410 Final Window/Door
411 Landscape/Park/Planning*
1 "776
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.
s_ CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office o (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: &I o 9 - r = I
Job Address: S S ?S- t,/
Permit Number: 'a p r p 9
❑ No one available for inspection: Time 9' - ys �PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: t -3 S )/7 Inspector:
DO NOT REMOVE THIS NOTICE
ti t A .� City of Wheat Ridge
Residential Roofing PERMIT - 201709109
1`
PERMIT NO: 201709109 ISSUED: 11/16/2017
JOB ADDRESS: 5825 W 33rd AVE EXPIRES: 11/16/2018
JOB DESCRIPTION: Permit to install 36.67 squares GAF Timberline HD asphalt shingles Tear off
existing to deck and replace 18/12, 4/12 and 2/12 pitch
*** CONTACTS ***
OWNER (303)881-3752 KUMMEROW CHAD
SUB (303)233-7663 Ben McFerron 070157 Premier Roofing Company
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,854.19
FEES
Total Valuation 0.00
Use Tax 143.94
Permit Fee 156.75
** TOTAL ** 300.69
*** 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
,1,
Residential Roofing PERMIT - 201709109
PERMIT NO: 201709109 ISSUED: 11/16/2017
JOB ADDRESS: 5825 W 33rd AVE EXPIRES: 11/16/2018
JOB DESCRIPTION: Permit to install 36.67 squares GAF Timberline HD asphalt shingles Tear off
existing to deck and replace 18/12, 4/12 and 2/12 pitch
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 , 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
'is permit.
L further attest that I om legally authorized to include all entities named within this document as parties to the work to be
performed and .that all work to b4—ftr ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER orCONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be.const�ued to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of th urisdiction. Approval o . 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.
Antoinette Kulick
�0►-109to
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, November 16, 2017 9:48 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
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 O F�
are on the property?
PROPERTY INFORMATION " 1 ���P ill Z) l7
Property Address 5825 W. 33rd. Ave
Property Owner Name Chad Kummerow
Property Owner Phone 206-940-9996
Number (enter WITH
dashes, eg 303-123-4567)
9 oc,
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
Field not completed.
Yes
Agreement - Kummerow Chad (1).pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
Premier Roofing Company
070157
303-952-6873
Contractor Address 2570 W 8th Ave
(Primary address of your
business)
Contractor Email Address amccoy@premier-roofing.com
Retype Contractor Email amccoy@premier-roofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 26.67
the entire scope of work:
Project Value (contract 6667.50
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
10
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
18/12, 4/12, 2/12
26.67
GAF Timberline HD
Asphalt
Tear off existing roof to deck and replace. (House)
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
11
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 Alison McCoy
Email not displaying correctly? View it in your browser.
12
Denver
Colorado Springs
Kansas env
1 -855 -ROOF -321 Fort Collins
www.premier-rooting.com Chicago 215wiql.
U-41TIraffil
FntatLTTY'
LATINVM,
IS AGREEMENT SUBJECT TO INSUR E COMPANY APPROVAL
Name: 4 HIS Date: P471.1 r'
Address:, r v.. . .... ...... City/State: 0-et.'t q 4,0
4
Email: �CLCJ All-Inht'-0 4gv Best Phone: c
Billing Address: City/State:
ROOFING SPECIFICATIONS - E-XISTING ROOF DAMAGES --lG INSPECTION:
,,tfSteep Slope a Low Slope_ /� Roofing:
)a'Composition Shingle oWood pMetal uOther North Slope.,� e -,iit
/Single Ply Me bran: omodified oBuilt Up South Slope: 2- y-77
//;,Roof Grade: Ridge: t East Slope:
,aPfth:-J�12 2 -Story. &A Diff. Access: oYrN West Slope:
s
,w -Layer T Y
ypes: -,Le Other Damages:
X,D-M- king Type:vPiywood/OS/S 6Spaced oOther�_
yfasteners per shingle:# (-- ciStapleseflails
YrDeck Protection: -'7c; -T,-Z
'�ftlley material: - LL�,f _LF RQg mmendations:
,oVents:750's--.,/—Turbines�'_B-oth,-_Ridgp_ LF Aemove Roof to Deck and Replace oSpot Repair
)n Plumbing Jacks: Sm / I I
A 1.. 1
fa StyIe.L1--L---_!�L-_Grade: 4.'
Metal EdgIng^N oRakes oEaves
IBrand: -1)
I
7Step Flashing ?-Counter Flashing oReglet oOther Ridge :Z--/,'.-,-!JC—Deck Protection*.)
)asWights: oReflash oReplace_#.Size- Rgmov : woofing wDeck Protection o'Plashing
eak Barrier ExistingpYoN install:
IWARRANTIES: Weather Stopper Systeme ON
Workmanshl : 02 -Yr � 0 -Yr Premier 0 25 -Yr Golden Pledge
Materials: [35 -Yr (Shingle Only) �O-Yr Full System
PAYMENT SCHEDULE
First (ACV) or 1/3 payment due on day of construction Final payment due upon lnvoice
Paid Date: I Z CK#—@$—.—
Paid Date: CK#—@$—.—
Paid Date: --J-___/— CK# @$_
State Law: Any Payments to Be Held in Trust
Premier Roofing shall hold In trust any payment received from you
until Premier Roofing has delivered roofing materials at the site or
has performed a majority of roofing work on your property.
6Leak Barrier at:
Aaves 6Sidewalls caValleys oPenetrations A§kylights
4 Fasteners Per kile:
`Replace Vents opeplace, Flashing
� Install Gutter Apron 61nstall Rake Metal
V.Paint All Roof Accessories pProtect Landscaping
Remove All Debris 6koll Property with Magnet
urnish Permit (Where Required)
Special Project Upgrades:
Quantity: Unit_
Price: (In addition to Irisurance proceeds and deductlble)
oSpeclal Property Protection Measures:
Terms:
This agreement does NOT obligate the property owner or PREMIER ROOFING in any way unless the insurance claim is
approved by the insurance company and accepted by PREMIER ROOFING. By signing this agreement the property owner
authorizes PREMIER ROOFING to pursue property owner's best interests for a roof replacement at a "PRICE AGREEABLEN
to the insurance company and PREMIER ROOFING with no cost to the.proverly owner "x ept for the insurance deductible.
When "PRICE AGREEABLE" is determined, the final contract amount shall be equal to the Insurance Proceeds and
QedUQU21C and property owner authorizes PREMIER ROOFING to provide labor and material in accordance with this
Agreement and the specifications ou erein -Lnd9Pr1he reverse side hereof to accomplish the roof replacement.
Accepted by: Dater /
Insurance Co.: Ser -e,454- Claim#; F V a L.r 1 '(7�77
Mortgage Co.: Deductible Amount.$
Field Representative: Management Approval:
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: -S C 6 - /Y1 • J
Job Address: $ -0 5- t"d -g 3t,-- Q, -C
Permit Number: c s -'7 o n► c c
❑ No one available for inspection: Time 1 = i / AM/(g)
Re -Inspection required: Yes o)
When corrections have been made, call for re -inspection at 303 -234 -
Date: 11,L -4q 1 Inspector: Tb
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: �2 30 / - S ),e a7'�� �1
Job Address: !S713 -J5- L,/ -3-3&' Ac
Permit Number: -3 0 17 0 Gr 1 c� !�3
v -e
❑ No one available for inspection: Time = 0 9 AM/M
Re -Inspection required:es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 11/;)7 //7 Inspector:
DO NOT REMOVE THIS NOTICE
4.
' s City of Wheat Ridge
Residential Plumbing PERMIT - 201706716
PERMIT NO: 201706716 ISSUED: 08/30/2017
JOB ADDRESS: 5825 W 33rd AVE EXPIRES: 08/30/2018
JOB DESCRIPTION: Permit to remove and replace water heater in same location. 40 gallon 40K
BTU
*** CONTACTS ***
OWNER (303)881-3752
KUMMEROW CHAD
SUB (303)458-5988
Josh Ward
018236 Applewood
Plmb, Heat, & Elec.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS,
COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
2,869.00
FEES
Hot Water Heater
40.00
Total Valuation
0.00
Use Tax
60.25
** TOTAL **
100.25
*** COMMENTS ***
*** CONDITIONS ***
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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be�perfor�ned is disclosed in this document and/or its' ac �ompanyring approved plans and specifications.
0//
Signature of OWNA or COIYRACTOR (Circle one) Date
1. This permit wa issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be const be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this juri ion. Appraal�fZvork �u 'ect 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
dge
]r�j�'Wh6atl
MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits()ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
4 '�l 1l
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete a[[ highlighted areas on, both sides of this form. Incomplete applications may not be processed. **"
Property Address: 5- 5 _ V ' .3 —P /I V6 D &/NI l%E /< ('0 '902/z
Property ter, (please print} �f L','�'^�l Phork : G' -�y� _rte �4
Ejapet OwneryErnail;
I #gtng Addie°ss (if different than property address)
Address:
City, State, Zip:
Architect/Engineer
Architect/Engineer E-mail:
Contractor: 1J19PLE k1a o.D P l -1 k &
Contractors. City License M
/a?Z3�'
Phone:
Phone._ -3-Y�5? -59SJ2 Xis
Contractor E-mail Address: Pt 2 (-^- 1 rS (P-- c K/o o J F/ X / 7' , co /--�
Sub, Contractors;
Electrical:. Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all 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.)
R C" `c W/�-�A V/ --�
Sq. FULF
Amps
-/7/o (> o'f Ll- Li /t% - Ib X B ✓ V ✓i/ IT -
Btu's-
Btu's / o (-,' j
Squares
Gallons % 0
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
2—
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: (OWNS (CONTRA_Crr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
s_ _'
t
Electronic Signature (first and last name): DATE: /
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
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:
Ff
Job Address: 2- _ «/ 33
Permit Number: 70
/K; ky..
❑ No one available for inspection: Time;/ `; AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re-inspctio t 303-234-5933
Date: Inspector:
r.
DO NOT REMOGE THIS NOTICE
City of Date:
Wh6attk
COMMUNiTy DEVELOPMENT Plan/permit #
Building & Inspection Services Division Z_ 0 1 Ll L�
7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email:
Building Permit Application
Please wmplete all highlighted areas on both sides of this form. Inoomplets applications may not be processed.
Property Address:
_� A<_- ------
Property Owner (please print): \ C Phone:.'3 0.
Mailing Address: (if different than property address)
Address:
City, State, ZE:
Amhb9&*ME . ... . ... . .. .....
Architect/Engineer E-mail: Phow—
Contra ctors City License M. cPA e":xY:Y-f' Phone: .3 - 2- cS-
Contractor E-mail Address: C N c- e eJ Y, k <-, v" 0 1""'A
Sub Contractors-.
f-'-Elec :: ,1) nca)T:—'- C )e 14 C_ Plumbing: Mechanical: :�) 3
6tylice'nse # Wk City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
eggl do ,cif lrork. Check a!1 that apply)
® NEW COMMERCIAL STRUCTURE ff'ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTt RE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION H 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 RERLACMNT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
amount of materiels to be used, 06.) 11
Sat. FULF Btu's Gallons
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13761
BUILDING INSPECTION LINE - 303-234-5933
Date 4/26/02
CITY OF WHEAT RIDGE :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
Property Address
Contractor License No.
Company
JIM LADWIG
5825 W 33RD AVE
21274
Blake Roofing
Phone:
Phone: 654-9849
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 accurete; that I have read and agree to abide by all conditions printedon this -
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wh t Ridge ordinan s, for work under this permit.
~
Construction Value :
$1,200.00
Permit Fee :
$44.85
Plan Review Fee
$0.00
Use Tax
$14.40
Total:
$59.25
(OWNER)(CONTRACTOR) SIGNED -I:- DATE'7"_0K6 Q~T
Use:
Description : REROOF- OVERLAY WITH 25 YEAR 3 TA6 SHINGLES azz
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : " Expiration Date :
Approval: Approval: : Approval:
(7) This permit was issued in accortlance with the pmvisions set forth in yopur application antl is subject to the laws of the State of Coloratlo anA to the Zoning
- Regula[ions antl Builtling Cotle of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This permi[ shall expire if (A) the work authorized is not commenced within sixry (60) tlays fmm issue date or (e) the building authorized is suspended or
abandoned for a period of 120 days (3) If this permit expires, a new permit may he acquired for a fee oF one-tialFtRe amount normally required, pmvided no changes have been or will be made in the original plans and specifications and any suspension or abandonment hasnbt ezceeded one (7) year. If changes are made or if suspension or abandonment
exceeds one (7) year, full fees shall be paitl For a new pertnit .(4) No work of any manner shall be tlone that will change the natural flow of water causing a dreinage problem. (5) ConVactor shall notify the Building Inspectortwenty-FOUr (24) houre in advance for all inspections and shall receive written approval on inspection card before
proceedii ith successive phases of thejob. (6) e s n of a er ' r the approval of drawings and specifica6ons shall not be construed to be a permit for, nor an approval of, any violation of }he
provi ns f th i codes or any other ordinance, law, rule or regulation. - i
ChiefBuilding f spector
oF wHEqT DEPARTMENTOFPLANNINGANDDEVELOPMENT BuildingPermitNumber:
F q BUII,DING INSPECTION LINE - 303-234-5933 Date:
° CITY OF WHEAT RIDGE
U m 7500 WEST 29TH AVENI7E
~o o WHEAT RIDGE, CO 50215 -(3,j0H3-2H3~5-2p855)i"i"7si l~.?dF
C ORAD 4idiON
_ Property Owner: -7-1 f`t jc~ 17 W i 9
Properry Address: ~v 1'~- rj ~ 3 3~ p Phone :
Coniractor License No.: ~ EL L 7~ 6-33~5 -~pO ll(p
Company: a L(~K ~ K CS 0~ 1 N C~ Phone:-J6~'Co5LI "/O y9
OWNER/CONTRACTOR SIGNATURE OF i1NDERSTANDING AND AGREEMENT
I hereby certify [hatthe setback distances proposed by this pertnit applicafion are accurate, COIlSfTACtlOri V31Ue:$ I ROU, 0 (
anddonotviola[eapplicableordinances,mlesorregulationsoftheCity ofWheatRidgeor
PeYTriltFee:$
covwanis,euementsorrestric[ionsofrecord;fhatallmeasuremenisahowqandallega[ions
made aze accurate; that I have read md agree to abide by aIl conditions printed on this
P13I1 R0V30W FEO:$
applicafion and tha[ I assume full responsibility for compliance wi[h the Wheit Ridoe
Building Code (U.B.C) md all other applicable Wheat Ridge Ordinances, for work under
Use "1 ax:$
tliis pennit.
_ 1J
TOt31:$
(OWNER)(CONIRACTOR): SIGNED r~~_ ~/LcGt/~1L DA'IE' I~ 5-0
Description: R E 9 O b V 0 ~ 'R L.. A '\.t) \Tly 5 ~ ~ (A (Z
3 ~ ~a a51a i"rv R L-F-s,
BUILDING DEPARTMENT USE ONLY
SiC: SqFt.:
ZONING COMMENTS: .
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
ApprovaL' Occupancy: Walls: RooE Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
ApprovaL Approval: Approval:
(I) Tlils pelmit was issued in accordavice vrith the pmvisions set focth in yoir applicaHon md is subject to the laws of tlie State of Colmado and to the Zoning
Regulations md Buildiug Codes of Wheat Ridge, Colarndo or any oNer applicable ordinances of the City. -
(2) lnis pelmit shall exp've if (A) the work authoriud is not commeuced within sixty (60) days from issue date or (B) fhe building autlioiized is suspended or
abandoned For a period of IIO days. .
(3) Tf'fhis pelmit exp'ves, a new pelmit may be acquired for a fee of ove-half the amonnt normally required, provided no changes have been or will be made in
tlie origival plans andspecifications and any suspeusion or abandonmenthas notexceedeA one (1) year. ifchanees hzve 6een or ifsuspension or nbandonment
exceeds one (1) yeer, fiill fees shall be paid for a new permi[.
(4) No work of any mamer shall be doue that will chavge the natwal flow of water causing a drainage prroblem.
(5) ContractorshallnotifytheBuildingluspectortwenty-fonr(24)Uoursinadvanceforallinspectionsaudshallreceivevrtittenappmvalortinspecfionezrdbefore
pmceeding with successive phases ofUiejob.
(6) The issuance of a permit or the approval of dravrings md apecificatlons shall not be construed to be a permit for, nor an approval of, any violation of tlie
provisions of the building codes or any other ordinavce, law, mle or regulafion.
Chief Building Inspector