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HomeMy WebLinkAbout9745 W. 36th AvenuePERMIT: ADDRESS: q7` 5- � �bA Ayt JOB CODE: 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. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS ! Ll 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: LI d 6? - Job Address: 9 -7 Ll s Permit Number: -2 01-7 o R t, -7 -7 LJ No one available for inspection: Time!3 3 I A PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: i I Inspector: — -b DO NOT REMOVE THIS NOTICE / () I* � 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: Li v `i - f- - P �- Job Address: `l -q Ll 1�7 W 3 L ek fQ �1 Permit Number: -3- Cj '�<(:;j-`4- ❑ No one available for inspection: Time ( V I C)PQM M Re -Inspection required: QYe� No When corrections have been made, call for re -inspection at 303 -234 - Date: -�g; Inspector. s . I % DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building InspectioWDivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L-1 0 q - f I Job Address: cl 7,--/ S c.v S 4, A ve Permit Number: G 1'7 O S 4, 7 7 n L 1- C 0rld"r4 I`nS az)eC 4 '0 n . h_1 6/V 4 ❑ No one available for inspection: Time PM Re -Inspection required: 9) No When corrections have been made, call for re -inspection at 303 -234 - Date: / / [/'?—Inspector: 3 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: qOq R® F Job Address: 9 7q5- W 3 6th ✓� Permit Number: 20170,9677 ❑ No one available for inspeG 'on: Time U0'� '! AM/PM Re -Inspection required:/ Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:Pb�-/ Inspector: "I / DO NOT REMOVE THIS NOTICE INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection b., re MIDNIGHT (11:5 PM) to receive aninspection the following busine day PERMIT: �,� �I"i `((�)h) ADDRESS. r ,�(� " 11� JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers e 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit e 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: I MINI ADDRESS: �`C� �' ��� W�AY'P d06 CODE:Kr— L 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 1` 0 322 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- 1` 0 408 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. i-7 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: 9 7 Ll -5-- LV 3 Gti,e Permit Number: 2 0 1-7 0 's h nCA) - 3 —Stg:�,'p, _ �t & 0 E G Ge r -,e S C C. v ! G/ ❑ No one available for inspection: Time 9 = 0 (RJPM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303 -234 - Date: a i 151 /-7 Inspector: -7--b DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE � Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: v Permit Number: a ❑ No one available for inspection: Time>� L AM PM Re -Inspection required: Yes No When corrections have been made, call fo re-inspectioJnn at 303-234-5933 Date:12, Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Plumbing PERMIT - 201709442 201709442 ISSUED: 12/05/2017 9745 W 36th AVE EXPIRES: 12/05/2018 40 ft to 50 ft waterline repair from house to meter pit on 3/4 in. service line *** CONTACTS *** OWNER (303)618-9686 SHAFER STEVEN C SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,300.00 FEES Total Valuation 0.00 Use Tax 69.30 Permit Fee 109.20 ** TOTAL ** 178.50 *** 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 accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1ie 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per o`and that a ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. A /tel 1z, /5/17 Signature of OWNER oKCONTRACTOR (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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or anyprdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. n, Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of AWheatj�idgeOMMUNiTY 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: �ermitsr"ci.wheatridge.co.0 FOR OFFICE USE ONLY Date: 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. C:T _� C4 S w - 3 6 fi "` A u e__ W Ke.� "- ' &' e, Property Owner (please print): �k Cye, Phone: -3161-5- q6$6 ,, Property Owner Mailing Address: (if different than property address)t 1 Address: M �-5 A v City, State, Zip: Architect/Engineer: /JZA Architect/Engineer E-mail: Al Z A Phone: Contractor: X\ Contractors City License #: Phone: —7Z0 - 66z- C4 3a l 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 R 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.) Sq. Ft./LF Amps 5 Lo u cAk er V\e) mese, +0 o r\, -3[c4" c4 -5 e—ry , Ce, L 2 - Btu's Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 33005,--- OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTATIVE of (OWNER) (CONTRACTOR) Signature (first and last name): 222� DATE: 1 Z`J b 7 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: L-1 c Cr - r . "' Job Address: Cl -7 `l S W 3 `1' A, Permit Number: A G I -7 o$& 7 7 'r ,) a) fu o 4 A G a d dP <<� 2 -�o i` �` rl S jaeC 47 4 1 t - !�, r,: -T G d c/ e J -HJ - rd? C9 4 60 Pre- ❑ No one available for inspection: Time / 0 - 3V &PM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234- Date:? 03-234-Date:► _ds / -�) 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: (-f U - r,, "., I Job Address: 9 7 0 5— W 3 &4LA 14 ve Permit Number: a n/-7 o S& -7 7 P)-nA) &)v4- P Qpr_d Q ! a U et- s�e t -Po f- 1-n SSAP_C� a G n _ ❑ No one available for inspection: Time y OPM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date:-/ 1 //-99 li - Inspector: -)-lb DO NOT REMOVE THIS NOTICE at, i CITY OF WHEAT RIDGE - Building Inspection sion (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1-/ 0 9 - �� n a ) Job Address: Of -7'-1 5- W 3 to'h A. -e Permit Number: -31 o 1-7 a 'R Lz , -7 (U 1 o - 'EA f-=2 0 eg T`PSc v ❑ No one available for inspection: Time'?:: y (r, CM)PM Re -Inspection required: Q No When corrections have been made, call for re -inspection at 303-234-5933 Date: I1 //, 1/i'7 Inspector: -7-7,b 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: Permit Number: G �i ❑ No one available for inspection: Time % 4 C A I Re -Inspection required: Yes NJ When corrections have been made, call for re -inspection at 303-234-5933 Date: ; ' % —inspector: DO NOT REMOVE THIS NOTICE • , City of Wheat Ridge Residential Roofing PERMIT - 201708677 PERMIT NO: 201708677 ISSUED: 10/27/2017 JOB ADDRESS: 9745 W 36th AVE EXPIRES: 10/27/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 30.49 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)618-9686 SHAFER STEVEN C SUB (303)902-5338 Phillip Simon/Steve Merkel 170232 Simon Bros Roofing & Restor. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,425.00 FEES Total Valuation 0.00 Use Tax 428.93 Permit Fee 378.65 ** TOTAL ** 807.58 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge ` Residential Roofing PERMIT - 201708677 PERMIT NO: 201708677 ISSUED: 10/27/2017 JOB ADDRESS: 9745 W 36th AVE EXPIRES: 10/27/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING 30.49 sq Pitch = 4/12 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�at#est that I am legally authorized to include all entities named within this document as parties to the work to be perfumed and that 111 wk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signalre of OWNLR or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and 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 Offcial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicab1�solie or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official r ` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett zo�7671 From: no-reply@ci.wheatridge.co.us Sent: Friday, October 27, 2017 9:22 AM 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 Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 1� 9745 West 36th Ave Steve Shafer 303-618-9686 33 —rte Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. roadless@live.com Yes Attach Copy of Executed contract. shafers.pdf Contract 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) Simon Bros roofing and restoration i 170232 3039025338 Contractor Address 6803 E 47th ave Dr Unit B (Primary address of your business) Contractor Email Address simonbros.roofing@gmail.com Retype Contractor Email simonbros.roofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 30.49 / the entire scope of work: i— Project Value (contract 20,425 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or Yes / Pitched roof (2:12 pitch or greater) 34 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) 4/12 30.49 OC Duration, Tru Def Asphalt 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 owner of the property to 35 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 Marisela Porras Email not displaying correctly? View it in your browser. 36 SIMON BROS. ROOFING and RESTORATION, LLC 6803 E. 47th Ave. Drive Unit B - Denver, CO 80216 303-902-5338 - simonbros.roofing@gmail.com Job location if different Address City JG I Name: , t C I f I Project Manager: I e - i 11 1 Street: Cell Ph: 7t�P City: , Email Phone: Contract is VOID if the claim is not approved by Email: , , insurance company. The property, (honer Authorized Representative selects the following materials and directs Simon Bros. Roofing & Restoration LLC (SBR) to fumish materials and labor in a good and workmanlike manner as outlined herein. Any alterations, modifications, changes or additions must be made in writing and signed by both patties. in addition. SBR is authorized to fiie a claim with my insurance carrier and is to act as myiour agent in the claim rocess and may submit construction bids, quotes, drawing or other documents as required by the insurance carrier or the Claims adjustor. _I lHa l vet _ n,�`� n,,��`�-r' Insurance carrier: _- Ue F2-pk __ Policy No.._(�JrLQ 'CClaim No, 'L1.�_.l Claim Center Ph. _ Loss Date __-Adjustor's Name Adjustor's Phone: 8� tG�?6 _ >L,. L15 E 'ISTING ROOF rr 11 STRIP OFF I._ _ LAYERS OF EXISTING ROOF. 1 ) X._;tt 4>t __Lsl!ltr,o�tit -TCI K) REMOVE PIPE JACKS AS REQUIRED. (! X t`}Y�iC�L_G REMOVE ROOF VENTS AS REQUIRED._ - t REMOVE SATELLITE DISH REQUIRED. y) T -Lrw—ti� ye Etat _____ ROOF Shin le: _.._ . g QWCt4�_-,�rsr_'rtt _Style: j�g�oCl _ ilS? olor: Owner Initialsa6 �! Install Decking per code Install new b felt ) install pre -painted drip edge. Color -_ m&AI_ _ - Install,__ GaI nailstshinglc ( ) j } New Flashing as necded'required ( ) i Install ice and water shield per code Replace Roof vents as needed Magnetic sweep driveway=yard to remove nails SPECIAL INSTRUCTIONS._cg__..._..__-_ PROPOSAL: Simon Bros. Roofing. LLC agrees to provide labor and materials to complete the repairs accordin to the specifications outlined above for the total sum of: 228�M , 14 ( ) to be added upon approval of insurance claim. 2-7,704.71 t S4C The ACV check is due on delivery of material. The second check is due upon completion plus any supplement checks, overhead and profit allowances. Deposits made prior to the delivery of material shall be held in trust until material is delivered. If payment is by insurance proceeds. Simon Bros. Roofing shall be included as a co -payee on all claim loss drafts or other payments made by the insurer to the insured. Property owner has the right to rescind this contract and obtain a full refund of any deposit within 72 hours after signing the contract. if you plan to use the proceeds of a property and casualty insurance policy to pay for roofing repair the contractor cannot pay, waive or rebate the homeowners insurance deductible in whole or in part. Owner may rescind this contract after receiving notice from your insurer the claim was denied in w hole or in Part. if, as a result of SBR's efforts, the insurance carrier agrees to pay for the cost of repairs or replacement and SBR is prevented from completing the contract by the property owner without reasonable cause SBR shall be paid 20% of the total contract value as liquidated damages.Upon Acceptance of the claim. SBR is authorized to proceed with all repairs within the scope of work as approved by the insurance carrier. if additional damage is discovered in the course of repairs, SBR will notify the insurance carrier and request a supplemental payment to repair said damage. Should the supplement claim be denied, the property owner will he responsible for the payment only if the contractor completes the work_ SBR carries S2,000.000 in general liability insurance written by the True North Agency at 275 S. Main St. Longmont CO 80501, 303-774-2438, The SBR is not liable for any structural movement of the foundation walls, dry wall cracking or nail pops. All pictures, wall hangings, lights, and eollectables, both indoors and outdoors MUST be secured by the home owner. Any damage to these items or other personal items during installation will not the responsibility ofthe company. "Prior to litigating any dispute arising out of this agreement, customer agrees to mediate an&or arbitrate said dispute through the dispute resolution program offered by the BBB Serving Denver/Boulder (BBB). By agreeing to submit any dispute arising out of this agreement, customer aerees that no dispute shall he submitted to arbitration prior to the exhaustion of informal grievance procedures traditionally used by the BBB. Customer further understands that the arbitrator's decision is legally binding on all parties involved in the dispute:" HOMEOWNE rint n e_ _ rj Signature-` -_ Date:zu1 Simon B as oofing an Restoration, LLC rep otative ✓ Signature:�q- 7 -- Date: I Approx. Stan Date:- ------ J()- I-'��--- - ---_--­APprox. Completion Date: 4CCREDITED BUSINESS DEPARTMENT OF PLANNING AND DEVELOPMENT _ BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 10343 4/7/00 Property Owner : Property Address : Contractor License No. : Company: 9745 W 36TH AVE 17885 Lakewood Plumbing, Inc. Phone : 618-9686 Phone : 233 7007 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 printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTR4CTOR) SIGNED DATE Construction Value : $1,900.00 Permit Fee : $66.20 Plan Review Fee : $0.00 Use Tax : $28.50 Total: $94.70 Use: Description : Replace 3/4" water service from meter pit to house (on property only) w/new 3/4" 'K' Cu Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval : (1) This pertnit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloretlo and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire iF (A) the work authorized is no[ commenced within siaty (60) days from issue da[e or (B) [he building au[horized is suspended or abandonetl for a period of 120 daya (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, provitletl no chan9es have been or will be made in the original plans antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change the naturel Flow of water causing a tlreinage problem. (5) Con[ractor shall notiy the Builtling Inspectorhventy-four (24) hours in advance for all inspeclions and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a permit or the approval of drewings antl specifcalions shall not 6e consWed to 6e a permit for, nor an approval of, any violation oF the provisions of the building codes or any o[her ordinance, law, rule or re9ulatioa Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 " CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, Co $oz,s AppLICATIo N Property Owner : S f elmf'_ ska P,r . Property Address : 7~ (.e7 11A-UP . Contractor License No. V5 Company: IA`~eoocGt Clt.ll'V1kiI1L OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND Phone : 3 03- (0) 84 (o OP LL(~ Phone: W'~j-d33-760/ I hereby certify that the setback distances proposed by this pertnit appliwtion are aeeurete, and do not violate applicable ordinances, rules or regulations of the Ciry 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 responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applieable WhePj Ridge ordinanyqs, foX work under this pertnit. (OWNER)(CONTRACTOR) SIGNED DATE ' ° -OU Construction Value : + 9d p ,YIo Permit Fee : Use Tax : Total : use: Description: 12~0& g, 3) "W~p~ S~f ~/(Ge. ~Y"bYn ~ ~CT `}pZtAJZ_ C~ ~r~ W~YI2L0 31q ' BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : u n ~ Approval: Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electncal ucense No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiretion Date : Expiration Date : Expiration Date : Approval: Approval: Approvai : (i) - This pemfit was issuetl in accordance wRh the piovisions set forth in yopur appliratlon antl is subject to the laws of the State of Colaretlo anA to the Zoning 2) Thegula6ans antl Builtling Cotle of Wheat Ridge, Cobratlo or any oMer applipble ordinances at the Ciry. permk shall expi2 if (A) the work auNonzetl is not commenced wiNin sixty (80) tlays from issue date or (B) the builtling authanzed is suspentletl or abanOOneG for a penoC af 120 days. (3) II Mis peimit expires, a new pertnit may be acquiretl for a fee of one-half the amount noimally required, provitled no Uanges have been or will be matle in the onginal plans antl specifipdons antl any suspension or abantlonment has not exceeded one (t) year. If changes are matle ar if sus ension or a0andonment exceetls ane (1) year, full hes shall be paitl for a new permit p (4) No wark of any manner shall be tlone Nat will change the naNral flax of water ausing a d2inage pro6lem. (5) Contractor shall no6fy the Building Inspector lwenry-four (24) hours in atlvance for all inspections antl shall receive written approval an inspec6on prd before proceetliing with sutcessive phases of Me1'o6. 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