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Home My WebLink About2785 Pierce Streeti 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 1� gl,). Job Address: ;27 1—P<_ !- Permit Number: ❑ No one available for inspection: Re -Inspection required: Ye No. When corrections have been made, call for re -inspection at 303 -234 - Date:— ' 1,2 /--` Inspector: DO NOT REMOVE THIS NOTICE v City of Wheat Ridge E -Res. Window Replacement PERMIT - 201900831 PERMIT NO: 201900831 ISSUED: 04/30/2019 JOB ADDRESS: 2785 Pierce St EXPIRES: 04/29/2020 JOB DESCRIPTION: Residential window replacement of 9 windows in bedroom, kitchen, and front room. U -factor .27 *** CONTACTS *** OWNER (970)402-3876 PEGUES JEREMY A SUB (303)237-1687 John McDade 021066 Conservation Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00 FEES Window Replacement 50.00 Total Valuation 0.00 Permit Fee 125.05 ** TOTAL ** 175.05 *** 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. 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 performed and that all work to be per 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 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 an ay 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 Oficial 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 gramni of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apph )code or any cinance or regulation of this jurisdiction. Approval of work is subject to field inspection.It. Ar Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemps / l10 61V3— From: no-reply@ci.wheatridge.co.us Sent: Monday, April 29, 2019 3:12 PM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 2785 Pierce Street Jeremy Pegues 970-402-3876 kkimbercc@gmail.com Attach Credit Card Credit Card Authorization PEGUESO41619 Conservation Authorization Form - Construction.odf **DO NOT ATTACH RANDOM DOCUMENTS** -;�/�&., CONTRACTOR INFORMATION Contractor Business Conservation Construction Name 1 Contractor's License 021066 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-237-1687 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address kkimbercc@gmail.com Retype Contractor Email kkimbercc@gmail.com Address DESCRIPTION OF WORK Number of window Replacing 9 windows "like for like: and/or doors being replaced Location of Bedrooms, Kitchen, Front Room window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the Lakewood window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of Credit Card Authorization PEGUES041619 Conservation window/door cut sheets Construction. pdf showing sizes and u -value Project Value (contract 4500.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit z issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. 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. Person Applying for CONSERVATION CONSTRUCTION Permit Email not displaying correctly? View it in your browser. 4/26/2019 10:39 AM FROM: Fax Server TO: +17177352706 P. 1 SENt erimax, WINDOWS & DOORS A Division of Omnimax International, Inc. ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1777131 04/26/19 CUSTOMER P.O. PRICE CLASS PEGUESI041619 603 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN www.AmerimaxWindows.com PAYMENTTERMS TAX CODE NET 30 CO CON101 CON103 CONSERVATION CONSTRUCTION CORP CONSERVATION CONSTRUCTION SOLD 8101 WEST COLFAX AVE SHIP 5360 WASHINGTON ST ATTN: ACCOUNTS PAYABLE DENVER, CO 80216 TO LAKEWOOD, CO 80214 TO USA Ph:(303) 237-1687 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE I PRODUCT/ DESCRIPTIONI QTY• REQUESTED I UNIT PRICE I EXT'D. PRICE ORDERED IDELIVERYDATE 001 VW38002L 1 05/08/19 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/4" x 49-1/4" Oriel:50.000% of Op.Sash 85 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 002 VW38002L 1 05/08/19 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/4" x 49-1/4" Oriel:50.000% of Op.Sash 85 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 003 VW38002L 1 05/08/19 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 36-1/8" x 25" Oriel:50.000% of Op.Sash 62 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 004 VW38003L 1 05/08/19 Please respond IMMEDIATELY with any corrections. DO NOT re- SUBTOTAL send original Order Form. Thank you. TAX Page 1 of 3 TOTAL: CONTINUED 4/26/2019 10:39 AM FROM: Fax Server merimax- WINDOWS & DOORS A Division of Omnimax International, Inc. 3950 MEDFORD DRIVE LOVELAND, CO 80538 TO: +17177352706 Phone: 800-827-4369 Fax: 800-601-3227 www.AmerimaxW!ndows.com CON101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE I PRODUCT/ DESCRIPTION P. 2 ACKNOWLEDGEMENT SENt 15 SALES ORDER NO. DATE ORDERED 1777131 04/26/19 CUSTOMER P.O. PRICE CLASS PEGUES/041619 CONTACT SLS REP CODE 603 SHIPPED VIA FOB POINT DENVER WAREHOUSE ORIGIN PAYMENT TERMS TAX CODE NET 30 CO CON103 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 QTY. I REQUESTED ORDERED I DELIVERY DATE I UNIT PRICE I EXT'D. PRICE Craftsman Portrait 3 -LITE (XOX) WHT Stucco -Frame 68-1/4" x 49-1/4" Oriel:33.333% of End 118 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Ctr. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt.: 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded END BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 005 VW38003L 1 05/08/19 3800 3 LITE SLIDER Craftsman Portrait 3 -LITE (XOX) WHT Stucco -Frame 68" x 49-1/8" Oriel:33.333% of End 118 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Ctr. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt.: 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded END BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 006 VW38002L 1 05/08/19 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/4" x 49-1/8" Oriel:50.000% of Op.Sash 85 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT TEMP & 1/8 TEMP Mixed Gas WHITE Spacers Screen: Extruded HALF BE17ERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** TEMP RIGHT ONLY 007 VW38002L 1 05/08/19 Please respond IMMEDIATELY with any corrections. DO NOT re- SUBTOTAL send original Order Form. Thank you. TAX Page 2of3 TOTAL: CONTINUED 4/26/2019 10:39 AM FROM: Fax Server TO: +17177352706 P. 3 SENt A1777131 ACKNOWLEDGEMENT merimax SALES ORDER NO DATE ORDERED 04/26/19 WINDOWS & DOORS CUSTOMER P.O PRICE CLASS PEGUES1041619ax A Division of OmnimInternational, Inc. CONTACT SLS REP CODE 603 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN www.AmerimaxWlndows.com PAYMENT TERMS TAX CODE NET 30 CO CON 101 CON 103 CONSERVATION CONSTRUCTION CORP CONSERVATION CONSTRUCTION SOLD 8101 WEST COLFAX AVE SHIP 5360 WASHINGTON ST ATTN: ACCOUNTS PAYABLE DENVER, CO 80216 TO LAKEWOOD, CO 80214 TO USA Ph:(303) 237-1687 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE PRODUCT / DESCRIPTION CITY. REQUESTED UNIT PRICE EXT PRICE ORDERED I DELIVERY DATE D. 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-7/8" x 37-1/8" Oriel:50.000% of Op.Sash 73 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 008 VW38002L 2 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/4" x 37-1/8" Oriel:50.000% of Op.Sash 73 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** SUPPLEMENTAL GLASS WARRANTY CHARGE Please respond IMMEDIATELY with any corrections. DO NOT re- seed original Order Form. Thank you. Page 3of3 05/08/19 SUBTOTAL TAX TOTAL: egress & will not meet after windows replacement. "Like for Like" MTS INSPECTION RECORD Inspection online form: http://www.cl.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: OlqOSgVy ADDRESS: �- 7 9 '?i P� � �� 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 6 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 6 307 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 PERMITJo/ 2- -2 SV `-P, - ._- — Ucz: K �f Rough Inspection (continued) Date .ospector 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 _17— / 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 _17— / 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. Lj 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: L1 o q - r- % n ca Job Address: a -7 8 5- P r, <F rc e S Permit Number: 2 0 t-7 o s 8/ L-/ Nn ❑ No one available for inspection: Time= -3-0 AM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: / 7 / S Inspector: —T -b DO NOT REMOVE THIS NOTICE 4� City of Wheat Ridge Residential Roofing PERMIT - 201705814 PERMIT NO: 201705814 ISSUED: 08/09/2017 JOB ADDRESS: 2785 Pierce ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with 34 sq. *** CONTACTS *** OWNER (406)600-3644 NYQUIST BRADFORD T SUB (970)484-7777 Justin Javernick 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00 FEES ' Total Valuation 0.00 Use Tax 294.00 Permit Fee 267.70 _ ** TOTAL ** 561.70 �- ----` *** 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705814 r: PERMIT NO: 201705814 ISSUED: 08/09/2017 JOB ADDRESS: 2785 Pierce ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with 34 sq. 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit I further attesfthat I am legally authorized to include all entities named within this document as parties to the work to be perform a d that all wo/rk �t' be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �La f / — i % Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 andmay be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 o ordinance or regulation of 's 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. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 3, 2017 3:03 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? l How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 2785 Pierce Street Pegues, Jeremy (720) 515-4245 formularoofing1 @gmail.com 0 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Formula Roofing Name Contractor's License 110274 Number (for the City of Wheat Ridge) Contractor Phone 3036008696 Number Contractor Email Address formularoofing1@gmail.com Retype Contractor Email formularoofingl @gmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 34 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 34 (pitched + flat) of all Pi roofing material for this project Provide additional detail Install New Ice&Water with new Drip edge pitch 6/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract (:14000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Dominick Orrino Email not displaying correctly? View it in your browser. 3 AGREEMENT V 4560 Columbine 5t. FORMULA Denver, .8 96 303.600.8696 OOFING &REMODELING FAX 303.600.8654 Building Solutions for Colorado �tnr Customer Name: 4 1 jJ Address: `tC. Customer Phone: Email: Insurance: i,, L0,4-t,Pk1_ S'S' Claim: Adjuster Name: Shingle Manufacturer: Style of Shingles: > Color of Shingles: Number of Squares: f Tear o ff# of layers: Install Felt: ) P Replace Plumbing Jack: Replace Roof Vents: 1 Ice and Water Shield: Nailing Pattern: r� Drip Edge: f\q Appropriate County/City Code Requirements Clean-up and haul o ffall trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. Additional Warranty: Rep: Phon Emai Pitch. Stories: D M FasterElite WEATHER STOPPEn•RODFING CONTRACTOR Adjuster Phone: Adjuster Email: C er v Access: In' als Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Gutters Windows /V Screens/Glazing Bead Paint Fence/Deck Siding Additional Comments: Customer By signing this contract 1, the property owner, agree to the above listed work being completed rn� as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power ofAttorney to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with any and all dealings regarding the current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. j Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which, in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate CityiCounty Authority. Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds 'Customer allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling In' once the work has been completed and funds have been released. THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the property, whichever occurs first. Deposit Received: $ Approximate date of service commencement: Insurance claims proceeds: Owner to remit ACV insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of c contract is can le a'.. Customer Signatul cI Customer Sienature• I _` Formula Representative: act the owner reserves the right to a three day rescission per, that threey period, customer will pay 25% of contrac, D?' 3011ON SIHI-gAOW3tl ION 00 £E65-t%ce-roc 3e uoi;oodsui-aa jo{ l/eo `spew uaoq aAuq suo►joaaaoo u94M.. oN f sok :paainbaa uoiloodsul-aH VQINV 7 , awil :uoiloadsui aol ajgej!BAe auo ON n o I. ') Z :aagwnN Pwaad J-.),14 ,rj / L :ssaippd qof :adA.L uoil3adsul 30110N N01103dSNI xeJ 6068-L£'0 (COO) • 00l110 r9RE-5£Z (COO) aull uolloodsul ££65-ti£Z (£0£) F uoisinia uoizoadsul 6uippn8 3Jala lV3HM =10 A113 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-572 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :3/22/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : SELBY ROBERT G Property Address : 2785 PIERCE ST Phone : 233-0395 Contractor License No. : 18153 Company : Appco Construction, Inc. Phone : 371 2264 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 wvenants, easements ar restridions of record; that all measurements shown, and allegations made are accurate; that I have read and ayree to abide by all conditions printed on this applicalion, and that I assume full responsibilit for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicabl Wheat itlge o inances, for work under this permit. (OWNER)(CONTRACTOR)SIGNEDDAT~ Description : REROOF Construction Value : $3,025.00 Permit Fee : $63.00 Use Tax : $45.37 Total: $108.37 Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approvai: Expiration Date : Approval: Expiration Date : Approval: ~ ~ n 0 (7) This permit was issued in accordance wiN the provisions set forth in yopur application arM is subf'ecl to the laws of the State of Colo2do antl to the Zoning Regulations aiW Buildiny Code of Wheat RiEpe, Colorado or eny Mher applicable ordinances o/ihe Cily. (2) 7Tis permtt shall expire if (A) the work authonzed is not commenced wkhin sixry (60) days hom issue date or (B) the DuilCing authonzed is suspended or abandonetl for a perio0 of 120 days. (3) If this permit expires, a new pertnR may be acquiretl (or a fee of one-haN the amount normally required, provitled no changes have been or will be made in the onginal plans anA specificatlons and any suspension or aDanAOnment has not e:ceeOetl one (1) year. If changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the nalurel Ilow of water causing a drainage proDlem. (5) ContraCtor shall noti(y the Building Inspeclor lwenry-four (24) hours in atlvance for all inspeclions anA shall reCeive writlen approval on inspeCtion card before proceetliing with suaessive phases of the job. (6) The issuance of a permit or the approval of drawings anE specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the builtling codes or any other ordinance, law, rule or regulahon. r ~ca L/ Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ~ TU'3 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Pnonl ` IL - Property Address : sl Contractor License No. : -:5- 3 Company - /1/~ Phone : r-r - OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity 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 coveqants, 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 applicable Wheat Ridge ordipances, for work under this permit. - (OWNER)(CONTRACTOR) SIGNED /y 4n~j d/IJTY1'-T DATE /D 4S /_1 Description : ff- POS ~ Ttvn 1'qv{e /F~e~j77~ Application Number : Date : Construction Value Permit Fee Use Tax : ~S 7B ) Total : ( C) S 7 BUILDING DEPARTMENT USE ONLY ~°~menta~ Approval: Zoning : ~ ments:; S ~ _ . Approval: RAIf~~`tlrks.Comme9ts: Approval: ~ Occupancy : Walls . Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company . Expiration Date : Approval : Expiration Date : Approval : ; _Plans Required ~ Expiration Date : Approval: J (1) This permit was issued in accortlance with the provisions set torth in yopur apphcation antl is subject to the laws of [he State ot Colorado an0 ta Me 2oning Regulations antl Builtling Cotle of Wheat Ridge, Coloratlo or any other applicable ordinances of tne Ciry. (2) This permit shan explre rt(A) tne work authorizetl is not wmmenced within sixry (60) Cays Vom issue date or (B) the Euilding authonzed is suspended or abandoned tor a period ot 120 Aays. (3) If this permit expires, a new permM1 may be acquired for a fee of one-half the amount normally requued, provided no changes have been or will Oe matle in the onginal plans antl speutiwtions antl any suspension or abandonment has not exceetletl one (1) yeac If Uanges are matle or if suspension or abandonment enceetls one (1) yeer, full feES Shall be Oaid for a new permit. (4) No work oF any manner shall be tlone [hat will change the natural flow of water causing a drainage Droblem. (5) Contrador shall notiy the Builtling Inspector twenry-(our (24) hours m atlvance for all inspections and shall receive written approval on inspection caN before proceetliin9 with successive phases o( Ne 1ob. (6) The issuance of a permit or Ne approval of tlrawings antl specificatians shall not be construe0 m oe a permit for, nor an approval o(, any violatlon of the provisions of the buiiding cotles or any otner ormnance . iaw, rwe or re9Wation. Building Inspector For Mayor Company: THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION