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HomeMy WebLinkAbout3265 Pierce StreetQ�4L(N S P E C 2�T Occupancy/Type INSPECTION ONLINE FORM: p://www.ci.wheatridge.co.ushnspec I INSPECTIREQUEST LINE: (303) 234-5933 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 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 AoDroval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical hea Sewer Service -Roof Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initial Comments hea -Roof L Rough Electric 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 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 uistrict and eiectricai iow voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201706662 PERMIT NO: 201706662 ISSUED: 08/28/2017 JOB ADDRESS: 3265 Pierce ST EXPIRES: 08/28/2018 JOB DESCRIPTION: **REVISION; ADDING DECKING TO EXISTING PERMIT** Residential Re -roof to install Malarkey Vista asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)200-0200 JACKSON FAMILY TRUST SUB (303)935-6119 Jimmy M. Waldner 060001 JMW Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,500.00 FEES Total Valuation 0.00 Use Tax 199.50 Permit Fee 204.30 ** TOTAL ** 403.80 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706662 PERMIT NO: 201706662 ISSUED: 08/28/2017 JOB ADDRESS: 3265 Pierce ST EXPIRES: 08/28/2018 JOB DESCRIPTION: **REVISION; ADDING DECKING TO EXISTING PERMIT** Residential Re -roof to install Malarkey Vista asphalt shingles with 25 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 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 thatall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date / I . 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 ppermit 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official 15a e REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Midge COMMUNITY 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 FOR OFFICE USE ONLY Date: 'r� ' \ t 1� Add to Permit # Email: permits(a)ci.wheatndge.co.us Building Permitevisio mendment Application *** Please complete all highlighted areas on both -sides of this form. Incomplete applications may not be processed. **" Property Address:�to5 Pit'�C� _T Property Owner (please print): J{�kL_4 ``v�L1tsorJ Phone: 32-qo0-0--�-06 Property Owner Email: �-,� ��c�g3�l}o� Co1✓1 Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: (j M, Q Rdor-Wb I �)L Contact Person: j I L� W rvt 60'y' Phone: Contractor: U AW Loc - Contractors City License #: / Phone: Contractor E-mail Address: j M 0 (0 0 FM)ka 1 kk i MjjL j(,aM Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: I MS, r 4(-u 1/6- N OI -6 Sq. Ft./LF 3-000 SQ F 'C Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ -!),oyO 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: G�/ J DATE: 91 f 11 ` 1 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $�� City of Wheat Ridge Residential Roofing PERMIT - 201706662 PERMIT NO: 201706662 ISSUED: 08/28/2017 JOB ADDRESS: 3265 Pierce ST EXPIRES: 08/28/2018 JOB DESCRIPTION: **REVISION; ADDING DECKING TO EXISTING PERMIT** Residential Re -roof to install Malarkey Vista asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)200-0200 JACKSON FAMILY TRUST SUB (303)935-6119 Jimmy M. Waldner 060001 JMW Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,500.00 FEES Total Valuation 0.00 Use Tax 199.50 Permit Fee 204.30 ** TOTAL ** 403.80 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706662 PERMIT NO: 201706662 ISSUED: 08/28/2017 JOB ADDRESS: 3265 Pierce ST EXPIRES: 08/28/2018 JOB DESCRIPTION: **REVISION; ADDING DECKING TO EXISTING PERMIT** Residential Re -roof to install Malarkey Vista asphalt shingles with 25 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 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 thatall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date / I . 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 ppermit 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official 15a e REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Midge COMMUNITY 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 FOR OFFICE USE ONLY Date: 'r� ' \ t 1� Add to Permit # Email: permits(a)ci.wheatndge.co.us Building Permitevisio mendment Application *** Please complete all highlighted areas on both -sides of this form. Incomplete applications may not be processed. **" Property Address:�to5 Pit'�C� _T Property Owner (please print): J{�kL_4 ``v�L1tsorJ Phone: 32-qo0-0--�-06 Property Owner Email: �-,� ��c�g3�l}o� Co1✓1 Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: (j M, Q Rdor-Wb I �)L Contact Person: j I L� W rvt 60'y' Phone: Contractor: U AW Loc - Contractors City License #: / Phone: Contractor E-mail Address: j M 0 (0 0 FM)ka 1 kk i MjjL j(,aM Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: I MS, r 4(-u 1/6- N OI -6 Sq. Ft./LF 3-000 SQ F 'C Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ -!),oyO 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: G�/ J DATE: 91 f 11 ` 1 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $�� City of Wheat Ridge r Residential Roofing PERMIT - 201706662 PERMIT NO: 201706662 ISSUED: 08/28/2017 JOB ADDRESS: 3265 Pierce ST EXPIRES: 08/28/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)200-0200 JACKSON FAMILY TRUST SUB (303)935-6119 Jimmy M. Waldner 060001 JMW Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00 FEES Total Valuation 0.00 Use Tax 157.50 Permit Fee 172.60 ** TOTAL ** 330.10 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. 114, ti 4 a City of Wheat Ridge Residential Roofing PERMIT - 201706662 PERMIT NO: 201706662 ISSUED: 08/28/2017 JOB ADDRESS: 3265 Pierce ST EXPIRES: 08/28/2018 JOB DESCRIPTION: Residential Re—roof to install Malarkey Vista asphalt shingles with 25 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 theproperty 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 th ll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatur / OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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, an violation of any provision of any applicable a or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any 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 I �/ Q From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 24, 2017 2:28 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? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION (�)� Property Address 3265 PIE`�CE STREET Property Owner Name HARLEY JACKSON Property Owner Phone 303-200-0200 Number (enter WITH dashes, eg 303-123-4567) 49 �336.�U Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. jmwroofinginc@gmail.com Yes Attach Copy of Executed IMG 20170824 0003.pdf Contract CONTRACTOR INFORMATION Contractor Business jmw roofing inc Name Contractor's License 060001 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3039356119 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5715 W. MISSISSIPPI AVE (Primary address of your business) Contractor Email Address jmwroofinginc@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: jmwroofinginc@gmail.com 25 Project Value (contract 7500.00 value or cost of ALL materials and labor) Are you re -decking the No ✓ roof? 50 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof.- Type oof: Type of material for the pitched roof.- Provide oof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No Yes 25 MALARKEY VISTA Asphalt HOUSE 4/12 PITCH SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 51 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant jimmy waldner Email not displaying correctly? View it in your browser. 52 Aug 22 2017 07:13PM 3033740700 ACCREDITED BUSINESS page 2 tJ m 1'r "Quality Workmanship at an Affordable Pdcs" Phone (3W) 935-6119 Fax (303) 934-4752 Email jrmwroofinginc@gmail.com 5715 W. Mississ;ppiAve. Lakewood, CO 80226 Property Owner (Customeri Name: IMAL L I 'r} L, l X38 A .4 Atxwid gate,�� Property Address: streets Z;k6 s Ipm- 3T City Wikto'i Q4ei�tG. State_ 0 Zin VOW Date of Birth:__ Home Phone—;01!�- 4PO -0:l,00 Cell Ph: A1.4 AC.IC 3%AQL, Ckim Business Phone: Business Name and Address: Property Owner's Insurance Company:-MWAS y 1 Claim tic 0 _ .x (;1'1 1a -1 Date o* _ Loss:1 $ t 7 Type of Loss:kA tt- authorize :MW RooF.ng Inc. (the Cp� arry ) t¢ work d redly with my Insurance company ©n m behaifand to furnish all motel i and la or as listed below. Company representative:. rfl 4 �ti� Phonea:3?1 `(aWi OA �G�� 'dg X1 t4 1r1}5ctt+4 L't:, f4tto�+r*tC.�j Total AMC�Lnt Of Estimate S .ii1PPLLI+tFJ��'S (Agreed upon price with tie`` I�nsurVfe Company based on damages known at time of esti The owner's out of pocket expenses will not exceed 4nsu rance dedu tible in the amount & $ 3J_ W funlatc ursn rarrx arm s i f a d -f-6. Policy Specifications: Non-recoverable Depreciation (Inidai) Recoverable Depredation {initial; Code U Grade Covera e Up -Grade g (Ir,I;ial, Approximate Dates of Seraicelaayment. Your p..Mect will begin on or about_ _ at 1 -7 1 t 7 (subject. to the Company receiving approval from owner's Insurance Company, and is expected to be completed within 3q days from delivery of materials, subject to delays for weather, delays in obtaining materials or permits, c- other events beyond the CoApany`s reasonable control. Sinal payment isdue to the Company upon substantial completion of work. All insurance supplement payments Lnvoiceo to Cwners Insurance Company to correct shortages in original estimate will be paid to the. Company. 4Je will furrish the following materials and labor as listed Wow. Tear off all layer, of existing roof material: ( I .�� New Shingle:) AALAAj&XM Ll t ST g �- Initiai Shingle Color: initial install Felt paper to Match Existing ---i 5 ib Wb�T1ll.TsC. Instaf Pipelacks:_ 1 VA 311 4,1 Instat: Furnace Vents: 1A 3x5 5x7 70 5C.. GAZ fascia Color, W 4I t L _protect all Landscaping, Pools A/C Units X Paint Vents to Match Roofing Material h Haul Off Trash/Debris and U agnetic Sweep _____-X__othe e.z w US OI aLo VA The fallowing Special Proviskns Apply Only to Roofing Work on Residential Property in Colorado as provided under C.R.S. 6-22.141 et soot.: -Notice with Respect to Residential Property Located in Colorado as applicable under CRS. 6-22-101 et seq.: Property Owner may rescind roofing contract pu suan.* to Section b 22 104, tiolorado Revised Statutes. •Noticewith Respect to Resldentiai Property-ocated in Colorado as applicable unser CRS. 6-22-101 et seq : if Property Owner pians to use the proceeds of a property and casualty insurance policy issued In pursuant to Part 1 of Article 4 ofr(tie 10, Colorado Re',4sed Statutes, to pay for the roofing work, pursuant to Section 6-22-105, C -R.5., the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any Insurance deductible app ,icabie to the insurance claim for payment of roofing work on the covered residential property. -Notice with Respect to Residential Property located in Colorado as applicabie under CRS. 6-22-101 et seq- THE COMPANY SHALT. HOLD INTRUST ANY PAYMENT FROMTHE PROPERTY OWNER UNM THECOMPMW HAS C*LIYERE01 Ro0FING &"TELAMS A'TTNi A99C ENML PROPERTY SITEOR HAS PERFORMED A 11 MRITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. -Notice with Respect to Residentlal Property Located in Colorado as applicable under C.R.S. 6-22-101 et seg.: Property Owner may rescind this Contract Pursuant to Section s -22-i 04, Colorado Revised Statutes. Notice: if Property Owners. insurance Company does not approve scope of work and price within 60 days from the date of th sContract, either the Company or the Property Owner may cancel this contract upon issuance of written not ce to the other party at which time any deposit paid by the Property Owner wii I be ref u n ded in full and twth parties relieved from any obligations under this Contract. Please read the reverse for anddltionai Terms and ContJotions which aro part al this Corhbact By signing this contract you are authQy&ornpany to perform the work as 5pecified and make payments as required herein. Proper yi9egne /Customer / �� The Company: r !NW R fing Inc. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ;� ❑ No one available for inspection: Time / -11-�;/"AM/PM Re -Inspection required: Yes �N� When corrections have been made, call for re-inspec#neat. 03-234-5933 Date: Inspector: CiL' 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 ❑ No one available for inspection: Time .� AM/PM Re -Inspection required: Yes No.. When corrections have been made, call for re -inspection at, 4-5933 Date:` (� ` / Inspector:�''1' DO NOT REMOVE TH19 NOTICE Building Permit Application (Complete gff highlighted areas) Data.. plan # Permit # Address: -e— City, State, Zip Contractor: Rv MWA�O BTU's Gallons _ Amps Sq Ft. PUSI FIRE Building Permit CITY OF WHEAT RIDGE 7500 west zsTH aveaue Wheatridge, CO 80033 303-235-2855 C,q~ornmerF9dpe Permit Number 19298 10/3/2005 Inspection Llne 303-234-5933 Residential Electric PROPERTY 3265 Pierce St Unit: owivEx: Harley Jackson Descriptiou . Replace electrical meters Units: . Occupancy: Wa14c: Roof: Stories: Sq Feet: 0 t hertbr cutld tWt We ulbadk dbmaem proPmtl by tWs permit AppNatlon are aecuntq .vd tlo oot vblate applkWle erdinonces, who or re{abtlovs ef Ihe C1ty of Wheat AW(e or wvmnh, .mb ar rerWetbu of rteord; lhvt a me~eurtmmb Wowv, aed alkC+ro^a made are amnh; f6at 1 hrve rud ud apee roAide Uy aB eoodldoosWint oa Wb ,plkatla4 ontl Nat I mvme fO raponel6Wry for eompWom wNh Ne Whea[ Ndye Boiidloe Code (U•B.C.) Aod ai other apptlWk WhntRld{so oea,forwor4nnderN4 IL AA _ ~ evaimnArc 1 Th4 pe~mll wu IuuW le ~emrNOa with Na proWboe ut ~fonh in your opplkotloo ~od b vuCJM to We Wwe of the Shh otCobndo ud ro the Zaolo{ gqo6ryuyi uW BuitlNi Cade of Whrat ilidgq ColoMO or my oNer appllubk ordivaom of the Clty. ' 2. 'fhb prtmiNhvl eapire If(A) We worle .mhorlua 6 oot mmmenoed ~ Jzty (60) A.ri fi'^. V^'e d.te or (B) WeDUiltlioG nvNoNaJ b AmpmEed w m.mmaa ro., a.+oa or ixo a.n. 9 If tW pnmit eaplrtF a eew permi[ may De aaquhM tor a fee o(ooo-LW tb<uoomt eormally rtqa4M, pmWAM vo eLaeson hove been or wiV be made 1~ the mlgiedphm md spalfkaHOns md aoy wpeovbv or Abavdoomeot lus not ezttedM one (t) yur. lf ehu[m Are mde or I(evepmdoe or Waudoemmt exCeeEe me (I) Y., fa Ra ASatl be p~W for o uew Psnn14 . d NowarlcofasymmeerebdlLeEOnetWtrvNChmLe Nenatunl0owofwtrerumNe+dnlnqepmbWU. 5 CovtraefartWNeull%WeBdNlv{N,PaWrMmty-four(3a)hooniooEv.oeefor.0loepeetlooeAodeAalireuhemiMenvppmwloe4upectloneaEENow proceedins w116,uare,ive pLun otlhe )ob. 6 Tbe luuna ot. prmil or the {pproval ofdnwivuaod pecllkvtioov aEa not be rnnstrved W be v pumlHOr, oor ao ~pprovtl ot, aey vbbttloe oft6e Monday, Ocrober 03, 2005 Page 1 of 1 COMMWNITY DEVELOPMENT DEPARTMENT ~oF WHEqr~ gU1LDING INSPECTION LINE - 303-234-5933 ~ g CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) ~~IORP~~ . ~ APPLL4l2 PropertyAddress: 32..(b5 Pjp,rCp, S}-, Contractor License No.: a l~ fg Company: Building Permit Number; Date: Phone: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildina Deak Valuatfon Figure: 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 Ridga or covenants, easements or restrictions of record; thatall measurements shown, znd Allegatlons made are accurete; tbat I have read and agree to abide by all conditlons printed on this applieation and that I assume full rasponsibility for compliancewiththeWheatRidgeBuilding de I.B.C)a d lo erapplicableWheat Ridge Ordinances, for work under„th~ it. ~ eld inspectlon.1 ~ (O W NER)(CONTRALTOR): Use of Space (description): Description of work: Sq. Ft. added VZIU6:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ Expiration Date: Expiration Date: Expiration Date: Approval: , Approval: Approval: (1) This permitwas issued in accordance wlth the provisions setforth In your applicaBon and is subjedto the laws of the State of Colorado and to the 2oning Regulations and Building Codes of Wheat Ridge, Coloredo orany other applicable ordfnances of the Clry. (2) This permit shall expire If (A) the work authorized Is not commenced within sixty (90) days from fssue date or (B) the building authorized is suspended or abandoned for a penod of 180 days, (3) If this pertnlt expires, a new permit may be acqulred for a fee of one-half the amount nortnally requlred, provided no changes have been orwill be made In the original plans and specifications and anysuspenslon or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, Tull fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water eausinga drainage problem. (5) Contractor shall notify the Building inspector iwenty-four (24) hours In advance for ali inspections and shall receive written ' Is subJeet to fleld inspectlons. appmval on fnspecUan card bafora procaeding with successNe phases of thaJob. - (6) The Issuance of a permit or the approval of drewfngs and speciflcatlons shall not be construed to be a permit for, nor an approval of, anyviolation of the provislons ofthe bu(Iding codes or any other ordinance, law, rule or regulation. Ail plan review Chief Buildina Official Electricai License No: Plumbing License No: Mechanical License No: Company: Company: Company: