HomeMy WebLinkAbout3845 Pierce StreetCity of Wheat Ridge
E -Res. A/C Replacement PERMIT - 202001482
PERMIT NO: 202001482 ISSUED: 08/04/2020
JOB ADDRESS: 3845 Pierce St EXPIRES: 08/04/2021
JOB DESCRIPTION: Replacing 3 ton, 18 seer A/C on ground.
*** CONTACTS ***
OWNER (205)218-4153
SALZMANN JOHN
SUB (303)457-4328
MICHAEL CISTONE
202062 GOODFELLAS HEATING AND COOLING
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 15,755.00
FEES
Total Valuation
0.00
Use Tax
330.86
Permit Fee
299.40
** TOTAL **
630.26
*** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
City of Wheat Ridge
E -Res. A/C Replacement PERMIT - 202001482
PERMIT NO: 202001482 ISSUED: 08/04/2020
JOB ADDRESS: 3845 Pierce St EXPIRES: 08/04/2021
JOB DESCRIPTION: Replacing 3 ton, 18 seer A/C on ground.
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 performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180. days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the 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 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, an violation of any provision of any
a plicable code
4)t4
or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, August 4, 2020 11:56 AM
To: CommDev Permits
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Categories: Dina
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM 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.
PROPERTY INFORMATION
Is this a new install or
replacement for an
existing AC unit?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
New Unit Installation
3845 Pierce St
John Salzman
205) 218-4153
goodfellashvac@gmail.com
cc auth form.pdf
CONTRACTOR INFORMATION
Contractor Business GOODFELLAS HEATING AND COOLING
Name
1
Contractor's License 202062
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3034574328
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address alex@goodfellas5280.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of replacement
unit are you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
alex@goodfellas5280.com
Air Conditioner
3
18
ground
Is electrical needed for re- No
hook?
Project Value (contract 15755.00
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
issued based on this
application.
i
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 Michael Cistone
Permit
Email not displaying correctly? View it in your browser.
A � City of Wheat Ridge
Residential Electric PERMIT - 202001299
'PERMIT NO: 202001299 ISSUED: 07/14/2020
JOB ADDRESS: 3845 Pierce St EXPIRES: 07/14/2021
JOB DESCRIPTION: Service upgrade - 200 amps; install feeder circuits to old panel
*** CONTACTS ***
OWNER (205)218-4153 SALZMANN JOHN
SUB (720)329-2322 FRANK HERREN 202071 HEEREN ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,592.41
FEES
Total Valuation 0.00
Use Tax 96.44
Permit Fee 125.05
** TOTAL ** 221.49
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection.
1, 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 partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permithall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or:�rdinance orle�gulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, July 13, 2020 5:49 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Electrical Service Change/Upgrade Permit Application
Categories: Kim
Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
3845 Pierce St. Wheat Ridge CO 8003
John Salzmann
205-218-4153
Wheat Ridge Payment Form.pdf
CONTRACTOR INFORMATION
Contractor Business Heeren Electric LLC
Name
1
Contractor's License 202071
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-329-2322
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address frankheeren@ymail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
frankheeren@ymail.com
Upgrade, Change
200
House
Provide additional details, Install new 200 amp service on exterior of house, install feeder
if needed. circuits to old panel.
Project Value (contract 4592.41
value or cost of ALL
materials and labor)
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
z
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 Frank Heeren
Permit
Email not displaying correctly? View it in your browser.
Zof7o5-567
3gl5 Y4, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
KK/
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 ADnroval Of The Ahovp Incnpcfiinnc
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval of Thp Ohnvn Incnortinnc
Rough Inspections
Fo_
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
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.
,tr_
ww voitage Prrrruts — Rease oe sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201701569
PERMIT NO: 201701569 ISSUED: 06/06/2017
JOB ADDRESS: 3895 Pierce ST EXPIRES: 06/06/2018
JOB DESCRIPTION: Remove old roof and replace with new shingles/ ice & water shield, 30 lb
felt, new rake edge metal, drip edge metal, attic vents and plumbing vent
jacks; Tamko 30 Heritage shingles - 24 squares
k** CONTACTS ***
OWNER (303)431-4778 BETTY J WILLIS REVOCABLE LIVIN
SUB (303)420-0334 High Tech 018924 High Tech Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 ,J
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,100.00
FEES
Total Valuation 0.00
Use Tax 191.10
Permit Fee 204.30
** TOTAL ** 395.40
*** COMMENTS ***
*** rnr?r3IT1ONS ***
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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€rms 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's 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.
��ZC)� -7 aE '�1 cu pancy/Tyt�e
2-r� ��`� Oc
INSPECTION RECORD ac
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector CommentsInitials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Inspector Comments
Underground/Slab Inspections Date Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Unde
Rough Inspections
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rouah Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
nd or Below/In-Slab Work Prior To Approval Of The Above Inspe
Date Inspector Comments
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
DateIInspector I Comments
Initials
ons
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.
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 from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window — Please email insptimerequest@Ci.Wheatridge.Co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201705567
PERMIT NO: 201705567 ISSUED: 08/07/2017
JOB ADDRESS: 3845 Pierce ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 26 sq
*** CONTACTS ***
OWNER (720)854-9501 PERSON DAVID
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00
FEES
Amm
Total Valuation 0.00
Use Tax 140.32
Permit Fee 156.75
** TOTAL ** 297.07
*** 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.
..
' It City of Wheat Ridge
Residential Roofing PERMIT - 201705567
PERMIT NO: 201705567 ISSUED: 08/07/2017
JOB ADDRESS: 3845 Pierce ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 26 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
thispermit. I further attest that I Vpe'
all authorized to include all entities named within this document as parties to the work to be
performed and that all workVo_bis disclosed in this docum nt 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 maybe 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Drvision 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 iss r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applica le po�r�a�nyordu or r V1 ion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz _LV0 5-5 6 7
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 31, 2017 1:55 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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 3845 Pierce St
Property Owner Name David Person
Property Owner Phone 7208549501
Number
Property Owner Email jwiles@interstateroof.com
Address
147t O i
Cil
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
17-6808 Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Interstate Roofing
Name
Contractor's License
0199381)
t
Number (for the City of
Wheat Ridge)
Contractor Phone
3037639114
Number
Contractor Email Address
jwiles@interstateroof.com
Retype Contractor Email
jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No/
roof?
Description of Roofing
O/C Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
26
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
26
(pitched + flat) of all
i
roofing material for this
proj ect
Provide additional detail house, 5:12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract �s38g_
value or cost of ALL 6�W,00
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 John Quante
Email not displaying correctly? View it in your browser.
3
eroms aauaraowW,S
referralist0 com
]rNTERSTATE
;) ROOFING BSB
Submitted To;0/ Date 4�/gjZZ -7
Email Xone * Alt. Phone
Street gz/ 1 Ge City 'gteat r State eO Zip
Insurance Company Claim# d�'?(/Policy#
Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate
Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company
unless you authorize the work and agree to pay for this additional work. / _-!V
Tear off / layers of composition shoes ❑ Tear off one layer of wood shingles
Install Decking (7116" OSB)
Jinstall new tett L ��
Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White
Valiey(s) will be closed ❑ a lays will be oen
❑ Ridge(s) to be color -coordinated
,2F.Ridge(s) will be "High Profile Ridge" color -coordinated shingles
Install new pipejacks
Replace Vents as keeded�
❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
❑ Install In. ft. of series ridge vent
Install In. ft. of ice & water shield to code Sy
Install –192— nails per shingle i~
Clean out gutters
5 year workmanship warranty
.,
interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate
,9 Make a magnetic sweep of driveway and yard for removal of any nails
j- Remove all debris resulting I om above worki/i
❑ Special InstAions a,/ ,/',� .I'. ,�L(]�/rL �`'' r i.
The approximate costs of the services based on damages known at the time this contract is entered is IF ( ,3 ri
Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or
additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance
policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs
become a part of this contract.
Approximate Dates of Service: 60 JAA.4e4 These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delay/, or by any other causes beyond the reasonable control of Contractor
Notice: '
If the property owner plans to use the proceeds of a property and causualty, insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to
pay for the roofing work, pursuant to section 6-22.105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
1 (We) hereby authorize & instruct the insurance company & all lien holders to Include the name of interstate Roofing, Inc. as co -payee on any
subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding
process relabve to the claim number referenced above.
I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing.
Deposit Amount:
Interstate Roofing shall hold in Mist any payment from the property owner until Interstate Roofing has dl
materials at the residential property site or has preformed a majority of the roofing work on the property.
I (We) agree, by signing below, to all the contract conditions, both front & back reement
Date of Acceptance &/2- l Client Signature(s)
Representative
Corporate Headqua Colorado Springs Office Fort Collins Office
Cheyenne office
Black Ins. Agency
1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970.482.7722 F. 970.682.1018
1010 S Greeley Highway
9600 E Arapahoe Rd +x205
Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144
Cheyenne, WY 80211
Englewood, Co 80112-3726
P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 www.inierstateroof.com
P. 307.834.2553
(303) 397-7820
www.interstateroof.com info@interstateroof.com
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:
❑ No one available for inspection: Timef f", I AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 'Inspector:
r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705567
PERMIT NO: 201705567 ISSUED: 08/07/2017
JOB ADDRESS: 3845 Pierce ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 26 sq
*** CONTACTS ***
OWNER (720)854-9501 PERSON DAVID
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00
FEES
Amm
Total Valuation 0.00
Use Tax 140.32
Permit Fee 156.75
** TOTAL ** 297.07
*** 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.
..
' It City of Wheat Ridge
Residential Roofing PERMIT - 201705567
PERMIT NO: 201705567 ISSUED: 08/07/2017
JOB ADDRESS: 3845 Pierce ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 26 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
thispermit. I further attest that I Vpe'
all authorized to include all entities named within this document as parties to the work to be
performed and that all workVo_bis disclosed in this docum nt 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 maybe 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Drvision 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 iss r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applica le po�r�a�nyordu or r V1 ion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz _LV0 5-5 6 7
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 31, 2017 1:55 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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 3845 Pierce St
Property Owner Name David Person
Property Owner Phone 7208549501
Number
Property Owner Email jwiles@interstateroof.com
Address
147t O i
Cil
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
17-6808 Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Interstate Roofing
Name
Contractor's License
0199381)
t
Number (for the City of
Wheat Ridge)
Contractor Phone
3037639114
Number
Contractor Email Address
jwiles@interstateroof.com
Retype Contractor Email
jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No/
roof?
Description of Roofing
O/C Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
26
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
26
(pitched + flat) of all
i
roofing material for this
proj ect
Provide additional detail house, 5:12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract �s38g_
value or cost of ALL 6�W,00
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 John Quante
Email not displaying correctly? View it in your browser.
3
eroms aauaraowW,S
referralist0 com
]rNTERSTATE
;) ROOFING BSB
Submitted To;0/ Date 4�/gjZZ -7
Email Xone * Alt. Phone
Street gz/ 1 Ge City 'gteat r State eO Zip
Insurance Company Claim# d�'?(/Policy#
Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate
Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company
unless you authorize the work and agree to pay for this additional work. / _-!V
Tear off / layers of composition shoes ❑ Tear off one layer of wood shingles
Install Decking (7116" OSB)
Jinstall new tett L ��
Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White
Valiey(s) will be closed ❑ a lays will be oen
❑ Ridge(s) to be color -coordinated
,2F.Ridge(s) will be "High Profile Ridge" color -coordinated shingles
Install new pipejacks
Replace Vents as keeded�
❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
❑ Install In. ft. of series ridge vent
Install In. ft. of ice & water shield to code Sy
Install –192— nails per shingle i~
Clean out gutters
5 year workmanship warranty
.,
interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate
,9 Make a magnetic sweep of driveway and yard for removal of any nails
j- Remove all debris resulting I om above worki/i
❑ Special InstAions a,/ ,/',� .I'. ,�L(]�/rL �`'' r i.
The approximate costs of the services based on damages known at the time this contract is entered is IF ( ,3 ri
Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or
additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance
policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs
become a part of this contract.
Approximate Dates of Service: 60 JAA.4e4 These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delay/, or by any other causes beyond the reasonable control of Contractor
Notice: '
If the property owner plans to use the proceeds of a property and causualty, insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to
pay for the roofing work, pursuant to section 6-22.105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
1 (We) hereby authorize & instruct the insurance company & all lien holders to Include the name of interstate Roofing, Inc. as co -payee on any
subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding
process relabve to the claim number referenced above.
I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing.
Deposit Amount:
Interstate Roofing shall hold in Mist any payment from the property owner until Interstate Roofing has dl
materials at the residential property site or has preformed a majority of the roofing work on the property.
I (We) agree, by signing below, to all the contract conditions, both front & back reement
Date of Acceptance &/2- l Client Signature(s)
Representative
Corporate Headqua Colorado Springs Office Fort Collins Office
Cheyenne office
Black Ins. Agency
1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970.482.7722 F. 970.682.1018
1010 S Greeley Highway
9600 E Arapahoe Rd +x205
Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144
Cheyenne, WY 80211
Englewood, Co 80112-3726
P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 www.inierstateroof.com
P. 307.834.2553
(303) 397-7820
www.interstateroof.com info@interstateroof.com
i CITY OF WHEAT RIDGE
�(303)
BuildingInspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: In I Q
Job Address: K y ,Cr
Permit Number: a i '7S" [ -7
Tl
II;.1e) X A&D
r�r -
�'
❑ No one available for inspection: Time ?T M/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 'gInspector:
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: � _ID
Job Address: P<<e 5f -
Permit
rPermit Number:
❑ No one available for inspection: Time-/.-?)'-/ AM/I?�
Re -Inspection required: Yes N '
When corrections have een made, call for re -inspection at 303-234-5933
Date: /�l Inspector: l�<,""
DO NOT REMOVE THIS NOTICE
FOR OFFICEUSE ONLY
City of
rDsttate:C
OMMU rry DEVELOPMENT
nl�'�rnrir#
Building & Inspection Services Division � (P
7500 W. 2Wh Ave., Wheat Ride, CO80033 Pian Review
Office: 303-235-2855 * Fax, 303-237-8929
Inspection tine: 303-234.5933
Building Permit Application
Please complete all highlighted areas on both sides of this fOrm. InCOMP1014, applications may not be processed.
Property Address:
r�p+o� �?rrvr�er please prim: � °. �l�+or�i:
Property tier mails r
Mailing Address: (if different than property address
Address:
fit Mete, ��
Architect/Engineer E-mail: Pht ne.-
Contractor: i
Contractors C4 License Phone: '"
Contractor mal A+d+rlress;
Sub Contract
Electrical: Plumbing: Mechanical:
WR City license # W.R, City License # W.R. City License #
Other City Licensed Sub: lather City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this for
M r g
i k 3 0 W
�rr AIM 1 { yp • A • � k r * ap.: -. � &
mount or materiels to be Used, etC.)
of It k c 4+4 A f 0
t
Sq, FtJLFBtu's Gallons
Amps Squares Other
♦ i CITY OF WHEAT RIDGE -
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: t 0000 FPIJA1 -- _
Job Address: ? 1 F kc a' '1
Permit Number: M 1 ?
A Pzo \j AcoF VF1V ')5�
5WAMV r-004-1f9
❑ No one available for inspe ti on: Time AM /PM
Re- Inspection required: es No
"When corrections have been made, call tor re- inspection at 303 - 234 -5933
Date: / D "0 a Inspecta, %
- DO NOT REMOVE THIS NOTICE -
♦ i CITY OF WHEAT RIDGE
V, Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 0617-. FT%JfsL
Job Address: -:Rc C `a'3
Permit Number: 09 S `i ~
f
,~Q7r:. 13a c~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call foespecti j at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax _
INSPECTION NOTICE
Inspection Type: MtArr r
Job Address: 3q'tt r ', rr P C(.
Permit Number: 0117 1
A'P' t rrP; ¢ I)n i � artt!.'
❑ No one available for inspection: Time 1V 5t �IWPM
Re- Inspection required: I S No
* When corrections have been made, call for re- inspection at 3 3 234 -5933
Date: P 31 g Inspector: - P,. (. f t1- -
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
��-� Building Inspection Division
/// (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: h r,�l1f.�41 1�
1
Job Address:
Permit Number:
❑ No one available for inspection: Time : ! AMt5, A
J € /
Re- Inspection required: Yes
* When corrections have been made, call for re- inspection at 303 - 234 -5933
/� `) t
Date: -�l +. Inspector: , �� .7_ fro
� V Y V
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
~000
Residential Roofing PERMIT - 091721
PERMIT NO: 091721 - ISSUED: 08/27/2009
JOB ADDRESS: 3845 PIERCE ST EXPIRES: '.02/23/2010
DESCRIPTION: T/o:,Reroof 16.'sgs @ front of,. house only &.garage w/.: 30yr di
CONTACTS.
owner .303/424-1998 Angie Main.
gc 248/594-3188 01-,9232 Belfor USA Group, Inc.
PARCEL.. INFO
ZONE CODE : UA USE: UA
SU13DIVISION: .0364 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT. VALUATION: 5,200.00
` FEES
Permit Fee ...162.90
Total Valuation , 00 )1._?e....z...x k
Use Tax
TOTAL 256.50
i Conditions:
6 nail installation mid-roof inspection required. Board.. sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 21 inside exterior walls.'.
Subject to field inspection.
I :hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
-r 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 wi h the Wheat Ridge Building Code (I.B.C)... and all other
applicab heat `Rid r nance for work under thisp mit. P1 s subject to field inspection.
r'- Signatur co ractor/owner -date
1. This. permit, was issued in accordance with the. provisions set forth in your application and is subject tothe laws of the
State of Colorado and to the zoning Regulations and Building. Codes of Wheat Ridge,Colorado or any other. applicable
' ordinances of the City.
2... This permit shall expire 180 days from the issue date. Requests for an extension must be received. prior to expiration
'date. An extension may be granted. at the discretion of the Building Official.
3. If this. permit expires,. a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or. will be made in the original plans., and specifications and any suspension or abandonment has not
exceeded. one (1) year. If changes have been 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 natural flow of water causing adrainage problem.
5.-.. Contractor. shall notify the Building Inspector.. twenty-.four (24).hours in advance. for all inspections and shall receive
written approval on inspection. card before proceeding with successive phases of the job.
6. The :issuance of a permit. or the approval of drawings. and specifications shall. not be construed to be a permit for, nor.'
an approval of, any violation of the provisions of the. building codes or any. other ordinance, law, rule or regulation.
All plan review is.. subject to :field inspections.
i
Signature of Chief Bu icial ..'date
y, INSPECTION REQ fINIE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTSMUST Y. 3PM ANY. BUSINESS :.DAY . FOR INSPECTION. THE FOLLOWING BUSINESS DAY.
r
FWHEgT
-City of Wheat Ridge Building Division
Date:
m 7500 W. 29t" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
00 0o Inspection Line: 303-234-5933 Permit
~ORP
Building Permit Application
Property Address: 30 7 ,VZCG'Ce
Property Owner (please print): JA Phone: 3 z/.)L/ /1/
Mailing Address: (if different than property address)
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $o)` zq0
Description of work: e %O~ (as calculated per the -Building Valuation Data sheet)
4 aw-le 1,/7 Plan Review (due at time of submittal): $
Sq. Et./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (C~ONNTRACTO/R) or PERSONALREPRESEN TIVE of ER) ONTRATOR)
PRINT NAME: CJ * 2 ti/if*0%1 SIGNATURE: Date:
i Bldg Valuation: $ 1
Contractor: SF~ l/ (15114
Contractor License G~ ~ Phone: j03 V2,5- f
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~ Oty of Wbeat Ridge
Residenti~ Roofi'ng PERMIT - 084107
PfiRMIT NO.: . 060107'.. ISSUED: 02/.06/2008 . . . . . JOB ADD&EBS; 3$45 FIE}RCE ST' EXPIRES: 08/04/2008
DE5CRIPTION; T/Q: keroof"12 sqs. 30 yr dimensiohals.
t+r CONTACTS r#it `
owner 303/924-1998 Angie Main . gc ~248~/594t3288 . 07-9232 Helfor USAGroup, Inc.. +ra PARCEL IN84 x• ,
ZQNBCODE: UA . - . . . USE: r-3
3UB➢IVISION: 4344 .BLOCK/LOT#:0/ ~ . .
**F'E~." S;7Md1ARy ~ESTZMATED PROJECT VALUATION: ~3,581.00 . : . r . FEE3: . . . . . . . . . .
PEYmit Fee 126.50 c5l • ••z1\ . . .
Total Valnatian oo ~ ~ /n(ff
~ 7~•~
USE: TdX 64.46 TOTAL 190.96
COrnmente :
Conditions:
6 nail inetal2atianmid-roof itsspection required.
I hereby cestify [hat tht.eetback diaCancee propceed by thie permit application axeaccurate, and do noC violate applic8tile .
ordinancea,rulee oz rRgWlaEiona o£':the CiCy~.o£ Wheat Ridge or covenanta, easemente or.reatrictione oE rewrd; that:all meaeuremenCaehown, end ationa lilade.aze aCCUaate; that i riave read and agree to abide by all conditione pzinCed on tkie applicat on dtY1ut E~ Eh1i2reegoneiDl3ity foz complianwith the Wheat Ridge Building Cbde (I.9.C).and all oCher 'app2ic5eat Ri Otd~~ an/c)e, Eor voxk under thia permit Pe eubject to field inepection. ~7 . . . . .
619na ze ot ontxac tlOwt~eT . . . d.e . . . . .
1. ~~~~ie pexmit wae iseued`ih accdxda[ice with the;provieione ne[ foitHin }rour.application anfl.ls eubject to the lawe...oEtfie Seate o£'GOloradp aad'3o the Eoxi3ng.Regulatinne and Building Codee of Nheat Ridqe, Colorado or any otrier appiicable ozdinanc@e pE the City!. 2.Thie permit shall ezp4ie 180 daye.from tLeieeue date. Rgqueste for an exteneion:muet be receivedprlor toexpiration.
date. An eztaasion mrty be granted at thedieeretion of tdeBuilding officfal. . ;
3. IE Chie pernii[ expiret,: a new perniC lnay be'.acquired for a fee of one-half theamount normally required, provided'no .
ckiangee M1avebqen or wtll be iVaAe:1n thdoriginal pianeand epeciflcations and aay euepenelon or abandoniaent.hasnot. ' 'exceeQedona (3) yeas.If chang9B have lxen or if suspeneion or abandonment exceeda one (l) year, fuli feee s5a11
tie Paid tar.a naw perqiit. . . . . . .
4. No wrk of any mani[et:ehall be dCne that will.change the natural flow of water caueing a drainage problem.
5. ContzactQrshali naeity the Buiiding inapecCOr twenty-four(2a) houra in advancefor all . inepectione and ehall receive.ai>ttaII dpyt"ovdl i~ey0etlon c~zd MfoYe promedingwith eucceasivc phaees of the job. . .6...T7ne idevance~~. a ridit or Chq agprdval Of.drawings and epecificatione ehall not6e conetrued Co be a pexmit for, nor . 5n appsov v40Satiom ofr.the provielona of the building codee or any other ordinance, law, rule ar regulatiort.All plazt sul},feCC to dield inspectione. . .
Signaeure o Cpie£ eu;iflipg Offic4al' date . . . :
I2t3P8CTZON R1SQVX$T,:LTNSe (8~03)234-5433 BUILDING OFFICE: (303)235-2855 REQ'i7EST3'MUST 8$ MPfpE SY 3PM ANY 8'Z7STNESS DAY FOR INSPECTIdN THE FOLLOWING BUSINESS ➢AY..
OFWHEqrR/ City of Wheat Ridge Building Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
~ Office: 303-235-2855 ' Fax: 303-235-2857
Inspection Line: 303-234-5933
~LORP~
Building Permit Application
PropertyAddress: ~~~5~ ~~~i✓LCC' ~T-
~ i
Property Owner (please print):
Mailing Address (if di(ferent than property address)
Address
Date:
Plan
Permit
Phone: 44-w0
City, State, Zip
Contractor: N? ~bp
Contrector License Phone:
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date
Use of space (description):
D Wripti. onofwork:
12 ix, v r,lt ~Iyw.
Construction Value: $ / 7 v I _
(as calculated per the Building Valuation Dafa sheef)
I Plan Review (due at time of submittal): $ 1
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the selback distances proposed by this permit application are accurate, and do nol violate applicable ordinances,
rules or regulalions of the City of Vvheat Ridge or covenants, easemenls or reslrictions 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 plication and Ihat I assume full
responsibility for compliance with the Wheat Ridge Builtling Code (I.B.C) and all olher applicable eal Ridge Ordinances, for work
untler this permit. Plan subJect to field inspection.
CIRLCE ONE:: (O ER) (aQ~NjTR,T/ OR) ar PERSONAL REPRESE NE of (OWNE I~(CONTRATOR)
PRINTNAME: A) VII~CV _ SIGNATURE: 411te:
ZONING COMMENTS'.
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USEONLY
OCCUPANCY:
FlRE DEPARTMENT:: ❑ appfoved wl Comments ❑ disappmved ❑ no review required I Bldg Valuation:
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION OIVISION PERMIT N0. MpgZltg
X 237-6944 ExT. 255 P.O. BOX 63e CITY OF WHEAT RIDGE, COLO. 3288
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
GDDI I/`ATIl1l.1 17/10 \II~i i wucni i& nrrnur
JOB ADDRESS. 39~fS :;711
CONTRACTOR /a H/.U~Pf'a-"~C P<B6+-f/~ Z7~c
ADDRESS S8S7 W3elf
CITY '~-ts-We- ZIP CODE rOZL
PHONE 1"'SI-P571 -LICENSE NO.
OW NER
ADORESS 3diGf /41fL/N
PHONE ZIP CODE 04033
;ONTR/1CT PRICE $ .3/86sp-
I. 7YPE GroundU WaIILJ ProieclinyU Othar SaDFaes
2. MATERIAL Total Squan Feet
SIGNS 3. ILIUMINATION Yea❑ No❑ Typa Eleet. Mrmit No.
4 SET BACN FROM PROPERTY LINE N_ 5_ E_ W Zone_ Apprwad,ZOna inspsefor
(SDkifywhicAisfront) ❑ ❑ ❑ O o+wavrww
1. TYPE Soiidr-i Mon TMn 80% Opai Lost Thon 80% OW
FENCES MATERIAL
3. SET BACK FROM PROPERTY LINE
(Spseify whieA ia tront)
i.
OTHER 2
13.
N_ 5_ E
❑ ❑
INSPECTION TICKET
JOB
ADDRESS ~l ~ -S L'
DRAW SKETCH OR SHOW BELOW, THE FENCE,SI6N,OR OTHER STRUi N'fi
(SETBACKS OR PROJECTpNS INCLUDED) DATE: ? y~ BLDG. PERMITS32-Pl
STREET NAME
SMOW DISTANCES FROM THE MAIN BUII.DIN6 TQADJOINING NOUSES, S
OISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DIS'.
APPL ICATION FOR PLUMBIN6; El
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICA'
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSU
PERMITM
BLDG.
SUBCONTRACTOR
2TH
DATE INSP. REQ. Gf Z
TYPE OF INSP. 4-
INSPECTION MADE !
REMARKS
DIVISION.
W.P.FORM 619
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBI ~
STATE LICENSE h
ALUMINUM WIRE UNDER SIZE B IIIEGAL
FLOOR
BS! Elao Sola
Np,
WATER CLDSET
FORCED AIR - BTU
TEMPORARY METER
NEW SERVICE AMPS
WASH BOWL
BATH TUB
HOT WATER - BTU
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CANDITIONING-BTU
LIGHTING
SINK
OTHER
HEATYNG
POWER SUB-CIRCUITS
GARBAGE DISF
WATER HEA7ER
REFRIGERATpN SYSTEM
Refri srant Woup
UTILffY(RANGE,DISPOSER,E7C)
AUTO. WASHER
PouMa CMr s
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS d CONTROLS
F100R DRAIN
ELEVATOR
SIGNS,
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
REMARKS 1.v9W4" CODdP/l LcJN~ SP.QJ[c E, o=.Co~/ rHBj4812. TU AioUSH
i
a ihot thia a071iao-
knowled
I M
b
PERMIT FEE
NOT VALID UNLESS itECEIPTEI
,EE4? 6576
q
y oc
re
tion ia corroct and undarstond tAat I
ini
i
li-
USE TAX
l
a aDV
oonnot iii inis projsef unt
cation if opproved. I shall camply witn
TOTAL FEE
$
C
a_ c
ehe lows ot the State of Colo,ado and to
ths ZoninQ ReQulations ond Buildinq
'A~ -
@ - -7 ~
An
f Rid
h
DCSA
y
qe.
ea
Code of ihe Cify of W
violation ot rne above terma wiii couae
CHIEF BUILDIN SPECTOR,City of at Ridqe
immediofe revocotion of tnie velmit.
CALL 237-6940 EXT. 255
24 HOURS IN ADVANCE
~~~ictb(~
& s- ~ d''
Date Issued
FORINSPECTIONS
Aeonea.n SiOnatun
DEPARTMENT 0F COMMUNITY DEVELOPMENT
7500 Wes,T 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M921118068
237-6944 icXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT \lALI6 OPdIY WH[N SIGNED 8Y THE CNIEF BUIIDING INSPECTOR AND RECEIPTED BEL7W.
APPLICATION FOR MISCEoLUS P}RMI~
JOB ADDRESS wNER
- -G~~- ~
CONTRACTOR _ ADDRES/'erc -e--
. ~
ADDRESS PHONE eijz - q/ZIP CODE&03
CITY ZIP CODE OONTRACT PRICE $ ~.✓`7 d _
PHONE IICENSE NO.
I
TVPE ~ Ground ❑
Wall❑
Proisttinp❑
01hsr S or O Face
SIGNS
,
2.
3
MkYERIAI.
ILLUMINATION Yea❑ No❑
Typs
Tofal Squan Feet
Permit No
Eleet
.
4.
SET BACK FROM PROPERTY LINE N
(Speci}y which is front )
_
❑
S_ E
❑
- W
❑ ❑
.
.
Zone_ ADprovsd,ZOnelnapeetw
Diwpproved
I.
T.
TYPE S~j lidO Mora Than BO% ODen❑
MATERIAL ( = p- W~'✓
Lest Thon 80% Op~n
H~ipht
FEN
g
SE7 BACK FROM PROPERTY LINE N
(Specify whieh ie tront)
_
❑
S_ E
❑
_ W
❑ ❑
Zone Zone Ine set n
Disapproved~p
1
.
`
OTHER
as
.
DRAW SKF:TCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GlVflio DIST4NCES FROM PROPERTY LINES.
(SETBAi'KS OR PROJECTIONS INCIUDED)
i~
e'f
S
r
G
STREET NAME .~.J CJ"C - 'S
~
SPECIFY NORTH
SHOW DISTANCES FROM THE M41N BUILDING TUADJOINING HOUSES, STREETS, AND PfiOPERTY LINES;ON IRREGUTAR LATS,SHOM' LEAST
DISTAIJCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; EI.ECTRICAL;MECHANICAL PERMIT
THIS APPLICATION WILI BECOME A PERMIT TO PERFORM THEINDICATED WORK ONLY UPON VALIDATION BV THE BUILDINGINSPECTION DINSION.
PERMIT WILL ExPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIfME.
ELECTRICRL PERMIT
STATE LICEhSE NO.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM\MREVNDERSRE8ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FLELChcbOn~GoidlProporr [CoG ElaeSolw
p~p,
WATER CLASET
FORCED AIR - BTU
7EMPORARY MEYER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHI'IPJ6
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
PONIER SU6-CIFCUITS
WATER HEQTER
Refri aranf Group
UTILI7Y(FANGE,DISPOSER,ETC.)
AUTO.WASHER
PounAs Cnar e
FIJ(TUNES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRM'G F107CR5 3 CONTROLS
FLOOR DRAIN
EIEVATOR
SIGN',
URINAL
TRAM5f ORMERS 0 RECTFIERS
SEWERS
ADDI I"ION TO OLD N~ORK
OTHER
MOTORS OVEN I HP
TOTAL FIXTURES
REMARKS
I hereby acknowledge fhat this apDllco-
tion is correct ond undersiand thot I
eannoi atart this projeet until thia opDli-
tation is approved. I sholl comply with
ths lowa oi ahe Statn nf Colorado ond to
the Zoninp Plepulations and Buildinp
Code of the City af Wheat Ridqe. Any
violation of tne above terme will cause
immediate rovocation of this permit.
PERMIT FEE
~ ~
USE TAX
TOTAL FEE
$
q . S-
DI P VED
CHIEF BUILDING INSPECTOR,Cit of Wh
at Ridqe
Date Issued
NOT VALID UNLESS RELEIPTEI
~ 76 4 /
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FOHINSPECTIONS
icand. slaim<