HomeMy WebLinkAbout4325 Quay StreetCity of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202002495
PERMIT NO: 202002495 ISSUED: 12/02/2020
JOB ADDRESS: 4325 Quay St EXPIRES: 12/02/2021
JOB DESCRIPTION: Installing 40 gallon, 40k BTU gas water heater in basement.
*** CONTACTS ***
OWNER (661)400-8175 HALLER SYDNEY M
SUB (970)840-0868 DONOVAN ADFIELD 202292 HOME WATER SOLUTIONS LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21250.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 47.25
** TOTAL ** 87.25
*** 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.
1* � � i City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202002495
PERMIT NO: 202002495 ISSUED: 12/02/2020
JOB ADDRESS: 4325 Quay St EXPIRES: 12/02/2021
JOB DESCRIPTION: Installing 40 gallon, 40k BTU gas water heater in basement.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permrt. I further attest that I am leg ally 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 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 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 requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any 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.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Tuesday, December 1, 2020 2:55:27 PM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
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 a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
4325 Quay St
Sydney Haller
661-400-8175
Property Owner Email Field not completed.
Address (Leave blank if
not known)
Attach City of Wheat City of Wheat Ridae CC Authorization Haller -4325 Quay St Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Home Water Solutions, LLC
Name
Contractor's License 202292
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
Number of gallons
018110181181-11-1-1
hws.alanlousberg@gmail.com
hws.alanlousberg@gmail.com
IN
Is the water heater Gas
GAS or ELECTRIC?
If GAS, enter # of 40000
BTUs. If electric, enter
n/a
Where is the water Basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2250
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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
Permit
Alan Lousberg
Email not displaying correctly? View it in your browser.
`k � INSPECTION RECORD
Occu anc /T e
---� -
INSPECTION
Comments
REQUEST LINE: (303) 234-5933
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.
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 Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insoections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath / Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Roof
Final Window/Doors
KA -
Rough Mechanical
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Rough 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
KA -
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 notification of your assigned inspection time window please email insptimerequestg)ci.wheatridge.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: U�
Job Address: U L4
Permit Number: /,7
❑ No one available for inspection: Time U3 L�M/PM
Re -Inspection required: Yes I`l
When corrections have been made, call for re -inspection at 303-234-
Date:-7/17-
03-234-Date:7 Inspector: /
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
�t, }—
Permit Number: 2RZ0 /
PP
❑ No one available for inspection: Time_ AM/kI
Re -Inspection required: Yes (No)
When corrections have been made, call for re -inspection at 303-2_ 34-5g
33
Date: ?1 Inspector:
DO NOT REMOVE THIS NOTICE k�
i CITY OF WHEAT RIDGE
Building Inspection Division
l (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: film
Job Address: ;)s
s
_Permit Number:
(_,0 it 4?- C �_ i ot'l s
❑ No one available for inspection: Time C> -Q AM%PSI A`
Re -Inspection required :Y6,5 No
When corrections have been a'`de, call for re -inspection at 303-234-5933
Date: / /
C�/ / c 7 7
Inspector: C�/ �!}�I'''"
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702931
PERMIT NO: 201702931 ISSUED: 06/30/2017
JOB ADDRESS: 4325 Quay ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install Laminate GAF Armorshield II asphalt shingles
- 30 sq. (24 sq. pitched / 6 sq. flat)
*** CONTACTS ***
OWNER (661)400-8175 HALLER SYDNEY M
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60 ,
*** 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) 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 one half 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 manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
` f Residential Roofing PERMIT -201702931
PERMIT NO: 201702931 ISSUED: 06/30/2017
JOB ADDRESS: 4325 Quay ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install Laminate GAF Armorshield II asphalt shingles
- 30 sq. (24 sq. pitched / 6 sq. flat)
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
eerrformed and that all worlE�e�li�perlonned is disclosed in this document and/qr 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 Budding
Official and may be subject to a fee equal to one-half of the originalpermrt fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c r any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
e
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of Wheat Ridge
Residential Roofing PERMIT - 201701897
PERMIT NO: 201701897 ISSUED: 06/11/2017
JOB ADDRESS: 4325 Quay ST EXPIRES: 06/11/2018
JOB DESCRIPTION: Residential reroof: Install 27 squares GAF laminate shingle son main
structure 5/12 pitch, 6 squares modified bituman on flat attached porch.
Total squares: 33
*** CONTACTS ***
OWNER (303)503-3588 HALLER SYDNEY M
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,075.00
FEES
Total Valuation 0.00
Use Tax 190.58
Permit Fee 204.30
** TOTAL ** 394.88
*** 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) 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 A/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 manufacturer&ems 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.
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Antoinette Kulick
From: no-reply@ci.wheatri dge.co.us
Sent: Thursday, June 8, 2017 9:56 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
4325 Quay St Wheat Ridge CO 80002
Sydney Haller
6614008175
Field not completed.
Yes
CONTRACTOR INFORMATION
Contractor Name Homeguard Services LLC
Contractor's License 130138
Number (for the City of
Wheat Ridge)
1
Contractor Phone 7207084126
Number
Contractor Email Address roxannet@homeguardresoration.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Yes
No
Laminate and modified bitumen
33
27 squares GAF laminate shingles on main structure 5/12 pitch
6 sq modified bitumen on flat attached porch
Project Value (contract 9075
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
i
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 Roxanne Porter
Email not displaying correctly? View it in your browser.
404
HOMEGUARD
ROOFING & IIEEiORIIflON
Name: �'K cAc -r
City: Wheal KidaG
Project Address: (if different from above)
Home#: //J� /� Cell#:
Insurance Company: A,4%4,�_
Sates Representative: Name:
SURETY AND 41ABILITY INSURER INFORMATION
Colony Insure e- Policy Number OTE21366
Contact: GIA R k Management, (3031423-0162. ext. 136
6850 W. 52nd I venue Suite 106 Arvada, CO 80002 ���c�►
Office: 720.7084126Fax: 720.421.8658
info(QHomeGu ardRoof.com HomeGuardRoofCom
Project Manager: Name. 2(S; A T W)
o nn so
NEW WQFtWS�
STRUCTURES INCLUDED PSMain [Detached Garage
MManufacturer: GAF
Type:—
® Type:.Airr'+o is k i e ld Tr'
Color: _
IN Ridge Materiel:( d��ao
®Underlayment: fY+a
[ Penetrations
Leak Barrier ❑ Eaves [R Valley
Per Cod
Drip Edge ® Eaves Rakes
❑ Color _
Flashing ❑ Sidewall ® Chimney
Other
Ventilation Q Turtle ❑ Ridge
❑ Edge [
Plumbing Boots 91
wwItmas"Ver"Inty
Praated
-4011-
Paint All Roof Accessories
Remove trash from roof gutters & yard
® Roll lawn & drive with magnetic sweeper
K Furnish permit ❑ Miscellaneous:
LOW SLOPE AREAS Material =+-oF
Manufacturer_
CUSTOMER INFORMATION
Address: 8325 12t'`fAy Jk
zip: 5�00:?&
0 ' j l5 Email:
Claim No: I f�Q 2 `0?- 9CYC Deductible:��O 0
Phone:
Phone: 301- FC1-€ F70
SCOPE OF RESTORA ON S" TO O I WOP
® Other
`
�2
SERVICE AGREEMENTS
GAF ROOFING SYSTEMS
[ Penetrations
S0 year
manufacturer warranty
25 -year service policy
so -year
manufacturerwarranty
10 -year service poticy
r
, vgrcanty
STANtMRO
10—y.
rnaildactww wranty
Other
Non -Prorated
transferrable
Non -Prorated
Transferrable
Non.pmratad
Tis wwramii
wwItmas"Ver"Inty
Praated
-4011-
M-0t f
for
Material - Material -
Manufacture Standard Manufacture Standard
Workmanship 5 yrs Workmanship 2 yrs
Out-of-pocket upgrade costs
ROOF SYSTEM
Customer Initials
...c„�..r.^%._::.:.- ..•:_
All additional areas of construction wilt be repaired or repticed with high grade materials of like kind and quality j SERVICE AGREEMENT
19 Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other filiL'ii1
Notes
'Scope of Restoration Services Provided shalt include any additional
This Agreement does NOT obligate the Customer nor Company in a
restoration services to be provided by Customer's insurance compa+
Agreement, including all terms on the reverse side hereof. Custom
Customer Payment is due upon completion of each trade- Compat
manufacturer�' .instatlation instructions & the local building codes
Agreed Price if, a1. shalt be the total
authorized msurande supplements or as set forth on the reverse sidf
Material - Manufacture Standard
Workmanship
Repair 1 yr Full Reptacement 2 yrs
»eats and services approved by Customers insurance company and accepted by Company,
way unless the insurance claim is approved for repairs or replacement to the above menlionedtwritten scope of
and excepted by Company. Customer's signature below signifies acceptance of all terms and conditions of this
s total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items.
and its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the
int due to Company under this Agreement, which is subject to any additions and/or deductions pursuant to
.of. Total estimated cost of any non -insurance upgrades shalt be $
Aoaroximate Dates of Service. Substantial commencement of work hall mean either the physical delivery of materials onto the premises or tha performance of any tabor and shall be
subject to any permissible delays as per provision 141 on the reverse de. Approximate Start Date: Approximate Completion Date:
By signina this Agreement you agree that you h e also been provide notice of this n ht to cancel orally in addition to the ting contained herein. This contract is subject to Company
manaq ant re prova a ove terms of this co rat d autompany to
-;'-22-17
Ap 1 and acce d (Cus o er pp ved an cepted Company) e
Approved and Accepted (Customer] Date l have received the 'Things to Remember document 104KIS
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOES AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. F 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTI ,IED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREE ENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT. I
Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
44i i
Up!'! Rei .•
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Occupancy IS Not
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Occupancy IS Not
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r
"Commwny
Building Msiori
7500 W. 2e Ave. Wheat Ridge, 00 80033
303-236-2856 * Fax- 303-237-8929
Inspection •
Facsimile ♦ *PermitApplication
ww - t ? 1. l[ . Qf Phone., %
' •' d#hwvnt than • t r♦
city, tke-zip:
cbh"dor:
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CIMCE OAV., (OVMft) (COWMCTOR) or PeR$ONAL M11PISMATM of WAKTTO�DfRt
MK NAMP-;
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;i;9lllllli MI SII
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Building'Division
Nt W, 29"'*. D 80033
jFar,• •
InsPection
PrQPWWAddross:
PrOPertY
P"Operty address)
k
controdur
Joho
Contractor Ltcense
Use of space - •
oe, #
• .i' ,
ecl>"Mo 1,077��144^e [Plan Review (due at M* of submiftall., $_
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YME 3 appro l wi corrtr *.%nts< i 6isipprow6d no re+ r r o
l4ed Blft Valuation. �
INSPECTION RECORD OccuaancvlTVae
INSPECTION LINE (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
1 _ SPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Weatherproof / French Drain
Lath / Wall tie
Sewer Service Lines
Mid -Roof
Water Service Lines
-
Electrical Service
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Building Final
Lath / Wall tie
Fire Department
Mid -Roof
R.O.W & Drainage
-
Electrical Service
Parking & Landscaping
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABUVE INJPEG I IUNS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Z �i
Building Final
-
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED.. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
( 303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type 40�/ tntl LwL
Job Address v3,?5 49v.4-u $ r
Permit Number 11a y2 17
i No one available for inspection: Time // . Y,0 AM PM
e �llrr Inspector
DO NOT REMOVE THIS NOTICE
�z
"4' City of Wheat Ridge
- r
Residential Roofing PERMIT - 110429
PERMIT NO: 110429 ISSUED: 04/25/2011
JOB ADDRESS: 4325 QUAY ST EXPIRES: 04/24/2012
DESCRIPTION: Reroof 18 sqs with 30 yr GAF /EIF shingles and redeck 18
* ** CONTACTS * **
.owner 303/424 -4792 Steve Anderson
sub 303/900 -4116 Todd Halaburka 11 -0084 Aspen Roofing & Exteriors LLC
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0345
BLOCK /LOT##:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,906.25
FEES
Permit Fee 172.60
Permit fee additiona 60.50
Total Valuation .00
Use Tax O
Use tax additional 25.31
** TOTAL ** 393.41
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is _.
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
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 docupgen� and /or its' accompanying approved plans and specifications. t
Signature of OWNER or CONTRACTOt (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 and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Signature Building Offical Date
04/25/11 14:21:07 City of Wheat Ridge Page 1
bp340 -iq ESTIMATE OF VALUATIONS AND FEES mmackey
THE FOLLOWING INFORMATION ARE ESTIMATES ONLY AND NOT ACTUAL VALUES.
CODE -
-- DESCRIPTION - -- VALUATION-
- - - - - -- -FEE -
-- -USE TAX
prm
Permit Fee 1,406.25
60.50
0.00
totva
Total Valuati 1,406.25
0.00
0.00
use
Use Tax 1,406.25
0.00
25.31
TOTAL VALUATION:
1,406.25
FEES VALUATION:
1,406.25
PERMIT FEE:
60.50
USE TAX:
25.31
OTHER FEES:
.00
TOTAL FEES:
85.81
F I
0 v-
City of Wheat Ridge
Residential Roofing PERMIT - 110429
PERMIT NO: 110429 ISSUED: 04/25/2011
JOB ADDRESS: 4325 QUAY ST EXPIRES: 04/24/2012
DESCRIPTION: Reroof 18 sqs with 30 yr GAF /EIF shingles
* ** CONTACTS * **
owner 303/424 -4792 Steve Anderson
sub 303/900 -4116 Todd Halaburka 11 -0084 Aspen Roofing & Exteriors LLC
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0345 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION:- 7,500.00
FEES
Permit Fee 172.60
Total Valuation .00 �'����"•���.
Use Tax 135.00
** TOTAL ** 307.60
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plane 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 documerA aTid /or its' accompanying,approved plans and specifications.
Signature of OWNER or COR CCTOR {(Circle one) 15ate — '
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 and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inap ti
Signature o hi uilding Offical Date
''.
INS REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
'... REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
„t
Strilding 6 lnspecdon Servicas l hdsiva
7500 tN 29” Ave.; Wheat Ridge, CO II0033 I_
Office: 303 -235- 2855 Fax: 303-237-8929
Inspection Line: 303 =234 -5933
Buiiitiing Pernlei AppiiGatiuit
Property Owner (please print):_ lk� Q, U Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractors City License #: phone:3
Electrical Plumbing: Mechanical.
City License # City License # City License #
Contra Va e:
Review Fee (due at time of 8ubmtttaq:
Squa res16—BTU's i 1eS Va� �Sg F v
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 1 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 { HORIZEO REPRESENTATlVB of (OWNER) (CONTRACTOR)
PRINTNAME:. `�tC!iQ __ SIGNATURE: - DATE:
r s
zroH>tus aoz�tsarars '` r
_ R81iJeTNeI' , � , r,. z S i �^ r y �l�. ✓ �?,r.. ..'.. m
s
,
v �
. F!R!_�3)t:Ptii'kT,hlEiil� _t?�oti"roved�aR codiinhnrs - �d5u�ar�era >�d,...t..- sia�ieifuSr21��' Bldg ValUatioq `y 1 _
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
13969
6/4/02
Property Owner: STEVE ANDERSON
Property Address : 4325 QUAY ST
Contractor License No. : 19345
Company : Service Electric
OWNF_R/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby ceAiy that the setback distances proposed by this permit application are accurete, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measuremenfs shown, and allegations
made are accurate; that I have read and agree to abide all conditions printed on this
application, and that I assume fu nsibility for co pli nce with the Wheat Ridge Bu16-2-
I-S Code (U.B.C.) and all other appl able heat Ridge rances, for work under this per (OWNF_R)(CONTRACTOR) SIGNED • ~ ~ DATE C : UPGRADE ELECTRICAL SERVICE & ADD GFI OUTLETS OUTSIDE & GARAGE
Description
1 Or,/l/.7~
BUILDING DEPARTMENT USE ONLY
OWN. e: SIC : Sq. Ft. :
Approval :
Zoning :
Building Permit Number
Date
Phone : 424-4792
Phone: 9781880
Construction Value :
$2,000.00
Permit Fee :
$69.25
Plan Review Fee :
$0.00
Use Tax :
$24.00
Total:
$93.25
Use:
Approval :
~r~~.
Approval:
Occupancy : Walls
Roof
Stories : Residential Units :
Electrical License No : 19345
Company :Service Electric
Expiration Date : 2/28/03
Approval : OK/KS
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(i) This permit was issuetl in accordance with the provisions set forth in yopur application and is su6ject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloretlo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commencetl wiMin sixty (60) Oays tmm issue date or (B) the builtling authorized is suspended or
abandoned tor a period of 120 tlays.
(3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount normaly requireQ provitletl no changes have been or will be matle in Ihe
original plans and specifications and any suspension or abantlonment has not exceetletl one (1) year. It changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work ot any manner shall be tlone that will change the naturel Flow of water causing a tlrainage problem.
(5) Contractor shall notify ihe Building Inspeclor lwenty-four (24) hours in advance For all inspections and shall receive written approval on inspection cartl bePore
proceediing with successive phases of flie job.
(6) The nce ot a permit or the approval of drawings an0 specifcations shall not be wnstrued to De a permit for, nor an approval of, any violation of the
' io s p(J~g,pyi ng codes or any other ortlinance, law, mle or regulation.
.%s
Chief Buildin nspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
oF W"EA' BUILDING INSPECTION LIlVE - 303-234-5933 Da[e:
>
~ m CTTY OF WIIEAT RIDGE
7500 WEST 29TH AVENiJE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~~toanoo ~~~UCA~ION .
PropertyOwner: S7'*J~-; /4"`~Er{5'"
Proper[y Address: f{ 3 Z s C,2 UAY S"r'
Phone : 30 ~ - l~Gy -sn°l Z
Contractor License No.:
Company: SEYL u i CC EZt CrrZ IL Phone: 9q8- /£'6 6
OR'NER/CONTRACTOR SIGPiATUAE OF UNDERSfANDING AND AGREEAENT
IherebycerGfythatthesetbackdistancespmposedbyffiispecmitapplicationazeaccurate, CORStRlCC10IIv31UC:~,-205oQ
anddonotviolateapplicableordinances,mlesorregutafionsoftheCiTyofWheazRidgeor permitFee:$
covenants,easementsorreshictionsofrecord;thatallmeasurcmentsshown,andallegations made aze accurate; that I have read md agree to abide by aIl conditions printed on [his P13ri R0V1CW FBE:$
applica5on and that I assume full responsibiliTy Por coinpliance with the Wheat Ridoe
Building Code (U.B.C) md al/l0}~Er'g~~p(icable Whea/t R~idge 0[dinances, for work under U S0 13X:S
thispe.rmit. / I TOtdl:$
(OWNIMHCONTRACTOR):SIG ~~ATE~L-F'
~
Descriprion: U~J~,~'4/J¢- FC~'c'.r~Pie.a-C St7Z✓ic,CC f 'LdJ 6F'L v~rCSVS
19UT5,oe If 041tA1E
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONINO COMMENTS:
Approval:
Zoning:
BUILOING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units: I
I
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approvat: Approval: Approval:
(1) 17ils pumit was issued in accordmce widi the provivons set forth i¢ your application md is subject ro the laws of the S[ate of Cotorado end to the Zoning
R<gWaaons and Building Codes of Wheat Ridge, Colorzdo or any other applicable ordinances of Ne City.
(2) '[his pelmit shall eup've if (F.) the work authorized is not commenced witltin sixry (60) days from issue date or (B) tlm bnilding antM1orized is suspended or
abaadoned fw a period of 120 days.
(3) If this pe*mit expues, a new permit may be acqiured for a fee of oue-half Ne amount nomally required, proviAed no changes have 6een or will be maAe in
the miginal plans md specificaeons and any suspension orabandonmen[6as not exceeded one (I ) year. ifchznees have been or if suspensinn or nbnnAnnmenr
exceeds oae (1) yeaz, full ftes shall be paid for a new permit.
(4) No work of any mamer shall be doue that will cliauge the nanual flow of wamr causing a drainage problem.
(5) ContractorshallnotifytheBuiidinglnspectortwwry-four(24)Uoivsi¢advanceforallinspectionsendshallreceivewrittenapprovaloninspectioncardbefore
proceeding with successiw phasa of th<job.
(6) The issuance of a peimit or the approval of dravrings md speci5cations shall uot be cansaved ro he a pmnic for, nor an approval of, nny violaeon of the
provisiws of the bttilding eodes oc any othcr ordinencq law, nile or regularion.
Building Inspector