HomeMy WebLinkAbout3245 Upham StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Wednesday, October 6, 20212:26:26 PM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - 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 residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3245 Upham Street, Wheat Ridge, CO, 80033
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"
Peggy Hammond
303-763-9735
zoeydukel3@gmail.com
CONTRACTOR INFORMATION
Contractor Business Tipping Hat
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 Erin Eastwood
Permit
Email not displaying correctly? View it in your browser.
Name
Contractor's License 160081
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-799-8010
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permit@tippinghat.com
Address
Retype Contractor
permit@tippinghat.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
75000
What is the efficiency
80
(%) of the unit?
Is the unit GAS or
Gas
ELECTRIC?
Where is the furnace or
crawispace
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
2600
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
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201803244
PERMIT NO: 201803244 ISSUED: 12/17/2018
JOB ADDRESS: 3245 Upham St EXPIRES: 12/17/2019
JOB DESCRIPTION: Replacement of 14 windows and 1 door, like for like, livingroom, office,
master bedroom, sink, bedroom, dining room, 2nd bath, and family room.
U -Value .26.
*** CONTACTS ***
OWNER (303)763-9735 HAMMOND MARGARET S
SUB (303)934-4508 Jason Lewis 090396 Lifetime Windows & Siding
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 178.50
** TOTAL ** 228.50
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201803244
PERMIT NO: 201803244 ISSUED: 12/17/2018
JOB ADDRESS: 3245 Upham St EXPIRES: 12/17/2019
JOB DESCRIPTION: Replacement of 14 windows and 1 door, like for like, livingroom,
master bedroom, sink, bedroom, dining room, 2nd bath, and family
U -Value .26.
office,
room.
I, byy 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 �ermIIfurther
e legal owner of the property and an authorized to obtain this permit and perform the work described and approved in conjunction with
this attestthatamIe allyauthorizdtoinclude all entities named within this document as parties to the work to be
perrmed 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
I . This permit was issued based on the information provided in thepermit 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 pennit 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 aermit shall not be construed to be a pen -nit for, or an approval of, an violation of any provision of any
applicable code or any ordmaT, 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.
Laaenia Reimer Z I FM 0?14
From: no-reply@ci.wheatridge.co.us
Sent: Monday, December 17, 2018 2:22 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application '
c�
Categories: Gina ,.
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
3245 Upham StX1
Peggy Hammond
303-763-9735
hammondpegzoey@gmail.com
CC Auth form Hammond.pdf
CONTRACTOR INFORMATION
1
iC�'- /-\ � I
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address
Retype Contractor Email
Address
Lifetime Windows and Siding
90396
303-934-4508
rebecca@lifetimewindowscolorado.com
rebecca@lifetimewindowscolorado.com
DESCRIPTION OF WORK
Number of window 14 Windows + 1 Door
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and a -value
Project Value (contract
value or cost of ALL
materials and labor)
livingroom, office, master bedroom, sink, bathroom, bedroom,
dining room, bath #2, and family room
W13498HAMM - Anlin.pdf
8500.00
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
2
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 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 Rebecca MacMillan
Permit
Email not displaying correctly? View it in Vour browser.
768382-00 CONFIRMED ORDER ' I Page 2 of 3
1 111 Window SysteMS 1665 Tollhouse Rd Clovis, Ca 93611 PH 559-322-1531 FAX 559-322-1532
® Order Date 12/04/18 Orig. En
Q Est Ship Date 12/17/18 12/03/18
Sold To: LIFETIME SOLAR SOLUTIONS
A3012 2330 BROADWAY UNIT 110
M DENVER CO 80205
00 Phone: 303-335-6097
Fax:
Terms NET 30 DAYS
Ship To: LIFETIME SOLAR SOLUTIONS
3012-1 6330 N WASHINGTON ST #10 & 11
DENVER CO 80205
Phone: 303-335-6097
Fax:
em # Description QTY UUM
5.00 DM XO BLOCK FRAME WHT 080.2500 X 022.7500 1 EA
ARGON
(SP) LE CL LEFT
(SP) LE CL RIGHT
SCREEN = HALF EXT STD
LOCK TYPE = 1. CAM - STD
ORIEL = 050.0000
U -FACTOR = 0.26 / SHGC= 0.22
6.00 DM XO BLOCK FRAME WHT
ARGON
(SP) LE CL LEFT
(SP) LE CL RIGHT
SCREEN = HALF EXT STD
LOCK TYPE = 1. CAM - STD
ORIEL = 050.0000
U -FACTOR = 0.26 / SHGC= 0.22
7.00 DM PW BLOCK FRAME WHT
ARGON
(SP) LE CL
U -FACTOR = 0.25 / SHGC= 0.24
8.00 COR AWN BLOCK FRAME WHT
ARGON
(SP) LE CL
SCREEN = FULL STD STD
STAINLESS STEEL HDW
U -FACTOR = 0.27 / SHGC= 0.18
023.7500 X 023.7500 1 EA
094.5000 X 059.0000 1 EA
028.7500 X 015.0000 2 EA
Dir Salesperson
iomeowner: HAMMOND, MARGARET
3245 UPHAM ST
WHEATRIDGE 80033
Phone:
40
1
N
00
M
00
768382-00 CONFIRMED ORDER II II ' Page 1 of 3
Anlin Window Systems 1665 Tollhouse Rd Clovis, Ca 93611 PH 559-322-1531 FAX 559-322-1532
Order Date 12/04/18 Orig. Entry Date PO W13498HAMMAn in Acct Rep MARIE CLARK
Est Ship Date 12/17/18 12/03/18 Terms NET 30 DAYS Dir Salesperson
Sold To: LIFETIME SOLAR SOLUTIONS Ship To: LIFETIME SOLAR SOLUTIONS Homeowner: HAMMOND, MARGARET
3012 2330 BROADWAY UNIT 110 3012-1 6330 N WASHINGTON ST R10 & 11 3245 UPHAM ST
DENVER CO 80205 DENVER CO 80205
Phone: 303-335-6097 Phone: 303-335-6097
Fax: Fax: Phone:
em # Description QTY UUM
1.00 DM XOX BLOCK FRAME WHT 096.2500 X 039.7500-2 EA
ARGON
(SP) LE CL LEFT
(SP) LE CL RIGHT
(SP) LE CL CENTER
SCREEN = FLANKER EXT STD
LOCK TYPE = 2. CAM - STD
ORIEL = 050.0000
U -FACTOR =.26 / SHGC= .22
2.00 DM XO BLOCK FRAME WHT
ARGON
(SP) LE CL LEFT
(SP) LE CL RIGHT
SCREEN = HALF EXT STD
LOCK TYPE = 2. CAM - STD
ORIEL = 050.0000
U -FACTOR = 0.26 / SHGC= 0.22
3.00 DM XO BLOCK FRAME WHT
ARGON
(SP) LE CL LEFT
(SP) LE CL RIGHT
SCREEN = HALF EXT STD
LOCK TYPE = 2. CAM - STD
ORIEL = 050.0000
U -FACTOR = 0.26 / SHGC= 0.22
4.00 DM XO BLOCK FRAME WHT
ARGON
(SP) LE CL LEFT
(SP) LE CL RIGHT
SCREEN = HALF EXT STD
LOCK TYPE = 1. CAM - STD
ORIEL = 050.0000
U -FACTOR = 0.26 / SHGC= 0.22
048.2500 X 035.7500 4 EA
080.2500 X 035.7500 2 EA
039.7500 X 023.7500 1 EA
WHEATRIDGE 80033
768382-00 CONFIRMED ORDER ' (') Page 3 of 3
h I11 Window SysteMS 1665 Tollhouse Rd Clovis, Ca 93611 PH 559-322-1531 FAX 559-322-1532
Q Order Date 12/04/18 rig. E
® Est Ship Date 12/17/18 12/03/'
Sold To: LIFETIME SOLAR SOLUTIONS
3012 2330 BROADWAY UNIT 110
M DENVER CO 80205
Phone: 303-335-6097
Fax:
8 Terms NET 30 DAYS
Ship To: LIFETIME SOLAR SOLUTIONS
3012-1 6330 N WASHINGTON ST #10 & 11
DENVER CO 80205
Phone: 303-335-6097
Fax:
em a Description QTY UUM
9.00 MAL OX PD BLOCK FRAME WHT 070.6250 X 079.5000 1 EA
ARGON
(SP)TEMP. LE CL LEFT
(SP)TEMP. LE CL RIGHT
SCREEN = STD
HANDLE = WHT / WHT
DEADBOLT
CUSTOM SIZE
SIDELIGHT TYPE = STANDARD SASH
ORIEL % = 050.0000
U -FACTOR = 0.28 / SHGC= 0.21
LIZETH
Dir Salesperson
Homeowner: HAMMOND, MARGARET
3245 UPHAM ST
WHEATRIDGE 80033
Phone:
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: -j --
Permit Number: F3170
0 � ZZ
,( 4- ,11) 6,;
❑ No one available for inspection: Time (cv AM/ILII
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -7-1% Inspector: '
DO NOT REMOVE THIS NOTICE
** 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
pr__.or.to installation of ANY roof coverings and is require on the entire r of when spacea
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 Find
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
_nstallation 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_ techni.ca_L representative stating that "the application ct the root at (project
address) has beer: applied in accordance with he installation i.nstruc,.i.on .for ;:roof
material brand name) roof_ covering" is required to be on site at the time of final -
inspection.
City of Wheat Ridge
�
Residential Roofing PERMIT - 201703228
PERMIT NO:
201703228
ISSUED:
07/05/2017
JOB ADDRESS:
3245 Upham ST
EXPIRES:
07/05/2018
JOB DESCRIPTION:
Residential Re -roof to install
Owens Corning Laminated
30 year asphalt
shingles with 30 sq.
*** CONTACTS ***
OWNER (303)763-9735 HAMMOND MARGARET S
SUB (330)400-0101 Jerry O'Connor
100172 Ultimate
Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#:
0 /
*' FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
12,500.00
FEES
Total Valuation
0.00
6se Tax
262.50
Permit Fee
251.85
** TOTAL **
514.35
*** 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
pr__.or.to installation of ANY roof coverings and is require on the entire r of when spacea
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 Find
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
_nstallation 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_ techni.ca_L representative stating that "the application ct the root at (project
address) has beer: applied in accordance with he installation i.nstruc,.i.on .for ;:roof
material brand name) roof_ covering" is required to be on site at the time of final -
inspection.
t
INSPECTI - � 7.."CORD
INSPECTION ONLINE FORM: http://www.ci.v,,rieatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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 Approval Of The Above Inspections
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 Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Plumbing
Final Mechanical
Roof f
Lath / Wall Tie
Final Window/Doors
Final Building
Rough Electric
NOTE: All itentis must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Bu �idinr inspection does not constitute authorization of occupancy.
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 f
Final Window/Doors
Final Building
NOTE: All itentis must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Bu �idinr inspection does not constitute authorization of occupancy.
For low voltage permits —Please be sure that rough ins, are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until
Protect T�-
,ificate of Occupancy Is Issued
From The Weather
x
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -T'
Job Address: z
Permit Number: ?tel oV 2
❑ No one available for inspection: Time �� ' AM/I
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: (� ( Inspector: I C n
DO NOT REMOVE THIS NOTICE
* j. . City of Wheat Ridge
Residential Roofing PERMIT - 201703228
PERMIT NO: 201703228 ISSUED: 07/05/2017
JOB ADDRESS: 3245 Upham ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Laminated 30 year asphalt
shingles with 30 sq.
*** CONTACTS ***
OWNER (303)763-9735 HAMMOND MARGARET S
SUB (330)400-0101 Jerry O'Connor 100172 Ultimate Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,500.00
FEES
Total Valuation 0.00
Use Tax 262.50
Permit Fee 251.85
** TOTAL ** 514.35
*** 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
Residential Roofing PERMIT - 201703228
PERMIT NO: 201703228 ISSUED: 07/05/2017
JOB ADDRESS: 3245 Upham ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re–roof to install Owens Corning Laminated 30 year asphalt
shingles with 30 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 propert and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest tht a le��#y authorized to include all entities named within this document as parties to the work to be
performed and that all work t er�ed is disclosed in this document and/or its' accompxying approved plans and specifications.
Signature of O 2Xsed
ONTRACTOR (Circle one) Date
1, This permit w - ssued 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 Bwlding 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 issua 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
applicabIT—co9A, or any ordluabiimor re ula n of this jurisdiction. Approval of work is subject to field inspection.
I MAUL
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 insptimerequest@ci.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.
Kimberly Cook C;bC ! v 3 ;2aa-�
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 22, 2017 1:1 S PM C
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 5 business days, 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. 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? (3
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3245 Upham St.
Margret (Peggy) Hammond
303-763-9735
none
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Ultimate Roofing Inc.
100172
720-404-8743
Contractor Email Address jerry@ultimateroofing.org
Retype Contractor Email jerry@ultimateroofing.org
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Owens corning 30yr laminated asphalt shingle
Material
Select Type of Material: Asphalt
If "Other" is selected
Field not completed.
above, describe here:
/
How many squares of the
30
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 of all 30
roofing material for this
project
N
Provide additional detail 2:12 pitch and up on house and 1.5 on garage using low slope
here on the description of self adhearing mod bit low slope product
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 12500
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jerry O'Connor
Email not displaying correctly? View it in your browser.
3
IN Matimate BBB.
ofing, Inc.
Pro osal submitted to
Ultimate Roofing, Inc. Estimator
Date /,� Jy
if , a - V,
t/ l6
Stre�ei
Approximate Start Date:
City, State, ZIP
Approximate Dollars (Cost for same based on danlad. known at time
WKP—
contract is entered into): $ ` &&
Home phone j
Work phone
Insurance Company
Claim #
Tear Off � ayerls of composition shingles Layer/s of cedar shingles
❑ Install Decking (7116 in. OSB)
Install ice and water shield on eaves
I/I Install ice and water shield in valley `
—J�
Install 2 in. X 2 in. Metal Edging Color
Install 15 Ib. Felt ❑ Install 30 lb. Felt
Recover Root with
Shingle Manufacturer��
�C Year Manufacturer Warranty: Color
Standard Ridge ❑ High Profile Ridge
❑ Install Ridge Vent L
7r Rubber Pipe Jacks 3" in 1"� �4' 6" ❑ Lead .lacks
Paint Roof Stacks to MatchS ngles
Low profile vents` ❑ Turbine vents
Ultimate Roofing, Inc. Three Year labor warranty (guarantee against leaks)
❑ Step flash sidewalls ❑ Step flash chimney
Ultimate Roofing, Inc. willp eG nergl L a lilty Insurance of at least $1,000,000
Provided by: /C 'I
Clean up and haul off all trash /I Clean around bushes and shrubs
Rolf yard with magnetic roller Protect landscaping
Clean out gutters /Permit furnished by Ultimate Roofing, Inc.
By signing this agreement the homeowner authorizes Ulitmate Roofing, Inc.
to represent the homeowner's best interest in pursuit of roof
replacement or repair due to storm damage_ This contract does not
obligate the homeowner or Ultimate Roofing, Inc. until the claim is approved
by the insurance Company and accepted by Ultimate Roofing, Inc.
Upon approval of claim Ultimate Roofing, Inc. will complete specified work
at a price agreeable to the insurance company and to Ultimate Roofing, Inc.
with no additional cost to the homeowner except for the deductible. If the
property owner plans to pay for the roofing services through an insurance
claim, the contractor cannot pay, waive or rebate the homeowner's insuranc
deductible in part or in whole. Agreed upon price will become the final
contract price and Ultimate Roofing, Inc. will receive all insurance proceeds
and supplements for the work completed by Ultimate Roofing, Inc.
Ultimate Roofing Inc. shall hold in trust any payment from the property
owner until the contractor has delivered the roofing materials to the
jobsite or has performed a majority of the roofing work on the property.
❑ SPECIAL INSTRUCTIONS:
❑ EXTRA WORK:
I (We) agree, by signing below, to all the contract conditions on both the front and the back of this agreement
Homeowner's Signature:
Ultimate Roofing, Inc. Representative:
ate of Acceptance: 161
L11 --Z
14792 E. Eldorado Dr.. Aurora, CO 80014 • Phone/Fax (303) 400-0101
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: `�� (wivy
Permit Number: G! 7"4 3 22 A-)
V,'` I � Q
LlNo one available for inspection: Time /PM
Re -Inspection required: Yes N,�)
When corrections have been made, call for re -inspection at 303-234-5933
a
Date: ' '-1 17- Inspector:
DO NOT REMOVE THIS NOTICE
wItDat:
W h � 6 al L '' P 4 �f'
COMMIJW"i'y DEVELOPMENT
Building & Inspection Services Division L,0 -7-� L
7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Rwlew Fee.'
Office: 303-235-2355 * : 303-237-8929
Inspection Line:: 303-234-5933
Building Permit Application
Address:
Plumbing-
W.R. QLN License #
------------
Complete all information on BOTH sides
11:59 P.M.
1 11
t
x,., 05,
Property ; rye Email:
Complete all information on BOTH sides of this form
f
• p
f f
AmpW Wk
building Division Valuation: $
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Pub
Job Address: TzY5' w0ll,6w S'7°
Permit Number: ✓Gr 2~~
APA,2oil c o,
}
❑ No one available for inspection: Time 7,'LV. ~PM
Re-Inspection required: Yes i
*When corrections have been made, call for/re-inspection at 303-234-5933
' Date: Inspector:
DO NOT REMOVE THIS NOTICE
~oF""~'?q City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
OO~ORPO~ Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan M
Permit
PropertyAddress: L2 q5- dOh1rv, 54-
Property Owner (please print): pO , , ha n
Mailing Address: (if different than property-address)
Address:
Phone: 303 '76
State, Zip:
Contractor: /~(l2 'WO j p~ Zbi~ Cad I-n,~
Contractor License Phone: S 0005-
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: s 32 15-0
Description ofwork: (as calculated per the Building Valuation Data sheet)
Tn51n1~in C~~0.n a
I h bf ~ r r 1 i ~ ,L ~ S Plan Review (due at time of submittal): 8
Sq. Ft./L.Ftadded: 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) (CONTRACTOR) or PERSONAL REPRE / I o O ) ONTRATOR)
PRINT NAME: - 6INI [-E.f/1dt'l ry,p7 SIGNATURE: / Date: Z9-
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
~ CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9509
9/17/99
Property Owner :
Property Address : 3245 UPHAM ST
Contractor License No. : 19627
Company : Timberline Roofing
Phone : 763-9735
Phone: 799 9911
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry lhat 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTR4CTOR)
Construction Value :
$4,478.00
Permit Fee :
$11125
Plan Review Fee :
$0.00
Use Tax :
$67.17
Total:
$178.42
Use:
Description : Remove existing roofng to deck and install Tamko 25 year 3-tab
BUILDING DEPARTMENT USE ONLY
SMN-, SIC : Sq. Ft. :
Approval:
Zoning :
o o m
Approval:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval :
(1) This permit was issued in accortlance with the provisions set forth in yopur application antl is sub'ect to the laws of the Sta[e of Colorado and to the Zoning
Re9ulations antl Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of e City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the building authorized is suspendetl or
abantlonetl for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a(ee of one-haltthe amount nortnalty required, provided no changes have been or will be matle in ihe
on9inal plans and specifcations and any suspension or abantlonment has not exceetled one (1) year. If changes are made or if suspension or abandonment
exceeds one (i) year, full fees shall be paid for a new pertnit.
(4) No work o( any manner shall be done that will change the naturel Flow otwater causing a drainage problem.
(5) Contractor shall notiry the Building Inspector twenry-four (24) hours in atlvance For all inspections antl shall receive wntten approval on inspection card betore
proceediing with successive phases of the ob.
(6) The issuance of a pertnit or the approval o~drawings and specifwtions II not be wnstrued to be a permit for, nor an approval of, any violation of lhe provisions
of the building cotles or any other ortlinance, law, rule or regulation.
Chi # Buil ing Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qPPLICATIo N
Property Owner :
Property Address : 3j.y5 (~/,-~~,y~•~ ,ST Phone :~03 - 763- 973j
Contractor License No. :
Company : T~4-l-
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distanees proposed by this permit applieation are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restnctions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all c nditions printed on this
application, and that I assume full responsibili3ty for pl' w@h the Wheat RidgeBuilding
Code (U.B.C.) and all other applieable W t
heat o r ork under this pertnit.
(OWNER)(CONTRACTOR)
Phone: ~p3-383-~060
Construction Value : y y17B. e~-q
Permit Fee :
Use Tax:
Total :
Use:
Description :1Ze-srr,2,G e v ~ r~
f j
BUILDING DEPARTMENT USE ONLY
nn~ SIC : Sq. Ft. :
Approval :
Zoning :
Approval:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) Ttiis pertnit was issuetl in acmrclance wtth the Drovisions set foM in yopur appliration and ia suEjeet ta the laws of the State of Coioredo and to the Zoning
Regulations antl BuilAing CoAe ot Wheat RiEy4 CobreEO or any other applicable ordinances of the Ciry.
(2) This pertnit shall expire if (A) the work auNanzed ia not commencetl wiNin sixry (BO) Oays hom issue tlate or (B) the builtling auNOnzetl is suspenCetl or
abandanetl tor a penotl ot 120 tlays.
(3) I( this permit expires, a new permit may be aequired kr a fee ot one-haM the amount nortnalty requimE, pmvitled no changes have been or will Ee matle in the
onginal plans antl specifications antl any suspension or abantlonment has nat exceeCetl one (1) year. If changes are ma0e or if suspension or abantlonment
exceeES one (1) year, NII fees shall Ee pai0lor a new permR
(4) No work of any manner shall be tlone Mat will change the natural flow of water wusing a E2inage pmblem.
(5) Comractor shall notlry the Builtling Inspector twenty-four (24) hours in atlvance for all inspections anE shall receive wntten approval on inspectlon wrtl Eefore
pmceetliing wiM sutcessive OhaSeE of the1ob.
(6) The issuance of a parmit or the approval o( Erawinga antl sperifimtlons shall not be consWed to be a pertnit for, nor an a07roval of, any vioiatian of the provisions
of the building codes or any ofher ortlinance, law, rule or regulatlon.
Chief Building Inspector
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. MM9344265
237-6944 EXT. 255 P.O. BOX sse CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLV WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
\
WJ
A PLICATIO FOR MISC
lOBADDRESS
ELLANEOUS RMIT
OWNER
'ONTRACTOR
~
ADDRESB
f' n
4DDRESS ZZ~I-`i W. 2`I~ (AUS~Y1.
PHONE _718-52LLQ 7IPCODED~33
CITV I'' ZIP CODE ' I,
PHONE 4-I~ - I~O'~F~-f' LICENSE Np ~J~ .
r:ONTRACT PRICE $ L_cfi~
1. TYPE GrounA ❑ Woll❑ Proieefin0❑ OMer S or 0 Fate
$IGNS
2. MATERIAL Total SQUare Fut
Permit No.
ILLUMINATION Yea❑ No❑ Typa Eleef
3
.
.
4 SET BACK FROM PROPERTY LINE N_ S_ E- W Zono_ Approvsd, 2ons Intpscta
(Speeity whiM is front ) ❑ ❑ ❑ ❑ Diwppraed
1. TYPE Solid❑ Mon TMn 80% ODSnO Lett Thon 80% Open
MATERIAL Heipht
FENCES
3. SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zorn_ ApprwW,Zom Inspeeta
(Specify whieh is front) ❑ ❑ ❑ ❑ DiaoDDrovad
1
.
2
OTHER
3
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DIST4NCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
J
Y
SF SPECIFY NORTH
~
N
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDIN6 T6AWOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR lATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PEf7FORM TNE INDICATED WORK ONLY UPON WILIDATION BY THE BUIIDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHIN THAT TIfAE.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANIC PERMIT I
ALU
ryp,
MINUMVAREUNDERSIZEBILLEGAL
FLOOR
WATER CLASET
BSM
IST
2ND
3RD
4TM
N0.
Fl1EUG'ncls qlROpans iCooqE Solm
FORCED AIR - BTU N a'D (tr0
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTMER
HEATING
POWER SUB-CIRCUITS
GARBAGE DISF
WATER HEATER
REFRIGERATION SVS?EM
Retri eront Goup
UTILITY(RANGE,DISPOSER,ETC)
AUTO. WASHER
Poundf CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS a CONTROLS
FLDOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADOITION TO OLD WORK
OTHER
M0T0175 OVER I HP
TOTAL FIXTURE
. r
C~Vv~ M
1 hsreby acknowledqe thot thia aODlica-
fion is correct ond understond fhat I
eonnot stmt thie projsof until this aODli-
cation ia oDOroved. I sholl comply rith
ths lawa oi the Stote ol Colorado ond to
the Zoninq Requlotions ond Buildinq
Code of fhe City of Wheaf Ridqe. Any
violafion o ihe above terms will cause
immediate revocotion of thie permit
J~
f
4p01ieanb 9i0natun
PE M~
USE TAX
TOTAL FEE
APPROVE
CHIEF BUILf
6-, c^-u ' /
~3- 0-d $ ,
INSPECTOR,City of Wheat Ridqe
Date IssuPd.~
T VALID UNLESS RECEIPTED
I_ar) ~ 3
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS