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4310 Upham Street
III M!11 JIM, INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground 41 Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 41 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous y 1 - 4 17 Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof y 1 - 4 17 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. oning Final Inspection F8113 uildingg Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. City of Wheat Ridge Residential Roofing PERMIT - 201703253 PERMIT NO: 201703253 ISSUED: 07/05/2017 JOB ADDRESS: 4310 Upham ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 17.5 sq. *****revision add redecking for 17.5sq******* *** CONTACTS *** OWNER (303)807-7778 DIBARTOLO CHRISTOPHER P SUB (720)949-0051 Scott Mansfield 170326 Paragon Partners *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,747.50 FEES Total Valuation 0.00 Use Tax 120.70 Permit Fee 140.90 ** TOTAL ** 261.60 *** 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 Residential Roofing PERMIT - 201703253 PERMIT NO: 201703253 ISSUED: 07/05/2017 JOB ADDRESS: 4310 Upham ST EXPIRES: 07/05/2015 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 17.5 sq. *****revision add redecking for 17.5sq******* I, byy iny signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, a licable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized y legal owner of the roperty and authorized to obtain this permit and perform the work described and approved in conjunction with his�per it. I further atte hat I am e a% authorized to include all entities named within this document as parties to the work to be rforme and that all o k to be p r ed is disclosed in this document and/or its' accompanying approved plans and specifications. ggn =rmM1tTvVa or CONTRACTOR (Cir le one) Date s s based on the informatiorfprovided in the permit application and accompanying plans and specifications and is subject to the comolianc-those.decum"ents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 re uired 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. 7TMAe Signature of Chief Building O icial Dat REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �W heat Midge MMUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # /11 /)I 70 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ls� Property Owner (please print): rIS 4)I Cay Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Contact Person: ✓: -�Vq ca o'A �'q , t�' LL C ledo C 1�6 � Contractor: T�; q�v �c � `� t� �'►% Phone: aC).�"� Contractors City License #: _1703,* Phone: 2j-& — el�c - 005`/ Contractor E-mail Address: 1/24 d Lee) Zy- U p RIL4 yky) CQ . Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: /�do 7Z' ?6`y �Cld Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 1 Z W ,-0 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application.U�-l�tity on this application. CIRCLE ONE: PRINT NAME: (CONTRACTOR' or DEPARTM ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required ATIVE)�jof ( NER) (CONTRACTOR) i DATE: - S /-7 ONL OCCUPANCY CLASSIFICATION: Building Division Valuation: $ PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201703253 201703253 4310 Upham ST Residential Re -roof to 17.5 sq. ISSUED: 07/05/2017 EXPIRES: 07/05/2018 install GAF ArmorShield II asphalt shingles with *****revision add redecking for 17.5sq******* *** CONTACTS *** OWNER (303)807-7778 DIBARTOLO CHRISTOPHER P SUB (720)949-0051 Scott Mansfield 170326 Paragon Partners *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,747.50 FEES Total Valuation 0.00 Use Tax 120.70 Permit Fee 140.90 Misc. Fee 25.00 ** TOTAL ** 286.60 *** 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 Residential Roofing PERMIT - 201703253 I ' PERMIT N0: 201703253 ISSUED: 07/05/2017 JOB ADDRESS: 4310 Upham ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 17.5 sq. *****revision add redecking for 17.5sq******* I, byy myy si e, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicabl uildi g codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the l al ow er of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pe it. I her,fi�ttest that I am legally authorized to include all entities named within this document as parties to the work to be perfo�ed a tha a'lI work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 92_c- Signature of OWNER or CONTRACTO (Circle one) Date 1. This permit was issued bas ormation 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 procedumres. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be ade 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 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, an 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 of Chief Building Official 0 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 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: �-) 0 9 - (—, Job Address: 3 1 D a Permit Number: 'a 0 17 0 3 0? S-- 3 nn ) l" I PproV C ❑ No one available for inspection: Time = y 8 AM� Re -Inspection required: Yes l ) When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 I 4 / 7 Inspector: _T__L>. 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: qc) 7 9 O F Job Address: q-510 U 5 Permit Number: �ZQ l70 3 ?-f-3 ❑ No one available for inspection: Time AM/PM Re -Inspection required: es No When corrections have been ma e, call for re -inspection at 303-234-593 Date: )0//ZI Inspector: (�/ j DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Plumbing PERMIT - 201702335 PERMIT NO: 201702335 ISSUED: 06/22/2017 JOB ADDRESS: 4310 Upham ST EXPIRES: 06/22/2018 JOB DESCRIPTION: * Replacing 50 gallon 40k BTU water heater *** CONTACTS *** OWNER (303)421-2161 DIBARTOLO CHRISTOPHER P GC (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 92.00 *** COMMENTS *** *** CONDITIONS *** 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 t. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be pe pecifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to I 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Apl of work is subject to field inspection. Signature of Chief Building Official Date ` -W 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. City of W heat Midge COMMUNITY DEVELOPMENT PAID Building & Inspection Services Division -- 7500 W. 29" Ave., Wheat Ridge, CO 80033 � � g o�-� /9 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # d 0 ) -} d -'-� 1-� Z'— Plan ) Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 44 31 C) lila rn " Propertv Owner Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Phone: Contractor: P►y_ �tiu Vloryftnbf_ahrla. Contractors City License #: ala 22b S Phone: 3o3-44 ZI-LI �o 1 Contractor E-mail Address: Yd .�lyetSk�.t�l�rnbi own Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ WHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT SKPLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Ze.p lac. 50 C31 1 oil Sq. FULF Btu's K Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 150, o _ -- - - 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. 1, the applicant for this building permit application, warrant the truthfulness of the information providedapplication. CIRCLE ONE: (OWNER) (C TRA R) or (AUTHORIZED REPRESIE'NTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): 6"v /� '1- DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: 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: /Wo Job Address: L/ ;/U Permit Number: `% 0 Z ❑ No one available for inspection: Time ! AM/PM -W90 Re -Inspection required: Yes/ When corrections have been made, call for re -inspection at 303-2345933 Date: ' ! ! Inspector: MI NOT REMOVE THIS NOTICE CITY OF WHEAL RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOT1VF__ AIM -0 IJ No one available for inspection: Tirne�',f AM/PM Re -Inspection required:( Yes No When corrections have been made, call for re-inspeetion 0'303-234-59: Date: inspector: City of Wheat Ridge Residential Roofing PERMIT - 201703253 PERMIT NO: 201703253 ISSUED: 07/05/2017 JOB ADDRESS: 4310 Upham ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 17.5 sq. *** CONTACTS *** OWNER (303)807-7778 DIBARTOLO CHRISTOPHER P SUB (720)949-0051 Scott Mansfield 170326 Paragon Partners *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,497.50 FEES Total Valuation 0.00 ;? Use Tax 94.45 ' Permit Fee 125.05 ** TOTAL ** 219.50 *** 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 - 201703253 PERMIT NO: 201703253 ISSUED: JOB ADDRESS: 4310 Upham ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II 17.5 sq. 07/05/2017 07/05/2018 asphalt shingles with 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 1 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 thi�enn�t. I further attest th I am legally authorized to include all entities named within this document as parties to the work to be pe Tort ed and that all work be per need is;discI sed in this document and/or its' accompanying approved plans and specifications. Sign4drer'of OWNER r CONTRACTOR (Circle one) Date I. This permit was issu d based on the information provided in the permit application and accompanying plans and specifications and is subject to the comp( ante 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. ;. 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, an violation of any provision of any app ode or any ordinance or re ulation 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. 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 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 22, 2017 2:36 PM 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? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4310 Upham street Wheat Ridge, CO 80033 Property Owner Name Chris Dibartolo Property Owner Phone 303-807-7778 Number Property Owner Email Field not completed. Address $ C? (9 - -tm 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 Paragon Partners LLC 170326 7209490051 Contractor Email Address info@paragonpartnersco.com Retype Contractor Email info@paragonpartnersco.com Address DESCRIPTION OF WORK / Are you re -decking the No V roof? Description of Roofing GAF ArmourSheild II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 17.5 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 17.5 roofing material for this project z Provide additional detail Re -roof asphalt shingles here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract —3856C) 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 David Mraz Email not displaying correctly? View it in your browser. 3 1P A i"t A 6-O H N A ttTl N t I1 is RuildiuK-t'rnnurroays Rc�tan•Litt tl,c 1'uwt Owner.- t i\ !" , My owners Email:, _ 14201 E 4th Ave., Bldg. 4 - 275 Aurora, CO 80011 ParagonPartnersCO. COM (720)949-0051 a: 7- 350 E 7th St., Suite 11 Loveland, CO 80537 Paragon partnersCO.Com (970) 776-9525 Roofs For Troops Work to be comple as follows: P Furnished, Jurisdiction: =�La �y'i Closed Valleys Open Valleys C J ar off # Layers of Composition Layers of Cel dar Remove Satellite Reinstall Satellite 1 ect Decking in all Decking $ per sheet all Rubber Pipe Jacks Install Furnace Caps Install Drip Edge, Color �rt yyrt tall Turtle Vents, Color aves Rakes p t Pipe Jacks & Turtle Vents to Match Insta a &Water Shield to sh Sidewalls, Color T,71 Valleyss t p.Flash Chimney Install 15 # Felt r0tve h. rG- rp And Cover PropeM And Yard s Needed ingfe Manufacturer (s an Up & Remove Trash Clean Out Gutters hingle Type S p Yard With Magnet hingle Color TT- All To Be Completed Per Applicable Building Codes Ridge Cap 4 tA�jti arranty: Five Years Labor For Roofs, One Year For All Other Work F] Manufacturer's Warranty Paragon Partners LLC $2,000,000 Liability Insurance Special Instructions/ Additional Work: Work to be completed for full rep"moment cost value of Insurance proceeds Plus XuPPl s �I for estimated amount '� :!JrS �a or Q Work to be completed as per above specllIcations in the amount of: Paragon Partners LLC shall hold in trust any payment received from you until Paragon Partners LLC has delivered roofing materials to the site or has performed a majority of the project. •• Code Requirements: all work will be done according to applicable building codes. All work completed as required by applicable building codes will be billed to Insurance Carrier. Any costs associated with building code requirements not covered by the insurance Carrier will be the responsibility of the Property Owner. Approximate date(s) for contracted work to be completed: A 7 - j24' Note: the listed dates of service are approximate and not a guaran ee and may be amended based on weather, material availability, property owner's request for delay, or other unforeseen delays. Paragon Partners LLC liab' ity insurance held by B -W Insurance Agency, LLC. Insurance agent is Kim Steffen. Phone (303) 730-0044. Property Owner is lis not intending to make payment from the proceeds of a property and casualty insurance policy. If the Property Owner plans to pay for the roofing services through an insurance claim, the Paragon Partners LLC cannot pay, waive or rebate the homeowner's insurance deductible in part or in whole. 'If insurance proceeds are to be used to pay for the contracted work, Paragon Partners LLC cannot pay, waive, or rebate all or part of the insurance deductible applicable to the insurance claim for work to be completed. Contractor is authorized to speak directly with my insurance carrier on my behalf._Int. Property Owner has the right to rescind this contract pursuant to SB38 Section 6-22-104 of Article 22, Title 6, Colorado Revised Statutes and obtain a full refund of any deposit within 72 hours after entering into the contract. Refund of any deposits or payments following rescission of this contract will be made within 10 days of rescission. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the property and casualty insurer that your claim has been denied in whole or in part. However, Paragon Partners LLC is entitled to retain payments or deposits to compensate Paragon Partners LLC for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Paragon Partners LLC is also entitled to compensation for costs incurred for any custom or non -returnable materials that may have been ordered prior to any contract rescission. All. payments must be made directly to Paragon Partners LLC. Upgrades / change orders / addendums to be paid upon owners acceptance of written agreement. Down Payment S 1 Date :(� 17 � z --- P. P. LLC Initials - ow, to all contract conditions on all pages of this agreement. I (we) agree, by signing bel Property Owner's Signature: Date of Acceptance Property Owner's Signature: ` INSPECTION RECORD Occupancy/Type _ 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. olnm INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB 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 INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 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 INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Electrical Service "`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. Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof jG _ /2- o 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. PROTECT THIS CARD FROM THE WEATHER ♦ 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: %oa< Job Address: 4f9/0 C/PARM S-~ Permit Number: t39251?c) f E E. El No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: fry -12 --09 Inspector: 1?V 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: 0 j Job Address: '?d o Ili ''A-tM C> Permit Number: r) q ) I ~joI I \ T:_~7>'i-1)7 ~E 1 X15{1 C k e !U ~1~ f F No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, ca f re inspection at 303-2345933 Date: Z, S. Inspector DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1,V1Z e00,c Job Address: V310 ff~l~l~rY! 57` Permit Number: 525'o;?S7ZI Appaoa dl/,~l_ 7~ ,25 At17~Y tarh1-~_ 5 lra1G1 r5f7` d~~/.F~ ieusy'. y GSff (~z~a'rT Gs ie~ TZ) <lvT2~ ❑ No one available for inspection: Time 11,'V< AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: ✓p21G A©7 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 2,34-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 0 jeff 57 Permit Number: 9 r *ZI? C i ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call VArl-Insp'. ion at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE FEE SUMMARY ESTII Permit Fee i, Total Valuation Use Tax 5 TOTAL 2: v COMMUNITY DEVELOPMENT DEPARTMENT 4 bra BUnAING INSPECTION LINE -303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE eocorsnd° WHEAT KWGE,CO80033-(303-235-2855' Building Pemut Number. . Date: Property Owner: C 4rolVrl llcr man ProperryAddress: L-30 Up/teln$t, Wl,e.qf",dga Phone: 343'9.17-7337 Contractor License No.: 197.26 Company: h the Saul ho'J 10 Phone: 303 `76-L-0U 2'9 OwNERlCOhTRACTOR SIGNATURE OFUNDERSTANDiNGAND AGREEmmr iha,r«mfyOM dL vrwosedbymupav;tapp&Wmaiiameue„ ConstructionValue:$ aaddoe«. a mksorregeiaeoosor&cCityafWbca$ WWa FennitFee:$ eovermrts,eastsnentsaresaiaiomo[reeved:Utatanmpauanmtsahown,anda)(egafiais . made are atxuraie: that 1 nave read and agm to abide by an c" dm printod on this Plan Review Fee:$ applica m and that 1 assume f dl rapoustbility fw cooq) mm with the Wheat Ridge Bm7dingCode(U.B.C) and an adwapp))cabk Wbacat - fartwkwda Use Tax:$ th(s pemdt. - - Total:$ `t6 00 QO roANERxmNTRACroR$s1cNm (OWNERHCONTRAMR):PRIME>; f /C_KLII"~LgUATE - - DESCRIPTION: (~AO-mnq wi't'h 3p yr C~(n~ S~'o e~aJ~ w ! h l ~QUa~ e5 J BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ,7 Approval: Zoning. Approvak Pumctw0macommEw s: Approval: Occupancy: Walls: Roof- Storia. Residential Units: Electrical License No: Plumbing License No: Mechanical License No. Company: Company- Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval Approval (1) 711b pmnh( wimucdin ammdano wab dtetuovblmssafot&is yamapp3a6==d is sulim b the laws ofew soft orceimdo =4 W dneZooing Reguladms and Building coda ofWbar Ridgr, Cebmbwaayodman4mbk mdina efdw ray. (2) TbspmrilsWcxpmif(A)dwvmkaodwrvtdismtco wit3i mmy(6%dan6mtisso *mw(6)tbebmlftau*mindissmpmdrdm abau forapw)ud of 120days (3) ir16¢pesmuexpua,a llewpmmtmay4eaglmrdfQafCnfmNulflkeamnlml omrmayrogmed.pmsddaoehaegeshm6emaAl'gbe made in The agmd pow mdspmGramss and mysrrymwom wabaodo bas mi exceeded w(1) yem. tfch=s=hayebxawirsgmnimw abaadmaneat exceeds aae (r) ym. f dl fas shag be paid for* uew pgmit• (4) Nowak ofaay mamas6a96e doaedm wrT6asaowltbwdwasvgosmgadravgeptoblen, (3) _ b~orePOSRdma svubsoaesose lmpabrtwmry-~i2ghoo.z®adeaucefora8 isptttimsauda4dl meie wviaeo pbawsotiejoh 'mod m iaspiedm wtd (6) The issuwce ora pennirwtbe aypmraiofd'owlagsand apaiGodpasdua ept6eommuodbbea pmsisimso(dte bm"Wiogwdawsoyatbamfmame.Lw.mkaaega6um. P~thr.oamayp?rdu(auy viohtionotdw 7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.O. BoX 638 BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS:.L~! L/ OWNER i ADDRESS ~+uun CITV~ ~ / c ZIP CODE ON PHONE RACT P . ~ - ~ ~ RICE PHON c~_`'~ ,rO I. TYPE Ground ❑ M Proiedin M 2. MATERIAL 0 O or SorDFate SfGNS 3. ILLUMINATION Yee ToIal Squors Faaf 4 SET BACK FROM PROPE ElKt. Permil No. E _(SDkify whicA n__ff_ - N' I-7 I Zon~__ Apprwed,2Ma Inapseo I. TYPE SolidO More Ttron 80% FENCES MATERIqL 3. SET BACK FROM pRppERTY LINE N__ ; (SDecify whieh ie front) ❑ OTHER INSPECTION tICKET UNLESS JoB ADDRESS -~331() C-Cawrn DATE: LO ~ BLDG. PERMITk 4ql PERMIT N0. DRAW SKETCH OR SHOW BELOW,TNE FENCE,SIGN,OR OTHER STRUCTURE.GIV{NG DISTANCES FROM pRppEpTy LINES. (SETBACKS OR PROJECTIpNS INCLUDED) PERMITN BLDG. CONTR._.L/~/~, STREET NAME SHOW DISTANCES FROM T!ff MAIN BUILDING TOApJ01NING HOUSES, STREESUBCONTRACTOR DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE r„, /O rn` APpLICATION FOR PLUMBING; ELECTR DATE INSP. REQ. THIS APPLICATION WILI BECOME A PERMIT TO PERFORM THE INDICATED V TYPE OF INSP. PERMIT WILI EXPIRE 60 DAVS FROM DATE OF ISSUANCE ~ON. ELECTRICAL PERMIT STATE LICENSE NO. ALUMINUM WIRE UNDERSIZE 8 ILLEGAI PLU STATE LICEN FLOOR MBIN SE N0 G I INSPECTION MADE~_~ . REMARKS N0. WATER CLASET BSM ~ n k Sdar TEMPORARY METER WASH BOW G l G~ Ir ~C G 7N !r (r ~L NEW SERVICE - AMPS L BATH TUB ~ . CHANGE SERVICE-AMPS SHOWER Z LIGHTING SINK R W FOqM &ig HEATING GA . . / RBAGE DISF POWER SUB-CIFCUITS WATER HEATER UTILITY (RAN6E, DISPOSER, ETC.) AUTO. WASHER ~ y/ FIXTURES DISH WASHER r 0 J~ WIRING MOTORS d CONTROLS SIGNS FLOOR DRAIN URINAL ELEVATOR TRANSFORMERS 8 RECTFIERS SEWERS ADDITION TO OlD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I nsreby acknowladqe Ihat thie applico- PERMIT FEE tion ia eorrect ond understand that I USE TAX connor stort this projsct until fhis oppli- cation ie approved. I snall comply with TOTAL FEE the lowf of fhe Stote of Colorado and fo tha ZoninQ Requlations and BuildinQ APPROVED Code of ihe City of Wheat RiGqe. Any DI$ARP{7Q1EE$ violation of the obove terma will couse CHIEF BUILDIN,G immediate revocation-Qf ihis oermif , Date Lost Thon 80% HdaM E- W Zane_ Apprwed,Zom Impeetor ❑ ❑ ~ ~ n~.,.......... s-. (.4-C) ~ 4 ~✓~i: 'ECTOR,City of Wheat Ridqe J t~ , 4,_8 , 1 /G 7 CALL 237-8944 EXT. 255 24 HOURS IN AOVANCE FORINSPECTIONS