HomeMy WebLinkAbout4685 Upham Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: o s'- F•`. -%C\) Lif) e c %
Job Address: y q S U c, .►, S --
Permit Number: 0) —7 0 6 0 R 9
AM
IJNo one available for inspection: Time �= S AM PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: I J l 8 Inspector: T%
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703637
PERMIT NO: 201703637 ISSUED: 07/10/2017
JOB ADDRESS: 4685 Upham ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -Roof to install GAF IR SHINGLES ASPHALT with Re -decking
30SQ.
HOUSE 4:12
*** CONTACTS ***
OWNER (303)807-4224 BRISCOE RONALD
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: 10,500.00
FEES
Total Valuation 0.00
Use Tax 220.50
Permit Fee 220.15
** TOTAL ** 440.65
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
INSPECTION RECORD ° uMY ar`ce
IN.". ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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
Initials
Comments
Pier
11 Sheathing Azoy-
Concrete Encased Ground (CEG)
ROW & Drainage / Public Works Dept.
Foundation / P.E. Letter
Mid -Roof
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
11 Sheathing Azoy-
ROW & Drainage / Public Works Dept.
Mid -Roof
r
Lath / Wall Tie
Final Plumbing
Rough Electric "
Final Mechanical
Rough Plumbing/Gas Line
Roof
Rough Mechanical
Fir. c_�! Building
Rough Framing
/MOTE: 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 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
Ficial Window/Doors
Fir. c_�! Building
/MOTE: 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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office * (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 40q- F"4141 R()O-F
Job Address: q0s_ VP40M srl,
Permit Number: 201703d3?
I'l,"Rl lzo04- fi�- 4DI""wL,("
i -V V,
'7 &
0 V r
J No one available for inspection: Time ,X,'M-I"PM
Re -inspection required: fes,,," No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -q/ V 1� -inspector: bane Lovett
DO NOT REMOVE THIS NOTICE
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: `l Q2 F -,', ,,i i
Job Address: q
Permit Number: 2 C 1'7 c 3 (0 3 -2
❑ No one available for inspection: Time 'a: c/ s IPM
Re -Inspection required: d4 No
When corrections have been made, call for re -inspection at 303-234-5933
Date:---.', 99 //!E Inspector: 1 .G
DO NOT REMOVE THIS NOTICE
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: `l Q2 F -,', ,,i i
Job Address: q
Permit Number: 2 C 1'7 c 3 (0 3 -2
❑ No one available for inspection: Time 'a: c/ s IPM
Re -Inspection required: d4 No
When corrections have been made, call for re -inspection at 303-234-5933
Date:---.', 99 //!E Inspector: 1 .G
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201706099
PERMIT NO: 201706099 ISSUED: 08/15/2017
JOB ADDRESS: 4685 Upham ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Permit to replace evaporative cooler on the roof. Same location.
*** CONTACTS ***
OWNER Ronald Briscoe
SUB (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: 4,100.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 86.10
** TOTAL ** 126.10
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 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.
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
thispermrt. I further est that I am legally authorized to include all entities named within this document as parties to the work to be
performed nd that work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
1.
2.
3.
4.
5.
6.
nit of �bWNER or CONTRACTOR (Circle one) Date
T ' pe it was issued based on the information provided in the permit application and accompanying plans and specifications and is
su ject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
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 originalppermitfee.
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.
No work of an manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
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.
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 cod y ordinance oulation o this jurisdiction. Approval of work is subject to field inspection.
�W'
Jam"_ _
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
► 1 City of Wheat Ridge
.. r
:�9
Residential Mechanic PERMIT - 201 06099
PERMIT NO: 201706099 + IS UED. 08/15/2017
JOB ADDRESS: 4685 Estes ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Permit to replace evaporative cooler on the roof. Same location.
*** CONTACTS ***
OWNER (303)940-9560 WILSON VICKI ANN
SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,100.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 86.10
** TOTAL ** 126.10
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 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.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described anda proved in conjunction with
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 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 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 of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
L-1 6 u, yl h INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
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
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.
Mid -Roof
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric "
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
Rough Grading
Final Window/Doors
Insulation
Final Building
Drywall Screw / Nail
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.
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
.� A i CITY OF WHEAT RIDGE
- Building Inspection Division
r
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /" 4 .r )t,
Job Address:
Permit Number: 07/90 3G :3?�
f�P; r, _ F^
LJ No one available for inspection: Time ; � AMf�
Re -Inspection required: Yes (&6.)
When corrections have been made, call for re -inspection at 303-234-5933
Date: r 119. Inspect or
DO NOT REMOVE THIS NOTICE
o City of Wheat Ridge
.. r
Residential Roofing PERMIT - 201703637
PERMIT NO: 201703637 ISSUED: 07/10/2017
JOB ADDRESS: 4685 Upham ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -Roof to install GAF IR SHINGLES ASPHALT with Re -decking
30SQ.
HOUSE 4:12
*** CONTACTS ***
OWNER (303)807-4224 BRISCOE RONALD
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: 10,500.00
FEES
Total Valuation 0.00
Use Tax 220.50
Permit Fee 220.15
** TOTAL ** 440.65
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
M,_
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201703637
201703637
4685 Upham
Residential
30SQ.
HOUSE 4:12
ST
ISSUED: 07/10/2017
EXPIRES: 07/10/2018
Re—Roof to install GAF IR SHINGLES ASPHALT with Re—decking
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. l further"attest that I am le ally authorized to include al[ entities named within this document as pames to the work to be
performed and that �dl work to.be performed is disclosed in this document and/or' accompanying approved plans and specifications.
nature of OWNER or CONTRACTOR (Circle one) Date
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.
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 perrmt 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 Budding Official and is not guaranteed.
No work of any manner shall be performed that shall results in a change of the natural flow of water without prior andspecific approval.
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.
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 o=iief Building Official— —_t) Date
REQUESTS MUST BE MADE BY 11:59PM ANY $irSINESS 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.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 27, 2017 9:53 AM
To: Permits CommDev �V
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. \
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
4685 Upham St
Ron Briscoe I/
Property Owner Phone 303-807-4224
Number J, �
.
Property Owner Email Field not completed.
Address
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
720
Contractor Email Address suzannahy@paragonpartnersco.com
Retype Contractor Email Suzannahy@paragonpartnersco.com
Address
DESCRIPTION OF WORK
Are you re -decking the DYes
roof?
Description of Roofing GAF IR Shingles V
Material
Select Type of Material: Asphalt V
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 30
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No V
Field not completed.
2
TOTAL SQUARES of a JK�
roofing material for this
project
house 4:12
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
10500
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
Name
A
Address
Claim Number �^
City /State /Zip
Cell Phone / Texting�
Adjustment Time & Date
Alternate Phone
rEmail
P A R A C, 0 N P A R T N It: R S
Building Tomorrows' I Restoring the Past
14201 E. 4"' Ave Bldg. #4-275
Aurora CO 80011
ParagonPartnersCO.corn
303-257-5395
Insurance Company & Phone Number
Storm Date & Loss Type
Claim Number �^
Adjuster Name /� `
Adjuster Phone
7 b
Adjustment Time & Date
Insurance Damage Inspection Agreement
By signing this agreement, the homeowner authorizes bom& A to pursue the homeowner's
best interests by investing their time and expertise as claims specialist in assisting with the property damage inspection in order to ensure the
claim is e . e accordance with the policy provisions. This service will be performed for a fee of % of the claim value.
Initial
Roofing Process
Remove all layers
Replacewith MFG GiAt--
Color of Shingle CEZ'w!`4
Install decking as need & proved
Underlayment
New Starter
Ridge Cap KRidge Vent
Install Ice & Water Shield to Code
MEves [Valley K Penetrations
Drip Edge to code with Color
Valleys will be ❑ Open d Closed
of Additional Work &OMaterials
' vvso , st d,
Work to be completed as follows:
Ventilation & Flashing
New Pipe Jacks
® Flash chimney & Wall Abutments
Flash all Skylights and all protrusions to code
Install new ventilation to code
❑ Low Profile ❑Turbines '--7 Solar
Install L/FT Ridge Vent
Paint roof components Color /W/3-fZ
Upon completion
VSJ Clean up grounds & haul away debris & materials
['Magnetic roll property
F71 Order final city inspection
❑ TV / Satellite Dish - Home owner is responsible for realignment
`� All work will be completed according to applicable codes
SL- /-%
Work to be completed according to the above specifications in the amount of $ r!( CV 2 1,( S ✓/11kcMffidn to the amount
specified, any and all supplements billed on behalf of Paragon Partners and approved by the insurance carrier will become part of the contract
and will be paid to Paragon Partners in addition to the contracted amount specified.
Deposit amount $ ,--n 1. .7 '% Plus Deductible $ 1,-&0 GA3 Final Payment $ )�CC U
All payments will be held in TRUST until mat rials have been delivered. You the consumer have the right to cancel this transaction at any
time prior to ial ivecyy� The cont ct balance is paid by the insurance company per nal loss invoice
Customer "L` ' Date - / /%Project MGR
i
Customer Date Approved Contractor ! l
DEPARTMENT OF PLANNING ANDDeVELOPMi Suilding :Permit Number : 12890
• ` BUILDING iN$PEGTIDN'.LINE-- 303-234-5933 •
CITY OF WHEAT RIDGE Date : 10/3/01
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4685 UPHAM ST Phone : 421-0272
Contrector License No. : 19402
Company : Aaark Heating & Air Conditioning Phone : 431 8015
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 regulahons of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, antl allegations
made are acwrate; that I have read and agree to abide by all conditions printed-omtMs 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)(CONTRACTOR) SIGNED DATE
Description : REPLACE FURNACE
Construction Value :
$1,575.00
Permit Fee :
$57.05
Plan Review Fee :
$0.00
Use Tax :
$23.63
Total:
$80.67
Use:
=
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
-
Approval:
Zoning :
K4Mk r..u.v .L9.
Approval :
~1~~~1'~t99. ~"t~3lzet~Y~~:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No : 19402
Company : Company : Company : Aaark Heating & Air
Conditioning
Expiration Date : 10/23l01
Expiration Date : Expiration Date : qpProval : OK/KS
Approval : Approval :
(1) This permit was issued in accordance with the provisions set Forth in yopur application antl is subjecl to ihe laws of the State of Coloratlo antl to the Zoning
Regulations and Buildiny Code of VJheat Ritlge, Colorado or any other appliwble ordmances of the Ciry.
(2) This permit shall expire rf(A) Ihe work au[honzed is not commenced within sixry (60) tlays from issue date or (B) Ihe building au[honzetl is suspended or
abantlonetl for a penotl of 120 days.
(3) If this permit expires, a new permrt may be acquired for a fee of one-half [he amount normally requiretl, provitletl no changes have been or will be made in the
onginal plans and specifications and any suspension or abandonment has nol exceeded one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new permit
(4) No work of any manner shall be done ihat will change the nalural Flow of water causin9 a drainage problem.
(5) Contraclor shall no6fy the Building Inspector twenty-four (24) hours in advance for all inspections and shail receive written approval on inspection card before
proceetliing with successive phases of the o6.
(6) The issuance of a permit or the approval o~drawings antl specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building cotles or any olher ordinance, law, rule or regula6on.
Chief Building Inspector
[?EPARTMENT 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
/G d2 -o~
Property Owner : C",l/Z •
Property Address : c/-- Phone
Contractor License No. : J
l V C 2,
Company : Phone ;,c%/ ,_G~/ ✓
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances pmposed 6y this pertnit application are acwrete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
wvenants, easements or restrictions of record; that all measurements shown, and allegation
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 otner applicable 4Vheat ~dge or ' n- , or work under ihis permR.
(OWNER)(CONTRACTOR) SIGNE
a
Description :
Occupancy : Walls
Electrical License No :
Company:
Expiration Date :
Approval:
0 90KNE
Construction Value ],y`~ ~
Permit Fee :
Use Tax : Ls
J
Total: i
0
5
BUILD"ING DEPARTMENT USE ONLY
Roof : Stories : Residential Units :
Piumbing License No :
Company :
Expiration Date :
Approval :
F:: 101s1
Mechanical License No :
Company :
Expiration Date :
Approval:
a
(1) This pertnit was issued in aaoMance with the provisions sel forth in yopur apPlication anG is subject to the laws of the State of Coloratlo anG lo the Zoning
Regula6ons antl Building CoEe of Wheat Ridge, Coloredo or any other appliwble ordinances ot the City.
(2) This permit shall ezpire il (A) Ue work authonzed is not commenced wiNin sixry (60) tlays from issue tlate or (B) the building aulhonzed is suspentletl or
abandoned for a penaG of 120 days.
(3) If lhis permit expires, a new pertnit may be acquiretl for a fee ol one-half the amount normalry required, pmvided no changes have been or will Ee matle in the
original plans and specificaUons and any suspension or abantlonment has not exceetletl one (1) year. If changes are maEe or if suspension or abanGOnment
ezceetls one (1) yeaL full fees shall be paitl for a new permit.
(4) Nb work af any manner shall be Cone lhat will change lhe naNral flow of water wusing a drainage pmblem.
(5) ConUactor shall notiry the Builtling Inspeaor Iwenty-four (24) hours in aAVance for all inspecuons antl shall receive wntten approval on inspeclion wrE OePore
proceediing with successive Ohaxs of the lob.
(8) The issuance of a permit or the approval of tlrawings and specifications shall no[ be wnsiruetl to be a permil tor, nor an approval of, any violatlon ot the provisions
of the building codes or any oNer ortlinance, law, mle or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT I~~
7500 wEST 29tn AveNUe BUILDWG INSPECTION DIVISION PERMIT N0 ~;S
237-6944 EXT. 255 P.o. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY TME CNIEF BUILDING INSPECTOR ANC RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
JOBADDRESS 4685 Upham OWNER Mr. and Mrs. Robert Lal/oie
CONTRACTOR Gross-Rhode Exteriors, I11C. qDDRESS 4685 Uaham -
ADDRESS 10660 N. Flatiron Road PHONE 421-0272 ZIPCODE 80033
CITY Littleton ZIPCODE 80124 CONTRACTPRICE$ 671.00
707 1777 15419 nnT❑ AqPil 15,_1992
PH
ONE
d❑ Woll❑ Proittliny❑ 0th*r SOrD Faa
G
roun
1. TYPE
2. MATERIAL Toml Squan F*d
if No
El
P
t
SIGNS
arm
.
ec
.
3. ILLUMINATION Yas❑ No❑ TYDe
SE7 BACK FROM PROPERTY LINE N_ 5_ E_ W Zoro- ADDrowE,ZOns Inspata
4
.
'ed
i
❑
saCDra
D
(Spstify whith is f ronl) ❑ ❑ ❑
I. TVPE Solido Mon Thon BO% ODenO Len Thon BO% Open
MATERIAL Hoipht
FENCES
SET BACN FROM PROPER7Y LINE N_ S_ E_ W Zma_ ApprwW,2orn Inspaeta
3
.
r
vad
❑ Di
o
aoDD
(SPscify whieh ie }ront) ❑ ❑ ❑
anv did not do thP
h (O
ur comp
Roofinq Repair onlv on back_porc
i
.
ori inal house roof ) Repair will be: install torch modified white
OTHER
Z_
roo ing on rear addition.
a,
DRAW SKE7CH Oii SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVih3 Di57nNCts rmm+rrtOrcnTY unw.
(SETBACKS OR PROJECTIONS INCLUDED)
T VALID UNLESS
2ts ~7 -2
SPECIFV NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING HWSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAI PERMIT
THIS APPLICATIONo oWILL ~n BEniOMFxvPaF MM ~AYS F ROM T EEDINDICATEDWORK ATE OF SS ANCE IOF WORK IS NOT STARTED WITHIN THAT TIME PECTION DIVISION.
.
PLUMBING PERMIT
MECHANICAL PERMIT
ELECTRICAL PERMIT
STATE UCENSE N0.
STATE LICENSE N0.
FLOOR BSM I ST 2ND 3RD 4TH
Elx Solar
R
N0.
~ ~ a'
ALUMINUM WIHE UNOER SIZE 8 ILLEGAL
T
B
ORCED A
~
WATER ClASET
TEMPORARY METER
WASH BOWL
HOT WATEfi _ BTU
NEW SERVICE AMPS
BATH TUB
- BTU
STEAM
AIR CONDITIONING-BN
CHANGE SERVICE - AMPS
SHOWER
OTNER
LIGHTIN6
SINK
REFRIGERATION SYSTEM
HEATING
GARBAGE DISP
QTER
Refri erant Group
POWER SUB-CIFCUITS
WATER HE
NER
Pounds Cnor e
UTILI7Y(RANGE,DISPOSER,ETC)
AUTO.WAS
?EM
AUTOMATIC SPRINKLER SYS
FIXTURES
D~SH WASHER
ELEVATOR
WIRING MOTORS 9 CONTROLS
FI.OOR DRAIN
SIGNS
URINAL
TRANSFORMERS d RECTFIERS _
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I NP
TOTAL FIXTURES
REMARKS
I MreGy acknowledqe that thia aDPlico-
tion ia correcl ond understand thot i
cannot itort tn, s Orojbct until thie appli'
Cotion is opproved. I shall comply wifh
ths lawa oi the S1ate of Colmado and to
the ZoninQ ReQulations and Bwldinq
Code of the City of Wheai RiEQe. Any
violalioqn of Me above terme will couse
immediqle revocation oi tnis vermit
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BUILDING
$ 19.00
27.05
City of Wheat Ridqe
Date Issued -
~
a
CAL1.237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0 M921117923
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS GERMIT VALID ONLV WHEN SiGNED BY THE rHIEF BUiLDWG WSPECTOR AND RECEiPTED BELOw.
APPLICATION FOR MISCELLANEOUS PERMIT
JOBADDRESS 46a5 Ilpham OWNER RnhPrt and ,lean I a VniF
CONTRACTOR f,rosc_RhodP FxteriorcT inr.. nooaeSS 4685 Uoham
ADDRESS 10660 N. Flatiron Road PHONE 421-0277 ZIPCODE 80011
CITY I_liil2t0❑ 21PCODE 80124 CONTRACTPRICE$ 841_00
PHONE 797-1777 LICENSENO. 15419 DATE Fehruary 24, 1992
I.
TYPE Ground ❑
Woll❑
Proieclinp❑
0thel 5 a D Foc,
2.
MATERIAL
Totcl SQuon F"t
$IGN$
3
ILLUMINATION Yu❑ No❑
Type
FIKf. Parmif No.
4. SET BACK FROM PROPERTV IINE N
(SOeci}y whith ia f ront )
_
❑
S_ E
❑
_ W
❑ ❑
Zona_ Apprwad,ZOnalncpscfor
DiaopprOVed
1.
TYPE Soiid❑ Mora Tnan 80% ODenO
Lost Thon BO
% Open
MATERIAL
Htiphf
FENCES
3.
SET BACN FROM PROPER7Y LINE N
(SPSCify whieAi6front)
_
❑
S_ E
❑
_ W
❑ ❑
Zme_ Apprwed,Zone InsDecia
DiaapDroved
i.
Replacement gutters -
seam
less
Z
OTHER
3.
'
INSPECTION TICKET
DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRI
(SETBACNS OR PROJECTIONS INCLUDED)
PERMIT FEE
JRTH
STREET NAME fSNOW DISTANCES FROM THE MAIN BUILDING TUADJOINING MOUSES, TYPE OF INSR ~11vG~ ~
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR pVERAGE DI
APPLICATION FOR PLUMBING; El
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDIC,
PERMIT WILL EXGIRE 180 DAYS FROM THE DATE (
USE TAX
~
IVISION.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUME ~ f
S7ATE LICENSE I Co ~
~J
ALUMINUM MARE UNDER SRE B ILI.EGAL
FLOOR
ENe Sola
BS
N0.
WATER ClASET
R FoRM 6t9
W
TEMPORARY METER
WASH BOWL
G
NEW SERVICE ° AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-GFCUI7S
WATER HEl+TER
Refri eront Group
UTILITY (RANGE, DISPO5ER, ETC)
AUTO. WASMER
PounAt CMr e
FIXTURES
DISH WASNER
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTORS 6 CON7ROL5
FLIXOt DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
I Mreby ocknowledqe thot fhis op0Iico-
fion if correct ond understand that I
tonnof storf Ihis projett until this oDDli-
totion is aDProved. I shall comply wifh
fhs lowa of the Sfa1e oi Colorado ond fo
fhe ZoninQ Repulotions and Buddinq
Code ofthe City of Wneat Ridqe. Any
violofion ~ fhe above ferme wiil couse
immediatellitlbowtion of this permlt
TOTAL FEE
DISAPPROV1
CHIEF BUIL
JOB I c~
ADDRESS
DATE: ~A )
BLDG. PERMITM
PERMITM
BLDG. CONTR. '~AA ` F- L-U_.
SUBCONTRACTOR
DATE INSP. REQ. ~
INSPECTION MADE t ~
REMARKS
City of Wheat Ridqe
00
Dafe Issued~ el~Z
NOT VAIID UNLE55 RECEIPTED
~a ~F6s's'
CAL1237-894< EXT.255
24 HOUHS IN ADVANCE
FORINSPECTIONS