HomeMy WebLinkAbout4625 Teller Streeti CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: W ' P1'1?a 1 %l I rC
Job Address: Ll L' Z -Tt? Ile
Permit Number: 2 0170 V `� Q
❑ No one available for inspection: Time q;,- 0 A �/PM
r�
Re -Inspection required: Yes r No)
When corrections have been made, call for re -inspection at 303-234-5933
Date: 10/16Inspector: Nw- LuVe7-'
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201800845
PERMIT NO: 201800845 ISSUED: 03/27/2018
JOB ADDRESS: 4625 Teller ST EXPIRES: 03/27/2019
JOB DESCRIPTION: Replacing 2 windows in office; like for like; u -value = .30
*** CONTACTS ***
OWNER (303)477-5964 GALMISH JOSEPH M
SUB (303)371-3750 Graydon Bevis 020762 Pella Windows & Doors 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: 3,809.27
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 79.99
** TOTAL ** 129.99
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I furtr attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed nd t t al ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Au
Sig0ture of �te
Circle one) Date
1. This permit was iss asemation provided in the permit application and accompanying plans and specifications and is
subject to the corn 'ance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This a permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180. days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
ff
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 pennit 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 r1epit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cookr any ordinal 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.
Building & Inspection Services Division
7500 W. 291h
Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(@ci.wheatridge,co,us
FOR OFFICE USE ONLY
Date:
_V
Pian/Permit # dj ova
Plan Review Fee:
"* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. —
Property Address: q LZ _-rk4P_C S�.
Property Owner (please print): Q, 6 a (Vj Phone:
Mailing Address- (if different than property address)
Address:
City, State, Zip:
Arch itect/Encineor:
Architect/Engineer E-mail:
Phone -
Contractor: 7 75 -
Contractors City License Phone: jW-,qLQ'2-'z6CtL0
Contractor E-mail Address: l
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)
Q NEW COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE
Q NEW RESIDENTIAL STRUCTURE Q COMMERCIAL ROOFING
Q COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIALADDITIONp4.WINDOW REPLACEMENT
Q COMMERCIAL ACCESSORY STRUCTURE (Garagef shed: deck, etc.)
Q RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
Q MECHANICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
Q 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.)
Sq. FtILF
Amps
Btu's
Squares
Gallons
Other
Project Value. (Contract value or the cost of all materials and labor included in the entire project)
___�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 1 assume full responsibility for compliance
with applicable City of Wheat fridge codes and ordinances for work under any permit issued based on this application, that 1 am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE. (Off NER) (CONTRACTOR) or THORIZED REPRESEA'TATIY`E)
PRINT NAME; SLW2wA .On SIGNATURE;
I - Z7X&VZ
DEPARTMENT U F,iCENLY
ZONING COMMMENTS'
Reviewer:
BUILDING DEPARTMENT COMMENTS,
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer
PRODE} SUBMISSION FORM
Fire Department Q Received Q Not Required
Water District [I Received ❑ Not Required
Sanitation District [] Received 0 Not Required
(0W4ER (COA'TRACTOR)
DATE: ,:5/07— + /I
OCCUPANCY CLASSIFICATION
TYPE OF CONSTRUCTION:
SPRINKLERED'
OCCUPANTLOAD:
Building Division Valuation: $
Office Order Copy
Branch Number: 71500
Window Store Name:
Order Number: 715RBA002K
Quote Number: 9842781
Quote Description: Galmish,Joe,2017864
Project Name: Galmish,Joe,2017864
Customer Information
Deliver To Address
Order Information
Joe Galmish
Lot #
Sales Rep Name: Bitterman, Robert Cust Delivery Date: 3/23/2018
4625 Teller St
Address:
Business Segment: Retail Quoted Date: 2/14/2018
4625 Teller St
Market Segment: Single Family Replacement Contract Date: 2/16/2018
Order Type: Installed Sales Booked Date: 2/22/2018
WHEAT RIDGE, CO 80033-3456
Effective Discount: 7.031% Earliest LRD: 3/2/2018
Contact Name:
WHEAT RIDGE, CO 80033-3456
Commission Split: Bitterman, Robert -100%
Primary Phone: (303) 4775964
County: JEFFERSON
Tax Code: ZZF
Mobile Phone:
Owner Name:
Tax Exempt #:
Fax Number:
Joe Galmish
Payment Terms: Deposit/Paid on Installation Customer PO #:
E -Mail: joegalmish@msn.com
Event #: 9537052
Great Plains #: 12611088
Owner Phone: (303) 4775964
Order Verifier Name: Mortensen, Kip R Order Verification Date: 2/20/2018
Customer ID: 12611088
Scheduled Install Start Date: 3/30/2018 Scheduled Install End Date: 3/30/2018
Customer Number: 1008617185
Install Crew: TSB Construction-Bregel, Timothy
Customer Account: 1004607700
Install Duration: 1 DAY Install Status: Reserved
Delivery Notes: 748
For delivery and installation contact Joe 303-477-5964
Installation Notes: Customer would like to keep interior trim if possible. Wants to look into precision fit.
Line # Quote Qty PO Qty Description
10 1 0 S & H Tailgate Taxable - Std Shipping & Handling
Location: None Assigned Taxable Z1
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Branch Catalog
Last Revision Date:
Printed on 3/7/2018 Office Order Copy Page 1 of
Customer: Joe Galmish Quote Description: Galmish,Joe,2017864 Order Number: 715RBA002K
Line# Quote Qty PO Qty Description
15 2 0 Lead Paint per opening - Lead Paint per opening
Location: None Assigned
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Branch Catalog
Last Revision Date:
Outside View Line # Quote Qty PO Qty Description
20 1 1 Proline, Double Hung, 40.25 X 59.75, White
l Location: office
Rough Opening: 41"X60.5"
Q Frame Size: 40.25" X 59.75"
Final Wall Depth:
® a„ Frame Perimeter (inches): 200
Assembly Type: Branch Finished
Last Revision Date:
1: 40.2559.75 Double Hung, Equal
Frame Size: 40 1/4 X 59 3/4
General Information: Clad, 5', 3 11/16"
Exterior Color / Finish: Standard Enduraclad, White
Interior Color / Finish: Prefinished White Interior
Glass: Insulated Low -E Advanced Low -E Insulating Glass Argon Non High
Altitude
Hardware Options: Cam -Action Lock, White, No Limited Opening
Hardware, Order Sash Lift
Screen: Full Screen, White, InView-
Performance Information: U -Factor 0.30, SHGC 0.30, VLT 0.57, CPD PEL
-N-35-00362-00001, Performance Class LC, PG 30, Calculated Positive DP
Rating 30, Calculated Negative DP Rating 30, Year Rated 08111, Egress
Meets Typical 5.7 sgft (E) (United States Only)
Grille: No Grille,
Wrapping Information: No Exterior Trim, No Interior Trim, 4 9/16", 5 7/8",
Standard Four Sided Jamb Extension, Factory Applied, Pella Recommended
Clearance, Perimeter Length = 200".
Printed on 3/7/2018 Office Order Copy Page 2 of 7
Customer: Joe Galmish Quote Description: Galmish,Joe,2017864 Order Number: 715RBA002K
Outside View Line # Quote Qty PO Qty Description
125 1 1 Proline, Double Hung, 40.25 X 59.75, White
Location: None Assigned
Rough Opening: 41"X60.5"
Frame Size: 40.25' X 59.75'
I Final Wall Depth:
J _ _ Frame Perimeter (inches): 200
Assembly Type: Branch Finished
Last Revision Date:
1: 40,2559.75 Double Hung, Equal
Frame Size: 40 1/4 X 59 3/4
General Information: Clad, 5, 311/16"
Exterior Color / Finish: Standard Enduraclad, White
Interior Color / Finish: Red Mahogany Stain Interior
Glass: Insulated Low -E Advanced Low -E Insulating Glass Argon Non High
Altitude
Hardware Options: Cam -Action Lock, White, No Limited Opening
Hardware, Order Sash Lift
Screen: Full Screen, White, InView-
Performance Information: U -Factor 0.30, SHGC 0.30, VLT 0.57, CPD PEL
-N-35-00362-00001, Performance Class LC, PG 30, Calculated Positive DP
Rating 30, Calculated Negative DP Rating 30, Year Rated 08111, Egress
Meets Typical 5.7 soft (E) (United States Only)
Grille: No Grille,
Wrapping Information: No Exterior Trim, No Interior Trim, 4 9/16", 5 7/8",
Standard Four Sided Jamb Extension, Factory Applied, Pella Recommended
Clearance, Perimeter Length = 200".
Line # Quote Qty PO Qty Description
65 1 0 BuildingPermit/ Admin Fee - Building PermiVAdmin Fee
Location: None Assigned
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Branch Catalog
Last Revision Date:
Printed on 3/7/2018 Office Order Copy Page 3 of 7
Customer: Joe Galmish Quote Description: Galmish,Joe,2017864 Order Number: 715RBA002K
Line# Quote Qty PO Qty Description
70 2 0 Precision Fit Install - Precision Fit Install
Location: None Assigned
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Branch Catalog
Last Revision Date:
Outside View Line # Quote Qty PO Qty Description
75 1 1 12" wide Aluminum Coil, Length: 300, White
Location: None Assigned
Rough Opening:
1: Accessory
Frame Size: 0" X 0"
Frame Size: -1 X -1
General Information: 12" wide Aluminum Coil
Final Wall Depth:
Exterior Color I Finish: Painted, Standard Enduraclad, White
Frame Perimeter (Inches):
Wrapping Information: Perimeter Length = 0".
Assembly Type: Pella Assembled
Last Revision Date:
Outside View Line # Quote Qty PO Qty Description
80 3 3 1 1/2" Solid Jamb Extension, Length: 96, Red Mahogany
Stnin Wnnrl Tvn.• pin.
f� � Location: None Assigned
[� Rough Opening:
Frame Size: 0" X 0"
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Pella Assembled
Last Revision Date:
1: Accessory
Frame Size: 1 X 1
General Information: Pine, 1 1/2" Solid Jamb Extension
Interior Color / Finish: Red Mahogany Stain Interior
Wrapping Information: Perimeter Length = 0".
Printed on 3[7/2018 Office Order Copy Page 4 of 7
Customer: Joe Galmish Quote Description: Galmish,Joe,2017864 Order Number: 715RBA002K
Outside View Line # Quote Qty PO Qty Description
85 3 3 1 1/2" Solid Jamb Extension, Length: 96, Prefinished
Whits Wnnd TvnP• Pino
Location: None Assigned
Rough Opening:
Frame Size: 0" X 0"
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Pella Assembled
Last Revision Date:
1: Accessory
Frame Size: 1 X 1
General Information: Pine, 1 1/2" Solid Jamb Extension
Interior Color / Finish: Prefinished White Interior
Wrapping Information: Perimeter Length = 0".
Line # Quote Qty PO Qty Description
90 1 0 Tape, Foam, Caulking - Tape, Foam, Caulking
Location: None Assigned
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Branch Catalog
Last Revision Date:
Order Verification Notes: (1) 3x50 tape
(1) can foam
(6) tubes white caulk
(2) tubes clear paintable caulk
Printed on 3/7/2018 Office Order Copy Page 5 of
Customer: Joe Galmish Quote Description: Galmish,Joe,2017864 Order Number: 715RBA002K
Line # Quote Qty PO Qty Description
95 0 1 01HM0001 - 3" Pella Installation Tape, 50 ft (1)
Location: None Assigned
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Pella Catalog
Last Revision Date:
Line # Quote Qty PO Qty Description
100 0 1 01HP0000 - Great Stuff Pro Gun Foam (1)
Location: None Assigned
Rough Opening:
Frame Size:
Final Wall Depth:
Frame Perimeter (inches):
Assembly Type: Pella Catalog
Last Revision Date:
Outside View Line # Quote Qty PO Qty Description
105 0 6 Installation Sealant, White
Location: None Assigned
Rough Opening:
1: Accessory
Frame Size: 0" X 0"
Frame Size: -1 X -1
General Information: Installation Sealant
Final Wall Depth:
Exterior Color / Finish: Painted, Standard Enduraclad, White
Frame Perimeter (Inches):
Interior Color / Finish: Not Applicable Interior
Package: Individual Tubes
Assembly Type: Pella Assembled
Wrapping Information: Perimeter Length = 0".
Last Revision Date:
Printed on 3/7/2018 Office Order Copy Page 6 of 7
Customer: Joe Galmish
Quote Description: Galmish,Joe,2017864 Order Number: 715RBA002K
Order Pricing Totals
Total List Price
$3,989.20
Discountable Amount
$2,579.20
Discount@ 7.031%
$280.48
Non -Discountable Amount
$1,410.00
Net Before Payment Discount
$3,708.72
Payment Discount Amount
$0.00
Net After Payment Discount
$3,708.72
Taxable Subtotal
$2,513.72
Sales Tax @ 4%
$100.55
Non-taxable Subtotal
$1,195.00
Total (Total Net + Taxes)
$3,809.27
Deposit Received
$2,000.00
Amount Due
$1,809.27
Printed on 317/2018 Office Order Copy Page 7 of
701,20W4
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occ�ncy/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
Mid -Roof , 7,
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
1 '�
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
w City of Wheat Ridge
Residential Mechanic PERMIT - 201708508
PERMIT NO: 201708508 ISSUED: 10/23/2017
JOB ADDRESS: 4625 Teller ST EXPIRES: 10/23/2018
JOB DESCRIPTION: Residential mechanical furnace replacement like for like 95% efficency
*** CONTACTS ***
OWNER (303)477-5964 GALMISH JOSEPH M
SUB (303)421-3572 William Buras 017865 Lakeside Heating & A/C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,300.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 69.30
** TOTAL ** 109.30
*** 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 withal I accompanyingg approved plans and specificationst
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized
by the al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this erm . I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pe ormed and that all wo o be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
o
Signa re of R or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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.
y. m
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
L6 R g,
Commuxrr y DPWmit
Building Division
7500 W. 29P Ave., Wheat Ridge, CO 80033 %
Office: 303-235-2855 * Fax 303-237-8929 /
Inspection Line: 343-234-5933
fn
Facsimile Building Permit Application
/e/e
PoaWW Owner (Pb P _J05e-P)-2 asQ /m; 5h Phone:
1lddrem: tjYd ffemg Umn pmpe* j
cam, State- , ba'3
cam:
cmbucw Lbetm O `M, 5 _ Phone. --
std::
U" t}: ,►=cc�„h�Lte,���e
Desi' c� -
�ns%91�
PW Revgaw (dwr at On of fig: i
FtA-Fttttiaex esnrs ,e/oCc
TRACTM stGNAUM of UNOERS M MING AND AGREEMff
t set tlrrt salbaak dfaosrx�tr epwrsd dr aria pam Ot are do root
n9e or s 9doom of ft � of wt,e.t Orsmmnent% earm,►anis or AmbicUons of reoord; to sit nwasurenents shown, and
aiepaltans made we acmes* that t neva read and to abide aN oondNfons prirrbxi on tEigt apps and t wne *A
my for oornpianoa wRlr we vYlreat fpa f� Code {tG) and ae ofAer appNaable wnaat �, for warts
span Plans subjaet to field hmpe�diae.
CaliTCEOld:
(OWWM)<C�~mr PMWUAL.REPRESENTATIVEof(owr:M (COMWOR)
p, tIAAiE �.1 ; l i i f! w� i lis 33MWATURE: , �i� q°, a iiia: ,)1? 20
a s n
�t'V s y - -5 k y.34u '.. r ?4#^ a,+• -v s :s� ," -
77
iirt✓�R.c.; f, c :� .w '%r�:,q ;,'o-ww•-N
Credit Card Payment: Use credit cm d listed on file. Hate:
Print name: , `!.l- ®c Signature: fk v- �,... 6.r.,.........__
A City of Wheat Ridge
Residential Roofing PERMIT - 201704196
PERMIT NO: 201704196 ISSUED: 07/17/2017
JOB ADDRESS: 4625 Teller ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 31 sq
*** CONTACTS ***
OWNER (303)477-5964
SUB (303)804-0303
GALMISH JOSEPH
Tom Brown
M
070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS,
COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 11,250.00
FEES
Total Valuation
0.00
Use Tax
236.25
Permit Fee
236.00
** TOTAL **
472.25
*** 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.
A 4' City of Wheat Ridge
d
`r Residential Roofing PERMIT - 201704196
PERMIT NO: 201704196 ISSUED: 07/17/2017
JOB ADDRESS: 4625 Teller ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 31 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performe that al be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
7-021—I -7
Signature of OWNER or COenthe ACTOR (Circle one) Date
I . This permit was issued based 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, po Flans
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 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 ap roval of such work from the Building and Inspection Services
Dlvlslon. •
6. The issuance or granting of a peroitr"Niisj
nst e mit for, or an approval of, any violation of any provision of any
applicable code or any ordinance i i ion. roval 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.
Dane Lovett � 0 Q f
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 7, 2017 11:41 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes �G'�l ✓�i'/uC✓ �"�`��'�"j'
residential roof?
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
4625 TELLER ST
JOE GALMISH
3034775964
joegalmish@msn.com
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
Northwest Roofing
070055
3038040303
Contractor Email Address Ihammons@northwest-roofing.com
Retype Contractor Email Ihammons@northwest-roofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing GAF TIMBERLINE
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 31
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 31 /
roofing material for this
project
Provide additional detail HOUSE / GARAGE 5/12 PITCH
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract11250
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 LEILA HAMMONS
Email not displaying correctly? View it in your browser.
3
:...� RECOGNIZED AS A
'.` 2015 WINNER
.041. v1,31 109r1N0
*North West
Rooth
g -
Since 1963
2425 S Colorado Boulevard, Suite 280 ( Denver, CO 80222 ( (303) 804-0303 ( fax (888) 846-5545
i I
BBB Rating: A+
Proal suub itted
North West Roofing Estimator
^ t gjt4 }
F`l
Date �•
N
( V t7'-
(J
Street 2 SCity,
5:;
State, Zip ^
0rr(A-\RILD G
Job Location/Community
LA-
t 8' /
PhoneInsurance
Company
Policy #
Email
td -LmII,H-rp5IJ1tuM
Adjuster
Claim #
Scope of Work and Materials to be Provided: The scope of work and materials identified
below will be completed by North West Roofing.
Jil
Tear Off Layers ! fIi L
❑ Install Decking (7/16 in, OSB) CHECK�ECKING
r
Install 901b or Ice &Water Shield in Valleys
Install 2 x 4 in. Metal Drip Edge Color0duitJ Initials
Install new Felt--fXjV-r &,rI G
Recover Roof with 61l ! r, —P [ar `s—f ,
® 41m t r6 o L4 tc c- 3 Year Manufacturer's Warranty
Shingle Manufacturer i/' r"/` Calor C K tl Initials v
Closed Valleys - With Ice and Water Shield Underlayment
Open Valley - With Painted Metal
9 Ridges to be color coordinated shingles
r
fy Replace - Rubber Pipe Jacks t/—
'0 Paint Roof Stacks To Match Shingle Colo AL (�
0 Replace - Low Profile Vents S Turbine Vents AAC4 T
1111 2— 6 fZk6 —�
North West Roofing 3 Year Labor Warranty
Metal Step Flashing )2r Step Flashing Chimney
North West Roofing will Provide General Liability Insurance of at least $1,000,000.00
® Clean Up and Haul Off all Trash
Protect and Clean Up Landscaping
/Q Clean around bushes and shrubs
Clean Out Gutters — Df, ,y,� j f} ��
Roll yard with magnetic roller
Permit Furnished by North West Roofing
By signing this agreement the homeowner authorizes North West
Roofing to represent the homeowner's best i rest in pursuit of
roof replacement or repair due to storm da e. This in
does
not obligate the homZtheirOpdetdlu1cMtahb'1fe.
rth t Roofing until the claim is
approved by the Insua and accepted by North West
Roofing. Upon Appclaim, North West Roofing will
complete specific wrice agreeable to the Insurance
company and to Norting. There is no additional cost to
the homeowner exceeductible. The agreed upon price
will become the final contract price and North West Roofing will
receive all insurance proceeds and supplements for the work
completed by North West Roofing.
Initials /
The Approximate Costs of the Services
Shall Be The Agreed Upon Cost Between North West Roofing and
Your Insurance Carrier, Their RCV Cost Plus Supplements.
NOTICE If the Property Owner Plans to use The Proceeds Of a
Property and Causality insurance Policy, Part 1 of Article 4 of Title
10, C.R.S., In accordance to Title 10 C.R.S., section 6-22-105, the
roofing contractor cannot pay wave rebate, promise to pay or
waive rebate or any of insurance deductible applicable to the
insurance claim for payment for the work on the covered property
Deposit Amount $-:5TOOOV Date:M )`f7?1!K 46&L fisc)
North West Roofing shall hold in trust any payment from the
property owner until materials are delivered or have performed a
majority of the roofing work on the property. "May not include any
additional taxes, base service fees and or supplements that pertain
,_,
to the claim. 30
0 Approximate Dates of Service: DAYS AFTER AGREEMENT ,(7
!MVI -it -10- } AAA L( . O r l
These dates of ervice are subject to change due to unu al a ays in
transportation of materials, ordinary weather delays, or by any other
causes beyond the reasonable control of Contractor.
SPECIAL INSTRUCTIONS
I agree, by signing below, to all the contract conditions, both front & back of this agreement.
Client gnature P
Date of Acce tante
��
Representative Signature
(800) 333-1704
PUEBLO DENVER FORT COLLINS
(719)633-7773 (303)804.0303 1fax (888)846-5545 (970)484-9430
30/ION SIHI 3/IOIN3hf ION 00
aoloadsul
EE65-bEZ-EoE la uoi;oadsui-aj aoj yeo `apew uaeq aney suoi;aaaaoo uayM.
r
oN sak :paainbaa uoi}oadsul-aH
WdINVe- -. ; ,� / quail :uO'Ioadsui ao} a�ga�i�n� quo oN
0 Q/— %Q e?
:aaquanN VwJ9d
-"f�t 5e, 9h
:ssaippd qor.-
:odA1 uoil3o dsul
331ION N01133dSNI
xeJ 6268-L0Z (000) • aa!!�O 598Z-r0Z (000)
aull uolloadsul EE69-bEZ (EOE)
J �
uolslnla uoltoadsul 6uiplin8
39ala 1V3HM d0 A113
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: )z b
Job Address: 9 1 r //-f %_ �C"7
Permit Number: ? —1 ®
❑ No one available for inspection: Time b ` �S AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: "� % lnspectme���_
DO NOT REMOVE THIS NOTICE
P E~7'MEFtT Qf PLANNING AND DEVELOPMENT Building Permit Number : 5921
lttt_DtNG lNSPEGTIQN DtVISfON - 235-2855
Ct"i"Y OF WHEAT RlDGE Date : 9/26/97
76001AiEST 297H AVENUE ~
WHLAT RIQGE, CO 80215
a
Property Owner :
Property Address : 4625 TELLER ST Phone ; 421-7640
Contractarticense No. :
Campany: Phone :
DescrtpUon : REMOVE
CENTER
OF UNDERSTANDING AtJD AGREEMENT
nposed by thls partnitepplicatbn are eswrote,
eror regulstiona ot the City of VMeat Ridge or
iM; that aq measuierrrents ahown, antl allegstlons
ae to abide by all conditbn sprin on thk
iNN forcompGa~roe witb ehe 1Nheat~Rklge euildinp
d itldae ordmances: for work under this cerm4.
P'fULL LOFT IN 2 CAR GARAGElBARN.
OF MAIN GARAGE,REPLAGE GARAGE
Roof : Stories
)RCE RAFTERS; RENIOVE
& HEADER
BUILDING DEPARTMENT USE ONLY
APproval:
Zoning :
Approval;
Approval'
Occupancy : Wa[Is
Electrical License No .
Company :
Expiration Date :
Approval:
0
. . (t) mft vermkwasaawn in aaa
Reguledoneanaeuk~ Ca~k
(a) . ThiapemtltsheNeMplreR(Al~tl
abamd onad for a pwka ut 120
(3) N iNs pamft expiras, a new jie
(5~
(8)
[.51
Plumbing License No :
Company :
Expiretion Date :
Approval :
r
~Permit Fee :
$44.25
Plan Review Fee :
$0.00
Use TaX :
$24A0
Totat:
$65:25
SIC : Sq. Ft. :
Residentiai Wmts :
MeChBnical LiCeW No :
Company:
Expiration Date ; '
Approval :
a
xons eM roM m rWx aaaftnan ana 18 wn~a oo ms i.ws aft a~rate a caaeao arwm me zo~no
«(e) ma a,adww awwrs.a y:tspended «
'»s~0coma ~mio sixty ~eo~`j~a'ays a -
~ap ~n.~meM1 eBrerld~~ed~a B (7 ye~ar. , ~ed tq.dwqes M9~ oratian~do n m~M
N chanpes aromade a it
Mie t
i
naturel Mow of wemr cale" a dwinape pro0bm. . . fow (24) Mours in atlvence kr, a%(nePecUons aiM elmN ieceiw xrtiqen approval.an WPeciton urd beforo
1and sP~~tlons ahall rrol ba eonatruetl to De a permil for, nor en approval M,.prry viebdan o(the proWdrns
i or reWlBNan. . .
TH15 PEftIIAtT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345833 24 HOURS PRIOR TO iN3PECTiON
DEPARTMENT OF PLANNING AND DEVCLOPMENT
-BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address :
Contractor License No. :
Company :
Yv~-s'" TQ~Ico S+.
Date: y-Z5-7
Phone : y 2l - 6 y ~
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby ceAify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheal Ridge or
covenants, easemeNS or restriclions of record; that all measurements shown, and allegalions
made are accurate; that I have read and agree to abide by all wnditions printed on this
application, and that I assume full responsibility (or compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheaj Ridge ordinalfic94, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED DATE
R[~eavG cF 10(oFf ,n Z Cnr
Description :
i
~~wvv cowfer wc, U oL n...i.;.. xe (~<_e /ccr ooc'.
BUILDING DEPARTMENT USE ONLY
Zonin Ce~fts~ SIC : Sq. Ft. :
-
Approval:
Zoning :
B u11H ing'CoFnent"s9
Approval:
P,QtiIicIWbP
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiretion Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
ig ax#qmrea~ ~ J?iMR#qmreb~ 0 ~r~~aut~a~a
(1) TTis pertnit was Issuetl in accortlance with lhe provisions sel foM in yopur applicatlon arW Is suC'ect W Ne iaws o( Vre State of CdpaCO an0 to Ne 2oning
Regulations aM BuilEiny Code o14Vhea1 Ridge, Colo2do or any olher applicable ordinaMes o/ ~e Ciry.
(2) TTis Dermit shall expire d(A) ihe vrotlc authanzed is not mmmenced within sixry (80) Oays from issue Eate or (B) Ne OuiWing auUaized is suspendeE or
abandoned br a penotl of 120 Cays.
If this pertnil ezpires. a new pertnM1 may be acQUired lor a lee of ono-half the artaunt noimally reQuired. OrodAetl no Uanges have been or will be made in Ihe
original plans anC speuficalions and any suspension or aDanEOnment has not esceede0 one (1) year. II changes are made or il wspension or a0an0onmenl
erteeds one (1) year, lull fees shall Oe paiE lor a new permil.
(a) No woB of any manner shall be Gone thal will Uange the natural Oow of water fausing a drainage problem.
(5) Comractor snall notity the euileing Insuector nveny-lour (24) hours in aCvance (or an inspections ane snan receive wnnen approvai on inspection wrd teiore
procee0iing i1h suCCessive phases of the o0.
(6) TTe issuan of a rtnit or Ihe apProval o~tl wings anC specifirations shall no16e mnsWed lo Oe a pertnit for, nor an approval 01, any vialalian of Ihe provisions
of lhe bu~ Cng ~ s or aUer qrdinan , law, rule or regulalion.
/
iG
i uilding Inspector For Mayor
/,THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
Building Permit Number :
Construction Value p0 ~
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
N
J~
N
~
~
Ci0
>
d
L
~
d
N
o
N
Fs
~
,
3„
C
~
d
A
~
q
~ O
- M
{
~
:
~
'
r
o-~.
~
a szo
~
~
~
~
~
~
0
\
3
~
~
s
m
~
~
~
~
V
Y
J
v
1
~
d
~
V
ct`
v
{
z
~
S
(
i
I ,N
_ Q
M
~
'
i
e
~
i
~
~
V U
V
~ aa ~
~
v
Y1
~ 'd tO
rt
~
w s
H
4, x a
~ . .Q
ro ~ x 1
?
b
~
H `
%L
_ r