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Home My WebLink About2930 Vance StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Monday, March 21, 2022 9:55:35 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 2930 Vance St Property Owner Name Truman Bradley Property Owner Phone 303-588-2297 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" WRelectronicoavm entform.Odf CONTRACTOR INFORMATION Contractor Business Man Electric LLC Name Contractor's License 180367 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-839-9740 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email dalyrhelectric@gmail.com Address Retype Contractor dalyrhelectric@gmail.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of work house (garage, house, etc) Provide additional n/a details, if needed. Project Value (contract 2800.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Ryan Daly Pe rm it Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Electrical Service PERMIT - 202101497 PERMIT NO: 202101497 ISSUED: 07/13/2021 JOB ADDRESS: 2930 Vance St EXPIRES: 07/13/2022 JOB DESCRIPTION: Upgrade main panel in house 200 AMPS *** CONTACTS *** OWNER (303)588-2297 BRADLEY TRUMAN SUB (720) 839-9740 EDWARD RYAN DALY 180367 MAN ELECTRIC, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Electrical Service PERMIT - 202101497 202101497 ISSUED : 2930 Vance St EXPIRES: Upgrade main panel in house 200 AMPS 07/13/2021 07/13/2022 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/13/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Monday, July 12, 2021 12:49:44 PM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 2930 Vance St Wheat ROdge, CO Property Owner Name TRUMAN BRADLEY Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 720-839-9740 CONTRACTOR INFORMATION Contractor Business Man Electric LLC Name Contractor's License 180367 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-839-9740 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email dalyrhelectric@gmail.com Address Retype Contractor dalyrhelectric@gmail.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of work house (garage, house, etc) Provide additional service upgrade details, if needed. Project Value (contract 2500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Ryan Daly Permit Email not displaying correctly? View it in your browser. City of 11 W heat Midge COMMUNITY 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 Building Permit Application Property Address: 2�=( 3yG�� o `s l�(o a� ?\da G� Property Owner (please print): �-��, ��te �t`ctsa�i"[ Phone: 9/107 Date: ,W` 7 ei Plan # Permit # � 1,5,q Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractors City License M —Phone: Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work: �� ,4ct Value: _X i Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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 to list that entity on this application. CIRCLE ONE: /(OWNER' (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME:Nyy,(-AyN �SIGNATURE: , �, DEPARTMENT USE ONLY ZONING COMMENTS: +` Zoning: Reviewer: BUILDING DEPARTMENT OMME TS: / Reviewer: TSfor - PUBLIC WORKS COMMENTS: Reviewer: DATE: � e- q?3 $r c o tit a d,U POLIA, TT AOD 9EA2--,&M , &A'114, C L4SCT OCCUPANCY: FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation: $ 1% -, 0 *1 Y 4 City of Wh6a-t jd ge OMMUNITY DEVELOPMENT Official Certification of Pro r THIS IS TO CERTIFY that I, th6.property owner, by my signatur/eriod that I currently reside at the project property, or inters to reside at the property for of one year after completion of the project, and am personally performing all work, 1, thout the assistance of hired or professional workers, or, if hiring`5ub-contractors, list em on the permit. Consultations and inspections will only be pkrformed with !Po homeowner of record present at the project property. Property Owner(s): N Project Property: S"I �C) \f Notarized signature .. ANA,!ve' -� State of Colorado ,,� } Countyof C�e-y V } ss d The fore oing instrument was acknowledged by me this 3� day of 1-r l 11 J No ublic 20 1—� by LINDSEY GILLIS Notary Public State of Colorado ary ID 20124021461 !salon Expires Apr 11, 2020 My Commission Expires _LqJ_hJ20 -2 G 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 - ments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Annroval of Thp AKnvp IncnPHinns f Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments 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 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 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 X30 l/, ,F f� INSPE INSPECTION ONLINE FO CT10111 RECORD "-! RM: htt // °cru ancv�T p� www.ci-Wheatridge.co.us/inspection Cancellations must be submitted via thelonline R -QUEST i LINE: (303) 234-5933 Inspections Will not be performed um before 8 a.m. the day of the inspection **Reqos uest an inspection before 11be:59 unless this card is p.m. (midnight) to receive an inspectionthe t oao n the r0 Inspector Must Sin p ject site. g ALL S g business day.** Foundation Ins paces pertinent to this project Inspections Date Inspector Pier Initials Concrete Encased Ground (CEG) C Foundation / P.E. Letter Do Not Pour Concrete Prior To Underground/Slab Inspections Date Inspector Electrical Initials Sewer Service Do Not Cover Unde Rough Inspections I Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Dryer Screw / Nail omments Of The Above Inspections Comments 77nV ork Prior To Oval Of The Above Ins Comments Final Inspections Date Inspector Landscaping & Parking / Planning Dept. Initials Comments ROW &Drainage / Public Works Dept. Inspections from these entities should Floodplain Inspection if a one week in advance. For landscaping be re ( applicable) inspections call 303-235_ quested Fire Inspection / Fire Protection Dist. p 9 and parking inspections call 303-235-2861 For fiirei sand pe tions age Final Electrical contact the Fire Protection District for Final Plumbing your project. Final Mechanical Roof Final Window/Doors V Final Building NOTE,- Al/ items must be completed and a �f Occupancy is issued. A pproved by P/annin 'or low volts e pprova/ of the Fina! Bui/ding inspection does not constitute authorizati g permits —Please be sure that rough inspection 9, Pub/ic works, Fire and Buildin the Building Division. 9 before a Certificate s are completed from the Fire District and electrical lowvolt voltage Occupancy Is Not Permitted Until A Certificate Of Occupancy Is Issued Protect This Card From T e Weather IT N0: ADDRESS: DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706073 ISSUED: 08/14/2017 EXPIRES: 08/14/2018 install Malarkey Legacy asphalt shingles with 36 VVo *` 201706073 2930 Vance ST Residential Re -roof to CONTACTS *** BRADLEY ER (303) 588-2297 TRUMAN (303)425-7531 John Borfitz 019983 J & K Roofing Inc. USE: PARCEL INFO ***UA / Unassigned RANGE, WHEAT BLOCK/LOT#: JE CODE. 2405 / BARTHS, COULEHAN G 3DIVISION CODE: ESTIMATED PROJECT VALUATION: * FEE SUMMARY *** FEES 0.00 >tal Valuation 317.56 ie Tax 299.40 Drmit Fee 616.96 * TOTAL ** ** COMMENTS *** *** sq. UA / Unassigned 0 / 15,122.00 require an approved midroof CONDITIONS *** asphalt shing le installations req is installed, prior to final 1, 2014, roof covering aired on the entire roof Effective December75 percent of the is req Sheathing and inspection, conducted when 20 P new or overlay) exists. insp roof sheathing (new one half inch the sheathing must be approval. Installation e with ANY gap timer percent of required same time, one hundred p les are when spaced or board sheathingwith be complete. Asphalt shing mid -roofs may be called in per shingle- Ice and water shield 75 percent of the mid minimum may nails p complete and 25- P deck with a minimum of 6 3 feet above the roof eave the roof is required. A ladder extending 3 fee s. Roof ventilation to be fastened to provided for all roof inspections is reqnst uired. Eave and rake metal to be p similar Place is required cured in P ins ection of elastomerictechnical e applicable b codes and/or manufacturer installation instructio and s comply with aPP In order to pass a final manufacturer is required to stringent. royal from the address) has been inspection and approval ro ect whichever is more a letter of application of the roof at (P type roof coverings, that "the aPP roof material brand name) representative stating the time of final inspection. lied in accordance with the installation instruction for app be on site at required, the 3rd roof covering" is required to inspection will be req CH 3rd party erformed by City of ROOFS OVER 6/12 PIT final roof inspection P completed, Roof inspections for inspection will not be inspection report will be collected at party available the Wheat Ridge. If report is not 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: A,�� Job Address: 27,3 -'-0 /,A k) C_ F Si Permit Number: ZO P 060 7 *No one available for inspection: Time 2 0 AMM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: (� ��' �� Inspector: 64,0 DO NOT REMOVE THIS NOTICE i CITYVF WHEAT RIDGE 3 _1�9�Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ 0 o g - 6z- Job Address: 9 C) 3 c Permit Number: na Fsa r » 4 - - 0 n -, ❑ No one available for inspection: Time = p �MpM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: i o,// // / Inspector: _TZ DO NOT REMOVE THIS NOT/CE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: lyllt)Irtel 01",41d®4V&r_� Job Address:2 S �L— Permit Number: ❑ No one available for inspection: Time–/ —!�_ AN�1/ M Re -Inspection required: Yes ( No When corrections have been made, cafffor re -inspection at 303;234-5933 Date:`6;1 "/;7 Inspector: 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: /V Job Address: 7,f; o�%✓ i �' Permit Number: 4} 7 ❑ No one available for inspection: Time Re -Inspection required: Yes !No When corrections have been made, call for re -inspection at 303-234-5933 Date: 7/ Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge {7' Resid. Windows/Doors PERMIT - 201705859 PERMIT NO: 201705559 ISSUED: 08/10/2017 JOB ADDRESS: 2930 Vance ST EXPIRES: 08/10/2018 JOB DESCRIPTION: Replacing 11 windows with no changes to structure. See attached spec sheet for uvalues. *** CONTACTS *** OWNER (303)588-2297 TRUMAN BRADLEY SUB (303)237-1687 John McDade 021066 Conservation Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 147.00 ** TOTAL ** 197.00 *** 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. 'b' 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 pames 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. s n64'04 CA -f '42 rdae'9- >/L77 Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apple _ e de 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. City of W heat f dge COMMUNITY DEVELO(MLNT Building & Inspection Services Division 7500 W. 29«' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Perm itsic ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 0017 Plan/Permit # -�oJ Plan Review Fee• L c CSC' Building Permit Application "* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *"* Property Address: 2930 Vance St Wheat Ridge, CO 80033 Property Owner (please print): Truman Bradley Phone:3 0 3- 5 8 8- 2 2 9 7 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: CONSERVATION CONSTRUCTION Contractors City License #: 21066 Contractor E-mail Address: slrandallcc@qmail.com Sub Contractors: Phone: Phone: 303-237-1687 Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # 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 ❑ RESDENTIAL ADDITION ® WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING 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.) Replacing 11 windows with no changes to structure Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 7000 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 to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or THORIZED REPRESENTATIV of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): Sandra L. Randall DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat Ridge Building Permit Submittal List T f Ilo items ar ,� quired for the Single- Or two family building permit submittal for the property located at 2 $ 8 �%" dnce 5 _ If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review. This sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: ❑ Building ❑ Planning ❑ Public Works SUBMITTAL DOCUMENTS: Plans: ❑ Three (3) full-sized (24" x 36") plans (Contents of plans detailed in the Single- and two-family handout) — yellow heading ❑ Three (3) stamped sets of foundation plans. ❑ Three (3) copies of a grading and erosion control plan. ❑ One (1) copy of a soils report. DOCUMENTATION: Srpq One (1) completed building permit application. ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city). Sr N One (1) building permit submittal list. ❑ One (1) Grade/Fill permit. The following items are required for the commercial or multi -family building permit submittal for the property located at . If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review. If you had a pre -application meeting with Staff, you must submit the checklist you received. Otherwise, this sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: ❑ Building ❑ Planning ❑ Public Works SUBMITTAL DOCUMENTS: Plans: ❑ Four (4) full-sized (24" x 36") plans (Contents of plans detailed in the Commercial & Multi -family handout) — pink heading ❑ Two (2) copies of a final drainage report and plan OR Two (2) copies of a drainage letter and plan ❑ Two (2) copies of a grading and erosion control plan ❑ Two (2) copies of a traffic impact study OR Two (2) copies of a trip generation study DOCUMENTATION: ❑ One (1) completed building permit application. ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city). ❑ One (1) building permit submittal list. 0 One (1) Grade/Fill permit. 8/7/2017 1:12 PM FROM: Fax Server TO: +17177351224 P. 1 SENtr Amerimax WINDOWS & DOORS A Division of Euramax International, Inc. ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1627826 08/07/17 CUSTOMER P.O. PRICE CLASS BRADLEY/071717 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE www.AmerimaxWindows.com PAYMENTTERMS CON101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1680 CON103 CONSERVATION CONSTRUCTION SHIP 8360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 604 FOB POINT ORIGIN TAX CODE CO LINE PRODUCT I DESCRIPTION QTY. ORDERED REQUESTED DELIVERY DATE UNIT PRICE EXT'D. PRICE 001 VW38003L 1 08/21/17 3800 3 LITE SLIDER Craftsman Portrait 3 -LITE (XOX) WHT Stucco -Frame 100-1/8" x 49-1/4" Oriel:25.000% of End 150 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Ctr. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt.: 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded END BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 003 VW38002L 1 08/21/17 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 67-7/8" x 36-7/8" Oriel:50.0000/c of Op.Sash 105 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 004 VW38002L 1 08/21/17 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 67-7/8" x 37" Oriel:50.000% of Op.Sash 105 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** Please respond IMMEDIATELY with any corrections. DO NOT re - send original Order Form. Thank you. Page 1 of 4 SUBTOTAL TAX TOTAL: CONTINUED 8/7/2017 1:12 PM FROM: Fax Server TO: +17177351224 P. 2 TM ACKNOWLEDGEMENT mri e max SALES ORDER NO. DATE ORDERED 1627826 08/07/17 WINDOWS & DOORS CUSTOMER P.O. PRICE CLASS BRADLEY/071717 A Division of Euramax International, Inc. CONTACT SLS REP CODE 604 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 1 DENVER WAREHOUSE ORIGIN www.AmerimaxW!ndows.com PAYMENTTERMS TAX CODE NET 30 1 CO CON 101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE PRODUCT / DESCRIPTION CON103 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 QTY. I DELIVERY DATE REQUESTED ORDERED I UNIT PRICE I EXT'D. PRICE 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 51-7/8" x 36-7/8" Oriel:50.0000/a of Op.Sash 89 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 006 VW3900SH 1 08/21/17 3900 SINGLE HUNG Craftsman Portrait SGL-HNG (OX) WHT Stucco -Frame 35-1/2" x 49-1/4" Oriel:50.000% of Bottom 85 -UI With Elite Balance Top Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Btm. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 007 VW38002L 1 08/21/17 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-1/8" x 36-3/4" Oriel:50.000% of Op.Sash 72 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT TEMP & 1/8 OBSCURE TEMP Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT TEMP & 1/8 OBSCURE TEMP Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 008 VW38002L 2 08/21/17 3800 2 LITE Please respond IMMEDIATELY with any corrections. DO NOT re- seed original Order Form. Thank you. Page 2of4 SUBTOTAL TAX ETOTAL: L CONTINUED SENtF� 8/7/2017 1:12 PM FROM: Fax Server men ax, WINDOWS & DOORS A Division of Euramax International, Inc. 3950 MEDFORD DRIVE LOVELAND, CO 80538 TO: +17177351224 Phone: 800-827-4369 Fax: 800-601-3227 www.AmerimaxW!ndows.com CON101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 P. 3 ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1627826 REQUESTED DELIVERY DATE 08/07/17 CUSTOMER P.O. PRICE CLASS BRADLEY/071717 Stucco -Frame 35-3/4" x 36-7/8" Oriel:50.0000/o of Op.Sash 73 -UI CONTACT SLS REP CODE 604 SHIPPED VIA FOB POINT DENVER WAREHOUSE ORIGIN PAYMENT TERMS Screen: Extruded HALF BETTERVUE TAX CODE NET 30 **U-Value=0.27 SHGC=0.22 VLT=0.51** CO 1103 VW38002L 1 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 LINE PRODUCT / DESCRIPTION QTY. ORDERED REQUESTED DELIVERY DATE UNIT PRICE EXT D. PRICE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/4" x 36-7/8" Oriel:50.0000/o of Op.Sash 73 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 009 VW38002L 1 08/21/17 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-7/8" x 36-7/8" Oriel:50.000% of Op.Sash 73 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 010 VW38002L 1 08/21/17 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/4" x 23-3/4" Oriel:50.000% of Op.Sash 60 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 011 VW610101 18 08/21/17 CAULK NOVA SLCN CW 012 VW0012113 31 08/21/17 WHTR 1" X 1-1/2" L -ANGLE Please respond IMMEDIATELY with any corrections. DO NOT re- seed original Order Form. Thank you. Page 3of4 SUBTOTAL TAX TOTAL: CONTINUED SENtF� 8/7/2017 1:12 PM FROM: Fax Server TO: +17177351224 P. 4 SENt( Amerimax- WINDOWS & DOORS A Division of Euramax International, Inc. ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1627826 08/07/17 CUSTOMER P.O. PRICE CLASS BRADLEY/071717 1 604 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN www.AmerimaxWindows.com PAYMENTTERMS TAX CODE NET 30 1 CO CON101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 LINE PRODUCT / DESCRIPTION QTY. REUNIT PRICE EXT'D. PRICE ORDERED DELIVVERYERY ED DATE 013 VW0013841 16 08/21/17 WHTR 1.75" FLAT TRIM W/AD 014 VW620021 4 08/21/17 FoamTape 3/4x1 -1/2x50' Black 015 VW38002L 1 08/21/17 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 51-7/9'x 36-7/8" Oriel:50.000% of Op.Sash 89 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** SUPPLEMENTAL GLASS WARRANTY CHARGE Please respond IMMEDIATELY with any corrections. DO NOT re- SUBTOTAL send original Order Form. Thank you. TAX Page 4 of 4 TOTAL: BRADLEY071717 o n m ae ass- L- 1 V 71 DEN �Q mse1ar�v` ,10111 ■ ` t Ir.k7 IT -ice i1, oil tnllat•ta.tltntt: ;••+tt;•. t^.t'tlltt. cttle•1'jt I�.'rCt t lt�,.k-,11:1 >�..��t Hn n,; tnr�t hlt ell nt r• l.tt�.c:-_`,;:�_. 1'limntl 1 bu �� 1 .�f ,'.it 1 1 V qi: '� — Jip: ��J�.•1 N indl..t Wand:.: Ot+Hnfitt; '4�i Onty tacnuan Madel 1ynrt3. Gtws Grids Vora. "orz. Screens Width it �r1' -a I! ��:C��; ►...� t �_ . �c_.—►uu "gni !_ _.iC �� j_ ii`"t ii ._ Ji._ Jt._.__JI_ _�I ►L_ ___lt�� I — V Nt2m,_-I 1Lt)t 7�1 l ,,ZVIC �j �J _li 1. �..` -- -► ...ii._ .Vl—___lUt__IL_____.._._1 (� 7 t ii wj1;�� 'r._ �l _._ _._lt_. L_ __ IL---JL—)[_it �n ter_ -71 a -t aC � wlo�Q I L Clean up all job atcd t>r•it. ,t,Jo painting. staining. or disconnection+rceonnenirn, of alarm cysterns to - - instnitation and a�: "4 L�,t nrranty from the manufacturer. Conwr%alion i x tndo,e s to ha,e uttdcet comers. night ent latches, and curl cd rcinforcen1 cit in all mem am tock and lie t t ucIns be burccn tunic. stolhene u specifi-arength. was ied). Inside gremoVable s13$% systemlider with rlrack uhh mehile super wl rcinforc31. Cmlent. Price to hal r P I _.._ _ �. �•1•�,rruvsMiNaucltl5Wi. "t DIAGRAMS: ^ J'^ ,-own Payment: KmenL Due t l non Qon18109PAY It Contract Price -11" ,un. ;sto. tn•rst. tApprt AL.) _ Finance Termai {yrn ttu Hnat of rex Cridti Soley ficDaal Amount Finance r r Any alteration or desialion from ak,ove specifications must Cornpany ApproValt ,4otice To buyers shall tx rnti led to rccovcr all expensesti'c udtng be made in writing- All surplus tnatenals belong to Conservation Construction o nd job u.11.bent toss of tevatuc. Purchaser undervandi dot of the terms stated heron. C'onscn'ation C onsirnctiun Corp. exxd in the prix stmeacc. Should legal In the e%ent that the Purchaser defaults eNt any in cunncction with the erli, hies menti enue has arteYor t+ill espend ronsiticrahte time and expense t t" C nal tee gate ewr right to enforce any other anus r±r e that such e"c' will be taken in 1tlTrtssni Ccwnly. Co. Nhicit shalt be the easy oiher Mrrials) but run limned ro the folloM ing: rcuit cost of cuAunt built products. supplier resaexkhtg citarttcs. a action Carnsers•ation Construction en as antes ogre exmdition or term of this agrernlrn mans, d gins in Obtaining notion he taken for any reason associated ss ith this contract, - to rntorre any tisiWe lex eklays rout ed utattter cared' any legal notion. Failure of Cnttscnanon Consn%tru li Cort' shall not be teapo wish to purchase the goads or conditions of this agreement. Canscn anon Construction Carp y idence. If you no longer above address. The I If7A +K prrtnining delay% . or nritKt cnuses bry°ortd its control.with this contract to the cnt was Solicited cne ot►r ccs given to 5'� or xiaiion from the specifications stated ht to cancel if this agreement, t to cancel" that was B alteration you have received a "notice of rig mrtilin the "nonce of righ agreement is signed. Any tion Construction Corp. . r. ir•rc. Vnu may cancel this I .. - cot by Tr lyd business day afire the agte t rrnrtsentaute of Corlsena 1 i 'diTY617; HtArRIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: J" ``Z 0 Job Address: :Z,920 — Permit Number: ❑ No one available for in tion: Time !%� AM/PM Re -Inspection required: Yes No i *When corrections have been made, call for re -ins . c n at 303-234-5933 Date:? /�` Inspector: City of Wheat Ridge Residential Roofing PERMIT - 201706073 PERMIT NO: 201706073 ISSUED: 08/14/2017 JOB ADDRESS: 2930 Vance ST EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles with 36 sq. *** CONTACTS *** OWNER (303)588-2297 TRUMAN BRADLEY SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,122.00 FEES Total Valuation 0.00 Use Tax 317.56 fi, fit Permit Fee 299.40 ** TOTAL ** 616.96 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. City of Wheat Ridge ` Residential Roofing PERMIT - 201706073 PERMIT NO: 201706073 ISSUED: 08/14/2017 JOB ADDRESS: 2930 Vance ST EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles with 36 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 ermrt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be Z d and that all wor a pe ormed is disclosed in this document and/or its' accompanying approved plans and specifications. ! %S Signature of OWK IiRor CON CTOR (Circle one) Date 1. This permit was issued based the information provided in the permit application and accompanying Flans and specifications and is subject to the compliance wit those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 an 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, an violation of any provision of any applicable r�anny�orrddinance or regulatio 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. Dan Schultz From: no-reply@ci.wheatri dge.co.us Sent: Wednesday, August 9, 2017 11:24 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 2930 Vance St Property Owner Name Truman Bradley Property Owner Phone 303-588-2297 Number (enter WITH dashes, eg 303-123-4567) 101 T�' Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Truman Bradley COntract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name //I- ov Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13000 W. 43rd Dr., Golden Co 80403 (Primary address of your business) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK / TOTAL SQUARES of 36 ✓/ the entire scope of work: Project Value (contract 15122 value or cost of ALL materials and labor) Are you re -decking the No roof? 102 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof- Provide oof Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No Yes 36 Malarkey Legacy Asphalt House - Pitch 3/12 & 4/12 SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 103 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 104 CONTRACT xr 4 J&K Roofing BBB. 13000 W. 43rd Drive • Golden. CO 80403 1ea4-20 7 ' Phone: 303-425-7531 • Fax: 303-425-1562 } www.jkroofing.com Representative Contact - F �� Date 9 # Name Phone 5 ' 1 �" m email Address r City t4__'_ A2 Zip eta? Pinnacol Assurance Cincinnati Specialty Underwriters 303-361-4000 303-653-0023 Workers Compensation Insurance General Liability Insurance Policy #4079290 Policy #CS00061742 LABOR AND MATERIAL SPECIFICATIONS, TERMS, AND CONDITIONS. PLEASE READ CAREFULLY - El Recover roof with 13.1,4 14 i , ,. 4 `= Vr' >- Color of shingles ra ai e> Manufacturer's Warrantya El Tear off = Install Underlayment r Double all Eaves Re -Flash Chimney and/or Skylights i`', New Valleys I F Replace Ridge Ventilation Galvanized Fasteners__ A Replace ,Z'Palni roof stacks to match Install _ Patio or Flat roof Plumbing Jacks Metal Edging* Year Warranty on labor J & K Roofing to furnish all material and labor Permit: Included Y NOT Included . ?'Clean-up debris and haul off all trash from roof 1 Roll yard with magnetic roller _ Gutters cleaned of roofing debris Decking Repairs $ te " per $' C Hidden Layers (tear oft) $'" per layer (Gartim (Pdtcy Number) (Claim #) (Adi-tor) 'Mortgage Co.) (Mortgage Loan Numbed ❑ Extra work Ad it 4l 41, _ The property owner is is not using proceeds from property and casualty insurance policy. Deductible if applicable $ Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date er ,-" " ' TOTAL ESTIMATE $ i! ,-; " ': t ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J & K Representative - }_. h/ '�^ ' Dates Homeowner_ - Date. Homeowner — Date Expiration You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION FOR OFFICE USE ONLY 'I DOW �Wh6at !jgle CnAAI REN-T Plenmennit # Building & Inspection Setvices Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Beat ew Fee. Office: 303-235-2355 * Fax. 303-237-3929 Inspection mine; 3133.234-5933 Building Permit Application „rte pry04*00*0� SL - V iu ' X LL L c m a (trek all that apply) NEW COMMERCIAL STRUCTURE 0 ELECTRICAL SERVICE UPGRADE COMMERCIAL ROOFING RESIDENTIAL ROOFING WINDOW REPLACEMENT CEMENT TIRE (Garage, Shed, dock, etc.) rURE (Garage, Shed, deck; etc.) REPAIR or REPLACEMENT Sq. FULF Btu's Gallon Amps quares Othor COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-2545933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 16688 1/29/2004 Property Owner: MORRIS Property Address : 2930 VANCE ST Contractor License No. : 17789 Company : Lerew Bros. Roofing, Inc. Phone : 275.9628 Phone: 237-2385 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, easemenls 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 comp)f ce with~t~e Wheat Ridge Building Code (U.B.C.) and all other applicable W e idq rX nce ~ work under this permit. (OWNER)(CONTRACTOR) SIGNED DATF~~~ Description : REROOF W ITH 3-TAB 20 YEAR - 34 SQ Construction Value : $3,000.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $36.00 Total: $144.30 Use: BUILDING DEPARTMENT USE ONLY Zanirrg Cartiment;: SIC : Sq. Ft. : Approval: Zoning : Buildln$'CommentC OKAY 1/29I04 Approval: DM Pu'b1ic Works Ca~►imsi+ts; Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval : (1) This permit was issued in accordance with the provisions sat forih in yopur appiicalion and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of W heat Ridge, Coloredo or any other applicable ordinances of the City. (2) This permil shall expire if (A) the work authorized is not commenced within sixty (80) days fmm issue tlate or (B) the building authonzed is suspended or abandoned for a penod of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normalty required, provided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not eaceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, fu0 fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspeclions and shall receive wntten approval on inspection card before proceediing with s s*phase of the job(6 ) The ssuan erovai of drawings and sPecifications shall not be conslrued to be a permit for, nor an approval of, any violation o! lhe provisions of t bui inny other ordinance, law, rule or regulation. ~ ~ Chief Building InspectOr Please sign Terms and Conditions on reverse side of page. o~ '""E^r COMMUNIiY DEVELOPMENT DEPARTMENT BUILDING INSPECTION IINE - (303-234•5933) CITY Of WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RiDGE, CO 80033 •(303-235•2855) APPLICATION ~ CC Building Permit Number. Date: `p Property Uvner: Property Address~'9~0~/JG~° -ST Contractor License No.: Company Phone ;~OJ~O~~✓~ Phone~~~' OWNER/COMRACTOR SIGMANRE Of UNDERSTANOWG ANO AGR EYENT 1 hereDy cerGfy ttiat ihe setbadi dstances proposed by Nis pertnil application are aaurate, arb Oo not vqlale applicaWe or0inances, rules a regulaooru of the Ciry of Wheat Ridge w oovenants, easements or resVictions of Construction V alue: remrd: thal ap rrna5urements showi, ard allegations matle are xa2te: tlwt 1 have reatl antl agree w abiAe by Permit Fee: $ ail condiUais p»teC on this appGCaCOn and IAat t assume tu0 responsibilily tor mmpliance with Che Wheat Ritlge p~an Review Fee: S Buildng Code (U.B.C) and aG Wher ap ~eeb e Whe ~t Rid inan es work under Ms pemut Use Tax: s (OwNERNCONTRACTOR).5IGNE DATE,/- ~ (OWNERNCONTMCTOR): PRtl1TED ~ DA1 ~ - ~ Total Fee: 5 DESCRIPTION: BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: Zormw CawExTS: Approval: Zoning: BU1LdNG COWIENTS. AppfOVal: Pueut WowcSCOMMEnrS: Approv3l: Electrical License No: Plumbing License No: Mechanical License No: Company: Expiration Date: Approval: Company: Expintion Date: Approval: Company: Expiration Date: Approval: 0) TLb pernil MM InYM k attadaete MIl tl1e VoNNa1s NI bM In rprt ppfu0on and b rvE)W lo Nr Iaws o/ Ne StYN d Colorado anA to Me Zadny Rpu4lbns ma ewnftf cea. awn.r wa~.. cao.aao>mr anw,ppsc.a. ordia,M.s w u. ury. (2) 74M OuM Na/ expN Y(A) iM waY wUMuA N nal ~eA wMUN+MY (K) AM hom bwe M4, v(B) IM Ou1Nny NMVixed M w WalkMd a abrWmM lar a prbd d 110 Aryt ■ IW Vrraill 00116 a ns VrWA M' W~VI la a M d onMW qo amwnt normiy remittal. pwAdb m drnpa hne !wn a N M mW M qe MpNY p4m W polk+Man and rry wnpmdw a tlMOwnril hn nol uwdW am (t) Ym. 11 Nmpn hm Ew > 11 suWwafon v Wrndemwnl acwM aq (1) 7nr. M Iw tpl M vaid For s nw V. (4) Mo.ona+nmatt•.ndamne tnr.iaw" wwOVrau.o/.,wnu.iny.er.lnowwobl.m. (S) Contractor di milly Me BWNnO Impactor WmoY-kw RQ Aars In aMmn M Y MpectMs r0 Nag ncYn rrlCn iPa'al on In+Methon ord Mion pocI y rM ~Nw pAws d 1M joE. (6) n» hw.i a, v.rink «m. +vro•r w dr..ang.me w.cification..n,e na w con.ww m w, ww+ I«. w r wnmr w.my .w,uon a m, wowhion, w m. WMbV co0a «anr a1Mr a3+ria.law. rvM «nqMlbn. Chief Building Inspector