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HomeMy WebLinkAbout3744-3750 Vance StreetINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: C/, ADDRESS: -57q 7V�-,3 k,31 B ODE: r Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Ll -- P161 Y PERMIT: 0 q4L,)SADDREs&�74,67*,, �7� 37�)TJOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous 0 13-7-- 37-410 Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 0 13-7-- 37-410 410Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i 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: y j, -F % 1� Job Address: �% 4 L+ Permit Number: c7 1-7 O ",-,I 4 S�j y,D1, ❑ No one available for inspection: Time GS ►M PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: 1 Iv Inspector:2� .rte° DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201709455 PERMIT NO: 201709455 ISSUED: 12/06/2017 JOB ADDRESS: 3744 Vance ST EXPIRES: 12/06/2018 JOB DESCRIPTION: Residential re -roof permit remove and install Certaiteed flintlastic torch down mod bit asphalt shingles with redecking 21sq pitch=2/12. 4-plex 3744, 3746, 3748 and 3750 Vance Street *** CONTACTS *** OWNER (267)971-9796 ARROYO ANDRES SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,737.56 FEES Total Valuation 0.00 Use Tax 267.49 Permit Fee 251.85 ** TOTAL ** 519.34 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201709455 PERMIT NO: 201709455 ISSUED: 12/06/2017 JOB ADDRESS: 3744 Vance ST EXPIRES: 12/06/2018 JOB DESCRIPTION: Residential re -roof permit remove and install Certaiteed flintlastic torch down mod bit asphalt shingles with redecking 21sq pitch=2/12. 4-plex 3744, 3746, 3748 and 3750 Vance Street I, by my signature, do hereby attest that the work to be erformed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable inunici al 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 thispermit. I further attest that I am legally authorized to include a,T 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 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofGhieT9Uilding Offrcia'"' Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. enia Reimer I � � OIL19�_ From: no-reply@ci.wheatridge.co.us Sent: Tuesday, December 5, 2017 10:13 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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 Duplex are on the property? PROPERTY INFORMATION� 1(L Property Address 374`4�Vance St. Wheat ridge, CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Andres Arroyo 267-971-9796 $� I i 3L_I Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract andresarroyo@gmail.com Yes Arroyo work order - signed.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Infinity Restoration - 22377 Contractor Phone 888-855-2331 Number (enter WITH dashes, eg 303-123-4567) J !� Contractor Address 18000 Groeschke Rd G7 (Primary address of your business) Contractor Email Address permits@infinityroofer.com Retype Contractor Email Address DESCRIPTION OF WORK permits@infinityroofer.com TOTAL SQUARES of 21 the entire scope of work: Project Value (contract 12737.56 value or cost of ALL materials and labor) Are you re -decking the (Ye roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or z both? (check all that apply) What is the specific pitch of the PITCHED roof`? 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 any additional detail here on the description of work. (Is this for a house or garage? Etc) 2/12 certainteed flintlastic torch down mod bit shingles r Asphalt House 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 3 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 Nikki Todd Email not displaying correctly? View it in your browser. INFINITY RESTORATION 2690 W. Main ST. Suite C Littleton, CO 80120 (a Office (303) 816-1888 Fax (888) 371-9080 Property Owner's Name: Andres Arroyo Property Address: 3744, 3746, 3748, 3750 Vance St Property Owner's Primary Phone Number: Approx Date of Loss: 5/08/17 City: Wheat Ridge State: CO Zip: 80033 Mobile: 303-218-8747 Email: ANDRESARROYO@GMAIL. COM Damages Result of Wind and/or Hail or Other (specify if other): Hail Insurance Company: Safeco Agent's Name and Number: Policy No: OY07526372 Adj. Info: Claim No: 766659856039 I hereby authorize Infinity Restoration to discuss the details of the project with my insurance company on my behalf, as the contractor, and proceed with all repairs authorized by the insurance company at a cost equal to the replacement cost value including overhead and profit allowed on the claim. Property owner agrees that Infinity Restoration is entitled to the Replacement Cost value plus any and all supplements necessary to complete repairs that are approved by the insurance company, this includes code upgrade requirements. First payment is due upon completion of the roof replacement, the balance is due on work that has been completed, (such as the roof work) when the recoverable depreciation plus any approved supplements is received. Any remaining unfinished work, such as gutters, siding, interior paint, or any other trade, will be due upon completion of each trade and receipt of insurance funds. The Property owners out of pocket expense win not exceed the insurance deductible unless upgrades are agreed to in writing and added or depreciation is "non recoverable". Deductible is to be paid directly to the contractor (Infinity Restoration). Any upgrades or downgrades will be in writing. Property owner agrees to furnish Infinity Restoration with a copy of the insurance estimate and any other documents related to this claim immediately upon receipt. Infinity and its Authorized representatives are not acting as Public Insurance Adjusters. If the insurance company agrees to pay for the claim, and the undersigned does not allow Infinity Restoration to proceed with the roof project, a cancellation fee equal to 15% of this contract amount will be due to cover administrative costs associated with preparing the project. This contract includes the Additional Provisions on the back and contains our complete agreement. The specifications and conditions are satisfactory and are hereby accepted. Initial The Property Owner/Authorized Representative selects the following materials and directs Infinity Restoration to furnish this material and its labor in a good workmanlike manner according to standard practices in the industry. Any alterations, modifications, changes or additions must be in writing and agreed to between the parties as evidenced by their signatures. Infinity Restoration is not responsible for damage caused by improper original construction including faulty framing, masonry bracing and/or roof decks. Infinity Restoration is not responsible for rotted siding, paint and sheetrock damage due to vibration. Infinity Restoration is not responsible for damaged electrical, cable, A/C, or plumbing lines which are installed within 6 inches of the roofline. It is the property owners' responsibility to notify Infinity Restoration of any deed restrictions/H.O.A. requirements. If the undersigned fails to pay Infinity Restoration any amounts due under this contract within thirty (30) days from the date of completion, and receipt of insurance funds, the undersigned agrees to pay all costs of collection plus a reasonable attorney's fee, should the same be placed in the hands of an attorney for collection, along with eighteen (18) percent interest on unpaid balance. This Contract Is Void If The Insurance Company Denies Full Coverage. The materials selected are as follows: SHINGLE CERTAINTEED FLINTLASTIC TORCH DOWN COLOR SLATE STRIP OFF 1 LAYERS OF EXISTING MOD BIT ROOFING STRIP OFF WOOD SHAKE/SHINGLE INSTALL MOD BIT RIDGE SHINGLES INSTALL 2 x 4 INCH ENAMEL FINISHED DRIP EDGE/COLOR BLACK APPLY A N/A LB FELT BASE SHEET INSTALL A 5 LAYER FHA CLOSED VALLEY OR N/A FOUR(4) OR SIX (6) 1 '''A" GALVANIZED NAILS PER SHINGLE SIDEWALL FLASHING WHERE NEEDED CHIMNEY FLASHING: RE -FLASH, CAULK AND PAINT ALUMINUM WIND TURBINES N/A RIDGEVENT N/A SOFFIT VENTS N/A POWER TURBINES N/A AIR HAWKS N/A REPLACE ROTTEN DECKING AT A COST OF $60 DOLLARS PER 4'x 8' SHEET CLEAN UP AND HAUL DEBRIS PAINT ROOF PENETRATIONS TO MATCH INSURANCE DEDUCTIBLE: (If deductible is more than stated by Property Owner/Authorized Representative agrees to pay the difference.) $ 1,000.00 UPGRADE TO THE MATERIAL AND LABOR + N/A + N/A DOWNGRADES TO THE MATERIAL AND LABOR < N/A > < N/A > TOTAL OUT OF POCKET EXPENSE IN ADDITION TO INSURANCE PROCEEDS $ 1,000.00 (Based on Replacement Cost Coverage) I/We hereby authorize & instruct the insurance company and all lien holders to include Infinity Restoration as Co -Payee on any subsequent loss drafts or checks after today's date as indicated below. Print Name: Andres Arroyo Date: 8/31/17 Print Name: Signature: a-- Signature: Representative: Aaron Rose Phone: 720-628-3838 Date: ADDITIONAL PROVISIONS 1. All proposals subject to approval by the Management of Infinity Restoration. 2. Should default be made in payment of this contract, charges shall be added from date thereof at a rate of one and one-half percent (I %%) per month, 18% PER ANNUM or the maximum allowed by law with a minimum charge of $2.00 per month, and if placed for collection customer agrees to pay all cost of such action as attorney and legal filing fees by accepting said contract. 3. Infinity Restoration is not responsible for any damage below the roof, or liability is limited to the roof repair only. 4. Infinity Restoration cannot be responsible for internal structural strength, so if you have any concerns or doubts about the strength of your roof substructure to include rafters, beams, etc., it will be the homeowner's responsibility to either notify us or have weakened conditions repaired before we start our work. 5. The company shall have no responsibility for damages from fire, windstorm or other hazard, as is normally covered by the homeowner's insurance. 6. If you have exposed decking inside your building i.e. cathedral ceilings, you should be certain that we know, so proper nail length can be used. 7. Replacement of deteriorated decking, fascia board, roof jacks, ventilators, flashing or other materials, unless otherwise stated in this contract, are not included and will be charged as an extra on a time and material basis. 8. I/We acknowledge Infinity Restoration is not responsible for any damages caused to us or to our property as a result of mold and/or mildew resulting from water penetration that may develop as a result of the work performed by Infinity Restoration and I/We agree to indemnify and hold harmless Infinity Restoration and its agents, contractors, subcontractors, assignees and employees from any and all claims for damages of any type that may result to us, our heirs, assignees, successors in interest, guests or invitees as a result of any act by Infinity Restoration, its agents, contractors, assignees and employees, including but not limited to those of negligence, that cause of contribute to mold/mildew and its abatement, removal or cost of repair/replacement. 9. No painting or gutter work is included unless specifically noted. 10. The company shall not be liable for failure of performances due to labor controversies, strikes, fire, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of the company whether of a similar nature. 11. This agreement constitutes the entire agreement between the parties. It may be changed by only written instrument signed by both parties. 12. If any provisions of this agreement should be held to be invalid or unenforceable, the validity, and the enforceability of the remaining provisions of this agreement shall not be affected thereby. 13. Any representatives, statements or other communications, not written in this contract are agreed to be immaterial, and not to be relied on by either party, and do not survive the execution of this contract. 14. Additional materials are generally ordered for each job. Any and all materials delivered to your job site remain the property of Infinity Restoration. 15. These conditions shall be considered a part of any contract entered into or authorized to proceed, the same as if they were included therein. 16. In the event that any dispute arises under this contract homeowner agrees to allow Infinity Restoration an opportunity to cure such defects. In the event that Infinity Restoration is not allowed an opportunity to cure such defects then homeowner agrees that Infinity Restoration is not liable for cost of repair or damages resulting from such defects. In any event Infinity Restoration shall not be liable for any consequential damages. 17. Customer acknowledges that no warranty, implied or explicit, is in effect until such time as Infinity Restoration, Inc. is paid in full according to the terms of this contract. GENERAL ROOF MAINTENANCE REQUIRED BY THE BUILDING OWNER The following conditions are unrelated to defects in the roof and thereof are not covered by the warranty. The maintenance tips provided below will help you get the best service from your new roof. 1. If damage is caused by fire, lightening, windstorm, hailstorm, etc from notify your insurance company immediately and call Infinity Restoration. 2. Accumulation of leaves or pine needles in gutters or roof valley produce what is known as a "waterdam." A waterdam can force water under the roofing and produce leaks through the roof structure. These leaks can travel along roof joints, etc., and produce interior damage at points far distant from the leak. Therefore, provisions should be made for the removal of the debris. 3. Adequate ventilation will keep attic temperature close to those outside, helping to prevent the deck delamination at the roof and the formation of ice dams in gutters and valleys. Adequate ventilation is essential to the life of Asphalt Shingles. Adequate ventilation (defined by FHA standards) consist of one square foot or more of open area for every 300 square feet or attic floor area 50% at or near the peak of the roof, 50% in the eaves or lower part of the roof. Lack of ventilation (or inadequate ventilation) will result in moisture condensation and can cause rotting of the wood deck and/or blistering or curling of asphalt shingles which is not a defect in the shingle but is a direct result of moisture being pulled through the shingle by the sun. 4. Installation or relocation of antennas or other equipment on the roof may cause leaks unless proper sealants are used at any point where screws or other anchoring devices enter the roof. Avoid unnecessary roof traffic, since it can greatly diminish the life of the roof. 5. Leaking can occur in or around the chimney unless it is periodically Maintained. Normal settling of your house through the years will cause leaking conditions. In addition, the flashing compound around the chimney and vent pipe areas require normal maintenance on a year to year basis. These areas should be inspected periodically for cracking or indications of weathering and should be reflashed accordingly. 6. Roof should be properly maintained to prevent performance issues. It is required that you hire a certified roofer once every 12 months to perform an inspection and any necessary maintenance for your warranty to stay in affect. PLEASE RETAIN THIS CONTRACT AND A COPY OF THE WARRANTY, WHICH WILL BE FORWARDED TO YOU ON COMPLETION OF THE JOB. City of Wheat Ridge Residential Roofing PERMIT - 201709455 PERMIT NO: 201709455 ISSUED: 12/06/2017 JOB ADDRESS: 3744 Vance ST EXPIRES: 12/06/2018 JOB DESCRIPTION: Residential re -roof permit remove and install Certaiteed flintlastic torch down mod bit asphalt shingles with redecking 21sq pitch=2/12. 4-plex 3744, 3746, 3748 and 3750 Vance Street *** CONTACTS *** OWNER (267)971-9796 ARROYO ANDRES SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,737.56 FEES Total Valuation 0.00 Use Tax 267.49 Permit Fee 251.85 ** TOTAL ** 519.34 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201709455 PERMIT NO: 201709455 ISSUED: 12/06/2017 JOB ADDRESS: 3744 Vance ST EXPIRES: 12/06/2018 JOB DESCRIPTION: Residential re -roof permit remove and install Certaiteed flintlastic torch down mod bit asphalt shingles with redecking 21sq pitch=2/12. 4-plex 3744, 3746, 3748 and 3750 Vance Street I, by my signature, do hereby attest that the work to be erformed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable inunici al 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 thispermit. I further attest that I am legally authorized to include a,T 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 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofGhieT9Uilding Offrcia'"' Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. enia Reimer I � � OIL19�_ From: no-reply@ci.wheatridge.co.us Sent: Tuesday, December 5, 2017 10:13 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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 Duplex are on the property? PROPERTY INFORMATION� 1(L Property Address 374`4�Vance St. Wheat ridge, CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Andres Arroyo 267-971-9796 $� I i 3L_I Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract andresarroyo@gmail.com Yes Arroyo work order - signed.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Infinity Restoration - 22377 Contractor Phone 888-855-2331 Number (enter WITH dashes, eg 303-123-4567) J !� Contractor Address 18000 Groeschke Rd G7 (Primary address of your business) Contractor Email Address permits@infinityroofer.com Retype Contractor Email Address DESCRIPTION OF WORK permits@infinityroofer.com TOTAL SQUARES of 21 the entire scope of work: Project Value (contract 12737.56 value or cost of ALL materials and labor) Are you re -decking the (Ye roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or z both? (check all that apply) What is the specific pitch of the PITCHED roof`? 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 any additional detail here on the description of work. (Is this for a house or garage? Etc) 2/12 certainteed flintlastic torch down mod bit shingles r Asphalt House 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 3 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 Nikki Todd Email not displaying correctly? View it in your browser. INFINITY RESTORATION 2690 W. Main ST. Suite C Littleton, CO 80120 (a Office (303) 816-1888 Fax (888) 371-9080 Property Owner's Name: Andres Arroyo Property Address: 3744, 3746, 3748, 3750 Vance St Property Owner's Primary Phone Number: Approx Date of Loss: 5/08/17 City: Wheat Ridge State: CO Zip: 80033 Mobile: 303-218-8747 Email: ANDRESARROYO@GMAIL. COM Damages Result of Wind and/or Hail or Other (specify if other): Hail Insurance Company: Safeco Agent's Name and Number: Policy No: OY07526372 Adj. Info: Claim No: 766659856039 I hereby authorize Infinity Restoration to discuss the details of the project with my insurance company on my behalf, as the contractor, and proceed with all repairs authorized by the insurance company at a cost equal to the replacement cost value including overhead and profit allowed on the claim. Property owner agrees that Infinity Restoration is entitled to the Replacement Cost value plus any and all supplements necessary to complete repairs that are approved by the insurance company, this includes code upgrade requirements. First payment is due upon completion of the roof replacement, the balance is due on work that has been completed, (such as the roof work) when the recoverable depreciation plus any approved supplements is received. Any remaining unfinished work, such as gutters, siding, interior paint, or any other trade, will be due upon completion of each trade and receipt of insurance funds. The Property owners out of pocket expense win not exceed the insurance deductible unless upgrades are agreed to in writing and added or depreciation is "non recoverable". Deductible is to be paid directly to the contractor (Infinity Restoration). Any upgrades or downgrades will be in writing. Property owner agrees to furnish Infinity Restoration with a copy of the insurance estimate and any other documents related to this claim immediately upon receipt. Infinity and its Authorized representatives are not acting as Public Insurance Adjusters. If the insurance company agrees to pay for the claim, and the undersigned does not allow Infinity Restoration to proceed with the roof project, a cancellation fee equal to 15% of this contract amount will be due to cover administrative costs associated with preparing the project. This contract includes the Additional Provisions on the back and contains our complete agreement. The specifications and conditions are satisfactory and are hereby accepted. Initial The Property Owner/Authorized Representative selects the following materials and directs Infinity Restoration to furnish this material and its labor in a good workmanlike manner according to standard practices in the industry. Any alterations, modifications, changes or additions must be in writing and agreed to between the parties as evidenced by their signatures. Infinity Restoration is not responsible for damage caused by improper original construction including faulty framing, masonry bracing and/or roof decks. Infinity Restoration is not responsible for rotted siding, paint and sheetrock damage due to vibration. Infinity Restoration is not responsible for damaged electrical, cable, A/C, or plumbing lines which are installed within 6 inches of the roofline. It is the property owners' responsibility to notify Infinity Restoration of any deed restrictions/H.O.A. requirements. If the undersigned fails to pay Infinity Restoration any amounts due under this contract within thirty (30) days from the date of completion, and receipt of insurance funds, the undersigned agrees to pay all costs of collection plus a reasonable attorney's fee, should the same be placed in the hands of an attorney for collection, along with eighteen (18) percent interest on unpaid balance. This Contract Is Void If The Insurance Company Denies Full Coverage. The materials selected are as follows: SHINGLE CERTAINTEED FLINTLASTIC TORCH DOWN COLOR SLATE STRIP OFF 1 LAYERS OF EXISTING MOD BIT ROOFING STRIP OFF WOOD SHAKE/SHINGLE INSTALL MOD BIT RIDGE SHINGLES INSTALL 2 x 4 INCH ENAMEL FINISHED DRIP EDGE/COLOR BLACK APPLY A N/A LB FELT BASE SHEET INSTALL A 5 LAYER FHA CLOSED VALLEY OR N/A FOUR(4) OR SIX (6) 1 '''A" GALVANIZED NAILS PER SHINGLE SIDEWALL FLASHING WHERE NEEDED CHIMNEY FLASHING: RE -FLASH, CAULK AND PAINT ALUMINUM WIND TURBINES N/A RIDGEVENT N/A SOFFIT VENTS N/A POWER TURBINES N/A AIR HAWKS N/A REPLACE ROTTEN DECKING AT A COST OF $60 DOLLARS PER 4'x 8' SHEET CLEAN UP AND HAUL DEBRIS PAINT ROOF PENETRATIONS TO MATCH INSURANCE DEDUCTIBLE: (If deductible is more than stated by Property Owner/Authorized Representative agrees to pay the difference.) $ 1,000.00 UPGRADE TO THE MATERIAL AND LABOR + N/A + N/A DOWNGRADES TO THE MATERIAL AND LABOR < N/A > < N/A > TOTAL OUT OF POCKET EXPENSE IN ADDITION TO INSURANCE PROCEEDS $ 1,000.00 (Based on Replacement Cost Coverage) I/We hereby authorize & instruct the insurance company and all lien holders to include Infinity Restoration as Co -Payee on any subsequent loss drafts or checks after today's date as indicated below. Print Name: Andres Arroyo Date: 8/31/17 Print Name: Signature: a-- Signature: Representative: Aaron Rose Phone: 720-628-3838 Date: ADDITIONAL PROVISIONS 1. All proposals subject to approval by the Management of Infinity Restoration. 2. Should default be made in payment of this contract, charges shall be added from date thereof at a rate of one and one-half percent (I %%) per month, 18% PER ANNUM or the maximum allowed by law with a minimum charge of $2.00 per month, and if placed for collection customer agrees to pay all cost of such action as attorney and legal filing fees by accepting said contract. 3. Infinity Restoration is not responsible for any damage below the roof, or liability is limited to the roof repair only. 4. Infinity Restoration cannot be responsible for internal structural strength, so if you have any concerns or doubts about the strength of your roof substructure to include rafters, beams, etc., it will be the homeowner's responsibility to either notify us or have weakened conditions repaired before we start our work. 5. The company shall have no responsibility for damages from fire, windstorm or other hazard, as is normally covered by the homeowner's insurance. 6. If you have exposed decking inside your building i.e. cathedral ceilings, you should be certain that we know, so proper nail length can be used. 7. Replacement of deteriorated decking, fascia board, roof jacks, ventilators, flashing or other materials, unless otherwise stated in this contract, are not included and will be charged as an extra on a time and material basis. 8. I/We acknowledge Infinity Restoration is not responsible for any damages caused to us or to our property as a result of mold and/or mildew resulting from water penetration that may develop as a result of the work performed by Infinity Restoration and I/We agree to indemnify and hold harmless Infinity Restoration and its agents, contractors, subcontractors, assignees and employees from any and all claims for damages of any type that may result to us, our heirs, assignees, successors in interest, guests or invitees as a result of any act by Infinity Restoration, its agents, contractors, assignees and employees, including but not limited to those of negligence, that cause of contribute to mold/mildew and its abatement, removal or cost of repair/replacement. 9. No painting or gutter work is included unless specifically noted. 10. The company shall not be liable for failure of performances due to labor controversies, strikes, fire, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of the company whether of a similar nature. 11. This agreement constitutes the entire agreement between the parties. It may be changed by only written instrument signed by both parties. 12. If any provisions of this agreement should be held to be invalid or unenforceable, the validity, and the enforceability of the remaining provisions of this agreement shall not be affected thereby. 13. Any representatives, statements or other communications, not written in this contract are agreed to be immaterial, and not to be relied on by either party, and do not survive the execution of this contract. 14. Additional materials are generally ordered for each job. Any and all materials delivered to your job site remain the property of Infinity Restoration. 15. These conditions shall be considered a part of any contract entered into or authorized to proceed, the same as if they were included therein. 16. In the event that any dispute arises under this contract homeowner agrees to allow Infinity Restoration an opportunity to cure such defects. In the event that Infinity Restoration is not allowed an opportunity to cure such defects then homeowner agrees that Infinity Restoration is not liable for cost of repair or damages resulting from such defects. In any event Infinity Restoration shall not be liable for any consequential damages. 17. Customer acknowledges that no warranty, implied or explicit, is in effect until such time as Infinity Restoration, Inc. is paid in full according to the terms of this contract. GENERAL ROOF MAINTENANCE REQUIRED BY THE BUILDING OWNER The following conditions are unrelated to defects in the roof and thereof are not covered by the warranty. The maintenance tips provided below will help you get the best service from your new roof. 1. If damage is caused by fire, lightening, windstorm, hailstorm, etc from notify your insurance company immediately and call Infinity Restoration. 2. Accumulation of leaves or pine needles in gutters or roof valley produce what is known as a "waterdam." A waterdam can force water under the roofing and produce leaks through the roof structure. These leaks can travel along roof joints, etc., and produce interior damage at points far distant from the leak. Therefore, provisions should be made for the removal of the debris. 3. Adequate ventilation will keep attic temperature close to those outside, helping to prevent the deck delamination at the roof and the formation of ice dams in gutters and valleys. Adequate ventilation is essential to the life of Asphalt Shingles. Adequate ventilation (defined by FHA standards) consist of one square foot or more of open area for every 300 square feet or attic floor area 50% at or near the peak of the roof, 50% in the eaves or lower part of the roof. Lack of ventilation (or inadequate ventilation) will result in moisture condensation and can cause rotting of the wood deck and/or blistering or curling of asphalt shingles which is not a defect in the shingle but is a direct result of moisture being pulled through the shingle by the sun. 4. Installation or relocation of antennas or other equipment on the roof may cause leaks unless proper sealants are used at any point where screws or other anchoring devices enter the roof. Avoid unnecessary roof traffic, since it can greatly diminish the life of the roof. 5. Leaking can occur in or around the chimney unless it is periodically Maintained. Normal settling of your house through the years will cause leaking conditions. In addition, the flashing compound around the chimney and vent pipe areas require normal maintenance on a year to year basis. These areas should be inspected periodically for cracking or indications of weathering and should be reflashed accordingly. 6. Roof should be properly maintained to prevent performance issues. It is required that you hire a certified roofer once every 12 months to perform an inspection and any necessary maintenance for your warranty to stay in affect. PLEASE RETAIN THIS CONTRACT AND A COPY OF THE WARRANTY, WHICH WILL BE FORWARDED TO YOU ON COMPLETION OF THE JOB. INSPECTION RECORD OccupancvlTvpe IV - INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. ' � I V ro I) -T - 1 1 P/ INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS - COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) - Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - ROUGHS Sheathing Lath /Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw - FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ❑ No one available for inspection: Time AMM e Inspector: r 1 City of Wheat Ridge ZONE CODE: UA USE: r 4000r - Commercial Roofing PERMIT - 110280 PERMIT NO: 110280 ISSUED: 03/21/2011 JOB ADDRESS: 3744 VANCE ST EXPIRES: 03/20/2012 DESCRIPTION: Reroof 19 sqs with Tar & Gravel modified bit. * ** CONTACTS * ** owner 303/513 -6193 Louis Lombardi sub 720/327 -3650 Ron Bell 08 -0158 Ron Bell ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Permit Fee 140.90 Total Valuation .00 Use Tax 108.00 P✓ ** TOTAL ** 248.90 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. 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 performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. 3- 2 r -l� Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 160 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. S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Date , N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �- hcat ` dge Date: COMMUNITY DEVELOPMENT Plan # Building & Inspection Services Division Permit #� 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855' Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application 0 r_ "otertyAdigss 5 f /Ca�IG� Property Owner (please print): Zd� S a ; - Phone. / l�'r'LC� -�Y` Mailing Address: (if different than property address) Address: City, State, Zip: Confracto: & �rG� Contractors City License #: Phone: 7 SutiContractd�s Electrical Plumbing: Mechanical: City License # City License # City License # D"es�crtptioia>`�f,work�= r� �3^ A—w * 70 d-6o�UP� Contract Value: $ C QOd •�-- Review Fee (due at time of submittao: S quares / f BTU's Gallons Amps Sq Ft. $ OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances; rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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) o (OWNER) (CONTRACTOR) PRINT NAME: /fie �� SIGNATURE: F^"/°y DATE: J s DEpJCRTMEN f USE U)I(LX ,✓ ✓ ! ii �'� . .,� ;✓�.J�,. hva Y? 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Box 838 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW. APPLICATION FOR MISCELLANEOUS PERMIT y y ~GX. SD IJ~~t~2C!i. owNea 'ScAn ~2_~~F~S JOB ADDRESS~Lf-~ ~7 CONTRACTOR nn q/'~ ADORESS ~LJI_ NL ll~ y~ ADDRESS PHONE 7°~ ZIP CODEUOD126 tFS'~ ITQ CITY ZIP CODE -)%ONTRACT PRICE $ ounw~c ~I,I, - C1lSI,.I.. I ICFNSF Nn I d❑ v C Woll❑ Proiteliny❑ 01hn SorDFat@ roun 1. TYPE 2. MATERIAL ❑ ❑ To1ol Square Fea1 Permif No Flect SIGNS No 3. ILLUMINATION Yea 4. SET BACK FROM PROPERTY LINE N TYPe _ ❑ S_ E ❑ _ W ❑ ❑ . Zone_ . ADDrmed, iona Inspsator Dinopproved (Spacifywhiehistront) 1. TYPE SolidEl Mort TAOn 80% Opsn[] MATERIAL 2 Lets Thon B O% Open Heipht FENCES ' 3. SET BACK FROM PROPERTY LINE N _ ❑ S_ E ❑ W ❑ ❑ Zom_ Approved,Zom Intpeeta DiaaDOroved (Spaeify whith is tront) l S `J I . OTHER Z' 3. DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DIST4NCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCIUDED) INSPECTION TICKET S JOB ADDRESSJ~~4y-.yG.yS VI4-l,JCi~ DATE: BLDG. PERMITM (6 S-5'3 S7RI . pEiiMITM ~ SPECIFY NORTH SHOW DISTANCES FROM THE M41N 8UII ~~1 V~ ^-4+.'-~-'°"O IRREGULAR IATS, SHOW LEAST DISTANCE TO PROPERTY LINES, NO BLDG. CONTR. APPLIC THIS APPLICATION WILI BECOME A PEF pERMIT WILL EXPIRE ELECTRICAL PERMIT STATE LICENSE NO. AIT SUBCONTRACTOR BY THE BUILDING INSPECTION DIVISION. !THlN THA? TIfAE DATE INSP. REQ. 5-( c1 TYPE OP INSR 4- ~ - UM INUM WIRE UNDERSIZE 8 ILLEGAL 3/ ~ C_? / INSPECTION MADE TEMPORARY METER --k NEW SERVICE - AMPS REMARKS 1 CHANGE SERVICE-AMPS LIGHTING HEATING POWER SUB-CIFCUITS ~ UTILITY (RANGE, DISPOSER, ETC.) W R FORM 619 FI%TURES WIRING MOTOFtS 9 CONTROLS TO OLD WORK - MECHANICAL PERMIT HOT WATER - BTU _J BTU LE55 RECEIPTED V~61UD UN NO7 li - i PERMIT FEE / I I_~gt co a oDD I Mraby ocknowledqe thot ih tion is wrreci ond understond fhaf I USE TAX - o 0- eonnof ftart Mis prolact unlil this opPli- ; $ 1 2,-/ y cotion is aDOroved. I sholl comply witn TOTAL FEE -0 15. & ihe lawf of fhe Stote o1 Colorado ond to ulations ond Buildinq R i APPROVED a'~"z eQ na ths Zon D Code of the City of Wheot Ridpe. Any violotion o! the obove terme will couae DISAPPROVE CHIEF BUILDIof Wheat Ridqe SPECTOR,City immediate rovocation ot ihia Dermil. CALL237-8944 EXT.255 24 HOURS IN ADVANCE FOR INSPECTIONS Oate Issued a►olieanb siamim. ~ SEJ►MLESS . g4e csym6o[ of -Quafify M & M Seamless Gutters 1383 Ben Nevis Avenue gr( Broomfield, CO 80020 (303) 466-4066 Gtjrr~ ~s > )020 J , ; , G~'- lti. 4 "'-f . ' c2 Ce'.:7 ~2.E ;.r2c~ ~ v ~ ~~;~:1-~C~.c-~ ; a / ~ L~J~ C~o /L~t i71lv~-lc" C, ~l ~J-k , 4o r ~ ~ G. ~