HomeMy WebLinkAbout4581 Reed Streeti CITY OF WHEAT RIDGE..
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Qffice • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: � -a – r--( [ .
Job Address:_
Permit Number:
L) No one available for inspection: Tin(ec A M
Re -Inspection required: Yes No
When corrections have been made, ;call fpr re-yispecti t 303-234-5933
Date
f
i CITY OF WHEAT RIDGE
Bultding Inspection ivision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fa
45>!> ?PIs) .
INSPECTION NOTICE
Inspection Type:
Job Address:ZV
'
Permit Number:J7�?
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: //"� Inspector:------ �r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201900642
PERMIT NO: 201900642 ISSUED: 04/09/2019
JOB ADDRESS: 4581 Reed St EXPIRES: 04/08/2020
JOB DESCRIPTION: Replace 80K BTUs, 96% gas furnace in basement; Replace 2.5 tons, 16 SEER AC
backyard on ground with hookup and 2 GFCIs
*** CONTACTS ***
OWNER (440)376-6975 RAMEY JAMES HARLAN III
SUB (303)798-8783 J. PATRICK QUINLAN 018464 COFFMAN/B & F HEATING & A/C
SUB (720)579-3017 John F. Gordon 018057 Modelco Electric Corp
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,390.00
FEES
Total Valuation 0.00
Permit Fee 204.30
** TOTAL ** 204.30
*** 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 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
Ibmy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thispermrt. I further 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 per
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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code o any ordinance or r, gulation 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.
KimberlyX rW/l Cook 1 (11r�
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, April 9, 2019 11:43 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
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 a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
4581 Reed St
Jim Ramey
440-376-6975
Field not completed.
4581 Reed St - CC Authorization Form.pdf
CONTRACTOR INFORMATION
Contractor Business Coffman/B&F Heating & AC Inc
Name
Contractor's License 18464
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-366-1112
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address pschmidt@coffmanco.com
Retype Contractor Email pschmidt@coffmanco.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 80,000
What is the efficiency 96%
(%) of the unit?
Is the unit GAS or Gas
ELECTRIC?
Where is the furnace or basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2572
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
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
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 Patricia J Schmidt
Permit
Email not displaying correctly? View it in your browser.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, April 9, 2019 11:47 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Categories: Kim
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
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 a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
4581 Reed St
Jim Ramey
440-376-6975
Field not completed.
4581 Reed St - CC Authorization Form.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Coffman/B&F Heating & AC Inc
18464
303-366-1112
Contractor Email Address pschmidt@coffmanco.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
pschmidt@coffmanco.com
What type of replacement Replacement Air Conditioner
unit are you installing?
How many tons is the 21/2
unit?
For AC - what is the 16
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located backyard on ground
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re- Yes
hook?
If electrical work is being Modelco Electric to do Furnace & AC Hookups, 2 GFCI's,
performed, you must License #18057
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Project Value (contract 6818
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
z
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 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.
Person Applying for Patricia J Schmidt
Permit
Email not displaying correctly? View it in your browser.
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: -7w//�
Job Address: S
Permit Number: 7
kvi--�'PA
❑ No one available for inspection: Time I A /P
Ile -Inspection required: YeNo fx-�e ,V
, re
When corrections have been made, call for re -inspection at 303-234-59
/ r
Date: ` ) Inspector:lml
DO NOT REMOVE THIS NOTICE
View Permit 201704110 Information
Parcel: 39-231-04-016 Address: 4581 Reed ST, Wheat Ridge, CO 80033-3521
Permit Parcel Notes Contacts Valuations Approvals Conditions Additional Required Inspections Receipts Parcel
p
& Fees Information Inspections Documents
Permit Inspections Master Maintenance
Main Maintenance Filters Sorts
Nol krpe I Requested I Inspected I Hours IB> IContI Status ICancellNotesl Address
On -Site No
Reed ST
Reed ST
Search For - -- Advanced r Go
Home Prev I Next I End
City of Wheat Ridge
fi Y Residential Roofing PERMIT - 201704110
PERMIT NO: 201704110 ISSUED: 07/15/2017
JOB ADDRESS: 4581 Reed ST EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 30
sq
*** CONTACTS ***
OWNER (440)376-6975 RAMEY JIM
SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
Total Valuation 0.00
Use Tax 315.00
Permit Fee 283.55
** TOTAL ** 598.55
-** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25•-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspec:tic:n
of elastomeric or similar type roof coverings, a letter of inspection and approval from t%.e
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.
t, 3("70�f1 C.
INSPECTION
RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 Sp ces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier --
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approva ` f The AbovelksiifictjW
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
YWJ�Sheathing Ll,,
Sewer Service
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.
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date
Inspector
Initials
Comments
YWJ�Sheathing Ll,,
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof 7
Floodplain Inspection (if applicable)
Lath /Wall Tie
Fire Inspection / Fire Protection Dist.
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. J
*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
i CITY OF WHEAT RIDGE f
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: Q
'FU
❑ No one available for inspection: Time
.' Re -Ins ection required: Yes No - AIN ,-Z .-
w _
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:..
DO NOT REMOVE THIS NOTICE
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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: IF F / 1
Job Address: ysg1 REE3 S-`
Permit Number: 2-0i70025 9
❑ No one available for inspection: Time `! /AMM
Re -Inspection required: Yeso�
Y.
*When corrections have been made,.c�ll for re -inspection at 303-234-5933
Date: 3`/L/-�I Inspector:-f-'e,t
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 201700299
PERMIT NO: 201700299 ISSUED: 02/28/2017
JOB ADDRESS: 4581 Reed ST EXPIRES: 02/28/2018
JOB DESCRIPTION: 200 amp overhead service
*** CONTACTS ***
OWNER RODENBERG KIMIE LIFE ESTATE
SUB (303)366-4975 Mike Martin 020206 JM Electric 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: 2,250.00
FEES
Total Valuation 0.00
Use Tax 40.50
Permit Fee 93.35
** TOTAL ** 133.85 0,0&, i jy
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. 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,
appltca le 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 pennrt. I further attest that I am le ally authorized to In Iudall 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 accompanyingplans 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.
1 If this permit expires, anew permit maybe required to l: 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 Budding Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief B'uWfUrTiciaT '-- 0 Date '
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
f)n )-inn )Qcl
—VJ 0 r �eeeA I - INSPECTION hECORD
oo (r (�1'� INSPECTION REQUEST LINE: (303) 234-5933
°ccu�an°v�,ve
Electrical
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Mid -Roof
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Lath /Wall Tie
Do Not Pour Concrete Prior To Annroval Of The Above Ingnpr_tinnc
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Landscaping & Parking / Planning Dept.
Sewer Service
ROW & Drainage / Public Works Dept.
9 P
Plumbing
Floodplain Inspection (if applicable)
uo Not cover unser round or tselow/In-slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Landscaping & Parking / Planning Dept.
Wall Sheathing
ROW & Drainage / Public Works Dept.
9 P
Floodplain Inspection (if applicable)
Mid -Roof
Fire Inspection / Fire Protection Dist.
Final Electrical
Lath /Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Final Window/Doors
Rough Mechanical
Final Building
Rough Framing
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.
Rough Grading
Insulation
Drywall Screw / Nail
City of Wheat Ridge
02/E6/2017 11:f0 CDBA
200 amo ove-head seT
CDA014601 AMOUNT
EPSP 4561 Reed ST 133.85
APPLIPERMIT NO: 201700299
PAYMENT RECEIVED AMOUNT
IM ; 4U'r. 5.90
Final Inspections
Date Inspector
Initials
UST/ 4165CODE' 0763161.00
Inspections from A / 4165 133.85
one week in adva AUTN CODE: 001035
TOTAL __ .... ------------133_85
inspections call 30 ---------------
inspections call 30
contact the Fire Pr.
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
9 P
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.
rvr ivw vvizage permns — riease oe sure tnat rougn inspections are completes Trom the rare uistnct ana electrical low voltage
:)y the Building Division.
"For Inspection Time Window Requests — Please email insptimerequest(cDci.wheatddge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of
0 Wheat ic1 -
1N4t1NIiY D[v[l.oi mt NT
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: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #C, � w dq C�
Plan Review Fee.
Building Permit Application
I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'
Property Address:
Property Owner
Property Owner
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer: �U /J n el 4e A /n,4,n
Architect/Engineer E-mail:pw hone: 30 3-31�'— y9 75y
Contractor:
Contractors City License #: '3L 7 7 Phone: 3)3- 3CC 5;,97r
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
1�
❑ 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.)
�
gp
Sq. Ft.ILFl Btu's
Amps Clt/ t/ Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
1 aa- !�
OWNER/CONTRACTOR SIGNATURE OU 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRC'LF. ONE• (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): tom^ DATE:
ZONING COMMMENTS.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: E
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
roooo"Op (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
'{P
Job Address: ~ j VAck 4;
Permit Number: LOV)73
e
❑ No one available for inspection: Time AM6
Re-Inspection required: Yes N~
L
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ 41
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
~JJ (303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type
Job Address/Permit Number:
s.
E-
e
J.
S s
❑ No one available for inspection: Time / AM40M)
k„ Re-Inspection required: Yes No
When corrections have been made, call f re-inspection at 303-234-5933
7~ / f
Date: 7r ' n' 't L3 Inspector: n F . Pe ~'z~R
DO NOT REMOVE THIS NOTICE
x.
oFW"E"r~ City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
O<ol:no° Inspection Line: 303-234-5933
Building Permit Application
masmgw- 4,5.61 kezd --,t
Property Owner (please print): yyLU ft Phone: 303-g-yo-oOc
Mailing Address: (if different than property address)
Address:
City, State, Zip: 00,9?0
-
Date: 1-1-09
Plan
Permit #:~t -Xp3
Contractor License Phone:
SOMMEM
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of s ace descri tion): Le,,igAd-) Construction Value: $ 9to 7J
(as calculated per the Building Valuation Data sheet)
J /1 2z Plan Review (due at time of submittal): $
6K au-t" LOZiurt_o? L,® ~c
Sq. Ft./L.Ftadded: Squ res °?r BTU's Gallons Amps
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 measurementsl•shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that.rassume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (/OWNER) C (CONTRACTOR) r PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: 'SIGNATURE: rye a ~J~• Date:
v T U
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911117052
237-6944 EXT. 255 P.O. BOx 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WNEN SIGNED BY THE CHIEF BUILDMG INSPECTOR AND RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PER IT
JOBADDRESS OWNER
CONTRACTOR ADORESS US~6/ (P cl
ADDRESS
CITY -
PN(1NF
ZIPCODE _
I I(:FNSF N()
PHONE ~ ~~y y ZIP CODE W"JJ
CONTRACTPRIC~E. 4S~I Sl, u r
DATE ~/~L
L TVPE Ground❑ Woll❑ Proiectinp❑ 01her SaDFaeo
MATERIAL Tolol SQUOn Fast
2
SIGNS
.
Pormit No
ILLUMINATION YsS❑ No❑ Typs Elect
3
.
.
.
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zono_ Approvad,ZOne Inspaefor
(SOetify which is troni) ❑ ❑ ❑ ❑ Disapprwed
1. TYPE Soli ~ Q Than 80% ODen~ L~~t Than BO% Open
MATERIAL Ce~r ~n fI ~/lo~nl ~Y Hoipht C*a" 1"X I/
FENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zm ppr om tropeefa
(SDSCity whieh iefront) ❑ ❑ ❑ ❑ DiaopDrovsd
II
.
2
OTHER
'
3
.
RAW SKETCH Oft SHOW BEIOW,THE FENCE,SIGN7 ,OR OTHER STRUCTURE, GIVIhu DIST4NCES FROM PROPERTV LINES.
(SET8ACN5 OR FROJECTIONS INCLUDED)
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6' NiSS C'e
3v,`L~ns Clx.N L~•~~
ii*ncc
SNOW DISTANCES FROM TIIE MAIN BUILDING T6ADJOINING MOUSES, STREETS, AND PROPERTY lINES; ON IRREGULAH LOTS. SHOW LEAST
DISTANCE TO PROPERTY IINES,NOT MAXIMUM OR pVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS fROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNOERS2EBIl.LEGAL
fL00R
BSM
IST
2ND
3RD
4TH
N0.
FLELCncIeOroCwiOllPropone ENeSola
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WATER CIASET
FORCEDAIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - 8TU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUI7S
WATER MEATER
Retri eront Group
UTIUTY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Pounds CAar e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRl+NSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FI%TURES
.
,
~ .
I hareby ecknowlsdpe thot tnia o00liC0-
tion u cmrect ond undersiand thot I
cunnol ltart tAis DrOjtlct until thib oDDli-
oation is ap0raved. I sholl comply with
the lowa oi the Stote of Colorodo and to
the Zoninp Repulalions and Buildinq
Lode ofthe City ot Wneoi Ridqe, Any
violation ol the above terme will couse
immediate revocation of t b permlt
/1 c'"'~-.
~OCiicanb 9i0nelw•
PERMIT FEE S - Cl-e)
usE Tax .3. p ;I-
TOTAL FEE
CHIEF BUiLDW)9/INSPECTOR,City of Wheat Ridqe
Date IssuPd / ~/7K
N Tp VALiD UNlE55 RELEIPTED
~z-
1_(1 (r
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
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isI. 07
A City of Wheat Ridge
Residential Roofing PERMIT - 201704110
PERMIT NO: 201704110 ISSUED: 07/15/2017
JOB ADDRESS: 4581 Reed ST EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 30
sq
*** CONTACTS ***
OWNER (440)376-6975 RAMEY JIM
SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
Total Valuation 0.00 i'
Use Tax 315.00 -- -
Permit Fee 283.55
** TOTAL ** 598.55
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704110
201704110 ISSUED: 07/15/2017
4581 Reed ST EXPIRES: 07/15/2018
Residential Re—roof to install GAF asphalt shingles with ROOF DECKING — 30
sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and tha ll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
1-7
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or re tion 4hi 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.
Dane Lovett
From: no-reply@ci.wheatri dge.co.us
Sent: Thursday, July 6, 2017 3:08 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received 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 4581 Reed St
Property Owner Name Jim Ramey
Property Owner Phone 440-376-6975
Number
Property Owner Email formularoofing1 @gmail.com
Address
C1'
Z
c,
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Formula Roofing
Contractor's License
Denver
Number (for the City of
Wheat Ridge)
Contractor Phone
3036008696
Number
Contractor Email Address
formularoofing1 @gmail.com
Retype Contractor Email
formularoofingl @gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes /
roof?
Description of Roofing
GAF Shingles
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
30
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
/
30 /
roofing material for this
l
project
Provide additional detail
4/12 Pitch
here on the description of
PEI
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract C1500)O
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Dominick Orrino
Email not displaying correctly? View it in your browser.
3
5q 'SIsS5 AGREEMENT
00
4560 Columbine 5t.
Denver, ED 80216
FORMULA 303.600.8696
ROOFING a REMODELING FAX 303.600.8654 W-1
Building So/u?ons for Colorado
Customer Name: Jim Ramey Rep: Miles Okus
Address: 4581 Reed St.
Customer Phone:440-376-6975 Ph#2
u 06-1579-9K5
Adjuster Name: ROSe JaCnbS
Adjuster Phone: 866-787-8676 ext 1528
Customer
Shingle Manufacturer: GAE
Style of Shingles: Tomherline HD
Color of Shingles
Number of Squares:
Tear off # of layers: 1 Felt
Install Felt:
Replace Plumbing Jack: All
Replace Roof Vents:
Ice and Water ShieldEaves. Valleys
Nailing Pattern: 6 nails per shingle
Drip Edge: El Ill peremeter
Appropriate County/City Code Requirements
Clean-up and haul off all trash from roof
Roll yard and driveway with magnetic roller
Clean gutters of roofing debris
Formula R & R will furnish all material &labor
Permit pulled by Formula R & R
All new roofs guaranteed for 5 years
All repairs guaranteed for 90 days.
Additional Warranty:
GAF System Plus Warranty
Y
Homeowner
All Items listed below are covered by Insurance:
R&R batt insulation 4"- R11 unfaced batt
NXIINCIMUS
Email: milesokus@yahoo.com
Pitch: 3.5/12-4/12
Stories:1
Trailer
Access: Yes
Adjuster Email.: statefarmhreclaims@statefarm.com
Initials Formula Roofing &Remodeling will perform all repairs as outlined and approved
by the Homeowner's insurance company, including supplements.
GuttersR&R all gutter runs and downspouts paid for by SF, color is White 30
Windows Reglaze 2 1-9sf windows on West, Reglaze 110-16sf window on West
Screens/Glazing Bead
Paint Clean, prime and paint bedroom 124sf, Paint 3 window openings 2 coats
Fence/Deck NIA
Siding NZA
Additional Comments:
R&R garage exterior door metal insulated standard grade, paint door slab 2 coats
Customer By signing this contract 1, the property owner, agree to the above listed work being completed
Initials as outlined.
Insurance Claim: By signing this contract 1 do hereby give Limited Power of Attorney to Fomtula
Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing
& Remodeling on my behalf with any and all dealings regardingthe current claim listed in this contract.
Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full.
Formula Roofing & Remodeling will bill my insurance company for all work, including code required
work necessary, which, in most cases, is payable by my insurance company. 1, the insured, will not be
responsible for any monies not paid by the insurance company except for the deductible and optional
upgrades fisted on contract, unless notification is made prior to work being completed, or in
cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are
required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request
the final inspection with the appropriate City/County Authority. Formula Roofing & Remodeling will perform
any and all supplemental work approved by the property owner's insurance company. Any additional funds
Customer allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling
Initials once the work has been completed and funds have been released.
❑THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF
THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT.
Contractor shall hold in trust any payment received from Owner until Contractor has delivered
roofing materials to the site or has performed a majority of the roofing work on the property,
whichever occurs first.
Deposit Received: $ Prior to work
Approximate date of service commencement: Pending
Insurance claims proceeds: Owner to remit ACV insurance payment no later than date of
service commencement.
Final payment due upon completion of scope of work as agreed upon, receipt of insurance
proceeds (if applicable) and/or approval of building department final inspection.
Upon signing of the contract the owner reserves the right to a three day rescission period. If the
contract is canceled after that three day period, customer will pay 25% of contract price.
Customer Signature:
Customer Signature:
Date:
Date:
Total Cost: $ 15,575.66 Formula Representative: Date:
Excluding permit and code requirements