HomeMy WebLinkAbout3000 Ward CourtThe City of Wheat Ridge
Third Party Form Check List
Property Address
Permit Number c�21Qv9- 9-A�
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Addressv��-``P
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth
Inspector Contact info. 720-940-1180 KStanforthCBCa_gmail.com
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to bein c mpliance with the minimum requirements of the 2012
IRC and 2012 IBC as wel a h City of Wheat Ridge Policies and Procedures and
manufacturer're�m ati ns and specifications.
Inspectors_ ,� T "o Date: //-
rroperty towner Statement of Acknowledgement
*1 hereby acknowled ' t l am the-Dwner-of the_-uilding referenced above and I give
my consent for the listed t` td=party inspection company to perform my roof inspection
in lieu of the City of'Wheat $uilding Division in p4ctio.
Property Owner/Agent: �`' ate:
This original document, as well as the roofing checklist, Must be submitted to the Chief
Building Official within�"even days of the..finaf-inspection.
Drop off in person
Permit Counter 2nd Floor
7500 W. 291h Ave
Wheat Ridge, CO 80033
CBC Wheat Ridge Roof Inspection Packet
Submit via Email
KcookC@_ci.wheatrid_qe.co.us
Page 2 of
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Roof Inspection
❑ N/A
Pass
❑
Fail
Structural roof components
❑ N/A
Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
N/A
Pass
❑ Pass
❑
❑
Fail
Fail
Flashing for roof and walls
If new sheathing is installed, verify that it is listed in the permit
description (Valuation must be adjusted)
N/A
❑ Pass
❑
Fail
Verify sheathing nail pattern (see Policy and Procedures)
XC N/A
❑ Pass
❑
Fail
Crickets and saddles where needed
❑ N/A
Pass
❑
Fail
Verify vent must have boot same gauge as pipe
❑ N/A
r Pass
❑
Fail
Verify vent caps
❑ N/A
��/v Pass
❑
Fail
Verify no flashings are damaged or rusted
❑ N/A
�j Pass
❑
Fail
Step flashing shall be min. of 4x4 piece per shingle
❑ N/A
j Pass
❑
Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
❑ N/A
Pass
❑
Fail
Verify roof slope for proper damage
❑ N/A
Pass
❑
Fail
Dripedge shall have min. of 2" overlap
❑ N/A
Pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
❑ N/A
Pass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
XN/A
❑ Pass
❑
Fail
90 LB roof roofing shall not be applied to roof slopes less than
2:12 slope. Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
N/A
❑ Pass
❑
Fail
Above roof insulation R-25
N/A
❑ Pass
❑
Fail
Below roof residential R-38
N/A
❑ Pass
❑
Fail
Below roof commercial R-32
N/A
❑ Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's specifications.
Must have manufacturer's letter of warranty with the address
on the letter for final inspection
Metal Roof Shingles
Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
�N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of
6
Company Name
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
CertifieckBuildin
onsultants
WTI 0519-
CBC Wheat Ridge Roof Inspection Packet Page 4 of
6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
❑ N/A Pass ❑ Fail Structural roof components
❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist
❑ N/A Pass ❑ Fail Flashing for roof and walls
❑ N/A Pass ❑ Fail Structural roof components
N/A ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
AN/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy and Procedures)
XN/A ❑ Pass ❑ Fail Crickets and saddles where needed
E] N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe
❑ N/A Pass ❑ Fail Verify vent caps
❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted
❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle
❑ N/A Pass ❑ Fail Verify scuppers allow for proper drainage
❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces
❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC
❑ N/A >�J Pass ❑ Fail Verify roof slope for proper drainage
❑ N/A / Pass ❑ Fail Dripedge shall have min. 2" of overlap
❑ N/A Pass ❑ Fail Dripedge should extend down min. 2" past roof deck
❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC
N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than
2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
j N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
1� N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of
6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 6 of
6
City of Wheat Ridge
Residential Roofing PERMIT - 201802986
PERMIT NO: 201802986 ISSUED: 11/13/2018
JOB ADDRESS: 3000 Ward Ct EXPIRES: 11/13/2019
JOB DESCRIPTION: Reroof with OC asphalt shingles; 6/12 pitch; 40 squares
*** CONTACTS ***
OWNER (720)646-4983 MAYNARD DORINA J
SUB (402)714-9903 Mike Papillon 70655 Midwest Homes LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,500.00
FEES
Total Valuation 0.00
Use Tax 430.50
Permit Fee 378.65
** TOTAL ** 809.15
*** 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% 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% 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 - 201802986
PERMIT NO: 201802986 ISSUED: 11/13/2018
JOB ADDRESS: 3000 Ward Ct EXPIRES: 11/13/2019
JOB DESCRIPTION: Reroof with OC asphalt shingles; 6/12 pitch; 40 squares
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 1, the legal owner or have been authorjzed
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
is permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
e ormed an�,t�iat all work to be p rtormed is disclosed in this document and/or its' accompanying approved plans and specifications.
nature of OWNE,r CONTRACTOR Circle one) Date
1. This permit was issuted b e?� 1 . ationprovided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original�ppermit 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 Budding 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 ordina ce or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Rief UD
g O ficial Date
REQUESTS MUST BEBY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0 Kimberly Cook �
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, November 13, 2018 7:23 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Kim
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. The Building Division permit counter is open from
7:30 am to 3:30 pm, 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? � P 5 Jb YCNk,,J
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3000 ward ct wheatridge, co 80215 CI IS
Property Owner Name dorina maynard
Property Owner Phone 720-646-4983
Number (enter WITH
dashes, eg 303-123-4567)
11
Is adv�
)
�CI�1. IS
Property Owner Email
d16maynard@comcast.net
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
MAYNARD CONTRACT.ipeg
Contract
CONTRACTOR INFORMATION
Contractor Business
Midwest Homes, LLC
Name
Contractor's License
70655
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
402-714-9903
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
4960 Fenton Ave Denver, CO 80212
(Primary address of your
business)
Contractor Email Address
mike@midwesthomescompany.com
Retype Contractor Email
mike@midwesthomescompany.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
40
the entire scope of work:
Project Value (contract
20,500
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
01
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.
6/12
40
OWENS CORNING ASPHALT SHINGLES
Asphalt
Provide any additional Remove and Replace Asphalt shingles 1 layer
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
Yes
Yes
Yes
Yes
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.
Person Applying for JOE OCONNOR
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201706181
PERMIT NO: 201706181 ISSUED: 08/16/2017
JOB ADDRESS: 3000 Ward CT EXPIRES: 08/16/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 27 sq
*** CONTACTS ***
OWNER (720)646-4983 MAYNARD DORINA J
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,600.00
FEES
Total Valuation 0.00
Use Tax 264.60
Permit Fee 251.85
** TOTAL ** 516.45
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201706181
PERMIT NO: 201706181 ISSUED: 08/16/2017
JOB ADDRESS: 3000 Ward CT EXPIRES: 08/16/2018
JOB DESCRIPTION: Residential Re—roof to install asphalt shingles — 27 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 permri�t.II further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed _ d that all work to b'76
p ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
9_i-Qn/t7
Signature of OWNER or AONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accornpanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the original ermit 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, any violation of any provision of any
applicable cgde kr any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
40
Mls�r9yo ARS -Eli
Customer Name Donna
Address 3000 Ward Ct
r:ew w. CiAAR oa surterac Top 1% of roofing contractors I
IANEWOUD,ttl Rozza �.m ��
EMONCPODh-00r5iANaatlaM rb'RRR{r `;� : -f J _' J "JI B
EMAIL: MtlNARCMto ".G,00.
W W W.MONAR[MROMi1N4tRM j � i ( r•�R,ylYrifil•
Maynard .lob #
Wheat Ridge CO 80215
Phone 7206464983 Aft. Phone
Email Dmaynard16@comcast.net
Insurance Company
Ins.Policy #
Claim #
Monarch Construction & Roofing, LLC will be referred to in this contract as Monarch. The scope of work and materials identified below are the scope of work recommended by Monarch
Construction & Roofing; Monarch is not obligated to perform any part of the scope ofwork that is not approved by the insurance company unless you authorize the work and agree to pay
for this additional work. /t�
Shingle Manufacture0(,' ce
Tv:Duration ColorUndecided Int.YV' `
X Tear off all existing layers (L—layers) ❑ Tear off one layer of wood shake shingles
X Install Decking (7/16° OSB) sheets of OSB are included, each additional sheet will be $65 per sheet
Install New Undedayment
151b. _301b. X Synth.^
X Install Pre -Painted metals to code Brown Charcoal Tan Gray White OtherBlack
Int—
X Valley(s) will be closed with ice & water shield ❑ Valley(s) will be open
X Ridge (s) to be color -coordinated with shingle
_ Ridge(s) to be High -Profile and color -coordinated with shingle
X Install new pipe jacks
X Replace vents as needed
X Re -flash chimney(s) and all wall abutment as needed
X Install Ridge Vent _LF
X Install Ice & Water shield per code, as well as all vents and skylights
X Install 4-6 nails per shingle as required by city/county codes.
NA
Satellitel Dish Alignment (each customer will need to contact the provider to re -align dish after roof installation)
Int.
X Final Inspections will be completed as city/counties allows, I have read the back of contract # 23
Intwn�
X 5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr. workmanship warranty
_ Extended Warranty Per Sq. $ Circle: Owens Coming Platinum GAF
Other:
X Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,000 general aggregate
X Perform magnetic sweep of driveway and yard for removal of any nails
X Remove all trash and debris from work listed
X Gutters LF Size: 5 -inch or 64nch Color. Int
Replace Gutter Screens Type:
—Insurance funds include Mortgage Company —Yes X No (If yes please complete the third party authorization form) Int
Special Instructions
The approximate cost of the services based on damages known at the time this contract is entered is a determined by
insurance. Monarch will perform the scope of work approved by the insurance company. Monarch will supplement for items priced low, not included or items needed to pass city/county
codes, which may increase initial dollar amount that insurance is paying out Supplemental claims billed by Monarch that are approved by the insurance company for additional work or
increases in costs become a pad ofthis contract. The final scope and price agreed on between the insurance company and Monarch shall become the final contract price forthe insurance
approved scope. Customer will be responsible to pay for any upgrades; deductible, non-recoverable deprecation or additional work authorized by the customer that the
insurance company determines is not covered within the scope of coverage provided by your insurance policy.
Approximate Dates of Service: these dates of service are subject to change due to unusual delays in transportation of materials,
payment delays, insurance approval, ordinary weather delays, or by any other causes beyond reasonable control of Monarch. Monarch will provide communication to customer
to show tentative dates.
Notice: If the property owner plans to use proceeds of a property and casualty insurance policy issued pursuant to part 1 of article 4:10, C.R.S., to pay for the roofing work, pursuant to
section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, wane, or rebate all or pad of any insurance deductible applicable to the insurance claim for payment
on the covered residential property.
I(we) hereby authorize & instruct the insurance company & lien holders to include the name of Monarch Construction & Roofing LLC as co -payee on any subsequent loss draft or checks
after todays date as indicated above. I (we) authorize any legal representative and/or agent of Monarch Construction to obtain information necessary to complete any funding process
relative to the claim number referenced above. I (we) further authorize Monarch to pickup in person any loss drafts or checks on my/our behalf and behalf of Monarch.
c:7\fa/
Deposit Amount: $ Date: 7/6/20174:11:11 PM ReD. InitialsL-~
Monarch Construction &Rodng LLC shall hold in trust any payment from the property owner unfit Monarch Construction & Roofing LLC has delivered roofing materials at the residential properly site or has performed
a malonty of the roofing work on the property.
I (we) agree, by signing below, to all the contract conditions, both front and back of this agreement.
Date ofAoceptance:7/6/2017 4:11:13 PM
Customer Signature(s):"A"ll-p
Monarch Representative: Evan Kelley
Customer Signature:
IIYIA W.(:EDAP O0.5UITEIM Top 1% of roofing contractors 0
1
LAKfWOOD, f.08031N
? ! r] `` .r
J I J ' J I JJl BBB
PNONE:Il03�19113A5 fA%:�]03N14EPf1 �. �
�' EMAIL: MDXAPI:HI.OgOMAILfOM
WWN'.MONAPLHPOOlINL.LOM
(11\�I NI 1'IIOXR NUUII\(:IJ.1. ----
Notice
THIS CONTRACT IS BETWEEN MONARCH CONSTRUCTION
("THE COMPANY") AND THE CUSTOMER(S) (THE "CUSTOMER")
WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS
AND ORDINANCES, AND THE FLOOWING SPECIAL TERMS AND
CONDITIONS:
1. This contract and pricing is subject to the approval of the
company's management without exception.
2. All checks for payment must be made payable to
MONARCH CONSTRUCTION & ROOFING, there will be no
exceptions. Customer will still be liable to Monarch
Construction for payment of this contract if check is made
out to any other entity or person.
3. If any provision of this agreement should be held to be
invalid or unenforceable, the validity and enforceability of the
remaining provisions of this agreement shall not be affected.
4. The customer agrees that the equity in this property is
security for the contract.
5. The company shall not be liable for the failure of
performance due to labor controversies, strikes, fire,
weather, and inability to obtain material from usual sources,
acts of god, war, or any other circumstances beyond the
control of the company.
6. If the customer defaults in payment of this contract, charges
shall be added from the date of the default rate of one and
one half percent per month (18% per annum) with a
minimum charge of $2.00 per month. If placed in the hands
of an attorney for collection, company shall be entitled to
collect all attorney's fees, legal filing fees, and cost
expended in enforcing the collection of any charges payable
under the contract.
7. You may cancel the contract and obtain a full refund of any
deposit within seventy-two hours after entering the contract.
In addition, you may rescind a roofing contract pursuant to
C.R.S. 6-22-104.
8. If this contract is cancelled by the customer later than
seventy-two hours from receipt of the written notice
identified in 6-22-104, the customer shall pay the company
twenty five percent of the contract price as consulting
services rendered or liquidated fees. The company agrees
this amount is a reasonable and just compensation for
cancellation and the efforts that the company expended in
the insurance approval process.
9. If material is reordered or restocked because of cancellation
by the customer other than permitted by 6-22-104, the
company will charge a restocking fee equal to twenty five
percent (259/6) of the contract price.
10. The contract does not include the replacement of
deteriorated decking, roofjacks, ventilators, flashing or other
materials unless included in the contract, work required will
then been charged on a time and material basis.
11. The company's limited workmanship warranty 5 yrs. covers
the labor to correct problems with the installation of the roof.
The warranty does not cover damage to roofs caused by
lighting, gale 50mph winds, hurricane, tornado, hail storm,
impact of foreign objects, war, or damage to roofs due to
settlement, distortion, failure or cracking of the roof deck,
walls or the foundation of a building. All other construction
warranties besides roofing are 1 yr. The company will
provide you with a written warranty upon receipt and
verification of your payment in full for this agreement.
12. The company is not responsible for any damage below the
roof due to leaks caused by excessive wind over 50mph, ice
damage or hail during the period of the warranty.
13. The company is not liable for any structural movement of the
foundation or walls, settling, cracks in drywall, cracking, and
breaking of the driveway during the roofing or loading
processes, oil droplets in driveway, minor scratching or
denting of rain gutters, damage to flowers, minor broken
branches on plants or shrubbery.
14. All pictures, wall hangings, lights, and collectibles both
indoors and outdoors MUST be secured by homeowner. Any
damage to personal items during installation will not be the
responsibility of the company. The company will also not be
responsible for nail damage to people, animals, tires, pets,
or property during installation. Pets should not be left
unattended during the installation.
15. Any alteration or deviation from the scope of work involving
extra cost will be executed only upon customer approval,
and will become an extra charge over and above the
estimate.
16. This contract and labor warranty shall not be transferable
unless specified in writing.
17. The customer will not receive a labor, material, or
manufacturer warranty if the contract is not paid in full.
18. Any discounts, sign allowance, referral fees, etc. will be
revoked if account is past due or contract is cancelled.
19. This contract constitutes the entire understanding of the
parties, and no other understanding, collateral or otherwise,
shall be binding unless in writing signed by both parties.
20. This agreement is composed of front and back page
materials incorporated herein by reference and shall be
considered the entire agreement by the parties. Any
representation, statements, or other communications not
written in this contract are agreed to be immaterial, and not
relied on by either party, and do not survive he execution of
this contract.
21. All excess materials belong to the company.
22. The customer has sole responsibility to provide safe-
keeping areas for pets. Company shall not be responsible
for gates left open during or after company's work.
23. The final full payment shall not be delayed while waiting
for the city, county or other building inspection
department to inspect the work.
24. Customer acknowledges company is as a general contractor
and as such will be entitled to 10% profit and 10% overhead
if approved by insurance company as part of the claim.
25. Customer is solely responsible for homeowners association
(covenant approval) of roofing products and colors.
26. Company is not responsible for satellite dish realignment.
27. The company reserves the right to cancel this contract at
any time at which time all outstanding invoices are due for
all completed portions of work.
28. Company's insurer is Colorado Insurance Benefits, 6635 S
Dayton St #320, Greenwood Village, CO 80111 Phone #
303-649-9141
Please make all checks payable to Monarch
Construction & Roofing. Credit cards incur a 2% fee
conveniencelservice fee.
Dan Schultz
2 0 1-7061 N
From:
no-reply@ci.wheatridge.co.us
C
Sent:
Monday, August 14, 2017 12:00 PM
o
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
�1
Follow Up Flag:
Follow up
S
Flag Status:
Completed
Categories:
Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
1
How many dwelling units Single Family Home n
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
3000 wa d ct
dorina maynard
101
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
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
7206464983
Field not completed.
Yes
Roofing Contract 100729 20170706201155114.pdf
CONTRACTOR INFORMATION
Contractor Business
monarch construction
Name
Contractor's License
100243
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)
Contractor Address
(Primary address of your
business)
303-981-1265
5300 broadway denver 80216
Contractor Email Address permits@monarchroofs.com
Retype Contractor Email permits@monarchroofs.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 27
the entire scope of work:
Project Value (contract12600
value or cost of ALL
materials and labor)
102
Are you re -decking the
roof?
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No /
No
Yes
27
27
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
103
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.
Name of Applicant lowrie
Email not displaying correctly? View it in your browser.
104
w City of
h6a dge
c a r DEVELOPMENT
m
# . •
aLoga J a L 7,7.- --.
Pj��� (please print): LaL11.1A MA-f 0
Phone
mm
Address:
City, State, Zip:
EMU=
WrTm MW
M=
EME=
ME=
lzi M M
~~v. t~. ~ r. v .'..~r' ~ ' ~ • - ' . ~ .Y' i."~ x . ..i.or.e
y~• Gity of Wheat Ridge
~ Residential Mechanic PERMIT - 080490
PER IT NO: 080490 ISSUED: .05/20/2008~
JQB ADDRESS: 3000 WARD CT EXPIRES: 11/16/2008~
DES RIPTIONt Replace water heater-40 gallongas
CONTACTS ~ ~ . ~ . . .
owne~r 303/202-6447 ~ Dorina Maynard
gc 303/534-.0861 ~ Gary Kenfield 01-7152 Preciae.Plumbing
~ ARCEL INFO . . . . : . . ~ . .
ZO ~ COpEL UA USE: UA ~ ~ . . ~ . ~
SUBIVS520N:0705 BLOCK/LOT#: 0/.
EE SUMMARY ESTIMATED PROJECT VALUATION: ~9700
Pe it Fee 50.40~
FEES ~ izwL:s .
To F lValuation .00 r. OTAL 50.40
I h reby'certify thatthe ee[back dietancea propoeed by thie pexmit application are accurate, and do not violate applicable
ord'nanc4e, rulee or regulatione oFthe City of wheat Ridga or covenanta, eaeemente oz reetsictione of recoYd;etiat ell
mea Urtmente shown, and allegatlone made are accurate; Chat I have read and agree to ablde by all conditione printed on thie
app SCdtion and that S.aeeume.full seeponeibility foY wmpliance With the Wheat Ridge Building COde (T.B.C) and a11.otRer
app ica6Se wheat Ridge Ordinancee,for work under this permit. Plane eubject to field inepection. .
Sig ture of contractor/ownez date . 1. iepermit waedseued in accoxdance with the proviaione eet for[h in your application artd is eubject to the lawe of the
[atebf Colorado and to the Zoning Regulatrona and Huilding Codee of Wheat Ridge, Colotado or any other applicable
rdinancea of tne Gity.: . 2_. hle,permit ahallexpire 180 ,daye fran the ieeue date. Requeetefor an ezteneion mus[ be recelved prior to erzpiration
ate.An ezteneSOnmay be granted at the diecretion of the suilding Official. 3. fthle permit expisea, a newpexmit may be acquired for a fee of one-half Che amount normally required,provided.no
hanges tiaye been pi will be made Sn the original plane and apecificatione and any auepeneion or abandonment hae not
xceededone (l) year: If changee have been or if auepeneion oz abandonment exceeds one (l) year, full feee ehall e paid for a new permit. . . .
4. orrolk of any manner.shall be done thatwill change the natural flow of water cauaing a dzainage problem. 5. ontraetor ehall notify the Building Inapector twenty-four (24) houzs Sn advance for all inepections and shallteceive .
ritteA approval oninegection cardbefore.pmceeding with aucceeeive phaeee of the job. .
6. e.ieauance of a pezmit..or the approval of drawinge andapecificatione ehall not be conetrued to be a pezmi[.for, nor
n apgroval of, y ation of the. provieiona of the building codes or any other ordinance,law,. rule or regulation. 11 plan rev w' jectto field inepeCtione. . SSqn ture'of~C eE~ i2ding official date .IN3 8CT20~ 3~&QLTBST LIN&: (303)234-5933 BUZLDING OFFICE: (303)235-2855-REQ ST$-MUSTBE MADEBY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WE5T 29TH AVENiJE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~~OIV
Property Owner:
PropertyAddress: _y nc~o Z-
Contractor License No.: / '7 / S 3~
.Z/ G
O WNER/CONTRACTOR SIGNpTURE pg TINDERSTANDING AND pGR&&M&IVT
I hearby cettify that the satback dietnnyy proposed by }his peimit npplioation ere
accurate, and do na violate applicable ordinancu, nilee or rogulationy of the City
of Whext Ridge or covennnty, emnmmty or rafrictions of record; that af(
measuremaAS shown, end allegations made are accurnte; 1hpt I luve rend md
agree to abide by all wnditions pri¢ted on this applioatione end t6at I asaume (yll
rosponsibility for complianoe with the Wheet Ridge Building Code (U.B.C) aM
all other appficable Whnat Ridge Ordinences, for work undar tliln pemtit
(owrm.nvcoxrnacrox), starrIO ~~Ars
Phone: 2,.ac,;~_Eyy7
Phone: S3 V- O rS' R-/
ee:e:
7To ue: 6So
g..- tal: SO. y~
Description:
"iA L/-rs^
Elecuical License No:
Company:
Expiratron Date:
Plumbing License No:
Company:
Expiration Date:
Mechanical License No:
Company:
Expiration Date:
Th° Pm^«'n'ds umed in acw[dmee wifh Ne qovieions eet fotth in your eppliutiat end ii rvbject W the lewi o( the 34W ot ColareAo and b the Zoning
Regulatiwu md Btild'vig Code of Wheet Aidge, ColpiWO or my other app7leebla ordinanew oCthe Ciry,
(z) STis peimit shall expua if (A) the wooilc eutMriiad y mt cummenDW wythin (60) yys from iaeue dste or (g) the building suNorized is auspended or
abendoned Cor a paiod af 120 deys.
(3) If @us pmait wepuw, e new pmnit may be scquiced fot e fee of ono-lulf the unount aounslly required, pcwided m chengy yva 6een or wi116e mede in
the onginei pluu end speeifiytiw and ury wpmdon oc ebeodwment hu not azceeded pne (1) Ym. Y chui8w luve been or if eufpension or sbendonment
axceeds one (1) yeu, fiil7 fees ilW I be pud fot a mw pmnic
(4) No urork of ury maneer ahail be dom t}e[ wj)t cMupe the mnvLL pow of wat¢ causing a dninege problem.
(5) Contactor ilv1I npti[y the pujlypg lopww tµ,mry_four (24) houn in aMMCe foi all impatiotu md "l receive wntten epprwal on irixpalion cazd before
proceeding with succeuive phum of thejob.
(6) 7Le ismmce af a peanit a the eppmvel of dnvrings vid speciftcetlons, thell nat be cauttued U 6e e pemtit fw, not m spprovel of, my violation of the
provisiona of the btilding codm or my othu ordimmq Iew, iule oc regWe4on.
Chief Building Inspector
3 r q, .c.,, . . . .
DEPARTMENT OF PLANNING AND DEVELOPMENT
- BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 3000 WARD CT Phone : 2026447
Contractor License No. : 19605
Company : Jim M Heating & Cooling, Inc. Phone : 798 0500
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are accurete,
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 accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ritlge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Use:
Description : Gas insert for fireplace, Majestic Bay
Building Permit Number : 7966
Date : 10/14/98
Construction Value :
$595.00
Permit Fee :
$24.75
Plan Review Fee :
$0.00
Use Tax :
$8.93
Total:
$33.68
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This parmR was issued in accordance with the provisions set forth in yopur application antl is subject to the laws of the State oF Coloratlo and lo the Zoning Regulations antl Building Code of Wheat Ridge, Coloredo or any other appliwble ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixry (60) days from issue date or (B) the building authorized is suspentletl or
abandoned for a periotl of 120 tlays.
(3) If ihis permit expires, a new permi[ may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceetletl one (p year. If changes are made or if suspension or abantlonmen[
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No woAc of any manner shall be tlone that will change the natural flow of water causing a tlreinage problem.
(5) Contractor shall natiry ihe Builtling Inspector Iwenry-four (24) hours in atlvance for all inspections and shall receive wdtlen approval on inspection card before
proceetliing with successive phases ot the job.
(8) The issuance of a permil or the approval of tlrewings and specifcations shall not be construed to be a permit for, nor an approval of, any viola6on of the provisions
of the builtling codes ot any other ortlinance, law, rule or regulation.
n w n rc., rA (
Chief Buildi Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date : I Q/j4/99
Property Owner: B6 B ~ 10 e1 W4 yvtQ-K,'
Property Address : 3000 uJ~
: CompanY : 'Jriwi M. Phone:2oZ= 6447
Contractor License No. : I Q'(p0$
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :
I hereby certify that the setbaGc distances proposed by this permil application are accurete, PBfmit Fe8 :
and do not violate applicable ordinances, rules or re9ulations of the Cdy of Wheat Ridge or
wvenants, easements or restridions of record; that all measurements shown, and allegations US8 TaX :
made are accurate; that I have read and a9ree lo abide by all conditions printed on this
application, and that I assume full responsibil' for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheadge inanc s, fo rk under this pertnit. Tot81 : plj (OWNER)(CONTRACTOR) SIGNED o" ATE a i4 Q~ U56 :
DescriPtion : F iace~ - cn4 HnA~~S~+o
s.~~s~- C ~
Approval:
Zoning :
Em.la.mmg.mmmm
Approval:
P_QH7("Q.W bt1KN~~
Approvat:
Occupancy : Walls
Electrical License No :
Company :
Expiration Date :
Approval:
BUILDING DEPARTMENT USE ONLY
59 o0
$0.00
SIC : Sq. FL :
Rooi : Stories : Residential Units :
Plumbing License No : Mechanicai License No :/IV0 S
Company : Company : J, ~ A4 ~j g°%'3
Expiration Date : Expiration Date :
Approval: Approval:
(1) 7Tis permd was issued In accadance wiN Ure Orovisions sellorN in yopur appliwEan anE is suCjea to Ihe laws of the Slate ol Cobr+do aiM to Ne Zoninq
Regulations arW Buildiny Code o( VJheat Ridge, Colo2tlo a any oUer applicaEle ordinances of the Ciry.
(2) This pertnR shall expire A(A) the vrork atMOnzed u nol commencMwithi^ s'MY (60) Oays hom luue Oate w(8) Uhe buildinp auNaized is suspendeC or
abarMOned lu a pedod ot 720 days.
(3) If this permil expires, a neva permR maY be ecquired la a fee ol wne-haH the amount nomnaly repuiretl. Drovi0e0 no changes have bcen a will be rtade in the
original pla'u an0 spea(raUons and anry suspension or aDarMOnmenl has not excee0ed one (1) year. II chafges are rtu0e w d suspension a abanEmment
ezceeds orie (i) year, iull fees shall be paitl for a new pem+d.
(4) No work ol any manner s0a11 6e dooe that vrill change the naWral 11ow ot waler rauzing a tl2inage prohlem.
(5) Controclw shall notily the Buildlny Inspector twenry-lour (24) hours in aWarke for all inspectiom aM sha11 receive written approval on inspeclion oM Detae
procecCiing wiTh suaessive phaxs ol the Iob.
(6) iTe issuaMe o/ a pemN u the approval o( drawings and spedfiwtions shall rol be conswed m Oe a pemiil la, nor an approval ol, arry vbWlion ol the provisbns
. ol the buiWinq mCes tt any oNer orEmance. Ww, nde or repulauon.
Chief Building Inspector
Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
L'CRAR7hSEiJT OF COMMUNiTY UEVELOPMENT N''fJef Z'
7500 WESr 29tn AvENUE 6UILDWG INSPECTION DIVISION PERMIT N0 32- 7j5_
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID QNLY WHEN SiGNEO BY TNE CHIE.F BUiLDING INSPECTOR ANC RECEIP7ED BELOW.
I A-PPLICATION FOR MISCELLANEOUS P RMIT n 7JOB AODRESS 3000 OWNER ~ l9 Uf K e
CONTRACTOR L, p
ADDRESS200. ~a.r CC C ~
ADDRESS 7y CJ U 7 -I ~I v e PHONE 73 7 ZIP CODE
CITY 1"i1 hPa~-r ,C~ ZIP CODE 9 !7 CUNTRACT PRICE $ -7?'r1: DO
PHONE 4a3- ~Un o LICENSE NO. Iq DATE
1. TYPE Ground❑
Woll❑
ProiectinQ❑
OtMr
SorDFaq
2. MATERIAL
Total Square Feet
$IGNS
3. ILLUMINATION Yes❑ No❑
7ype
Elaf. Parmit No.
4. SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
Zone_
ADDrwad, 2ona Inspector
(Specify which ia front )
❑
❑
❑ ❑
OisoDOrmed
I. TYPE SolidO Mora Than 80% Opan❑
Lest Thon 80% Open
2' MATERIAL
Ho{aryt
FENCES
3. SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
Zono-
ApprwW,Zon# Inspeciw
_
(SPecify whith ie front)
❑
❑
❑ ❑
Dis9pDroved
OTHER I?
3.
j
INSPECTION tICKET
JOB /
ADDRESS 3000 Gv A"i"ric' T
DATE: LDG. PERMITk ~Z 3 275
PERMITM
BLDG. CONTR.
i
W +
z
J
Y
2y~
St SPECIFV NORTH
~
~
SUBCONTRACTOR
DATE INSP. REQ. HOUSES, STREETS,AND PROPERTY LINES;ON IRREGULAR LOTS, SHOW LEAST
'F.RAGE AISTANCE.
TYPE OP INSP. ING; ELECTRIGAL; MECHANICAL PERMIT
INSPECTION MADE THE INUICAiED WORK ONLY UPON VALIDATION BY THE BUILUING INSPECTION DIVISION.
"HF [7A1 F Of ISSUANCE IF WQRK IS NOT STARTED WITHIN THAT TIME.
REMARKS~iC~~C(~/?~/ P-L1MBING PERMIT
UCEN5E NO
MECHANICAL PERMIT
M
IST
ND
R
4T
N
Fl
Ci
d
O
G
alP
E
BS
2
3
D
H
O
r
na
s
1
l~
at
roporr EiOtSolm
)SET
FORCED AIR - BTU
'L
HOT WATER - BTU
W.R. FORM 619
STEAM - 8TU
AIR CONDITIONING-BTU
OTHER
✓
DISP
REFRIGERATIpN SVSTEM
C7ER
Refri eronl Group
UTILITY(HANUl U15WJGR,GII..)
l1UlU. WF5FiER
pqundt Ci1ar !
fIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 8 CONTROIS
FLObR DR41N
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RELTFIERS
$EWERS
ADDITION TO OI.D WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
I Aereby ocknowledQe inat this avvlica-
lion ia conect and undersfond fhot I
connof sfart this pioject until Ihie appli-
totion is approved. I shall comply with
the lowf of the Stale ot Coloradn and to
the Zoninq Requlations and BuildinQ
Code ofthe City of Wheor Ridqe. Any
violofion of the above terme will cause
immediate revocohon of ihis Oermll
PERMIT FEE
USE TAX
TOTAL FEE
$ !jp _`i `
APPROVED
'
DISAPPROVED
CMEF BUILDING SPE
CTOR,Ciry of Wheai Ridge
Date Issued
'HER STRUCTURE, GI41hv" DISTANCES FROM PROPERTY LINES.
NOT VALID UNLESS RECEIMED
im
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.0. BOX 638
TMIS PERMIT VALID ONLY WHEN SiGNED BY
JOB ADDRESS
CONTRACTOR
CITY ~
PHONE
SIGNS
FENCES
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
fHE CHIEF BUILDING INSPECTOR AND RECEIPTEDBELOW.
OWNER
. " a ` _
PHONE
/
$
ZIP CODE
CONTRACT
ICE
5 O ~ LICENSE NO.
DATE
nd❑ Woll❑
G
ProiectinQ❑
OtMr SaDFacS--
rou
I. TYPE
Tolol Squon Fad
2. MATERIAL
N Yes❑ No❑ TyCS
Eleef. Pvmit (4o.
3. ILLUMINATIO
.
Zone
❑ ~
p~'a~a,ad
(Spacify whicn is iront)
TYPE SolidO Mora Thon 80% ODenEl
I
Lou Than 80% OMM
.
Heip
M
MATERIAL
5 E
W
Zone- ADDrwed,2one IntDaetor
3.SET BACK FROM PROPERTY LINE N_
❑
-
❑
Disapproved
~
I _-lSneGifY whith is }ront)
-
I
I.
OTHER 2
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHER STRUCTURE,GIViK3 DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJFCTiONS INCLUDED)
NOT
SPECIFY NORTN
STREET NAME
SHD STANCE N TO SPROPERTY L~NESBNOTDIMAXIMUMJOR 1A ERAGEEDISTANCE 5, ANO PROPERTY lINES;ON IRREGULAR LOTS,SHO'M LEAST
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BWLDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSl1ANCE IF WOFK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE LICENSE N0. STATE LICENSE NO
ALUMINUM YNRE UNDER $IZE 8 ILLEGAL FLOOR BSM I ST 2ND 3RD 4?H N0. FORCED dl B~T~ne Elx
- WATER CIASET HpT WATER - BTU
N0.
TEMPORARY METER WASH BOWL _
BATH TUB STEAM BTU
NEW SERVICE - AMPS AIR CONDITIONIN6-9TU
rueurc ccRVIf.F -AMPS SHOWER nruco
HEATING
POWER SU9-CIFCUITS
UTIUTY(RANGE,DISPOSER,E1
FIXTURES
WIRING MOTORS B C O NTROLS
516N5
TRANSFORMERS 9 RECTFIERS
ADDITION TO OLD WORK
unmaS OVER I HP
I hsreby acknowledQe thol tnls 0pvIiC0-
tion is conect and understand that I
connof start this D,ojbct until this aDDli-
wti0n is opproved. I shall comply wi1h
tAa lawa ot the Sto1e of Colo+odo and to
ths Zoninp Requlatione and Bwldina
CodO Oftha City of Wheat Ridpe. AnY
violatlon of the above terme wili cause
immediate revocaiion of this permil
~rJ
o
HE
DRAIN
SEWERS
OTHER
PERMIT FEE
C OS'
OO
~
sv
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED=
GHIEF BUILDIN
NSPECTOR,Cityof Wheat Ridqe
Date Issued / Z /
PERMIT NOM911117525
CODE
~
g"'1/
~
~
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CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS