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April 6, 2021
Mr. Cody Matlack
American Me
8341 East 104'h Way
Henderson, CO
8o640
EWheat
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Re: Proposed Egress Window, 3035 North Webster Street, Wheat Ridge, Colorado
Dear Mr. Matlack,
It was requested that this office provide recommendations for a proposed basement
egress window at the referenced property. For reference, the entrance of the home is
assumed to face due east.
The proposed egress window is to be installed in the east foundation wall. The egress is
to be cut from the top of the foundation to an elevation less than 44 -inches above the
basement floor. The cuts shall be made to accommodate a standard 30" x 48" casement
window.
The joists run parallel and roof framing runs perpendicular to the proposed egress and
the following is recommended to support the anticipated loads:
Egress Support:
The following loadings were used for design:
1. Wind Load = 140 mph
2. Exposure
3. Roof live load
4. Roof dead load
5. First floor live load
6. First floor dead load
The following shall be installed
=g
= 30 psf snow
= 15 psf
= 40 psf
= 15 psf
1. 2" x 6" x 3/16" HSS tube.
2. Place directly below existing sill plate.
3. Provide 4 -inches of bearing on the foundation on each end of the new
header.
Aegis Engineering, Inc. Page 1 of 2
10940 South Parker Road
Suite 199
Parker, CO 303-478-3059
80134-7440 www.aegisengineering.org
Please contact this office if there are any further questions.
Respectfully,
James F. Marine, P.E. #38484
Aegis Engineering, Inc.
Aegis Engineering, Inc. Page 2 of 2
10940 South Parker Road
Suite 199
Parker, CO 303-478-3059
80134-7440 www.aegisengineering.org
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James F. Marine, P.E. #38484
Aegis Engineering, Inc.
Aegis Engineering, Inc. Page 2 of 2
10940 South Parker Road
Suite 199
Parker, CO 303-478-3059
80134-7440 www.aegisengineering.org
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Monday, March 1, 2021 11:08:01 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
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.
PROPERTY INFORMATION
Property Address 3035 Webster St
Property Owner Name Justin & Katie Stanforth
Property Owner Phone 9046133768
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email justin.stanforth@gmail.com
Address
Attach City of Wheat Wheat Ridae Electronic Payment Form. Af
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name TJ McAleer
What Is your role In the General Contractor, Architect
project?
Wheat Ridge 090296
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number 303-898-9368
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address tmcaleertbs@gmail.com
for Plan Review
Comments
Retype Contractor tmcaleertbs@gmail.com
Email Address
01 :K161 CI 191 M 0 N] MMO(O] M :/
Detailed Scope of
690 sf basement finish, bedroom, bathroom, living room, wet bar,
Work - In the space
laundry closet, new egress window on separate permit, electrical
below (not as an
per code and new 100amp sub panel, HVAC to code from
attachment), Provide a
existing furnace
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Basement
Square Footage Area
690
of Work Being
Performed
Asbestos Report
Field not completed.
Upload letter size
sub forms ndf
documents here
Construction Plans 5tamorm Hermit Layout QUIT
scanned on 11'x17" or
larger
Project Value (contract
16000 Increase Valuation to $25,425 MTH
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work
Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have
Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for
TJ McAleer
Permit
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.
Email not displaying correctly? View it in your browser.
City of
Wh6a-t
idge
COMMUNITY DEVELOPMENT
SU[3C0NTRACT0R AUTHORIZATION F0I2M
Plumbing Subcontractor
This form must be completed & signed by the PLUMBING SUBCONTRACTOR
performing plumbing work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 3O3 S L✓e 6s 4, 54.
General Contractor: �10 Ca �-i ���,�+�� � s _ LLC
FORM WILL
NOT
BE ACCEPTED
WITIf MISSING IN'FORMATI[ N
Company Name:
L d
13'1'`z s p-
,V,
Contact Phone #: 720 --3-5-7- Wz 5 --
Wheat Ridge Contractor License #J3 C70 0 9 (required field)
State License #:—LC- - 000 1 W�
Master License #: M P. 00 IF 02 I
3CC VVI 1? �. A J A
Printed Nanie of Authorized Agent
ign�#f�re of Au rized Agent Dae
Wh6at�ge
City ofi
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Electrical Subcontractor
This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR
performing electrical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 3o 3s 6l✓2 � S 4 r - S
General Contractor: G,/1 Ko ?n /- t , e S. 4L C
FORM NN- 11,1-, NQ 1- BL ACCEPTED WITH MISSIN6 INFORMATION
Company Name:. 0vvJ n`l (a�is"C k" S,�M7` sContact Phone #: 303 - 37 F - 10S P
Wheat Ridge Contractor License #:T 0 `� (required field)
State License #: . �610s;
Master License #: E DaZS-sS 3
Printed Name of A thorized Agent
Signature of Authorized Agent Date
City of
Wh6at i��
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed by the MECHANICAL SUBCONTRACTOR
performing mechanical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: -�3 S (AJC /Os s'
General Contractor: 1-�� Co 1_L C
FORM. WILL N TBE ACCEP'rym-wriji MISSING INFORMATION
Company Name: (&,4/,4 Qrer�� Contact Phone #: _ %20 --,5S-Z- - Z ,?BS—
Wheat Ridge Contractor License #: -5 (required field)
Printed Name of Authorized Agent
2-0
Signature of Authorized Agent Date
� ► � i City of Wheat Ridge
Residential Basement Finish PERMIT - 202100392
PERMIT NO: 202100392 ISSUED: 04/16/2021
JOB ADDRESS: 3035 Webster St EXPIRES: 04/16/2022
JOB DESCRIPTION: 690 sf basement finish to include bedroom, bathroom, living room, wet bar,
laundry closet, new egress window, new electrical, new 100amp sub panel,
new HVAC - 690 sq ft total
*** CONTACTS ***
OWNER (904)613-3768
STANFORTH JUSTIN
M
GC (720)206-9608
STEVE LINDSEY
090296 THE BASEMENT SANCTUARY
SUB (303)594-1951
JEREMY BROWN
130009 LOGISTICS PLUMBING & HEATING
SUB (303)940-8654
KARI O'LAUGHLIN
110059 OMNI CONSTRUCTION SERVICES
SUB (720)244-0493
SHANE/BRANDON MCNITT
160036 MCNITT BROTHERS HEATING & AIR
SUB (720)833-8387
CODY MATLACK
202067 AMERICAN ME
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 25,425.00
FEES
Total Valuation
0.00
Plan Review Fee
294.81
Use Tax
533.93
Permit Fee
453.55
** TOTAL **
11282.29
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
NOT APPROVED AS AN INDEPENDENT DWELLING UNIT.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Basement Finish PERMIT - 202100392
202100392 ISSUED: 04/16/2021
3035 Webster St EXPIRES: 04/16/2022
690 sf basement finish to include bedroom, bathroom, living room, wet bar,
laundry closet, new egress window, new electrical, new 100amp sub panel,
new HVAC - 690 sq ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
04/16/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Residential Roofing PERMIT - 201703354
PERMIT NO: 201703354 ISSUED: 07/06/2017
JOB ADDRESS: 3035 Webster ST EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 33 sq. (29 sq. pitched, 4 sq. flat)
*** CONTACTS ***
OWNER (720)388-5754 MEYER EMILY & PATRICK
SUB (303)923-5039 Timothy McFarland/Cameron Humm 170205 Gen 3 Roofing 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: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
Permit Fee 236.00
"' TOTAL ** 488.00
*** 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.
yo
W pa5Tm s� INSPECTION RECORD °ecu anc /r
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection�f —
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
r%_ Ll n...... /+.........6 Dri�r -re% Ar%r%rnvn1 of Tho OhnvP InSnECtinns
Underground/Slab Inspections Date Inspector
CommentsInitials
Electrical
Comments
Sewer Service
Plumbing
ra_ u_a /+ A 0el.,...11im-Clash Wnrlr Prinr Tn Onnrnval Ur I ne ADove InsDeC110r15
Roug Inspections
Date
Inspector
Initials
Comments
heathing
Mid -Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
CommentsInitials
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.
:_ :..a --A I.... , nl+ono
"For low voltage permits - mease De sure uiai iuuyn 1nsNCtuL)lZ' CUG UUMP-L— - .•..... -- - by the Building Division.
Occupancy Is Not Permi ed ntil A Certificate of Occupancy Is Issued
Protect This Card From The Weather
(u
I* � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
__��9r(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _/0.1n
Job Address: 3,-35 Wf ts4,pr 5 '
Permit Number: 7033 74Y
❑ No one available for inspection: Time i.-�' A'M/PM
Re -Inspection required: Yes 1�0)
When corrections have been made, call for re -inspection at 303-234-
Date:-V////l
03-234-Date:///l Inspector: 1111cn
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 5 M E
Job Address: -�U 3 S: Ln/-e�S+ r- S
Permit Number: 7 03 3 F
❑ No one available for inspection: Time ,_-Y/PM
Re -Inspection required: Yes 60
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7j;111 17 Inspector: I_ �
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0
Job Address: 3o3 S t/
Permit Number: 7 L/70 3 � S -/
❑ No one available for inspection: Time A
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-5933
//-' 1
Date: 71 % �l` Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703354
PERMIT NO: 201703354 ISSUED: 07/06/2017
JOB ADDRESS: 3035 Webster ST EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 33 sq. (29 sq. pitched, 4 sq. flat)
*** CONTACTS ***
OWNER (720)388-5754 MEYER EMILY & PATRICK
SUB (303)923-5039 Timothy McFarland/Cameron Humm 170205 Gen 3 Roofing 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: 12,000.00
FEES
Total Valuation 0.00 T.
Use Tax 252.00
Permit Fee 236.00
** TOTAL ** 488.00
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703354
PERMIT NO: 201703354 ISSUED: 07/06/2017
JOB ADDRESS: 3035 Webster ST EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 33 sq. (29 sq. pitched, 4 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin T approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t e 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 le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performs¢ is disclosed in this document and/or its' accompanying approved plans and specifications.
1. L' 1-1 t- -7 -1()--
Signature
1
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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,,cedg or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
W
Signature of Chief Building Official 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.
Kimberly
Cook dpi
From:
no no-reply@ci.wheatridge.co.us
Sent:
Saturday, June 24, 2017 9:11 AM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
W
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
-C3
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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? W/(—
How
/(—
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3035 Webster St.
Patrick Meyer
720-388-5754
Field not completed.
t 4 C__�_ 0 0
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Gen 3 Roofing Corp.
170205
3039235039
Contractor Email Address tim@gen3roofing.com
Retype Contractor Email tim@gen3roofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Yes
Owens Corning Duration
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 29
material selected above?
Does any portion of the Yes v
property include a flat
roof?
If yes, how many squares 4
on the flat roof?
TOTAL SQUARES of all 33 L/
roofing material for this
project
N
Provide additional detail 4/12 and 1 +/12 pitches on house with attached garage
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract12000.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that 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 Tim McFarland
Email not displaying correctly? View it in your browser.
3
Gen 3 Roofing Corp.' `
6970 S Holly Circle STE 205
Centennial, CO 80112
Office: (303)923-5039
Fax: (303)659-0414
EIN # 47-1393041
The Terms and Conditions contained in this Residential Roofing Agreement (this "Agreement") are the only terms and
conditions applicable to this Agreement. Any additional or different terms and conditions referenced in any attachment to this
Agreement, or any other documentation, are rejected by Gen 3 Roofing Corp. ("Gen 3") unless approved by Gen 3 in writing
as evidenced by the signature of the authorized representative of Gen 3.
Homeowner
PS -1 r - r, e, v e r
Proposal Date
Mr,—, ! l o i?
Property Address
Ad r S�-?
Primary Phone
e
City, State Zip
Secondary Phone
A • ri QO
Insurance Company C #
Email Address
1. ,
r, r
New Material Details
Project Details
❑ Brand of Shingle S C ti r r%.- ^ it
❑ Product Name 1Dr G i C)
❑ Remove asphalt shingles, # of layers ' (2) (3)
❑ Color ESA a4p r r
❑ Remove wood shingles, # of layers (1) (2) (3)
❑ Underlayment (#15 felt) (#30 felt Synthetic
❑ Remove other -"
❑ Type of Ridge taridar (High, Pro ► FT(Other)
❑ Pitch(s) of roof /12 x/12 I/',_
❑ Color of Drip Edge? 4v 1 F .
❑ Number of stories (L) (2) (3)
❑ Ice and Water Shield Required? es (No)
Miscellaneous Details
❑ If Yes, Number of Sq. Ft.?
❑ Valley(s) (Open)C ose
—X' Protect Landscaping
❑ Decking Type ( paced) (Solid) Solid Sheathing Needed? Y
❑ Protect Deck
Clean up all Work Related Trash
❑ Replace Pipe Jacks Yes (No)
X Replace Kitchen/Bath Vents
Magnetically Roll yard
XReplace Furnace (Flashing) (Cap) (Collar)
Clean Roofing Debris from Gutters
)` Replace Attic Vents (Yes) (No)
Payment
❑ Install Ridge Vent (Yes) e
First Payment $
Install New Step Flashing (Yes) (No) (NA)
❑ Re -flash Chimney As Needed es (No) (NA)
Deductible $
❑ Re -flash Skylights As Needed (Yes) (No) �A
❑ Detach and Reset Swamp Cooler Ye (No) (NA)
Remainder $
❑ Detach and Reset Satellite Dish (Yes) (No) 9A'
❑ Special Instructions/Additional Work
Payment Terms: e 0 n r to I' •® R r 11 J r.+ ! c� e r cr .v V f d J �"
(Gen 3 is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part).
❑ Work to be completed in accordance with specifications above for the price of: $
By approving this agreement, the Homeowner authorizes Gen 3 to represent the best interests of the Homeowner for restoration
of storm damage. This contract does not obligate the Homeowner or Gen 3 unless payment for damage is approved by the insurance
company and accepted by Gen 3 following approval of claim. Gen 3 will complete specified work for a price agreeable to the
insurance company and to Gen 3 with no additional cost to the Homeowner except for the deductible. This agreed upon amount shall
become the final contract price, and Gen 3 will receive all insurance proceeds for work completed by Gen 3.
RESIDENTIAL ROOFING AGREEMENT TERMS AND CONDITIONS
1. Right of Aooroval. This Agreement is subject to the review and approval of Exterior
Solution's management. Any prices quote will remain valid for sixty (60) days from the date
set forth above. Homeowner will indemnity and hold Gen 3 harmless for any proposed or
understood changes to the Agreement not written on the signed copy of the Agreement.
Homeowner is responsible for obtaining any and all applicable product and related color
approvals from any relevant Homeowners Association(s) and Historical Societies, if any.
2. Exterior Solution's Additional Obligations. Upon all preconditions being met, Gen 3 shall
start and diligently pursue work through its completion. In addition to completing the work
described in this Agreement, Gen 3 shall: make reasonable efforts to protect the property
from any further damages and remove equipment, debris and all other material relating to
the services provided hereunder.
3. Homeowner Responsibility. In order for Gen 3 to safely gain access to the property and
install the roof, Homeowner will be required to undertake those actions: clear driveway for
delivery and install; remove breakable items from walls and shelves (Gen 3 is NOT
responsible for broken items due to vibrations during install); remove all items (to the extent
possible) around the property that may impede Gen 3' access to the property and the roof;
take precautions with animals; and take precautions with small children.
4. Subcontracting, Gen 3 may subcontract portions of this work to properly licensed and
qualified subcontractors.
5. Change Orders. No Change Orders shall be binding on Gen 3 unless Gen 3 has
approved of such Change Order in a writing executed by an authorized Gen 3
representative and approved by Gen 3' management. The purpose of such requirement is
to ensure that both Gen 3 and Homeowner are on the same page as to parties' respective
obligations and the costs and expenses to be incurred in fulfilling the parties' obligations
hereunder.
6. Payments. Gen 3 is acknowledge to be a general contractor and is entitled to receive
all overhead and profit charges applicable to an insurance claim. All payments should be
made payable to Gen 3 Plus, Inc., with no payments to be made in cash.
7. Interest/Lien Rights. In the event Homeowner does not pay all amounts due to Gen 3
within thirty (30) days following the due date as set forth in an invoice issued to Homeowner
in accordance with Gen 3' general practice, the outstanding balance shall accrue simple
interest at a rate of 1.5% per month (18% per annum), with such interest being calculated
from the original due date of the outstanding balance. Additionally, should payments be
more than thirty (30) days past due, Gen 3 shall have the right to place a mechanic's lien
on the property and to pursue the collection of funds from the Homeowner.
8. Indemnification. Homeowner will indemnify and hold Gen 3 harmless for: (a) any
damages to personal property or physical injury as a result of vibrations caused during the
execution of the work described in this Agreement; (b) pre-existing damage and
deterioration; (c) improperly installed concrete and/or soils; (d) minor interior damage (i.e.,
nail pops, cracks in plaster, drywall or paint) and minor exterior damage (i.e., slight
scratching/denting of gutters or paint; (e) wear and tear to driveways, sidewalks, walkways,
lawns, shrubs, bushes, flowers or other vegetation caused by trucks, equipment, materials,
work force or debris; (f) any damage below the roof due to leaks caused by excessive winds,
ice dams, hail, pre-existing or future construction defaults caused by storms or lack of
maintenance; (g) any damage attributable to rotten, brittle or improperly maintained or
installed siding/trim/ stucco; (h) the failure to perform due to: (i) the errors, omissions and
delays of the Homeowner and/or their insurance company or mortgage company, (ii) the
weather, (iii) the inability to secure material through regular recognized channels, (iv) labor
strikes or controversies, (v) lack of access or additional damage to the property for which
ajeQ
rescission of this Agreement pursuant to this Section 10. Nothing herein shall be deemed
to abrogate, waive or release in any manner any property and casualty insurer for those
duties, responsibilities or liabilities of such insurer pursuant to Section 10-3-1115 and
Section 10-3-1116 of the Colorado Revised Statutes, as may be amended.
11. Cancelation of Agreement. Following the expiration of the Rescission Period,
Homeowner may cancel this Agreement with Gen 3 be delivering written notice of
cancelation to Gen 3 in the manner set forth in Section 10, above. Upon its receipt of the
notice of cancelation, Gen 3 shall cease all work on the property but for those activities Gen
3 believes are reasonably necessary to prevent any immediate damage to the property,
including the covering up of any unfinished portions of the roof with a tarp. Gen 3, and
those subcontractors and third parties engaged by Gen 3 for the purposes of performing
this Agreement, shall be entitled to a reasonable amount of time to remove its materials
and equipment, including any dumpsters, from Homeowner's property. Homeowner shall
be responsible for paying to Gen 3 a sum equal to (i) the labor charges Gen 3 has incurred
in its performance of this Agreement, (ii) material charges Gen 3 has incurred in its
performance of this Agreement, (iii) any penalties or fees imposed upon Gen 3 as a result
of such cancelation, and (iv) reasonable overhead, profit, expenses and damages not
previously accounted for (collectively, the "Cancelation Balance"). Any deposit held by Gen
3 shall be applied against the Cancelation Balance; to the extent the deposit is greaterthan
the Cancelation Balance, Gen 3 shall refund the outstanding balance to Homeowner within
ten (10) days of its final determination of the Cancelation Balance. Such refund shall be
issued as a check made payable to the Homeowner named herein and shall be mailed to
Homeowner's address, as set forth herein. Should any deposit be insufficient to cover such
Cancelation Balance, Gen 3 shall bill the outstanding balance to Homeowner, which amount
shall be due and paid in accordance with Gen 3' general practice. Such outstanding
balance shall be subject to the terms of this Agreement.
12. Warranty. Gen 3 warrants that the services to be provided pursuant to this Agreement
will be performed in conformity (i) with the terms of this Agreement, (ii) with all laws,
regulations and codes applicable to the work to be performed hereunder, and (iii) in a good
and workman like manner consistent with standard roofing industry practices. Gen 3 shall
warrant the workmanship relating to a finished roof for 7 years beginning from the date of
completion (the "Warranty Period"). No warranty will be provided until Gen 3 has been paid
in full by Homeowner. To the extent Gen 3 is notified of a defect relating to the workmanship
during the Warranty Period, Gen 3 will correct such defect in workmanship in a prompt and
reasonable manner from the time Gen 3 is notified. Homeowner shall promptly notify Gen
3 ofthe defect in workmanship as soon as such defect is discovered. All notices of a defect
in workmanship shall be in writing and shall state with specificity the defect discovered. No
employee, agent or subcontractor of Gen 3 is authorized to make any representation or
warranty on behalf of Gen 3 other than those contained in this Agreement. Manufacturers'
or vendors' warranties or guarantees (collectively, "Product Warranties"), if any, on
materials, fixtures and components, to the extent assignable, are deemed assigned by Gen
3 to Homeowner. Gen 3 shall deliver to Homeowner all product warranty forms in its
possession. Homeowner shall be solely responsible for compliance with any notice and
claim procedures set forth therein. Gen 3 does not adopt and is not bound by any such
Product Warranties. Homeowner's rights under the Product Warranties are in addition to
Gen 3' warranties in this Section 12. This warranty is non-transferrable.
13. Peripherals Disclaimer. Gen 3 acknowledges that, during the course of the services to
be provided hereunder, certain fixtures and peripherals, including, without limitation,
heating and air conditioning units and evaporative coolers, may be required to be removed
and relocated. Gen 3 will use its best efforts to reinstall such fixtures and peripherals in a
manner that maintains the integrity of the fixture and peripheral. Notwithstanding the
foregoing, Gen 3 in no way guarantees the installation of the fixture or peripheral and
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BUilding Permit Application
(Complete lit) lsftalrlirgtsted ;,arenas)
Property Address: 3QXIS
Plan 1114
t a3 i: t �' �' a t ] a.^s .*^>M-3 a
Property Owner (j.ri'C'ase f rttrrt
a
phone o t
d.,.4a.,t...
^y
Mailing Address: (t! (Pfft:.iet7; thi.-.
1 i, to,C?t; rt)° a?chfre s)
At3Ci6 e tib:
My. State, Zip
oratr<fctor: j
is
Contractors City LicenseL- t 9K 14) P h o n : 1
SErb Contractors:
Ele~tciric al j 3 dont irtc : NAechmic l:
My Li onse 4, City License # My License
7€ ci i ##C?tI Cif C i is {bully Mute work to be pertorrned - Attach additional sheet it necessary)
a caw 4 o4"' je" " Contract Value of all work.
Wry
J01" Rmiew Fee (viae at tinnsr cat subrraittat):
Squares t;TLYs C)ahns � • Amps Sq Ft.
O'�NVN ERIC 0NNT'r2A CTOR SIGNATURE OF UNDERSTANDING ANDAGRE Nti:NT
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tato Vlalir:.rttcTV Val I an fine )c;9d er4ermr in have been aultirireet by fire W cawrrcrr oftlic lrropoty to perforin fire described t ml,
,asci aitrt akO.rtR110rizal by fine les^al rte+nuof,aeny° erra&y included on this talaokation jo pi cat emby on osis.rRlatieafieun.
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I>Ialivf i ri'NII . , I (a .? v ..._ ._e . SIGNA'T'URE
ZC7NTNG COMMENTS
Zorrinrg:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer:
PUBLIC WORKS COMMEN F&
Renewer:
r VRE DEPARTMENT, ',: appoaved :v.r connate' 1s disapproved ":: no rc: iC e^r tc.eit [rE;CY I Bidg Vatua3tio $
I
�l
I
INSPECTION RECORD Oaeuaancv/Tvae
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
j
Call by 3:00 PM to receive inspection the following business day.
�.7 , 'tl i1' 7 \
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OBS(
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS: `
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
FUUK NU CONCRETE UNTIL ABOVE HAS BEEN JIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof u
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Machanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
S
Plumbing
Mechanical
Roof
Building Final
Fire Department _
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
f� .
❑ No one available for inspection
Re- Inspection required: Y I
F *When corrections have been made,
Date: Inspector:
DO NOT REMOV
> NOTICE
�•" City of Wheat Ridge
r 4 0 001'r - Faxed Roof Permit PERMIT - 110482
PERMIT NO: 110482 ISSUED: 05/02/2011
JOB ADDRESS: 3035 WEBSTER ST EXPIRES: 05/01/2012
DESCRIPTION: Reroof 18 sqs with 30 yr duration OC shingles
* ** CONTACTS * **
OWNER 303/708 -0209 Phil Noll
sub 303/758 -7663 Jason Gillis 09 -0242 d -7 Roofing, LLC
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0585 BLOCK /LOT##: 0/
** FEE SUMMARY ** ESTIMATED, PROJECT VALUATION: 8,400.00
FEES
Permit Fee 188.45
Total Valuation .00 D�iDG(�PTc�,
Use Tax 151.20
** TOTAL ** 339.65
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. 6 nails per shingle is
required. Ice dam membrane is required from eave edge to 2' inside exterior
walls. Board sheathing with any gap greater than 1/2" requires panel sheathing
overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that
cannot be performed due to inclement weather must be cancelled prior to 8:30
a.m. on the day of inspection or a re- inspection fee will be assessed. Subject
to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all 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 i e
Signature ! f Building Offical Date
INSPECTION RECORD o ccupancy /Type
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR NITIALS
I
COMMENTS:
Footings /Caissons
11048?
Stemwall / (CEG) Concrete
Encased Ground
Perelit Fee
188,45
Plumbing
Reinforcing or Monolithic
ROUGHS
Sheathing
PAYMENT RECEIVED
Weatherproof / French Drain
Lath / Wall tie
33'3.65
Sewer Service Lines
-
Mid -Roof -
Building Final
Water Service Lines
Electrical Service
TOTAL
CONCRETE SLAB FLOOR
Electrical (Underground)
AMOUNT
FINALS
DPSP Re "roof 18 sqs with 3
Plumbing (Underground)
11048?
Heating (Underground)
Perelit Fee
188,45
Plumbing
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
PAYMENT RECEIVED
AMOUNT
Lath / Wall tie
33'3.65
Roof
-
Mid -Roof -
Building Final
01387C
Electrical Service
TOTAL
333.65
SIGNED PRIOR TO PROI
CITY OF WHEAT RIDGE
05102"/11 11:14 AN edbb
Christitleve Gillis
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
Framing
Insulation
Drywall Screw
I
Fire Department ---------------------------------------
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
RECEIPT NO:CDB006140
AMOUNT
FINALS
DPSP Re "roof 18 sqs with 3
33'4.65
11048?
Electrical
Perelit Fee
188,45
Plumbing
Use Tax
151. "c0
Mechanical
PAYMENT RECEIVED
AMOUNT
V5 1737
33'3.65
Roof
Auth Code:
Building Final
01387C
TOTAL
333.65
Fire Department ---------------------------------------
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
05 -02- 11;11:00 ;d-7 Roofing 3032378929 ;3037587667 # 1/ 1
`
City of
Wheat]
COMMUNITY DE'VELOPMEN'T
Building Division
7500 W. 29" Ave., Wheat Ridge, CO
Office: 303 - 235 -2855 " Fax: 303 -237
Inspection Line: 303- 234 -5933
Facsimile Building Permit
Pioperly Address: !3 Va CJZ+( r
Property Owner (please print): ' Phi(
Mailing Address: (if different than property address)
Address:
LAID
Cantractor: /J —
#:
Phone:
Date.
Permit A
Phone:
Use of sppace (description): Iffi(04f � (Q•i�' � 1 `11
D. @ rvp''kw,
"' ' 7U 11Y �(,(i&Q, C Plan Review (due at time of svbmlltal): $
Sq. EUL.Ft added. � Squares j 4 BTU's Galion Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT -
1 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 Ion this application and that I assume full
fesponsiblity for compliance with the Wheat Ridge Building Code Q -B.C) and ail of r appli ble Wheat Ridgo Ordinances, for work
under this permit, Plans subject to field inspection. .:
nl- otvE:; (OWNER) (CONTRACTOR
c cE ) or PERSONAL REPRE3E E of (OWNE ( CONTRATOR)
PRINT NAME pr� �, 1 6 d id SIGNATURE: Date:
Credit Card Payment: Use arledit and listed on file_
Print name: Signature: -1.
Valuation:
�a -�
" 1 City of Wheat Ridge
►/ Residential Electric PERMIT - 110456
PERMIT NO: 110456 ISSUED: 04/28/2011
JOB ADDRESS: 3035 WEBSTER ST EXPIRES: 04/27/2012
DESCRIPTION: 125 amp service change
* ** CONTACTS * **
owner Jack O'Connor
sub 303/444 -7153 Greg Young
09 -0509 Always Best Choice Electrical
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0585
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Permit Fee 77.50 •<
Total Valuation .00
Use Tax 36.00
** TOTAL ** 113.50.
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection.
r, 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 �apied wi in this document as parties to the work to be performed and that all work to be performed is disclosed in
this do d1 r_i,eccompanying approved plans and specifications.
Sigefature of OWNER or/ CONTRACTOR (Circle one) Date `
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 . days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior -
and specific approval.
S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Bignat ief Building Offical Date
INS CT N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
RE ESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
e 2
t3Iliieiirlg ev inspection Services Division
7500 W. 29 Ave. Wheat Ridge, GO 80033
Office: -303 -235 -2855 .A Fax: 303 - 237 -8929
Inspection Line: 303-234-5933
Btli6d'atag i'cs ^s•rtit oapplicaaayst
_ T
Property Owner lease print): p Y (p : P }__.�_L1C_ U CC,N.LK�/L_ _ _. __ Phone:
naffing Address: (if different than property address)
Address:
City, State, Zip:
Contractors Citv License #: Phone
:1UD ,onctauturaq
Electrical: Plumbing. Mechanical:
City License # City License # City License #'
Contract Value
{� R eview Fee (due at time of submittal): Y
Squa BTU's
Gallons _ Amps Sq FL.: _....
OWNERWONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
_ I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, -
rules or regulations . of the City of Wheat Ridge or covenants. easements or restrictions of record; that all measurements shown and
allegations made are accurate: that) have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or AUTHORIZED REPRES6NTAT/VEf of (OWNER) (CONTRACTOR)
PRINT NAME: Z.G yt J&ZA� SIGNATURE DATE:-
r i \ yil
Rev)BWer ;✓ ' f ?�� r s r:. �, ,. /. ,�
� � , 1 / t� � ✓ � /i �y ��� r >� � ✓:a , �� i f �
Plj LC arVORKs`COMi'futEN] ,/ r�
7500 wEST 29th AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO. M91#16718
BY
,p BELOW.
3~ ~ J IX i.0 ,Y PCATIO~F~R MISCELLANEOUS PE~tM1T j
1l1R nnno~en ~
_ -
/ w~`
6y Zi L Yl1(LZ
OWNER
CON
RACTOR '
Q,G~~-~
~
J I~~
-
_
qDORESS~tL~
ADD
ESS ,I
(O ~
~elq t ti...Q,~
PHONE LI
CIT
ZIP CODE
O
ZIP CODE
NTRACT PRICE $
PH
Z
NEq
LICENSE
. TVPE Ground❑
Wpll❑ Proieofinp❑ OMo
. MATERIAI
SorDFace
J
. ILIUMINATION Yse❑ No❑ Type
Totol Squors Faat
SET BACK FRC" °enocRT
Y LINE N
S
Elet1. Mrmif No.
SP
E
W Zone~_ p
n pprwM,ZOminpsotor
Dieapprovad
. TYPE
ENCES ' M"TERiAL-
INSPECTION TICKET
7
3.SETBACH
R
INSPECTION TICKET
AppRESS
fS
THER 2 4
3. DqTE:
I
BLDG. PERMITN
~~3 l~LI~`''/
DRAW SKETCH OR SHOM
~---BLDG. PERMITM #,~.=z y3
(SETBACKS OR PRO.
PERMITp
BLDG. CON
~ -
TR
- PERMITN-
SUBC
.
rl) l
_
ONTRqCTOR
DA7E INSP
~I
kCTOR
,
REO.
S
REQ.
TYPE
OF INS
-
P.
INSPECTION
R(~
ISP.
REMqRKS
V MADE 7`!G~ cf I
Abr 1in C ~ /r
(J N
y ~n oh.L~
SHOW DISTANCES F
DISTANCE TO PF
W.R. FORM &19
.19
T
IS APPLICATION ~
.
pE
i
JISION.
/
~
ELECTRIi-..,
STATE LICENSE N0.
STATE LICENSE NO.
AL
M
INUAIWIREUNDERS12E81LLEGAl
FLOOR
BSM
IST
2N~
7RD
4TH
NQ
FUELCireleOneGoFqlProporN ElxSolar
WATER CIASET
FORCED AIR BTU
TEMPORARY METER
WASH BOWL
HOT WATER BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTMER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Retri eronf Grou
UTILITY(RANGE,DISPOSER,ETC)
AUTO.WASHER
Pounds CMr e
FIXTURES
DISH WASHER
OMATIC SPRINKLER SYSTEM
WIRING MOTORS B CONTROLS
FLWR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
44
ADDITION TO OLD WORK
OTHER
Q J r l.(
'k, l
MOTORS OVER I HP
TOTAL FIXTURES
REMA
S
I ha
eby acknowledqe that this opplica-
PERMIT FEE
-
'(9-d
NOT VALID UNIESS RECEIPTED
tion i
conect ond understand tnat I
USE TAX
-
y/O~
tann
itart fhis projecf until this oDDli-
totio
i
s approved. I sholl tomply with
TOTAL FEE
$
T
the I
ws of fhe Stote of Colorado and to
t
ths Z
ninp ReQulations ond euildinp
AppROVED
l 6 y~ ~
Code
t ine City ot wneot Ridqe. Any
DISAPPROVED
violat
ot the obove terme w couse
CHIEF BUILDING I SPECTOR
Ci}y of Wheat Ridqe
imme
i e revocotion of thper it
,
CALL 237-8944 EXT. 255
L
24 HOURS IN ADVANCE
Date Issued
FOR INSPECTIONS
~ro
a~ar~~.
DEPARTMENT OF COMMUNITY DEVELAPMENT
wEST zstn nvENUE BUILDING INSPECTION DIVISION PERMIT N0. MP91#3243
944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
irn4li rcrtmn VqLIU VNIT WntN SIGNED BY THE CHIEFBUILDING INSPECTORANDRECEIPTEDBEIOW. ?O ~ S ~rr~,n.ri~yiv " rvrt miJ}.CLLHIVGVUJ rCrtml
JUtl A
C7DRESS ~
~✓S
~
OWNER ' rCD tZ'- ivt~~ '-I
CONT
q
ACTOR ~d d cX lr ~ ~ w io 5~.~ v
qDDRESS
AODR
SS 0.
PHONE ~3 ~ 03,5 C~ ZIP CODE
GTY
0 "e~ ~ - ZIP CODE ~0a a~
_ONTRACT PRICE $
PHO
E 61? 002~Z LICENSE NO. L 6L~ff2J
1. TYPE Ground❑ Wall❑ Proieetinp❑ 01har SaDFOae
2. MATERIAL Total SQUOre FeN
IGNS
3. ILLUMINATION Yes❑ No❑ Typs Elkf. permif No.
4. SET BACH FROM PROPERTY LINE N_ S_ E_ W Zone_ ApprwM,2ona Inspsctor
(SDecify whicA is front) ❑ ❑ ❑ ❑ DiaapDrovsd
1. TYPE Solido Mort Than 80% Opsn❑ Leu Thon 80% Open
F
NCES
MATERIAL HNphf
3. SET BACN FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwed,ZoM InsDeetw
(SDSCify whieh is tront) ❑ ❑ ❑ ❑ Diaapprovad
1.
0
HER
2
3.
DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhu DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
REAR PROPERTY LINE
w = ~
z
~
J J
> y
W y~
SPECIFV NORTM
a
W
N ry~
FRONT GROPERTY UNE
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDIN6 TOADJOINING HOUSES, STREETS, AND PRpPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
T
IS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORH ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 60 DAVS FROM DATE OF ISSUANCE !F WORN IS NOT STARTED WITHlN THAT TIME.
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE LICENSE N0.
STATE UCENSE N0.
AL
M
INUMVAREUNOERSIZEBILIEGAL
FLOOR
BSM
I5T
2ND
3RD
4TH
N0.
FLEUCircleOrwGo{dlPropons EleeSola
w
i.
WATER CIASET
FORCED AIR BTU
TEMPORARY METER
WASH BOWL
HOT WATER - 8TU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANCaE SERVICE-AMPS
SHOWER
AIH CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEATER
Retri eranf Group
UTILITY(RANGE,DISPOSER,ETC)
AUTO.WASHER
Pounds Chor s
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLL)OR DRAIN
EIEVATOR
SIGNS
URINAI
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
S
r i w
E
oc
MOTORS OVER I HP
TOTAI FIKTURES
REM
RKS
PERMIT FEE
NOT VAUD UNLE55 RECEIPTED
I h
reby ocknowiedpe thot ihis opplico-
tion
is emrect ond understand tnat I
USE TAX
li-
rf this
roject unfil this o
t
t
conn
pp
s
a
o
D
eoti
n is apvrovea. I snall comply with
TOTAL FEE
$
~
nd to
St
t
l C
l
d
i tA
p
'
tha
a
ora
o o
e
e o
o
owa o
.
y /
ths
onina ReQulationa and Buildin0
~
APPROVED
6
Cod
of the City oi Wneat Ridpe. Any
DISAPPR0VED
viola
tion oi the above rerma will couse
CHIEF BUILDIN INSPECTOR,City of Wheot Ridqe
imm
diote rsvocotion of this permit.
CAL1237-8944 EXT.255
N
24 HOURS IN ADVA
CE
FOR INSPECTIONS
Date ISSUPd
40
nnb ' nel •