HomeMy WebLinkAbout3048 Vivian StreetINSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the insoection
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 Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Plumbing
-A..l=r.l.I=t wI■IME" IJ Jr F&I i WA1••\.111 d.1.4I I•�T1TT_,•r!T_7'!Ar
Underground/Slab Inspections
Date Inspector
Comments
Wall Sheathing
Initials
Electrical
Sewer Service
Plumbing
Rough Plumbing/Gas Line
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Rough InspectionsDate
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof _ �G _t
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof a I ►
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.
*Gnr IMAI 1-1+- r. ...:+� M1--... L_ _ ll__i _
- - -- -- - __- _ r-• •.... •�r••+� �+.+ amu• 111"L 1110VUG LIVIIa C11I-. 1,U111PICLCU IIUIII mu nru ulsmct ana electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
r a A City of Wheat Ridge
Residential Roofing PERMIT - 201707117
PERMIT NO: 201707117 ISSUED: 09/11/2017
JOB ADDRESS: 3048 Vivian ST EXPIRES: 09/11/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Pinnacle asphalt shingles - 17 sq
Pitch = 3/12
*** CONTACTS ***
OWNER (303)238-5080
COLE
KATHLEEN S
SUB (303)984-7663
Judy
Antener
070171 1-DERFUL
ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE:
UA /
Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2404
/ APPLEWOOD
KNOLLS, PARAMOUNT HE BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
6,800.00
FEES
Total Valuation
0.00
Use Tax
142.80
Permit Fee
156.75
** TOTAL **
299.55
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
F.
N* City of Wheat Ridge
0
Residential Roofing PERMIT - 201707117
PERMIT NO: 201707117 ISSUED: 09/11/2017
JOB ADDRESS: 3048 Vivian ST EXPIRES: 09/11/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Pinnacle asphalt shingles - 17 sq
Pitch = 3/12
*** CONTACTS ***
OWNER (303)238-5080 COLE KATHLEEN S
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,800.00
FEES
Total Valuation 0.00
Use Tax 142.80
Permit Fee 156.75
** TOTAL ** 299.55
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
o A City of Wheat Ridge
Residential Roofing PERMIT - 201707117
PERMIT NO: 201707117 ISSUED: 09/11/2017
JOB ADDRESS: 3048 Vivian ST EXPIRES: 09/11/2018
JOB DESCRIPTION: Residential Re—roof to install Atlas Pinnacle asphalt shingles — 17 sq
Pitch = 3/12
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
MW
nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
q-119-1-1
§Mnature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying Flaps and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicat 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.
Dane Lovett
contractors only. This type of permit is ONLY being processed online --do not come
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, September 7, 2017 2:15 PM
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
To:
CommDev Permits
X7—
Subject:
Online Form Submittal: Residential Roofing Permit Application
your contractor's license or insurance has expired, and you may update those
s -
Follow Up Flag:
Follow up
s
Flag Status:
Completed
Residential
Roofing Permit Application
fi
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
s -
documents at the time you are issued your permit
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3048 Vivian St
Property Owner Name Kathleen Cole
Property Owner Phone 303-238-5080
Number (enter WITH
dashes, eg 303-123-4567)
57
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
1 derfulcolleen@gmail.com
Yes
17-0276 Cole.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
1-derful Roofing & Restoration
070171
3039847663
9858 W Girton Dr
Contractor Email Address 1 derfulcolleen@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
1 derfulcolleen@gmail.com
TOTAL SQUARES of 17/
the entire scope of work:
Project Value (contract 6800.00
value or cost of ALL
materials and labor)
Are you re -decking the No /
roof?
58
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)?
What is the 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? Etc)
No
Yes
3:12
17
Atlas Pinnacle Pristine LLT
Asphalt
t/o existing shingles and replace with Atlas Pinnacle.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
59
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 Colleen Jacobsen
Email not displaying correctly? View it in your browser.
60
9858 W. Girton Drive Proposal Date: 5-1"5�h
Lakewood, CO 80227
Phone: 303-984-ROOF(7663) - D E R F U LThis proposal may be withdrawn by 1-Derful
Fax: 855-696-7776 Roofing & Restoration if not accepted within 30
ROOFING & RESTORATION days from the above date.
PROPOSAL FOR: %`
Name: 4 4 L)
Job Address ?t3)</4rl�lltzl l -,f
City, State, Zip: Z,, �/ J[JGy� �� �✓ �
Phone: 57>
Mailing Address:
(If Different)
Email Address: �CK.rTE'�VFV
Best way to contact:
Tear Off
and eaves are open or closed.
SUBMITTED BY: 1-D RFUL ROO ING & RESTORATION
1-Derful Rep: / W_<_
Cell Phone:'
Insurance Company:
Adjustor Information:
Policy Number:
Claim Number:
❑ Gutters:
Inspect Decking: Deteriorated existing decking color Outlet
replaced at cost of $ Per Sq. Ft. Homeowner ❑ Siding:
will be notified if any damaged wood is found during tear off.
19!4 Install ice shield on eaves and in valley(s)
( Install drip edge! Color Extra work_
Install underlayment
Recover roof with%
year manufacturer warranty.
Shingle manufacturers -r
color -�
6 Nail every shingle 136A410410- 14A,1117 -111,V ,
Install /Yi Jn4 ridge style
instaii pipe jacks J lead jacks J swamp cooler
Step flash sidewalls _Istep flash chimney I step flash skylight
1-Derful Roofing & Restoration will provide general liability insurance
of at least $2,000,000 and Workers Compensation of at least $500,000
Clean up and haul of roofing debris 'Clean out gutters
Magnetic sweep of surrounding area 'Clean around landscaping
/J All required Permits furnished by 1 -Dei ul Roofing & Restoration -
to be reimbursed by Insurance Company
1-Derful Roofing & Restoration five year warranty on labor
-J Current Ventilation Recommended
Special instructions: �Ac.n�,,:, �j/(�
_31-
1-derful Roofing and Restoration shall hold in trust any
payment received from you until 1-derful has delivered
roofing materials at the site or has performed a
majority of the roofing work on your property.
$ deductible to be collected
at time of material delivery.
$ initial total claim amount
as of 1 /20 This
price is subject to supplements/adjustments.
❑ Decline recommendation on ventilation Roof work to be completed within 21 days of final
insurance approval and mortgage endorsement"
Date of Acceptance
1-Derful Roofing & Re oration Representative Homeowner's Signature
Property Owner is /is not i tending to make payment from the proceeds of a property and casualty insurance policy.
ASURANCE ALLOWANCE AGREEMENT If so, homeowner must read and sign below.
I/We agree to retain 1-Derful Roofing & Restoration (contractor) to repair/replace the damaged or entire portion of the properly described on this contract contingent upon the contractor obtaining my insurance
lcompany's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount
of damage, the cost of the repair or replacement of the damage to the above property. Upon the insurance carrier agreement with the contractor and the down payment being made the work will be scheduled
and may begin on a first in first out basis.
Checks shall be made payable to 1 Derful Roofing & Restoration
In the event that the insurance carrier fails to negotiate in a fair and reasonable manner. the contractor shall not be held liable and this agreement will be void. The contractor will release the complete file to the
Commissioner of Insurance at the customer's request.
Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary
documentation for the claim (including documentation to facilitate payment from insurance carrier and/or mortgage holder). The contractor reserves the right to file for supplemental claims due to material and/or
labor increases due
'`
too as storm environment or to insurance adjuster's mistakes, errors or omissions.
1 / -o ryycri",J�7.. r
Ihve agree by signing above to all the contract conditions on both the front and back of this agreement
N* City of Wheat Ridge
0
Residential Roofing PERMIT - 201707117
PERMIT NO: 201707117 ISSUED: 09/11/2017
JOB ADDRESS: 3048 Vivian ST EXPIRES: 09/11/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Pinnacle asphalt shingles - 17 sq
Pitch = 3/12
*** CONTACTS ***
OWNER (303)238-5080 COLE KATHLEEN S
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,800.00
FEES
Total Valuation 0.00
Use Tax 142.80
Permit Fee 156.75
** TOTAL ** 299.55
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
o A City of Wheat Ridge
Residential Roofing PERMIT - 201707117
PERMIT NO: 201707117 ISSUED: 09/11/2017
JOB ADDRESS: 3048 Vivian ST EXPIRES: 09/11/2018
JOB DESCRIPTION: Residential Re—roof to install Atlas Pinnacle asphalt shingles — 17 sq
Pitch = 3/12
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
MW
nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
q-119-1-1
§Mnature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying Flaps and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicat 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.
Dane Lovett
contractors only. This type of permit is ONLY being processed online --do not come
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, September 7, 2017 2:15 PM
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
To:
CommDev Permits
X7—
Subject:
Online Form Submittal: Residential Roofing Permit Application
your contractor's license or insurance has expired, and you may update those
s -
Follow Up Flag:
Follow up
s
Flag Status:
Completed
Residential
Roofing Permit Application
fi
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
s -
documents at the time you are issued your permit
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3048 Vivian St
Property Owner Name Kathleen Cole
Property Owner Phone 303-238-5080
Number (enter WITH
dashes, eg 303-123-4567)
57
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
1 derfulcolleen@gmail.com
Yes
17-0276 Cole.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
1-derful Roofing & Restoration
070171
3039847663
9858 W Girton Dr
Contractor Email Address 1 derfulcolleen@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
1 derfulcolleen@gmail.com
TOTAL SQUARES of 17/
the entire scope of work:
Project Value (contract 6800.00
value or cost of ALL
materials and labor)
Are you re -decking the No /
roof?
58
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)?
What is the 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? Etc)
No
Yes
3:12
17
Atlas Pinnacle Pristine LLT
Asphalt
t/o existing shingles and replace with Atlas Pinnacle.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
59
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 Colleen Jacobsen
Email not displaying correctly? View it in your browser.
60
9858 W. Girton Drive Proposal Date: 5-1"5�h
Lakewood, CO 80227
Phone: 303-984-ROOF(7663) - D E R F U LThis proposal may be withdrawn by 1-Derful
Fax: 855-696-7776 Roofing & Restoration if not accepted within 30
ROOFING & RESTORATION days from the above date.
PROPOSAL FOR: %`
Name: 4 4 L)
Job Address ?t3)</4rl�lltzl l -,f
City, State, Zip: Z,, �/ J[JGy� �� �✓ �
Phone: 57>
Mailing Address:
(If Different)
Email Address: �CK.rTE'�VFV
Best way to contact:
Tear Off
and eaves are open or closed.
SUBMITTED BY: 1-D RFUL ROO ING & RESTORATION
1-Derful Rep: / W_<_
Cell Phone:'
Insurance Company:
Adjustor Information:
Policy Number:
Claim Number:
❑ Gutters:
Inspect Decking: Deteriorated existing decking color Outlet
replaced at cost of $ Per Sq. Ft. Homeowner ❑ Siding:
will be notified if any damaged wood is found during tear off.
19!4 Install ice shield on eaves and in valley(s)
( Install drip edge! Color Extra work_
Install underlayment
Recover roof with%
year manufacturer warranty.
Shingle manufacturers -r
color -�
6 Nail every shingle 136A410410- 14A,1117 -111,V ,
Install /Yi Jn4 ridge style
instaii pipe jacks J lead jacks J swamp cooler
Step flash sidewalls _Istep flash chimney I step flash skylight
1-Derful Roofing & Restoration will provide general liability insurance
of at least $2,000,000 and Workers Compensation of at least $500,000
Clean up and haul of roofing debris 'Clean out gutters
Magnetic sweep of surrounding area 'Clean around landscaping
/J All required Permits furnished by 1 -Dei ul Roofing & Restoration -
to be reimbursed by Insurance Company
1-Derful Roofing & Restoration five year warranty on labor
-J Current Ventilation Recommended
Special instructions: �Ac.n�,,:, �j/(�
_31-
1-derful Roofing and Restoration shall hold in trust any
payment received from you until 1-derful has delivered
roofing materials at the site or has performed a
majority of the roofing work on your property.
$ deductible to be collected
at time of material delivery.
$ initial total claim amount
as of 1 /20 This
price is subject to supplements/adjustments.
❑ Decline recommendation on ventilation Roof work to be completed within 21 days of final
insurance approval and mortgage endorsement"
Date of Acceptance
1-Derful Roofing & Re oration Representative Homeowner's Signature
Property Owner is /is not i tending to make payment from the proceeds of a property and casualty insurance policy.
ASURANCE ALLOWANCE AGREEMENT If so, homeowner must read and sign below.
I/We agree to retain 1-Derful Roofing & Restoration (contractor) to repair/replace the damaged or entire portion of the properly described on this contract contingent upon the contractor obtaining my insurance
lcompany's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount
of damage, the cost of the repair or replacement of the damage to the above property. Upon the insurance carrier agreement with the contractor and the down payment being made the work will be scheduled
and may begin on a first in first out basis.
Checks shall be made payable to 1 Derful Roofing & Restoration
In the event that the insurance carrier fails to negotiate in a fair and reasonable manner. the contractor shall not be held liable and this agreement will be void. The contractor will release the complete file to the
Commissioner of Insurance at the customer's request.
Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary
documentation for the claim (including documentation to facilitate payment from insurance carrier and/or mortgage holder). The contractor reserves the right to file for supplemental claims due to material and/or
labor increases due
'`
too as storm environment or to insurance adjuster's mistakes, errors or omissions.
1 / -o ryycri",J�7.. r
Ihve agree by signing above to all the contract conditions on both the front and back of this agreement
L/
i 6177 OF W'HEA'T RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L/ O 9 - r ►� %
Job Address: 3 0 q g -
Permit Number: —a 0 1-7 0-7 /1 7
rte_
❑ No one available for inspection: Time = / -7 ( PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: Iv a 3 )7 Inspector: r
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: 3 C& - /,It , J
Job Address: V : c. S
Permit Number: c I-7 o-7 r 1-7
ni , d - f e, VPr�
❑ No one available for inspection: Time AM
Re -Inspection required: Yes (So
When corrections have been made, call for re -inspection at 303-234-5933
Date: 9 r/-& & P � Inspector: -1-"
DO NOT REMOVE THIS NOTICE
INSP ECTION RECORD Occupancvn
®'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.
Electrical
1
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Mechanical
Stemwall / (CEG) Concrete
Encased Ground
Roof
! 32ji3
Reinforcing or Monolithic
Building Final
Weatherproof / French Drain
Fire Department
Sewer Service Lines
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking &Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTION:
C NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORI
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING D /VISION DOES NOT CONSTITUTE AUTHORIZATR
OF A C ERTIFICATE OF OCCUPANCY NnR PFPA&lc inm FnP nncl IPaNCv
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
u� w� i rvurc rwun �N rn ABOVE IiAS [SEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie -
Mid -Roof --
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rouqh Mechanical
Framing
Insulation
Drywall Screw
TO BE
FINALS
Electrical
Plumbing
Mechanical
Roof
! 32ji3
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking &Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTION:
C NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORI
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING D /VISION DOES NOT CONSTITUTE AUTHORIZATR
OF A C ERTIFICATE OF OCCUPANCY NnR PFPA&lc inm FnP nncl IPaNCv
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUES
PROTECT THIS CARD FROM THE WEATHER
♦ 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: fini4t ArvF Sgf I�FPrf
Job Address: _3c>if�' V /VIIV y 57"
Permit Number: & %2
❑ No one available for inspection: Time A PMT.
Re- Inspection required: Yes
When corrections have been made, call for re inspection at 303 - 234 - 5933
?�
Date: 0 497 Inspector: Za _
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: 04. tle,4,
Job Address: 5 l/g Vt'v%er ri 5
Permit Number: ~7 n
VA, VC.Orl-
t
t ^k7 ~t t~ (Doff hock
t ti S(3PC. ~'CrG1 l' e • La ri,~
,
uAl vet e-~e n`,.- I ale i7v2r 'a 4 ckfC
❑ No one available for inspection: Time 34 AM/ UM Ise /q save,
Re-Inspection required: Yes No a'liof-C
When corrections have been made, call for re-Inspection at 303-234-5933
Date: /_111 OT Inspector: (;3Pe 11'
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
.
rooool"w Residential Roofing PERMIT - 093782
PERMIT NO: 093782 ISSUED:.. 11/02/2009.
70B ADDRESS: 3048... VIVIAN ST 'EXPIRES: 05/01/2010.
DESCRIPTION:--Repair-3 sqs of roofing
***.CONTACTS
Dwner 303/238-5080 Kathleen Cole
sub 720/289-5553 Jesse Fischer 09-0375 Clear Creek Exteriors
k*., PARCEL INFO
ZONE: CODE: UA -USE: UA
SUBDIVISION: 0712. '.BLOCK/LOT#: 0/
**=FEE SUMMARY ESTIMATED .PROJECT.: VALUATION: 200.00
FEES
Permit Fee 30.55
t
Total Valuation .00 j r
Use Tax 3.60
TOTAL 34.15
ionditions:`
mail installation mid-roof inspection required. Board sheathing spaced more
:hall a 1/2 of an inch apart.' requires plywood overlay on entire roof. Ice and
aster shield., required from eave edge to 2'..inside ..exterior walls..'
e**Contractor/Property owner shall ..provide ladder(s) secured in place for.
Lnpsections..
Subject to field inspection.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances,.. rules or regulations of the City. of. Wheat Ridge or covenants, easements. or. restrictions of record;. that all
measurements shown, and allegations. made. are accurate; that I have read. and agree to abide by all conditions. printed on this
appl, ati and that I assume full responsibility for compliance with the Wheatt Ridge Building Code (I.B.C) and all other
-
app11 is WheattRad e 0 dinances, for. work under this ermrt Plans subject to field inspection.
ature of.. contractor/owner ldate
This permit was issued in accordance with the provisions: set forth in your application and is subject to the laws of the.
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City...
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to. expiration
date. An extension may be grantedat the discretion of the Building Official'.
Ifthis permit, expires,.. a new permit 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 specifications' and any suspension or abandonment. has not
exceeded one l'(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
he paid for a-new permit.
No work of any manner shall be done. that will. change the natural flow of water causing a drainage problem.
Contractor.: shall notify the Building Inspector twenty-four (24) hours in advance for f all inspections and shall receive
written approval on inspection card before.. proceeding with successive phases of the job.'.
The issuance of a permit for the approval of drawings and specifications shall.. not be construed to be a permit for, nor
an 'approval of, any violation of the provisions of the 'building codes or any,.. other ordinance, law, rule or :regulation.
All plan review r,9ngs t to field inspections.
°
fnatu of.Ch' B ding. Official date
-NSPECTION'REQUEST LINE: (303)234-5933 BUILDING. OFFICES (303)235-2855'.:
ZEQUESTS' MUST.. BE MADE BY 3PM'. ANY BUSINESS DAY FOR INSPECTION THE P: FOLLOWING. BUSINESS DAY.
City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
ootoRroo Inspection Line: 303-234-5933
Permit
Building Permit Application
Property Address;Q L~ g V " V~ K
fr cG k ~of~ r?
Property Owner (please print): 1 Ste Phone: 30 o g~
Mailing Address: (if different than property address)
Address:
City, State,
Contractor:
Ct'e~V 1;~ ,~V (rror s
fiSCht
Contractor License Phone
Sub Contractors;
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Use of space (description):
Description of work:
Sq. Ft./L.Ft added:
I Construction Value: $ Iu C.v , I
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $ 1
Squares 3 BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. -
CIRLCE ONE:: (OWNE$/ (CONTRACTOR) or PERSONAL RE7r TATIVE of (OWNER) (CONTRATOR)
PRINT NAME:" _ k ~cn sra.e.rc~rruen roo -
Mechanical City License
Company:
Exp. Date:
Z
Bldg Valuation:
41 ~ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 4eZ Pmr
Job Address/Permit Number: go Y' V1 t///A' sr 0S/3,Z
~~PE~T d- ~a~sP~3
C/ WWA, ~vsa, z , //f> X11 3 5 9 vi sr
Ptah 10F
❑ No one available for inspection: Time /p/ /o AM/PM
Re-Inspection required: Yes No
'When corrections have been made, call for re-inspection at 303-234-5933
Date: N g Inspector,Z ~i
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
Residential Roofing PERMIT - 081322
PERMIT NO: 081322 ISSUED: 11/12/2008
JOB ADDRESS: 3048 VIVIAN ST EXPIRES: 05/11/2009
DESCRIPTION: Reroof with 30 yr dimensional 19 sqs
CONTACTS
owner 303/238-5080 Kathleen Cole
gc 303/450-5247 James Mosel 08-0268 Trinity Roofing
PARCEL INFO
ZONE CODE: UA
SUBDIVISION: 0712
USE: UA
BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,750.00
FEES
Permit Fee 126.50
Total Valuation .00 ~J
Use Tax 67.50
TOTAL 194.00
Conditions:
6 nail installation & mid-roof inspection required. Board sheeting spaced more
-then a 1/4 of an inch apart requires plywood overlay on entire roof
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheg~ dge Ordinaycgs, for work under this permit. Plans subject to field inspection.
Signatur ontractor/owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City. -
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit 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 specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is suh]e~~ o/jfield inspections.
Signature of Chief Buil g is/cial date
INSPECTION REQU&T'LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
`.REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
OF WHEgT,P/ City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
v m
Office: 303-235-2855 * Fax: 303-235-2857
o - o Inspection Line: 303-234-5933
OCORPp
p
Property Address: (L A
Building Permit Application
Date:
Plan
Permit
Property Owner (please print): :~o q<~ V, ✓ t
Mailing Address: (if different than property address)
Address:
City, State,
Contractor:
Phone: -2 1ST S()E-U
Contractor License Phone: a'ZO - 3C l I q 9'
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Construction of space (description): Value: $
(as calculated per the Building valuation Data sheet)
Description of work:
t( Q (~j p-~ .1 ot tr t,,~ d ( m Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer: -
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY: _
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $