The URL can be used to link to this page

Home My WebLink About4200 Vivian StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair Date: Monday, February 21, 2022 10:30:20 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Sewer or Water Line Repair This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4200 VIVIAN ST Property Owner Name RANDALL LASSELLE Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 720-275-4616 Field not completed. Electron ic-Payment-Form. Ddf CONTRACTOR INFORMATION Contractor Business TRENCH RIGHT Name Contractor's License 130022 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-287-9009 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email OFFICE@TRENCHRIGHT.COM Address Retype Contractor OFFICE@TRENCHRIGHT.COM Email Address 01:R163CiIi1 ffl0N]&TO(6]S:/ Is this a sewer line or Sewer Line water line repair? Length of repair 60' Location of repair BACKYARD (backyard, frontyard, etc) Provide additional INSTALL CLEANOUTS details including installation of clean - outs. Project Value (contract 6500 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for RACHAEL SCOTT Pe rm it Email not displaying correctly? View it in your browser. !' City of Wheat Ridge Residential Roofing PERMIT - 201705365 PERMIT NO: 201705365 ISSUED: 08/03/2017 JOB ADDRESS: 4200 Vivian ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with ROOF DECKING - 26.59 sq. (22 sq. pitched, 4.59 sq. flat) *** CONTACTS *** OWNER (720)275-4616 LASELLE RANDALL SUB .(303)731-8656 Cliff Breitweiser 170399 CB Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,900.00 FEES Total Valuation 0.00 Use Tax 228.90 Permit Fee 220.15 ** TOTAL ** 449.05 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at.(project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. (�s INSPECTION RECORD °panty=fie 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 inspection 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 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments WAIT Sheathing 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 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 _ &-1-7 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. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancv Is 1^-'ued Protect This Card From The WP - INSPECTION RECORD jAv11 ZW Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11-59"I PM) to receive an inspection the following busines day PERMIT: I� ADDRESS: 1 ') r via r- JOB CODE: &al Foundation Inspections Date Inspector Comments Initials 102 Caissons / Piers 103 Footing ! P.E. Letter --- CHAMPION WINDOW MFG.' �� 104 Foundation Setback Cert. NERC 9200 Series 105 Stem Walls a Foam Enhanced Vinyl Frame 106 Foundation wall Insulation Double Glaze • Low -F. -Argon (:as Do Not Pour Concrete Prior To App, National Fenestratior Rating Council C I M - k -g-00040-000U Horizontal Slider WindoH Underground / Slab Inspections — - -- -- CHAMPION WINDOW MFG. r201 Electrical /Cable/ Conduit 9200 Series 202 Sewer Underground Int. Foam Fnhanced Vinyl FrameL;A 203 Sewer Under round Ext. Double Glaze •Low -F. 9 Argon Gas National Fenestration 204 Plumbing Underground Int. RatingCouncii' m�-�_H_„oftln_nnfrru___ 205 Plumbing Underground Ext. CHAMPION WINDOW MFG. 206 Water Underground NFRt. 9200 Series Do Not Cover Underground or Bel L� Foam Enhanced Vinyl Frame Double Glaze • l.o%%-F. • Argon Gas National Fenestration 1 Rough Inspection RatingCounci ` (11\�--R-nnnln-IIIIOnI Horizontal Slider Window 301 Rough Framing ENERGY PERFORMANCE RATINGS 302 Wall Sheathing _ I I -Factor fU S /I P) Solar Heat l_;91n Cneffici nt 303 Roof Sheathing 304 Sheer Inspection 0.27 0.21 305 Insulation ADDITIONAL PERFORMANCE RATINGS 306 Mid -Roof Visible Transmittarn_e Condensation F:esiStonce 307 Metal / Lath / Stucco 308 Rough Electrical Residential 0.49 -58 309 Rough Electrical Commerci 310 Electrical Meter Residentia' any =pe<�` fn )duct performance NFRC ranngs a F he.er _ d fn, a xe i ser of env rnnmental coed ons end spe. f,r° oroeiuc* site NFRr does n- ---H ani prndi t and Anes no..the If any product fo, 311 Electrical Meter Commercial any specific use Consult anu(actur , hterature for the p12duct performance mformarinn www.NFRC-org 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS 6 PERMIT: a4.I I I j1lJ�' I ADDRESS: I o9,C/ �r� V 1�� LJ4��\ JOB CODE:��oa) Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail I _ _ / 321 Moisture board / shower walls Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 322 Rough Grading 413 Flood plain Inspection** 323 Miscellaneous 414 Fire Insp. / Fire Protection*** Final Inspections 402 Gas Meter Release A W1 Ginni Flcr+rit-nI Raciriantial Date I Inspector Initials Comments 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door I _ _ / 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Lel o - ry_--,`,,a Job Address: 4-1 a C O V" , f'a„ S Permit Number: '�) 0 1-7 p g 41 q 1 i 0o.) k) I'njows A PprflL.'ed ❑ No one available for inspection: Time ':? = 5-5-6�M Re -Inspection required: Yes 9) When corrections have been made, call for re -inspection at 303-234- Date:- z f7 Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Resid. Windows/Doors PERMIT - 201708691 201708691 ISSUED: 10/30/2017 4200 Vivian ST EXPIRES: 10/30/2018 Replacing 7 windows; like for like; u -value = .28 *** CONTACTS *** OWNER (720)275-4616 LASSELLE RANDALL SUB (303)375-0745 Paul Bonow 020146 Champion Windows of Denver *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,479.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 73.06 ** TOTAL ** 123.06 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and sha:l be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be perfonned 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 thispermit and perform the work described and approved in conjunction with this_pennit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perforin d,,and that all.wo* to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the pen -nit 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 writin„ 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 originalermit 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 andprocedures for approval of any new pen -nit. 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, anviolation of any provision of -any f applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to _yviolation inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of p Wheat K COMMUNrry DEVELCIFMENr Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: r)ermits(a_)ci.wheatridqe.co.us FOR OFFICE USE ONLY Date: Plan/Permit # C\�-� -b du � &) Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 4200 Vivian St Property Owner (please print): Randall Lasselle Phone: 720-275-4616 Property Owner Email: Mailing Address: (if different than property address) Address: 4200 Vivian St City, State, Zip: Wheat Ridge, CO 80033 Architect/Engineer: Architect/Engineer E-mail: Contractor: Champion Windows Contractors City License #: 20146 Contractor E-mail Address: kparkman@getchampion.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 303-375-0745 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑■ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) replacing 7 vinyl windows - same size opening & no structural changes Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 3479.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (A[ITHORIZ DW E TATLV of (OWNER) (CONTRACTOR) Electronic SiEnature (first and last name): Kim Parkman�J� DATE: 71 understand that checking this box, that I acknowledge that this constitutes a legal signature. ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ PPPPP, � CHAMPION WINDOWS of DENVER HOUSE DIAGRAM /01P7 10035 East 40th Ave #400 / DENVER, CO. 80238 (303) 375-0745 Measure Date:Measured By: Order Date: iQ I iVerified By: andall'L --- - - --" - - - i cvLoKtiwE LEGEND W White T Tan I ADB Adobe I BR Brick Red I BRZ I Bronze EG Emerald Green I CG I Cottage Gray CB I Colonial Blue EO I English Oak I DO Dark Oak CH Cherry ORDER CODE LEGEND: DH Double Hung DH -0 Double Hung One 2P 2 -Panel �2P-0 2 -Panel Oriel 3P 3 -Panel 3P -E 3 -Panel Equal Lite HP PW -F AW Hopper Pix Window Frame Only Awning C -R 1 -Lite Csmt w/ right Vent L -L 1 -Lite Csmt w/ left Vent RC2 -Lite Csmt 3LC 3 -Lite Case men 4LC 4 -Lite Case an 5LC 5 -Lite Casemeni GW Garden Window 2PE 2 Panel Egress SHE Sngl Hung Egress WINDOW SCREENS GLASS # LOC INSIDE MSRMT W X H OUTSIDE MSRMT W X H STYLE CLR ORDER SIZE W X H FULL Y/N GRIDS OBS TP COMMENTS STYLE LOC LOC LOC 1� x x 2 x �� zx R q�Y x 3 3` x 33 X?,( v 3JZx 01, ZL2 e �c 4t �0. x z/ x �- x Zyl� s 5 Z x ,7Lx 2,P Zr 4.4 x 2-��! � 15T 6�✓ `x x yell% x 31"% fi l 5 7- x 2 � 9AX 4�' �1ASI � w 8 x x x 9 x x x 10 x x x 11 x x x 12 x x x 13 x x x 14 x x x 15 x x x x z SHOP INSTRUCTIONS Bvrl /[£ -4;z7 K�7 "j 7— ,Zs CHAMPION WINDOW MFG. 8200 Series NFRC]Foam Enhanced Vinyl Frame Double Glazer Low -E • Argon Gas I lonal FeneCHW-A-8 Rating Slider Window With Grids ENERGY PERFORMANCE RATINGS :U! -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.28 0.19 ADDITIONAL PERFORMANCE WTINGS Visible Transmittance Condensation Resistance 0,43 57 Manufacturer stipulates that these ratings confo for orf zed sem to t environmental onmentae NFRC lconditions and a specedures for 9ic prodle uct size. performance. NFRC ratings are determined r d;' .tforan specific oduc use. NFRC does not recommend any product and does not warrant the suitability of any p : Y Consult manufacturer's literature for other product performance Inlormation. vr,vw.nfraor'_ "tom CHAMPION WINDOW MFG. 8200 Series UFRC 'A 1 , ,l� Foarn Enhanced Vinyl Frame Double Glaze• Low -E • Argon Gas National Fenestration CH N -A-7 Rating Council® MM Double Hung Window With Grids �� l��nn�.fw nl�el.nn ENER()Y PERFORMANCE RATINGS-__ U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0 8 0.11 !'4 ADDITIONAL PERFORMANCE RATINGS_ Visible Transmittance Condensation Resistance 0.0144 54 Mwitifac'.0rerstipulates that thesoratings conform toapplicable N=RC procedures for determiningwh le or:lrc. performance NFRC ratings aro d:termined for a fixed set of environmental conditionsrand a for any s ,ecific useucl . N''RC r s no: recommend any product and does notwarrant the suitability of any p Y Corsult manufacturer's literature for other product Information. www.nfrc.org OMM CHAMPION WINDOW MFG. � 8200 Series FR Foam Enhanced Vinyl Frame LC1151111111111 o Double Glaze - Low -E - Argon Gas National Fenestration CHW-A-8 Rating Council® Slider Window Im ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.28 0.21 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.49 57 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance Information. www.ntrc.org CHAMPION WINDOW MFG. C ell 8200 Series RC Foam Enhanced Vinyl Frame Double Glaze - Low -E • Argon Gas National Fenestration Rating Council® CHW-A-7 Double Hung Window ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.28 i 0.21 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.50 54 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does notwarrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information. www.nfrc.org ttf i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line i��(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �1g - T Job Address: 2 c C V, 1S4 - Permit -- Permit Number: C/ 7 C ❑ No one available for inspection: Time = &PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: IC LI, i -7 Inspector: ,T -t) DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705365 PERMIT NO: 201705365 ISSUED: 08/03/2017 JOB ADDRESS: 4200 Vivian ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re-roof to install Tamko Heritage asphalt shingles with ROOF DECKING - 26.59 sq. (22 sq. pitched, 4.59 sq. flat) *** CONTACTS *** OWNER (720)275-4616 LASELLE RANDALL SUB (303)731-8656 Cliff Breitweiser 170399 CB Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,900.00 FEES ArIINL Total Valuation 0.00 Use Tax 228.90 — Permit Fee 220.15 ** TOTAL ** 449.05 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705365 PERMIT NO: 201705365 ISSUED: 08/03/2017 JOB ADDRESS: 4200 Vivian ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re—roof to install Tamko Heritage asphalt shingles with ROOF DECKING — 26.59 sq. (22 sq. pitched, 4.59 sq. flat) 1, 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 1 am legally authorized to include all entities named within this document as parties to the work to be perfgnnpd and that all woro be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OVR 'or CONTRAO OR(Circle one) Date I . This permit`tvas 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 pen -nit. 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 Insiw Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work witWwritten approval of such work from the Building and Inspection Services Division. 6. The issuaqode ranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apphcabIrr an ran regulati of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 26, 2017 6:17 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? \A /c, M V off" How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4200 Vivian St Wheat Ridge, CO 80033 Property Owner Name Randall Laselle Property Owner Phone 720-275-4616 Number Property Owner Email Field not completed. Address hV Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Field not completed CONTRACTOR INFORMATION Contractor Business CB Construction Name Contractor's License 170399 Number (for the City of Wheat Ridge) Contractor Phone 3035961160 Number Contractor Email Address cliff@cbconstruction.co Retype Contractor Email cliff@cbconstruction.co Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing Tamko Heritage Material Select Type of Material: Asphalt, Rolled If "Other" is selected Field not completed. above, describe here: How many squares of the 22 material selected above? Does any portion of the es property include a flat roof? If yes, how many squares 4.59 on the flat roof? / TOTAL SQUARES 26.59 (pitched + flat) of all z roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House roof 4/12 C10,900.00 ' 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 Clifford Breitweiser Email not displaying correctly? View it in your browser. 3 BBB CONSTRUCTION 355 S. Teller St. Suite 200 Lakewood, CO 80226 Office: (303) 731-8656 Email infoa@cbconstruction.co SERVING THE FRONT RANGE SINCE 2009 Licensed and insured for your protection F± OWENS CMNING Property Owner(s) Customer Randall Lasselle Proposal Date 7/10/17 Property Address 4200 Vivian St. Primary Phone 720-275-4616 City, State zip Wheat Ridge, CO 80033 Secondary Phone Insurance Company Claim # Email Address W] Tear off 1 layer(s) of composition & layer(s) of ® Inspect decking m Install decking m Install starter course of shingles -entire perimeter ® Install 15 # felt ❑ Install 30 # felt ❑ Install m Install ice and water shield on eaves ® Install drip edge - color ®Install reinforcement in valleys using ice & water ®Closed valleys ❑Open valleys m Replace step flashing on sidewalls, chimney and skylights ® Install 6 nails per shingle throughout field area ®Roofing product m Roofing color mManufacturer Warranty m Standard ridge ❑High profile ridge Install ridge vent m Install turtle vents ❑Install Vents m Install pipe jack flashings minstall furnace cap ® Paint pipe jacks to match roofing color ❑Detach and reset ❑ Remove and cover ❑ Install beauty course of ridge shingles on headwalls ❑Detach and reset satellite [:]Remove satellite ®Clean up & remove trash Sweep with magnetic roller Clean out gutters m Provide building permit ®Register Manufacturer Warranty ®CB Construction, Inc. Five Year Roofing Labor Warranty ®CB Construction, Inc. $2,000,000 Liability Insurance ®Special Instructions/Additional Work ROOf,paint, gutters, fascia & soffit repairs Approximate Dates) of Service: 9/10/17 Estimated Cost (retail): 19,011.72 (CB Construction, Inc. is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part). Incurred Costs with 0/P (Final Invoice): CB Construction acting as General Contractor; standard industry practice is to assess 20% fee in excess of the retail rate for labor and material provided on each trade performed. As such this fee is an incurred cost and will be included in the final invoice. The charge is part of Replacement Cost Value "RCV' and is to be reimbursed from the insurance company if not already allowed INCURRED COST is the Contract price, all supplemental payments obtained by C8 Construction or that are paid due to on Appraisal Award or legal settlement are owed to C8 Construction upon completion. ❑The property owner(s) ("Customer") authorizes CB Construction, Inc., ("Company") to work with their insurance carrier to obtain the full scope of repairs necessary for restoration of storm damage. This "Agreement" is not binding upon Customer or Company until the insurance carrier approves Customer's claim and this amount is accepted by Company. Upon acceptance by Company, the amount approved by the insurance carrier will become the final contract price and Company will receive the insurance proceeds for work it has completed, The Company will complete specified work for no additional cost to Customer beyond the agreed claim amount except for the insurance deductible. Customer is ❑/ is not ❑✓ intending to make payment from the proceeds of a properly and casually insurance policy. If Customers payment is from an insurance claim, then pursuant to Colorado law Company (roofing contractor) "shall not advertise or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the claim for payment for roofing work on the covered residential property," C.R.S, § 6-22-105. The Company shall hold in trust any payment received from Customer, until Company has delivered the roofing materials to Customer's property or when Company has performed a majority of the roofing work on Customers gmperty e By ty1gn1Pg 0" Vie) MAe to all t conditions on front and back of this agreement, and have been provided notice of the right to cancel both In writing and Jam• Manager Signature Office Manager Signature l� Accepta a Date You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form for an explanation of this right. 1. Any prices quoted will remain valid for sixty (60) days from the date of this Agreement. Specified work and quoted prices are subject to change upon discovery of hidden defects or conditions. The Customer shall: procure any documentation and third -party endorsements(s) such as lender's approval for the repairs or replacement: comply with any and all requirements of the lender or other lien holder that are necessary for the insurance claim payments to be endorsed and available to Company, including providing relevant lender and insurance carrier contact and claim information to Company in a timely and cooperative manner: and participate in any applicable third party appraisal and/or arbitration process to finalize the proper claim valuation. Customer agrees to reasonably assist Company in communicating with insurance carrier to reach agreement on cost and scope of repair. Customer will be responsible for the costs of any requested upgrades or work outside the scope of the claim, Standard payment terms are 50% of the amount quoted in the Agreement as a deposit or upon delivery of materials, with the balance due upon completion (or release of withheld insurance proceeds to the Customer when applicable), After receipt of insurance claim payments for the work completed by Company, Customer shall immediately pay these funds to Company. All checks for payment shall be made payable to CB Construction Inc. with no payments made in cash. 2. The Company will perform the specified repairs or replacements in a workmanlike manner consistent with standard industry practices, obtain the necessary permit(s), comply with the local building code, and ensure that its work will pass inspection, The Customer shall not withhold any payments to Company while waiting for the building departments inspection or for Company to perform any additional work to pass inspection. Repair or replacement of gutters, fascia boards, decking, roof jacks, ventilators, or any other work not specified in this Agreement will be charged on a time and material basis, if approval of products and colors is required by a homeowners association ("HOA ) or anyone else, Customer shall obtain such approvals prior to commencement of any repairs or replacement. If Customer does not obtain such approvals, then Customer is responsible for any HOA actions due to the lack of approvals, including fines. All excess materials will remain the property of Company. 3. The Company provides a limited workmanship warranty for five (5) years for complete roof replacements and for one (1) year for all other work, which will commence upon completion of the work, If Company is not paid in full for all monies owed under this Agreement, the Company's limited workmanship warranty is null and void. The Company does not provide any warranty on materials, which are warranted by their manufacturer. The Company's limited warranty does not cover damages caused by extreme weather or events, including, but not limited to: high winds: lightning; ice; hail; flooding; mold; fire; or the settlement, failure or cracking of the roof deck, wails or foundation, In the event there is any dispute about the Company's work, Customer agrees to allow Company the opportunity to do additional work to resolve such dispute. If Company is not allowed the opportunity to do additional work to resolve the dispute, then Customer agrees that Company is not liable for the cost of any repairs or damages resulting from the disputed work. 4. The Company disclaims and Customer releases Company, its agents, employees, and officers from any liability for any failure of performance due to: (a) delays, omissions, or errors by Customer, their insurance carrier, or their mortgage company; (b) weather; (c) acts of God; (d) the difficulty in procuring materials from usual sources; (e) labor strikes or controversies; (f) lack of access to or additional damage to the property identified in this Agreement; and (g) any other circumstance beyond the control of Company. 5. The Company disclaims and Customer releases Company, its agents, employees, and officers from any liability for damages caused by: improper original construction, including but not limited to, faulty framing and roof decks; pre-existing damage or deterioration; rotten, brittle, or improperly maintained or installed siding, trim, or stucco; nail pops, cracks in plaster, drywall or paint, and other minor interior damage; scratching and denting of gutters, scratching of paint, landscaping damage, cracking or chipping of concrete, and other minor exterior damage; and negligence that may cause or contribute to mold, mildew, and its abatement, removal, or cost of repairs and replacements. The Company disclaims and Customer releases Company, its agents, employees, and officers from any liability for damage to: electrical, cable, air conditioning, or plumbing lines that are installed within 6 inches of the roofline; evaporative coolers; HVAC units; solar systems; satellite dishes; skylights; and ventilators. 6. The Customer agrees to indemnify, hold harmless, and defend Company (with counsel reasonable acceptable to Company) from and against any and all claims other than for willful and wanton conduct, damages, costs and expenses, including reasonable attorney's fees, arising from any action or proceeding based upon or related to any aspect of the transaction in connection with this Agreement, or any document executed or delivered in connection with such transaction. The Customer agrees that Company's maximum liability under this Agreement shall be limited to the Funds Company received for the repairs or replacement. The Company disclaims and Customer releases Company from any liability for incidental or consequential damages. The Customer further waives any right to recover punitive damages. 7. If Customer does not pay all sums due under this Agreement within thirty (30) days after completion of the repairs or replacements, then Customer shall pay Company eighteen percent (18%) per annum interest on all amounts due and all collection costs, including reasonable attorney's fees and other fees incurred by Company in collection of debt, if a payment is canceled or returned due to insufficient funds (NSF) Customer additionally agrees to pay Company all bank fees and $ 100 per occurrence for recovery, s. The Customer acknowledges Company is a general contractor, and is entitled to receive all overhead and profit (O&P and/or GC OHP) in accordance with industry standard practices. 9. If the Customer plans to use the proceeds of a property and casualty insurance policy to pay for roofing work, then pursuant to C.R.S. § 6-22-104 Customer may rescind this Agreement within 72 hours after receiving written notice from the property and casualty insurer that the insurance claim has been denied in whole or in part. The Customer's right of rescission does not apply when the properly and casualty insurer denies, in whole or in part, a claim related to a request for supplemental services, if the damage requiring the supplemental roofing services could not have been reasonably foreseen as a necessary and related service at the time of the initial inspection or the execution of the initial contract. The Company may retain payments or deposits by the Customer to compensate the Company for roofing work or other services actually performed in a workmanlike manner consistent with standard industry practices. To rescind this Agreement, Customer must give written notice to the Company's office at 355 S. Teller St. Suite 200 Lakewood, CO 80226 within seventy-two (72) hours after Customer was notified of the denial. If the Customer cancels this Agreement more than three (3) business days after its execution, but prior to commencement of any work by Company, then Customer agrees to pay Company 15% of the contract price including any supplements secured in relation to the loss identified in this agreement, not as a penalty, but as fair and just compensation for the services the Company has provided, 10. The Company is insured by Lightship Insurance, 1650 Franklin St. Denver, CO 80218, telephone (303) 292-9995. 11. This Agreement and all attachments hereto represent the entire agreement between the parties, and supersede all prior written or oral agreements. No modification, amendment, or waiver of any provision of this Agreement shall be binding upon the parties unless made in writing and signed by both parties. This Agreement and all claims or controversies arising out of or relating to this Agreement shall be governed by and construed in accordance with the laws of the State of Colorado, without regard to conflicts of law rules. If any provision of this Agreement is found to be invalid, illegal or unenforceable, it shall not affect the rest of this Agreement, which shall continue in full force and effect as if said provision was not included herein. Venue for any legal action, proceedings, or alternative dispute resolution brought pursuant to or involving this Agreement shall be in the City and County of Denver, Colorado, or any other location mutually agreeable to the parties. The parties waive the right to a jury trial in any action or proceeding based upon or related to any aspect of the transaction in connection with this Agreement, or any document executed or delivered in connection with such transaction. This Agreement shall be binding upon the parties and their respective successors, heirs, legal representatives and permitted assigns. jq A 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: 4-i / � � E Job Address: q? L O v ' l f,4 - Permit Number: -7 UI7 o S -j 4. F AV ❑ No one available for inspection: Time i bill/PM Re -Inspection required: Yes ( ,O When corrections have been made, call for re -inspection at 303-234- Date:- &I< i Inspector: �- DO NOT REMOVE THIS NOTICE DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WEST28thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94~19726 234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHVEF BUILDING INSPELTOR AND RECEIPTED BELOW. JOB ADDFESS ~ CONTRACTOR Z~ [ ADDRESS ~1 z l ) J' ykvJ - CITY 1L) h ZIP CODE PHONE q ' 3~ LICENSE NO. _ L TVPE Ground❑ Wall❑ 2. MATERIAL SIGNS 3. ILLUMINATION Yes❑ No❑ TYCs 4. SET BACK FROM PROPERTY LME N- 5__ E. (SDseify whith is f ronl ) ❑ ❑ 1. TYPE Solid0 More TAOn 80% ODen❑ MATERIAL FENCES 3 SET BACK FROM PROPERTY LINE N_ S__ E (SoeCifv whieh it lront) ❑ Q. 1. OTHER Z 13, LLANEO U1S PERMIT OWNER ' ~ c ADDRESS PHONE ZIPCODE CONTfiACT PRICE $ DATE ProiectinOU Other S M D FeG1 To1al Squan Faef Eled. Permit No. _ W Zons_ ApprovW,ZOne Inspeclor ❑ ❑ DisaDDrwed Less Thon BO% Open W Zono_ ApprwW,Zons InsDacta 1:1 DiaaODroved DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIViNG DISTANCES FROM PROPERTV LINES. (SET8ACK5 OR PROJECTpNS INCIUDED) ~ SPECIFV NORTH STREET Nf+ME SHOW DISTANCES FROM THE M41N BUILDING TUADJOINING HWSES,STREETS,ANO VROPERTV IINES;ON IRREGULAR LATS,SHOW LEAST DISTANCE TO PROPERTY IINES,NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEDWORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. (rwu i CvomG iat nnVS ~ROM THF DATE OF ISSUANCE IF WORK IS NOT STARTEDWITHIN THAT iIME _ ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. STATE LICENSE N0. ALUMI NUMWIREUNDERSIZE8ILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FUEL~CiWQMGotOUROporN ElxSdor WATER CIASET FORCED AIR - BTU ~ TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - QMPS BATH TUB STEAM - BTU AIR CONDITIONING-BN CHANGE SERVICE - AMPS SHOWER LIGHTING SINN OTHER REFRIGERATION SYSTEM GARBAGE DISP HEATING WATER HEQTER Re1ri eroM Goup POWER SU9-CIFCUITS Pounds Chor e UTILITY(RANGE,DISPOSER,ETC.) AUTO.WASHER AUTOMATIC SPRINKLER SYSTEM FIXTURES DISH WASHER WIRING MOTORS 9 CONTROLS Fltl(Kt DRAIN ELEVATOR SIGN$ URINAL TRANSFOfiMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES li " PERMIT FEE ~ ~ ca I Mreby ocknowledpe thol this eDG t I h 6y a tion it correct ond understand t USE TAX , cannof start this projbct until this appli- $ tation is apOroved. I snoll comply with TOTAL FEE the low, of the State ol Colorado ond to ldin B ROVE~ p ui ths Zoninp Requlationn ond DISAP Code of ihe City of Wneat Ridqe. Any f tne obovs terme win couee l ti CHIEF BUILDIN NSPECTOR,Ci}yof Whe Ridpe on o vio o immediate revocation ol ihia Dermif ~ ~ Date Issued 00 ~eam ~o~a iT VAIID UNLESS REOEi ~ CALL 2345933 24 HOURS IN ADVANCE FORINSPECTIONS