HomeMy WebLinkAbout3370 Wright StreetINSPECTION RECORD
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 PM) to ``receive an inspection the following business day
PERMIT: n� 0 ADDRESS33Z O 1 C JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
302 Wall Sheathing
103 Footing / P.E. Letter
303 Roof Sheathing
104 Foundation Setback Cert.
305 Insulation
105 Stem Walls
306 Mid -Roof
-
106 Foundation wall Insulation
307 Metal / Lath / Stucco
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
302 Wall Sheathing
202 Sewer Underground Int.
303 Roof Sheathing
203 Sewer Underground Ext.
305 Insulation
204 Plumbing Underground Int.
306 Mid -Roof
-
205 Plumbing Underground Ext.
307 Metal / Lath / Stucco
206 Water Underground
309 Rough Electrical Commercial
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
-
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMOOM' 0&0ADDRESS:33�Or).dh4� JOB CODE: I�
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
AL 0/JS /
319 Hot water tank
42
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
AL 0/JS /
405 Final Mechanical Residential
42
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
F%
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address -70 t,.�
Permit Number
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address 70s�—
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info. -7& 4'/,-1 7
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* i Nearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendation specifications. /
Inspector: -i 4 Date:
Property Owner Statement of Acknowledgement
*I Nearby acknowledge that i am the owner the building referenced above and I give
my consent for the listed thud -party ins cf n company to perform my roof inspection
in lieu of the City of Wheat id e'6 ion,,,inspection. -
Propery Owner/Agent: 1 Date: -
This original document andvliermit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
Roof Insuection
❑ N/A
121 Pass
❑ Fail
❑ N/A
JyPass
❑ Fail
❑ N/A
Pass
[:J Fail
/A
E] Pass
❑ Fail
❑ Pass
❑ Fail
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ P/A
N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑,A/A
- N/A
r
d N/A
N/A
N/A
N/A
N/A
N/A
a
N/A
�] N/A
w
N/A
Pass
O"Pass
Pass
%a -pass
E ,, Pass
Pass
171
Cass
Pass
[ Pass
Pass
Ef Pass
,E Pass
❑ Pass
Pass
Pass
Pass
Pass
Pass
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Structural roof components
Verify that no more than 2 layers of shingles exist
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattern (See Policy & Procedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
Ice and water shield 2' in heated wall spaces
Underlayments must follow 2012 IRC 12012 IBC
Verify roof slope for proper drainage
Dripedge shall have min of 2" overlap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
Below roof residential R-38
Below roof commercial R-32
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less
3:12
❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
�d
Company Name: -� ~- L el_�J C -
Inspector signature:
Date of Inspection: �(
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
,— N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
V
N/A
N/A
N/A
N/A
N/A
Roof Inspection
❑ Pass
❑ Fail
Pass
❑ Fail
. Pass
❑ Fail
,Pass
❑ Fail
❑ Pass
❑ Fail
Pass
Ja Pass
L31Pass
2r Pass
ET`P-ss
Pass
❑ Pass
Pass
,'Pass
�j Pass
,FzrPass
Pass
® Pass
❑ Pass
Pass
Pass
Pass
Pass
Pass
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Structural roof components
Verify that no more than 2 layers of shingles exist
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattern (See Policy & Procedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 44 piece per shingle
Verify scuppers allow for proper drainage
Ice and water shield 2' in heated wall spaces
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
Dripedge shall have min of 2" overlap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
Below roof residential R-38
Below roof commercial R-32
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less
3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
V
The City of Wheat Ridge
Inspection Check List notes
Fina! Roof
Notes
s
Company Name:
Inspector signature:
Date of inspection: — — j
City of Wheat Ridge
Residential Roofing PERMIT - 201709080
PERMIT NO: 201709080 ISSUED: 11/15/2017
JOB ADDRESS: 3370 Wright ST EXPIRES: 11/15/2018
JOB DESCRIPTION: Permit to install new decking and reroof 24 squares 12/12 pitch with Owens
Corning Duration
*** CONTACTS ***
OWNER (303)238-4735 REYNOLDS ERIC MICHAEL
SUB (303)905-2123 Donny Brust 170307 Kodiak Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: R-3 / Residential
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,043.00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45
** TOTAL ** 357.35
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 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.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
nd
applicable building codes, and all applicable municipal codes, policies and procedures, athat l 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and th 11 work to be erlormed is disclosed in this document and/ ` 'ts'accqmpanying approved plans and specifications.
1 3
Signature of O , or CO TRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regut4iion of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official F Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT -
201709080
PERMIT NO:
201709080
ISSUED:
11/15/2017
JOB ADDRESS:
3370 Wright ST
EXPIRES:
11/15/2018
JOB DESCRIPTION:
Permit to install new decking and
reroof 24 squares
12/12 pitch with Owens
Corning Duration
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
nd
applicable building codes, and all applicable municipal codes, policies and procedures, athat l 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 leggally authorized to include all entities named within this document as parties to the work to be
performed and th 11 work to be erlormed is disclosed in this document and/ ` 'ts'accqmpanying approved plans and specifications.
1 3
Signature of O , or CO TRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regut4iion of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official F Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Online Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=
Online Form Submittal: Residential Roofing Permit Application
no-reply@ci.wheatridge.co. us
Sent: Tuesday, November 14, 2017 3:56 PM
To: CommDev Permits OE�u Categories:Antoinette 1'l/j
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND
TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units are Single Family Home
on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
3370 Wright St Wheat Ridge CO 80033
Eric Reynolds
303-638-3248
Field not completed.
Yes
1 of 01/30/2018, 12:53 P]
line Form Submittal: Residential Roofing Permit Application
property?
Applications cannot be
submitted without an
executed contract attached
below.
Attach Copy of Executed SCAN0408.PDF
Contract
CONTRACTOR INFORMATION
Contractor Business Name Kodiak Roofing
https: //wrmail. ei. wheatridge. co.us/owa/?ae=Item&t=IPM.Note&id=...
Contractor's License
170307
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contractor Phone Number
303-905-2123
(enter WITH dashes, eg
303-123-4567)
Contractor Address (Primary
6145 Broadway Suite 4 Denver CO 80216
address of your business)
Contractor Email Address
donny@kodiakroofingcolorado.com
Retype Contractor Email
donny@kodiakroofingcolorado.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of the ReRoof of asphalt shingles
entire scope of work:
Project Value (contract value 6800
or cost of ALL materials and
labor)
Are you re -decking the roof? Yes
Is the permit for a flat roof, Pitched roof (2:12 pitch or greater)
pitched roof, or both? (check
all that apply)
What is the specific pitch of 12/12
the PITCHED roof?
How many squares are part 24
of the PITCHED roof?
>f 4 01/30/2018, 12:53 PM
Online Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=
Describe the roofing Owens Corning Duration
materials for the PITCHED
roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional detail reroof
here on the description of
work. (Is this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
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 may Yes
not begin on this property
until a permit has been
issued and posted on the
property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application and
to perform the work
described above.
I attest that everything stated Yes
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.
3 of 4 01/30/2018, 12:53 PI
line Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=...
Name of Applicant Donny Brust
Email not displaying correctly? View it in your browser.
�f 4 01/30/2018, 12:53 PM
/ ai wl,
KODIAK
—R00F[NG-
6145 Broadway Suite 4 Denver CO 80216 — 303.905.2123
Contract Submitted ToE-mail
DateL�( l` Home Phone Alternate Phone
Street' `�° City h� State `�-�.-� Zip
We propose to furnish all materials and labor completed in accordance with the specifications below for the sum of REPLACEMENT COST VALUE (RCV) per insuran
proceeds plus any supplements that may apply to your claim. Upon approval of your claim, Kodiak Roofing will file for any and all supplements which may include buildi
code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your poli
provisions and will become part of this contract as if contained herein. Kodiak Roofing, as your general contractor, will negotiate a fair and equitable settlement agreeat
by both your insurance company and Kodiak Roofing based on competitive market rates for labor and materials with NO ADDITIONAL COST TO YOU, except yc
deductible and any upgrades or additional work authorized by you that are .not part of your approved insurance claim. Should your insurance company deny a full rc
replacement you will not be obligated to this contract and/or may enter into an acceptable repair agreement with Kodiak Roofing.
Roofing Manufacturer 0-i1v"� -� Typed' Color
` Tear off layer(s) of composition or wood shingles
Install decking (7/16" OSB)
j Install new felt [ ] 15 Ib [ ] 30 Ib 'A Synthetic
'] Install pre -painted eave metal to code — Color
Valley(s) will be closed [ ] Valley(s) will be open
Ridge(s) to be color -coordinated
[ ] Ridge(s) will be'High Profile Ridge' color -coordinated shingles
Install new pipe jacks
Replace vents as needed KSlant back O Turtle
(� Re -flash chimneys and all wall abutments as needed and if possible
(stucco or siding may be a deterrent)
[ ] Install ridge vent on appropriate ridges
Install ice and water shielj'K Valleys Penetrations
/ ayes — Courses
°} Install nails per'hingle
Clean out,gutters
Five (5) year Workmanship warranty
Make a magnetic sweep of driveway and ya; d for removal ofany fails
Remove all debris resulting from above work
' Special instructions
Homeowner Out of Pocket Cost Summary
Deductible: $ , .
Upgrade Costs $ i
Balance Due* $
*Balance due is equal to the amount of out of pocket expenses
as agreed upon by the homeowner and is in addition to all other
insurance proceeds as described above. if no insurance claim is
involved then balance due is the total contractual amount due.
Insurance Company � A Claim # �a `f Lead �t a
I (We) hereby authorize and instruct the insurance company and all lien holders to include the name of Kodiak Roofing as Co -Payee on any subsequent loss drafts or checks after today's date
indicated below.
I (We) also authorize any legal representative and/or Agent of Kodiak Roofing to obtain information necessary to complete any funding process relative to claim number as referred above.
I (We) further authorize Kodiak Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Kodiak Roofing.
I (We) hereby authorize and/or instruct Kodiak Roofing to act as my (our) general contractor for the above tioned claim nun er a instruct OLMiq6rance company to release the
customary 10% overhead and 10% profit for scheduling and coordinating any and all trades needed.
Date of Acceptance Homeowner's Signature(s)
Representative
Kodiak Roofing – 6145 Broadway Suite 4 Denver CO 80216 – Phone 303.905.2123 –Fax 303.600.9935 – www.kodiakroofingcolorado.com
11/09/2666 08:04 3634240495 BLUE SKY PLUMBING
BUILDfNG INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEA7 RidGE, CO 80215
property0wner•:bOY~ Iryl~r~
Prop'e'rly AdcJre6s ~ ~
Contractor License No.
~,ComPanY:
OWNERlCONTRAC7'OR SIGNATURE OF UMOERS7AAtlING AND AGREEMENT
1 h¢reby cehiTy lh0[ lhe sel6ack dislentes pmposed by tNis permiL appGcalion are accurate,
and tle net vletale applicatle ordinancc5, Nles of regulelion9 af Ilte City of Whea! Ridpe of
covenanls, easemeNS or reslrldions of recoN; lhat all measurements shown, and allegatlons
made are accurale; thal I M1ave reatl and agree lo a61tle hy all contlifians prinled on thls
appliralian, end tha( I assume full rosponsi6ili forcam lianre wAk Ihe VJhaal Ridge Buiiding
Cade (U.B.C.) and ail elhcr appliwbtcrS ' N rk under thls pe l.
~C~~~VUL+~.~Nl"
(OWNER)(CON7RACTOR)SIGN60,
V
Descriptian :
ov1Wx, a.dd-
PAGE 02
tiate: It~46(p
~
Phone:
Phone : `303 r49(^.D-( k/
Construction Value :
Permit Fee :
Use Tax :
7otal :
Use:
~rn ~ b ((p 10 4-13
NG DEPARTMENT USE ONLY
Zm=
Approval
Zaning :
Kol@Ili IMMIRM
Approval:
P_[IISIfmW9
U
Approval
SIC
Sq. FL :
Occupancy : Walls : RooF: Stories : Residential Units ;
$0.00 .
Electrical License No :`Lj ~ 7--~ Plumhing License No : Mechanical License No :
om any • Company : Company :
+t 1 g2Aec-.
Expiration Date : ap Expiration Date : Expiretion Date :
~ 1~~ v~ ~ Approval : Approval :
0 lAST
(1) TTis pamllwas Issued In acwNance vAlh Ihe pmvisians se11eM in yoWr appllcPiivn aM Is Subjed lo Ne tawa ol Ihe SUIq al Cabrado and lo Ihe 2oning
Regulatlone s~d BuOdirg Code of Wneal flWge, Calonda ar any elher appli~, ble ordinanw ol U~e Ci1y,
Th ~s pemll sh, p px0im d (A) Ne wOfli auNaMLtd is nol W mmenccd wilhin eUcly (60) days froT 17suC date or (B) ihe bulldlnp euUulxed ls 9uspemCe ar
abandoneE for a pertotl of 120 days.
p1 9 Nis permil explree, e new perm~f may he ecquired Por a lee ol one.helf Ne ampunl numlaily reqNreO, provldetl no ci+anqes ha~ Eeen a vN0 Ee made in Ne
onglnol D~~~ spadfeallons and any auapenSlon of ibandomm~nl has nol exceeded ona(1) ynac II changes are made or If suspepsbn o~ ~eaMwtm9nl
excecds onv (11 yeer, NII tees aha116e peld far e n~' Ce~il
tJO work af any manner ehall be donc Iha1 will ehanpe Nc nal~ral Oav el watef wusing a Cralnage preolem, ImpecUon pM Oefare
5' Conwcmr ahall ne4fy Ne BuAdlnp h+epryJeur (2d) hevrs in ad~nc,~ far ell fnepeeUans anC snan eeWW9 wdMen aFP'owl on
PfOC!ldllll'~Wiu1SI1CJ-aSIV' phTb~'OlNC1OD.
1s~ nl! P1~UCI~CO 0~ 0 pC011~~ Of Ne opprorol al CfdWI11Q8.111iI +PCC~Cd110115 SM16A f1O~ L`! NlISWCE IO CE d Plfllllt IIX, f1Of!!IlPP(Qyl OI, Pnr WOIBIIO(1 Or ~IIp P(OYI5IO0f
. ef Ihe huildinp codee uany vlher ordinanut, Ww, mla a repulaGon, iief 8uilding Inspectvr For Mayor
THIS PERMI7 VALIp ONLY WHEN SIGNEb BY THE CHIEF 6UILDING IFISPECTOR AND MAYOR
CAII.: 234-5933 24 HOUftS PRIOR T0 1N5PECTION
4%NHE
t Ridge
City of Whea
Residential Mechanic PERMIT - 061048
PERMIT NO: 061048 ISSUED: 11/01/2006
JOB ADDRESS: 3370 WRIGHT ST EXPIRES:
DESCRIPTION: replace furnace and add a/c - existing electrical
CONTACTS '
gc 303/421-2161 01-7835 Blue Sky Plusnbing
owner 303/238-4735 Dorothy Morvay
PARCEL INFO
ZONE CODE: UA USE: r-3
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,330.00
FEES
Permit Fee 199.30
Total Valuation '00
Use Tax 131.94
TOTAL 331.24
Comments:
Subject to field inspection
Electrical must meet 2002 NEC
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinancee, rulee or regulationa of the City of Wheat Rid9e or covenants, eaeements or restric[ions oE record; that all
measuremente shown, and alle9atione made are accurate; that I have read and agree to abide by all conditions printed on this
application a that assume full re o bility for mmpliance with the wheat Ridge Building Code (I.B.C) and all other
applicable ~e t A Ord}~~ un r this permit. Plans subject m field inspection.
date
Signature contractor/owner the 1. T s pexmit waa isaued in accordance with the provisions set forth in your applicatColion
other applicablef the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge,
(60) days from isaue date or (B) t e
ordinances of the CiCy.
2. This permit shall expire if (A) the work authorized ie not commenced within sixty
building authorized is auspended or abandoned for a period of 180 days.
3. If thia permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no has changee have been or will be made in the original plana and specificationa and any suspension abfullnfeea shall t
exceeded one (1) year. If changee have been or if suspeneion or abandonment exceeds one (1) year, 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 Inepector twenty-fouz (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phaees of the job.
6. The isauance of a permit ar the approval of drawings and specifications shall not be construed to b=ule or m reulationY
an approval of, any violation of the proviaions of the building codea or any other ordinance, law, 9
All plan review'J,~7ect,.t4) f1pW-_T9kFctions.
Signature of
date
INSPBCTION REQUEST LIA: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPOOFCORIPTIVE ENERINESS DAY.
CiK of Wheat R
BOILERS 1 fURNACES A MINIMUM OF 8096 AFUE
(;p$ WATER HEATERS A MINIMUM OF.60 ENERGY fACTOIt
ELECTRIC WATER HEATERS A MINIMUM OF.93 ENER6V FACTOR
SE7'BACK THERIAOSTAT REQUIRED (EXCEPT HYDRONtC HFAT)
R-21 WAlLB • R4E CEIUNGS • R-19 CMWLSPACFS
11/61/2006 12:07 3034246495 -BLUE SKY PLUMBING PAGE 02
BUILDING fNSPEGTION DIVISION - 235-2855
CI7Y OF WHHAT RIDGE - Date : II~+ /p~
7500 WEST 29TW AVENUE
WHEAT RIDGE, CO 80215
Property0wner: ppr0~- ~'1nO_W1Q c1.. r
Praperty Address': 3 ~ wYl~-v~' ~ ~ ` Phone :4~~, ~3g ~ y~'35
v
Cantractor.License No.: nw;
, . Company: ,V4uW~ Phone'3Q~"~d~l~f-l Y/!
OWNERICONTRACTOR SIGNA7URE OF UMDERSTFl DING ANO AGREEMENT . 0 f
Construction Val D
u .T ~
1 herehy cedlfy Iha[ the SelbaCk dislancG" pmposed hy fhia permll applicatlan are dccW2le, permit Fee :
and da not vlolale appIIn61e ordinonces, rvlea ar regulallons of the Cily ol Whea1 Ridge or covenanls, easements or raslfictlons of record; thal all meaeurements shown, and allegations
metle are accurala: Ih¢t I have reatl and agrea lo abide 6y all condillans pfinled un lhis U5e TaX'
applicalion, and that I assume (ull responsibili fer cam IlanyyyQQQ wiW the Wheat Ridge 0ailding
Code (U.D.C.) and 2lI olhee appOmhle No Under is peirni. Total : $0A0 _
(pWNER)(CONTRACTPR) SIGNEDR~/~' ~+~^~v--~• TE 11 Use :
oescr~tian~p'^~ Ap~ NG
~.v{.
- BUILDING OEPAR7MF.N7 USE ONLY
K-Qmff 9~Ul
Approval:
Zoning :
SIC: Sq. Ft.:
Approval:
gp~
Approval :
Occupancy ; Walls : Roof : Srories : Residenlial Units :
Electrical License Na : Plumbing License No : Mechanical License No :
Company ; Company ; Company :
Expiration Date = Expiration Dale : Expiretion [7ate :
Approval : Approval ; Approva) :
(1) Thic pdrfill was Issued In acmrdance wlih Ihe pmrisions set lonh In yapur apptiwtion and le su6'eq la the bws el the Stale al Coloredo and lo Lhe ZaNnq
ReBUlallone and Buildinq Cede elNTaa{ 0.bqp, COItl'+dn a any aUer applicehle artlf~qnas of ~a CiFy.
! ~f (A) IHE WafN aVillanzetl Id nol Commericed wMln.:fxry (6u) days frvm leeue aale ar {6) llln bulltllnp auNwlzM Is IuspenGee ar
(2~ 71~Is p~t~Tlll shall cFO~
2ba~Woned a B pS~Od o! 1 q0 ~gy9.
vNA be rtude In Nq
(7) If Ihl~ permn ezpires, a Rw peRml R4y 6e atqVlred (ar a ICC o1 onehalf Ihe emounl n0.T1211y requlre0. provld~y nG dlanqes navezu Ceen a
oripinalplanfandeped n Matlanzanderrysuspenslonarahand00m!nlhasnalexceededona(1)ynat, IfchangeseremaGeafllcN'Fknvfabantlonrttenl
exccede oix (11 Year, h+tl feee ahall ha paltl tor a new pcrmiL
141 No vroM ol any mannu shall be dane ~hel wNl chAnpe Ihe nalural 0ow olwater wuzinq a dra1navs probiem.
Canvaeler shail fy Ne B~edlnp InaGedor. Mmty-Iwr (2q houn In atlwnu ler aII1~FOection5 and snan rceNve wHry9~ xppmwl m Inapecllan prC bclorc
procredilnp will~ Sua~}alv~ ph0bea of V10 Ob.
L~} The ieeuenee of e permil er Ihe 9ppMV01 o drawinp5 Old speclfcelbna shetl nol bC ctlnsWcd lo be e pemtit la, Irof an SpProrel o( eny Nolallon o! me prpri=leru
ol Ihe 6uildinp Cadea w eay oNer ordlnance, law, ~ula a repulaUon. .
Chiei 8uilding Inspector For May❑r
7HI5 PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS pRIOR TO INSPECTION
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Building Permit
CTTY OF WHEAT RIDGE
7500 West 29TH Avenue
. ~ . . Wheatridge, CO 80033
303-235-2855
t
'j
ca> d wt,~ ga~e (
Residential Electric
Permit Number
19612
12/22/2005
Inspection Line
303-234-5933
, PROPER7`St 3370 wright St. Unit:
oWNER: DorthyMorvay (303) 238-4735
' DescHption
I Eleclrical service Upgrade and new hot tub install
FEES
I _
I - ~
Fees
~Due .
-
LPaid I
-
Use
PermitFee.__
-
__[$7819
- -
$78.19 7p
TotalFees
1$108.79_
7
$10879
jLicense # P_h_one ,
_ - - -
c 118135 9228811X11
Uults: Occupancy: r-3 Walls: Roof: S[ories: Sq Feet: 0
76e'eby aellfy Net the setback d'ufaowe Dropowd by Mb permlt vppllcellon are ncaunte, and da nat riaktt apppcabk oMinonres, rvlee or re,ulatlona af the City o(
W6atRidp or<ovenvnta,easementaarreetrictiansofrerord;IM1a[allmnsunmrnbsM1Own,andnlleevtiansmadeareaceurole;lha[Ihavereadmdiereeronbideby
IJImyNHOO. prin[edonlhisappliavtloqvndthaNnsumefullrtsponslbNryforcompllancewithlhcWhemRidgeBuiWingCode(L.B.C)mda0alM1erapplicable
. ' W![YUIldeeoMintvicea,forworkuntler[hieparmil.
. . (OWI'fCRxCIONTRACTOR) SIGNEDDATE
1 71b IKrmlt wo dru¢d in nccortlance with Ne pmvisions aet forth in your applicatlon nnd is auM1jea lo the laws of rhe State of Colondo nnd m tAs Zoning
R[qulmtlom and Builtling CoAe of WM1evt Ritlgq Colontla or mny, uther applinble ortllnencn of Ihe Cily.
3 &vcp permtl issued shA bMOme invali0 unles the work on IM1e sih mthorizetl by mch p¢rmit Is commenttd rvi[M1in 190 daye atler Ib Issmnre, or if [M1e work
' . aaNOrbed on [he sil<by sucM1 permit Is suspended or abandaneA 6r e perbd of 180 days nRer the time ofwork b rommenceJ.
. 3 II W4 pamtl expim, n new perMe mry be acquired for a fa ofano-hnl( the amoum narmally rcqo'veA, provieetl m aM1nngev have bern or will Le made in tM1s
. aiwal pbm anJ fpetlfiwHOns mJ any suspendon or abwAOmmeirt has mt exanded one (1) yew II chonees are matle or if mapcmion or abm0onmenl
pnd4 one (1) Ynq (uII fees sM1a11 be ptlJ for .new Parmit.
4Noworleo4oymmnerahall6edonalhatwNaM1VneeMenalural0owofwattroueinea JrvlnageproE4m.
5 Cwtranarshallmlifytheeuildinelmpecmrtwenty-fom(za) nou.:m.a..nc.rorallinspeatiommdAWreoeNewrinennpProvalonlmpecHOnurdbe(ore
. . .pr0eeedin¢ailAsuettuhephuaoffhe)ob.
. 6 7fe iwueeee oh Oermll or Ne opprovtl af tlrv~'''1"" fyrspetiMvlions shvll ml be canetrued lo Ee a Ne^^it foq mr nn approvtl of, any vlololbo o! Ihc
, -wovWbaolNV6ulWin¢aodesormyo~yS,,olrdiodace.IVw,ruleorregulsFwn.
Thursday, DecemKer 22, 2005
_7.- 22_0
SIGNED DATE
Page I of l
Bidilding Permit
I
. MY OF WHEAT RIDGE
7500 West 29TFI Avenue
Wheetridge, CO 80033
803-235-2655
raarwt~e~a~e
. . •
Residential Electric
Permit Number
19612
12/22/2005
Inspection Line
303-234-5933
IN ~~RTY 3370 wright St. Unit:
~~Y tYil'i~tiCxo DorthyMorvay (303) 238-4735
ElfSehical service Upgrade and new hot tub install
"tflbrkedBY BuildingApproval Zoning
p'tiTltal'Ized On 12/22/2005 Approved By aroot
Page 1 of 1