HomeMy WebLinkAbout3328 Swadley Street32 E Swy-ro Le� C,4 -
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INSPECTION
RECOR.P
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspec ion
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
1_/&r
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
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Under round or Below/in-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
G
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
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 Occupancy Is Issued
Protect This Card From The Weather
f�
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION -,NOTICE
Inspection Type: _
Job Address: i Loc -AV
Permit Number:1�/%'�
❑ No one available for inspection: Time Y/`-/ /Awpm
Re -Inspection required: Yes (No
When corrections have been made, call for re -inspection at 303-234-5933
1
Date: ' /� Inspector: /Icy /J
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
A Residential Roofing PERMIT - 201703654
PERMIT NO: 201703654 ISSUED: 07/10/2017
JOB ADDRESS: 3328 Swadley ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -Roof to install OC DURATION DIMENSIONAL ASPHALT shingle with
38.33 SQ
REROOF HOME , 5/12 PITCH, T/0 LAYER TO DECK
*** CONTACTS ***
OWNER (720)371-4095 REYNOLDS CYNTHIA J
SUB (303)346-6010 Roy Thomas 090287 Mountain States Home Improve
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,850.81
FEES OAID
Total Valuation 0.00
Use Tax 206.87 -- ----
Permit Fee 204.30
** TOTAL ** 411.17
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
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 - 201703654
PERMIT NO: 201703654 ISSUED: 07/10/2017
JOB ADDRESS: 3328 Swadley ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re—Roof to install OC DURATION DIMENSIONAL ASPHALT shingle with
38.33 SQ
REROOF HOME , 5/12 PITCH, T/O LAYER TO DECK
1, by m 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
perfor 1,pd=an4 that all wprl to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OV#NLPR!,or CONTRACTOR (Circle one) Date
I . 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 Budding
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 apermit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dane Lovett kol -I V 5 L -S 1
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 27, 2017 8:53 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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 Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
3328 Swadley St
Cindy Reynolds
Property Owner Phone 7203714095
Number q 1 I
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Mountain States Home Improvement
090287
3033466010
Contractor Email Address andre@mountainstatesroofinginc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
andrew@mountainstatesroofinginc.com
No
OC Duration Dimensional
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 38.33
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
2
TOTAL SQUARES of all 38.33
roofing material for this
project
Provide additional detail Reroof home, 5/12 pitch, t/o 1 layer to deck
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 80
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Andrew Thomas
Email not displaying correctly? View it in your browser.
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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:�P
Job Address: 3 329 S
Permit Number: ;� f /'` b
❑ No one available for inspection: Time � � c� 5r A' /PM
Re -Inspection required: Yes I o
When correctio s h ve been made, call for re -inspection at 303-234-5933
Date: vt 1 Inspector:
i
DO NOT REMOVE THIS NOTICE
10-02-'13 16:06 FRIM-Mountain States 3033466009
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OWNER SIG OF UNDERSTANDING AN AGR EEMENT
I haeby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
accurate, that I have rea and agree to Abide by cond itions #t# i # R comp liance
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COMMUNITY DEVELO i ENT DEPARTMENT Building Permit Number : 17404
BUILDING INSPECTIO INE -(303-234-5933) Date : 7/16/2004
CITY OF W E T RIDGE
7500 WEST 2 H AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: POLLY ORTIZ-LUTZ
Property Address : 3328 SWADLEY ST Phone : 232-2688
Contractor License No. : 22000
Company : Cedar Valley Exteriors, Inc. Phone :(763) 755-2221
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $7,602.37
I hereby certify that the setback distances proposed by this permit application aie accurate, and Permit Fee : $199.30
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easemenls or restrictions of record; that all measurements shown, and allegations Plan Review Fee : $0.00
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 Use Tax : $91.23
Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit.
:
(OWNER)(CONTRACTOR) SIGNED DATE Total $290.53
Use : ( t
Description : TEAR OFF EXISTING SHINGLES AND REPLACE WITH COMPOSITION
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval
Zoning .
$Wldfng CdCit4
Approval:
Approval:
Occupancy : Walls : Roof
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Documents,from the manufachirer shall fie
onsip forfinal roqf tnspaction which specify
roofing ►nat¢rfaCs hava bosn insto~ll~e ~8C (90
11011dF'X thraa~sacond witid A+A
A!P'X wMd Ioad•4l80
Stories : Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval :
(1) This permit was issued in accordance with the provisions set foM1h in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Re9ulations and Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall ezpire if (A) the work authorized is nol commenced within sixty (80) days from issue date or (8) the building authorized is suspended or
abandoned for a penod of 720 days.
(3) If this permit expires, a new pertnit may be acquired for a fee of one-halt 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 are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new permil.
(4) No work of any manner shall be done that will change the naturel Flow of water causing a drainage problem.
(5) Contrector shall no[ify ihe Building Inspector hventy-four (24) houre in advance for all inspections and shall receive wntten approval on inspeclion card before
proceadiing with successive phases of the job.
(6) The issuance of aEg~yt or the a wings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the
pmvisions o~fjoing c or any other ordin ce, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page
` Wi+EA r
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COL RP
-3 05. )35- a~s7
Building Permil Nu pbte.
BUILD NG COMUNIN PE TION^LI~NE 309-~
cmr oF wNEa.T rtIocE
750o WE37 29TH AVENUE
yyHEp7 RID6E. CO 90033 - (303-2352655) '
...f f~ ATYnN .
praP,fty Vwnci: Yu
PropertYAddrean'.'331 r7UUd'ltu~
J
Conaaclvr Liccose No.: ~a oo
ComP~Y=CQdG'f VG1
O~Eq~OMpACTOR SI~NA7URE OF UNDE~TANDINm N1D ~~EMEM~~n 9m
I harebY GBftify Ihal the setbad~ dislanCbe PbO~d bY Pe~l[ app~~
atcurete~ and do nol violale applicable ordmances, rulac w f reyulBUOns of rdIhe Ciry of
Wheai Ridge or covenanla, easemanm ar resWctions o reco: tha~ all
measurem0nts shown. entl allegahons mada are accurace; d Ihel ~ thst i ~'B fe~ assume fullorld d ell
gree ro aCide bY sll caneiuons p~nted en lhig ePPlleauon an
g U,B.G) an' ~ibitlb fa comPliance wlth Ihe Vhem~R.od~u der~ thla permil ~
rr
,oWKea,(cONTRACTOR):PF4N1SO
DescrlPUonTifC,(0ff SePlc.ee w~~ coMpaS 1~Io~n.
G(~•
gq. F4 adtlad
gU►LDINC
COMMENT3:
qpproval:
Zoning:
; coMM6m's:
Approval:
VORKS CAMMENTS:
qpprovai:
Walls: Roof: Stories:
Plumbing License No:
Company'
Expiration Pa[e:
Phone: -303-
Phune:10. `6~.daa t
3nstiuCtion Value:$ 37I
permit Fee:$ 310
Plan Review Fee:S
~1' 23
Llse T8 '
Tota1:S ~ ~o ,53
$IC:
Resident~al Units:
Mechanical License No:
Company:
Electrical License No:
Company:
Expiration Date:
(1)
(Z)
(3)
(4)
(5)
(6)
Expiration Date:
I:
W~q~ ~ryo pro~lslone set forth in your apPl~l~ and Is subjecl W tha lews M the Slale uf
7hls parmu was iseuad In accoraar~e Coloredo and W 1~+a ~'^e R°gulelions and eulldiny Codes u~ Wheat Rid9e, Colora~lo ar eny olher epplleable oMlnan~b o
%au~hortzaA is ^°t ~menced wilhin sl~ny (60) 0ays from Issue date or (B) the building
Ne Clry.
TTIs pennit ehall axpIre iF (A) the wor a~ oF 120 days. no chanaea
au~orizad Is susponded or aEandoned for a P ensbn or abandonman[ hes no~ e~ceetl°d °"e
11 thia Pe~h a n~ ~~il may be at0uired for a fee ol one-half the emoufd normally ~e9ulred, P~ ermIl
Gp~lions and eny susp r fuN Fees shall be P~ ~r a new P
hava Oeen orwill he mada in we Q^Blnal plans and epe
(1) year. If chenpes have been et If S W Pa^slan or ab enthe naw fla ot water aausm0 a drainage piodem.
Conb adVence For all lnspecllom and shall receNe ~
No wark of any manner shalt be da^B lhet'^'~II chan9
ector shan noti Fy ~e Building InapeUOrb^'a"~Y'~< (Z4) A°urs In
roceading wilh succasei.a phaeec of the iab, rmlt for, no
ePprpval on Inape~on ~b ~fore P , ~aw, Nle of feyulaUdl.
7he iasuance ot a Pe~"'I[ or the apprwai ol drewings endes «~mn6 othef fihall nol ta ordlnanGeconevued iu e a
epproval of, any v'aletlon ot the provisbns oHMe buildunp
Chief Building Official
A City of Wheat Ridge
A Residential Roofing PERMIT - 201703654
PERMIT NO: 201703654 ISSUED: 07/10/2017
JOB ADDRESS: 3328 Swadley ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -Roof to install OC DURATION DIMENSIONAL ASPHALT shingle with
38.33 SQ
REROOF HOME , 5/12 PITCH, T/0 LAYER TO DECK
*** CONTACTS ***
OWNER (720)371-4095 REYNOLDS CYNTHIA J
SUB (303)346-6010 Roy Thomas 090287 Mountain States Home Improve
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,850.81
FEES OAID
Total Valuation 0.00
Use Tax 206.87 -- ----
Permit Fee 204.30
** TOTAL ** 411.17
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
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 - 201703654
PERMIT NO: 201703654 ISSUED: 07/10/2017
JOB ADDRESS: 3328 Swadley ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re—Roof to install OC DURATION DIMENSIONAL ASPHALT shingle with
38.33 SQ
REROOF HOME , 5/12 PITCH, T/O LAYER TO DECK
1, by m 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
perfor 1,pd=an4 that all wprl to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OV#NLPR!,or CONTRACTOR (Circle one) Date
I . 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 Budding
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 apermit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dane Lovett kol -I V 5 L -S 1
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 27, 2017 8:53 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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 Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
3328 Swadley St
Cindy Reynolds
Property Owner Phone 7203714095
Number q 1 I
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Mountain States Home Improvement
090287
3033466010
Contractor Email Address andre@mountainstatesroofinginc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
andrew@mountainstatesroofinginc.com
No
OC Duration Dimensional
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 38.33
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
2
TOTAL SQUARES of all 38.33
roofing material for this
project
Provide additional detail Reroof home, 5/12 pitch, t/o 1 layer to deck
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 80
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Andrew Thomas
Email not displaying correctly? View it in your browser.
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