HomeMy WebLinkAbout4601 Robb StreetInspection Type
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Job Address: j�_� �= �' �'�yD �=
Permit Number: o�?
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i
❑ No one available for inspection: Time 3'1i= AM/PM
Re -Inspection required: `des No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. ushnspection
Date: Inspector:
®O NOT REMOVE THIS NOTICE
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook
SUBJECT: Refund for Permit
DATE: 03/02/2020
Permit No. 2020000387
Address: 4601 Robb Street
Reason: Job cancelled by Contractor
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 87.36 (acct 01-510-00-516)
100% plan review $ (acct 01-550-05-551)
100% use tax: $ 73.50 (acct 01-500-02-505)
Total Refund Due: $ 160.86
TO:
Premier Excavation Services
PO BOX 650
Mead, CO 80542
Thank You!
1�/M (t4�
MQffj j
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City of �
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icle
COMMUNITY DEVELOPMENT , 0 YV
City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to): Y (Y-
Address: ?x°
City: �� state: 4.._' 0 zip: Q S
Phone -`03 - 10vt Fax:
_�p3- C -D, lc-'
Permit #-A4O'X 3$" Permit Address:
Reason for request: J (Ah (--a , t
Email: .. ,/>CW�;) A C CA-�-Q SL "I
Printed Name: �bf'� i�, '�k.3-9S6,Signature: 4A.ADate:
For office use only
This request has been;
Approved by:
LI Denied Refund Amount: $ U, �W
www.ci.wheatridge.co.us
Date: 312,)2,02-k,
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202000480
PERMIT NO: 202000480 ISSUED: 03/03/2020
JOB ADDRESS: 4601 Robb St EXPIRES: 03/03/2021
JOB DESCRIPTION: Replace sewer line - 80 ft long
*** CONTACTS ***
OWNER (720)338-4850 SOTELO CARLOS & AMBER
SUB (720)312-9102 MANUEL GUERRERO 120127 PIPELINE SOLUTIONS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA % Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
Permit Fee 236.00
** TOTAL ** 488.00
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City ®f Wheat Ridge
Residential Sewer Repair PERMIT - 202000480
PERMIT NO: 202000480 ISSUED: 03/03/2020
JOB ADDRESS: 4601 Robb St EXPIRES: 03/03/2021
JOB DESCRIPTION: Replace sewer line - 80 ft long
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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 ermit. I further attest that I am legally authorized to include all entities named within this document as pames to the work to be
performed that all work to be performed is disclosed in this document and/or its` accompanying approved plans and specifications.
-2,_;�.c77�
Signature of OVINER or CONTRACTOR (Circle one) Date
l , This permit whs issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed,
4 No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5 The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field 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
W heat Pjdgc
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Owner Email: fA l
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng 1 neer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Phone:
Phone:
Contractor E-mail Address: U.'
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Cz6�LY/TWD Phone: 263 -,10'5_:;�L I
CONTACT EMAIL(p/ease print):(q G1 Ago i�(iiRcz-. r'�-,
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
[-]COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, 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.
T f AAQ
TV -t- G-�- \�J a -f
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
e LI. it Com%) 00 1
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.
CIRCLE ONE: (OWNER) (C�
Signature (first and last name):
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
CTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
DEPARTMENT USE ONLY
DATE:, " ' 2-0'2-C)
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City ®f Wheat Ridge
Residential Sewer Repair PERMIT - 202000387
PERMIT NO: 202000387 ISSUED: 02/21/2020
JOB ADDRESS: 4601 Robb St EXPIRES: 02/20/2021
JOB DESCRIPTION: Sewer line repair in yard only 10 to 15 feet with dual sweep clean outs
using SDR 35 pipe, strongback ferncos, squeegee for bedding about 7 feet
deep.
*** CONTACTS ***
OWNER (720)589-3116 GERLICK HELEN
SUB (303)210-8207 BRANDON WESTON 110115 PREMIER EXCAVATION SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,500.00
FEES
Total Valuation 0.00
Use Tax 73.50
Permit Fee 109.20
** TOTAL ** 182.70
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202000387
PERMIT NO: 202000387 ISSUED: 02/21/2020
JOB ADDRESS: 4601 Robb St EXPIRES: 02/20/2021
JOB DESCRIPTION: Sewer line repair in yard only 10 to 15 feet with dual sweep clean outs
using SDR 35 pipe, strongback ferncos, squeegee for bedding about 7 feet
deep.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl1e 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 a leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work t9 beerformed is disclosed in this document and/or its° accompanying approved plans and specifications.
2/zI tzo
Signature of OWNER d-1'LQGN\RACTOR (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 Building
Official and maybe subject to a fee equal to one-half of the original perit fee.
3. If this permit expires, a new permit may be requim
red to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures 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 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 gra ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
a�i abl code or ordinance or regulation 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.
City of
W heat Pdge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29t1 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
0A,0 I
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): �1� (�, Gry ltC Phone' 2&2Sq-3716
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Addressc: (if different than property address)
Address: %o( Q .66 5-i-
, State, Zi
Arch itect/Eng 1 neer E-mail:
Phone:
Contractor Name: P�pl/hj ter d '�YCca�eC1��tl CSS
City of Wheat Ridge License M J f Phone:_ C'JQJ) 2 1 O ZS
Contractor E-mail Address: bta.m6Y'a.S WC??' V\ ,�o� Moi 1. C0M
For Plan Review Questions & Comments (please print): /'
CONTACT NAME (please print): I r�4d �ES�Ot/� Phone(c343) 7 �O- gTg5
CONTACT EMAIL(p/ease
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
�
J RESIDENTIAL
Provide description of work: For ALL projects, 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.
Fv►�Ig � ��tv�l ku� sewer l; he meek 'e- Iv\- q'CA OAS 10(ko l y l Wijh
Eos V1 caboveO-Pr
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
:z r--'—,/=-, , OC!)
OWNEMCONTRACTOR 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.
CIRCLE ONE: (OWNER (C:ONTIq
Signature (first and last name):
Printed Name: Zt--44�i 1 �f
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
DEPARTMENT USE ONLY
DATE: Z / 2 I Zftr:I
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
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: 366 - Ai 1 Ol1t�
Job Address: o l lzo 8 s�
Permit Number: 2017 D 5 ' 00
/V 00—� .4Do, o woJ
r I
l00 -,r
C.4
❑ No one available for inspection: Time 10:3 q PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: q/26/ 10 inspector: ba&_ Lovp (`
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: � 09 - , ,s
Job Address: ZI 6 0 1 ) aL7�4 .
Permit Number: ��p 1 -4 y `_� ,) O 8
oy
❑ No one available for inspection: Time 9,'(.7 � A PM
Re -Inspection required:es� No
When corrections have been made, call for re -inspection at 303 -234 -
Date: 3 �1 1 `�' Inspecto I nX_ful
DO NOT REMOVE THIS NOTICE
1* � A i City of Wheat Ridge
Residential Roofing PERMIT - 201705208
PERMIT NO: 201705208 ISSUED: 08/02/2017
JOB ADDRESS: 4601 Robb ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Laminated Sierra Grey asphalt
shingles with 33 sq. (20 sq. pitched, 4 sq. flat)
*** CONTACTS ***
OWNER (303)941-0011 GERLICK HELEN & JERALD
SUB (303)960-2783 Josh Lucero 110099 Expert Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,481.00
FEES
Total Valuation 0.00
Use Tax 178.10_—.T
Permit Fee 188.45 Y T
** TOTAL ** 366.55
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
A City of Wheat Ridge
� r
Residential Roofing PERMIT - 201705208
PERMIT NO: 201705208 ISSUED: 08/02/2017
JOB ADDRESS: 4601 Robb ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Laminated Sierra Grey asphalt
shingles with 33 sq. (20 sq. pitched, 4 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of theproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this,permrt. I further attes{ that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
�. Ga i
Signatu of OWNER or COOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flaps and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures 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 oar gr '�qfaall not be onstrued to be a permit for, or an approval of, an violation of any provision of any
applicable cod ore a ' o his 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:
Tuesday, July 25, 2017 12:27 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?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4601 Robb St. bE
Jerald Gerlick
(303)941-0011
Field not completed.
S 566-5s-
�i
rTT
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 Business Expert Exteriors
Name
Contractor's License 110099
Number (for the City of
Wheat Ridge)
Contractor Phone (720) 329-6028
Number
Contractor Email Address tcoberly@expexts.com
Retype Contractor Email tcoberly@expexts.com
Address
DESCRIPTION OF WORK /
Are you re -decking the No v
roof?
Description of Roofing Owens Corning, Laminated comp. shingles, Sierra Grey
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 29
material selected above?
Does any portion of the Y
property include a flat
roof?
If yes, how many squares 4
on the flat roof?
TOTAL SQUARES 33
(pitched + flat) of all
roofing material for this
project
FEI
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)
11/12 pitch, 2 stories, 1 layer
-&2-�58-- q4 b
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 Tom Coberly
Email not displaying correctly? View it in your browser.
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ACEMM nt
)errt Exteriors. L 1,C
�^ S 120 Sheridan B1v(I Saute C'315, Westminster, CO 80003
L Qtiice: 303.960.2783-17ax. 720-242,7480 --- expertexteriors@gmail.co,IT)
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First: � � _ Last: ;+ f I c �� First: Last:
pl.
'tltla�lte) Addr: _q L) i R, i I, �_ _ _ __ City: �alrt Stater zip:
-2UP
Iailil)g (if different) Addr: City: State:
Zip;
Phone 1: jal -) `441 --110-1J— tl_c�w_ Phone 2: () _ --
Email is
Email 2: ------- tt-c-w�
t\tiURA\C1 lNFoxm
Company mrr.l Ciaitn#: 0 1.51 ? DQL:
Deductible Amount: or % Code Coverage: Yes - No RCV Coverage: Yes - No
plain Phone: (--J Ext Fax: (. )-- _____ E-mail
Adj'sName, First: Al _ Last:_ apr is Cell:
"PRICE AGREEABLE" PAYMENT SCHEDULE
4Cy (H! CA I)t ! I PON M j LKIA DELIVERY
4t L OTHiR A atOUN l + 1)I71 t) V COMPLC� I)ON Q) 1tirUR.K
ri¢aa1Ol�ISBt ()W aRGCSTNaFFS FIrAl PRICIF Y011 0 ISOFFINIO"YIRE REPIACEMENTCOSTVALUE
kft Cw tLa:t� ft F rPLRT Gk rLRIOR� OR Y� t3N INSLiAN(.C. W111( la.t ER IS 00A) ER. PLUS ANY AMOUNTS
)PEt i(.OLO A[j COAW.I: T.1
[ NDCR ('OLORAIKI I {N', t:aPFRT F.\TCRIORS l"AAAOT N 4iY L' YOt'R IVl41tAN'C21)EOU('17nL6
7{F 1AFE IR .SPECTIOti. rIrAL INSPEC7POF F11 IRIC'AT!(Jv OROTIIlEDEITR%iiNA0YANYCIE(IMPLETIOR
tOOL kr�iNt( a1F'*T {I ENCILS ARF. CUM LF'ELI IRREFf1 ATT T07'1(EI)E7FRMINA7"lON orTHE COMPLETION
0{TL 'Pit
NARK.{a'T5 THAT lir NtNik N1U.PA\6 INSPECTION ISaUANCE OF WARRANTY-CERTIF1-
LATL & Ll
_N WAP 'N WILL FOLLOW AFTER FINAL PAYMEN`1.� „ T
RC% AMOUNT: S 3 0. 3 2. � g
DEPRECIATION: (-) S(1Q " 14 * 774 Due upon Completion
DEDUCTIBLE: (-) 5(__.44 `....__._.._..) Due upon Completion
ACV AMOUNT:= S i Y 999 ' GZ Due upon Material Del.
SUPPLEMENTS*:+ S 7(g) Due upon Completion.
CUST UP -GRADES: + S�T� �._ _ Due upon Completion.
TOTAL: = S. 3b,3-43 7 +SUPPLEMENTS
MONEY DOWN:(-) S( -7d ) DATE:
CUST REF FEES:(-) $( 1
BALANCE O%VFD:= S .30 343 . 79 +SUPPLEMENTS
Special Instructions:
/ SPECIFICATIONS
t7 RFG GRADE & STYLE: � JfNT:'--
,
/COLOROFSHINGLE:PFGt)7 TER: Z�7S%LF'COCOR DRIPEDGE:, LF COLOR: Yi ,rVENT$COIOf: RIDGE VENT (57.29/RT) YES NO^ / !2'
TEAROFF: LAVER: t SQS:SI•fLAVER�:SQS:—
lJ/ BOOT JACKS: QTY: _ SIZE:_io QTY:---SIZE:—in
C� FELT: 150 ' SQS SQS Syn
C3/ ICE & WATF.RSIIIELD: VALLE _y,iEAVES .f
l3 PERMIT REQUIRED: YES_M- NO_
l_�/ CLEAN ROOFING DEBRIS
2,/PROTECT LANDSCAPING WHERE NECESSARY
C3 ROLL YARD WITH MAGNETIC ROLLER
t DECKING: 1 SQ FREE CODE REQ, F LL VES �NO
LEAKS PRIOR TO WORM: YES V%. 0
C3 Datesofservice:
This date is a estimate and may change based on the actions of
This is a contract between Expert Exteriors, LLC ("Expert" or "Contractor") and the customer identified above and signing,belOw ("you" or
..Customer"). Customer wishes to engage expert to perform work on Customer's property as Expert recommends, which may include repair
and construction work. Customer will pay Expert for this work as calculated under the terms of this Agreement.
Expert agrees to communicate with Customer's insurance company ("insurer") to determine the scope and price and to perform labor and
furnish materials in accordance with the scope of the work approved by the insurance company with NO ADDITIONAIa't OST TO THE
I10MEOWNER EXCEPT FOR THE DEDUCTIBLE. Customer authorizes Expert to communicate with the insurer and irrevocably
instructs the insurance company to cooperate fully with Expert on this claim. CUStOlner understands that Expert's obligation to perform labor
and fumish materials may be contingent upon the insurer approving the recommended services or materials and authoraing sufficient fools
to complete the project.
Per Senate Bill 12-038 deposits paid to Expert will he held it in trust until materials etre delivered to the work site or a mujority of the
scupe of roofing w been don property.
Restw away submiaed � y - �' ^+ proVW
xPLn f xtenurp (t ( Lulea -11
) w-..••:.-.iIY k1C, J f9 tL� 7 ..Expert
By signing 1 ra) 1 x pert Finari'm H.0 Solus Re (print) Bales Rep Cele.
gain below, I Exterlom LLC
aLbtowledge and tgrLu [1) c hntu by all lerms .mil conditions on (fie reverse side. I understand that this is a contract,
not an est mi or prupasal. I ack owluige that Exteriors is being hired as a General Contractor,
f r.
r� /,� Date
U _ Customer' Signature
1 of 1 8/10/2017 10:05 AM
y r CITY OF WHEAT RIDGE
' Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: k'n
Job Address: z � / , = l,h <
Permit Number: ,' _ / S,�z
4 PL
❑ No one available for inspection: Time 4 J AM/
Re- inspection required: Yes �OD
When corrections have been made, cell for re- inspection at 303 - 234 -5933
Date: i, / Inspector: ✓�
DO NOT REMOVE THIS NOTICE
♦ t CITY OF WHEAT RIDGE
f Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: R ::
Job Address: I &:
Permit Number:
f
❑ No one available for inspection: Time 'PM
Re- Inspection required: `Ye�s No
�'
When corrections have been made, Gaff for re- inspection at 303-234-5933
♦ 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: Vk) i~X ter)
Job Address: Yl`~ O J )/Z(j ~ L7
Permit Number: r 7 1 -2
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-234-5933
A
Date: dlz~ o~s Inspector: f ~~u Z
DO NOT REMOVE THIS NOTICE
ZONE :CODE: UA
-:.USE: UA
SUBDIVISION:! UA
..BLOCK/LOT#: 0/
FEE SUMMARY
ESTIMATED
PROJECT'VADUATION G 9,870.00!
FEES
r '
n~~
Permit Fee
.235.70
c
Total Valuation
.00
"
Use Tax
177.66
TOTAL
.413.36
Conditions: i
Both front and back of permit need to be posted on '.job site. If one or the other
"e is not present. INSPECTION WILL NoT-. RF 'PRRFnPmRn
M, c
g, Signatur, Hof 61of Suildmg Official date
g; INSPEf7TION REQUEST LINE: (303)234-5933 BUILDING: OFFICE:' (303)235-2855
r;REQUESTS MUST: BE MADE BY 3PM': ANY BUSINESS DAY FOR INSPECTION THE :FOLLOWING BUSINESS DAY.
~►A-(
A City
6l -d of case
Nny EV>at Ir► iY r permit #(4 MP
MMU
Building Division
7500 W, 29" Ave., Wheat Ridge, CO 800.33
Office: 303-235-2855 " Fax: 303-237-8929
Inspection line: 303-234-5933
CVA~ Facsimile Building Permit Application
Prapely a: .4100 1 MUM) NT
Property Owner (plea
Mailing Address: (it dflferent than property address)
Address;
City, State, Zip: \M Y V ra-r- x it 1 rM'., (',I ) Xl X )
conttacter:
Contractor
Sob
Plan Review (due btYlrne of suBmRtal): S
Y . .I-,
OWNEMONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, arA do not violate applicable ordinances;
raise or regulations of the City of Wheat Rldga or, covenants, easements or raWellena of rat Old; that all rneasufemants shown, and
allegations made are accurate; that I have read and aprae to abide by all conditions printed 0-this application and that I assume full
restlponsiblihy for compliance with the Wheat Ritlge Building Code 0.8.C~ and all other appilc6le t1SAtaat Rklga Ordinances, for work
un er tMa permit. Plans subject to field Inspect on.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OW*R) (CONTRATOR)
PRINT NAME: SIGNATURE: _ Date:
ZONING'^
1~9i6tR4tdt
AUaertl. iyMgtetit~
f1tt: G78t+FtiW+otfnihttila~- CBdraa(,pmved d
Credit Card Payment: Use credit card iisled on
Print name: Signatur
INSPECTION RECORD OccupancylTVpe
INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PR
Framing
Insulation CITY OF WHEAT RIDGE
Drywall Screw 19/68/09 9:16 AM edba
- Robert Fowler
FINALS RECEIPT NOd,A0027-
Electrical
Plumbing
.Mechanical
Roof
L !8 AMOUNT
DPSP Re-roof 23 sqs 231.64
093135
- Permit fee - ilr4.70
Use Tax 86.94
APSP Reroof 20 sqs 226.30
_093134_
Permit Fee tnh 7a
Building Final
t
F
Fire Department
-
R.O.W & Drainage
F
INSPECTIONS FOI L
Parking & Landscaping
SHOULD BE CALL-
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND Z --V
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSR
OCCUPANCY NOT PERMITTED UNTIL CERTIFICA
PROTECT THIS CARD FROM THE WEAI
root 41 sqs
3132
Fee
235.70
177.66
RECEIVED
AMOUNT
865.36
1L
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number
, BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
11958
4/2/2001
Property Owner :
Property Address : 4601 ROBB ST Phone : 431-5925
Contractor License No. : 20017
Company : FOOTHILLS ROOFING Phone : 9894686
C
a
c
n
a
C
(I
WNER/GONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
$5,85320
ereby certiy that the setback distances proposed by this permit application are accurate,
POfmit Fee :
$12525
d do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
venants, easements or restrictions of record; that all measurements shown, and allegations
Plan Revi2w F2B :
$0.00
ade are accurete; that I have read and agree to abide by all conditions printed on this
plication, and that I assume full responsibility for compliance with the Wheat Ridge Building
Use T8X :
$87.80
de (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
WNER)(CONTRACTOR) SIGNEDDATE~=Z= d~
Total :
$213.05
Use :
CO I
Description : RESIDENTIAL 25 YR 3 TAB
BUILDING DEPARTMENT USE ONLY
SIC : Sq.
Ft. :
ApprovalM
Zoning :
Approval :
~ ..w.-
Approval :
Occupancy : Walls : Roof : Stories :
Residential Units :
lectrical License No : Plumbing License No : Mechanical License No :
:ompany : Company : Company :
xpiration Date : Expiration Date : Expiration Date :
,pproval : Approval : Approval :
(i) This permit was issued in accordance with the provisions set forth in yopur application and is subjeQ to the laws of the State of Colorado and to Ihe Zoning
Regulaiions antl Builtling Code of Wheat Ridge, Colo2do or any other applicable ortlinances of ihe Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within siMy (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new pertnR may be acquired for a!ee of one-half the amount normalty required, provided no changes have been or will be matle in the
original plans and speci(cations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, NII fees shall be paitl for a new permit.
(4) No work of any manner shall be done [hat will change the naNral Bow of water causing a tlrainage problem.
(5) Contrector shall notiry ihe Building Inspector hventy-four (24) hours in advance for all inspedions and shall receive written approval on inspeclion card before
proceetliing with successive phases of the job.
(6) The issuan a permit or the approval of drawings and specifcations shall not be cons[ruetl to be a pertnit for, nor an approval of, any violation of the provisions
of the bui g despr a9ypther ordinance, law, rule or regulation.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11899
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 3/19/2001
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPUc Ma
Properryowner: "IEt1Gt.J G363 431 5qZ-'-
Property Address : L46pl 12.C)8E T57P*~~--r Phone :
Contrector License No. : 2_,QK52A 7
CompanY :1-1)J 1 c Q_E)C::)FJU(&- Phone :4 6-86
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not wolate applicable ordinances, rules or regulations of the Ciry 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 pnnted on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~ DAT L O
Construction Value : SQ~S3
i
Permit Fee :
Use Tax :
Total :
Use:
Description : -/lZ 3 TJ'~43
BUILDING DEPARTMENT USE ONLY
amzmg~ SIC : Sq. Ft. :
Approval:
Zoning :
Approval :
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiretion Date :
Approval :
(1) This permit was issued in accordance with the pmvisions set forth in yoDur applicauon anC is suDject to ihe laws of ihe State ot ColoraCO antl to the Zoning
Regulalions and BuilCing Cotle of Wheat Ritlge, C0102CO or any other applicable oMinances of the City.
(2) lTis permit shall e:pire if (A) the work auNonzea is nol commencea wiNin sirty (60) days trom issue tla[e or (B) the builtling auNOnzed is suspentleC nr
abandonetl for a period of 120 Eays.
(3) I( Ihis pertnit expires, a new pertnit may be acquireU for a Iee of one-halt the amount normally required, provided no changes have been or will be made in the
onginal plans and spacifica6ons and any suspension or abantlonmenl has not exceeOeC one (1) year. If c0anges are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new permit
(4) No work of any manner shall De tlone ihat will change ihe naN21 flow of water rausin9 a tlrainage problem.
(5) Contractor shall no6ly the BuilEing Inspector iweny-four (24) hours in atlvance Mr all inspections and shall receive written approval on inspection cartl DePore
proceetliing with successive phases of the job.
(6) The issuance of a pertnit or the appmval of d2win9s antl specificatlons shall not he consWetl l0 6e a pertnit Mr, nor an approval of, any violation o( the provisions
of the building codes or any oNer ordinance, law, rule or regulation.
Chief Building Inspector