HomeMy WebLinkAbout5530 W 27th Avenue1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Asbestos Abatement PERMIT - 202101635
202101635
ISSUED: 07/29/2021
5530 W 27th Ave EXPIRES: 01/25/2022
In crawlspace, basement, kitchen, laundry, & west bedroom 1290 sq ft
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally 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.
Signature of OWNER or CONTRACTOR (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 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 requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
07/29/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Homeowner Asbestos Abatement PERMIT - 202101635
PERMIT NO: 202101635 ISSUED: 07/29/2021
JOB ADDRESS: 5530 W 27th Ave EXPIRES: 01/25/2022
JOB DESCRIPTION: In crawlspace, basement, kitchen, laundry, & west bedroom 1290 sq ft
*** CONTACTS ***
OWNER (303)502-7801 SLATTERY JOHN THOMAS
SUB (303)997-5175 BRISA TAPIA 190186 ECO TECH ENVIRONMENTAL
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,860.00
FEES
Total Valuation 0.00
Use Tax 228.06
Permit Fee 220.15
** TOTAL ** 448.21
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All work shall comply 2018 International Codes, 2020 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for John Haney
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
Contractor Business
Eco tech environmental, inc
Name
Wheat Ridge
190186
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-997-5175
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
brisa@etechenviro.com
Address
Retype Contractor
brisa@etechenviro.com
Email Address
DESCRIPTION OF WORK
State Permit No. or
approved by Wes Short
Application Approval
Date with Initials of
CDPHE Employee
approving application.
Location of Abatement
crawlspace, basement, kitchen, laundry, west bedroom
Square Footage Area
1290sf
of Abatement
Has the abatement
No
been completed
If abatement has been
Field not completed.
completed, upload the
clearance report.
Project Value (contract
$10,860
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Asbestos Abatement
Date: Monday, July 26, 2021 10:08:37 AM
Asbestos Abatement
This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential asbestos
abatement?
Provide copy of 5530 W 27th Ave Wheat Ridge CO 80214 - Approved WS Ddf
CDPHE State Permit or
Stamped Approved
CDPHE State Permit
Application
PROPERTY INFORMATION
Property Address 5530 west 27th Ave.
Property Owner Name Thirty two Developement LLC
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
434-989-6705
Property Owner Email Chad.freeman@gmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
WheatRidae EPFr71.Ddf
CONTRACTOR INFORMATION
City of
�Wheat,R
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29fl'Ave
303.235.2857
October 22, 2020
To whom it may concern,
Wheat Ridge, CO 80033-8001 P: 303.235.2846 F:
This letter provides information about the property at 5530 W. 27d' Avenue. The eastern half of
the property is zoned Residential -One C (R -1C) and the western half is zoned Residential -Three
(R-3). The property was legally platted in the late 1800s as part of the Princes Resub Block 14
Lakeside subdivision.
The property is divided into four smaller lots (Lot 21, 22, 23, and 24 that are each approximately
3,950 square feet and 25 feet wide which was common when the platting was performed. This
results in a condition where there are four non -conforming parcels of record under one ownership.
There is one single-family home on the property, likely contained on Lots 23-24. A small shed
straddles the line between 22-23. A survey will be required to determine that the existing single-
family home is indeed fully contained on Lots 23-24 before any lot sale can take place and before
any redevelopment can occur on Lots 21-22.
If the survey confirms that the single-family home is only on Lots 23-24, the owner is able to sell
Lots 21-22 as one parcel, and sell or retain Lots 23-24 as a separate parcel, provided the rear shed
that straddles Lots 22-23 is removed. Buildings are not permitted to cross property lines under
separate ownership. This would allow the construction of a new single-family home on Lots 21-
22, and the preservation of the existing home on Lots 23-24 (or a new single-family home to be
built in its place). Refer to the diagram on the following page for more information.
Selling Lots 21-22 and 23-24 separately would require a revised deed since currently all the lots
are connected under one ownership and include all four parcels. The conditions on the property
are considered legally non -conforming; any new development on either parcel would require all
setback and development standards to be met, and would be subject to review under a building
permit. Lots 21-22 must meet the R-3 zoning requirements, and Lots 23-24 must meet the R- 1C
zoning requirements.
The sale of the parcels is not a City process. The City would only need to be involved through the
building permit process, or if a re -plat was desired to change the location of property lines in the
future. However, due to the conditions on the site and position of the boundary lot lines, staff
recommends against pursuing a re -plat. Please feel free to contact me at 303-235-2849 or
scutler(a),ci.wheatridge.co.us if you have any questions.
Sincerely,
Scott Cutler
Planner II
cc: 5530 W. 27" Avenue Address File
www.cimheatridgexo.us
"T
1 SPECTION RECORD °ccu ani ` e
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
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
PERMIT:/ X133 gppRESS:�SJO Ave �}�
JOB CODE: -F,iC
INSPECTION REECOR�-
Inspection onl' form: hlftp://www.ci-wheatridge.co.u�/i!l�p
Cancellations must be su itted via the online fo
Inspections will not be ��� tiie day of the inspection
Request an inspection before MIDNIGHT (11:59 ePM)rto receive ancard is onspecct osted on n the followie project ng ss
Foundation Inspections
102 Caissons / Piers
103 Footing/ P. E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Date Inspector
Initials
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
201 Electrical / Cable/ Conduit
F203
Sewer Underground Int.
Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Date IInspector
Initials
Comments
Comments
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
SEE OVER FOR ADDITIONAL INSPECTIONS
Inspector T� Comments
)ugh Inspection (continued) at Initials _
6 Rough Mechanical Residential
17 Rough Mechanical Commercial
18 Boiler / Furnace
19 Hot water tank
20 Drywall screw and Nail
21 Moisture board / shower walls
22 Rough Grading
23 Miscellaneous
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.
Inspector Comments
'inalInspections
Date Initials
t02 Gas Meter Release
103 Final Electrical Residential
4_04 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
_
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final �N ,dow/Door
Inspections from these entities shall be requested
411 Landscape./Park/Planning
one week in advance.
412 Row/DrainagelPublic Works
For landscaping and parking inspections please
413 Flood plain Inspection
call 303-235-2846
inspections please call
414 Fire Insp. / Fire Protection
For ROW and drainage
303-235-2861
415 Public Works Final
For fire inspections please contact the Fire
416 Storm Water Mgmt.
Protection District for your project.
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.
City of Wheat Ridge
` Residential Electric PERMIT - 201707091
PERMIT NO: 201707091 ISSUED: 09/08/2017
JOB ADDRESS: 5530 W 27th AVE EXPIRES: 09/08/2018
JOB DESCRIPTION: residential electrical 200 amp overhead panel upgrade with new grounding
system
*** CONTACTS ***
OWNER (303)518-1274 REBECCA PROUTY
SUB (720)800-6655 Douglas L Warman 170049 Storm Electrical Services Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,200.00
FEES
Total Valuation 0.00
Use Tax 67.20
Permit Fee 109.20
** TOTAL ** 176.40
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany in 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 ermtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pe o ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or, CCONTRACTOR (Circle one) Date
I. This permit was issued base oT n *e -information provided in thepermit 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 ermit 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 is 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
applicabl de oars any �e or ag tion of this jurisdiction. Approval of work is subject to field inspection.
ate'"' `-
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A4/
City of
9W-7heat j Date:
COMMMUNiTyPermit #:
DEVELOPMENT (V
Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033 j )
Office: 303-235-2855 * Fax: 303-237-8929 7
(�
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: S 5 3G LIL)
Property Owner (please print): P be cczi P r Ou 4-l% _. - _ _ Phone:
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: E le_c ; c ct d
Contractor License #: 1 ` 7 O 0q0I Phone: % .J -4V _ L 0 - o lD JJ
Sub Contractors:
Company Name: License #: Expiration Date: Trade/Profession: Approval:
Use of space (description):
Description of work: ,j i
0(l �1X�(�� Q�t� ��Cit� 1e1 (%�j��tC Plan Review (due at time of submittal): $
pe
Sq. Ft./L.Ft added: Square TU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) TRACTO or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: GM n SIGNATURE: Date: l
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY-
Reviewer:
CCUPANCYReviewer:
FIRE DEPARTMENT.: O approved w/ comments O disapproved O no review required Bldg Valuation: $
Credit Card Payment: Use credit card listed on File. Date:
Print name: Signature:
City of Wheat Ridge
` Residential Electric PERMIT - 201707091
PERMIT NO: 201707091 ISSUED: 09/08/2017
JOB ADDRESS: 5530 W 27th AVE EXPIRES: 09/08/2018
JOB DESCRIPTION: residential electrical 200 amp overhead panel upgrade with new grounding
system
*** CONTACTS ***
OWNER (303)518-1274 REBECCA PROUTY
SUB (720)800-6655 Douglas L Warman 170049 Storm Electrical Services Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,200.00
FEES
Total Valuation 0.00
Use Tax 67.20
Permit Fee 109.20
** TOTAL ** 176.40
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany in 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 ermtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pe o ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or, CCONTRACTOR (Circle one) Date
I. This permit was issued base oT n *e -information provided in thepermit 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 ermit 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 is 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
applicabl de oars any �e or ag tion of this jurisdiction. Approval of work is subject to field inspection.
ate'"' `-
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A4/
City of
9W-7heat j Date:
COMMMUNiTyPermit #:
DEVELOPMENT (V
Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033 j )
Office: 303-235-2855 * Fax: 303-237-8929 7
(�
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: S 5 3G LIL)
Property Owner (please print): P be cczi P r Ou 4-l% _. - _ _ Phone:
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: E le_c ; c ct d
Contractor License #: 1 ` 7 O 0q0I Phone: % .J -4V _ L 0 - o lD JJ
Sub Contractors:
Company Name: License #: Expiration Date: Trade/Profession: Approval:
Use of space (description):
Description of work: ,j i
0(l �1X�(�� Q�t� ��Cit� 1e1 (%�j��tC Plan Review (due at time of submittal): $
pe
Sq. Ft./L.Ft added: Square TU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) TRACTO or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: GM n SIGNATURE: Date: l
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY-
Reviewer:
CCUPANCYReviewer:
FIRE DEPARTMENT.: O approved w/ comments O disapproved O no review required Bldg Valuation: $
Credit Card Payment: Use credit card listed on File. Date:
Print name: Signature:
► ' . City of Wheat Ridge
Residential Roofing PERMIT - 201708133
PERMIT NO: 201708133 ISSUED: 10/10/2017
JOB ADDRESS: 5530 W 27th AVE EXPIRES: 10/10/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 18 sq (14 sq pitched / 4
sq flat) Pitch = 6/12 (3rd party inspector required)
*** CONTACTS ***
OWNER (303)502-7801 SLATTERRY JOHN
SUB (303)385-0692 Courtney Roetz 170524 HCI Exteriors Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,626.00
FEES
Total Valuation 0.00
Use Tax 97.15
Permit Fee 125.05
** TOTAL ** 222.20
*** 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.
► A City of Wheat Ridge
Residential Roofing PERMIT - 201708133
PERMIT NO: 201708133 ISSUED: 10/10/2017
JOB ADDRESS: 5530 W 27th AVE EXPIRES: 10/10/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 18 sq (14 sq pitched / 4
sq flat) Pitch = 6/12 (3rd party inspector required)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this a rther attest that I am le ally authorize clude all entities named within this document as parties to the work to be
perfp ed an that all w o e p rmed is disc sed in ocument and/or its' accompanying approved plans and specifications.
Si�tVatureof OWNtR or Z:O1Q TRACTOR (Circle one) - Date '
I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po -icier 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 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 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 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.
Dane Lovett
0 70
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, October 6, 2017 10:02 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
x
Flag Status:
Completed
G
Residential Roofing Permit Application
n
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 (enter WITH
dashes, eg 303-123-4567)
5530 W. 27th Ave
John Slatterry
303-502-7801
9
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Signed Contract Slattery.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
HCI Exteriors Inc 2�
170524
303-385-0692
Contractor Address 2390 S. Downing St. Denver, Co 80122
(Primary address of your
business)
Contractor Email Address hciexterorsinc@gmail.com
Retype Contractor Email hciexteriorsinc@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
4500
18
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
greater)
10
both? (check all that
apply)
What is the pitch of the
Just Under 2/12
FLAT roof?
How many squares are
4
part of the FLAT roof?
Describe the roofing
Modified Bitumen Peel and Stick
material for the FLAT
roof:
Type of material for the
Other (specify below)
FLAT roof:
If "Other" is selected
Modified Bitumen Peel and Stick
above, describe here:
What is the specific pitch
6/12
of the PITCHED roof?
How many squares are
13.99
part of the PITCHED
roof?
Describe the roofing
Dimensional Asphalt Shingle
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional
Main Dwelling
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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.
11
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Rainbow Iron Shell
Email not displaying correctly? View it in your browser.
12
HCI Exteriors Inc. A reemen � Cas-c���'�
�y —gym+ =
Homeowners (here afte know as buyer")i
Stree 77-b I City State Zip Code
Home Phone Cell Phone Work Phone/ALT
Additional Informaton
INSURANCE INFORMATION:
CompanyStorm Date
Policy # � 1 � Claim #
Agent f Office Phone Fax
Scope of work is as outlined by the homeowner's insurance adjustment summary (hereafter known as "the work").
HCI Exteriors Inc. (hereafter known as "the contractor") will perform the work as checked below:
ROOFING 9SIDING GUTTERS ❑ WINDOWS JOTHER
S eci ications U codes
Tota/ COSI:%as it is known as of the date of this contract!: /plus any supplements and code upgrades)
r,
Date of Build/Work to be done (aprox): �
�'-41—
1. This agreement DOES NOT obligate the buyer or the contractor unless payments for replacement and/or repairs have
been approved by the homeowner's insurance company and approved by HCf Exteriors Inc. By signing this r
agreement the homeowner authorizes HCI Exteriors Inc. to pursue an agreeable replacement value for damages as '
specified above with no additional cost to the buyer other than their deductible and any agreed upgrades, payable to
HCI Exteriors Inc. Upon reaching an agreeable replacement value with the insurance company, the buyer authorizes
the contractor to schedule and obtain labor and materials in accordance with the agreed replacement values
(Initial)
2. The buyer understands that HCI Exteriors Inc. works for insurance proceeds only. S . (Initial)
PAYMENT IS DUE IN ACCORDANCE WITH THE TERMS OF THIS AGREEMENT. ANY CHANGES OR AMENDMENTS MUST BE MADE IN WRITING.
X
Buyer's Signature Date
X
Xr—
Buy-Sig alure� Date
HCI Exteriors Inc. Agent Signature Date
HCI Exteriors Inc.
office 303.385.0692 fax 720.476.4843
info@hciexinc.com
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: -1 '� m & A, "
Job Address: S 3 �.�✓ 2`J
Permit Number: 0 / 4J C) / Z
❑ 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
Date:! vJ Inspector: /.'•`�"
DO NOT REMOVE THIS NOTICE
i * CITY OF WHEAT RIDGE
_:��Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �4_1_vlq C /,�Oo
Job Address: 3D � V Z
Permit Number: /07 O 9'/ 3 3
❑ No one available for insp'e—blion: Ti
Re -Inspection required: (Yes' � No
When corrections have been made, call for t
Date: �_Inspector:
AM/PM
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:
Job Address: ITC3 O Jit/ 9-Vh��
Permit Number: ,?o l7 O E /3 3
❑ No one available for inspectio ime107 AM/PM
Re -Inspection required: Yes
When corrections have been made, caT for re -inspection at 303-234-033
Date:4V7/ 7 Inspector: MTq___
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIONNO �,�y
�/
Inspection Type: F F
Job Address: -63oth ro'L'�
❑ No one available for inspection: Time 1M/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: � i3 Inspector: m��
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
�� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F FI
Job Address: 5-6-3o w 4,1e
Permit Number: r 7,0911
T
9
5
❑ No one available for inspection: Time I )A') ",' AM/PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: ft l !i
bO NOT REMOVE THIS NOTICE
r�
�. • 1 rl w
to wt"dows
*
r*d' F r t
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-121
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :1/18/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : WALLACE RUTH E
PropertyAddress : 5530 27TH AV Phone : 233-3102
Contractor License No. : 17258
Company : Drury Bros. Roofing Phone : 722 2213
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 ayree to abide by all conditions printed 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 ordi ances, for work under this permit.(OWNER)(CONTRACTOR) SIGNEC~Il A(i- .I~. v\AC` t)f.4ATE /i A/9.SDescription : REROOF
Construction Value :
$3,578.00
Permit Fee :
$63.00
Plan Review Fee :
$0.00
Use Tax :
$53.67
Total:
$116.67
Electrical License No :
Company :
Expiration Date :
Approval:
aa
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accortlance with the provisions set forth in yopur application and is sub1ect to the laws o! the State ot Coloratlo antl to the 2oning
Regulations and Buildiny Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work aulhorizetl is nol commencetl within sixty (60) tlays from issue date or (B) the building authonzetl is suspentletl or
abandonetl for a period of 120 days.
(3) If this pertnit expires, a new permit may be acquired for a tee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or it suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done Ihal will change the naturel flow of waler wusing a drainage problem.
(5) Contrector shall notify the Building Inspeclor twenry-four (24) hours in advance (or all inspections and shall receive written approval on inspection card betore
proceediing with successive phases of the job.
(6) The issuance oi a permit or the approval ot drewings antl specifiwtions shall not be construe0 to be a permit for, nor an approval of, any violation of the provisions
of the building cotles or any other ortlinance, law, rule or regulation.
.1co l 6-~-
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPEMENT Application Number '
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : Phone
Property Address :
Contractor License No. :
Company :
Phone :
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 prinled on this
application, and that I assume f heat Ridge Building
Code (U.B.C.) and all applica eat Ridge ordinances, for wor . der this permit.
Description : 4;4 -
Permit Fee :
v r
UseTax:
Total: ' . '
BUILDING DEPARTMENT USE ONLY
~ri111Ytij@f►k$:;
Approval4^
Zoning :
~~~~MIP
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No :
Company : Company :
Construction Value :
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
y;J "A__J ,Plansf~egui[es}..,~~ ~
(1) This permit was issued in accorCance with the provisions set forth in yopur applicalion and is subject to the laws of the SWte of Cobrado antl to the Zonifq
Regulations antl Building Cotle of Wheat RiCge, Coloratlo or any other appliwble ortlinances of the Ciry.
(2) This'permit shall expire if (A) the work authorize0 is not commence0 wilhin sixty (60) tlays from issue tlate or (B) ihe building authorized is suspended w
abandoned for a penod oF 720 tlaYs.
(3) IF Nis permit expires, a new permR may be acquired for a lee of one-hal( the amount normalty required, DroviCed no changes have Oeen w will be made In the
original plans antl speci(calions and any suspension or a0antlonment has not exceetle0 one (1) yeac If changes are matle or'rf suspension or abanCOnmenl
exceetls one (t) year, tull fees shall be paid (or a new permit.
(4) No work of any manner shall be done that will change the naWrel Oow of water causing a drainage problem.
(5) Contractor shall notiy the Building Inspector iwenty-lour (24) hours in advance for all inspections antl shall receive wntten approval on inspecfion cartl before
proceetliing with successive phases of the job.
(6) T~e issuance of a permit or the approval of tlrawings antl specitications shall not be construed lo Oe a permit tor, nor an approval of, any vioWtion of the pmvisions
of the 6uiltling codes or any other ordinance. law, rule or re9ulation.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION