HomeMy WebLinkAbout6901 W 27th AvenueCity of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 201900472
PERMIT NO: 201900472 ISSUED: 03/21/2019
JOB ADDRESS: 6901 W 27th Ave EXPIRES: 03/20/2020
JOB DESCRIPTION: Replace 60K BTU, 96% efficiency, gas furnace in crawlspace
*** CONTACTS ***
OWNER (303)905-2818 WILLIAMS BRANDON M & BETHANY
SUB (303)421-3572 WILLIAM BURAS 017865 LAKESIDE HEATING & A/C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 63.00
** TOTAL ** 103.00
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 an 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
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 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 Oficial 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 nermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code,,5, any ordina 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.
Kimberly Cook r ��
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, March 21, 2019 6:22 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
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 a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
6901 W. 27th Ave.
Brandon and Bethany Williams
303-905-2818
Field not completed.
Credit Card Authorization Form .pdf
CONTRACTOR INFORMATION
Contractor Business Lakeside Heating & A/C
Name
Contractor's License 017865
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-421-3572
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address BECKY.B@LAKESIDEHEATING.COM
Retype Contractor Email BECKY.B@LAKESIDEHEATING.COM
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 60000
What is the efficiency 96
(%) of the unit?
Is the unit GAS or GAS
ELECTRIC?
Where is the furnace or CRAWLSPACE
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 300000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
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.
Person Applying for Rebecca Buras
Permit
Email not displaying correctly? View it in your browser.
t
(J)��A,-e_AN6�CRECORDv
IN P ON ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
an ellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
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)
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.
Foundation / P.E. Letter
Plumbing
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
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.
Mid-RoofM
Plumbing
1. t-10 S�4i1�Cz� 4)tlp i Y' r
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid-RoofM
1. t-10 S�4i1�Cz� 4)tlp i Y' r
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
Rough Grading
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
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.
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
City of Wheat Ridge
Residential Roofing PERMIT - 201706746
PERMIT NO: 201706746 ISSUED: 08/30/2017
JOB ADDRESS: 6901 W 27th AVE EXPIRES: 08/30/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles & Rolled
roofing with 21 sq. (19 sq. pitched, 3 sq. flat)
*** CONTACTS ***
OWNER (303)905-0853 WILLIAMS BRANDON M
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,397.00
FEES
Total Valuation 0.00
Use Tax 113.34
Permit Fee 140.90
** TOTAL ** 254.24
*** 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
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: 700/ Q
Job Address: 6 20 L,-
Permit Number: a,01;70CZ7M
❑ No one available for inspection- Time J(� AM/PM
Re -Inspection required: Yes No
When corre (ions have been made, call for re -inspection at 303-234-593
�/I 3
Date: O� 1 % Inspector: T /�
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: Y "1 I Q
Job Address: w .
Permit Number: % Q67241
ytA
❑ No one available for inspection: Time �—AM PM
Re -Inspection required: Yes(i)
es No `�
When corrections have been made, call for re -in ction at 30-2 4-5933
Date: U 2 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: N
Job Address: 'W, r
UI 0
Permit Number: 7
r� ► ,
*=0 a
1A
c 0S 966-,7n Uyl
❑ No one available for inspection: Time 'Z = AM/PM
Re -Inspection required Yes No
When corrections have been made, call for re -in p ction at 3- 4-5 33
q /
Date: ! /2� Inspector:
DO NOT REMOVE THIS NOTICE
e City of Wheat Ridge
Residential Roofing PERMIT - 201706746
PERMIT NO: 201706746 ISSUED: 08/30/2017
JOB ADDRESS: 6901 W 27th AVE EXPIRES: 08/30/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles & Rolled
roofing with 21 sq. (19 sq. pitched, 3 sq. flat)
*** CONTACTS ***
OWNER (303)905-0853 WILLIAMS BRANDON M
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,397.00
FEES
Total Valuation 0.00
Use Tax 113.34
Permit Fee 140.90
** TOTAL ** 254.24
*** 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201706746
PERMIT NO: 201706746 ISSUED: 08/30/2017
JOB ADDRESS: 6901 W 27th AVE EXPIRES: 08/30/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles & Rolled
roofing with 21 sq. (19 sq. pitched, 3 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 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 le
ggally authorized to include all entities named within this document as parties to the work to be
performed a that all work to b ertormed 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 ased 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 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 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 OfficialDate
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS Y FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 28, 2017 12:05 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 6901 W 27T DAVE
Property Owner Name BRANDON WILLIAMS
Property Owner Phone 3039050853
Number (enter WITH
dashes, eg 303-123-4567)
89
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed williamscontract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business monarch construction
Name
Contractor's License
100243
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
3039811265
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
5300 BROADWAY
(Primary address of your
business)
Contractor Email Address
permits@monarchroofs.com
Retype Contractor Email
permits@monarchroofs.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
21 ✓
the entire scope of work:
Project Value (contract
—38E37
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
90
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
How many squares are
part of the flat roof?
Describe the roofing
material for the flat roof:
Type of material for the
flat roof:
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof-
Provide
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes V
3 V
rolled roof
Rolled
Yes
19
owens corning
Asphalt
house
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
Yes
Yes
91
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 lowrie
Email not displaying correctly? View it in your browser.
92
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Top 1% of roofing contractors I 0
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Job a
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Dina : h Crn!,�: *n d R00 -rig LLC nil be retenttil to ct this contract as Monarch The scope of work and materials identified below arc the scope of work recommended by Monarch
CGca upon d Raning Moor is rix oN gazed to pedrr, any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay
(x 0* M.-C*na wol$
':an;yla:!.17r �Vt�S it t�� TYoe Vve(/t� V 1� Color - Int. /_
Tear o9 al existing layers (layers) 7i1�" Tear off one layer of wood shake shingles
Insla'; De@ ing (7116' OSB)I sheets of OSB are included, each additional sheet will be $65 per sheet
x insla'' New Underiaymenl
_15'b _ Xb -,< Synth.
Instal Pre-Pamed metals to code Brown Charcoal Tan Gray While Other int.
�(. Va"ey(s) wd! be dosed with ice & water shield ❑ Valley(s) will be open
Ridge (s) to be color -coordinated with shingle
Ridgels) to be High -Profile and color -coordinated with shingle
7Y Install new pipe jacks "jj
Rep'.ace vents as needed PC.' (q(�Q — ►Re�n�N T'� 7e5l,
Re -flash chimney(s) and all wall abutment as needed I
Install Ridae Vent _LF ?ex' ' `t ISO 6e pit
A Install Ice & Water shield per code, as well as all vents and skylights V� t�f1eGT i��� jr} 1
X InstaLi-6 nags per shingle as required by city/coun . codes. j
Satellite/ Dish Alignment (each customer will need to contact the provider to re -align dish after roof installation) Int
X Final Inspections will be completed as citykounlfes allows,/ have read the back of contract p 23 Int. ,,''' ���t7
it I'll? 5 -year workmanship warranty on roofing. a'I other construction trades will receive a 1 yr. workmanship warranty CU I'll?
Extended Warranty Per Sq 5 Circle: Owens Coming Platinum GAF other: t�
Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,000 general aggregate
Perform magnetic sweep of driveway and yard for removal of any nails
X Remove all trash and debris from wMLI,5ted
Gutters --,'$ _LF Siz 5-m 6 -inch Cola,%_Sg�� Intim_
1&i Replace Gutter Screens Type
insurance funds include Mortgage Company _AYes _ No (if yes please complete the third party authorization form) Int
Special In*Nctions 0 14_ _ if , _ L � � - 3_ .. — s : 4 S.
-1 V V rJls,, 71V ! — . p
The approxniate cost of the services based on damages known at the time this contract is entered is s. -1I r "�y determined by eAn /� jpjll t
insurance Monarch will perform the scope of work approved by the insurance company. Monarch will supplement for gems priced low, not included or hems needed to pass city/county t,J1
codes, %tuch may increase inial dollar amount that Insurance is paying out. Supplemental claims billed by Monarch that are approved by the insurance company for addtimal work or
increases in costs become a part of this contract. The (trial scope and price agreed on between ore nsuranre company and Monarch shall become the final contract price for the insurance
approved scope. Customer will be responsible to pay for any upgrades; deductible, non-recoverable deprecation or additional work authorized by the customer that the
Insurance company determines Is no covered within the scope
pee of coverati rovided by your Insurance policy.
Approximate Dates of Service: (.1 �t+thesedates of service are subject to change due to unusual delays in transportation of materials,
payment delays, insurance approval,Ord- otherdelays.or by any othetcausts beyond masonstilecontmlofillonarch. Monatich will provide comiminication to customer
to show tentative data.
Notice: If the property owner plans to use proceeds of a property and casualty insurance policy issued pursuant to pad 1 of article 4:10. C.R.S., to pay for the roofing work, pursuant to
section 6.22.105, the roofug contractor cannot pay, waive, rebate, or promise 10 pay, waive. or rebate all or pad of arry nsurance deductible applicable to the insurance claim for payment
on the covered residential property.
I(we) hereby authorize & instruct the insurance company & lien holders to include the name of Monarch Construction & Roofing LLC as co -payee on any subsequent loss dish or checks
after today's date as indicated above. I (we) authorize any legal representative and/or agent of Monarch Construction to obtain Information necessary to complete any funding process
relative to the dais nu�mfbbeer/fE/I renced above. I ((we) further authorize Monarch to Pick up person any loss drafts or checks on my/our behalf and b�ehal ooff�M�oonarch,
n -it Am.., Siz e 6 `/ • 92 flair• 10 Lx, /� I Ran Inihi�le \ a 1)'
LI&4ch construction aPmhng LLC st6t told Aust any payment hem vie property owner until Monarch Cmstnkhon a Rwrmg LLC has dahmed roorng materiahs at the msdentiai prop My site or has pnra—i
a miip y of we mofro wok oe tine property
I (we) agree, by signing bele, to all the contract conditions, both front and back of this agreement.
Date of Acceptance.___Lf 6/1-1-_ �&
Customer5gnaturelsl'-_ _. _ _ w CuslomerSignalure
Monarch Representativ .. _. -
.a�a
Scanned by CarnScanner
INSPECTION RECORD OccuaancvlTVae
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.
1" qu ( e m
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
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Weatherproof / French Drain
Lath /Wall tie
Sewer Service Lines
Mid -Roof
Water Service Lines
-
Electrical Service
YOUR NO UONCRETE UNTIL ABO HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Building Final
Lath /Wall tie
Fire Department
Mid -Roof
R.O.W & Drainage
-
Electrical Service
Parking & Landscaping
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
RIVR IV YRVI.CCVIIVV
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
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
Job Address 4 9V> w ;U 7 /-V
Permit Number t00 ors
�:. ❑ No one available for inspection: Time /PM
Re- Inspection required: Yes
'When corrections have been made, call for re- inspection at 303 - 234-5933
Date : Insnector:
E THIS NOTICE
ct
Job Address K, .;, ` `r'
Permit Number ;a;f's'r ° °1
City of Wheat Ridge
I r 4000 r-
Residential Roofing PERMIT - 11049$
PERMIT NO: 110498 ISSUED: 05/04/2011
JOB ADDRESS: 6901 W 27TH AVE EXPIRES: 05/03/2012
DESCRIPTION: Remove and replace 36 sqs asphalt shingles and RE -DECK
* ** CONTACTS * **
Owner 303/905 -0833 Brandon Williams
GC 303/732 -6625 Dennis Benoit
10 -0219 Allegiant Roofing & Restoratio
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0576
USE: UA
BLOCK/ LOT#{ : 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 19,651.66
FEES
Permit Fee 362.80
Total Valuation .00
Use Tax 353.73
** TOTAL ** 716.53
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
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 permit. i further attest 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' 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 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 o a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of 1 Is code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspecti
Signature of Chief uilding Offical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
�� ad `�, City of
y
y heat R7 iC�e
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Prgj erty Address; l� / o 27 f � A
Property Owner (please print): &a,Ca n
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractgr:
Contractors
Sob Contra
Electrical:
Date:
Plan #
Permit # ��D7
r'uey] Phone: 3y —oi
7d1
se M Phone:
Plumbing: Mechanical:
City License # City License # City License #
bes�C °� wo71c� /1
Contract Value: cy
$ �/ bb
/ - - - Review Fee (due at time of submittal):
Squares 3 e BTU's Gallons Amps Sq Ft. $
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..
CIRCLEONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) /
PRINT NAME: n• 40r SIGNATURE: DATE:
FIRE l)EPAR7MENT !O approvsd`w / @ s i0 cUea'pproved O no'tev�ew eq�ired Bldg Valuation :$
N g — City of ]�
`�� heat C'ge
- 'AUNr1Y DEVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
0
Property Acldr_ "ess? �� � �. 7 &X
Property Owner (please print) %oD2"[� J IGS) t L( _(PfAAS
Mailing Address: (if different than property address)
Address:
City, State, Zip: \ \�
Contractor' � J,.� -F �t tJ.AI LfrR�l.-
Contractors City License #:
Sub Gantractors Jvo� >{ U4CIA6
Electrical: Plumbing:
City License # City License#
e
V LIA
Date I i 1 7 i
Plan #
Permit #
SS Z
P"r
Mechanical:
Pf City License #
T I�z pvtlJ�(� A pOF oUz-?— AA3 .A F Z DD1 1 04 : I
V " --Y f S Contract Value' ` 1 i
St- opt dQ Review Fee (due at time of submittal):
$
Squares BTU's Gallons mps Sq Ft.
OWNER/CONTRACT/ ATUR F UNDERSTANDING AND AGREEMENT
I hereby certify that the setbces pr ed by this permit application are accurate and do not applicable ordinances;
rules or regulations of the Ceat ' e or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurata ad and agree to abide by all conditionsprinted on this application and that I assume full
responsibility for compliancable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am ther or have been authorized by the legal owner of the property to perform the described work
and am also authorized by twnerof any entity included on this application to list that entity on this application. ONE: (OWNER) CTOR) or (AUTHORIZED REPRESENTATIVE) of to ER) (CONTRACTOR)
PRINT NAME: SIGNATURE: �t}�1�5 SIGNATURE: W/ t "'U DATE:
�. � � � s� � -'w ,'��% r i DEPARTMENT USE l J ' ✓ � � �,
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r��IRlS QEPARTNIENT O ep�trOttetl yo/ eommehfe)7 CJSappro�ed O 1'!07eweWNe�Wred Bldg ValUatlOn $
-DePARTAAENT OF PLANNING AND DEYELOPMENT Building Permit Number : 3019
BUILl71NG INSPECTION DIVISION - 235-2855
CtTY OF WHEAT RIDGE Date : 5/2/96
7500 WEST 28TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner
Property Address
Contractor License No.
Company
EIDFRICK CARL T
6901 27TH AV
18167
G & H Electric Co.
QWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
mcas proposed by this pertnit applicadon aro
rules or repulaUOns of the City W Wheat
3 of nWrd; that.H measurercrents shown, ara
aiM agroe M abide by all conditiona PhMed a
(OWNER)(CONTRACTOR)
Phone: 231-9165
Phone : 424 7200
Construction Value :
$1,335.00
Pertnit Fee :
$45.00
Plan Review Fee :
$0.00
Use Tax :
$16.02
Total:
$61.02
Description : CHANGE SEyRVICE, SPLIT UP LOAD AND ADD SOME OUTLETS
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
APproval :
Zoning :
~
Approvai :
Approval :
Occupancy : Walls : Roof : Stories : Residentiai Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
0 0 r
(7) Thia permtt wae iuued InaComdrxewiM the qovkione aet mrth In yopur applkatlan eM is suMect to the laxrs Mtlro Stede d Cdaado antl to the Zonirq
Regulatlqte pM BuUdhq Catle dVNieet RWOe. Cobrado a airy otlter applite0le oMiner~ces of the Ciry.
(2) Thb pmrmit aha%expire if~UU Me wak aulh orlie0 is ral commencetl vANln sixty (80) tleys from issue deto or (B) the builtlUp aWwrizad is auapaMed ar
ebandaNftlfareperbda130days.
(3) If Wa~mnt It~msy be acQuitetl l ar e fee of ono-FUlf the amouM mimalty required, qovided no changas heve bee~ a xil 6a mede in Me
oriOi~sion or abanCOnmaM
j ere arry specdon cartl before
of tlx
~8~ Me bul~m~ e ot~ oNm o~NID9nce.~ry~g pr ~ yo~ °na shall irot Ce mnstiued to be a pertnk kr, nor an approvel of, arry vidation M the provisions
ChiefBu}iding Inspector
VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5838 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Application Number :
BUILDING INSPECTION DIVISION - 235-2855 Date : 05/02/96
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qb
PrOperty Owner. JACK OVERLEY PhOne: 231-9165
PrapeRy Address: 6901 WEST 27TH AVENUE
Contractor License No. :
Phone: 424-7200
Company : r &
OWNER/CONTRACTOR SIGNATURE OF Ut,
I hereby certity that the setback distances proposed
and do not violate applicable ordinances, rWes or rei
coveqants, easements or restrictions of record~ that
made are accurate; lhat I have read and agree to ab
application, and that I assume full responsibility for c
Code (U.B.C.) and all other applicable Wheat Ridge (OWNER)(CONTRACTOR)
~
~
Construction Value : 1335.00
Permit Fee : 45.00
Use Tax : 16.02
Total: 61.02
Description:CHANGE SERVICE SPLIT UP LOAD AND ADD SOME OUTLETS.
BUILDING DEPARTMENT USE ONLY
~S4ii4~~~lme~ts'
Approval
Zoning :
~•~~~~~Bhu..Ii
Approval '
~ ~~~s;Comments:
I Approval:
Walls Roof . Stories : Residential Units
Occupancy :
Mechanical License No :
Electrical License No : 18167 Plumbing License No : Company :
Company: G& H ELECTRIC C0. Company:
Expiration Date :
Expiretion Date : 02/28/97 Expiration Date qPProval :
Approval : Approval :
I Plans Required ; _J wi^°~umom
of Colo
(7) This permR was u5suetl in accortlance wrth the provisions set forth in yopur application and is subject to the laws of the State tado anE to the Zonin9
RegulaUOns antl Building Cotle of Wheat RiOge, Cobraao or any other ap0licable ordinances of the Ciry.
(p) This permlt shall expre if (A) the work autnonzed is not wmmencetl within sixry (60) tlays irom issue date or (B) Ihe bmitling authorizetl is suspentled or
aDantloneO for a perioC of 120 Eays.
(3) 0 9i^ap anseaod specl~wtlon alnd any suspension or aoanaonmem nas not exceetled one (rt jyear ~If changes are made oa f suspension~ioabandonment
¢zCeetl4 one (i) year, tull tees shall be paitl for a new permM1.
(4) No work of any manner shall be tlone lnat will change Ihe natural Flow of water causing a draina9e pwblem. aDProval on inspecUon cartl before
(5) Contracror shall rrotiry the Builtling Inspeaor hvenry-(our rz41 hours in atlvance for all inspections antl shan receive written
pceetliing wrth succxssive phases of tne 7ob.
(B) p~of ihe buatl g~cotles or~any~omePortlmance law~~use or~regu~abooions snali not be constmea to be a pertnit for, nor an approval oC any violafian af the prowsions
I tr
For Mayor
Chief Bwlding nspec o
THIS PERMIT VALID CONLY ALL W 345933 24 HOURS PRIOR TO~INSPECTION ECTOR AND MAYOR
7500 WEST 29tn AVENUE DEPARTMENT OF COMMUNITY DEVELAPMENT
237-8944 ExT. 255 P.O. BoX 838 BUILDING INSPECTION DIVISION
' CITY_OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHFN cir.uan ov ru~
6901 W. 27th Ave APPLICATION FOR MISi
JOB ADDRESS
CONTRACTOR Golden Gate.Roofine
ADDRESS 4732 Newton St.
CITY Denvwe Co ZIP CODE $0211
PHONE
IICENSE NO. 17802
AND
PERMI7 N094#19939
OWNEii Carl Eldfrick
ADDRESS 6901 W 27th Ava
PHONE 237-0580 ZIP CODE 80215
)NTRACT PRICE $ 2350.00
1. TYPE GrounA❑ Woll❑ Pwiectinp❑ ptper
2. MATERIAL S or D Fote
SIGNS Total Squon Fset
3. ILLUMINATION Ya❑ No❑ Typs
4. SET BACN FROM PROPERTY LINE N__ 5__ E~k~' P~~mit No.
E- W Zone_ Apprwad, Zons Inapsctor
(Spstify whieh ie fronf) ❑ ❑ ❑ ❑ Disopprovsd
I, 7YPE Sotido Mon 7AOn 80% OpenO Lest TAOn 80% Opon
FENCES MATERIAL H•+o^'
3. SET BACK FROM pRppERTY LINE N__ 5__ EW
❑ ❑ Zons_ Apprwed,Zone Inspector
(Specity whien ie front) ❑ ❑ piaaOProved .
i._ Roofing
OTHER ,2 Re roof house with three-tab Fiber 1 ss sealdown shin les
~3. Re-roof flat roof with Brai M B roll roofine melted
on with heating torch.
DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHER STRUCTURE,GNihG DISTANCES FROM pRpPERTY LINES.
(SETBACKS OR PROJECTpNS INCIUDED)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM TME MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PRpPERTY LINES; ON IRREGULAR LDTS, SHOW LEAST
DISTANCE TO PROPERTY I.INES, NOT MA%IMUM OR AVERAGE UISTANCE.
APPLICATION FOR PLUMBING, ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WllL EXPIRE 60 DAYS FROM DA'fE OF ISSUANCE !F WORK IS NOT STARTED WITHlN TMAT Tluc
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE UCENSE N0.
STATE LICENSE N0.
NO
I ILLE6AL
PLOOR
BSM
IST
2ND
3R0
4TH
N0.
FUELCiNaQVCwFqlProporq EISeSWar
'
WATER CtASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
NEW SERVICE AMP$
BATH TUB
FpT WATER - BTU
CHANGE SERVICE-AMPS
SHOWER
STEAM - BTU
~I6HTIN~
AIR CONDITIONING-BTU
SINK
OTMER
HEATING
GARBAGE DISF
REFRIGERATpN SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Relri sront Group
UTILITY(RANGE,DISPOSER,ETC.)
AUTO
WASHER
FIXTURES
.
DISH WASHER
Pounds CAar s
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLDOR pRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
I hareby acknowledqe fhof ihis opplico-
tion ia eorrect ond undsrstond thaf I
cannot start this project until thia ovvli-
tofion is opproved. I sholl comply wifh
fAe lawe oi the Stote ol Colorodo ond to
tAe Zoninp Requlotiona ond Buildinp
Code offAe City of Wheai RidQe. Any
violotion of tAe above terma will cause
immediate revocotion of this permit
Alsofieanb 91I I -
Gordon D. St. Peter.
PERMIT FEE _S7 Y, Clk-Fl
USE TAX '_~10
TOTAL FEE $ U
D E'
CHIEF BUILD INSPECTOR,Cityof eaiRidqe
Date Issued ~:)-16 `5 v
NOT VAIID UNLESS
S ~
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
I
~ 13UILDING DEPARTMENY"(303) 235-2855
CITY OF WHEAT RIDGE
Job Located at
1 have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
; c I`
Correction Notice
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
(i
C~✓ ~
l Inapector for Bullding Dept j
DO NOT REMOVE THIS TAG
'
FORM WR&22 -