HomeMy WebLinkAbout10875 W. 41st Avenue1* ► � i City of Wheat Ridge
'/� Residential Sewer Repair PERMIT - 202100902
PERMIT NO: 202100902 ISSUED: 05/07/2021
JOB ADDRESS: 10875 W 41st Ave EXPIRES: 05/07/2022
JOB DESCRIPTION: Replace existing sewer service line in front yard with a set of clean outs
- 40 ft.
*** CONTACTS ***
SUB (303)810-5321 JOSE GUERREO 120127 PIPELINE SOLUTIONS
OWNER (730)320-3908 ARELLANO MOI SES D
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61000.00
FEES
Total Valuation 0.00
Use Tax 126.00
Permit Fee 140.90
** TOTAL ** 266.90
*** 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.**
1* � � i City of Wheat Ridge
�� Residential Sewer Repair PERMIT - 202100902
PERMIT NO: 202100902 ISSUED: 05/07/2021
JOB ADDRESS: 10875 W 41st Ave EXPIRES: 05/07/2022
JOB DESCRIPTION: Replace existing sewer service line in front yard with a set of clean outs
- 40 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.
05/07/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
1* ► � i City of Wheat Ridge
'/� Residential Sewer Repair PERMIT - 202100902
PERMIT NO: 202100902 ISSUED: 05/07/2021
JOB ADDRESS: 10875 W 41st Ave EXPIRES: 05/07/2022
JOB DESCRIPTION: Replace existing sewer service line in front yard with a set of clean outs
- 40 ft.
*** CONTACTS ***
SUB (303)810-5321 JOSE GUERREO 120127 PIPELINE SOLUTIONS
OWNER (730)320-3908 ARELLANO MOI SES D
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61000.00
FEES
Total Valuation 0.00
Use Tax 126.00
Permit Fee 140.90
** TOTAL ** 266.90
*** 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.**
1* � � i City of Wheat Ridge
�� Residential Sewer Repair PERMIT - 202100902
PERMIT NO: 202100902 ISSUED: 05/07/2021
JOB ADDRESS: 10875 W 41st Ave EXPIRES: 05/07/2022
JOB DESCRIPTION: Replace existing sewer service line in front yard with a set of clean outs
- 40 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.
05/07/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
1 Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN
YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
a:0]aA:41rd1011707:7di/GTA Ito] p
Is this Residential or
Residential
Commercial?
Property Address
10875 W 41stAve
Property Owner Name
Moises Arellano
Property Owner Phone
3039363214
Number (enter WITH
dashes, eg303-123-456'7)
Property Owner Email
none0none.com
Address
Attach City of Wheat
FPFWR_ndf
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
CONTRACTOR INFORMATION
Contractor Business Pipeline Solutions
Name
Contractor's License 120127
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3038105321
Number (enter WITH
dashes, eg303-123-456')
Contractor Email Address dennermits(c
Retype Contractor Email den ern mits(
Address
1]:K61UIaIto] ► to] MUOLO]U21
Is this a sewer line or
Sewer Line
water line repair?
Length of repair
40'
Location of repair
front yard
(backyard, frontyard, etc)
Provide additional details
to replace existing sewer service line with a set of cleanouts
including installation of
clean -outs.
Project Value (contract
$5250.00
value or cost of ALL
materials and labor)
Alei ►rGTAr11:]Mel 9111011Q:1 Mi va► u]i►[e1a►u1G[eiaaaLvia►ri
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
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 Jose Guerrero
Permit
Email not displaying correctly? View it in your browser.
,�klykjh�v INSPECTION RECORD lopQccuDa=�/Tvpe
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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
Initials
Comments
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
°' ��/
Plumbing
�� M
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
la -Sheathing -r'
°' ��/
F•
�� M
Mid -Roof
f r
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
( 2 -
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 - 201703695
PERMIT NO: 201703695 ISSUED: 07/11/2017
JOB ADDRESS: 10875 W 41st AVE EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 13.66
sq.
*** CONTACTS ***
OWNER (730)320-3908 ARELLANO MOISES D
SUB (720)373-0590 Jason Brondolillo 170192 Veteran Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,724.00
FEES
Total Valuation 0.00
Use Tax 246.20
Permit Fee 236.00
"* TOTAL ** 482.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order_ to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A i CITY OF WHEAT RIDGE
��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 7- i%
Job Address: In 7
Permit Number: _242 , ;/
❑ No one available for inspection: TimeAlb'I/PM
Re -Inspection required: Yes ; Alamo
When corrections have been made, call for re -inspection at 303-234-5933
Date: i .' Inspector: t
DO NOT REMOVE THIS NOTICE
M
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NO C
Inspection Type:
Y�Lb
Job Address: 6 %�
Permit Number: %
❑ No one available for inspection: -Time 01 AM/PM
Re -Inspection required: Yes No
When corrections have been made, ca or re -inspection at 303-234-5933
Date: % - �;?' )7 Inspector:
DO NOT REMOVE THIS NOTICE
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201703695
201703695 ISSUED: 07/11/2017
10875 W 41st AVE EXPIRES: 07/11/2018
Residential Re -roof to install asphalt shingles with ROOF DECKING - 13.66
sq.
*** CONTACTS ***
OWNER (730)320-3908 ARELLANO MOISES D
SUB (720)373-0590 Jason Brondolillo
170192 Veteran Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,724.00
FEES
Total Valuation 0.00 PAID
Use Tax 246.20
Permit Fee 236.00
** TOTAL ** 482.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703695
PERMIT NO: 201703695 ISSUED: 07/11/2017
JOB ADDRESS: 10875 W 91st AVE EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 13.66
sq.
1, 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 tha,alLwtet�c to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signat OWNER or TRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made inwriting and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
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 Budding Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
201 x(73 (q 5 -
From:
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 2:11 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
residential roof?
How many dwelling units
are on the property?
Yes VV
Single Family Home
PROPERTY INFORMATION
Property Address 10875 w 41st avenue Wheatridge CO 80033
Property Owner Name Moises Arellano
Property Owner Phone 720-320-3908
Number
Property Owner Email doesn't have email address
Address
T ttt, -Lo
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Veteran Roofing
Contractor's License 170192
Number (for the City of
Wheat Ridge)
Contractor Phone 720-987-5386
Number
Contractor Email Address kenny.veteranroofing@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
tom.veteranroofing@gmail.com
Yes
asphalt
Asphalt
Field not completed.
13.66
No
Field not completed.
TOTAL SQUARES of all 13.66
roofing material for this
proj ect
Provide additional detail This is for a single story house, no garage, also doing gutter
here on the description of work, no space decking, open patio
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 11724.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Tom Wheatley
Email not displaying correctly? View it in your browser.
3
Project Manager /o t/
Phone # %, 0 I10
Storm Date , { - F j 7
VETERAN ROOFING
Owner��1 f
///f Phone
Address
A Lee—
Z State
zip
Email f C
Deductible
.y
Insurance Company Claim #
"THIS AGREEMENT SHALL BE VOID IF THE INSURANCE COMPANY DOES NOT AGREE TO THE FULL ROOF REPLACEMENT"
I. Scope and Pricing:
• Veteran Roofing LLC agrees to furnish the material and services necessary to complete all jobs, including solar and
mortgage coordination.
• Veteran Roofing LLC will provide services at the RCV (Replacement cost value) set and agreed to by the insurance
company including agreed changes from supplements, code requirements, permits and any other negotiated costs.
"Approximate" cost of the work will bey—ox� l4 -cu^ This however, is subject to change during the
inspection conducted with the insurance company inspection and negotiations.
• The home owners ONLY out of pocket expense shall not exceed the Deductible �� ���
unless the home
owner wishes to add services not stated on the loss estimate provided by the insurance company and a copy will be
provided to Veteran Roofing. Materials to be used will be
Initial] )7
2. Terms:
The Home owner agrees to provide Veteran Roofing access to the property for preparing and completing the work.
Under Colorado Revised Statutes 6-22-104 if the person authorizing this agreement wishes to cancel you will need to
provide a written notice within 72 hours of signing this agreement. Once the insurance company agrees to the
replacement during the day of inspection the home owner will be bound to this agreement however if you still wish to
violate this agreement the home owner will be expected to pay for damages or time invested into the property.
3. Acceptance:
• Veteran Roofing has permission to contact the Insurance company for any information, supplements and loss estimates
pertaining to this individual claim. The homeowner and Veteran Roofing agree once documentation and funds are
made available from the insurance company the roofing date will be scheduled. I have read and understand this
agreement. The homeowner and Veteran Roofing agree once documentation and funds are made available from the
insurance company the roofing date will be scheduled. I have read and understand this agreement.
Property Owner Vet ran Roofing Project Manager Date
5039 South Federal Blvd #6, Englewood CO 80110 303-945-4426 Veteranroofingusa@gmaii.com
g @gmail.com
Phone # j
VLrTERAN ROOFING
Email I
tAddress
"2-
�....__ .r.,_._.Phone4
C�p Code Claim #
Sc►iar Roofs for 7rao _Love dope
SQS ON Flat PN - — Detached
r' 2 -Story Steep SQA.,., I
i
r erimetef
Nipj Ridge Layers Space Dec_kua -._ . ^ Patio
�_� Yes _i C N� — _ en Closed 1
Material Line Roof, or tllta+anty Drip E e Calor Dr
' ._-.�_
Hardware -
{
P1 1-3"
Split B
Turtle
Power Y- G�Chimney
Solar
FlCounter�
r 0 '0'0
P113roar
Ridge V
t Sonar V
Skylight
I&W
Step f Fe .
Gutters -SketchjNotes
Gutters folo� Downspout Calor
`� r
_ 1+ _�Y, �� ,"44L' -?7;v C �`'c��r,�v /,
Front 1 Back- Front ack i
Right
..fi Right
Replacement Cost U rade O ions
Roof RCV Ridge Vent LF X
SG`
Gutte,r R C' ` - Impact Resist SQ X
Detached $4_
br $ 5
r3
i father - O&P -
s Supplements
Initial RC'V
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201703695
201703695 ISSUED: 07/11/2017
10875 W 41st AVE EXPIRES: 07/11/2018
Residential Re -roof to install asphalt shingles with ROOF DECKING - 13.66
sq.
*** CONTACTS ***
OWNER (730)320-3908 ARELLANO MOISES D
SUB (720)373-0590 Jason Brondolillo
170192 Veteran Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,724.00
FEES
Total Valuation 0.00 PAID
Use Tax 246.20
Permit Fee 236.00
** TOTAL ** 482.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703695
PERMIT NO: 201703695 ISSUED: 07/11/2017
JOB ADDRESS: 10875 W 91st AVE EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 13.66
sq.
1, 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 tha,alLwtet�c to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signat OWNER or TRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made inwriting and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
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 Budding Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
201 x(73 (q 5 -
From:
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 28, 2017 2:11 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
residential roof?
How many dwelling units
are on the property?
Yes VV
Single Family Home
PROPERTY INFORMATION
Property Address 10875 w 41st avenue Wheatridge CO 80033
Property Owner Name Moises Arellano
Property Owner Phone 720-320-3908
Number
Property Owner Email doesn't have email address
Address
T ttt, -Lo
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Veteran Roofing
Contractor's License 170192
Number (for the City of
Wheat Ridge)
Contractor Phone 720-987-5386
Number
Contractor Email Address kenny.veteranroofing@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
tom.veteranroofing@gmail.com
Yes
asphalt
Asphalt
Field not completed.
13.66
No
Field not completed.
TOTAL SQUARES of all 13.66
roofing material for this
proj ect
Provide additional detail This is for a single story house, no garage, also doing gutter
here on the description of work, no space decking, open patio
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 11724.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Tom Wheatley
Email not displaying correctly? View it in your browser.
3
Project Manager /o t/
Phone # %, 0 I10
Storm Date , { - F j 7
VETERAN ROOFING
Owner��1 f
///f Phone
Address
A Lee—
Z State
zip
Email f C
Deductible
.y
Insurance Company Claim #
"THIS AGREEMENT SHALL BE VOID IF THE INSURANCE COMPANY DOES NOT AGREE TO THE FULL ROOF REPLACEMENT"
I. Scope and Pricing:
• Veteran Roofing LLC agrees to furnish the material and services necessary to complete all jobs, including solar and
mortgage coordination.
• Veteran Roofing LLC will provide services at the RCV (Replacement cost value) set and agreed to by the insurance
company including agreed changes from supplements, code requirements, permits and any other negotiated costs.
"Approximate" cost of the work will bey—ox� l4 -cu^ This however, is subject to change during the
inspection conducted with the insurance company inspection and negotiations.
• The home owners ONLY out of pocket expense shall not exceed the Deductible �� ���
unless the home
owner wishes to add services not stated on the loss estimate provided by the insurance company and a copy will be
provided to Veteran Roofing. Materials to be used will be
Initial] )7
2. Terms:
The Home owner agrees to provide Veteran Roofing access to the property for preparing and completing the work.
Under Colorado Revised Statutes 6-22-104 if the person authorizing this agreement wishes to cancel you will need to
provide a written notice within 72 hours of signing this agreement. Once the insurance company agrees to the
replacement during the day of inspection the home owner will be bound to this agreement however if you still wish to
violate this agreement the home owner will be expected to pay for damages or time invested into the property.
3. Acceptance:
• Veteran Roofing has permission to contact the Insurance company for any information, supplements and loss estimates
pertaining to this individual claim. The homeowner and Veteran Roofing agree once documentation and funds are
made available from the insurance company the roofing date will be scheduled. I have read and understand this
agreement. The homeowner and Veteran Roofing agree once documentation and funds are made available from the
insurance company the roofing date will be scheduled. I have read and understand this agreement.
Property Owner Vet ran Roofing Project Manager Date
5039 South Federal Blvd #6, Englewood CO 80110 303-945-4426 Veteranroofingusa@gmaii.com
g @gmail.com
Phone # j
VLrTERAN ROOFING
Email I
tAddress
"2-
�....__ .r.,_._.Phone4
C�p Code Claim #
Sc►iar Roofs for 7rao _Love dope
SQS ON Flat PN - — Detached
r' 2 -Story Steep SQA.,., I
i
r erimetef
Nipj Ridge Layers Space Dec_kua -._ . ^ Patio
�_� Yes _i C N� — _ en Closed 1
Material Line Roof, or tllta+anty Drip E e Calor Dr
' ._-.�_
Hardware -
{
P1 1-3"
Split B
Turtle
Power Y- G�Chimney
Solar
FlCounter�
r 0 '0'0
P113roar
Ridge V
t Sonar V
Skylight
I&W
Step f Fe .
Gutters -SketchjNotes
Gutters folo� Downspout Calor
`� r
_ 1+ _�Y, �� ,"44L' -?7;v C �`'c��r,�v /,
Front 1 Back- Front ack i
Right
..fi Right
Replacement Cost U rade O ions
Roof RCV Ridge Vent LF X
SG`
Gutte,r R C' ` - Impact Resist SQ X
Detached $4_
br $ 5
r3
i father - O&P -
s Supplements
Initial RC'V
, GEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 3779
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 9/4/96
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80275
Property Owner
Property Address
Contractor License No.
Company
EHLER VICTOR
10875 41 ST AV
18232
Aaark Heating & A/C, Inc.
Phone : 424-1673
Phone: 431 8015
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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : REPLACE FURNACE
Construction Value :
$1,395.00
Permit Fee :
$46.75
Plan Review Fee :
$0.00
Use Tax :
$16.74
Total:
$63.49
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
Nl;F..~a.~x°;~~
M
(1) This permit was issued in accordance with the provisions set forth in yopur application and is sub'ect to [he laws of ihe State of Coloratlo and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ortlinances of t~e City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building auihorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not ezceetled one (1) year. If changes are made or if suspension or abantlonment
exceeds one (7) year, full fees shall be paid for a new permi[.
4 No work oFany manner shall be done thaiwill change the natural flow of water causing a tlrainage problem.
5 Contractor shall nolify the Builtling Inspector twenty-four (24) hours in advance for all inspeclions and shall receive written approval on inspeclion card before
proceediing wi[h successive phases of the job.
(6) The issuance of a pertnit or the approval of drawings antl specifcations shall not be constfued to be a permit for, nor an approval of, any viola[ion of the provisions
of t 6ui ing codes or any ot r ordi/nance, law, rule or regulation.
.~_n/~/l. lCa.
uef Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DCPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : G,•~ l-etz-
~
Property Address :(UJ'75 Phone :zJ1z
Contractor License No. : jP,_3L3 I
Company : IAj~-'Owg P'/X y"lv<_ 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 measuremenls shown, and allegations
made are accurate: that t have read and ayree to abide by all conditions prmted on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNEDTE q 3 ~
Description : ~G(rmG'C_
LUMfi?CI.Iqfnl'rY~'EiW
Approval :
Zoning :
Approval:
PamEww~~
Approval:
Occupancy : Walls
Construction value : d.3~',~ G c.,,
Permit Fee : 41,6` 7-'
use Tax : 18 7zr
Total : ~3'. Gjc:~
BUILDING DEPARTMENT USE ONLY
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company : /,?a.3 1--
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
A m RPifi'[isOM
(1) This pertnit was issued in accortlance wiU the pmvisions set forth in yopur appliw6on and is subject to the laws o( Ihe State of Coloredo anA to the Zoning
Regula6ons antl Buitding Code of Wheat Ridge. Coloratlo or any oiher applicable ordinances ot the Ciry. (2) This permit shall expire if (A) the work authorized is not commencetl within sizry (60) days from issue date or (B) ihe builtling auNOnzed is suspendetl or
abandone0 for a period of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a!ee of one~half the amount normally require4 providetl no changes have been or will be made in the
original plans and specificatlons antl any suspension or abandonment has not exceeded one (7) year. Jf changes are made or if suspension orabandonment
exceeds one (1) year, full fees shall be paid for a new pertnil (4) No work of any manner shall be done that will change the naNrel Bow of water causing a drainage probtem.
(5) Cont2ctor shall notiy tlie Buildin9lnspector hventy-four (24) houre in advance for all inspectlons and shall receive written approval on inspeclion wrtl before
proceediing wiN successive phases of the job.
(6) The issuance of a pertnil or the apDroval of tlrewings antl specifica6ons shall not be consW ed to be a pertnit for, nor an approval of, any violalion of the provisions
of Ne Euiltling wdes or any other ortlinance, law, iule or reaulatlon.
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