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HomeMy WebLinkAbout6090 W. 41st AvenueV ccu anc r e -1 b Gv 4'sr fes I lei 0 r i it iT t .� i�RECORD _._ INSPECTION ONLINE FORM: http://www.cl.wheatrldge.co.us/ins ection p - 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 Date Inspector Comments Foundation Inspections Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Inspector Comments Underground/Slab Inspections Date Initials Electrical Sewer Service Plumbing Do Not Cover Unde Rough Inspections V/ sheathing Mid -Roof Lath / Wall Tie Rough Electric * Rough PlumbinglGas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections and or Below/In-Slab Work Prior To Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Date I Inspector Initials Of The Above Ins Comments Comments ons 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. 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 - 201704176 PERMIT NO: 201704176 ISSUED: 07/17/2017 JOB ADDRESS: 6090 W 41st AVE EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Dimensional asphalt shingles with 23 sq. (21 sq. pitched, 2 sq. flat) *** CONTACTS *** OWNER (303)444-0869 KELLERMAN CAROLYN SUB (303)444-5539 William Evans 090312 A+ Roofing dba Spire 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: 12,319.71 FEES Total Valuation 0.00 Use Tax 258.71 Permit Fee 251.85 v - ** TOTAL ** 510.56 *** 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 - 201704176 PERMIT NO: 201704176 ISSUED: 07/17/2017 JOB ADDRESS: 6090 W 41st AVE EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Dimensional asphalt shingles with 23 sq. (21 sq. pitched, 2 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 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' 1-7 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 maybe 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 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 granti i hall n t c t d to be a permit for, or an approval of, any violation of any provision of any applicable code or any lat o diction. 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 v(7 From: no-reply@ci.wheatridge.co.us Sent: Saturday, July 8, 2017 2:03 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 6090 W. 41 st Ave. Carolyn Kellerman 303-444-0869 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 A+ Roofing Co. Contractor's License 090312 Number (for the City of Wheat Ridge) Contractor Phone 3034199898 Number Contractor Email Address scotts@aplusroofingco.com Retype Contractor Email scotts@aplusroofingco.com 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? No Owens Corning Dimentionals Asphalt Field not completed. 21 Yes ✓ K TOTAL SQUARES of all 23 V roofing material for this project Provide additional detail 5/12 and 1/12 Most modified will not be changed. Only 1 strip here on the description of at break with shingles. z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 12319.71 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 SCOTT EVANS Email not displaying correctly? View it in your browser. 3 A�'X­10� 214�r Spire Roofing Inc. (303) 444-5539 DBA 1545 Walnut St. Box 397 Erie, Co. 80516 Mob 303-419-9898 Fax 888-503-7201 A+ R1FOOss 00FING- -4TL W.IG ^SA' co.wT crox4 dssocurion• CUSTOMER Date 31-/-1 Address fv, S lJ City Zipyo�� Phone (H) 3 Q y- �-_/a PA5y (W) Fax Job Address PROPQSAL Payment shall be made upon the following terms. Net cash due upon F. /STYLEl0< �� /� /����� .4 f /r/ completion of work payable at 1545 Walnut St. Box 397 ERIE, CO. 80516. 2. Should the customer default on this contract by failure to make payment in the manner specified above, interest charges will be added from the due date at a rate of one and one-half percent (1 '/_ %) per month, (18% per annum). If placed in the hands of an attorney for collection, all attorney's fees, legal cost, and filing fees shall be paid by customer accepting said contract. 3. This contract price is contingent upon material delivered on top of the roof, by Supply Company, and trash thrown directly from the roof intc the dumpster, provided by the waste company, unless otherwise specified in special instructions. 4. A+ Roofing Co. will not be directly responsible for any damage by delivery trucks to concrete or road surfaces. 5. The contract price on the face hereof, does not include expenses, or charges, for additional bond or insurance premiums, or cost beyond normal insurance coverage. Any such additional expenses, premium, or cost, will be added to the amount of the contract. 6. Replacement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing, or other materials, unless otherwise stated in this contract, are not included and will be charged as extra time and material, or as agreed upon in writing. 7. This proposal will expire 30 days from the date first appearing beside the customer's name, at which time prices may be revised. 8. The company shall not be liable for any delay or other failure of performance due to labor controversies, weather, inability to obtain materials from usual sources, or any other circumstances beyond its control. Furthermore the contract shall be voidable by the company in the event it becomes commercially impractical to perform the contract due to substantial labor or material cost increases, building code modifications, or other circumstances beyond control of the company. 9. It is understood that our standard roof guarantee, as provided on the back side of this contract, shall be acceptable and that all terms and provisions therein shall prevail, unless otherwise specifically agreed to in writing. 10. If material has to be reordered, or restocked, due to a change order by the customer, there will be a restocking fee equal to fifteen percent (15%) ofthe contract price. 11. If this contract is repudiated by the customer later than 3 days from execution by the customer, and prior to commencement of work by the company, then the customer shall pay all cost incurred to date. Including but not limited to, pemrits, materials, restocking fees and any other cost incurred by the company in accordance with the job. This contract can not be repudiated once work has commenced. 12. If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceability,of the remaining provisions of this agreement shall not be affected thereby. 13. This agreement constitutes the entire agreement between the parties. It may be changed only by written instrument and any representations or statements not in writing are agreed to be immaterial and not relied on by either party and do not survive the execution of this contract. 14. Contractor has not been notified of any exposed roof sheathing, owner accepts responsibility for nails penetrating exposed roof sheathing. COLOR kZ17ZZfi TEAR OFF MANUFACTURERS LIMITED WARRANTY FOR YEARS VALLEY TYPE: HALF LACE WITH 90# LINER_ ` METAL_ NEW PIPE FLASHINGS NEW ROOF VENTS PAINT ROOF STACKS ONLY (NO FLASHING) CLEAN GUTTERS OF ROOF DEBRIS FROM OUR WORK ROLL MAGNETIC NAIL ROLLER THROUGH YARD CLEAN UP AND HAUL OFF ROOFING TRASH IN DUMPSTER 15# FELT STANDARD UNDERLAMENT, 30# OPT. ADD: $ SHINGLES 6 NAILED FOR HIGH WINDS SPECIAL INSTRUCTIONS OR SUMMARY OF J Pk -C -&t- lW 7_rl 3 6 WE HEREBY PROPOSE to furnish labor and materials in accordance with the above specifications for the sum of Plus Insurance Paid $ % 2 3%� Terms: Supplements 2_4�4C NO MONEY DOWN ALL PAYMENTS DUE UPON COMPLETION f(A+ ROOFING TO FURNISH WORKERS COMPENSATION AND GEPERAL LIABILITY INSURANCE _7 YEAR WORKMANSHIP GUARANTEE SECURE CITY/COUNTY BUILDING PERMIT, FEE INCLUDED OPTIONAL: /�D: $ FOR YR. FULL REPLACEMENT WARRANTY (INCLUDES ICE & WATER SHIELD ON EVES) AND A YR. CERTIFIED INSTALLERS FACTORY BACKED LABOR WARRANTY WHEN ACCEPTED THIS PROPOSAL BECOMES A CONTRACT SUBJECT TO ALL TERMS ANIP C N ITIONS CONTAINED HEREIN Accepted Estimator ' /� 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: L Job Address: �� U U v� ��I S 0 Permit Number: ?UrTu li7 0 & - V;7 P � '/ �iy-�,� e ❑ No one available for inspection:- ime )�_& '/PM Re -Inspection required: Yes ,No i When corrections have been made, for re -inspection at 303-234-5933 Date:(0r1 1117 Inspector: tl: 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 NO ICE Inspection Type: v A Job Address: l Permit Number: 0,12 l ❑ No one available for inspection: Time .C,/3 AM II Re -Inspection required: Yes No� When corrections have been made, coalH for re -inspection at 303 -234 - Date: _� '� 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: RO I` ,.;4 _ Job Address: ® l'f) k.,j Permit Number: a Q /"7 a G D (� ❑ No one available for inspection: Time I0 AM/PM Re -Inspection required: Yes No *When corrections have been made, call for -ins ection at 303-234-5933 Date: �U f Inspector: y t � DO NOT REMOVE TNIS NOTICE �u ' ATF� INSPECTION RECORD y� INSPECTION REQUEST LINE: (303) 234-5933 Occu ancv/Tune Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Lute Inspector Initials Comments Pier Plumbing f Concrete Encased Ground (CEG) Inspections from these entities should be requested Rouah Electric x Foundation / P.E. Letter one week in advance. For landscaping and parking D• Not Pours'. • To Approval Of The Abovep. • Underground/Slab Inspections Date Inspector Comments Inspector Initials Initials Electrical Sewer Service Plumbing f • • • • • • • • ,�'! s. �t i : • Rough Inspections Date Inspector Initials Comments 2;z eathing Initials Mid -Roof Lath / Wall Tie f Inspections from these entities should be requested Rouah Electric x one week in advance. For landscaping and parking Rough Plumbing/Gas Line ROW & Drainage / Public Works Dept. Rough Mechanical inspections call 303-235-2846. For ROW and drainage j Rough Framing inspections call 303-235-2861. For fire inspections I contact the Fire Protection District for your project. Fire Inspection / Fire Protection Dist. Insulation Final Electrical Drywall Screw/ Nail Final Plumbing Final Inspections Cate inspector I Comments Initials Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage j inspections call 303-235-2861. For fire inspections I contact the Fire Protection District for your project. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing _ Final Mechanical Roof Final' d`linclow/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. "For Inspection Time Window Requests — Please email insptimerecluestp_ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issue;, Protect This Card From The Weather I 'tea CITY OF WHEAT RIDGE /�- - Building Inspection Division " / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V\ i !�- Job Address: t () 9 Q `_` `1 1 vi Permit Number: a c I I b b o l `a ,• • a ❑ No one available for inspection: Time U c / S--AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspect'. n`at 303-234-5933 Date: - Inspector- DO NOT REMOTHIS 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: L Job Address: 0 ci� r? W C/ / A t' Permit Number: `) (, / -) o 4, o G, .'T- 1'2 T— ❑ No one available for inspection: Time n ' ` , AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: I- ' Inspector: f ! _ t DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201700065 PERMIT NO: 201700065 ISSUED: 01/17/2017 JOB ADDRESS: 6090 W 41st AVE EXPIRES: 01/17/2018 JOB DESCRIPTION: Tear off all layers to deck. New rolled roofing, self -adhered SBS (GAF Liberty); 8 squares **REVISION** Redecking 8 squares; No additional value added - original valuation includes the cost of redecking *** CONTACTS *** OWNER KELLERMAN CAROLYN GC (770)779-1423 Marc Brogan 070156 THD At -Home Services, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,437.36 FEES I Total Valuation 0.00 sip Use Tax 97.87 Permit Fee 140.90 C�� ** TOTAL ** 238.77 *** 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 k/2 -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 manufacturera€ms 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&#39;s 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. � 4, A � City of Wheat Ridge Residential Roofing PERMIT - 201700065 PERMIT NO: 201700065 ISSUED: 01/17/2017 JOB ADDRESS: 6090 W 41st AVE EXPIRES: 01/17/2018 JOB DESCRIPTION: Tear off all layers to deck. New rolled roofing, self -adhered SBS (GAF Liberty); 8 squares "REVISION" Redecking 8 squares; No additional value added - original valuation includes the cost of redecking 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfonned 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, anew 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 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 Bdilding'7ffilc al— Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of ]��X'CommmuNrTy MvrztopmENT 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 Email: permitsCcbci.wheatridge.co.us FOR OFFICE USE ONLY I Date. Add to Permit # Building Permit Revision/Amendment Application *'"*-Pleese cofnplete all' highlighted areas: on_ -both sides of this form.:.lncom,ptete;applicatons mai pot:be processed. *** Property Address:, 6090 W 41 st Ave �e a—vv� YQ20 L Property i3wner (please print): Carolyn Kellerman Phone:303-455-0869 Property OwnerEmatl n/a Mailing Address:, (if different than property address) Address: same as above City, State, Zip: Submittih Ccmpatw : Colorado Permit Services Contact Person: Jules Landis Phone; 720-496-7322 Cohtractor:THD at Home Services, Inc. Contractors pity Liven a # 070156 Phorre1-855-712-8899 Cont006r mail -Address: diana m miller@homedepot.com Please.,Note : Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). D.escription'of revis+edlamendod work: Replacement of 8sq decking. This was included in the original project cost, but not specified on the application form. Sq. FL/LF Btu's Gallons Amps Squares Other Additlortal;project Value; (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 0 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 1 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 t work and am also authorized by the legal owner of any entity included on this application to list that entity on tp ication. --� CIRCLE ONE: (OWNER) (CONTRACTOR) o UTHORIZED REPRESENTATIVE) of (OWNE� (CONTRACTOR PRINT ,NAME: �`� �- � S � BMJ l `� SIGNATURE: --4; � �. DATE: r "x pyo DEPARTMENT USE,ONLY. 6NtNG" COINMPAENTS. OCCUPANCY CtASSIFICATION :G T BUILDING DEPARTMENT COMMENTS, Reviwer; M� PROOF OF §U8MJsI$l©N Ft) Fire Department U Deceived Water District ❑ Received Sanitation Dlsttict ❑ Received El Not Required ❑ Not Required ❑ Not Regwred Building Division Valuation: $ 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: Job Address: AVC Permit V( -- Permit Number: a 12 G G 5 h0 -r 61�E)til ❑ No one available for inspection: Time 6. � A /PM Re -Inspection required:( Yes o *When corrections have been made, call for re -inspection at 303-234-5933 Date: �11 Inspector: DO NOT REMOVE THIS NOTICE Cate i?f 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 FOR OFFICE USE ONLY Date: Plan/Permit # ao _' Plan Review Fee: *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6090 W. 41 st Ave. Wheat Ridge, CO 80033 Property Owner (please print): Kay Kellerman Phone: 303-455-0869 Property Owner Email: not available Mailing Address: (if different than property address) Address: Same as Above City, State, Zip: Arch itectlEngineer: N/A Architect/Engineer E-mail: Contractor: Thd at Home Services, Inc Contractors City License #: 070156 Contractor E-mail Address: copermits@gmail.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # 1-855-712-8899 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Re -roof. 8 -squares- T,:--,— ,F 6 � 0_� yrs Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 5.437.36 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. CIRCLE ONE: (OWNER) (CONTRACTOR) orAUTHORIZED REPS' ) of (OWNER) Jules Landis PRINT NAME: SIGNATURE.: �i ( NTRACTOR) DATE: I - 17 —17 Building Division Valuation: $ Permit Number Building Permit 19432 CITY OF WHEAT RIDGE 7500 West 29TH Avenue .1 0/2g/2005. . Wheauidge, CO 80033 InSpection Line ~ 303-235-2855 303-234-5933 Residential Rooring ~rxorExTY 6090 41st Av Unit: owivEx: Carolyn Kay Kellerman (303) 237-2030 ..'Descriptiou . . . . . ` .:Roof Lay Over felt & shingle. Tamko Heritage 50 Yr. 20 sqs. . . . . . ~CONTRACTORS be Dor.urnents from fhe mamsaor i*t yt. specify onsite for final roof insp ;,sin?'Q!~ to meet yoo fng materYals have bees~ ts`---ABC (90 - 110 RdPF1' three-second wenr r;`~ b9PHwdvad locad aUBCf. Units: Occupancy:.. Walls: RooE Stories: SqFeet: oI hereby ceffiCy that the seth ck dufsi5e4pYOposed by tius pervuf appLCahon arc acc te, nnd do mt Nolate applisabl ydmanca, rWes o gdatlam oftM1e Cily of . Whea[Rdgcorcoveuanb,eesqmeuPdesmceaus ormcom;weumeaccurem.na:nown,eoaaueg,mosm.ae.m .«ur=;w.aI n.ore.aanaalmem.maen> :allcondi4ospitMOn)hisappLsahan,andtFa[IassumefWl p Tility forcomplfencewiNtheWhca[I4dgeBWldmgCade(L.B.C.)antlalloNerapplicable . Wh [1Ldgeodmance5,TOFworKundwUiapermie (OR'NDlt) SICNEU DATE .~N OR) 1 This permit was iss ed in accardance with the prov6tans set forthin yoor appticvtion audis subjecHO th<laws atthe Stafe of Colarado aud [o the Zonivg . . RegWationsantlBUiltlingCo4eofWhw[RidgqCOlondoormyattieiapplicableortliuancevoffheCity. 2-. $very, pervut issued shallbceome invalttl uNus the work on the vice authariud by such.permrt is covweviced witM1in 380 dnys aRer its issuancq or V the work autM1Orized on [he sih by soah permips suspeodetl ar abantloued Gr e period of 180 tlays aRer the fime ofwork is commeoced . 3 4tth p rtespirea anewperMfm yb q redfora(eeofourLalfth o n[oor ➢Ily q ved prorid<tlnocM1Vagesha beenorwNbemadeinNc orlglnalplsess suspension rabandonmenthesmtexceededone(t)year.lfchevges are medcorifsuspuu'ovorabandonmeut exceedsonc(1)yeai, full@esshailbep id(oranewpermit . . 4 Tio work of avy mmwer shellbe dom fha[ wJl change the natwal0ow ofwa[er ceusWg a dvinage problem. 5 ContractorshallootlfyNeBwldinglnspeeforhvmty-four(34)haursinatlvanreforallinsputionsandshallrecetvewnttenapprovaloninaputiovcardbefare . ~ prom.edingwithsucceuivephasesofNejab. . . . 6 ~Theixsuance rmitor [heappmvalotdrawingsandspecifce[ionsshvlluatbewnslmedtobeapermitfoynorenapprovalaf,anyvio1n11onatNe : pro s uildin y tl'nance, lew, rule or reguhEOn CluefBuildinglnsPeROr SIGlJEDDATE Wednesday, November 02, 2005 `Page I of 1~ . . . ~ pf WHEAT = P° U ~CORP00 Contractor License No.: Company: N/'-1 1~0 ' Building Permit Number: Date: Phone: a37-a-rr30 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildina Dent. Va/uation Figure: $ I hereby certify.that the set6ack distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulatlons of the City of V~lle:$ 2J .CJ~ Wheat Ridge or covenants, easements or restrictions of record; thatall measuremenis shown, and allegations made are accurete; that I have read and agree to abide by all Pernut Fee:$ condi8ons printed on this application and that I assume full responsibiliry for compliancewiththeWheatRidgeBuildingCode(I.B.C)andallotherapplicableWheat P1anReviewFee:$ Ridge Ordinances, for work under this p d. Plans s oj~ct to field inspectlon. r se ax: ¢S ~ta ~ / . (OWNER)(CQNTRACTOR):SIGNE ~ t^-ronre Total:$ t{,:~.33 Use of Space (description): 2oco~~ u vti\Z- Description of work: S~4, N~ t c ' 1 A(Jl wk~ Sq.Ft.added Expiration Date: Expiration Date: Expiration Date: Approval: . Approval: Approval: (1) Thfs permitwas issued in accordance with the provisions setforth In your applicatlon and is subJectto the laws ofthe State of Colorado and to the Zoning Regula8ons and Buflding Codes of Wheat Ridge, Colorado or any ofherapplicabie ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (90) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount normally required, provfded no changes have been orwill be made in the original plans and specifications and anysuspension orabandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall ba paid for a new pertnit. (4) No work of any manner shall be done thatwill change the natural flow of water causing-a dreinage problem. (5) Contractor shall notify the Building Inspector iweniy-four (24) hours in advance for ail inspections and shall receive written approval on inspectton card before proceeding with successive phases of thajob. - (6) The issuance of a pertnit.or the approval of drawings and specifications shaii not be consW ed to be a permit for, nor an approvai of, any violatlon of fhe provisions ofthe bu0ding codes or any other ordinance, law, rule or regulation. All plan review is subjeM to fleld lnspecttons. Chief Buildina Official COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE • 303-234•5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 • (303-235-2855) 00 Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: