HomeMy WebLinkAbout6811 W 48th Avenue* � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: U!7) \ t
vJ ` A -
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes Mo11
,}
When corrections have been made, call for re -inspection at 303 -234 -
Date: G ' i `� Inspector:,--),,-
DO
nspector:\ )i -
DO NOT REMOVE THIS NOTICE
Hello, I was working at 6811 West 48th Street on a bathroom remodel. The homeowner has requested I
terminate my permit with the town. Thank you, Robert
Kimberly Cook
From: Robert McElreavey <robert.mcelreavey@gmail.com>
Sent: Tuesday, August 13, 2019 3:49 PM
To: CommDev Permits
Subject: Re: Master plumbing license
Categories: Kim
Yes, I completed underground rough -in and above slab rough -in. They need to connect pump and pit lines after
drywall and set fixtures. Thank you, Robert
On Tue, Aug 13, 2019 at 8:37 AM CommDev Permits <Permitskci.wheatrid e.co.us> wrote:
Hi Robert,
Can you provide the scope of work you performed so we have a record of it?
Thanks! q 0)
Alle�
Kim Cook QoIq0()qjI
Permit Technician
Office Phone: 303-235-2876
I55W-� City of
—
heat Ridge
, W haat I ic1cyc
From: Robert McElreavey <robert.mcelreavev@gmail.com>
Sent: Monday, August 12, 2019 3:45 PM
To: CommDev Permits <Permits@ci.wheatridge.co.us>
Subject: Master plumbing license
1
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ! _
Job Address: IL
Permit Number: Cl
C)l
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: �_ `L '—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: \L ' \ 'y rV`
Job Address: L-x_Z l ' \,J `-4 2, t,, -
Permit Number: a6 k C1 b 6 '-� Q j
LlNo one available for inspection: Time ,%`.i-. - AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:— �—. 1 e> - 4� Inspector: \2 ti
DO NOT REMOVE THIS NOTICE
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A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Y2 Q'"-'
Job Address: W
Permit Number: C-;4 0 {
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❑ No one available for inspection: Time " AM/PM
Re -Inspection required Y4 No
When corrections have been made, call for re -inspection at 303-234-5933
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: C'
Job Address:
Permit Number: .2a
❑ No one available for inspection: Timb---' %AM/PM
Re -Inspection required: Yes
When corrections have been made, calf re-sperion at 303-234-5933
Date: _Z Inspector:
i
DO NOT REMO E 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:
Job Address:
Permit Number:
❑ No one available for inspection: Tim6 171 /? M
Re -Inspection required: Yeslo
When corrections have been made, cagy or r -ins 3a3-234-5933
Date: " c''"� nspect
DO NOT REM, E 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: +/yy Y n o^ �� `j vk
Job Address: U) W --j �V
Permit Number: a ( i C1 0 (_� \_4
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❑ No one available for inspection: Time _ AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:5933
Inspector:
-� � �� ' � i
DO NOT REMOVE THIS NOTICE
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A i dry OF WHEATRIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE f
Inspection Type: 2vPE')Lt �,� 4, ( A
Job Address:
Permit Number:
b�
v`,
❑ No one available for inspection: Time u ��AIVIIPM
Re -Inspection required: Yes No
When corrections have been made, c or re -inspection at 303 -234 -
Date: ° 1-7 Inspector: 1'9��__
DO NOT REMOVE THIS NOTICE
-CITY QF WHEAT RIDGE
Buildininspection Dion
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: f,� `15 1 .'j ✓
Permit Number:
❑ No one available for inspection: Time :. 5 AM PI&
Re -Inspection required: Yes f:N _ `
When corrections have been made, caN forr re -inspection at 303-234-5933
Date: 4, 'o, t e Inspector: Y—v------
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201900427
PERMIT NO:
201900427
ISSUED:
04/03/2019
JOB ADDRESS:
6811 W 48th Ave
EXPIRES:
04/02/2020
JOB DESCRIPTION:
Converting laundry room into
laundry/bathroom; new
plumbing, new cabinets -
105 sq ft total
*** CONTACTS ***
OWNER (720)300-9198 SEAN WILLIAMS
SUB (970)389-2210 ROBERT MCELREAVEY
190064 RIDGELINE
ENTERPRISES INC
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 i
*** FEE SUMMARY
*** ESTIMATED
PROJECT VALUATION: 10,000.00
FEES
Total Valuation
0.00
Plan Review Fee
132.80
Use Tax
210.00
Permit Fee
204.30
** TOTAL **
547.10
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201900427
PERMIT NO: 201900427 ISSUED: 04/03/2019
JOB ADDRESS: 6811 W 48th Ave EXPIRES: 04/02/2020
JOB DESCRIPTION: Converting laundry room into laundry/bathroom; new plumbing, new cabinets -
105 sq ft total
11 by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable buil ing codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal oder of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I her attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfrm a d hat all w rk t be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sign ure of or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying Flans 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 f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat ..,dg@
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291 Ave., Wheat Ridge, CO 80033 l
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridae.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # ,./ ( n
al
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
6e l ( C- ` e -1111 /(/Ile , tc)h 06 0 /I
e CCo 8C�3E
.J
Property Owner (please print): T' C, o (� t (� 1 �Yl S� Phone: Z11a Iwo
Property Owner Email: Se_Q i r 7"J qC ;D
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone:
Phone:
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
® RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
i C-v%m3 oA� i-opje t-auod eij ioorm W740 a Leiv id12,e,�{7'1�c0�ij
to� 0- Q-,? ev)dln' I P I un b i 01 Wb� AV P1 "�)w �el 4;�-� ()nd'
IA/rz a" gojV\g fo tA�eace w/'NeCCI
as -L �ei f as il-O L' CO DIA -e- S,
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: Kw # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: OWNER (CONTRA ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:.
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: ��
6 -
CONSTRUCTION TYPE: V
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:O
Reviewer:
Building Division Valuation:
W
r�A1(
t City of
Wh6atl�i
COMMUNITY DEVELOPMENT�gle
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
S'�?n V) LO1, I ka VVI Q
Project Property: (cel
Project Type: gP MCHC)'
U-) Lg th 'W'e VD�Wqf ew4e (so
Notarized signature of Applicant
State of Colorado }
County of J } ss
The foregoing instrument was acknowledged by me this 15 day of ('�G • 20_L2 by
t' b) I 116111A S
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
My Commission Expires
Notary Public
**�jr
IV 7 City of
.A .0 Wheat idge
COMMUNITY DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
This form must be signed by each sub -contractor.
This form will not be accepted with missing information.
Subcontractor's City of Wheat Ridge License number must be provided in the applicable space.
Subcontractor's insurance an license must be up to date prior to permit issuance.
Project Address: 7� /�f/� Permit #:
General Contractor: 5—; - V, Ctl9wIs
Electrical Sub -Contractor
Company Name:
State License #:
Wheat Ridge License #:
Signature of Authorized Agent
Plumbing Sub -Contractor
Phone #•
Master #•
(required field)
Date
Company Name: C _`06-- lle #•
State License #: ' Master
Wheat Ri ge icense #: �/� (E7 (required field)
Signature oyAuthorized Ag4nt Date
Mechanical Contractor
Company Name:
Wheat Ridge License #:
Signature of Authorized Agent
Phone:
.(required field)
Date
l_J
F
HW
91.1
STAIRS
SHELVING
BEDROOM
EXERCISE ROOM
x
I'
♦ I
� • Ity Of
01 CoMMUNI
APPROVED WINM5
Reviewedfor Code Comphance
!$ !A
Plans Arniner Date
VAft of uemM: The usuorme of o per1111t or approrot of pkm speciJloawm
0 d aampurohons ahOR not be a pernut pl or an arpoval9 ony rrotoboe b
any of the provisions of the buwmg code or c f ony my ardnanm. pwmb
offl"" to ghee ouv-My to vbwr arm Nre pnviabna a1 tho tiiMN1
ca tor~ao*mo mof0wCnysho mttmv"
GROUND LEVEL
FOOTPRINT
---EXISTING
14Lt- wo2V, S441,(- C061A,y
2o12 ) (Z(-
Zol? NEC
trofta
All new and existing smoke alarms
shall be interconnected so the
actuation of one alarm will activate all
of the alarms per 2012 IRC R314.5.
City or
Wheat Ridge
0
220V
LAUNDRYMALLWAY
175 SF
83" CLG. HT.
DRAIN
W
(27" x 27")
D
(27" x 27")
LAUNDRY
EXISTIl
19'-112„
4111
I I 1N
IJ STAIRS cam;
N
M
�n Lot
co
cry �
Wheat Ridge
imer arrestors are required
losing valves R2903.5.
clear area for toilet is
vith minimum 15" from
>idewall on each side.
hower shall have non -
finish to 6' above floor.
[ Ave
twos e-)
Wheat Ridge
�-siIVL-MAil(
INSPECTION RECORD
Occupancy/Type
INSPECTION REQUEST LINE: (303) 234-5933
r ��
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 Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Plumbing
Final Mechanical
Lath / Wall Tie
Roof
Final Window/Doors if
Rough Electric"
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors if
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 notification of your assigned inspection time window please email insptimerequest(u>,ci.wheatridgeLo.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
nj
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: I/ C ry- r- ," h I
Job Address: & S 1 I V✓ `/ Q 'U yq ve
Permit Number: 2 0/-7 0 1 9 1 S_
5 r -e ve r]
r
❑ No one available for inspection: Time 9 = 10 01PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: f e /-1 / 1 -� Inspector: `7
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M I D
Job Address: 63" w 1-f A
Permit Number: 1'i o I a I
Vw.
n ST a lt<►n G i M S %IL C7lo�
P - e can o Er,,4
❑ No one available for inspection: Time ®955 OPM
Re -Inspection required: Yes &I
When corrections have been made, call for re -inspection at 303-234-5933
Date: % f 2d l I"" Inspector: 6A10
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701915
PERMIT NO: 201701915 ISSUED: 06/12/2017
JOB ADDRESS: 6811 W 48th AVE EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential reroof: remove existing materials install Owens Corning 18
squares
*** CONTACTS ***
OWNER (720)299-4280 WILLIAMS DAN C III
SUB (303)819-2792 John Theodorakis 170198 Lumin Systems
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00
FEES
Total Valuation 0.00
Use Tax 115.50
Permit Fee 140.90
** TOTAL ** 256.40
*** 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 manufacturer&Oms 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'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.
City of Wheat Ridge
Residential Roofing PERMIT- 201701915
PERMIT NO: 201701915 ISSUED: 06/12/2017
JOB ADDRESS: 6811 W 48th AVE EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential reroof: remove existing materials install Owens Corning 18
squares
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 le ally authorized to include all entities named within this document as parties to the work to be
performedranc that all wo� � be p�rl rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
naturejo OWNER or CONTRACTOR (Circle one) Date
This 'er it was issued based on the information provided in the permit application and accompanying plans and specifications and is
subje t the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
This p it 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 tee.
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.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or afi aoroval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of wor biect to field4wection.
Signature of Chief Building Official 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 insptimerequest@ci.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.
LUMIN
GENERAL CONTRACTORS
Dan Williams
Customer
6811 W 48th Ave
Address
Denver
City
Roofing Damage[Z]
Siding Damage
0
Gutter/ Down. Damage
✓❑
Paint damage
❑
5/10/2017
Date
720 2994280
Customer Phone Number
80033 dciiiconst@q.com
Zip Customer Email Address
Window Damage
Screen Damage ❑✓
Stucco Damage ❑
Deck/ Patio Damage ❑
33455 Meadow Hill Lane
Elizabeth, Colorado 80107
info@luminsystems.com
Phone & Fax: 888-90-LUMIN (58646)
GL Info: MHIA 303-975-6133
5/8/2017
Date of Loss
20/5/2017
Approximate Date of Service
Attic Damage ❑
Interior Damage ❑
Visible Mold ❑
Emergency Repair ❑
Lumin General Contractors, LLC ("Lumin") will invest its time and expertise in assisting the property owner with the insurance claim. This proposal is
contingent upon the insurance company settling the claim with the assistance of Lumin and will be void ab initio if the claim is not approved by the
insurance company. The insurance company and LUMIN will determine and set the price and scope of the claim. LUMIN is authorized to invoice the
insurance company for additional repairs/ supplements, as necessary. The property owner and LUMIN will agree to the work as specified on the
insurance adjuster's claim summary. This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the property owner or
LUMIN unless repairs and payment are approved by the insurance company. By signing this agreement, the property owner agrees to use LUMIN as
its restoration contractor to complete the insurance scope of repairs. In the event the property owner cancels this agreement after insurance approval,
the property owner shall pay LUMIN a fee based upon work performed and expenses incurred for parts, materials and overhead. The property owner's
initial out-of-pocket expense is the insurance deductible. Any expense over the deductible will only apply in the case where: (1) the property owner
wants to upgrade product; or (2) property owner's insurance policy only covers the actual cash value of the loss (if property owner carries an ACV policy
they will be responsible for the non-recoverable depreciation amount), or (3) Property owner's insurance policy does not include "ordinance and law"
coverage. If the property owner does not have "ordinance & law" coverage, the property owner will be responsible for all costs not covered by the
insurance settlement of complying with current government laws and codes.
CANCELLATION POLICY: LUMIN shall invest substantial time and resources in preparing to perform the scope of work described in this agreement
and shall suffer losses if the property owner cancels the work. Therefore, the following cancellation policy shall apply in order to partially compensate
If the cancellation occurs:
Following the initial consultation with the property owner
Following property inspection by LUMIN
Following preparation of estimate
Following LUMIN's consultation with insurance adjuster
Following settlement with insurance company
All state
INSURANCE COMPANY
CLAIM #
PROPERTY OWNER
LUMIN for such preparation work.
Then the property owner pays LUMIN:
$0.00
$0.00
$50.00
$200.00
10% of total settlement
INSURANCE PHONE EXT.
12,000
Approximate Cost of Project (This is not a set price, just and idea)
5/10/2017 Pete Borlase 5/10/2017
DATE COMPANY REPRESENTATIVE DATE
Thank You!
INFORMATION PROVIDED BY PROPERTY OWNER; COVENANTS. The property owner warrants that all information provided to Lumin General
Contractors, LLC (hereinafter referred to as "LUMIN") is complete and accurate to the best of the property owner's knowledge, i t being understood and
agreed by the property owner that LUMIN is relying upon property owner's information in the preparation of this agreement and the performance of the work
described herein. The property owner represents and warrants to LUMIN that he or she owns the premises described in this agreement and has the authority
to enter into this agreement without any other consents. It is the responsibility of the property owner to obtain approvals required by their home owner's
association or other group with jurisdiction over the property.
STANDARD OF CARE. The services provided by LUMIN in connection with this agreement shall be performed in accordance with generally accepted
principles and procedures, consistent with the level of care and skill ordinarily practiced by roofing and restoration specialists currently providing similar
services under similar circumstances at the time the services described herein were provided. The property owner shall provide LUMIN written notice of any
claim or default under this agreement. LUMIN shall then be afforded the opportunity to inspect the premises and respond to the claim either by making a
monetary settlement offer or offering to remedy the construction defect in accordance with applicable law.
ENTIRE AGREEMENT; INTEGRATION; GOVERNING LAW. This agreement is the entire agreement between the parties concerning services to be provided
to the property owner by LUMIN and replaces and supersedes any prior or contemporaneous negotiations, oral representations, agreements or
understanding among or attributable to the parties hereto. No verbal agreements of any kind will be honored by LUMIN. This agreement and all
performance thereunder shall be governed by and construed in accordance with the laws of the state where the property is located. If the property is
located in the State of Colorado, LUMIN and property owner hereby expressly agree that any and all claims arising from the work by LUMIN shall be subject
to the rights, remedies and procedures set forth in the Colorado Construction Defect Reform Act, C.R.S. section
13-20-802 et seq. If any provision of this agreement is held to be invalid or unenforceable by a court of competent jurisdiction, the validity of the
remaining provisions shall not be affected thereby. The terms and conditions set forth herein are hereby integrated into all agreements by and between
LUMIN and the property owner, whether or not explicitly stated therein.
MISCELLANEOUS. Finance charges of one and one-half percent (1.5%) per month will be added after thirty (30) days of completion if the charges
incurred under this agreement are not timely paid in full. If collection and/or legal action is taken by LUMIN in connection with this agreement, LUMIN shall
be entitled to reasonable attorney and court fees and costs. LUMIN reserves all its legal and equitable remedies for non- payment, including, without
limitation, the right to file a lien against the property. All excess materials shall be the property of LUMIN. Performance hereunder by LUMIN is
contingent upon labor strikes, material shortages, accidents or delays beyond the reasonable control of LUMIN. This agreement may be canceled by
LUMIN within 30 days.
LIMITED WARRANTY. Lumin General Contractors is not a manufacturer. If any equipment or materials are used or purchased by LUMIN for use on-site,
the manufacturers' warranties, if any, of the equipment and materials are provided solely by the manufacturer. LUMIN provides a two-year
warranty on LUMIN's workmanship, subject to normal use and conditions and the other terms and conditions set forth herein. The following
conditions are unrelated to LUMIN's workmanship and are excluded from warranty coverage: damage caused by settling of the foundation or
the premises, fire, misuse, maintenance failures, lightning, windstorm, hailstorm or other weather conditions or casualties. Unless LUMIN's scope of
work includes such areas, LUMIN is not responsible for any damage below the roof; liability is limited to the roof repair only. LUMIN is not responsible for
damage caused by improper original construction, faulty framing, wiring, plumbing, masonry, drywall cracks, bracing, roof decks or pre-existing
conditions. LUMIN is not responsible for decayed siding, paint and sheetrock damage caused by vibration or otherwise. LUMIN is not responsible for
damaged electrical cable, air conditioning or plumbing lines which are installed within six (6) inches of the roofline. LUMIN is not responsible for any
structural movement, settling, vibrations, cracks in drywall or driveway due to the roofing or loading process. During the normal course of work, it is
possible that dust and dirt may infiltrate into the attic space during installation or removal of roofing tiles, particularly slate and underlying felt. LUMIN will
not be responsible for clean-up of attic space or any other interior areas. It is the responsibility of the property owner to notify LUMIN if the premises contain
exposed decking such as cathedral ceilings so that proper length nails can be used.
LUMIN's limited warranty for roof work is conditioned upon the property owner's performance of general roof maintenance, including the matters set forth
herein. Please be advised that the accumulation of leaves or pine needles in gutters or roof valley produce what is commonly referred to as "water dam,"
which can force water under the roofing and produce leaks through the roof structure. These leaks can travel along roof joints, etc. and produce interior
damage at points far distant from the leak. Water dams and ice dams are the responsibility of the property owner to prevent. Adequate ventilation is
necessary to keep attic temperature close to outside temperature, helping to prevent the deck delamination at the roof and the formation of ice dams in
gutters and valleys. Adequate ventilation is essential to the life of asphalt shingles. Inadequate ventilation may result in moisture condensation and
can cause rotting of the wood deck and/or blistering or curling of asphalt shingles, which is not a defect in the shingle, but is a direct result of moisture being
drawn through the shingle by the sun. Installation or relocation of antennae or other equipment on the roof may cause leaks unless proper sealants are used
at any point where screws or other anchoring devices enter the roof. Avoid all unnecessary roof traffic, particularly on concrete tiles, as it can damage tiles and
greatly diminish the life of the roof. Leaking can occur in or around the chimney, unless it is periodically tuck -pointed. The flashing compounds around the
chimney and vent pipe areas require normal maintenance on an annual basis. These areas should be inspected periodically for cracking or indication of
weathering and must be reflashed accordingly.
SB12-38: 1. LUMIN does not claim to be or act as a public insu rance adjuster adjusting claims for losses or damages. 2. In accordance with Colorado
Revised Statutes (C.R.S.) Section 6-22-105, LUMIN may not pay, waive, or rebate, or promise to pay, waiver or rebate, all or pa rt of your insurance
deductible. 3. Pursuant to C.R.S. Section 6-22-104, you may rescind this contract within 72 hours following your receipt of notice from the insurance company
that your claim has been denied in whole or in part, unless the denial was related to a request for supplemental roofing services if the damage requiring the
supplemental roofing services could not have been reasonably foreseen as a necessary and related roofing service at the time of the initial roofing inspection
by LUMIN or the execution of this contract. 4. LUMIN shall hold your payments in trust until the delivery of roofing materials to your site or until
LUMIN has performed a majority of the roofing work described in this contract.
Antoinette Kulick
no-reply@ci.wheatridge.co.us
Thursday, June 8, 2017 10:18 AM
Permits CommDev
CA�(H
Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
6811 w 48th ave
Dan Williams
720/299-4280
dciiiconst@q.com
Yes
CONTRACTOR INFORMATION
Contractor Name Lumin Systems
Contractor's License 170198
Number (for the City of
Wheat Ridge)
Contractor Phone 303/819-2792
Number
Contractor Email Address john@luminsystems.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing Owens Corning
Material
How many squares of 18
material?
Provide additional detail Remove and Replace roof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5500.00
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
z
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 John Theodorakis
Email not displaying correctly? View it in your browser.
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: M I
Job Address: 6 ) w L' V-tq A\/�
Permit Number: -) C) I c'
( Pro B/w.
a s:" n i"A,1G I ✓I S �L- C7 tGh
X e curt to Fe,,4
❑ No one available for inspection: Time y Q&PM
Re -Inspection required: Yes (9
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7,2 d I 12 Inspector: 6,4 P
DO NOT REMOVE THIS NOTICE
.~~i
~ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: f;-z6,r':>4 r
Job Address/Permit Number: ! F~d> w. ~~rt/ 9> r~~/351
{
~tPT~&~tJff7
❑ No one available for inspection: Time 3: 0 F? AM/PM
Re-Inspection required: Yes (E'' m
When corrections have been made, call for re-inspection at 303-234-5933
Date: / ,2/1),q Inspectors 2
DO NOT REMOVE THIS NOTICE
®
occupancy/Type
INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATIONINSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall/(CEG) Concrete
Encased Ground
Reinforcing or Monolithic.
Weatherproof/ French Drain
Sewer Service Lines
-
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath /Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
POUR NO CONCRETE UNTIL ABOVE
UNTIL
ABOVE INSPECTIONS TO BE
FINALS
Electrical
Plumbing
Mechanical
Roof
V IA OT
x
e AeArlLiie.
Building Final
Fire Department
R.O.W & Drainage
START ALL ROUTING 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 Or'
PROTECT THIS CART] FROM THE V
`IPANCY IS ISSUED
GTAF-Elk Shingle Warranty
GAF-Elk Shingle Warranty
From:
"Brown, Raymond" <RBrown@GAF.com>
To:
tko7777@peoplepc.com
Subject:
GAF-Elk Shingle Warranty
Date:
Dec 3, 2008 3:16 PM
Attachments:
2008 Smart Choice Warranty(revise_d 4-1odf
Page 1 of 1
Les: Regarding the questions posed to me relative to the coverage of the GAF-Elk Limited Warranty, please refer
to the attachment to this email.
Please note the statement made in the second column (first full paragraph) under the heading of "Limitations on
Coverage" which states:
• "Unlike some roofing product warranties, even if your shingles were not properly installed according to
GAF-Elk's application instructions or to standard good roofing practices, this Limited Warranty remains in effect."
I trust this will help you work through your situation with the local building department and their concerns about if
the installation is warrantable. If you require additional assistance please call or email me or contact our
Technical Services Department at (800) 766-3411.
Regards... Ray Brown
«2008 Smart Choice Warranty (revised 4-1).pdf>>
Raymond S. Brown
GAF/Elk Senior Territory Manager
Phone: (303) 716-0679
Cell: (303) 249-0850
Fax: (303) 716-0683
http://webmail.peoplepc.com/wam/printable.j sp?msgid=3135&x=795825176 12/3/2008
GAF-Elk Smart Choice®
Shingle Limited Warranty
L "Your Best & Safest Choice...
Quality You Can Trust Since 1886!"
Great Protection -The GAF-Elk Smart Choice® Shingle Limited Warranty
Great Pmtenii•n- The onabi aimed 066 Shingle limited Wendy
Cwgahtldess! Thank you for w-beg, shingles from Gi Con suaApn
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yourcontracWr, dera,or^Ome huiNerNXOi nsaumoGPFfikWMinara-
FIKSwrdbutiwWyouisforNereassrablemanofuragadrg to hlorN
somble9meaXer pmder notiliders' GAFBk willowdersysetlaidendraONe
sM1mglas(euluayeafundedmmerd mml work, Or flashlrgsl and haMUaFnA
III uwrda-wor Nis vanmry."" may require you Is submh, al your
my uns¢alM dhihples. GPPff--EE➢➢hh rtavmum Hear under this pvaArsPh is to
evpxr,sa, sampleshinglea'(orleslirq a^d ph^tooaap ridn"Orddhouning mr-
driftyouforWecostofharhSaGngalofNa shingles on put dm
ruby udifim@signad and droll W YOm mI.-dWer err home burner to
Net.: PHUX-salirq NMI, Imaging GPf,EIYS,mus°bewblerearr warm
hxlP eNdbRSk proof of More. and mencrinlmmere YOU aemN rand Nis
warranty lorrouramss NNeevmt Nryou need to "'I'.
sunlight for several days barred, New esmplrdy sea. Moma in9 Issues,
ahinghes a- wNmbhe W NO.ffd ors adM damagen shingles mandirm in on
sale end Eddhashas Mom
mwmzrrmyn^ISalunpltheirlomnpspring.5knplawhhrarenotemosetl
Wdirectdis err to adepmW curiae iempaarures wthatam nom farerntl
propery may never dead. Shioples Not on to sal se Nat Now oX antler Ores,
aftertaste. .11 from the adore Of srk-saRrg sFd^0ha, not a marrome,
!no dare
d of Years 1&mmiOn
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er
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21-2Y
iade
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13-14
do,
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25-29
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17-13
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1920
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Jul Deard repro: Wet isCm¢red5ole bed Exclueven Remedy
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di IXonouncN dismbradpmuudsy NueArsmipee, GArshinbess 55n atMr Ne,mumblesr raommerciay rthe conerning reposir,
ng
tliud0-d shirgles Ourog Ne -maiMarNe algae tliswgorehw swage
R Smart Choice" Shingle Ltd Warranty Registrolion Form
Please register online at }ylviv gar com/mg Auflywa cm or complete Ne information below,
detach this farm, and mail to W Elk corporation, P.O. Box 395, Ingomen PA 15127 0395 USA
(Nate: Regishatian is not required for warranty coverage.)
Owner's Name Phone ( )
Address of building, if
Contractor's Phone( )
Shingle Installed:
0 Trarm ine° ArmmShield" II
❑SenlineP
O Tmbedine° Prestiqua"Ldehme
❑ Royal Sovereign=
0Slatelmne"
❑ Marquis' Wealbe khric
❑ Capstone,
❑Timbedine"Natural Shadoi
❑Gand Sequoan
❑ Tmbedine° Prestique"30
UGand Canyon"
❑Tmbedine=Prestique"40
0 Co." Mansion'
❑ Tmbedine= Garducan 40"
❑Grand Slate"
❑Tmbemor"Prestique°
❑Camelot'
Grandd'40
amroffeennimaim
❑ Yes ❑ No
Number of Squares Color
Date of Installation Cast of Installation
Homeowners
CoddPC
/Province Zip GoMwPC
_ New Construction _Re-roofing
To arm ist other homemipeas wine may be interested
in during homes with your color and style of abbi
giger would like to indod9 your address in our
national database. -No Moroni other Nan your
addrm, shhngle style; zed color will be released
❑ Yes, GAF-M may include me in des database '
to assist other homeowners
No, please do not include me
U038
GA Elk Can. E8
HEsVi180
miner.
wawa,
i ire
fummulted)
sever.,
dome'
xmnwar
Wib
I^asiodernel
59nbnel'
20
3
fiW9S
mnyal sdmdmfgr
25
5
60/96
Marquis"WealherMax"
30
5
00/130
Tmbedine" Natural Shadow"
30
5
1001
Tmberlim"No ique'30
30
5
1101175-
Lmbmline°Prestique"40
40
5
110/175'
Tmbedine°Canatlian 40'
40
5
110/175'
TmOedfne°PeanquCGmndi
40
5
11011
Tmbedine°Amenrionaud'11
Lifetime
10
130209'
Tmberlite°Preen,user Untmme
Lifetime
10
130209`
Slatefine"
Lifetree
10
130209'
Capstone'
LifeOme
10
130209'
Grand Sequgia°
lifetime
10
130209'
~.dUni
Lme
10
130209`
°
Lifetime
10
130209'
o
Lifetime
40
130209`
Lifetime
10
130209'
s,inr•
~etlall~wallal one
ImpB/aril
y~soagim.°Ban~°"
IhOhh/revel m
Ttmbedine° NNurd shadow'
1001180
ANTO
Tmbedine° Femicane 30
1101
80/130
Tmbedfnd'Prearmcni
11M75
80130
Tmbedrse Gundfan 40'
110175
SM30
Timbedine°Pre.. Grdarr o
11M75
SM30
iimbedinC MnsSTierr'll
130209
110175
NnbdinC Peesdque"IgeOme
130109
90145
sladdlee°
1=09
1101
capstone
130209
80,130
Grand Sequoia'
13M09
80130
Grand Gandon'
13MW
101,160
Country hummen"
130109
11M75
Gard stale
130109
11W175
Gami
13MM
110175
w
Owner Warranty Record
To be compleled by owner and contractor. Keep N¢svwmtdy ended vrh
your contrami mount for fine a referens. 00 NOT SEND TO GAG-Er.
Owners Name.
Addmss44'gere
Stahm"fovided Zip CodePC
Contactors Name
Sate/Pruvince 4P Godi
Contractors Phwe
O senhnd° JT1rr&gne°fsnNIao4P Jiandas Y
O Rend S',ents' ]4mE"h'm"RS4ju'e•anrd¢'40 ]mane Gni
J mans VAoui JTmbedrfr r Ni Jcnin Mmsion"
OT:wbedrn°ndten iffir :v' J Nabaffe°Prcryur'L'e;ne JGerd SWte
L]Tmhemes'Pr 4q 30 Js114.° j censor
❑iondi Preaegae°40 JLamion.I
Numberat SquarSS_ Odor
SfainGuaMe labeled? Q'im, ❑NO
Date of applemion ofshinglas
Tonal west of shingles and application
Cordarors Signature
Owners Signature
sodden au,e
Da1C sweratWn[e
/ CITY OF WHEAT RIDGE
/ Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ~1 €'i3iJJ
Job Address/Permit Number:
f`"s~,tfr-''~ 0/VSTd f1~f ~TOSa! e9 •Y' xc~,!tr1- e~~/S.P S,1/~'~ .~!-fi~,°~.v
(oep L~Trt2 ?:~.s£i;~ f. ~S ~clc`F/J7~&ACf ~ arJiil 13S
/✓~1kJ:~ii~Lfsti76fl~ .P3~,+.~i°~/Ll-~C~i.~z.
❑ No one available for inspection: Time /ram AM/PM
Re-Inspection required: tYes No
When corrections have been made, call for re-inspection at 303-234-5933 1
Date: - Inspector:
DO NOT REMOVE THIS NOTICE
."4' City of Wheat Ridge
dential Rooring PE kMIT - 081352
:1~9r Resi
~
PERhIIT NO: 081352 SSUED: 11/18/2008
JOB ADDRESS: 6811 W 48TH AVE ~XPIRES: 05/17/2009 DESCRIPTION: reroof with 30 yr dimensional 18 sqs ~I
CONTACTS I owner .720/299-4280 Dan Williams
PARCEL INFO
ZONECODE: UA. . OSE: UA SUBDIVISION: UA ILOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 51000.00
FEES
Permit Fee 144.70 VVILLAZI-M
Total Valuation . . I, Use Tax 90.00 ' TOTAL 234.70
Conditions: 8 nail installation & mid-roof inspection required.liBOard sheeting spaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
Subject to field inspectians.
I hereby certify that the setback diatancea proposed by this permit aPplica[ion are accurate, and do not violate applicable
ordinances, rulee or regulaCions of the City of whea[ Ridge or covenants, easements orrestrictions of record; that all .
measuremenCe shown, and alle9atione madeare accurate; that I have reald and a9ree to abide by all condi[ione printed on this
appli n and Chat I assume full responsibility for compliance wi[hl.the Wheat Rid9e Building Code (I.B.C) and all other
ap cab ylpeat Ridge gvdinances, foz work underthia permit. P1ans dubject to field inapection.
of
date
1. Thia permit was iesued in accordance wich the provisions set forth
State of Colorado and [o the Zoning Regulations and Building Codes
ordinances of the City. .
2. This permit ehall expire 180 days from the issue da[e. Requesta fo:
date. An extension may be granted at the diecretion of the euildi.
3. If this permit expires, a new permit may be acquired for a Eee of changee have been br will be made in the original plans and specif
exceeded one (1)year.: If changes.have been or if suspension or a:
be paid for a new permit.
9. No work of any manner shall be done that will change the natuzal f
5. Contractot shall notify Che 8uilding Inspector Cwenty-four (24) ho
written approval on inspecCion card beEore proceeding with succese
b. The iaeuance of a permit or the approval of drawings and specifica
an approval of,.anyviolat' n of the provisions of the building co
11 1 review ie ec o field inspections.
n your application and ia aubject to the laws of the
f wheat Ridge. Colorado or any other applicable
an extension must be received prior to espiration
Official. .
ie-half the amount normally required, provided no
a[ions and any suspension or abandonment has not
:ndonment exceeds one (1) year, full feee ehall
of water causing a drainage problem.
in advance for all inapections and shall receive
phase9 of Che job.
e ahall not be conetraed to be a pezmit for, nor
or any other ozdinance, law, rule or regulation.
A p an
Signatureo£ Chief B ldi Official ' date
INSPBCTION R8ST LZNB: (303)234-5933 BUILDIN~ OFFICE: (303)235-2855
REQUESTS MUST BEMADE BY 3PM ANY BUSINESS DAY FOR NSPECTION THE FOLLOWING BUSINESS DAY
~oF "'"E"r,~, City of Wheat Ridge Bui/ding Division
~ 7500 W. 29« Ave., Wheat Ridge, CO 80033
-._~r Office: 303-235-2855 * Fax: 303-235-2857
°O<oRPO° ° Inspection Line: 303-234-5933
Property Address:
Property Owner (p/ea
Mailing Address: (if different than property address)
Address:
City, State, Zip: c v <9Cz~:V3,3
Contractor /,L ~j~f
Contrector License Phnne
('f!
=Date:
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date:
Approval:
Use of space (description):
Description of work:
`~j
Sq. FL/LFt added: Squares BTU's _
Exp. Date:
Approval:
Exp. Date:
I Construction Value: I
(as calculated per the Building Valuation Data sheef)
Plan Review (due at time olsubmittalJ: $ I
Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, antl do not violate applicable ordinances,
or regulations of the City of Wheat Ridge or covenants, easements or restriclions of record; that aIl measuremenls shown, and
rules allegations made are accurate; that I have read and agree to abide by all conditions printed on this appfcation and that I assume full
responsibiliry for compliance with Ihe Wheat Ridge Building Code Q.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE:' N CON
(TRACTOR) or PERSONALR ESENTA~TIV~Eiof(OWNER) (C LPRqTOR)
PRINTNAME: ~ SIGNAT ~te:~
ZONING COMMENTS:
Zoning:
Reviewec
PUBLIC WORKS COMMENTS:
Reviewer:
6UILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY: _
FIRE DEPARTMENT:: ❑ ypproved Wl COmmentS ❑ disapproved O no fevieW feqUifed
Building Permit Application
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