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11270 W 47th Avenue
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: '''' `t / 1-2 u u /--- Job Job Address: ! / 2 -70.7 to q 7th A Vr Permit Number: 01 % 6 _7 Z _7 S ❑ No one available for inspection: Time (-Awpm Re -Inspection required: Yes -Nb_,, "When corrections have been made, call for re -inspection at 303 -234- Date: - 03 -234 - Date: �� ' Inspector: f.? 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: Job Address: 1 I a'? t j 14 Permit Number: a 0 ►-�? �)� S N) (-):` re 42 0 ri _nk gj ❑ No one available for inspection: Time /PM Re -Inspection require Ye No When corrections have been made, for re -inspection at 303-234-5933 Date: 3� 1 Inspe �t t DO NOT REMOVE THIS NOTICE p City of Wheat Ridge Residential Roofing PERMIT - 201707275 PERMIT NO: 201707275 ISSUED: 09/14/2017 JOB ADDRESS: 11270 W 47th AVE EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 21 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)359-0869 POPE NATHAN R SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201707275 PERMIT NO: 201707275 ISSUED: 09/14/2017 JOB ADDRESS: 11270 W 47th AVE EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re—roof to install GAF asphalt shingles — 21 sq Pitch = 4/12 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 authorize this permit and perform the work described and approved in conjunction with this pertncd urther attest t t 1 am legally authoriz inc de alI entities named within this document as parties to the work to be per that all w to be performed is disci ed in this document and/or its' accompanying approved plans and specifications. Sig a e of OWNEk or CO 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' days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting 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 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett ZM �07 Z 77 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, September 12, 2017 8:36 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application s Follow Up Flag: Follow up Flag Status: Completed r� c G 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 11270 West 47th Avenue Wheat Ridge Property Owner Name Nathan Pope Property Owner Phone (303) 359-0869 Number (enter WITH dashes, eg 303-123-4567) 41 1 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract formularoofing1 @gmail.com Yes Pope signed contract.pdf CONTRACTOR INFORMATION Contractor Business Formula Roofing Name Contractor's License 110274 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3036008696 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 4560 columbine st (Primary address of your business) Contractor Email Address formularoofing1@gmail.com Retype Contractor Email formularoofing1 @gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 21 the entire scope of work: Project Value (contract ' 10000 ; value or cost of ALL materials and labor) Are you re -decking the No roof? 1 42 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof. Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes 4/12 21 GAF Timberline Shingles Asphalt Install shingles Ice & Water with New Drip Edge SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 43 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Dominick Orrino Email not displaying correctly? View it in your browser. 44 AGREEMENT 4550 Columbine 9t. Denver, CO 80216 0R MULA 3D3.600.B696 RDOFBV6 ` REMDDE d FAX 303.600.8654 Building So/u?ons for Colorado Customer Name: Nathan Pope Address: 11270 W 47th Ave Wheat Ridae. CO 80033 Customer Phone: (303) 359-0869 Ph#2 Email: nathanDope@live.com Insurance: Allstate Claim: 0468615463 Adjuster Name: Adjuster Phone: Customer Initials F Shingle Manufacturer: GAF Style of Shingles: Timberline HD Color of Shingles: Weathered Wood Number of Squares: 21.55 (house & Shed) Tear off # of layers: 1 Install Felt: 151b. Replace Plumbing Jack: 2 Replace Roof Vents: 7 Ice and Water Shield:eaves, penetrations, valleys Nailing Pattern: 6 nail Drip Edge: fUll perimeter Appropriate County/City Code Requirements Clean-up and haul off all trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. N/A Additional Warranty: System Plus Homeowner Customer Initials Ff Customer Initials M�i =-Ma'stte"ilIift WrATNrfl MOPPM-ROOFING CO"CTOR Rep: Dustin Pitney Phone: (303) 521-8673 Email: dustinCformularoofing.com Pitch: 4/12 Trailer Access: good Stories: 2 Adjuster Email: Formula Roofing & RemodeIing will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Gutters 40' of DS $297.64 (w/debris removal fee) Windows none Screens/Glazing Bead not doing -$74.46 Paint not doing -$575.94 Fence/Deck none Siding not doing -$957.09 Additional Comments: Garage door, alum wrap, sat. calibration & personal prop not doing -$1522.77 By signing this contract 1, the property owner, agree to the above listed work being completed as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power of Attorney to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with any and all dealings regarding the current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which, in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate City/County Authority. Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling once the work has been completed and funds have been released. THE TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the property, whichever occurs first. Deposit Received: $ 5000 (due by day of build) Approximate date of service commencement: late -Sept. 2017 Insurance claims proceeds: Owner to remit ACV insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of the contract the owner reserves the right to a three day rescission period. If the contract is canceled after that three y period, customer will pay 25% of contract price. Customer Signature: -7"Ll q"_ — 1�!— Date: Customer Signature: Total cost: $ 10208.52 + supplements Formula Representative: U r! Excluding permit and code requirements Date: Date: 91a3/ -20I1 TERMS AND CONDITIONS OF THE CONTRACT THESE TERMS AND CONDITIONS FORM A PART OF, AND ARE INCORPORATED INTO, THE TERMS AND CONDITIONS CONTAINED WITHIN THE FRONT SIDE OF THIS CONTRACT 1) DEFINITION OF TERMS: This contract (alternatively referred to as the "Agreement") is binding only upon approval and signature of the customer identified on the front page of this Contract {hereinafter referred to alternatively as "Owner", "Customer", "Property Owner" "the Insured" and "Homeowner', whether capitalized or not). Owner and an authorized agent of The L Corporation, doing business as "Formula Roofing & Remodeling" and "Formula Roofing and Remodeling" {herein referred to as the "Contractor", "Formula Roofing & Remodeling", whether capitalized or not). "Contractor" as used in this Contract shall include any Sub -contractors) retained by Contractor in connection with the labor and materials installed on the Owner's property referred to on the front side of this Contract (hereinafter referred to as the "Property") and any corresponding change orders (hereinafter referred to collectively as the "Work"). Owner and Contractor agree, however, that no signature of any Sub -Contractor retained by Contractor to perform any porton of the Work shall be necessary on this Contract for this Contract to be binding. "ACV" on the front side of this Contract is defined as "Actual Cash Value," which means "The amount equal to the replacement cost minus depreciation of a damaged or stolen property at the time of the loss. It is the actual value for which the property could be sold, which is always less than what it would cost to replace it" This is typically the first check released by the insurance company. 2) REVISIONS: This Contract constitutes the entire understanding of the Owner and Contractor with respect to the Work, and no other understanding, collateral or otherwise, shall be binding upon either of them unless memorialized in a separate written document signed by both of them. 3) CHANGE ORDERS: Replacement of Owner's deteriorated decking, fascia boards, roof jacks, vents, flashing, or other material, unless otherwise expressly stated in this Contract, are not included in the figures contained within the front side of this Contract (hereinafter referred to as the "Figures), and will be charged to Owner by Contractor, and paid by Owner to Contractor in addition to the Figures, on a time and materials basis and pursuant to a written change order signed by owner and Contractor. 4) PAYMENTS: All payments shall be made by Owner to Contractor at Contractor's address listed on the front side of this Contract. Any warranty on the services provided by Contractor in connection with this Contract, whether expressed or implied, are not effective unless and until the Owner has paid the Figures plus the sums contained within any change orders due and payable by Owner to Contractor under this Contract have been paid in full. 5) CASH SALES: All monies are due and payable upon completion of the Work. Any amounts left unpaid after 15 days will be subject to lien and will incur late charges at 1.8% per month for open balances, retroactive to date of completion. b) COLLECTIONS: Owner shall be liable to Contractor for all of Contractor's costs of collection, including, but not limited to, all court costs, expert witness fees, attorney's fees (both hourly and contingency fees) and all collection agency fees, in the event that Contractor seeks to enforce this Contract against Owner, whether or not Contractor institutes a lawsuit against Owner. 7) WARRANTIES: Contractor warrants all roof replacements performed by it with a 5 -year workmanship warranty. Repairs to any roof replacements are covered by a 90 -day workmanship warranty. Any labor warranty, express or implied, given by Contractor to Owner in connection with the Work, is void in the event that the Owner's roof is subjected to gale force winds (70 MPH); lightning striking the roof or any surface adjacent to it; hurricane; tornado; hail damage; impacts of foreign objects; other violent storm or casualty; or damage to the Owner's roof due to settlement, distortion, failure or cracking of the roof deck, wall or foundation of the Owner's home. 8) LABOR WARRANTY: The Owner and Contractor agree in the event of breach of any warranty, either expressed or implied, by Contractor for the Work, the liability of the Contractor shall be limited to the labor and material costs of replacing any such defective portion of the Work. The Contractor shall not be liable for any other damages incurred by Owner, whether direct or consequential. 9) MATERIAL WARRANTIES: Owner agrees that material warranties are limited warranties issued by material manufacturers and are subjected to terms and limitations from each manufacturer. Materials used for the Work are covered exclusively by the manufacturer(s) of such materials, and depend on product selection. Contractor will submit a claim on the Owner's behalf with the manufacturer of any such Materials after Owner provides it with notice as to same, and will complete warranty repairs per any manufacturer's request and approval. 10) DAMAGE: The warranty provided by Contractor to Owner for the Work, applies to Owner's roof only. Contractor is not responsible for any damage to interior, rafters, and/or any and all structures of the Property resulting from Contractor's removal of excess layers and/or the vibrations caused by Contractor during its performance of the Work. Contractor is not responsible for any water damage to the interior of the Property or its contents due to water leaks from the Owner's roof after the Work has been performed. In the event of water leaks during the warranty period, Contractor liability shall be limited to labor and material costs of repairing defective Work on Owner's roof only. Contractor shall not be liable to Owner for any cracks or damage to driveways, walkways, or sidewalks, whether or not caused by Contractor and/or its Sub -Contractors. Contractors shall not be liable for any bowed, cracked, or sagging rafters during or after the Work is performed, whether or not caused by Contractor and/or its sub -Contractors, or caused by the material supply company. 11) RESCISSION: Owner has the express right to rescind this Contract and obtain a full refund of any deposit paid by Owner to Contractor in connection with this Contract, within 72 hours after Owner signs this Contract. In the event a contract is cancelled by Owner after this 72 hour period, Owner shall remit 25% of Contract price as stated on the front side of this Agreement. 12) DEDUCTIBLES: Contractor cannot, and will not, pay, waive, rebate, or promise to pay, waive or rebate, all or part of any insurance claim, including the deductible, for payment for any work performed by Contractor on Owner's property, per Colorado Senate Bill 38. 13) SUPPLEMENTS: Owner hereby authorizes Contractor to invoice Owner's Insurer for any extra work performed and/or unforeseen damages to the Work, and to receive and retain any additional corresponding funds paid by the Insurer for any corresponding supplements, including, but not limited to, permit fees and any other labor and/or materials which comprise the Work. 14) WAIVER OF JURY TRIAL: Owner hereby waives trial by jury in connection with proceedings or counterclaims by either of the parties to this agreement against the other with respect to any matter whatsoever arising out of or in any way connected with this contract or the work. Furthermore, the Parties to this Contract agree that the sole venue for any such litigation shall be the State Courts in and for the City and County of Denver, State of Colorado, notwithstanding the fact that the Property may be situated in a different county. 15) NOTICES: All notices or other communications hereunder shall be in writing and shall be deemed duly given if addressed and delivered to the respective Parties' addresses, asset forth on the front side of this Contract 11) by Federal Express or similar overnight carrier service; or (ii) mailed by certified or registered mail, return receipt requested, postage prepaid. Such notices shall be deemed received upon the earlier of receipt or, if mailed by certified or registered mail, three (3) calendar days after such mailing. The Parties may from time to time by written notice to the other designate another address for receipt of future notices. lb) WORKER'S COMPENSATION: Contractor carries worker's compensation, and commercial general liability (bodily injury and property damage) insurance. A Certificate of Insurance identifying the Insurance carrier(s) and the types and amounts of coverage and insurance contact Information may be attached or will be provided to Owner upon request. 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: _ 1 ��-\) Job Address: �� %�' '� ��� ' ` r1 Permit Number: ❑ 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:, Inspector: DO NOT REMOVE THIS NOTICE A b i CITY OF WHEAT RIDGE ��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: U 6 - Job Address: I f p b �-' y 7 �v t Permit Number: / h I -7 ') 0 P I° ❑ No one available for inspection: Time-/ Z : / 4/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: 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: S U (--- Job Address: t t ai 0 W `+ -7 -6 fw Permit Number: (::) ) 6d I r ❑ No one available for inspection: Time AMM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: I i Inspector: i �! c_ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201601770 1�1- PERMIT NO: 201601770 ISSUED: 11/09/2016 JOB ADDRESS: 11270 W 47th AVE EXPIRES: 11/09/2017 JOB DESCRIPTION: 10 ft spot repair on the sewer service line in the front yard and install cleanouts *** CONTACTS *** OWNER (303)369-0869 POPE NATHAN R GC (303)287-9009 Brad Wakeham 130022 Trench Right LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00 FEES Total Valuation 0.00 Use Tax 81.00 PAID Permit Fee TOTAL ** 125.05 206.05 l "V *** 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.** City of Wheat Ridge Residential Plumbing PERMIT - 201601770 PERMIT NO: 201601770 ISSUED: 11/09/2016 JOB ADDRESS: 11270 W 47th AVE EXPIRES: 11/09/2017 JOB DESCRIPTION: 10 ft spot repair on the sewer service line in the front yard and install cleanouts I, by in 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 grope nd a orized to obtain this permit and perform the work described and approved in conjunction with this permit. [further attest th a le y uthorized to include all entities named within this document as parties to the work to be performed nd that all work b e or d is disclosed in this document and/or its' accompanying approved plans and specifications. Z l- 4 Signature of O R COqt!h C� (Circle one) Date I. This permit w basedrmation provided in the permit application and accompanying pplans and specifications and is subject to the compliance witos documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 perinit 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' or of a permit shall not be construed to be a permit for, or an ap granting proval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. I//, 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 Rdge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(i�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 1� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: I 07c) w `-/ 7 fi h )gy--e— Property Owner (please print): Kk.-�hc,, r 116� a Phone: :303 --359 -og(Q Property Owner Email: Mailing Address: (if different than property address) Address: City State Zip: Architect/Engineer Architect/Engineer E-mail: Contractor: Tc2�C_h Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 3©3' J g 7 —922 q Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL 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.) lo, 5-� ye ti ©a +h e j5<21je c- Sen u: ce l; v e i f ten+ �/GC f ci rti� nStc� �l C tett rl oV i -S II Sq. Ft./LF L Btu's Amps Squares Gallons Other 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 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 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) or (AUTHORlZ REP SENTAT� (O NER) (CONTRACTOR) PRINT NAME: W ft,'w,, `Q hrn4!1. SIGNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY _ C1-4-/6 OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax Inspection Type: Job Address: Permit Number: ❑ 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: Inspector: D 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 Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, calf for re- inspection at 303- 234 -5933 Date: n4 Inspector: O NOT REMOVE IS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, calf for r e � - inspection 303-234-5933 Date Inspector: D NOT REMOVE THIS NOTICE Inspection Type: f O Job Address: Permit Number: A 4' City of Wheat Ridge Residential Roofing PERMIT - 091577 PERMIT NO: 091577 ISSUED:` 08/24/2009 JOB ADDRESS: 11270 W 47TH AVE EXPIRES: 02./20/2010 DESCRIPTION: Reroof 20 sqs ***:CONTACTS owner 303/456-5333 Nathan Pope, sub 303/921-4257 Blain Ovind 09-0205 Ovind Construction PARCEL INFO ZONE CODE: UA :USE: UA SUBDIVISION:. 015.3 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,025.00 FEES Permit Fee 162.90 Total Valuation Use. Tax 90.45 TOTAL 253.35 Conditions: " 6 nail installation mid-roof inspection required. Board sheathing spaced more than .'a 1/2 of an inch apart requires plywood overlay on 'entire roof. Ice and water shield .'required from eave edge to 2' inside exterior walls. Subject to field inspections. y, I hereby certify that the setback distances proposed by this permit application: are accurate, and do not violate applicable = ordinances, rules or regulations o the City of Wheat Ridge, or covenants, easements or restrictions of record; that all measurements 'shown, and allegat' ns made are accurate; that I have read and agree to abide: by all conditions. printed on this applicat' a at Iasaume ull `r sponsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other y applic at/'Ridge 'nan as, fo work under t rmit. ,P na.. aub7 ect to field inspection. Si re of contractor/owner 'd to 1. This permit was issued in accordance with the provisions: set forth in your application and is subject to the 'laws of the State of Colorado and to. the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 11, 3. If this permit expires, a new permit may be acquired for a fee o£:one-half the amount normally required, provided no changes have been or will be made in the original plane and specifications and any suspension or. abandonment' has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a-new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify: the Building Inspector twenty-four (24).: hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases.: of the job. r 6. The issuance of a permit or the approval of drawings and. specifications shall. not be construed to be a permit for, nor a; an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is 'ect to field inspections. v- " Signature of C ldmg :official -date r ' INSPECTIO REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS ST BE MADE BY 3PM.ANY:.BUSINESS DAY FORINSPECTION THEFOLLOWING :BUSINE g?, SS DAY. t'. oF""E?rq City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 °ocoRaoo Inspection Line: 303-234-5933 Building Permit Application Property-Address; 2 / u/ , 1 71k A Vr~ Property Owner (please print): o/'') Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: I`c~~ en5'4y N C'J 64 Contractor License Of 02 C75 Phone: Y2/` ~5Z377 Sub Contrae'tors Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: fc , Use of space (description): Construction Value: $ -TO2 Description of work: (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (O R) (CONTRACTOR) or PERSONAL REPRES AT E of ~ ER) (CO RATOR) PRINT NAME: ~Q//I \11,4 A SIGNATURE: L' Date: u ~I Date: V Plan Permit#: Bldg Valuation: BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE ~~e 3 66-0 6tI -7 ~3 D Correction Notice Job Located at. I/ . 1/ 7_Lt; d ry ~ e You are hereby notified to correct the foregoing violations. When corrections have been made, cail for inspection. Date Inspeetor fgrlBullding Dept. DO NOT REMOVE THIS TAG FORM WRB-22 I have this day inspected this structure and these premises and have found the foilowing violations of City and/or State laws gov- erning same: TO - - °Ak ~ T"l PM I H FROM ^I ~~1,• AREACODE 3Q NO. Q OF N ~ EXT M E M S E S A M G E O SIGNE PHONED[] BALW CALLpNED[I SEEVOU ~ AGAINA`L[] WASM L] URGENT ~ ~ ~.1.~~ _ ~ AM _ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9508 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 9/17/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Properry Owner: Property Address : 11270 W 47TH AVE Contractor License No. : 20468 Phone : Company : Rowe Roofing Inc. Phone : 366-0647 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 accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork untler this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Tear off 1 layer T-loc's Installed 22 1/3 squares of T-loc's Construction Value : $2,800.00 Permit Fee : $83.25 Plan Review Fee : $0.00 Use Tax : $42.00 Total: $125.25 Use: BUILDING DEPARTMENT USE ONLY PARNWANOW SIC : Sq. Ft. : Approval : Zoning : m" Approval: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur appliration and is subject to the laws of the State of Coloratlo and to the Zoning Regulations antl Building Cotle of Wheat Ritlge, Coloratlo or any oMer appliwble ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commencetl within SiMy (60) tlays from issue tlate or (B) ihe builtling authorizetl is suspendetl or abandoned for a period of 120 days. (3) It 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 specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abantlonment exceeds one (i) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that wdl change the naNral flow of water causing a drainage problem. (5) Contractor shall notify ihe Building Inspector lwenry-four (24) hours in advance for all inspections antl shall receive written approval on inspection card before proceediing with successive phases of the ob. (6) The issuance of a permit or the approval o~drawings and specifica6ons shall not be consirued [o be a permit for, nor an approval of, any violation of ihe provisions of the buildin9 codes or any other ordinance, law, rule or regulation. Chief uildiog Inspector DEPARTMENT 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 APPLICATIo N Property Owner : Property Address 70 Phone : Contractor License No. CompanY : Phone 0 7-~b l v(1f7 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurate, and do not violate applieable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of rewrd; that all measurements shown, and allegations made are accurete; that I have read and agree to abide bY all cond@ions printed on this application, and that I assume full responsibility for comphance with the Wheat Ridge Building Cotle (U.B.C.) and all other appliwble Wheat Ridge ordinances, forwork under this pertnd. (OWNER)(CONTRACTOR) SIGNED -14(1" -DATE~'"/ 7'yi ~ Description: ci:F l Lnyr.r -r - Z oc '-f / h%u7i7ccku a'7 /3 /e 7-I oc:/ Construction Value : -~2 K 0 v. 6 0 Permit Fee : Use Tax : Total : Use BUILDING DEPARTMENT USE ONLY Approval: Zoning : Approval: Approval: Occupancy : Walls SIC : Sq. Ft. : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) TTis permit was i5sue0 in accortlance vdih the provisions set faM in yopur application antl is suCjec[ to Ne laws of Me Stale of Cobratlo anE W the Zoning Regulations antl BuilOing CoEe o! Wheat Ridg4 Colo2tlo or any other apPliwble ortlinances of the Ciry. (2) This permd shall expire i/ (A) the work auMonzM is not commenced wiNin 56Qy (80) tlays hom issue tlate or (8) the builtling auNOnzetl is suspenOeC or aban0one0/ot a peno0 of 120 Oays. (3) If thi5 pertnit expires, a new permlt may be ecquirpd Por a fee o( one-hel} the amount nortnally requireE, pmvitlM no change5 have been or will De matle in the onginal plans antl specifirations en0 any suspension Of abantlonmen[ has not exceeded one (1) yeaf. If changes are matle ar if Suspenslon Or aDanOOnmenl exceetls one (1) yeaf, lull (eea shell be Oeitl tor a new permit. (4) No work of any manner shall be tlone Nat will change the natu2l fiow of water causing a 02inage proDlem. (5) ConVaclor shall notlly the Builtling Inspectw twenry-(our (24) hours in atlvance tor all inspecfions antl shall receive written approval on inspection raM Eebre proceetliing with succeuive phases of the ob. (6) Tha issuance of a pertntt or the aOProval o~A2wings aM specifintions shall not be consWetl to be a pertnit tor, nor an approval ot, any violation of Me pmvisions of the buil0ing cotles or any oMer oMinance, law, mle or tegulatlon. Chief Building Inspector