HomeMy WebLinkAbout11210 W. 46th AvenueCity of Wheat Ridge
E -Res. Window Replacement PERMIT - 201900319
PERMIT NO: 201900319 ISSUED: 02/26/2019
JOB ADDRESS: 11210 W 46th Ave EXPIRES: 02/26/2020
JOB DESCRIPTION: Replacement of 6 windows throughout whole house. Like for like with no
structural changes. U -value .27.
*** CONTACTS ***
OWNER (720)201-2093 FLETCHER JO LYNN
SUB (888)736-6335 ADAM KALINER 160260 POWER HOME REMODELING GROUP
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,493.19
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 136.36
** TOTAL ** 186.36
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201900319
PERMIT NO: 201900319 ISSUED: 02/26/2019
JOB ADDRESS: 11210 W 46th Ave EXPIRES: 02/26/2020
JOB DESCRIPTION: Replacement of 6 windows throughout whole house. Like for like with no
structural changes. U -value .27.
I, by myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
(. 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
appl le code or a4jjrdinance 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.
Lagenia Reimer��q�%�%
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, February 26, 2019 6:38 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Gina
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
11210 W 46th Ave
Fred Fletcher III
720-201-2093
Field not completed.
CC Auth for online submit.pdf
CONTRACTOR INFORMATION
1
Contractor Business Power Home Remodeling Group
Name
Contractor's License 160260
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 888-736-6335
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address shane.laird@powerhrg.com
Retype Contractor Email shane.laird@powerhrg.com
Address
DESCRIPTION OF WORK
Number of window 6
and/or doors being
replaced
Location of throughout whole house
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the 0.27
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of Fletcher.pdf
window/door cut sheets
showing sizes and u -value
Project Value (contract 6493.19
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
2
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Shane Laird, PowerHRG
Permit
Email not displaying correctly? View it in your browser.
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
PRODUCT SPECIFICATIONS
Fred Fletcher III
33-70296
February 18, 2019
Buyer(s)' Information and Description of the Property:
Project Number: 33-70296
February 18, 2019
Fred Fletcher III
(720) 201-2093 (Fred's Cell)
Date of Agreement
11210 W 46th Ave
fbf6751@gmail.com
Wheat Ridge, CO, 80033
E -Mail Address 1
County: Jefferson
Township: Wheat Ridge
Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification
sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications
(collectively, this "Agreement").
Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Wed 2/27 between 2:35p and 3:35p.
Windows - SL 2700 Inclusions: Includes metal reinforced meeting rails and nighttime safety locks on double hung windows only, welded
corners, foam injected frames, Sashlite technology, Heatshield, Duraglass, exterior custom capping, installation, clean up and haul away of
all job related debris.
It is agreed and understood by and between the parties that the Product Specifications, along with the Custom Remodeling and
Improvement Agreement, constitutes the entire understanding between the parties, and replace any and all prior negotiations,
representations, or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless
such changes are in writing and signed by both Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read the Product
Specifications.
I have read and received each page of this 2 page agreement.
Power Home Remodeling Group Buyer(s)
/02/18/19 /02/18/19
SiglTature of Quality Assurance Manager Signature
David Howard
Fred Fletcher III
YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
February 18, 2019 14:55
Page 1 of 2
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
Project Specifications
Windows:
Living Room 1 45 0"x68,0"
WINDOWS:
Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Master 1 35.0"x69.0"
WINDOWS:
Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS:
Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Bedroom 2 1 35.0"x69.0"
WINDOWS:
Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Basement 1 46.0"x33.0"
WINDOWS:
Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Basement 1 46.0"x33.0"
WINDOWS:
Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS:
Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl Additional Details
None
Windows:
Bathroom 1 33.0"x33.0"
WINDOWS:
Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl Additional Details
Special Options (ie. Full Screen, Obscure Glass, etc) Full Screen No I Obscure Glass Double Hung : Both
Sashes I Specialty Color No I Different Color Capping No I Trim Options No I Frame Options No I Remove
and Reinstall No
February 18, 2019 14:55
Fred Fletcher III
33-70296
February 18, 2019
Page 2 of 2
i CITY OF WHEAT RIDGE
Building Insoction Division `
;(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �` �� i�-s '�'/ nr �-•
Job Address:
Permit Number:
❑ No one available for inspection,T4rn&'j>%'-1r MOM
Re -Inspection required: YeS ( No
When corrections have been made, call for re -inspection at 303-234-5933
Date : Inspector: l—t
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201803032
PERMIT NO: 201803032 ISSUED: 11/19/2018
JOB ADDRESS: 11210 W 46th Ave EXPIRES: 11/19/2019
JOB DESCRIPTION: Residential windows for 1 window at rear of home. U -factor is .30.
*** CONTACTS ***
OWNER (720)201-2093
FLETCHER JO LYNN
SUB (888)736-6335
Adam Kaliner
160260 Power Home Remodeling Group
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2408 / FRUITDALE,
LEES, STONERIDGE
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
2,374.16
FEES
Window Replacement
50.00
Total Valuation
0.00
Use Tax
49.86
** TOTAL **
99.86
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by n 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 l am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this perinit and perforin the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and rocedures 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 sha not proceed or conceal work without written approval of such work from the Building and Inspection Services
D' win.
6. 4aude
or gr ng of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
o ance 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.
Dina Kemp e��lLi ( n ( 3 6)3
From: no-reply@ci.wheatri dge.co.us
Sent: Monday, November 19, 2018 8:37 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Dina
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
11210 W 46th Ave
Fred Fletcher III
720-201-2093
shane.laird@powerhrg.com
00. CC Auth for online submit.pdf
CONTRACTOR INFORMATION
1
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Power Home Remodeling Group
160260
888-736-6335
2501 Seaport Drive, Chester, PA 19013
Contractor Email Address shane.laird@powerhrg.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and u -value
Project Value (contract
value or cost of ALL
materials and labor)
shane.laird@powerhrg.com
1
rear of home
0.30
33-53230 Fletcher.pdf
2374.16
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
z
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Shane Laird, PowerHRG
Permit
Email not displaying correctly? View it in your browser.
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
Project Specifications
Windows: Patio door 1 70.5"x79.5"
WINDOWS: Models Elegance Styles Sliding Glass Door Types 2 -Panel Configs 6'
OPTIONS: Color White / White : Grid Pattern : Internal Blinds : White I Additional Details None
November 12, 2018 21:29
Fred Fletcher III
33-53230
November 12, 2018
Page 2 of 2
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
PRODUCT SPECIFICATIONS
Fred Fletcher III
33-53230
November 12, 2018
Buyer(s)' Information and Description of the Property:
Project Number: 33-53230
November 12, 2018
Fred Fletcher IIIDate
(720) 201-2093 (Fred's Cell)
of Agreement
11210 W 46th Ave
fbf6751@gmail.com
Wheat Ridge, CO, 80033
E -Mail Address 1
County: Jefferson
Township:
Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification
sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications
(collectively, this "Agreement").
Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Wed 11/21 between 2:50p and 3:50p.
Windows - Elegance - Sliding Glass Door Inclusions: Includes fully welded frames, Heatshield, Duraglass, Extruded locking screen,
exterior key lock, and foot latch, installation, clean up and haul away of all job related debris.
*Sliding Glass Doors including blinds are not available with argon gas and are not Heatshield. They include Low -E only.
It is agreed and understood by and between the parties that the Product Specifications, along with the Custom Remodeling and
Improvement Agreement, constitutes the entire understanding between the parties, and replace any and all prior negotiations,
representations, or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless
such changes are in writing and signed by both Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read the Product
Specifications.
I have read and received each page of this 2 page agreement.
Power HomZm deling Group
/11/12/18
Signature of emodeling Consultant
Rachel Peterson
Buyer(s)
/11/12/18
Signature
Fred Fletcher III
YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
November 12, 2018 21:29
Page 1 of 2
'. � j le City of Wheat Ridge
Residential Roofing PERMIT - 201705921
PERMIT NO: 201705921 ISSUED: 08/11/2017
JOB ADDRESS: 11210 W 46th AVE EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 36 sq
*** CONTACTS ***
OWNER (720)201-2093 FLETCHER JO LYNN
SUB (303)840-9239 Adam Gondek 018174 Adam's Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00
FEES
Total Valuation 0.00
Use Tax 194.29
Permit Fee 204.30
** TOTAL ** 398.59
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A City of Wheat Ridge
Residential Roofing PERMIT - 201705921
PERMIT NO:
201705921
ISSUED:
08/11/2017
JOB ADDRESS:
11210 W 46th AVE
EXPIRES:
08/11/2018
JOB DESCRIPTION:
Residential Re -roof
to install Tamko Heritage
asphalt shingles - 36 sq
I by my signature do e eby attest t the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building d s, and all licable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owne of a rope d am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fit er es ha legally authorized to include all entities amed .thin this document as parties to the work to be
performed an hat 11 wor o b performed is disclosed in this document d/or i accompanying approved plans and specifications.
10 z �
Signature o OWNER or/XONTRACTOR (Circle one) I Date
1. This Vnnit was issued l5ased on the information provided in the permit application and accompanying Flans and specifications and is
subj t to the compliance with those 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date W
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 7ot70s-q 2 I
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 7, 2017 11:07 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes �*L PFJ 6130/V7
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 11210 w 46th ave Ak
Property Owner Name jo anne fletcher
Property Owner Phone 720 201 2093
Number
Property Owner Email Field not completed.
Address
Mko
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business
Adams roofing LLc
Name
Contractor's License
018174
Number (for the City of
Wheat Ridge)
Contractor Phone
303 829 2852
Number
Contractor Email Address
adamsroofingl6@msn.com
Retype Contractor Email
adamsroofingl6@msn.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing tamko heritage, 30 Ib felt, ice and water shield
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 36 squares
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 4/12 pitch one story, one layer,36 sq total
(pitched + flat) of all
0)
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
remove one layer and replace w/tamko heritage 30 yr
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant joseph morse
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3
46374 Sunset View Way
A-
Parker, CO 80138
ADAMS ROOFING LLC (303) 840-9239
Commercial & Residential Fax (303) 840-9295 DATE: ! 7 1
INSURANCE SCOPE AGREEMENT
This agreement is subject to Insurance company approval
ko,,
riumeowner�s) merearrer Know as The buyer") represent the property(s) at the address(s) or described as: (hereafte know as "the property")
Street
f
Additional Information:
INSURANCE INFORMATION:
Policv #:
City
Storm
Claim #:
Zip Code
Work Phone Alt
Phone: Fax:
Scope or work is as outlined by homeowner's insurance adjustment summary (hereafter knew as "the work"),
Adam's Roofing, LLC (hereafter know as "the contractor') will perform the work as checked below;
�4111?oofing (; Siding ,O'Gutters ❑Windows ❑ Painting 0 Other
Terms and Conditions:
1. This agreement does not obligate the buyer or the contractor unless payments for repairs and/or replacement has been approved
by homeowner's insurance company and accepted by Adam's Roofing. By Signing this agreement the homeowner authorizes
Adam's Roofing to pursue an agreeable replacement value for damages as specified above with no additional cost to the buyer
except the deductible and any agreed upgrades, payable to Adam's Roofing. Upon reaching an agreeable replacement value with
insurance company, the buyer authorizes the contractor to schedule and obtain labor and materials in accordance with agreed
replacement value./ (Initial)
2. The buyer understands there will be no estimate given; only the replacement value offered by the insurance company will be the
"contract price."(Initial)
Payment is due as in accordance with the terms of this agreement. Additional terms are on the back of this
agreement. Any changes or amendments to this agreement must be in writing.
I/We have carefully read this agreement in its entirety and agree t u mr s_ d conditions.
X - �--.
BUYER'S RIGHT TO CANCEL: Buyer's Signdture
You, the buyer, may cancel this transaction at any time X
prior to midnight of the third business day after the date Buyer's Signature
of this transaction. See the attached notice of cancellation DATE: r l7
form on the reverse of this agreement for an explanation °
of this right.
r.
i CITY OF WHEAT RIDGE
?9r(303)
Building Inspection Division
(303) 234-5933 Inspection line
235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /L-1 1,
Job Address:
Permit Number:
❑ No one available for inspection: Time 1 Q AM&W
Re -Inspection required: Yeso
When correcti ns h ve been made, call for re -inspection at 303-234-5933
Date:.= s � , Inspector: c�
DO NOT REMOVE THIS NOTICE
3,
♦ 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: t '!
Permit Number: 4 //k Z--
❑ No one available for inspectio ii a AM /PM
Re Inspection required: Yes N ,
When corrections have been ma a .cai or re- inspection at 303 -234 -5933
-
Date: Inspector.
DO NOT REMOVE lS NOTICE
/VO Cam'
4' City of Wheat RidLye
ISSUED: 0.6/24/2010
'.EXPIRES: 12/21/2010
r heater'
01-7835 Blue Sky Plumbing
USE: UA
BLOCK /LOT #: 0/
ESTIMATED PROJECT VALUATION: 975.00
FEES
40.00
.00 L'L�PcCDtH'.i�iL
17,55
57.55
e posted on job site, If one or the other'
PERFORMED.
iy this permit application are accurate, and do not violate applicable
Ridge or covenants, easements or restrictions of record; that all
that I have read and agree to abide by all conditions printed on this
compliance with the Wheat'. Ridge Building Code (I.B.C) and all other':.
a permit. Plans subject to field inspection.
date
.sions set forth in your application and is subject to the laws of the
I Building Codes. of Wheat .Ridge, Colorado or any other applicable
ite. Requests for an extension must be received prior to expiration
)n of the Building Official.
=d for a fee of one-half the amount normally required, provided no
clans and specifications and any suspension or abandonment £ has not
suspension or abandonment '.exceeds one (1) year;: full fees.. shall
,e the natural flow of water causing a drainage (problem.
ity four (24) hours in advance for all inspections and shall receive
ng with successive phases of the job.
a and specifications shall '. not be construed to be a permit for, nor
the building codes or ,any other ordinance, law, rule or regulation.:.
date
.BUILDING OFFICE': (303)235-2855
iS rDAY FOR INSPECTION THE 'FOLLOWING BUSINESS DAY.
INSPECTION RECORD o ccupancy /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
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Rough Electric
Rough Plumbing
Reinforcing or Monolithic
Rough Mechanical --
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRC CITY OF WHEAT RIDGE
Framing 06/24/10 11:08 AM cdba
Weatherproof/ French Drain
Drywall Screw
RECEIPT NO:CDA094591- AMOUNT
BPSP Replace 48 gallon he - 57.55
Sewer Service Lines
Permit Fee 40.00,
al Use Tax 17.55
ing -
'PAYMENT RECEIVED - AMOUNT
Water Service Lines
Auth Code:
024953 _
g Final TOTAL 57.55
R
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
A RoUGHS ice
Rough Electric
Rough Plumbing
Gas Piping ...... _.. _.._ _..
Rough Mechanical --
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRC CITY OF WHEAT RIDGE
Framing 06/24/10 11:08 AM cdba
Insulation Blue Sky Plumbing &
Drywall Screw
RECEIPT NO:CDA094591- AMOUNT
BPSP Replace 48 gallon he - 57.55
101612
Permit Fee 40.00,
al Use Tax 17.55
ing -
'PAYMENT RECEIVED - AMOUNT
nical MC 4619 57.55
Auth Code:
024953 _
g Final TOTAL 57.55
R
partment _------------- ------ - -- ------ - --
& Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
& Landscaping
E: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
IFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of
Wheat idge Date:
COMMUNITY DEVELOPMENT
Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855 " Fax: 303- 237 -8929
Inspection Line: 303 - 234 -5933
Facsimile Building Permit Application
Property Address:
Property Owner (pteaseprint) ,tin
Mailing Address: (/f different than property address)
Address:
contractor: f Wic, SI P�UA'Ibt
License #: t - 1$ 0 j 1 5� Phohe: Vii— 51
Use Of space (description):
)escrlption of work:
40 V�� Plan Review (due at tlme ofsubm/ttaQ: §
Sq, Ft.IL,FI added: _ Squares BTU's rau,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
rules or rogulatlons of the City of Wheat Ridge or covenants, easements or restrictions of reoor
allegations made are accurate; that I have read and agree to abide by all conditions printed on
responslbiilty for compliance with the Wheat Ridge Building Cod. (I�B.C) and all other lieabi
under this permit. Plans subiset to field Inspection.
C /RLCE ONE:: (OWNER) - r PERSONAL R El
EP ENTATIVE
RIN NAME: P ' SIGNATURE:
ZONING COMMENTS; DEPARTMENT
Zoning
Reviewer.
PUBLIC WORKS COMMENTS
Reviewer:
T not violato applicable ordinances,
trial all measurements shown, end
T application and that I assume full
47leat Ridge Ordinances, for work
(CONTRATOR)
F .at
BUILDING DEPARTMENT COMMENTS:
Reviewer; OCCUPANCY;
FIRE DEPARTMENT.: 0 approved w/ comments 0 disapproved 0 no review required FBIdg Valuation: $
Credit Card Payment: Use credit card listed on
Print name: �s 440yl Signatur
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11318
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 10/1112000
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 11210 W. 46TH AVE Phone : 467-2764
Contractor License No. : 18083
Company : Sanders & Johnson Phone : 422 6606
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, mles or regulations of the City of 1Nheat 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 responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and ajer applicable WFre~tRjtlge ord"ces, fy~,work under this permit. ~
Description : REPLACE BOILER
Construction Value :
$2,500.00
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$37.50
Total:
$120.75
Use:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This permit was issued in accortlance with the provisions set forih in yopur application and is subjec[ to the laws of the State of Colorado and to the Zoning
Regula[ions and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorizetl is not commenced within siuty (60) tlays from issue date or (B) the building authorizetl is suspended or
abandoned for a period of 120 days.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permi[.
(4) No work of any manner shall be done that will change the naturel flow of water causing a drainage problem.
(5) Contrector shall notify the Building Inspec[or iwenty-four (24) hours in advance for all inspections and shall receive written appmval on inspection card before
pmceediing with successive phases of the job. (6) 7he issuance of a permit or the approval oF tlrawings and specifications shall not be construed to be a permit for, nor an approval of, any violatlon of ihe provisions
of the builtling wtles or any other ordinance, law, mle or regulatioa Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
PropertyOwner: GEGsrucT
Property Address : i/Zio
Contractor License No. :
Company : S4,VeCR-_'- f ,c,c
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not vialate applicable ordinances, rules or regulations of the City of Wheat Ridge or
wvenants. easements or restrictions of recortl; 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 1 assume full responsibifj fy~ ompliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat 1"dg'e din ces, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description :
Approval :
Occupancy :
Gor~
BUILDING DEPARTMENT USE ONLY
Walls : Roof : Stories
Phone : `~6?-2 76 Y
Phone: ~LZ-~6a6
Construction Value : zs ~
Permit Fee :
Use Tax :
Total :
Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
-A
Plumbing License No :
Company :
Expiration Date :
Approval:
~ PCk
hsReguired J
Mechanical License No :
Company :
Expiration Date :
Approval :
3
(1) This permR was issuetl in accortlance wilh the provrsions set torth in yopur application antl is subject to the laws of the Stale of Coloratlo antl to the Zoning
Regulations and Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit 5hali expire if (A) the work authonzetl is not commencetl wilhin sixty (60) days from issue date or (B) the builtling authonzed is suspentletl or
abandoned for a penotl of 720 days.
(3) If this permit expires, a new permit may be acquired for a tee of one-hal! the amount normaliy required, provitletl no changes have been or will be matle in the
ariginal plans antl specifications antl any suspension or abantlonment has not e:ceeded one (1) year. If changes are matle or if suspension or abantlonment
exceetls one (t) year, full tees shall be paitl for a new permit.
(4) ND work of any manner shall be tlone that wili change the naNral Oow of wa[er causing a drainage prohlem.
(5) Contractor shall notiy the Building Inspector iwenry-four (24) hours in atlvance for all inspecbons and shall receive written approval on inspection cartl before
pmceetliing with successive phases of the job.
(6) The issuance of a permit or the approval ot tlrawings antl specifications shall not be construetl to be a permit for, nor an appmval of, any viola6on of the provisions
of the builtling cotles or any other ortlinanCe, law, mle or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION