HomeMy WebLinkAbout7233 W 26th PlaceFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler
Date: Wednesday, January 26, 2022 2:52:53 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Air Conditioner/Evaporative Cooler
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM 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.
PROPERTY INFORMATION
Is this a new install or
replacement for an
existing AC unit?
Is this Residential or
Commercial?
New Unit Installation
Residential
Property Address 7233 West 26th place
Property Owner Name Tricia Sergeson
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
360-620-8334
Property Owner Email psergeson@gmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business AireSery
Name
Contractor's License 170150
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 Email
Address
720-288-9185
breft.gallegos@aireserv.com
Retype Contractor brett.gallegos@aireserv.com
Email Address
DESCRIPTION OF WORK
What type of Air Conditioner
replacement unit are
you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for
re -hook?
Provide Electrical
Contractor's Wheat
Ridge License No.
3
II
back side parking area
Yes
other contractor
Project Value (contract 6500
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Brett Gallegos
Pe rm it
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Wednesday, December 22, 202111:13:47 AM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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 a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 7233 West 26th Place
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Tricia Sergeson
360-620-8334
psergeson@gmail.com
CONTRACTOR INFORMATION
Contractor Business Element 29 Mechanical Ilc, DBA Aire Sery of Lakewood
Name
Contractor's License 170150
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
7202889185
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
brett.gallegos@aireserv.com
Address
Retype Contractor
brett.gallegos@aireserv.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
80,000
What is the efficiency
96
(%) of the unit?
Is the unit GAS or
gas
ELECTRIC?
Where is the furnace or
basement/closet
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
12000
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Brett Gallegos
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INQ PE O � I
Insped-tion Ty__S
pe: ;---
Job Address: Z 7 C
Permit Number: ''7 t-2 f _;� 5' C7) C?-") **7 3 �
❑ No one available for inspection: Time�
` �� M/PM
Re -inspection required: Yek Nom
When corrections have been made, schedu(e for re -inspection online at:
http✓/www.cLwheatridge.co.u,-tfinspeC�ion
)il
i CITY OF WHEAT RIDGE :
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: 71 Q' W .;-.ty- -
Permit Number: D- C) 0 D \ -2-
t
❑ No one available for inspection: Time !$ ,.fie AM/PM
Re -Inspection required: Yes .P0
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge. co. usVinspection
Date:--? 30- a.k) lt� Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: CJ as lJ
❑ No one available for inspection: Time'__ r AM/PM
Re -Inspection required: ,'Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co. usrnspection
Date:_% " ti ` Inspector -71
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: V,)
Job Address:
Permit Number:
U r,
S
Ll No one available for inspection: Time AM/PM
Re -inspection required: Yes) No
When corrections have been made, schedule for re -inspection online at:
hffpYAvww. ci. wheatridge. co. us4nspection
Date: :n�- Cr/"'�d"1_Inspector:
DO NOT REMOVE THIS NOTICE
e t ® s_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: l.' 0(--f '0-, f k
Permit Number: C>
r
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at;
http✓/www. ci. wheatridge.co. uslinspection
Dater c-)- W Inspector:VI",
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
-A 60orE-Res Egress Window PERMIT - 202001288
PERMIT NO: 202001288 ISSUED: 07/17/2020
JOB ADDRESS: 7233 W 26th P1 EXPIRES: 07/17/2021
JOB DESCRIPTION: Installing egress window in bedroom. U -value is .28
*** CONTACTS ***
OWNER (720)284-7337 KENYON JOHN M
SUB (303)777-7130 THEO STEPHENS 120254 BRIGHTER BASEMENTS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,750.00
FEES
Total Valuation 0.00
Plan Review Fee 70.98
Use Tax 78.75
Permit Fee 109.20
** TOTAL ** 258.93
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first 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.
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 ennrt. I further attest that I am legally authorized to include al
I 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 andmay 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 Offiial 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
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.
� 1*440,
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 Kidge
O7/17/2O2O 08�25 CDUo
CD4823O42 AMOUNT
BPSP 7233 W 26th Pl 187.95
kPPL/PERH}T NO; 2O2OO^288
r0TAL 187.95
--------------------
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Egress Window Permit Application
Date: Thursday, July 9, 2020 2:20:59 PM
Residential Egress Window Permit Application
This application is exclusively for RESIDENTIAL EGRESS WINDOWS ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORMAN D
ENGINEER LETTER STAMPED DETAIL SHOWING THE U -VALUE OF THE
WINDOWCUT 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
existing EGRESS
window(s) needing
vertical cuts only?
PROPERTY INFORMATION
Property Address 7233 W 26th PI, Wheat Ridge, CO 80033
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address - Do not enter
a contractor email
address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
John Kenyon
15#1801010919YA
office@stellarcarservice.com
WR Electronic Payment aareement iodf
CONTRACTOR INFORMATION
Contractor Business Brighter Basements Inc.
Name
Contractor's License 120254
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-777-7130
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email brig hterbasements1@gmaiI.com
Address
Retype Contractor brig hterbasements1@gmaiI.com
Email Address
DESCRIPTION OF WORK
Number of EGRESS 1
windows being
replaced
Location of EGRESS
window(s) being
replaced (for example,
master bedroom,
kitchen, bathroom, etc):
What is the u -value of
the EGRESS
window(s)? City of
Wheat Ridge requires
the u -value to be .32 or
better on windows.
Attach copy of
Engineer stamped
letter showing vertical
cuts detail and u -value
Project Value (contract
value or cost of ALL
materials and labor)
bedroom
go
3750.00
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Lisa Wilkie
Permit
Email not displaying correctly? View it in your browser.
WIND❑W WELL DETAIL
CASEMENT WINDOW
FULLY OPEI--t 20' MIN
N
BASEMENT WALL
FRAME
WINDOW WELL
26' X 44' OPENING
TOUT
LADDER REQUIRED
IF WELL IS OVER
... 'rrn
36' MIN
PATENT ON FRAME
4' X 4' X 1/4' WELDED STEEL FRAME.
INSERT FRAME INTO CONCRETE FROM
OUTSIDE AND SEAL FLANGES
WITH RESILIENT SEALER.
ATTACH TO CONCRETE WITH
1/4' CONCRETE FASTENERS.
4'
L ------ 1 --7
36' MIN END VIEW OF FRAME
CASEMENT WINDOW,
OR EQUIVALENT
ORIGINAL WINDOW
n
i
EXTENDED CUTOUT -I
24' MIN
WHEN NECESSARY
USE MULTIPLE SETS OF 4' LONG STEEL SHIMS
TOTALING 12' IN WIDTH BETWEEN FRAME AND
ORIGINAL WINDOW FRAME, OR FRAME
AND CONCRETE, TO FORCE BOTTOM
OF NEW FRAME AGAINST BOTTOM OF
CONCRETE CUTOUT, OR BETWEEN BOTTOM
OF FRAME AND CONCRETE.
20' MIN
47.25' 55.25'
5.7 SQ FT I
MIN
29.25'
37.25'
44' MAX FRAME FACE VIEW OF FRAME
EGRESS WINDOW DETAIL KEEP TOP AND SIDES OF ORIGINAL
FLOOR WINDOW FRAME IN PLACE. D❑ NOT
THIS DESIGN MEETS THE FOLLOWING REQUIREMENTS CHANGE OR REMOVE ANY
1. MEETS 2018 IRC FOUNDATION WALL OR STRUCTURAL
2. 136 Mph ASD EXP C WIND FRAMING ABOVE WINDOW
3. 3 sec. GUSTS
4. ROOF SNOW LOAD 30 lb./sq ft
5. GROUND SNOW LOAD 42.9 lb./sq ft
6. SEISMIC DESIGN CATEGORY B BASEMENT EGRESS WIND❑W DETAILS
7. WINDOW FACES FRONT YARD, SOUTH ,
�10ENSEp
7233 WEST 26th PLACE City Of
QP��• gTUBgT•., WHEAT RIDGE, CO 80033 Wheat Ridge
O' ••d SIZE OWNER DWG NO.
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INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMITG�(��� ADDRESS: `%33 PaJOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:/J'i'7� ADDRESS: 3 3 P-� JOB CODE:
IqAr-
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
'`For landscaping and parking inspections please
call 303-235-2846
"For ROW and drainage inspections please call
303-235-2861
'For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
12
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: *10- F: nlq IQ.60�
Job Address: 7-C33 y ?64 h P/,
Permit Number: 201707 %05
❑ No one available for inspection: Time 1'2 '105 -AM)
Re -Inspection required: Yes (90
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 3/2V)`) Inspector: bard Love t
DO NOT REMOVE THIS NOTICE
► ' City of Wheat Ridge
� Y
Residential Roofing PERMIT - 201707785
PERMIT NO: 201707785 ISSUED: 09/28/2017
JOB ADDRESS: 7233 W 26th PL EXPIRES: 09/28/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 22 sq Pitch = 5/12
*** CONTACTS ***
OWNER (720)284-7337 KENYON JOHN M
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#k: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,875.00
FEES
Total Valuation 0.00
Use Tax 123.38
Permit Fee 140.90
** TOTAL ** 264.28
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
► A . City of Wheat Ridge
304'r
Residential Roofing PERMIT - 201707785
PERMIT NO: 201707785 ISSUED:
JOB ADDRESS: 7233 W 26th PL EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles
09/28/2017
09/28/2018
22 sq Pitch = 5/12
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'
y the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be er d 's disclosed in this document and/or its' accompanying approved plans and specifications.
E�10-10-17
Signatu
0•-
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 Budding
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 an 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, any violation of any provision of any
applicable code or rdmance or rtiojurisdiction. 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.
r ' 1
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Monday, September 25, 2017 10:48 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 7233 W 26th PI
Property Owner Name John Kenyon
Property Owner Phone 720-284-7337
Number (enter WITH
dashes, eg 303-123-4567)
33
L
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
jwiles@interstateroof.com
Yes
Attach Copy of Executed contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Interstate Roofing
Name
Contractor's License 019938
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-763-9114
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 1000 W 47th Ave
(Primary address of your
business)
Contractor Email Address jwiles@interstateroof.com
Retype Contractor Email jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 22
the entire scope of work:
J
Project Value (contract5875
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
Nom
Pitched roof (2:12 pitch or greater)
34
both? (check all that
apply)
What is the specific pitch
5:12
of the PITCHED roof?
How many squares are
22
part of the PITCHED
roof?
Describe the roofing
O/C Duration
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional
house
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
35
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 Jeremy Wiles
Email not displaying correctly? View it in your browser.
36
v,eaeree,meni ren,M�rov..
referrafiv 0 com INT
ERS
TATE ♦`
ROOFING suis
Submitted To � r j �v tc' J ^ Date a' '
Email Phone Alt. Phone
Street I �; �' 1( cityl) -,tib R� �i° r State �r L Zip &c 5
Insurance Company L(1(l rS Claim# ',±'11 >S (' ? yu' -% / Policy# 6b, L' 10 Ll Y
Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate
Roofing Inc.. however, interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company
unless you authorize the work and agree to pay for this additional work.
Shingle Manufacturer (✓ 1 ti �.ry S ��N rr l' Type C j 6' I�C�� iG'z �1 1 Color &I In-t���
r
[Tear off_ layers of composition shingles ❑ Tear off one layer of wood shingles
❑1 Install Decking (7/116" OSB)
u�y/ Install new felt .7-Y 11)'
h�d/}n stall pre -painted Leave metal to code - Calor Brown Charcoal Tan Gray Whit int.
l� Vaiiey(s) will be closed ❑ valleys will be open
Q Ridges) to be color -coordinated
❑ Ridge(s) will be "High Prefile Ridge" color -coordinated shingles
EA Install new pipejacks
Replace Vents as needed
❑ Re -flash chimneys and all wal abutment as needed and if possible (stucco or siding may be a deterrent)
❑ Install Init of series ridge vent
❑�Instal In ft. of ice & water sherd to code, :.
[! ]/ Install L , halls per shingle i , _
C�' Clean out gutters
L�1 5 year workmanship warranty
Interstate Roofing, Inc will provide general liability insurance coverage of $2.000,000. general aggregate
�jMake a magnetic sweep of driveway and yard for removal of any nails
Cdf Remove all debris resui 'tir from above work) i/- /1
C✓� Sp iai ns; act ons !G IN(�, j' i 1'L C S ` 7 C f f ��S J, , >-
� —
or' 2 r •.�` ' LJ'} c �" ',.0 -r c" f C' 1(L. 71 C. I F
A -
The approximate costs of the services based on damages known at the time this contract is entered is
_ interstate Roofing, Inc- however, will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds. with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or
additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance
-r policy. _Suppiemenial claims billed by Interstate Roofing. Inc. that are aproved by the insurance company for additional work or increases in costs
become a par, of this contract. 26 Ll
Approximate Dates of Service These dates of service are subject to change due to unusual delays in
transportation of materials. ordinary wetither delays, ciby any other causes beyond the reasonable control of Contractor
Notice:
T—
It the property owner pians to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S.- to
pay for the roofing work, pursuant to section 6-22-105, the rooting contractor cannot pay.. waive, rebate, or promise to pay, waive, or rebate all or part
_ ci any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any
subsequent loss drafts cr checks after today's date as indicated above.
I (Wei also authorize any legal representative andior agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding
p,ocess relative to the claim number referenced above.
I Iwe) further authorize Interstate Roofing. Inc. to pick up in person any loss drafts or checks on myiour behalf and behalf of Interstate Roofing.
Deposit Amount: $ Date: RU, Initials
Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing
materials at the residential property site or has preformed a majority of the roofing work on the property.
I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement
Date of Acceptance ' - J Client Signature(s)
��� i�
Representative .„�, _ v � L, � � , �� ._�If,�Ll
Corporate Headqua le Colorado Springs Office Fort Collins office Cheyenne Office Black Ins. Agency
000 W 47th Ave 2161 N Academy Blvd R 970 482.7722 F 970.682 1018 ;010 S Greeley Highway 9600 E Arapahoe Rd #205
Denver, CO 80211 Colorado Springs. CO 80909 Toll Free 877.898-8144 Cheyenne, WY 80211 Englewood, Ca 80112-3726
P. 303.7539114 F 303.789.3790 P 719.4x719752 F 719 597 4444 www.interslateroof.com P 307.6342553 (303)397-7820
www. interstateroof.Com info @ interstate roof. com
i CITY 6F WH' E"At RIDGE
Building In§pection Divjsion
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 7 3 33 K) ]3 L
Permit Number: 13 y / -7 O -7 i 8 -T-
n a, par k, 'V .
00 O C E�gftrlA� , c C At"
I/ e Yi)-Sc Let U (,re at
0o' Q1 .
'❑ No one available for inspection: Time J - C I AMD
Re -Inspection required: `es No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: I o• a y 1 Inspector: =rb
DO NOT REMOVE THIS NOTICE
V
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ,,
Job Address: i 3 'i W a I Uj 1
Permit Number: 0 17 0 `7 -7 S- S`
r"nos ) 6) o -+- D p co •e d
Cwt'
❑ No one available for inspection: Time jV: I1 (9PM
Re -Inspection required: G No
When corrections have been made, call for re -inspection at 303-234-5933
Date:—i c 2 Inspector: ^f
DO NOT REMOVE THIS NOTICE
ro
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: 3 o b - o"I - d
Job Address: -7a 3'7, w
Permit Number: 9 o I-7 0 -7 -7 q �—
lw�
❑ No one available for inspection: Time f AM/PN
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: is -d 73 l7 Inspector:
DO NOT REMOVE THIS NOTICE
w u.�
Pro OWner Qhmse print)" �
elfin a (if different than proper address)
,A! Plan
rrrAt
Address
My, State, Z
MMMM
Contractors City Ucen
Electricalr
Phone. k
City License
".
(Fully describe work to be pe rformed - Attach additional s heet if necessary)
C tM t tWar
Re view Fee (tt' tt of tirne orm4br =#t.,,:i„
S ymms ..., 4 BTU S .u� Gallons �.... m._.ww Amps � ..�.u_ q Ft ----- .m ---- m,9_
r
3 ia,ns i+? LCWQ tam dw waieM th em "s pg aa( by th pea "a % %at zmphe aasraaa an; aai`a koa'ane and to su %MY appiwaW a %a"33ssaa %t ec,,
MN a'a ,`&.'x4dr'e3$ &a"rY7+of Ow Oq a " " +$ Mom RWy"v aw n c @C,3.%a ot Ce'aaIIda„ ion'+ 1A rv�k'A 4d ihm �di - jlo %to <ind
auga s seam az.1. =aa ne. Owl t hale r"Id Mai agmv to MR: b aH c."aaaa?itkm% priaan! Am d& .atatsisMm mW Km i ww%a c twit
0.s jo-c'iS3 *3NH, hw casaq.'sNstR" a his qjAwhk Oy co "Im" RkWc m:a'adv' ,anvl' asrdinata:vs loq' 3sndo a§as4 pca "nor i k d h a' A:d ,
04 NTiiawasas< L Mm I Oat ", Ow i;;agM o u ,a% have I= rased >ta " - 3 ed h) the i a w) aafaiaaz i��a�a %i�catt" to to eat'onra tic aia ^ ssh ai "�e "a4
aabW %"add +" awPtaSSwd by dFa,.; st.M', „ti e +143;',t„3 A C°MAY %t`at'"&kda."d 03 this a #�:a., sh it "eiS 0t a3 w h'? lhm cs itnt on fl6' applik"aT Am
ttrlr %E N) EE t r a 41 Tt {ORtt"f°D RFPR1 I Ifit q/ f011 \1a) WON I' ICTO t
�II��
Bldg Valuation:
11 A 4
1:2110. #
if
7500 W EST 29th AVENUE
234-5933 P.O. BOX 638
DEPARTMENT OF GOMMUNITY DEVELOPMENT M94#19827
BUILDING INSPECTION DIVISION PERMIT N0.
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY WNEN SIGNED BY THE r,H;EF BWLDiNG iNSPECTOR ANC RECEiPTED BELOW.
APPLICATION FOR MISGELLANEOUS PERMIT
_.Z3S W ~(cN- P - . OWNER ~`l'~ , - 'R7SO1V
JOB ADDRESS
Lr. C-G"`^57=~ ; - ADDRESS
CONTRACTOR Z ZIP CODE - I
2 37 iuFF A I PHONE = ~ .
-
ADDRESS - Z . S' ~ ZIPCODE `b-ZS' CONTRACT PRICE $
CITY L Qk E W 114
PHONE :A ~9 °3-~~~i L LICENSE NO. 1 7 21 1L- DATE
r-i
e❑
l❑
Wol
Proiectinp
01Mr
Totol Squ
an Faat
a❑ NoU
Y
TYp°
Elect. Po
mit No.
s
SIGNS
N
E
W
Zone_
Zone Inapeeta
ADDrwed,
PROPERTY lME N.
_
❑
S~
~
~
DisaDDrwad
y whicA ia f ron1)
id~ Mon Than 80% ODenO
r
Loss Than B
O% Open
Hliphf
~
MATERIAL
FENCE S
E N
5 E
_ W
Ze^e_
ADDra'~,Zont InsDecta
,
3. SET BACK FROM PROPERTY LIN
~
❑
❑ ❑
DiaaD7roved
(Soecitv whiel+is front) _
5 or D FeoO
1
ciFl= TG
~
~AU i Am~~r
OTHER 2 ~
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVII:G DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJFCTIONS INCIUDED)
~
SPECIFV NORTH
STREET NAME
D S AINCENTOSPRFROM OPERT'YE l+NES, NOTDIMAX MUMJOR IAVERAGEEDISTANCE S,AND PiiOPERTV IINES;ON IRREGULAR lATS.SHOW LEEaSI
SHOW
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BWLDING INSPECTION DIVISION.
PERMIT WILL ERPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
PLUMBING PERMIT MECHANICAL PERMIT
ELECTRICAL PERMIT
STATE LICENSE N0. STATE LICENSE NO
UMINUM VARE UNDER SIZE 8 ILIEGAL FLOOR BSM I ST 2ND 3RD 4TH N0. pRCED A~ ~ pl BTU E~
WATER CIASET F{p7 WATER - BTU
1.
TEMPORARY METER WASH BOWL _
BATH TUB STEAM BTU
NEW SERVICE - AMPS AIR CONDITIONING-BTU
CHANGE SERVICE-AMPS SNOWER OTFIER
SINK . __.~.........~rru
UTILITY (RANGE, DiSPOSER, ETC )
AUTO. WASHER
AUTOMATIC SPRINKLER SYSTEM
FIXTUFES
DISH WASHER
ELEVATOR
WIRING MOTORS 9 CONTROLS
FLO(~ DRP.IN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
REMARKS
NOT VALID UNLESS RECEIF
PERMIT FEE
1 hsrebY acknowledqe thot this aDVlica-
tion ie correcf and understand tnaf I
USE TAX
°
-
Gonnof start this projdct until thif oDDI,-
FE
l
eotion is opproved. I shall comply witn
TOTAL
the lowe oi the State of Coiorado ond to
e ond Buildinp
l
ti
~
ROV
~7
on
a
the Zoninq Requ
DISAP
~
(
1
Code of tne City ot wl+eat Ridqe. Any
e
CHIEF BUILDIi
INSPECTOR,Ci}ybf Wheat Rid9e
violation o1 the obove rorma wdi caus
CALL234-5933
immediate revocotion of this Dermit
24 HOURS IN ADVANCE
A
~
FOR INSPECTIONS
_
~
Date Issued
~ ~eeM. iy} mr