HomeMy WebLinkAbout4580 Flower StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair
Date: Wednesday, March 30, 2022 10:32:31 AM
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 Sewer or Water Line Repair
This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4580 Flower St
Property Owner Name Simon Echeverria
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"
303-810-5321
none@none.com
WREPF8277-22. Ddf
CONTRACTOR INFORMATION
Contractor Business Pipeline Solutions LLC
Name
Contractor's License 120127
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-810-5321
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email denpermits@gmail.com
Address
Retype Contractor denpermits@gmail.com
Email Address
01:K163CiIi1 ffl0N]avOLelS:/
Is this a sewer line or
sewer Line
water line repair?
Length of repair
50'
Location of repair
Front yard
(backyard, frontyard,
etc)
Provide additional
dual clean -outs next to the fondation
details including
installation of clean -
outs.
Project Value (contract
6200
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 Jose Guerrero
Pe rm it
Email not displaying correctly? View it in your browser.
e City of Wheat Ridge
' Residential Electric PERMIT - 201801519
k,
PERMIT NO: 201801519 ISSUED: 05/24/2018
JOB ADDRESS: 4580 Flower ST EXPIRES: 05/24/2019
JOB DESCRIPTION: Upgrade electrical service on detached garage from 100 amp to 200 amp
*** CONTACTS ***
OWNER (303)668-8955 PARKER DIANE S
SUB (720)985-7399 Jon Tozier 130136 Green Mountain Electric LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
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 le at owner of theproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this -pe t. I further attest that I am legally authorized to include all entitiesnamed within this document as parties to the work to be
perform and at all work to be performed is disclosed in this document ' nd/o its' accompanying approved plans and specifications.
Signatu OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 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 sball not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or dinance or r lation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of'
Wheat j , dge
com,
DEVEt.OPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # )
X01 � l
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: `l Sga L <<(D w &(
Property Owner (please print). �NeV (2, Phone:
Property Owner Email: VKS is , c'DC-N
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
ne•
Contractor: V %L'e'- Z l L
City of Wheat Ridge License #: Phone:
Contractor E-mail Address: 01 fes` ^U`� `��" ^����� �' °��"`O"` �I'\
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):,�D� 1_o2 -k e39— Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
❑ COMMERCIAL
RESIDENTIAL
Description of work: For ALL projects, provide a detailed description of work to be performed,
including current use of areas, proposed uses, square footage, existing condition and proposed new
condition, appliance size and efficiency, type and amount of materials to be used, etc.
U'?() -�47t (�-,LA361 Q- A C_A-k .
Sq. FULF BTUs
Amps 1DL) Zo Squares_
2-oo kv"R
Gallons
�01D �
Commercial Projects Only: Occupancy Type: I Construction Type:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the pplication.
CIRCLE ONE: (OWNER) ONTRAR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CO RACTOR)
Signature (first and last name): DATE: 5
\Z� V
Printed Name: ( btt _ –T-dA—
L �—
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
i CITY OF WHEAT RIDGE ,
Building Inspection Division'!
(303) 234-5933 Inspection
(303) 235-2855 Office • (303) 237-8929 taxU 1
INSPECTION NOTICE _
Inspection Type: 1<%
Job Address. eon 5 f -
Permit Number: F
❑ No one available for inspection: Time
Re -Inspection required: Yes o
When corrections have been made, call for re -inspection at 303-234-5933
Date: / "/, Inspector: ,,.�w C/ %i,*—+ --
DO NOT REMOVE THIS NOTICE
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 IPM) to receive an inspection the following business day
PERMIT: 20140JU9ADDRESS:4TS ' F`&,,,r4, S71 JOB 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
!AVER F` ? '' M "` . r,
PERMIT: ADDRESS: JOB CODE:
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
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.
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: �-A oc� F )' _,_i
Job Address: H'3 E3 O F)
Permit Number: --6
ab- vej
IJNo one available for inspection: Time �� �jVI PM
Re -Inspection required: Yes /Nc
When corrections have been made, call for re -inspection at 303 -234 -
Date: a� ► �� ] Inspect ) C+
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J
Job Address: q 5"-S D F to ,,e r- S -�
Permit Number: ��o 1'7 D 8 -3 q
AA
d
❑ No one available for inspection: Time / = 5---4 AM/&
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 11-2 Inspector: 'Ti`?
DO NOT REMOVE THIS NOTICE
i CITY10F WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 d & - /? ' j
Job Address: (-ISS 0 q)o t, � S �-
Permit Number: 'a 0 t 7 o g 3 /o 9
7.�
ICL
-w W Gu: n ®. T/
r
❑ No one available for inspection: Time 2 : OR AM PM
Re -Inspection required:es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1f1,__> 1-7 Inspector: `fib
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201708369
f
PERMIT NO: 201708369 ISSUED: 10/17/2017
JOB ADDRESS: 4580 Flower ST EXPIRES: 10/17/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 31 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)984-2906
PARKER DIANE S
SUB (720)248-7374
Scott Jeffrey
120089 Mile High Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2002 / KIPLING,
I-70 & CLEARCREEK ARE BLOCK/LOT*: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 12,500.00
FEES
Total Valuation
0.00
Use Tax
262.50
Permit Fee
251.85
** TOTAL **
514.35
*** 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201708369
201708369 ISSUED: 10/17/2017
4580 Flower ST EXPIRES: 10/17/2018
Residential Re -roof to install GAF asphalt shingles - 31 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 specificationst
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 permrt. 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 OWNF,R or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the 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 Offcial and is not guaranteed.
4, No work of anmanner 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, anviolation of any provision of any
applicaWe`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
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 16, 2017 2:33 PM
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 4580 Flower St.
Property Owner Name Dan & Diane Parker
Property Owner Phone 303-984-2906
Number (enter WITH
dashes, eg 303-123-4567)
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
Field not completed.
Yes
Parker - Signed Contract.pdf
CONTRACTOR INFORMATION
Contractor Business Mile High Roofing, Inc
Name
Contractor's License 120089
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)
720-248-7374
8120 Sheridan Blvd.
Contractor Email Address office@milehighroofinginc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
office@milehighroofinginc.com
TOTAL SQUARES of 31
the entire scope of work:
Project Value (contract 12500
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
6
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
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)
31
GAF Armorshield II
Asphalt
Remove and replace roof on house and garage
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.
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 Scott Jeffrey
Email not displaying correctly? View it in your browser.
MILE HIGH ROOFING, INC.
COLORADO'S ROOFING AUTHORITY 9053 UTICA ST, WESTMINSTER, CO. 80031
Client's Name
Property Address: City: 1AA1?4A __G%0 State: ,(o Zip: li 3
Cell #: _ql) 3 — _ Work #: Email:
Mortgage Company: Account #:
Damages Result of Wind and/oHail or Other (Specify if Other):
Insurance Company :_Af j /'I N/M a Claim #: 3q6 9416 6 Approx. Date of Loss: 5/ 0 /_17
Client has hired Mile High Roofing, Inc. ("RJ to assist and process its Claim so that it can avoid the unfamiliar and inconvenient insurance claims process. Client understands
that MHR is not a public Insurance adjust r, but desires for MHR to discuss with the Adjuster the scope of repairs needed on the Property. Therefore, Client directs its Insurance
Company and/or Mortgage Company (w ch tern shall include any lien holder) to discuss any and all aspects of the Claim with MHR. Client directs its Insurance Company and/or
Mortgage Company to include MHR as payee on all drafts, checks and other instruments issued in payment of the Claim. Client authorizes its Insurance Company and/or
Adjuster to forward any estimates or scop s of work to MHR.
Client hereby assigns MHR any and all proceeds of its insurance benefits (including all supplements) for the Claim which is identified by its number in this Contract and Client
hereby directs its Insurance Company to i iclude MHR as a payee on all drafts, checks and other instruments issued in payment of the Claim. Furthermore, Client agrees that any
and all payments received from the Insur e Company by Client shall be immediately endorsed to the order of MHR and delivered to MHR. The parties hereto further agree that
MHR shall be entitled file a supplementallaim, as necessary, for material or labor increases and/or incorrect measurements.
IF CLIENT HAS A REPLACEMENT COS VALUE POLICY, CENT'S OUT OF POCKET EXPENSES WILL NOT EXCEED CLIENT'S INSURANCE POLICY DEDUCTIBLE FOR
WORK AGREED UPON BETWEEN THE I SURANCE COMPANY AND MHR. - - -
Client hereby authorizes MHR to procee with the description of work as outlined in the Claim. If the Work described in this Contract is in excess of the work described in the
Claim, Client Is responsible for payment the difference unless the contract is cancelled by Client pursuant to the cancellation policy set forth herein. MHR agrees to commence
and complete the Work in a Gornmerciall, reasonable period of time, and agrees to complete the Work in accordance with all applicable laws, rules, regulations, ordinances and
codes. "Completion" of the Work shall bE deemed to have occurred when Mile High receives the final approval of the Work from the applicable authority, U required, or otherwise
upon notice of completion from MHR. M R shall not be liable for any delay in performance under this Contract caused by events beyond its reasonable control. Client hereby
agrees that MHR shall have access tot Property for the staging and execution of the Work. If Client fails: to reasonably cooperate with MHR so as to prohibit, interfere with or
delay the Work, MHR shall have the right o terminate this Contract upon delivery of written notice to Client and shall have no liability to Client as a result.
MHR shall provide the fotl wing materials, labor, tools, equipment and supervision (the "Work") required as selected by Client or its
representative and will pperrfo�rm the Work in a good workmanlike manner according to standard practices within the industry.
TEAR OFF: allfQ e I ✓ —_ VENTILATION SYSTEM: o r h e- -
DECKING: a ICE AND WATER SHIELD:
UNDERLAYMENT: r f',�1 MATERIAL:
W m VALLEYS: C it (V COLOR: into
O T PIPE JACKS: CC( 4 HIP AND RM.
C DRIP EDGE: MIX.:
NAILS:
Est. Cost of Work: _
0 GUTTERS: KLPlGlt i1 t<I DOWNSPOUTS:
F0 COLORS: D40< lih7flZe, 0 MISC.:
O
O Est. Cort of Work: /l
TOTAL Est. Cost of Work: i r OL) Initial Payment/Date:_1LP_ /—LI— wal
This Contract constitutes the entire ogrement between Client and MHR with respect to the Work, takes precedence over all prior written or oral agreements between Client and
MHR, and this Contract may not be ified or amended except by a written agreement signed by Client and MHR. If Client fails to pay MHR any amounts due under this
Contract within five (5) days of Completi n of the Work or upon Client's receipt of funds from the Insurance Company for the portion of the Work to be paid by the Insurance
Company (whichever comes first), Client grees to pay all costs of collection plus reasonable attorneys' fees and ten (10) percent interest per annum.
The Total Cost of Work and all other am o nts set forth in this Contract are estimates based on what is known about the condition of the roof and the damages to the roof as of the
date the parties enter into this Contract If the damage to the roof is more extensive than known as of the date of the Contract, if current market labor and/or material prices
increase or if the condition of the roof c plicates the project, the Total Cost of the Work set forth in this Contract is subject to change.
Approximate dates of service: _I, � _ / / U ' to _-yam / a / i—T. Please note that the dates of services are subject to change due to unusual delays in
delivery and transportation of materials, weather delays, or other causes beyond the reasonable control of MHR.
Any payment made by Client to MOR will be held by MHR in Its bank account for the benefit Client and it will remain Client's property (i.e. the payment
will be held in trust) until MHR has Oelivered roofing materials to the Property or has performed a majority of the Work on the Property.
CLIENT \ / / WE HIGH ROOFING.INC.
PRINTPRINT:
A
SIGN: SIGN:
Important terms and conditions are included on the second jl.g. oft Contract. Please read the entire Contract. —�
r -
f -i
O
N
w
H
\
M
0
4#
> m
O 7
A
m ro
q
m ro
u~
ro
H m
m u
v
o w
H
m N
W d
m A
E O
m
H ro
a m
V
m 0
N
q
v 0
+i U
A b ro
m .mi N
� b w
U
o f0A p
m
a a °
W 0 C
m
a u
m
m o
y w
m
x u d
" A a
H 41
O -a U
3 0
m
a
u °u �
H m
m •°o m
O
v 8
0
-Oi p H
b ro ro
,Gm
H w
mC m O
L
u N
m m
w
m a
m o
w P, o
m
11 0
3
41
ro m
V
U H m
M d E
w a
o
m a >
U N y
,� ro
ro
F a b
w
ro
O
3
w
x
ro
a
a
a
a
H
H
3
m
N
a
E-
U) z
U
0
0
w
N
E
w •• z
Ca A W N S
x � a � a
o .. w
U F W
R a ax
a a w w F
0a o
o U a a w
4J
0
4
4.)
z
3 0
b)H
� H
b a
� a
-'4 0
� U
A y
0 a
4 H a
O H N
H4-4
$
U U O
4
" 3 .0
� U
�roa�
td O
O N $4
A U 41
�0
� O
W
O O
t3l$4
b a
x
U
z°
�f
41rlln <�-4 1 N 14n 11 a,�k
L v1 NSot&ION RECORD
f oli INSPECTION REQUEST LINE: (303) 234-5933
QccupanyTxpe
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Monolithic Slab Reinforcement
Caissons
/r -I F. � � •ti'
Concrete Encased Ground (CEG)
Footing/Stemwall P.E. Letter
Final Mechanical
uo wur rnur a nnnrara wrier i n nnnriavfti r w The n ra.a.,..
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below/ In -slab)
Heating (Below/ In -slab)
ME' -L->\ V1iwlV'1a MW l I L6 L -J la 19915 111 UM.1:4[01'd/I I A Qair I aS IAII&l.I'MJm1ralM W -.W- Z a H:T7n'_T_�7r_7 _
Rough Inspections
Date Inspector Comments
Initials
Wall Sheathing
Comments
Roof Sheathing
s7
Lath / Wall Tie
Rough Electric
/r -I F. � � •ti'
Rough Plumbing
Rough Mechanical
Final Mechanical
Gas Piping
vV i UL rrv4CUu VVIL"yui MpproVal VT HDOVe KOUgn Inspections
Rough Framing
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
i 'als
Comments
Final Electrical
s7
. a K4
Final Plumbing
--
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requeste
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
*'"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.
vuuupanuy is Not rermittea until A uertlflcate of Occupancy Is Issued
Protect This Card From The Weather
4 i CITY OF WHEAT RIDGE.... .
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
%
Inspection Type: r ,� 1 f /E +
Job Address: t -.i S 4 0 w P A,
Permit Number: / L 0 / V I
S 92
❑ No one available for inspection: Time G' AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 3, ° Inspector: lt�s
DO NOT REMOVE T141S NOTICE
T
P
41 CITY OF WHEAT RIDGE
]��j Building Inspection Division
(303) 234-5933 Inspection line
1(303) 235-2855 Office •,(303) 237-8929 Fax
INSPECTION NOTIC
Inspection Type:
Job Address: . R,�,ie
Permit Number: / F'
❑ No one available for inspection: Time
A PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: f7 Inspector: 1 j ..
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: f� I
Job Address: �' o FL°�� S -r
Permit Number,
2 -0/60/Z -y3
f% ✓ r✓1
�:+15 'F'-�-.
VF
❑ No one available for inspection: TimeA1C
Re -Inspection required- Yes No
*When corrections have been made, call for re -inspections at 303-234-5933
Date: 3 2 _ Inspector: /l.lr cr%"
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE '
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 6r- i l P r!
Job Address: tiS t o n6 +i -fe. i t
Permit Number: 3- 0 1 C b A 143
N v ® f ►JST-All o r 4 ec__JP4
Corr I /It w are
❑ No one available for inspection: Time 3 0 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
i 1CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: it'd t
Job Address: q 580 F4--0L�/d� vZ- 5-r
Permit Number: 70 t J6 o 12 `I 3
OCG r 1' e ei � 0 �--
❑ No one available for inspection: Time r 2 39
Re -Inspection required: YesVo 1
*When corrections have been made call for re -inspection at 303-234-5933
-5 — r
Date: Inspector: '-
,� R
DO NOT REMOVE THIS NOTICE
Ll
4' 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:. L)SZ07
Permit Number:
fn)c n
ALAS 'S1% a No' U & it k
j
0 No one available for inspection: Time 69/pm
Re-Inspection required: YesCNg)
When corrections have been made, calf for re-inspection at 303-234-5933
Date: 1) Inspector. !' J
A
DO NOT REMOVE THIS NOTICE
Vol
c�Ty
On �yF
o3�23s 83¢ S93 e�t�o �A�O
/nspe o fie . s� O;vi F
Ct/ I
AerJOb gaarTyae; �SpFO%I
mit N -eft. O/V `a r
J
0/
?0
a jai/ab/� dot .
�r,ec�on t�9Uit�,Q,. /ns'b��tion .
�` �s hale beef yeS /,Vo Mme
cam?fore.
ON�%'9 p��tot f i,�spec fob at
,A/II 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: 72) W S
Job Address: Ll 0 f C �--
Permit Number: mss,)) 6 (Z>)aLL3
DWs
I f,
M
❑ No one available for inspection: Time i PM
Re -Inspection required Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: /A// Inspector: ' R, C�:4
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: t` iz I
Job Address: L1590 rLow , • c
Permit Number: ;Z-0 L O f 2-q3
❑ No one available for inspection: Time AIm
Re -Inspection required: Yes No
*When corrections have been made, caft for re -inspection at 303-234-5933
Date: 11 < lnspector:c�_ 1. --Tuc_c�/
DO NOT REMOVE THIS NOTICE
DMSION.19 ii !i
City "
t,
IL-
1CC 1CC 1CC
PMG LISTED
Look for the trusted marks of Confarmityi INN
",20014 recipient of Prestigious Western States Seismic Policy Council
(WSSPC) Award in Excellence" Subsidiary of tofm coc ci
ICC -ES Evaluation Reports erre not to be construed as representing aesthetics or any other attributes not specifically
addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation on far its use. r
There is no warran by IC"C valuation Service, LLC, express or implied, as to an fin ing or anther matter in this report,
or as to any product covered by the report. t
Copyright 0 2015
0---)
N v i
6
wA// &e),v
/SA4'h f -A`' RIJViRF,D
City of
Who& e
OMMUNiTy DEVEL MENT
Wheat Ridge Buildi Division
gpPTov Plans
PI ns Ex nF''
Validity of permit. The ssuance of a permit or approval of port&
not be a permit for. or an
specifications and computations shall
of the provisions of the building
_Opproval of, any violation to any
code or of any City ordinances. Permits presuming_tO give 36" [92cm)
authority to violate or cancel the provisions of the Building codes
or other ordinancesofthe City shall not be valid.
In
City (A
W h6a-t 1'�Ocjgc
Dt,,'VF1,,()PMENT
as .
111111111111111111111 111111pilillillill
FOR OFFICE USE ONLY Ik
Date:
plawpermit#
Property Address:
Property Owner (please pfint): bri, tj At '_44,--
I- Phone:
M
li 111111 p�ljplllji 111111111111�lil!
•
Address:
alt
Contractor,
Contractor E-mail Address:
Electrical: G(e,4wA mvill I, Plumbing. Mechanical:
4-5
WR City License # �7�' W,R, City Ucense# WR City License #
Other City Licensed Sub:
City License #
Complete all information on BOTH sides of this form
NEW COMMERCIAL
NEW RESIDENTIAL aw r COMMERCIALROOFING
COMMERCIALCOMMERCIAL ADDITION [I RESIDENTIAL ROOFING
RESDENTIAL ADDITION 0 WINDOW REPLACEMENT
.+ STRUCTURE
RESIDENTIAL ACCESSORYg shed, deck,
MECHANICAL SYSTEM/APPLIANCE.. R or «. a
PREPAIR
ELECTRICAL SYSTEWAPPLIANCE REPAIR►
• - •
r
fL
,w 4,—'$ t * e[
v- C 6L r9,el i.,�.�a"e.:� epi ��»���:5 �'�,::4:1., ie'ra
qq � j g
_.
g
Sq, F LF Btu's gallons
Ami Squarss Other
File No.: 5512-2632389
Printed: 05/16/2016, 11:31 AM
Officer/Escrow Officer: Maureen
Tornashosky/MT
Settlement Location:
6155 South Main Street, Ste 280, Aurora, CO
ALI A
A dopted 5_01_ 01
dopted 05-01-20
First American Title Insurance Company
1� I
6155 South Main Street, Ste 280 # Aurora, Co 80016-5364
Phone: (303)531-1940 Fax: (866)305-4031
Final Settlement Statementh
nt
'roperty Address: 4580 Flower Street, Wheat Ridge, CO 80033
wrower: Diane S. Parker, Dan M. Parker
.ender, Westerra Credit Union
ettlement Date: 05/19/2016
)isbursement Date: 05/24/2016
Description
Financial
Loan Amount - Westerra Credit Union
Loan Charges
loan Charges to Westerra Credit Union
Prepaid Interest 05/24/16 to 06/01/16 @$1&040000/daY
BriginatloWFee
�;,7re fee
Appraisal Fee
Credit Report
Flood Certification
i'ax Service
Impounds
Aggregate Adjustment
Title - Policy, ALTA Lenders - 2006 EXT
Policy: ALTA Lenders - 2006 EXT to First American'Title
Govemment Recording and Transfer Charges
Record First Deed of Trust
Borrower
Debit T--Pr�lt
128.32
i95070
15.00
443,00
875
-TI70-0
9.00
827.75
284.00
This is a summary of the closing transaction prepared by First American Title Insurance Company. This document is not intended to replace the Closing
Disclosure form.
Copyright 2015 American Land Title Association, File If 5512-2632389
All rights reserved Page 1 of 3 Printed on 05/16/2016 at 1131 AM
3VOR ,
y k
TM` Y
Gjq
t
s
x '
Outlet t t pe, location arid spacing
2014 NEC,
Minimum 50 CFNM exhaLISI, fall
vented to exterior shall be provided
in toilet. roorns and 1xithroorns,
we
is
C
. t..C,
W w 0.
I
I
I
I
I 9 n
{{°`�- E 4'➢"'6F1 A�BGah 319:.
4 f A C
�i
k. `, No one available for inspection: Time ?f D AM &M
i. Re- Inspection required: Yes s
r "When corrections have been made, call re-
to i n'jpec f ,n 303 - 234 -33
59
y< �� J
Date: i Inspector: f� � �� at
DO NOT REMOVE THIS NOTICE
.lip r
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) Office " (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
A
fvxsl FF , 1 0 $ f yt C? t E L6 y
Job Address l.rit �az,s�
Permit Number
fit'
r
I Fi NCfJ�f Fl.farV l =fm9�. a« )z4 4 F
I 9 n
{{°`�- E 4'➢"'6F1 A�BGah 319:.
4 f A C
�i
k. `, No one available for inspection: Time ?f D AM &M
i. Re- Inspection required: Yes s
r "When corrections have been made, call re-
to i n'jpec f ,n 303 - 234 -33
59
y< �� J
Date: i Inspector: f� � �� at
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 110528
PERMIT NO: 110528 ISSUED: 05/11/2011
JOB ADDRESS: 4580 FLOWER ST EXPIRES: 05/10/2012
DESCRIPTION: Replace 101f of sewer line in yard and ROW
* ** CONTACTS * **
owner 303/984 -2906 Dan Parker
sub 303/696 -9599 Steve Wakeham
01 -9921 Pipeline Industries, Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0231
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 750.00
FEES
Permit Fee 36.70
Same Day Inspection 60.00y,��y.;�y, -
Total Valuation .00
Use Tax 13.50 n.
** TOTAL ** 110.20
Jreof sig� t e, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
i s, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
o have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
s ribed and approved in conjunction with this permit. I further attest that I am legally authorized to include all
ed within this document as parties to the work to be performed and that all work to be performed is disclosed in
nt and /or its' accompanying approved plans and specifications.
of OWNER _ or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, 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 in ti
Signature of re uilding Offical Date
INSPECT N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
_ Wh6atfZ,jg,c
PK 'j
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan #
Pennit#
Proper tA6 G cry (rr ---
Property Owner (please print): �\ - Q 01 e9 (� QC- =�DQ( Phoi
X0 - ::)
Mailing Address: (if different than property address)
Address:
City, State, Zip:
I
H -2qoG
% I
License #: -\ 1— q Q - 2 1
Phone: �r*\7:2—
R-P-q --!± W 1
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Contract Valu
$-- I -?t �o
Review Fee (due at time of submittal):
Squares _ BTU's Gallons — Amps Sq Ft. $
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, casements or restrictions of record; that all measurements shown and
allegations made we accurate; that I have read and agree to abide by all conditions prlfht d on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordi me for work under any permit issued based on
this application; that I am the legal owner or have o authorized aut
been by the legal net f the property to perforrn the described work
an
h� i th ho d arn also authorized by the legal owner of any entity ncluded on this applie in o list that entity on this application.
CIRCLE ONE: ER) (CONTRACTOR) or (Aj� /ZED VE) d (OWNER) <&::NT�C:P R)
PRINTNAME:�Zq '\) Q\ (, � DATE: kJ f
1- 111111
In
rr IP � WEY JOB DATE 05/11/11
p y �
� L
NNCN USTRIE IN DATE
PO. Box 370 W Watkins, CO 80137 05/10/19
(303) 696-9599 ESTIMATOR
Chandler
Fax (303) 671 -6871 SERVICEMAN
JOB INFORMATION a BILLING
NAME Dan & Diane Parker NAME
01
JOB #
CALL ORIGIN
Co. Sew ./Wes
PO#
,
ADDRESS 4580 Flow St.
ADDRESS
CITY Wheat Ridge
SG C� ZIP 80033
CITY
STATE
ZIP
PHONE 303 984 2806 PHONE
DESCRIPTION OF SERVICES.
Excavate /Replace 10' of 4" main drain in the front yard.
, . _;ESTIMATE=
$ 750,00
Approximately 10' long and up to 5' deep.
*Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, C /Q's,
Bedding, Backfill, Compaction,
Clean -up, Haul Away, Permit and Inspection.
All Items included if needed.
CXWARRANTY Terms of Warranty: 5 Year - Parts & Labor
APPROVAL X />
SIGNATURE
Excludes: Roots & Ground Movement (Acts of Mature)
COMMENTS:
YOU
SUBTOTAL
Excludes private utility repair, sprinkler and
landscape repair.
T
PLEASE PAY
THIS AMOUNT
�
$
ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave-ins or any other complications.
TIERMS: Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon
completion of work performed. Any invoice not paid when due, shall incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's
lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law.
r , !
SIGNATURE
ACCEPTANCE
OFINVOICE
- SIGNATURE
❑ VISA ❑ M/C ❑ AMEX
CARD # EXP
APPROVAL #
❑ CASH ❑ CHECK#
CHARGE A/R ACCOUNT#
INSPECTION RECORD
Occupancy/Type
INSPECTION LINE: (303) 234 -5933
I;
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 5a y.
I
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS 'JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
'Reinforcing or Monolithic "
Weatherproof / French Drain
Sewer. Service. Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT
F
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
:.
Lath / Wall tie
J
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
-
ABOVE
INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W $. Drainage
.INSPECTIONS FOR PLANNING S. ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking &: Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: � u T
Job Address: y5 - 8 - 3 c��2
Permit Number: n c t I `( Cn
❑ 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
1
Dater Inspector:
DO NOT REMOVE THIS NOTICE
♦ 1, 4 i CITY OF WHEAT RIDGE
1V Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes <!o)
"When corrections have been made, call for re-inspection at 303-234-5933
1
r iP
Date: Inspector: 1 (f~
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: stir+ d'gr,9F
Job Address: 4f5 s?o i l�Uif
Permit Number: eq° /Ya
I
w?A&V/
❑ No one available for inspection: Time /_/ ;70 AM /PM
Re- Inspection required: Yes
When corrections have been made, call for re- inspection at 303 - 2345933
Date: g��'t;� 1 7 Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
�� Building Inspection Division
(303) 234 -5933 inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: �4wil /M 4
Job Address:
Permit Number: Qall 6'7
3 �
❑ No one available for inspection: Time �D: 7,)r AMLIY-)
Re- Inspection required: Yes
* When corrections have been made, call for re-inspection at 303 -234 -5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
.
0
Residential Roofing PERMIT - 09.1467
r PERMIT NO: 091467 - ISSUED: 08/19/2009
` JOB ADDRESS: 4580 FLOWER ST EXPIRES: .,02/15/2010
DESCRIPTION: Reroof 31 sqs
CONTACTS***
' owner 303/984-2906 Dan Parker
sub ' .303/548-5000 02-1001 Roof Corp.
PARCEL INFO
ZONE CODE: UA --USE: UA
? SUBDIVISION: 0231 BLOCK/LOT#: 0/
**'FEE SUMMARY 'ESTIMATED PROJECT VALUATION: 5,673.00
FEES
Permit Fee 162.90 7
Total Valuation .00
Use Tax - 102.11 ...6..!!!~
* TOTAL 265.01
`.Conditions:
6 nail installation & mid-roof. inspection required.: Board sheathing spaced more
thana 1/2 of an inch apart requires plywood overlay on entire :roof. Ice and
water shield required from save edge to 21 inside exterior walls.
" Subject to field inspections.
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
measureme~s shown, and legations made are accurate; that I have read and agree to abide by all conditions printed on this
appli /ti on' nd ra ssume fu.YI esponsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
r ap icabl :Wheat din ces„/£wor der this permit. lans/6ubject to field inspection. a date
1. This permit 'was issue 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
n ordinances of the City:.
5 2.. This permit shall expire 180 days from the issue date. Re
K~ . . quests for an extension must be received prior to expiration
z, date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
n-;, changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
r exceeded one (1) year. If changes. have been or if suspension or abandonment exceeds one (1) year, full fees shall
2 be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causinga 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.
6. The issuance of a permit or the approval of drawings and. specifications shall not be construed to be..a. permit for, nor
N~ an. approval of, any iolat1on of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review ip 7ect to field inspections.
Signature of. Cd ef. i lding ` official -date
1~. INSPECTION rREQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
" REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
a.
nug 19 2009 1:19PM ROOFCORP 3037660077
p.2
• City of
' `J`I heat idge care.,
Pe J
~MUNITY DEVELOPMENT Permit MI tie C7
Building Division
7500 W. 2e Ave., Wheat Ridge, CO 80033
Office: 303235-2655 a Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: L4-5'go F1 Cio-e4-
Property Owner (please print): OCA^ [3166
Mailing Address: (if different than property address)
Address:
Clsq r~-t0(pa
City, State, Zip:
Use of s ace (description): -
Des (ion fwo : ` u 5~ iT3
rk Plan Ravtew (drat at time MauGml7aQ: 3
SclFt n Ft added Squares j BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback diatencea proposed by INS permit application ere accurate, and do not violate applicable ordinances.
rules or regulatlons of the City of Wheat Ridge or covenants, easements or reatrkilona of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all rondidons printed on this application and that 1 assume full
raTonslbllly for compliance with the Wheat Ridge Bwlding Code (1.134) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Puns subject to field Inepwtion.
GRLCE ONE- (OWNER) (CO%TRAOTOR) or PERSONAL REPRESS TATIVE of (OWNER) (CONTRATOR) J
PRINT NAME. /I/241 n.dkG5 _ SIGNATURE: r- oa'Lr5 Dore;
ZONING COMMENTS:
Zoning:
Reviewer:
PUEYIC WORKS COMMBtTa:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Revlsxir:
FIRE DEPARTMENT:: 0 approved Wt Cmnments 0 disapproved 0 no review required Bldg Valuation: S
Credit Card Pay ent: U e credit card listed on file. Date:
Print name: lLV! 744 r//CS Signature: Q -ors
Sub Corstractors:
Company N me• License Ni Expiration Palo: Tradelprofession' Approval:
"4'
City of Wheat Ridge
x ~4
Residential Fence PERMIT - 090900
e PERMIT NO: 090900'. ISSUED:: 07/17/2009
JOB ADDRESS': 4580 FLOWER ST EXPIRES:: 01/13/2010
DESCRIPTION: Install 95 if of 6' cedar fence
CONTACTS
`
owner 303/984-2906
Dan Parker
PARCEL INFO
ZONE CODE: R-2
USE: SFR
SUBDIVISION:0231
BLOCK/LOT#: 0/
w~""`
FEE SUMMARY
ESTIMATED PROJECT VALUATION: 1,140.00:.
FEES
'
Permit Fee
58.34
Yk°
Plan Review Fee
37
92
a^
Total Valuation
.
.
.00
Use 'Tax
20.52
TOTAL
116.78
Conditions:
AT: Approved.
,
Note: Owner/Contractor
is responsible
for locating proeprty lines and
w~
constructing improvements according to
the approved plan and required
development standards.
The City is not
responsible for inaccurate information
~t the setback distances proposed by this permit application are accurate, and do not violate applicable
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
lge Ordinances, for work under this permit. Plans subject to field inspection.
for/owner ( da e
QF w"QTR City of Wheat Ridge Building Division
• m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
° i ° Inspection Line: 303-234-5933
~CORAp
p
Building Permit Application
Date:(/ f 161041
Plan Z
Permit j~~~~r? ✓
~ , d5~~
Flo g ~F
I G~~~ R:d
Cry Ibo33
Property Owner (please print):
+ b;Orxe
{7aC~
Phone: 3D3-78c4 -o2°lOC9
Mailing Address: (d different than property address)
Address:
City, State, Zip:
N~r
Contractor License Phone:
N& A-@~
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp, Hate: Exp. Date:
Approval: Approval: Approval:
Use of space (description): freer Construction Value: S
escrip tfry (as calculated perthe Building Valuation Data sheet)
fv! ~g'fL~ U7Sbe.~ W/~2 ~a4e5 Plan Review (due attime ofsubmiltal):;
Sq. Ft/L.Ft added: Squares BTU's Gallons Amps
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,
Piles 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 primed 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 IfR) (CONT TOR or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME SIGNATURE: Date:
v
G{
.Fy
i
t
i
G
~
1
_h
is
.a
~
n s ~
g
4; Mg.
c
!
N ~ ~
p
3
e
~
r; d g o
N
H
~
:1
S
U? n .
~ /e
~OO
J C a ~
° " rr
a