HomeMy WebLinkAbout4475 Yarrow Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 7C
Job Address: Ll �_il V
r
Permit Number:
❑ No one available for inspection: Time f AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT -201901273
PERMIT NO: 201901273 ISSUED: 06/19/2019
JOB ADDRESS: 4475 Yarrow St EXPIRES: 06/18/2020
JOB DESCRIPTION: Water line repair in front yard - 5 ft
*** CONTACTS ***
OWNER (719)482-5388 TYLER JESSE
SUB (303)215-1348 BRIAN WILKIE 060162 APEX PLUMBING INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,000.00
FEES
Total Valuation 0.00
Use Tax 21.00
Permit Fee 43.50
** TOTAL ** 64.50
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 201901273
PERMIT NO: 201901273 ISSUED: 06/19/2019
JOB ADDRESS: 4475 Yarrow St EXPIRES: 06/18/2020
JOB DESCRIPTION: Water line repair in front yard - 5 ft
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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
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 or ipance or reglilation of this jurisdiction. Approval of work is subject to field inspection.
L"Y
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
nn1q0)):7 3
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 19, 2019 2:16 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application
Residential Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
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 Yes
residential sewer line or
water line repair - in yard
only?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
4475 Yarrow St
Jesse Tyler
719-482-5388
Field not completed.
CC.pdf
CONTRACTOR INFORMATION
Contractor Business Apex Plumbing Inc
Name
I
Contractor's License 22562
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-215-1348
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address lacyy@apexplumbing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
lacyy@apexplumbing.com
Water Line
5ft
Location of repair front yard and curb stop
(backyard, frontyard, etc)
Provide additional details n/a
including installation of
clean -outs.
Project Value (contract 1,000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
2
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Lacy Yoho
Permit
Email not displaying correctly? View it in your browser.
I "a
i
CITY OF WHEAT RIDGE
Building Inspection Division
�'(303)
(303) 234-5933 Inspection line
235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
a 03 - S -ewer- U n d. �x
Job Address:
y y-7 S yo, P— red k, S14 -
Permit
Permit Number:
'a D f 8 C 9 -7
LlNo one available for inspection: Time 10=31 6PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: q f 1 -01411,1(3 -Inspector: ) b
DO NOT REMOVE THIS NOTICE
i-7
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 e 3 - Sewer- Vnd - &4.
Job Address: q y 7 S- a r -r -a t✓ 54 -
Permit Number: a I sea Sro -7
l_ccnce f�
❑ No one available for inspection: Time? = 73,0 PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 9IVI�/,9_lnspector: _F
DO NOT REMOVE THIS NOTICE
' City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802567
PERMIT NO: 201802567 ISSUED: 09/19/2018
JOB ADDRESS: 4475 Yarrow St EXPIRES: 09/19/2019
JOB DESCRIPTION: Sewer Service Repair in front yard. Remove and Replace 45 ft of 4 inch
exterior sewer service line and install clean outs up by house with SDR 35
Pipe and Squeegee.
ROW permit .
*** CONTACTS ***
OWNER (303)233-1857 EJ PROPERTIES LLC
CON (303)356-1693 Jacek
SUB (303)514-3790 Ivan Chavez 140138 Al Mile High Drains
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00
FEES
Total Valuation 0.00
Use Tax 37.80
Permit Fee 70.70
** TOTAL ** 108.50
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802567
PERMIT NO: 201802567 ISSUED: 09/19/2018
JOB ADDRESS: 4475 Yarrow St EXPIRES: 09/19/2019
JOB DESCRIPTION: Sewer Service Repair in front yard. Remove and Replace 45 ft of 4 inch
exterior sewer service line and install clean outs up by house with SDR 35
Pipe and Squeegee.
ROW permit .
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 ow e of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thisrmit. I f ter attest that I am legally authorized to include all entities named within this document as parties to the work to be
per med d t all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
1
TVA.,.- C.LCVeZ 9-n-11
Signature of OWNER or CONTRACTOR (Circle one) Date .
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 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
n;.,, � �,
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 ord*ince 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.
FOR OFFICE USE ONLY
' e Date: /�
City of !///
W heat age 6
COMMUNITY DEVELOPMENT Add to Permit#
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(&ci.wheatridge.co.us
Building Permit
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
(-1 %� \/'krrpw 54
Property Owner (please print): S G C c- t Phone: 3 -3 56- / 6"13
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Submitting Com ag_ny: A I b (a i tis
Contact Person: �ZveA'-' (.L•av e.Z Phone: -'3<53 S - j L( 3Z q 0
Contractor:
Contractors City License #:
Phone: 3�3 SH 3`786
Contractor E-mail Address: 1 VA&Gkav?2. "A 1 C 11 -,ex r I- Cocom
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
�wenc
iAeo
15 e or a4 C4 -
Oe � OV Ae 3
CIS` O¢ y" ,ol 5,
4-w.et l►�ti{ �►kS4a`ea1 02-
oK�r
►
fir► a � � °Rac»M..�"+� .. ;�;;;,... .. '} . '':►�'fI
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ 1a00
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.
CIRCLEONE: (OWNER) (CO(NTR,,ACTOR) or (AUTHORIZED PRESEN VE) of (OWNER) (CONTRACTOR)
PRINT NAME: 'I' V C �— SIGNATURE: DATE: 9,
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer.
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
PERMI . � ADDRESS:
INSPECTION RECORD
JOB CODE:
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
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
'�t- r:� -� -� 0 4/,
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
i
323 Miscellaneous
(9
IV
=inalInspections
Date
Inspector
Initials
Comments
M2 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
(9
IV
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.
1412 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 d
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:-<<�1`�t�'� �'0,
❑ No one available for inspection: Time,,- ?- AM/PM
Time,,,-
Re -Inspection required: Yes �'No
When corrections ave been made, call for re -inspection at 303-234-5933
Date: p ' 1 Inspector: �l ,
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rVr Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 114 I,-)
Job Address: t/V7,S
Permit Number: 7 01? 0
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -in
Date: A0 j / Inspector:
AM/PM
303-234-5933
1-
i CITY OF WHEAT RIDGE }
Building Inspection Division .
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
n
❑ No one available for inspection: Time r?"l `! c: Alin/PM
Re -Inspection required: Ye� No
When corrections have been made, call for re -inspection at 303 -234 -
Date: lb�fa� "1 Inspector: /-/off
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201707704
PERMIT NO: 201707704 ISSUED: 09/26/2017
JOB ADDRESS: 4475 Yarrow ST EXPIRES: 09/26/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 21
sq (15 sq pitched / 6 sq flat) Pitch = 5/12
*** CONTACTS ***
OWNER (303)233-1857 GARRETT LLOYD R JR
SUB (303)471-4213 Tina Hubbell 090446 Creative Covers Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,396.15
FEES
Total Valuation 0.00
Use Tax 218.32
Permit Fee 220.15
** TOTAL ** 438.47
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
► ' , City of Wheat Ridge
Residential Roofing PERMIT - 201707704
PERMIT NO: 201707704 ISSUED:
JOB ADDRESS: 4475 Yarrow ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles
sq (15 sq pitched / 6 sq flat) Pitch = 5/12
09/26/2017
09/26/2018
with ROOF DECKING - 21
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 permit. l further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performedtprid that all worn tolbe performed is disclpsed in this document and/or its' accomj)an} ing approved plans and specifications.
Signature of OWNER 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 may be subject to a fee equal to one-half of the original ermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or rating of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable co or y ordinance or re ulation o this jurisdiction. Approval of work is subject to field inspection.
IL 11
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett zo I M7N
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 21, 2017 3:20 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
?1.
Property Address 4475 Yarrow St
Property Owner Name Lloyd Garrett
Property Owner Phone 303-233-1857
Number (enter WITH
dashes, eg 303-123-4567)
105
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
IIoydgarrett@comcast. net
Yes
Lloyd contract.pdf
CONTRACTOR INFORMATION
Contractor Business Creative Cover Inc
Name
Contractor's License 090446
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)
720-352-7253
10040 Des Moines St Parker CO 80134
Contractor Email Address tinahubbell@creativecover.com
Retype Contractor Email tinahubbell@creativecover.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
s
Project Value (contract 10396.15)
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or greater)
106
both? (check all that
apply)
What is the pitch of the 2:12
FLAT roof?
How many squares are g
part of the FLAT roof?
Describe the roofing 2 part peel & stick rolled roofing and base cap
material for the FLAT
roof:
Type of material for the Rolled
FLAT roof.
What is the specific pitch 5:12
of the PITCHED roof?
How many squares are 15
part of the PITCHED
roof?
Describe the roofing GAF HD TIMBERLINE LAMINATE COMP
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional RE -SHEATHING, RE -ROOF
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
107
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 Tina Hubbell
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108
�Q(,, Qo(ie - W -Ji
creative Coverer 10040 Des Moines St.
Parker, CO 80134
� Roofing
SalesMan:
Phone: _5h Y.—k2 5'
Exterior Improvements: Roofing - Siding - Gutters
"INSURED"
HomeovvnerzLf,�-T) %Ti 2t Date//,/7
Insurance Company Phone (3 ) x-33 n J$S
Policy Number S/9/311U Claim Number ()V1(,,3S�3a
SPECIFICATIONS
Roof.
{ ) 1. Remove layers of roofing d wn toI the decking.
( 2. Apply 15 Ib felt { ) 30 ib felt n c T
{ 3. To use galvanized nails
4. Install new valleys
( 5. Re -flash all sidewali flashings
6. Re -flash Chimney
( 7. Ice and Water Shield
8. Ice and Water Shield around skylight. { ) re -flash skylight
9. Protect lawn & shrubs. Clean site daily
10. Remove debris & haul awav
11 Roll fawn & driveway with magnetic sw9aper
{` 12. Replace rotten deck areas at StZK,, per
13. Reolace plumbing pipe flashing.
14. Ventilation LLA., c
( )
15. Year workmanship warranty.
r
PROFESSIONALLY INSTALL A:( A9 Ll.�j T1/ G kritk.a
Paid Date: /// CK# $
Paid Date:_ ;__/ CK#
Paid Date:lJ/_� Cj(#
Total Sale Price of job: $
Deposit $ —"�;= — --
Due at Completion:
Siding:
( ) 1. Remove existing siding down to the backer board
( ) 2. Install house wrap to all areas to be sided
( ) 3. Replace Gable Ven
( } 4. Remove & Reinstall exi ' shutters
( } 5. Install new sh _ pairs ( ) louvered ( ) panel
( ) 6. Caulk ^ at all trim with matching color
( ) 7. an & haul away ail debris
INSTALL A PREMIUM VINYL SIDING:
Brand:
Color:_
Gutters & Downspouts
{, Replace /�5" 2x3•
( ) Replac'ne� 6' 3x4'
Ctolor t , --
` } Remove & Reinstall /22 L
Additional Work or comments.
:'Ue are not liable for FOA calor choices. Itis the Homeowners rnitiars
homeowners responsibility to get roof color approved
Homeowner acknowledges any supplements andr'or overhead & profit app ' for d approved by the insurance company will be added to
the price of this contract and paid upon completion to Creative Cover
Homeowners Initials
' This contract constitutes full accord and agreement of the parties and no other understanding, verbal or otherwise, shall be binding uniess in writing,
signed by both parries. This cortract is subject to approvai by an officer of the contractor and such approval must be made within 10 :corking days from
the date of the contract. In witness whereof Purchaser(s) each acknowledge receipt of a completed copy of this contract, and all disclosures on the day
and year first above written. Any holder of this consumer credit contract is subject to any claims and defenses which the debtor could assert against the
�i seller of goods or service obtained pursuant hereto or the proceeds hereof. Recovery he, eu rider by the debtor shall not exceed amounts paid by the
debtorhereunde.r.
APPROXIMATE STARTING DATE q APPROXIMATE COMPL T( :
Company Representative K
/=L � 7^_�f%i r^ I'��----,�`,:�=��_Authorized Signature i
Hol meown!1,114 Date Date
II— —t Homeowner
Date Date
Access and Authorization
This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the
Homeowners or Creative Cover unless the homeowner's insurance company approves
repairs. By signing this agreement the homeowner authorizes Creative Cover to pursue
all repairs at a price agreeable to the insurance company and Creative Cover at NO
COST TO THE HOMEOWNER EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price
agreed on between the insurance company and Creative Cover shall become the final price
of the full scope of insurance proceeds.
Homeowne r `{ I -C
' Date: %// 7
4'
CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office " (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: `ff y f"
Job Address/Permit Number:
❑ No one available for inspection: Time AM/PM
Re-Inspection required: "Yes (No
When corrections have been made, call for re-inspection at 303-234-5933
Date: Eifnspector. /:l1,y^.,,_A !
DdNOT 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: redo Al'
Job Address: '1'17S V'.sW60 S7
Permit Number: e,5>9'0A~
❑ No one available for inspection: Time Ad.'~S AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-Inspection at 303-234-5933
Date: " Inspector: A
DO NOT REMOVE THIS NOTICE
Y`
! City of Wheat Ridge
Residential Roofing PERMIT - 090822
ett
F- YEE SuMMHKZ ESTIMATED PROJECT VALUATION: 4,186.00.:
FEES
Permit Fee 144.70
Total Valuation .00
` Use Tax 75.35
-.TOTAL 220.05
s;
Imo. Conditions:
Ise 6 nail installation & mid roof inspection required.. Board sheeting spaced more
c than a 1/4 of an inch apart requires plywood overlay on entire roof. Ice and
m; water sheild,required from eave edge to 2' 'inside exterior' walls. '
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
v m
Office: 303-235-2855 * Fax: 303-235-2857
0 0. Inspection Line: 303-234-5933
O<ORP~
Date: bcl M
Plan
Permit
Building Permit Application
Property Address: IV'l 2,5~ [f~fi~~`GG✓ J.
Property Owner (please print): Phone:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Contractor: O V6 C J
Contractor License Phone: 3 3 X73 z U 3 2J°
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description):
Description of work: /ZG
~jo/ r 79ti4 A/tw 7Zgs.4-SPoyy,~.
/'~~~fi • s sf 3u f/•Z r r'irZG/~ s
Construction Value: $
(as calculated per the Building Valuation Data sheet)
Plan Review (due. at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable 7 ge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTA VE o (OWNE TR R)
PRINT NAME: z!gzL SIGNATUR Date: