HomeMy WebLinkAbout4637 Dudley StreetX17 D14JI7
4637 /2�n��� INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
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.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
(�
Final Window/Doors
Final Building
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 from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201704817
PERMIT NO: 201704817 ISSUED: 07/26/2017
JOB ADDRESS: 4637 Dudley ST EXPIRES: 07/26/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles with 21 sq.
*** CONTACTS ***
OWNER (303)919-5745 CONNORS LAWRENCE G JR
SUB (303)679-8509 Mark Schymanski 160210 Genesis Construction 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: 6,300.00
FEES
Total Valuation 0.00
Use Tax 132.30
Permit Fee 156.75 _
** TOTAL ** 289.05
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A 4� City of Wheat Ridge
Residential Roofing PERMIT - 201.704817
PERMIT NO: 201704817 ISSUED: 07/26/2017
JOB ADDRESS: 4637 Dudley ST EXPIRES: 07/26/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles with 21 sq.
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
thispermit. 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 hat all work to be performed is disclosed in tis document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. 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 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 border shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signatureof i i 's Date
REQUESTS 11: INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
n
GENESIS
TOTAL EXTERIORS
1250 Bergen Parkway B#110
Evergreen Parkway, CO 80439
0: 303.679.8509 F: 303.674.1336
www.genesistotalexteriors.com
"Contract"
Insurance:
Phone:
Claim No#
Adjuster:
Phone:
CUSTOMER NAME (OWNER): L oL y ro a 0 a nn o r.S
4b,31
ADDRESS (THE PROPERTY):
CITY -V4IQ d t! _, ST:_CQ_ ZIP: &'06 7.3 HOME PHONE( ) -
WORK PHONE( )--------CELL PHONE 303) /D- ?Y7.) DATE: 5-2o —1
Grade: �1 Mfg: i �
Owner's authorizes Genesis to contact Owner's insurance company
Colorlt_ rand
regarding damage to the Property. Owner understands that Contractor
Valley: Vents:
will assist Owner in obtaining funds to repair Owner's property.
Tear Off Yes or Noo) Layers: (circle) 9D
Owner authorizes Owner's insurance company to discuss matters
Felt: (15# oar 0#�f Pitch of Roof:12
directly with Contractor. Owner agrees to provide Contractor with any
_K
Ice and Watgi Shield: (Yesa or Noo) 311t 6fy_
Y
and all insurance information including claim number and insurance
loss data information provided to Owner by insurance company.
Q3'
Drip Edge: Color:
Home Pitch: Stories:
Owner agrees that Contractor shall perform work prescribed by the
Decking: If Decking is required, but not covered by your
insurance company's adjuster report, which includes the estimate of
insurance policy, Owner agrees to pay Contractor $2.25
repair as set forth in the insurer's claim file, plus any upgrades selected
per square foot repaired of CDX decking. Owner agrees
by Owner. Owner is obligated to pay only: the deductible required by
to pay Contractor $7.50 per linear foot repaired of plank
Owner's insurance carrier; additional decking (if required); plus any
decking.
upgrades requested by the Owner not included in the insurance loss
Sidling Materials
data sheet.
Type of Sidingi`ny ; Aluminumo or Other:
This agreement automatically terminates and the Owner owes nothing
Style of Siding: -
in the event that the insurance company does not authorize repairs.
Brand: lonty ize:You
House Wrap: Y or Noo) Soffit Vents:
may CANCEL this transaction; without any Penalty or
❑ (Yes❑ of
Obligation, within 72 Hours from the above date.
Soffit LF: Color:
Fascia LF: Color:
PAYMENTS
First Insurance draft, or equal amount, is due to Contractor before
Gutters / Downspouts
delivery of materials or start of work. Contractor shall hold in trust
Aluminum Gutters: (5"i -6"o) Guards: (Yesa or Noo)
/`•
any payment from the property owner until the Contractor has
delivered roofing materials to the jobsite or has performed a majority
LF:
of the roofing work on the property. Full payment for upgrades and
Downspouts; Color Size: (2"0" o or 3"x4"o)
additional decking is due before start of work. Final payment due on
substantial completion of work.
U ra / Additional Instructions
Owners Initials: Owner understands that this is a binding Contract. Owner understands that by initialing and signing
below, that he/she is bound by the terms of this Contract.
_ Owner has CAREFULLY read the terms and conditions of the reverse side of this contract:
_ Owner understands that this document is A CONTRACT and NOT A PROPOSAL, that no estimate will be
provided and that aside from upgrades an summary of the work to be performed, a description of materials to be used or a
list of standard features included, the total contract price, or a description of the basis on which the price will be
calculated, is embodied in the insurance loss data information provided by Owner's insurer and that this amount will
constitute the Price for the work; and
_ Owner specifically un erstands that if this contract is cancelled before commencement of work, Owner agrees to
pay Contractor twenty five Oercent (25%) of the total stun of the work authorized by Owner's insurance company as
our h on this day of
R'ROME OWNER
HOME OWNER
TERMS AND CONDITIONS
1. CHANGE ORDER
Any alteration or deviation from contract specifications will require the execution of a Chang Order. it is agreed that all terms and
conditions of this Contract shall apply equally to additional work added to this Contract in the form of a Change Order. No repair
work or alterations shall be done, except as specified and expressly agreed to by Contractor and Owner in writing. Work required
under a Change Order will not begin until full payment of the Change Order is made by Owner. Further, if Contractor encounters any
unforeseen conditions during the course of the Work, they shall promptly notify Owner. Changes to the Work, if any, Shall be made
by Change Order,
2. OWNER RESPONSIBILITIES
Unless otherwise specified, Contractor's price is based upon Owner's representation that there are no conditions preventing
Contractor from proceeding with the usual installation procedures for the materials required under the Contract. Owner represents
that personal effects, personal property and plants will be relocated or trimmed prior to the beginning of work so that Contractor has
free access to free portions of the premises where work is to be done. Owner authorizes Contractor to use Owner's electricity for
work to be completed under this contract Owner further understands that as a precautionary measure all pictures and wall
accessories that are not securely fastened should be removed until all work has been completed. Owner shall carry premises liability
insurance. If necessary for the work, Owner shall secure permission to work on or over adjoining property at no cost to Contractor.
Owner agrees to be responsible and to hold Contractor harmless and accepted any risks resulting from access through adjacent
properties. Owner grants to Contractor and its employees the right to perform contracted services during daylight hours from
Monday thru Saturday between 7 a.m., and 9 p.m., unless otherwise specified by Owner.
3. NON-RESPONS1BILfl'Y
Contractor shall not be responsible for any damage occasioned by the Owner or their agents, rain, windstorm(Acts of God or other
causes beyond the control of Contractor. Contractor is not liable for any act of negligence or misuse by the Owner or any other party.
Contractor shall not be responsible for damage to existing shrubs, lawns, trees, clothes lines, personal property, telephone and
electric lines, doorbells, cable -TV or light fixtures unless otherwise specified in the contract Contractor is not responsible for delays
caused by strikes, weather, accidents, or other events beyond Contractor's control. Except through negligence, Contractor is not
liable for damages to interior fixtures, drywall, plaster wall construction, decorations, or to other parts of premises or its contents.
Contractor shall have no responsibility for correcting any existing defects which may be recognized during the course of the work of
hidden or latent conditions of the property. Contractor is not responsible for work done by others, existing structural defects,
materials furnished by Owner, dry rot, or existing code violations.
4. ADVERTISING
Owner grants Contractor the right to display advertising signs on the premise from the date of contracting through thirty (30) days
following completion of work. Owner further gives Contractor permission to take pictures or video of premises before and after
completion of the project for use in Contractor advertising. Owner grants to Contractor the right to use any Correspondence directed
to Contractor concerning the work on Contractor's advertising promotion.
S. PAYMENTS
Contractor shall be entitled to prompt payment in accordance with this agreement. If, after Contractor has declared the work to be
satisfactorily performed but Owner claims that work still remains to be done, Owner agrees to make prompt payment of the
Contractor amount, less only an amount needed to complete the work claimed yet to be done. Upon completion of the remaining
work, Contractor must immediately be paid the remaining balance due. Nonetheless, Contractor shall hat the right to stop work and
keep the job idle if any payment in accordance with the agreement are not made. In the event Owner does not pay Contractor
according to the terms of this agreement, Contractor may add a monthly service charge of 1.5% (Annual Rate of 18%), or in
accordance with the prevailing rate allowable by law, to the balance owed.
6. DISPUTES
It is specifically understood and agreed between the parties hereto that an event of a dispute over any of the terms, conditions or
clauses contained herein the Colorado District Courts shall have full and exclusive jurisdiction over the matter. Owner agrees that if
Contractor shall prevail in an action against Owner, Owner shall be responsible for any collection costs and attorney fees incurred by
Contractor. Owner warrants that this contract is signed without any reliance upon any representation or promises by Contractor, or
its agents except as is specifically written in this contract, ant that no such promises or representations have been offered as
inducement for signing.
7. PROJECT TIMING
Contractor agrees to diligently endeavor to complete the work promptly. However, Owner acknowledges, however, that this date is
only and estimate, and is subject to change due to many factors including; but not limited to; (i) changes in the work requested by
Owner; (ii) delays in receiving materials specified; (iii) delays resulting from acts of God or adverse weather conditions; (iv) delays
caused by shortages of labor, materials or equipment; and (v) other causes reasonably beyond Contractor's control. Owner agrees
that the schedule for completing the Improvements represents Contractor's good faith estimate, and Contractor will not be liable to
Owner for delays in completion of the work under this agreement.
8. LIQUIDATED DAMAGES
In the event Owner cancels or refused to perform under this agreement before commencement of work, Owner agrees that
Contractor may retain 25% of the total sum of the work authorized by Owner's insurance company as a reasonable amount of
liquidated damages for breach of this agreement Owner understands that his amount is a reasonable measure of actual damages
suffered by Contractor for such cancellation. In the event that a court of competent jurisdiction deems this amount unreasonable,
Owner agrees that the Contractor is entitled to the unpaid contract price less the amount it would have cost to complete the work
under this agreement. In the event of any breach of this agreement, Owner agrees to pay for any reasonable attorney's fees, legal
expenses and costs of collection which may result.
9. MATERIALS AND SUBCONTRACTORS
All products are warranted upon delivery or installation against defects in material and workmanship and no other warranties or
guaranties, expressed or implied are authorized unless in accordance with a standard written manufacturer's warranty held by
purchaser. Materials listed above that are special ordered or custom made for the work under this agreement cannot be changed,
cancelled, modified or discharged on whole or in part by the Owner once orders for such materials are placed. Owner agrees to be
responsible for any costs associated with the return or re -ordering of such event Any materials not used in the performance of this
Agreement remain the property of Contractor, whether or not delivered to the job site. Contractor reserves the right to choose and
direct its own subcontractors and suppliers.
THANK YOU FOR YOUR BUSINESS!
Genesis Total Exteriors is In Insured By the Following:
Amtrust Insurance (Liability Insurance) Policy No# NA 103383700
Progressive (Auto Insurance) Policy No# 07620043-2
Navigators Insurance (Unbrella Liability) Policy No# BE111232759
Pinnacol Assurance (Workers Comp) Policy No# 4032523
Dan Schultz
�o17G�817
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, July 18, 2017 12:42 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4637 Dudley St.
Lawrence Connors
303-919-5745
Field not completed.
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Genesis Construction Inc
Contractor's License
160210
Number (for the City of
Wheat Ridge)
Contractor Phone
303-679-8509
Number
Contractor Email Address
tim@genesis-constructioninc.com
Retype Contractor Email
tim@genesis-constructioninc.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
IKO Cambridge IR
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
21
material selected above?
/
Does any portion of the
No ✓
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
21 V
roofing material for this
project
Provide additional detail
remove all layers. Replace using asphalt shingle
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6300.00
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 this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Tim Little
Email not displaying correctly? View it in Vour browser.
3
CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '� t
Job Address: �1 3'? _ V(Irl I cv c t
Permit Number: F'/'Q✓/ /'l
❑ No one available for inspection: Time Q00 /PM
Re -Inspection required: Yes
When corrections have been made, callforre-inspection at 303-234-5933
Date: ' f 1 �� Inspectorl�-
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:
Job Address: q (�
Permit Number: T -7 C) ki t
A
17 AM/PM
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, callfo%�inspecti at Q3- 34-5933
Date: ' IrtspectbF
t
DO NOT REMOVE THIS NOTICE
17 AM/PM
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, callfo%�inspecti at Q3- 34-5933
Date: ' IrtspectbF
t
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD OccupancvlTvpe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INS ECTOR 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
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
F VUK HU CUNGKt It UN I IL ABOVE HAS GEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
ROUGHS
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
BE SIGNED PRIOR TO PROCEEDING
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & 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
E
A
�. V CITY OF WHEAT RIDGE
`/ Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type 0AL &®o R
Job Address V,437 A2uok:!,1 <r-
Permit Number 11&,0 �g
F e o' A`T ¢ry
s
r inspection: Time A <'11
J: Yes
" 1 City of Wheat Ridge
r40 00r-
Residential Electric PERMIT - 110401
PERMIT NO: 110401 ISSUED: 04/18/2011
JOB ADDRESS: 4637 DUDLEY ST EXPIRES: 04/17/2012
DESCRIPTION: 200 amp service change
* ** CONTACTS * **
owner 303/910 -3473 Lawerence Connors
sub 303/761 -0630 Tim Schenkelberg 06 -0226 DG &S Electric Service
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0215
USE: UA
BLOCK /LOT## : 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,250.00
FEES
Permit Fee 93.35 .!-
Total Valuation .00
Use Tax 40.50
** TOTAL ** 133.85
Conditions:
Must comply w/ 2006 IRC & 2005 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 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 arties to the work to be performed and that all work to be performed is disclosed in
this docum d /o) - Fits /acco anyj.napproved plans and specifications/
Signature of OWNER or CONTRACVIt (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 ction.
Signatur of Building Offical Date
INSP TI REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQU STS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cit of
ComNY ilE'at �1C�e Date;
I "IY DLV @t.OPMEN L
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Addx�ss; ��o ( 12 d 1t Y 5�
Property Owner (please print): LGw-r,rc� cc Co ol e S Phone: 3' ei) C
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Coi_�ractor: tc ��•c n„
Contractors City License #: O &G `2 2G Phone: 3 63 1 -o 4'3 o
S 7 ractorsr
Electrical Plumbing: Mechanical:
City License # City License # City License #
ffi" ibtlori b# tort u
400 ,`'✓"`� �" Vi < Cytcr . Contract Value: i q0a r2c
Review Fee (due at time of submittaq:
Squares BTU's Gallons Amps Sq Ft. $
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 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) NT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)) /.
PRINT NAM l^CYr K� 4 � .-r� SIGNATURE: �A.w. \- ^ '_' ]_ DATE:
./r r i f Nf Ci i
TMENT ❑ approved w/ cornme�ts � disapproved � reyiety7equtred : Bldg Valuation: $_
s
INSP CTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB '
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS..
Footings /Caissons
Stemwall / (CEG).Concrete
Encased Ground '-
Reinforcing or Monolithic
1
Weatherproof / French Drain -.
t`
Sewer: Service. Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS. SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
` POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical ( Underground)
Plumbing (Underground)
Heating (Underground)
$ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
a Lath / Wall tie ..
Mid Roof
s� Electrical Service
Rough Electric
r` Rough Plumbing
GasPipmg
r
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Y;
Drywall Screw
FINALS'
Electrical
Plumbing
Mechanical
Roof
1
Building; Final
t`
Fire Department
R.O.W E Drainage !
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC 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 C
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
r
I,
I
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
I (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
'i INSPECTION NOTICE
Inspection Type: fG
Job Address: r-/4 7
Permit Number: iv r
❑ No one available for inspection: Time z AMMMD
Re- Inspection required: Yes I o
When corrections have been made, calf for re-inspection at 303 - 2345933
Date: '' CJ Inspector: 7
DO NOT REMOVE THIS NOTICE
i
4
A 4 City of Wheat Ridge
_l
►/ Residential Roofing PERMIT - 101598
PERMIT NO: 101598 ISSUED: 06/23/2010
JOB ADDRESS: 4637 DUDLEY ST: ' EXPIRES: 12/20/2010
DESCRIPTION:`. Reroof 21 sqs with 30 ;yr OwensCorning shingles
* ** CONTACTS * **
owner 303/910-3473 Lawerance Connors
sub 303/734 -0956 02 -2126 Sunny's Contracting & Roofing
** PARCEL INFO **
7MTv. rnnR. TT11 TTQTV. Tin
FEE;
Permit Fee , 181.1(
Total Valuation .00
Use :Tax 121.5
** .TOTAL ** :302.6
0
0
Conditions
leis required from eave! edge to
any gap greater than 1/2
. Sheathing inspection is
.a re- .xnspeccl�ul ee
on are accurate, and do not vxelati
Hht)USblb Iviub1 35 1vLFllJL' t9Y `:.SYIvj 4 1VY' #utilviSDb -1)AY PVLC C11Vb Yr, V'1'1 V1V ZAL VLLVW 11Vb tU;olnrbb UAx':'
y C.ityof
116at id C
Cc>mn uNITY 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
Property Address: y� ' 5/ L)1ACl /e,
Property Owner (please print): l -.a.c, MAC e
Mailing Address: (if different than property address)
Address:
Date:
Plan #
Permit#
Phone:
City, State, Zip:
i
Contractor: Lw
Contractors City License #: yG "' 11 ( Phone:
Sub Contractors:
Electrical: Plumbing:
City License # City License #
Description of work:
g
ins CC ii e�,J 3<�P y2 0E.. C--VIA �kd
Squares �_ BTU's Gallons Amps Sq Ft.
MIRMAWrZZ�
Mechanical:
City License #
Contract Value:
$ �i 7, f0
Review Fee (due at time of submittal)
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) (CONTRACTOR (AUTHOR/ZF.2BEP V12 of (OWNER) (CONTRACTOR)
PRINT NAME: _J 0.l` L G 4r SIGNATURE:
DATE: 0 _27_11
DEPARTM USE ONLY
ZONING COMMENTS
Zoning
.Reviewer
'BUILDING DEPARTMENT COMMENTS
Reviewer.
-
.PUBLIC WORKS COMMENTS
OCCUPANCY
Reviewer.
-
FIRE; DEPARTMENT° ❑ approved w / comments
❑ disapproved ❑: no review required
Bldg Valuation: $
City of Wheat Ridge Building Division Date: ern , ` f I
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-235-2857 Plan ~•-C /l 3
°OCORno° inspection Line: 303-234-5933 Permit Building Permit Application
! Ad 963J
J
y St
lol j'ler
,t`i c4; e c'(Jt )%,J
C'c~
Property Owner (please print): kG tA
) t c o c p
.
Co ri
f701
Phone: 30 3' O -3 y 7 7
Mailing Address: (if different than property address)
Address:
City, State, Zip:
c
Contractor License Phone:
W-UMAN
Electrical City License M Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date: L
Approval: Approval: Approval:
Use of s ace description): Construction Value: $
~ r~CJ~~(iL-P 6 ~`1T r ~avv Aenr - as calculated per the Building Valuation Date sheet)
Plan Review (due at time of submittal): $
2 g$, New 6 I'll-'eel --,e
32f A/ew 3r>Ci'nct T X7.4'
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,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field Inspection.
CIRLCE ONE:: ((OWNER (CONTRACTOR) or PERSONAL REPRESE TAnVE of(OWNER) NTRATOR) Cd
PRNTNAME:/,arJHn(y' COnllvrtC SIGNATURE: Date: !-0
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