Loading...
HomeMy WebLinkAbout4310 Quay StreetCity of Wheat Ridge T Residential Roofing PERMIT - 201703620 PERMIT NO: 201703620 ISSUED: 07/10/2017 JOB ADDRESS: 4310 Quay ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to intstall IKO CAMBRIDGE asphalt shingle with 17 SQ TEAR OFF 1 LAYER . INSTALL NEW IKO SHINGLE *** CONTACTS *** OWNER (303)513-2235 MORROW KIMBERLY B SUB (720)643-5033 David Scheck 170158 Watershed Roofing & Restoratn *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,369.00 FEES Total Valuation 0.00 Use Tax 91.75 Permit Fee 125.05 ** TOTAL ** 216.80 *** 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. ''00 OV16;, S, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 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 Initials Comments Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Insoections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Floodplain Inspection (if applicable) Plumbing Final Electrical Do Not Cover Underaround or Below/In-Slab Work Prior To Annroval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof / / Final Mechanical Lath /Wall Tie Roof Final Window/Doors Rough Electric 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. 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 trom 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 - 201703620 I+ PERMIT NO: 201703620 ISSUED: 07/10/2017 JOB ADDRESS: 4310 Quay ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to intstall IKO CAMBRIDGE asphalt shingle with 17 SQ TEAR OFF 1 LAYER . INSTALL NEW IKO SHINGLE *** CONTACTS *** OWNER (303)513-2235 MORROW KIMBERLY B SUB (720)643-5033 David Scheck 170158 Watershed Roofing & Restoratn *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,369.00 FEES Total Valuation 0.00 Use Tax 91.75 Permit Fee 125.05 ** TOTAL ** 216.80 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201703620 201703620 ISSUED: 07/10/2017 4310 Quay ST EXPIRES: 07/10/2018 Residential Re—Roof to intstall IKO CAMBRIDGE asphalt shingle with 17 SQ TEAR OFF 1 LAYER . INSTALL NEW IKO SHINGLE I, b my sivnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorzed 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 leggally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pert9rmed is disclosed in this document and/or its' accompanying approved plans and specifications. '/12-/2-e / Signature of OWNER /r (&NTRACTO�" (Circle one) Date I . This pen -nit was issued bas�–ed'--on t e i– -formation provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. pen -nit 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 maybe required to be obtained. Issuance of anew 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection �ervices 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 applica de 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett��� From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 10:32 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 4310 quay st wheat ridge 80033 / Property Owner Name kim morrow Property Owner Phone 303-513-2235 NumberI,,,, ou Property Owner Email Field not completed. Address 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 Watershed Roofing and Restoration 1705S /5S Contractor's License Lakewood Number (for the City of Wheat Ridge) Contractor Phone 3034894198 Number Contractor Email Address maria@watershedroofs.com Retype Contractor Email maria@watershedroofs.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing iko cambridge Material Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No / Field not completed z Select Type of Material: Asphalt L If "Other" is selected Field not completed. above, describe here: How many squares of the 17 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No / Field not completed z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 17 Z tear off 1 layer. install new iko shingle 4,5�)o 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 maria leyba Email not displaying correctly? View it in your browser. 3 WAT E R Proposal Date: This proposal may be withdrawn b.ji Watershed Roofing & ROOFING AND RESTORATION Restoration if not accepted within 30 days from above date. 1380 S. Wadsworth Blvd. #116, Lakewood, CO 80232 Watershed Roofing shall hold in trust any payment received from you until Watershed has Phone: 720-643-5033 / Fax: 720-643-5034 4} r if- d gr r �Ar delivered materials at the site or has performed a majority of roofing work on your property. PROPOSAL FOR: 0194 i"2„ Y/'C r— dip ire ri- �. T, Name: :r:,rot Job Address: City, State, Zip: Phone: Mailing Address: City, State, Zip: 'c Email Address: k''o; a'ir ileL,jr�- Aq-,r -Mar ar Off �� r, J i ✓�;f -t —1.Jnspect Decking: Deteriorated existing decking replaced at cosf of $ Per Sq. Ft. Property owner will be notified if any damaged wood is found during tear off. -1-Instail-ice shield on eaves and in valley(s) .4Anstall drip edge -7 _-,, 4�4 Color f Install underlayment Recover roof with Ce --i-4 r l 2 t year manufacturer warranty. J Shingle Manufacturer Color 3.8'Wail every shingle Z,G0 04n-13rtci v` 3 Install a r r l__'. / ridge style (ut.,.,fu;l -1-Install pipe jacks J Lead jacks J Detach/Reset Swamp cdoleF'4 Submitted By: Watershed Roofing & Restoration f Watershed Rep: Cell Phone: -�l Insurance Company: 7 z pA tLe,"I Adjustor Information: - -- ClaimNumber: r -- Date of Adjuster Meeting: z 'Gutters: / Color.' Style: J Windows Color: _ J Siding Color: J Deck Color: J Painting Color: All per insurance scope and price. _-Step flash sidewalls J Step flash chimney J Step flash skylight J Additional work not covered: J Glean up and haul of roofing debris J Clean out gutters 1Magnetic sweep of surrounding area 3 -Watershed Roofing will provide General Liability insurance of at least $1,000,000 & Workers Compensation of at least $100,000 -m Alf required Permits furnished by Watershed Roofing & Restoration to be reimbursed by Insurance Company/Homeowner - 1T atershed Roofing & Restoration 5 -year warranty on labor i -Current Ventilation_ Recommended -, Date of Acceptance Watershed Roofing & Restoration Representative Style Style: Style: Style: _o X$ �1 • Deductible collected at time of material delivery $ ir: 0:'-?, Initial total claim amount as of Price is subject to supplements/adjustments approved by insurance company. Work to be completed within 21 days of final insurance approval & mortgage endorsement. r ,mac Property Owner Signature Property Owner is ., ­ / is not _intending to make payment from the proceeds of a property & casualty insurance policy. If yes, homeowner must read and sign below. INSURANCE ALLOWANCE AGREEMENT: I / We agree to retain Watershed Roofing and Restoration (contractor) to repair/replace the damaged or entire portion of the property described on this contract contingent upon the contractor obtaining my insurance company's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount of damage, the cost of the repair or replacement of the damage to the above property. Upon insurance carrier agreement with the contractor and the down payment being made the work will be scheduled and may begin on a first in first out basis. Checks shall be made payable to Watershed Roofing and Restoration. In the event that the insurance carrier fails to negotiate in a fair and reasonable manner, the contractor shall not be held liable and this agreement shall be void. The contractor will release the complete file to the Commissioner of Insurance at the customer's request. Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary documentation for the claim (including documentation to facili- tate payment from insurance carrier and/or mortgage holder). The contractor reserves the right to file for supplemental claims due to material and/or labor increases due to a storm environment or to insurances adjuster's mistakes, errors, or omissions. Insurance Company p y Claim Number E rl� � Co-owner Date I/We agree that by signing above we agree to all of the conditions on both the front and back of this agreement. 1. Watershed Roofing and Restoration shall hold in trust any payment from the property owner until the roofing contractor has delivered materials or has performed a majority of the work. Watershed Roofing and Restoration has a 72 hour right of rescis- sion. Watershed Roofing and Restoration will not conduct any work on your claim within the first 3 days of this contract. After the 72 hours have passed, this proposal will become a binding contract. This contract may also be rescinded within 72 hours after the property owner receives written notice that its insurance claim has been denied. Existing Colorado statute related to property insurance fraud (CRS 18.13.119.5) states that paying, waiving or rebating a property owner's insurance deductible is a Class 2 Misdemeanor. 2. If material has to be reordered or restocked because of a cancellation or change by the customer, there will be a restocking fee equal to twenty percent (20%) of the contract price. 3. A copy of General Liability and Worker's Compensation insurance has been supplied to you in our property owner packet. If you ever need a copy, please contact the office and we will be happy to provide you additional copies. 4. Watershed Roofing and Restoration agrees to perform the specified repairs/replacement in accordance with generally ac- cepted roofing and construction guidelines, adhering to local codes in effect at the time. 5. Payment terms: 50% payment upon delivery of material and 50% upon completion. Payment is due within ten days of receipt of the invoice. Completion is not contingent upon inspection by the applicable governmental entity where the work is performed. Warranty on labor begins upon completion of the project and upon full payment of the contract. Interest charges of one percent {1 %} per month will be charged on all past due balances and customer shall also pay all costs of collection including reason- able attorney fees and costs. Watershed Roofing and Restoration reserves the right to record a mechanics lien on the property if payment is not made in a timely manner. Unless otherwise required by law, the parties agree that the Courts for the County of Jefferson, State of Colorado shall have exclusive jurisdiction over any legal actions. The parties agree and consent to the juris- diction of that court over the subject matter of those controversies and over them personally. 6. Price of proposal is valid only for 30 days from proposal date based on quarterly material price increases. 7. The homeowner is responsible for getting Homeowners Association approval of roofing products and color, if necessary. 8. The property owner is responsible for facilitating mortgage process and cannot hold Watershed Roofing and Restoration li- able in delays caused by the mortgage endorsement process. 9. Property owner acknowledges Watershed Roofing and Restoration as the general contractor and as such, Watershed Roof- ing and Restoration will be entitled to 10% overhead and 10% profit. 10. Extra material is ordered on every job to avoid issues or complications, therefore all excess materials remain the property of Watershed Roofing and Restoration. 11. The company shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, inability to obtain material from usual sources, or any other circumstances beyond the control of the company. 12. Warranty: Five (5) year workmanship warranty on roof replacement, excluding 90# mineral surface rolled roofing, and one (1) year workmanship warranty for all other work. The company will provide a service call for roof inspection as long as the customer is the current owner of the property and all obligations are paid in full. No warranty exists until this contract is paid in full. Watershed Roofing and Restoration is not responsible for any leaks or water damage below the roof line, including but not limited to leaks caused by excessive wind, ice or hail during the period of the warranty. The warranty does not cover events or circumstances not the fault of Watershed Roofing and Restoration including, but not limited to, ordinary wear and tear, improper maintenance and damage by others. The warranty for the materials is limited to the manufacturer's warranty and the Homeown- er agrees to look to the manufacturer for any defects or deficiencies in the materials. 13. Client agrees to not hold Watershed Roofing and Restoration liable for the following damages that may occur during roofing construction: slight scratching to the gutters, damage to plants and trees due to roofing and tear off, cracks in driveways, interior damage, such as split crown molding, cracked plaster or sheet rock, nail pops, or falling dust or debris, or items knocked off the wall or shelf due to the construction. Watershed Roofing and Restoration is not responsible for pre-existing damages to any part of the property, which includes, but is not limited to solar panels, evaporative coolers or existing skylights. 14. The price on the contract does not include replacement of deteriorated decking, fascia boards, swamp coolers, ventila- tors, and chimneys, counter flashing or any other work completed for the property owner not stated in this contract, and will be charged as an extra on a time and material basis. .9011 ON SIHI.9AOW3H ION Oa a , :ao}oadsul I ££65-b£Z-£0£ le uoi;oadsui-aa aol geo `apew uaaq aney suo►;oaaaoo uegM.. ON saA :paainbaa uoilaadsul-aa Nd/NV ,} quail :uoi}oadsui aol algep-AL3 quo ON r yy J�/tom? :aagwnN Iiwaad t SIS ? :ssaippd qof :adA1 uoipedsul 33IION N01133dSNI xe-q 6068 -LOO (000) • 901JJo rrRO-300 (COO) au►/ uotjoadsul S£6SITZ (EOE) uoisinia uoipedsul 6uiplin8 39dla IV3HM 30 A113 �'� r i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE Job Address: c � Permit Number: 5 ❑ No one available for inspection: Time f` �% J AM/00 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 CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /? G' Job Address: q V U "A Permit Number: 2 -/7 v3 LZ U ti ❑,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: Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE ��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE % Inspection Type: / ` U�^ Job Address: 41/ U S Permit Number: 'Z 1/7 03 r� ❑ 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: d Z I Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703620 PERMIT NO: 201703620 ISSUED: 07/10/2017 JOB ADDRESS: 4310 Quay ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to intstall IKO CAMBRIDGE asphalt shingle with 17 SQ TEAR OFF 1 LAYER . INSTALL NEW IKO SHINGLE *** CONTACTS *** OWNER (303)513-2235 MORROW KIMBERLY B SUB (720)643-5033 David Scheck 170158 Watershed Roofing & Restoratn *** PARCEL INFO *** ZONE CODE:. UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,369.00 FEES Total Valuation 0.00 Use Tax 91.75 Permit Fee 125.05 ** TOTAL ** 216.80 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201703620 201703620 4310 Quay ST Residential Re -Roof to intstall IKO LAYER . INSTALL NEW IKO TEAR OFF 1 ISSUED: 07/10/2017 EXPIRES: 07/10/2018 CAMBRIDGE asphalt shingle with 17 SQ SHINGLE I, by m 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 leggally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pertgrmed is disclosed in this document and/or its' accompanying approved plans and specifications. 7/1212-e/ Signature of OWNER%ore-MNTRACTOi� (Circle one) Date 1. This permit was issued base`Tc-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 originalppermit 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applic # de 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett Z,8q �41�1/"() From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 10:32 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 4310 quay st wheat ridge 80033 / Property Owner Name kim morrow Property Owner Phone 303-513-2235 Number41�, Ou Property Owner Email Field not completed. Address 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 Watershed Roofing and Restoration 1 7 C /51'( Contractor's License Lakewood Number (for the City of Wheat Ridge) Contractor Phone 3034894198 Number Contractor Email Address maria@watershedroofs.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? maria@watershedroofs.com No +� Description of Roofing iko cambridge Material Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. z Select Type of Material: Asphalt I/ If "Other" is selected Field not completed. above, describe here: How many squares of the 17 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 17 Z tear off 1 layer. install new iko shingle 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 maria leyba Email not displaying correctly? View it in your browser. 3 GWATERSHED ROOFING AND RESTORATION PERMIT AUTHORIZATION Date: I - ll " Zoe To: Permit Technician City of Wheat Ridge Building Dept 7500 W 29th Ave Wheat Ridge, CO 80033 Watershed Roofing and Restoration authorizes the following representative of our company to pick up permits for our job at location: 93� I CS?Ua (Street number and name O wl (— A, A -- (Employee name - print) Wheat Ridge, CO 80033 Employee must present a,copy of signed job contract and photo ID. Ll (Ron Antener - Wheat Ridge Lic# 1701M - Owner Watershed Roofing and Restoration) ANY USE OF THIS AUTHORIZATION FOR PERMIT ACQUISITION OTHER THAN CURRENT WATERSHED ROOFING AND RESTORATION CONTRACTED WORK IS NOT PERMITTED. Wheat Ridge license number #170158 G Watershed Roofing and Restoration, 1360 S Wadsworth Blvd., Suite 116, Lakewood, CO 80232 P: 303.643.5033 www.Watershedroofs.com WATER Proposal Date: This proposal may be withdrawn by Watershed Roofing & ROOFING AND RESTORATION Restoration if not accepted within 30 days from above date. 1380 S. Wadsworth Blvd. #116, Lakewood, CO 80232 Watershed Roofing shall hold in trust any payment received from you until :Watershed has Phone: 720-643-5033 /Fax: 720-643-5034 , k. Ct 7 d delivered materials at the site or has performed a majority of roofing work on your property. � iJ ✓; PROPOSAL FOR: od /XMI-r- (9 4"- ri c i CJc Names Job Address: i'.3lu City, State, Zip: }�� a Phone: Mailing Address: City, State, Zip: Email Address: to 6,-f4:rt -:t Tear Off -Onspect Decking: Deteriorated existing decking replaced at cosf of $ Per Sq. Ft. Property owner will be notified if any damaged wood is found during tear off. llnstatl-ice shield on eaves and in valley(s) g„ install drip edge _7 _ `i Color _Vnstall underlayment >4/ J -Recover roof with C.F . -' I r year manufacturer warranty. Shingle Manufacturer rix. _ Color Ti�), 3,6"Nail every shingle ZKo r�/Cie m stall ridge style�ui,+r4s(, -i-�• �c:13,::f7 r'�:� .--Install pipe jacks J Lead jacks J Detach/Reset Swamp cdoler x 4 -Step flash sidewalls .-.Step flash chimney -)Step flash skylight -Clean up and haul of roofing debris 1 Clean out gutters -Wagnetic sweep of surrounding area -3-W tershed Roofing will provide General Liability insurance of at least $1,000,000 & Workers Compensation of at least $100,000 All required Permits furnished by Watershed Roofing & Restoration to be reimbursed by Insurance Company/Homeowner --- Watershed Roofing & Restoration 5 -year warranty on labor >-Current Ventilation Recommended Submitted By: Watershed Roofing & Reptoration r Watershed Rep: 41 <C iiit y Cell Phone: Insurance Company: _S 7,- i � faA {LivI Adjustor Information: _ - -'i" - Claim Number: %.a Date of Adjuster Meeting: � �> ta.s-- � . r'� I '�- <" r•,,:, ,:� Gutters 1 ; Color: '� . - ! Style: - - --� J Windows Color: _ J Siding Color: Deck Color: J Painting Color: All per insurance scope and price. -! Additional work not covered: Style Style: Style: Style: 1_s? $`° F Deductible collected at time of material delivery 4-$ :-`i':1 c Initial total claim amount as of ` P�4 / Price is subject to supplements/adjustments approved by insurance company. Work to be completed within 21 days of final insurance approval & mortgage endorsement. r ,l ,•� Date 'ofAcceptance 1lVatershod Roofing & Restoration Representative Property Owner Signature Property Owner is ,, ! is not _intending to make payment from the proceeds of a property & casualty insurance policy. If yes, homeowner must read and sign below. INSURANCE ALLOWANCE AGREEMENT: I ! We agree to retain Watershed Roofing and Restoration (contractor) to repair/replace the damaged or entire portion of the property described on this contract contingent upon the contractor obtaining my insurance company's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount of damage, the cost of the repair or replacement of the damage to the above property. Upon insurance carrier agreement with the contractor and the down payment being made the work will be scheduled and may begin on a first in first out basis. Checks shall be made payable to Watershed Roofing and Restoration. In the event that the insurance carrier fails to negotiate in a fair and reasonable manner, the contractor shall not be held liable and this agreement shall be void. The contractor will release the complete file to the Commissioner of Insurance at the customer's request. Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary documentation for the claim (including documentation to facili- tate payment from insurance carrier and/or mortgage holder). The contractor reserves the right to file for supplemental claims due to material and/or labor increases due to a storm environment or to insurances adjuster's mistakes, errors, or omissions. Insurance Company s Claim Number Co-owner Date I/We agree that by signing above we agree to all of the conditions on both the front and back of this agreement. 1. Watershed Roofing and Restoration shall hold in trust any payment from the property owner until the roofing contractor has delivered materials or has performed a majority of the work. Watershed Roofing and Restoration has a 72 hour right of rescis- sion. Watershed Roofing and Restoration will not conduct any work on your claim within the first 3 days of this contract. After the 72 hours have passed, this proposal will become a binding contract. This contract may also be rescinded within 72 hours after the property owner receives written notice that its insurance claim has been denied. Existing Colorado statute related to property insurance fraud (CRS 18.13.119.5) states that paying, waiving or rebating a property owner's insurance deductible is a Class 2 Misdemeanor. 2. If material has to be reordered or restocked because of a cancellation or change by the customer, there will be a restocking fee equal to twenty percent (20%) of the contract price. 3. A copy of General Liability and Worker's Compensation insurance has been supplied to you in our property owner packet. If you ever need a copy, please contact the office and we will be happy to provide you additional copies. 4. Watershed Roofing and Restoration agrees to perform the specified repairs/replacement in accordance with generally ac- cepted roofing and construction guidelines, adhering to local codes in effect at the time. 5. Payment terms: 50% payment upon delivery of material and 50% upon completion. Payment is due within ten days of receipt of the invoice. Completion is not contingent upon inspection by the applicable governmental entity where the work is performed. Warranty on labor begins upon completion of the project and upon full payment of the contract. Interest charges of one percent {1%) per month will be charged on all past due balances and customer shall also pay all costs of collection including reason- able attorney fees and costs. Watershed Roofing and Restoration reserves the right to record a mechanics lien on the property if payment is not made in a timely manner. Unless otherwise required by law, the parties agree that the Courts for the County of Jefferson, State of Colorado shall have exclusive jurisdiction over any legal actions. The parties agree and consent to the juris- diction of that court over the subject matter of those controversies and over them personally. 6. Price of proposal is valid only for 30 days from proposal date based on quarterly material price increases. 7. The homeowner is responsible for getting Homeowners Association approval of roofing products and color, if necessary 8. The property owner is responsible for facilitating mortgage process and cannot hold Watershed Roofing and Restoration li- able in delays caused by the mortgage endorsement process. 9. Property owner acknowledges Watershed Roofing and Restoration as the general contractor and as such, Watershed Roof- ing and Restoration will be entitled to 10% overhead and 10% profit. 10. Extra material is ordered on every job to avoid issues or complications, therefore all excess materials remain the property of Watershed Roofing and Restoration. 11. The company shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, inability to obtain material from usual sources, or any other circumstances beyond the control of the company. 12. Warranty: Five (5) year workmanship warranty on roof replacement, excluding 90# mineral surface rolled roofing, and one (1) year workmanship warranty for all other work. The company will provide a service call for roof inspection as long as the customer is the current owner of the property and all obligations are paid in full. No warranty exists until this contract is paid in full. Watershed Roofing and Restoration is not responsible for any leaks or water damage below the roof line, including but not limited to leaks caused by excessive wind, ice or hail during the period of the warranty. The warranty does not cover events or circumstances not the fault of Watershed Roofing and Restoration including, but not limited to, ordinary wear and tear, improper maintenance and damage by others. The warranty for the materials is limited to the manufacturer's warranty and the Homeown- er agrees to look to the manufacturer for any defects or deficiencies in the materials. 13. Client agrees to not hold Watershed Roofing and Restoration liable for the following damages that may occur during roofing construction: slight scratching to the gutters, damage to plants and trees due to roofing and tear off, cracks in driveways, interior damage, such as split crown molding, cracked plaster or sheet rock, nail pops, or falling dust or debris, or items knocked off the wall or shelf due to the construction. Watershed Roofing and Restoration is not responsible for pre-existing damages to any part of the property, which includes, but is not limited to solar panels, evaporative coolers or existing skylights. 14. The price on the contract does not include replacement of deteriorated decking, fascia boards, swamp coolers, ventila- tors, and chimneys, counter flashing or any other work completed for the property owner not stated in this contract, and will be charged as an extra on a time and material basis. ♦ 16 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: Pnr; t Job Address: 033 1) ' w Permit Number: 11(7 0 j f (_ wabf lei o14 ikc ❑ No one available for inspection: Time c '� AM /PM Re- Inspection required: Y No When corrections have been made, call for re inspection at 303 234 - 5933 Date: 1 7 -6 7 - 8 Inspector: DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge - r� Faxed Roof Permit PERMIT - 110988 PERMIT NO: 110988 ISSUED: 08/19/2011 JOB ADDRESS: 4310 QUAY ST EXPIRES: 08/18/2012 DESCRIPTION: Reroof 20 sqs with OC Oakridgeshingles * ** CONTACTS * ** owner 303/513 -2235 Kimberly Morrow sub 303/242 -8444 Jerod Raisch 09 -0053 Metro Construction Inc ** PARCEL INFO ** ZONE CODE: UA - USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,694.26 FEES Permit Fee 204.30 Total Valuation .00 Use Tax 174.50 m ** TOTAL ** 378.80 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. -2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the 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 Won. any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to I': Signal r of Whief Building Offical Date �_- I l Dq" INSPECTION RECORD Occupancy /Type ®'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. I PECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUND SPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footingns Electrical Permit Fee 204.30 Stemwa) Concrete Encased Use Tax 174.50 - Reinforonolithic SIGNED PRIOR TO PRO CITY OF WHEAT RIDGE 08/!9/11 8:24 AM cdba jerad W kaisch WeatheFrench Drain Mechanical US 3623 P Gas Sewer Sines Auth Cade: Pipi - Water Sines Rough Mechanical Building Final TOTAL I IL MbV VC IINJ bttfY JllarYtU CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) UO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathin MSeNjce W t'TuWYI 378.80 FINALS 110988 Lath / W Electrical Permit Fee 204.30 Mid -Roo Use Tax 174.50 - ElectricaRough SIGNED PRIOR TO PRO CITY OF WHEAT RIDGE 08/!9/11 8:24 AM cdba jerad W kaisch ERough Mechanical US 3623 P Gas Roof Auth Cade: Pipi 092510 Rough Mechanical Building Final TOTAL ABOVE INSPECTIONS TO BE Framing Insulation Drywall Screw Fire Department R.O.W & Drainage— INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "'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 AUTHORIZAT ION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 111 1 I' I,V. bLI'IVVVLVV BPSP ReToof 20 sqs with 0 t'TuWYI 378.80 FINALS 110988 Electrical Permit Fee 204.30 Use Tax 174.50 Plumbing - PAYMENT 3ECEIVEU AMOUNT Mechanical US 3623 378.80 Roof Auth Cade: 092510 Building Final TOTAL 378.80 Fire Department R.O.W & Drainage— INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "'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 AUTHORIZAT ION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER III City of )!��e ®ate 9 _ r Wh6at OMMUNITY DEVELOPMENT Perr!nit #: Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 -235 - 2855 * Fax: 303 --237 -8929 Inspection Line: 303 -234 -5933 Facsimile Building Permit Application Property Address: y' 5/ U J _�(_ Property Owner (please print) k j Mailing Address: (if different than property address) Address: Use of space (description), ® otwork action Value: ' Lit - TC.Ct' M (7 FF t {rt? i�Ul7� Wit J �L,(� [ ! Plan Roview (due at time of submittal): $ _ °aJOG.o f��t1 w 2vSc�5 o Sq. Ft. /L,Fi added: quares 7 t3 BTU's Gallons Amps I_ OwNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application arc a rourate, and do not violate applicable ordinances, rules or regulations of gle City of Wheat Ridge or covenants, easements or restrIchons of record; that all measursmdms shown, and allegations made are accurate; that I have read and agree to @bids b y all conditions printed on this application and t11at I assume full ras pponslbdlty for compliance with the a. Idge Building Code (I.B.C) and all outer applicable Wheat Ridge Ordinances, for work undorthls permit. Plans subje _ aid inspo0 n. CIRLCE ONE:: (O W — ER) (CONTRACTOR) or PERSONAL REPRESENTATI�+'� Of (OW ER) (CON TRATOR) PRIN NAME; —1 �� SIGNATURE: Date; DEPARTMENT ' E ONLY � F ENTS: ning; ewe r. COMMEN'rs: ewer. RTMENT COMMENT&: OCCUPANCY Reviewer. FIRE DEPARTMENT:: 0 approved wi comments 0 disapproved 0 no review requlrnd Bldg Valuation: $,_� _ I Credit Card Pa menL Use credit card listed on ale Gat Print name; �Ckj Signature: � . �t - Contractor: 1yU_t_WM T H •'tom! Contractor License #: l)q— ( Phone: 7 f /ri CAtfU( //� ♦ 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: Job Address: 11310 :,IA 57' Permit Number: 09106133 K ❑ No one available for inspection: Time _®9," S AM/PM Re-Inspection required: Yes *When corrections have been made, call for re//-inspection at 303-234-5933 Date: 4~'//g/vj' Inspector: DO NOT REMOVE THIS NOTICE MEIHIV3M 3Hl W02Ij aavo SIHl 1O310bd im l ♦ 1, 4 i CITY OF WHEAT RIDGE Building Inspection Division 0( (303) 234-5933 Inspection line 303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: oficle Job Address: Y11V az,4 K 57- Permit Number: o90/G-73 AIV 14~,gA1C vex)g , OR,P four" u} triJ~ z ,r C.'lrJZ✓/fy'~¢ St /7G dt~'if' /p C r= r' ❑ No one available for inspection: Time /,P 32a AM/PM I Re-Inspection required: es No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: ` DO NOT REMOVE THIS NOTICE ~oFW"E'rR,o City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o, Inspection Line: 303-234-5933 OCORP~ Building Permit Application Date: 00l o 0031 Plan Permit 06~ Property Address: it 3 ) l7 (4) LA, A+ Property Owner (please print):-2\1 ~5t- 4 gv~e ~Tt ZS Phone: q-f- q`7 6D Mailing Address:.(if different than property address) Address: City, State, Zip: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date Approval: Approval: Use of space (description): Description of work: _ Exp. Date: Approval: Construction Value: $ ' 8r>- (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 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:: , (IOWNER,,)) (CONTRACTOR) or PERSONAL REPR SENTATIVEof (OW R) CONTRATOR) PRINT NAME: J GV P''`r, i ~I.4,5. 5nGNATURE: - Date: Contractor: / >h Contractor License C 4 Yi Phone: '7`1-y l ,L4 ) ~4 4 STOP WORK ORDER You are hereby ordered to stop work located at: YSID oti", By order of the City of heat Ridge Building Department for the following reasons: D5. l