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4530 Quay Street
PERMIT NO: 201701969 100 - JOB ADDRESS: 4530 Quay ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential reroof: tear off existing and install ice and water felt drip rake comp shingle house 4/12, 1/12 28 squares *** CONTACTS *** OWNER (303)424-4530 KARUZAS LUCILLE A SUB (303)254-4303 Michael Lallier 018641 Lallier Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,788.00 FEES Total Valuation 0.00 Use Tax 163.55 Permit Fee 172.60 ** TOTAL ** 336.15 *** 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 A1/2 -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 manufacturera€-s 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's 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. INSPECTION RECORD ccupancv/Type INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials 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 7 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. For notification of your assigned inspection time window please email ins timerequest�a�Ci.w_heatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i 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: Px i -�) Job Address: (4 S 3 0 v gay S r Permit Number: ' 0) "7 0 1 T L 9 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-insp tion at 303-234-5933 Date: (,.2-0 Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1� a �_ Job Address: 4536 G)u-c� y :� f Permit Number: D D 1 7 {, / 9 G Cl U N ,� 4 ❑ No one available for inspection: Time. 20 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: a i / Inspector: 1 DO NOT REMOVE THIS NOTICE City of Wheat Ridge y Residential Roofing PERMIT - 201701969 PERMIT NO: 201701969 ISSUED: 06/14/2017 JOB ADDRESS: 4530 Quay ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential reroof: tear off existing and install ice and water felt drip rake comp shingle house 4/12, 1/12 28 squares *** CONTACTS *** OWNER (303)424-4530 KARUZAS LUCILLE A SUB (303)254-4303 Michael Lallier 018641 Lallier Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,788.00 FEES Total Valuation 0.00 Use Tax 163.55 Permit Fee 172.60 ** TOTAL ** 336.15 *** 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 kh-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 manufacturers€''"s 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's 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. City of Wheat Ridge Residential Roofing PERMIT - 201701969 PERMIT NO: 201701969 ISSUED: 06/14/2017 JOB ADDRESS: 4530 Quay ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential reroof: tear off existing and install ice and water felt drip rake comp shingle house 4/12, 1/12 28 squares 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 ermit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. 7 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 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, 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. Signature of Chief Building Official Date `L 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. Antoinette Kulick 2-0 o 0 1 q (e From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 2:00 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed c -- 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. 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. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 4530 quay st Property Owner Name Lucille Karuzas Property Owner Phone 303-424-4530 Number 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 Lallier construction sLv L_ k (" Contractor's License 018641 Number (for the City of Wheat Ridge) Contractor Phone 303-254-4303 Number Contractor Email Address robert@lcidenver.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing t/o apply ice & water felt drip rake comp Material How many squares of 28 material? Provide additional detail house 4/12 1/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7788 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 2 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 ROBERT VICHKON Email not displaying correctly? View it in your browser. `70 ' Telephone: (303) 254-4303 Fax: (303) 733-2505 LQ LALLIER CONSTRUCTION, INC. Collier Construction, Inc. AGREEMENT Name: ,A/,/.e— G ` & A{A","(,-Z 4.5 Date: �� Z6 1 7 Address: —4=1.--S)!� 11 E-Mail: City/State: r Zip; Home Phone: Q ! i ,k/Cell Phone: Referral: Y/N / Consultant: �f�� O✓ iC c4,� Phone: 30 3 ��p� / 70 )_ Storm Date: THE CONSUMER PROTECTION/ROOFING BILL DOES NOT ALLOW A ROOFING COMPANY TO ' WAIVE, PAY OR REBATE ANY INSURANCE DEDUCTIBLE Approximate/Scope of Services/ Materials & Cost Based on Current Known Damage Report Meet with insurance adjustor for inspections (when possible) and negotiate cost factors with insurance for supplements A-Customer acknowledges receipt of Liability and Workers Compensation Insurance and Construction Preparation document Remove 4>41r Layers Comp Shingles Remove Layers Shake Shingle Other /�/R�em��o��ve�� Manufacturer ©1 tl. Name T%tcJiJ4?�l �JN Coll�f t I/¢/YSouares . Shingle Manufacturer Warranty/. bor Warranty years (Guarantee against leaks) 1001 If Starter 4 If Hip and Ridge Ib Felt/Synthetic Ice and Water Shield — Eaves/Valley(g) R&R Pipe Jacks R&R Attic Vents: Turbineu tle idge/Other Paint roof stacks to match shingles If Rake Metal and If Eave Metal in Color If R&R Step Flashing _ / ?1` �&R Skylight D&R Swamp Cooler #—I'AD&R Satellite Dish _AV*&R Chimney Flash — Lg/Med/ Sm �sq R&R Rolled Roofing "7'q R&R Mod Bit Osq Replace Decking (7/16 in. OSB) Roof Pitch: 7/12-9/12, 10/12-12/12, over 12/12 Steep Sq. High Sq. Access: Y/N Remove and Replace If Gutters and If Downspouts in 4Zw&yt4Color Windows Y/N Siding Y/N Paint Y/N (See addendum for details) Damage Assessment: f¢ s s All insurance l,f (GJV) le Zle procee p_4 e j educ I p ya a4ollow . APPROXIMATE COST $ (PLUS PERMIT SUPPLEMENTS, A D TAX) APPROXIMATE DATE OF SERVICE�� LALLIER CONSTRUCTION, INC. LIMITED 5 YEAR WARRANTY GENERAL CONTRACTOR. Homeowner acknowledges LALLIER CONSTRUCTION, INC. as a general contractor and as such shall be entitled to overhead and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit. TERMS: By signing this Agreement, you, the homeowner, authorize LALLIER CONSTRUCTION, INC. ("Contractor") to act on your behalf and pursue your best interests with your insurance company in determining an appropriate roof and/or siding replacement or repair at a "price agreeable" to both the insurance company and Contractor with no additional costs to you except for your insurance deductible. When the "price agreeable" is determined it shall become the basis of the final contract price which consists of INSURANCE PROCEEDS and INSURANCE DEDUCTIBLE (the "Final Contract Price"). Customer authorizes Contractor to obtain labor and materials in accordance with the Final Contract Price and the specifications set out herein and on the reverse side hereof and to accomplish such replacement or repair. by 4/[./�Lz¢57 46,stLyy 30-1-1 Accepted (Homeowner): �atii- 1 (Print Full Name) (Signature) Insurance Representative Agreement: It is understood that Lallier construction, Inc. will be contacting my insurance representative and or meeting onmy property deter i�f loss (property damage) and compensation for loss (amount to be repaired) Insurance Compan,. Claim# d2lacZS/,Z! 9c; Property Owner Signature: v, d-✓ Date i /f LALLIER CONSTRUCTION, INC. SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL LALLIER CONSTRUCTION, INC. HAS DELIVERED MATERIALS OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY Ir I CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) aDo NOTPniiR R ooR IINTII AROVF HASRFFN girHFn PROTE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line t303).23.5-2855 Office * 1303) 23.13-28.137 . Fax INSPECTION NOTICE Inspection Type. Job Address/Permit Number: Ca%v~ ❑ No one available for inspection: Time AM/PM Re-Inspection required: 'Yes E 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 r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE .7 Inspection Type: Mu, /rcm_f- Job Address: fzg~ C3) i Permit Number: _ 0 Qc ❑ No one available for inspection: Time AM/PM Re-Inspection required: -9-2 No *When corrections have been made, call for re-inspection at 303-234-5933 Date: ( Inspector: DO NOT REMOVE THIS NOTICE a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: 6 U Plan Permit #06-:H- Property Address: Property Owner (please print): k,e-%; ~Akv jk~a Je AS Pt Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Building Permit Application Contractor License C). ~eyj g Sj Phone: 3~p 6 f'7'- k.6-17- O Sub Contractors; Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description of work- (as calculated per the Building Valuation Data sheet) /i z/0,01 PGC S Plan Review (due at time of submittal): $ -A6 od Sq. Ft./L.Ft added: Squares ~L U'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. CIRLCEONE:: (OW R) (CONTRACTOR) or PERSONALREPR AT[ of WNER) (CONTRATOR) PRINT NAME: qG / /U,C ✓ SIGNATURE: Date: