HomeMy WebLinkAbout4680 Holland Street-� A//,a,,,.q1NSPECT1ON RECORD
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 incnactinn
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 o o 'ng business day.**
Inspector Must Sign ALL Spaces pertinent his project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
nin Nn+ Pnlir rnnf-rnfn Drier Tr. A---w..wl Ai TL- AI-____ 1
Inspector
Inspector
Initials
Underground/Slab Inspections Date
Comments
Initials
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.
Electrical
Sewer Service
Plumbing
n LI
..vW vvvl�1 %J" 'ulkilvu1ILI VI UVIUMIFI-aiao vvorK Prior 10 Approval Ut The Above Inspections
�_u
ogh Inspections Date Inspector Comments
Initials F
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.
*Fnr Inw vnitana normifc - Plow ho ,. +N.,+ . ,.+.
a.. 1IVIc u nVni uis rI1G visrncr anu eieclncai low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A 4( City of Wheat Ridge
Residential Roofing PERMIT - 201704952
DERVIT NO: 201704952 ISSUED: 07/27/2017
JOB ADDRESS: 4680 Holland ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Dimensional asphalt shingles with 31 sq.
*** CONTACTS ***
DWNER (505)425-3728 RICHARD M & KATHERINE M BREEDL
SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing
*** 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: 7,967.00
FEES
Total Valuation 0.00
Use Tax 167.31
Permit Fee 172.60
** TOTAL ** 339.91
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midr0of
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201704952
PERMIT NO: 201704952 ISSUED: 07/27/2017
JOB ADDRESS: 4680 Holland ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Dimensional asphalt shingles with 31 sq.
*** CONTACTS ***
OWNER (505)425-3728 RICHARD M & KATHERINE M BREEDL
SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing
*** 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: 7,967.00
FEES
Total Valuation 0.00
Use Tax 167.31 PAI".
Permit Fee 172.60
** TOTAL ** 339.91
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
T .1 4 y.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704952
201704952 ISSUED: 07/27/2017
4680 Holland ST EXPIRES: 07/27/2018
Residential Re—roof to install IKO Dimensional asphalt shingles with 31 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
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 t t all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER r 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 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 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 issuanc granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicabl . o e r 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.
mrfi
MT
T
Aesgdenikl A Commercial
Offite: 303.433.fi752
9759 W, "I" Ave. Ste. 103 Fan 303,679.3072
Wheat Freya, CO 8
c0033 T-ckbarthRoofinu com
CAMotwer Marne: D
-fitiCk ante. Phone gg cell-ff. E-mail. A's4-Ay b6 P{s,-," jaw-
`� may. Ga/i �r.� State: �t ' ^,
t`: Street#: p.
Insurance3 i Nairn
Date crf Loss z a } i � ��' � � Tyke of Loss:
Phone 4.
I authorize T. Hacidnarth Roofing to work directly v.fth my Inswancecompanyon my behaif anti to fumes ail maMrW pnd labor as i 3ste i
Total Amount of Estimate lk ji*cIZC f/chi t/� i t'� A 'eed upon
The owners out of pocket expenses will not exceed their insurance deductible in the amount of
{finless upgrades are added) ,
Process payments of Contract price shall be made as Wows:
. _r" A..
Policy Specifications-,
Non -Recoverable Depreciation
Recoverable Dweciaiion
Code Up -Grade Coverage
Your project will begin onceT Hackbarth Roofing receives the Initial down payment check. Final payment is due to T Hackbarth Roofing
once received from insurance Company. All insurance supplement payments invoiced to insurance compeny to correct shortages in
Original estimate will be paid toT. Hackbarth Roofing.
We will furralsh thefailowing matarlals and Inbar as listed Ion€:
Tear off all layers of existing roof material: (layers}
New Shingle: Ini6at
Shingle Color .fLatal i+t4,,U1-4Initial
install felt pap`rto match existing ')sib_ __...30lb SyAf, 'C -
Install Pipe jacks -31-.=L471
Install tete iter a 3°xS° _____5°x70 __-_7°x3o
SP=1&J In lam:
Isda co . ::ra {1
Protect all tanduzoing, pools, a/c urtits
Paint vents to maters roofing material
Haul of trash/debris and magmatic srse p
Other
'l ,
Terms and �xidliltsn .
If deductible is more than stated abov% customer agrees to pair the difference.
In the evert that Insurance Company only agrees to pay for repairs, neither party is hound by this contract
Customer agrees to provide a copy of insurance Claim Report toT. Hackbarth Roofing upon receipt
A cancellation f ee of 20% will be charged if customer cancels contract after insurancecomparry has agreed to replace the roof
**-'IF EQR ANY RM50 I THIS CLAIM IS PREW THIS1M'��'yV SHAt? LMl QI0; -
3y s4nirra this contract you are authorizing T. Hackbarth Roofing and their afIiates to do the work as specified, and payments will be made
as outlined above.
Please read the reverse for acidworial Terms.
4 k L .
Property Owner or Authorized Rep. Signature / Bate T. Hackirth Roofing Rep Signature
Dan Schultz V&1.4"tfo
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 19, 2017 10:41 AM
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 Duplex
are on the property?
PROPERTY INFORMATION
Property Address 4680-4682 Holland St. Wheatridge Co 80033
Property Owner Name Richard Breedlove
Property Owner Phone 505-425-3728
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Todd Hackbar
.i
020443 UY
5?j_
303-433-6762
Contractor Email Address thackbarthroofing@comcast.net
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
thackbarthroofing@comcast.net
No /
IKO Dimensional
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 31
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.
TOTAL SQUARES of all 31
roofing material for this
project
Provide additional detail 4/12
here on the description of
z
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)
tee- SWC 7
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 Todd Hackbarth
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division /
(303) 234-5933 Inspection line_:�9�
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 410
Job Address: Lo bO
Permit Number: So ri 04�1 �52.
❑ No one available for inspection: Time ZM/PMM)
Re -Inspection required: Yes .No
When co
rrections have been made, call f re -inspection at 3032,314-,5,933
Date: , I I- I � Ins ector: 0/y G),
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8928 Fax
INSPECTION NOTICE
Inspection Type: �� F
Job Address: J
Permit Number: 20Z 70e- 5
z
❑ No one available for inspection: Time
Re -Inspection required: Yes No`s
When corrections have been made, call for re -inspection
)aLt, 303-234-5933
Date: 3 .16* / Inspector:
DO NOT REMOVE THIS NOTICE
«� card , , project
Call .requespm. to receive an inspection the following business ,*
Inspectorpertinent
. . M � � . - o � . p�iip�IIIIIIIM��Comments up yp III�
t. ,Letter
TIM
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Underground/Stab Inspection
i.
Initials
mments
t.tt
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loll
Plumbing (Below In -stab)
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.IIII
pector
Rouah Inspections
Initials �i� Comments
`• t * t r
Rough
057110- *' s w^ r TTss a s �r •
Rough Framit
Final Inspections
IN
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Final Electrical
Initials
Final Plumbing
IIN
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ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
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