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Home My WebLink About4555 Vance StreetGE 0 *1 title �( OF ect\°r ct10C► 0 Fax G� \d`rg� 59 3'r 103) 23,.89 p3i 23a 5 Off�C'e 3 G� C 31235.2 NO'(� (3° P�G. \p�1 y VNS aPect�oadCeSs. Job p �trbev . PeCm��,N e � oC '`rspeo��or o ctjOn at 30 ava�\abbd. �(es N� {0r nsPe �N0 ore 60\ \ Ce,01 been made, ca � �IC �e �rsPe s hav .n'nen c°rrectj07Q /2 /ll--� GtEM�v INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT -Z011 C) inj,5!% ADDRESS: ��-�5� JOB CODE:" Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground J� Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof J� 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous (� Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door (� 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. A i City of Wheat Ridge �J Residential Roofing PERMIT - 201706659 PERMIT NO: 201706659 ISSUED: 08/28/2017 JOB ADDRESS: 4555 Vance ST EXPIRES: 08/28/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Barkwood Dimensional Architectural asphalt shingles & Modified Bitumen with ROOF DECKING - 12 sq. (10 sq. pitched, 2 sq. flat) *** CONTACTS *** OWNER (720)841-9646 JACKOWSKI JEFFREY L SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,099.00 FEES Total Valuation 0.00 Use Tax 86.08 Permit Fee 125.05 ** TOTAL ** 211.13 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706659 201706659 4555 Vance ST Residential Re—roof to Architectural asphalt sq. (10 sq. pitched, 2 ISSUED: EXPIRES: install GAF Timberline HD shingles & Modified Bitumen sq. flat) 08/28/2017 08/28/2018 Barkwood Dimensional with ROOF DECKING — 12 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 performe d that all work to be performed is disclosed in this document and/or it ' accompanying approved plans and specifications. Signat a of OWNER or CONTRACTOR (Circle one) bate 1. This permit was issued based on the information provided in the permit application and accomanying 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 maybe 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 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 issua ranting of a e t sh pq a construed to be a permit for, or an approval of, any violation of any provision of any applicable co • r ny r ina� i 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. BBB �C WEE o�� rE00 LITE """" �400F/NG Roofing Done Right" "J"Ev i lk Contract Submitted To JX CxJ C, / Email Z'Syet VC 6 1AZQ k Date— ( Home Phone ��.t)7 — �� 1 — 15 p Alternate Phone Street `�( _ S /� City i Jl�r..� 1�_ State Zip We propose to fumish all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST VALUE (RCV) per insurance proceeds plus any supplements that may apply to your claim. Upon approval of your claim, Elite Roofing will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will negotiate a fair and equitable settlement agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you, except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof replacement, you will not be obligated to this contract and/or may enter into an acceptable repair agreement withEliteRoofing. Shingle Manufacturer Ct7A Type iJc� `.E�t Color X [ ] Tear off layers) of composition or wood shingles. _': oQ [) Install felt 151b 301b �] Ridge cap shingles to be color coordinated kf Install new pipe jacks Yf Replace vents as needed � Slant back Turtle (k]''- Re-flashchimneys and all wall abutments as needed Jul' Install— nails per shingle Code n fns: Install Decking (7116" OSB) �! Install pre -painted eave metal to code – Color �1�0� 14' Ice & Water;;o—Penetrations 2f Valleys Eaves Upgrade i<"Synthetic Felt" [ ] "Ridgevent" If. [ ] "High Profile Ridge" If. [ ] "Surenail", lifetime shingles [ ] "Class IV Impact resistant" lifetime shingles [ ] Manufacturer Warranty – Pick one Below [ ] OC Advantage [ ] OC Preferred [ ] GAF System Plus Misc: Clean out gutters Five (5) year workmanship warranty Elite Roofing will provide general liability insurance coverage of $2,000,000 Elite Roofing will provide workman's Comp at $500,000 [ ] Make a magnetic sweep of driveway and yard for removal of any nails Special_Instructions: Approx. Job Completion: weeks from insurance approval Homeowner Payment Summarv: Deductible: $ Upgrades: $ Balance Duey': $ 0, c7�LciU *Balance due is equal to the amount of out of pocket expenses as agreed upon by the homeowner and is in addition to all other insurance proceeds as described above. If no insurance claim is involved then balance due is the total contractual amount due. [ ] Remove all debris resulting from above work ,�/ // Insurance Company sk4 i -:AAM Claim it tib 1'D DOL: 1(We) hereby authorize and/or instruct any legal representative and/or agent of Elite Roofing to obtain any and all information necessary to negotiate the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above. • 1(We) hereby authorize and/or instruct Elite Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing. • I (We) hereby authorize and/or instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and instruct my (our) insurance company to release the customary 10%, overhead and 10% profit for scheduling and coordinating any and all trades needed. • Elite Roofing shall hold in trust any payment received from you until materials have been delivered. This contract is subject to Elite Roofing management review and approval. I accept the above terms of this contract and aut ' e Elite Roofing to proceed. Date of Acceptance Homeowner's Signature(s) . Representative Representative's Sign 5475 Peoria St Suite 4106, Denver, CO 80239 1 Ph: 303.296.0361 1 Fax: 720.317.2233 1 Colo. Spgs.: 719.203.3107 1 Ft Collins: 970.818.3990 www.eliteroofingcolorado.com Dan Schultz j & From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 24, 2017 3:42 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 4555 Vance St. Property Owner Name Jeff Jackowski Property Owner Phone 720-841-9646 Number (enter WITH dashes, eg 303-123-4567) 45 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract jeffjackowski@yahoo.com Yes Jacowski Contractpdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Elite Roofing 130240 303-296-0361 5475 Peoria St., Unit 4-106 Contractor Email Address kathy@elite-roofs.com Retype Contractor Email kathy@elite-roofs.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract 4099.02 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 46 Does the scope of the Yes project include a flat roof (less than 2:12 pitch)? How many squares are 2 part of the flat roof? Describe the roofing Modified Bitumen material for the flat roof. Type of material for the Rolled flat roof: Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 10 part of the pitched roof? Describe the roofing Dimensional/Architectural materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional Remove composition shingles and replace with GAF detail here on the Timberline HD Barkwood description of work. (Is this for a house or garage? What is the roof pitch? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City 47 to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Hilda Cowie-Bozner Email not displaying correctly? View it in your browser. 48 A i City of Wheat Ridge �J Residential Roofing PERMIT - 201706659 PERMIT NO: 201706659 ISSUED: 08/28/2017 JOB ADDRESS: 4555 Vance ST EXPIRES: 08/28/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Barkwood Dimensional Architectural asphalt shingles & Modified Bitumen with ROOF DECKING - 12 sq. (10 sq. pitched, 2 sq. flat) *** CONTACTS *** OWNER (720)841-9646 JACKOWSKI JEFFREY L SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,099.00 FEES Total Valuation 0.00 Use Tax 86.08 Permit Fee 125.05 ** TOTAL ** 211.13 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706659 201706659 4555 Vance ST Residential Re—roof to Architectural asphalt sq. (10 sq. pitched, 2 ISSUED: EXPIRES: install GAF Timberline HD shingles & Modified Bitumen sq. flat) 08/28/2017 08/28/2018 Barkwood Dimensional with ROOF DECKING — 12 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 performe d that all work to be performed is disclosed in this document and/or it ' accompanying approved plans and specifications. Signat a of OWNER or CONTRACTOR (Circle one) bate 1. This permit was issued based on the information provided in the permit application and accomanying 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 maybe 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 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 issua ranting of a e t sh pq a construed to be a permit for, or an approval of, any violation of any provision of any applicable co • r ny r ina� i 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. BBB �C WEE o�� rE00 LITE """" �400F/NG Roofing Done Right" "J"Ev i lk Contract Submitted To JX CxJ C, / Email Z'Syet VC 6 1AZQ k Date— ( Home Phone ��.t)7 — �� 1 — 15 p Alternate Phone Street `�( _ S /� City i Jl�r..� 1�_ State Zip We propose to fumish all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST VALUE (RCV) per insurance proceeds plus any supplements that may apply to your claim. Upon approval of your claim, Elite Roofing will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will negotiate a fair and equitable settlement agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you, except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof replacement, you will not be obligated to this contract and/or may enter into an acceptable repair agreement withEliteRoofing. Shingle Manufacturer Ct7A Type iJc� `.E�t Color X [ ] Tear off layers) of composition or wood shingles. _': oQ [) Install felt 151b 301b �] Ridge cap shingles to be color coordinated kf Install new pipe jacks Yf Replace vents as needed � Slant back Turtle (k]''- Re-flashchimneys and all wall abutments as needed Jul' Install— nails per shingle Code n fns: Install Decking (7116" OSB) �! Install pre -painted eave metal to code – Color �1�0� 14' Ice & Water;;o—Penetrations 2f Valleys Eaves Upgrade i<"Synthetic Felt" [ ] "Ridgevent" If. [ ] "High Profile Ridge" If. [ ] "Surenail", lifetime shingles [ ] "Class IV Impact resistant" lifetime shingles [ ] Manufacturer Warranty – Pick one Below [ ] OC Advantage [ ] OC Preferred [ ] GAF System Plus Misc: Clean out gutters Five (5) year workmanship warranty Elite Roofing will provide general liability insurance coverage of $2,000,000 Elite Roofing will provide workman's Comp at $500,000 [ ] Make a magnetic sweep of driveway and yard for removal of any nails Special_Instructions: Approx. Job Completion: weeks from insurance approval Homeowner Payment Summarv: Deductible: $ Upgrades: $ Balance Duey': $ 0, c7�LciU *Balance due is equal to the amount of out of pocket expenses as agreed upon by the homeowner and is in addition to all other insurance proceeds as described above. If no insurance claim is involved then balance due is the total contractual amount due. [ ] Remove all debris resulting from above work ,�/ // Insurance Company sk4 i -:AAM Claim it tib 1'D DOL: 1(We) hereby authorize and/or instruct any legal representative and/or agent of Elite Roofing to obtain any and all information necessary to negotiate the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above. • 1(We) hereby authorize and/or instruct Elite Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing. • I (We) hereby authorize and/or instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and instruct my (our) insurance company to release the customary 10%, overhead and 10% profit for scheduling and coordinating any and all trades needed. • Elite Roofing shall hold in trust any payment received from you until materials have been delivered. This contract is subject to Elite Roofing management review and approval. I accept the above terms of this contract and aut ' e Elite Roofing to proceed. Date of Acceptance Homeowner's Signature(s) . Representative Representative's Sign 5475 Peoria St Suite 4106, Denver, CO 80239 1 Ph: 303.296.0361 1 Fax: 720.317.2233 1 Colo. Spgs.: 719.203.3107 1 Ft Collins: 970.818.3990 www.eliteroofingcolorado.com Dan Schultz j & From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 24, 2017 3:42 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 4555 Vance St. Property Owner Name Jeff Jackowski Property Owner Phone 720-841-9646 Number (enter WITH dashes, eg 303-123-4567) 45 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract jeffjackowski@yahoo.com Yes Jacowski Contractpdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Elite Roofing 130240 303-296-0361 5475 Peoria St., Unit 4-106 Contractor Email Address kathy@elite-roofs.com Retype Contractor Email kathy@elite-roofs.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract 4099.02 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 46 Does the scope of the Yes project include a flat roof (less than 2:12 pitch)? How many squares are 2 part of the flat roof? Describe the roofing Modified Bitumen material for the flat roof. Type of material for the Rolled flat roof: Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 10 part of the pitched roof? Describe the roofing Dimensional/Architectural materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional Remove composition shingles and replace with GAF detail here on the Timberline HD Barkwood description of work. (Is this for a house or garage? What is the roof pitch? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City 47 to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Hilda Cowie-Bozner Email not displaying correctly? View it in your browser. 48 i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE j Inspection Type: / eo�__ K,4 Job Address: 5 -SS e_ S �--- Permit Number: 70 ❑ No one available for inspection: Time Re -Inspection required: Yes r tlo When corrections have been made, call for at 303-234-5933 Date: >'1/) ' '' /7 Inspector: DO NOT NOT REMOVE THIS NOTICE v ' CITY OF WHEAT RIDGE ��(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE1 /// _ Inspection Type: '] % /y Job Address: r �- V Permit Number: r ✓t 1 f Jy 415 UV 615 1 0 ( V4, f l; '�� 9' E rn >��f y, y J 4-� v ❑ No one available for inspection: Time 1 C (° AM/I Re -Inspection required: Yes to When corrections have been made, call for re -inspection at 303 -234 - Date: 1()(3/7 Inspector: LC DO NOT REMOVE THIS NOTICE ON sf� ao�pa vaaq a�eu s Up�pads�\' of 11,00`ape 'y rba� A �e auo ONA e uoi�oadSU!•aA pN gad sup ao\ a\q�\�� Jd�Wd / `Olga :aaa�r d kov .SSaaPp o`�oad� .adf•1 v 4 Cos) V,£Z (�r9 ££6�, uoi `Odovoadsu\AO Uo`S� O`� 1d�NM SO J fi City of id CIOMMUNt-TY ,V,-LO,,.,rNTj—g t >. Building & Inspection Services Division 7600 W. 2e Ave., Wheat fridge, CO 80033 Pterr Review Fee. Office: 303-235-2856 `" Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application ,ulte Ott #1 ` , ttttta gat t, t .w , tris.. ply '";pl e'rz� cis# r+e gid; • t # ` # k 4555 Vance Street # * # * 4 , Wa ♦ # Add same as above chit t6a atPhone: Contractor: Matthew Seiler Contt»8 " Lia t 3tt2 6 303-945-1519 Contractor. E -Mall Address: mseilergrenewalcolorado.com # # # Electdcal: Plumbing: Mechanical: W.R. City License WA, City License # WA, City License Other City Licensed Sac Other Ck Licensed Sub: City License # City License Completeof M� • a • • „sr a P P 4 • a 'P. a # ! M TIMI I Ilk Sq, FUL shes tions Amps - Squaras Other "gums I �r��rrrrrrrrrrrrurrrrrr�rrt ��oeeeeeeeeetet■eeeeeeeeea M�� =1111