HomeMy WebLinkAbout6180 W. 30th AvenueC (c6o, ,, �AVf-- X176 , " f��7
INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector Comments
Initials
Pier
_
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
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
Roof9
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
I* � s i City of Wheat Ridge
Residential Roofing PERMIT - 201706682
PERMIT NO: 201706682 ISSUED: 08/28/2017
JOB ADDRESS: 6180 W 30th AVE EXPIRES: 08/28/2018
JOB DESCRIPTION: Residential Re -roof to install on main structure GAF Timberline HD asphalt
shingles with 23sq
*** CONTACTS ***
OWNER (951)316-2636 ZADRA MICHAEL RAYMOND TRUSTEE
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,911.00
FEES
Total Valuation 0.00
Use Tax 124.13
Permit Fee 140.90
** TOTAL ** 265.03
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201706682
PERMIT NO: 201706682 ISSUED:
JOB ADDRESS: 6180 W 30th AVE EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install on main structure GAF
shingles with 23sq
08/28/2017
08/28/2018
Timberline HD asphalt
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 fu her attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed a that all wore* perform is disclosed in this document and/or its' acgompanying approved plans and specifications.
Signatur f OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 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 hall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuanc a i shal not a construed to be a permit for, or an approval of, an violation of any provision of any
applicable nc 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.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 24, 2017 8:34 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 Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 6180 W 30th Ave
Property Owner Name Michael Zadra
Property Owner Phone 951-316-2636
Number (enter WITH ,
dashes, eg 303-123-4567)
145
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Zadra Contract.pdf
Contract
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)
Homeguard Roofing and Restoration
9 9
130138
720-708-4126
Contractor Address 6850 W 52ND AVE SUITE 106
(Primary address of your
business)
Contractor Email Address fernl@homeguardroof.com
Retype Contractor Email fernl@homeguardroof.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 23
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
-,5-7-5� 5qt(. C)0
No
146
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof-
Provide
oof
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
f
No
Yes
23
GAF Timberline HD /
Asphalt
Replace roof on the main structure
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
147
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 Terry Marks
Email not displaying correctly? View it in your browser.
148
004SURETY
AND LIABILITY INSURER INFORMATIONColony Insurance- Policy Number OTE21366
50 -year
manufacturer warranty
25 -year service policy
Contact GIA Risk Management, 13031 423-0162, ext. 136
50 -year
manufacturer warranty
10 -year service policy
.� ated
STANDARD
ar
manufaelurerwarranty manufacturerwarranty
5 -year somite policy 2 -year
workmanshipmrranty
H 0 M E 0 UAR D
6850 W. 52nd A•renue Suite 106 Arvada. CO 80002
Office- 720.708.4126 Fax: 720.921.8659
ROOF SYSTEM
..
Mastery �
ROOFING & RESTORATION
info@HomeGuardRoofcom HomeGuardRoof.com
'�
Material -
BBB-
Manufacture Standard
Manufacture Standard
Workmanship 5 yrs
YVarkmanshtp 2 yrs
CUSTOMER INFORMATION
Mic,tl /4i /a
Lp`RO W. � O
Lie
Name:
Address: yli
.
6
t
City: N'popat
dq
[ ,
Zip: g CQ 1
Project Address: [if different from above)
Homelft: Cella:
(e— 2 USI(D Email: r) 2-11dr6l
IQmF
Q QG1 • COM
Insurance Company: AW cn( (gn_
l ��% Claim No: �167S i dD 1 Q Deductible: 1 t 0 d o
Sates Representative: Name: Scr
a rb� cb Phone:
7 2 0 _ QSS " 7-1 —:?(0
Project Manager: Name: &((�I
?)aybi (. iii Phone:
7Lr — Q SC — %-13 r?
NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
STRUCTURES INCLUDED XMain C3 Detached Garage fNOther
❑ Manufacturer: L Pr— Type: L I FT)M E
❑ Type: 1] IM rn to t D Color: _17RD
❑ Ridge Material: SMI— A— R J CJ CA t
❑ Underlayment: CO Ve Y P1irQ
Leak Barrier ❑ Eaves ❑ Valley Per Code ❑ Penetrations
Drip Edge 5? Eaves 5? Rakes ❑ Color
Flashing IRSide•.vall RrChimney
Ventilation ❑ Turtle 9 Ridge ❑ Edge ❑ Other
Plumbing Boots ❑
Paint All Roof Accessories
Remove trash from roof gutters & yard
Roll lawn & drive with magnetic sweeper
® Furnish permit ❑ Nliscellaneous:
LOW SLOPE AREAS Material
Manufacturer
SERVICE AGREEMENTS
GAF ROOFING SYSTEMS
Type ; Out-of-pocket upgrade costs
Color
Customer Initials
ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
All additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT
,KGutlers ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other
Notes. Material - Manufacture Standard
Ylarkmanship
Repair 1 yr Full Replacement 2 yrs
Scone of Restoration Services Provided shall include an, additional supplements and services appro.-ed by Customer's insurance company and accepted by Company.
TERMS OF RESTORATION SERVICES TO BE PROVIDED
This Agreement does NOT obligate the Customer nor Company in any -,.-,,ay unless the insurance claim is approved for repairs or replacement to the above mentioned/,written scope of
restoration services to be provided by Customer insurance company and excepted by Company. Customer's signature belor: signifies acceptance of all terms and conditions of this
Agreement, including all terms on the reverse side hereof Customer's total out of p'0 cket expenses are not to exceed insurance deductible plus upgrades for non -insurance items.
Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. All crork is installed per the
manufacturer's installation instructions & the local building codes.
Agreed Price:Tt—li W):, IUYQnfes. shalt be the total amount due to Company under this Agreement. which is subject to an, addij gns and/or deductions pursuant ro
authorized insurance supplements or as set forth on the reverse side hereof. Totai estimated cost of any non -insurance upgrades shall be: S
Approximate Dates of Service. Substantial commencement of work shalt mean either the physical � e�bv�eri cf materials o to the premises or the performance of am• iabp and hall be
sub;ect to any permissible delays as per prevision f4l on the reverse side. Approximate Start Date: -' Approximate Completion Date:)r�]
B.: lignin .. +g ee Ent y agree trat you have also been provided notice of this right to cancel orally in addition to the ::ming contained herein This. ccntract__i�ls subject to Company
manag ent vi w appy at. I accept the above terms of this contract and aut orize Company to proceed.
C9Zavq
Ap r: -e nd TccdcWlerl Uate I Approved and Accepted .Company! Cate
Approved and Accepted lCu-,lomerl pate I have received the `Thirgs to Remember- document Initial
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. & 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
Company shalt hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
50 -year
manufacturer warranty
25 -year service policy
50 -year
manufacturer warranty
10 -year service policy
.� ated
STANDARD
ar
manufaelurerwarranty manufacturerwarranty
5 -year somite policy 2 -year
workmanshipmrranty
ROOF SYSTEM
a.•a
Material -
Material -
Manufacture Standard
Manufacture Standard
Workmanship 5 yrs
YVarkmanshtp 2 yrs
Type ; Out-of-pocket upgrade costs
Color
Customer Initials
ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
All additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT
,KGutlers ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other
Notes. Material - Manufacture Standard
Ylarkmanship
Repair 1 yr Full Replacement 2 yrs
Scone of Restoration Services Provided shall include an, additional supplements and services appro.-ed by Customer's insurance company and accepted by Company.
TERMS OF RESTORATION SERVICES TO BE PROVIDED
This Agreement does NOT obligate the Customer nor Company in any -,.-,,ay unless the insurance claim is approved for repairs or replacement to the above mentioned/,written scope of
restoration services to be provided by Customer insurance company and excepted by Company. Customer's signature belor: signifies acceptance of all terms and conditions of this
Agreement, including all terms on the reverse side hereof Customer's total out of p'0 cket expenses are not to exceed insurance deductible plus upgrades for non -insurance items.
Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. All crork is installed per the
manufacturer's installation instructions & the local building codes.
Agreed Price:Tt—li W):, IUYQnfes. shalt be the total amount due to Company under this Agreement. which is subject to an, addij gns and/or deductions pursuant ro
authorized insurance supplements or as set forth on the reverse side hereof. Totai estimated cost of any non -insurance upgrades shall be: S
Approximate Dates of Service. Substantial commencement of work shalt mean either the physical � e�bv�eri cf materials o to the premises or the performance of am• iabp and hall be
sub;ect to any permissible delays as per prevision f4l on the reverse side. Approximate Start Date: -' Approximate Completion Date:)r�]
B.: lignin .. +g ee Ent y agree trat you have also been provided notice of this right to cancel orally in addition to the ::ming contained herein This. ccntract__i�ls subject to Company
manag ent vi w appy at. I accept the above terms of this contract and aut orize Company to proceed.
C9Zavq
Ap r: -e nd TccdcWlerl Uate I Approved and Accepted .Company! Cate
Approved and Accepted lCu-,lomerl pate I have received the `Thirgs to Remember- document Initial
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. & 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
Company shalt hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
4' CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /7v p
Job Address: (� / �� r� , 7it L
Permit Number: 7 c1(7 0
❑ No one available for inspection: Time M/PM
Re -Inspection required: Yes X16
'Wh4n corrections have been made, call for re -inspection at 303-2_ 34-5933
Date: �� %��7 Inspector: 1
DO NOT REMOVE THIS No
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: al�6 M 10 W�j F
Job Address: 600 R1 . "�60
Permit Number:' 2
EUMORMITETAN
❑ No one available for inspection: Time 010 AM
Re -Inspection required: Yes &
When corrections have been made, call for r spection t 3-2 4- 9
Date: CIA Inspector:
DO NOT REMOVE THIS NOTICE