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HomeMy WebLinkAbout4721 Cody StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Monday, April 19, 20213:28:37 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4721 Cody street Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Jonathan Morman 720-400-0140 fixitgroup@s1 permits. com CONTRACTOR INFORMATION Contractor Business Fix -It Group LLC Name Contractor's License 180142 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-795-3146 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email fixitgroup@s1 permits. com Address Retype Contractor fixitgroup@s1 permits. com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60K What is the efficiency 80% (°%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or interior boiler located (for example, basement, crawlspace, etc)? Project Value (contract $4,200 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been 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. Person Applying for Kevin Ritter Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202100623 PERMIT NO: 202100623 ISSUED: 04/20/2021 JOB ADDRESS: 4721 Cody St EXPIRES: 04/20/2022 JOB DESCRIPTION: Replace furnace in basement, 60K, 80% efficiency *** CONTACTS *** OWNER (720)400-0140 MORMAN JONATHAN L SUB (303)578-3957 GAYLE FRUENDT 180142 FIX -IT GROUP, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KI PL ING , 1-70 & CLEARCREEK ARE BLOCK/ LOT# : 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41200.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 88.20 ** TOTAL ** 128.20 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202100623 202100623 4721 Cody St Replace furnace in basement, 60K, ISSUED: 04/20/2021 EXPIRES: 04/20/2022 80% efficiency 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�permrt. I further attest that I am leg ally 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 requ�ired 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, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 04/20/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. -117Z i�W"i/Lo o�cup cv`. �e NPECTION R INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 "oncrete Encased Ground (CEG) Foundation / P.E. Letter uo root rour l.Oncrete rnor I o Ap roval UT I ne Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical fewer Service 'lumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Annrnvnl [)f Tho Ahrnvn Incnne-frons I Rough Inspections Date Inspector Initials Comments -Vheathing� !lid -Roof ath /Wall Tie 'ough Electric " Rough Plumbing/Gas Line ?ough Mechanical Rough Framing Rough Grading Insulation drywall Screw/ Nail �:inalInspections Date Inspector Initials Comments andscaping & 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. tOW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) moire Inspection / Fire Protection Dist. aminal Electrical sinal Plumbing sinal 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 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 City of Wheat Ridge Residential Roofing PERMIT - 201703986 PERMIT NO: 201703986 ISSUED: 07/14/2017 JOB ADDRESS: 4721 Cody ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 Sq House Roof Only 5/12 Pitch *** CONTACTS *** OWNER (720)400-0140 KHAITTHA SAENCHA SUB (303)459-7889 Quality Construction 110245 Quality Construction *** 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: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** 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. 13 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: OF Job Address: `1-72 ud 4 Permit Number: ❑ No one available for inspection: Time { 0/13M Re -Inspection required: Yes 01 When corrections have been made, call for re -inspection at 303-234-5933 Date: ( f Inspector: ! DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: Z v 17 3 i R, & _6" t 0 // L,,` L,7 ,J I� ❑ No one available for inspection: Time A—` I P(I/PM e Inspection required: es No when corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: DO NOT REMOVE THIS NOTICE i 91 CITY OF WHEAT RIDGE /$ Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: _� 7O f, •F j V nqq,� ❑ No one available for inspection: Time Re -Inspection required: YesgI When C Gor rections have been made, call for re -inspection at 303-234-5933 Date: o , l 5' 1 7 Inspector:?I— DO NOT REMOVE THIS NOTICE Ai CITY OF WHEAT RIDGE Buildingxlnspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M i P Job Address: 4– o2 i c -op � `sr Permit Number: 2 b 1:1 () 3 9 LP A -. ❑ No one available for inspection: Time �' + Aw�M Re -Inspection require Yes No When corrections have been made, call for re -inspection at 303-234-5933 11 Date: i Inspector: DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge j Residential Roofing PERMIT - 201703986 PERMIT NO: 201703986 ISSUED: 07/14/2017 JOB ADDRESS: 4721 Cody ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 Sq House Roof Only 5/12 Pitch **REVISION**Added redecking; Added valuation: $2,100.00 *** CONTACTS *** OWNER (720)400-0140 KHAITTHA SAENCHA SUB (303)459-7889 Quality Construction 110245 Quality Construction *** 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: 8,100.00 FEES Total Valuation 0.00 Use Tax 170.10 Permit Fee 188.45 ** TOTAL ** 358.55 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703986 PERMIT NO: 201703986 ISSUED: 07/14/2017 JOB ADDRESS: 4721 Cody ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 Sq House Roof Only 5/12 Pitch **REVISION**Added redecking; Added valuation: $2,100.00 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 tfhe legal owner or have been authorized by the legal owner of the property and am authorized to _btam this permit and perform the work described and approved in conjunction with this ermit. I further attest hat I am le alit -attth�izaa to include all entities named wit n this document as parties to the work to be performed and th k a oil disclosed in this document and/o lits'raompany' g approved plans and specifications. ature 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 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 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 applica�le`ctsde or any ordinance or regulation of this jurisdiction. Approval of work is subject to Held inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat A,e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(@ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Add to Permit # Building Permit Revis on/Amendment Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *"* Property Address: AV -T- Property Owner (please print): /� !� t L� /� �o�ne Property Owner Email: Mailing Address: (if different than property address) Address , State, Zip: Submitting Company/: Contact Person: Phone: Contractor: � �� l�— � a �-� ( � � S T `�' l.c� C� -�-6) Contractors City License #: 1 r 1 _I S Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps Btu's Squares J'e,cl<� e /,- Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNEWCONTRACTOR 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and ain also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONT CTOR) or (AUTHORIZED REPR NTATIVE) of (OWNER) (CONTR TOR) PRLNT NAME: �� / SIGNATUR DATE: / DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ y. City of Wheat Ridge Residential Roofing PERMIT - 201703986 PERMIT NO: 201703986 ISSUED: 07/14/2017 JOB ADDRESS: 4721 Cody ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 Sq House Roof Only 5/12 Pitch *** CONTACTS *** OWNER (720)400-0140 KHAITTHA SAENCHA SUB (303)459-7889 Quality Construction 1102.45 Quality Construction *** 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: 6,000.00 FEES Total Valuation 0.00"Al" Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703986 PERMIT NO: 201703986 ISSUED: 07/14/2017 JOB ADDRESS: 4721 Cody ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 Sq House Roof Only 5/12 Pitch I, b m si nature, do her Z st that the work to be performed, shall comply with all accompanying approvefi plans and specifications, app rl cable wilding codes, anc,applicable municj-eapohcies and procedures, and that Lam the legal owner or have been authorized by the legal owner of the pr and am kvYize t_o obtain this permit and perform the work/described ayd approved in conjunction with thispermit. I further attes _-t I am a to include all entities named within this ocumen as�parties to the work to be Per and that all rk to b r sclosed in this document and/or its' accomp,yinkao roved plaids and specifications. Signaturk6f OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompariving 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 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 y ordinance or r ulat' rt o 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. Dane Lovett 10.f q sqk From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 11:25 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 Property Owner Name Property Owner Phone Number 4721 Cody St. Wheat Ridge, CO 80033 Khaittha Saencha 720-400-0140 Property Owner Email N/A , Address q ��) ^ �( 1 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 Quality Construction 110245 303-459-7889 Contractor Email Address claims@truequalityconstruction.com Retype Contractor Email claims@truequalityconstruction.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: M OwensCorning Duration Asphalt Field not completed. How many squares of the 20 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 20 roofing material for this proj ect Provide additional detail House Roof Only 5:12 Pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 6000 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 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 Saitta Email not displaying correctly? View it in your browser. 3 Policy #: GLOO18071-02 QUALITY Construction BBB. 5895 E. Evans Ave., Denver, CO 80222 Phone: 303-459-7889 — 303459-2245 Expires: 05/24/2017 Limit: $2,000,000 Fully Insured Licensed Carrier: Accord Customer: Insurance Provider: _\ Address: O Phone #: 00 Policy #: Claim #: Phone #: Project Manes er: Date: - S�_ Phone #: Shingle Manufacturer U 1P1 Tear off ._ layers of composition shingles l [ 1 Install Decking (7/16"ASB) \[ j Install new felt Install new shingles 41113tall pre -painted eave metal to code -Color Valleys) will be closed Ridge(s) to be color -coordinated I1[ Ridges(s) will be"High Profile Ridge" color -coordinator shingles nstall new pipe jacks eplace vents as needed Re -flash chimneys and all abutment as needed and if possible (stucco or siding maybe a deterrent) [ l Install In. fL of series ridge vent Approximate Date of Roof Completion -'-I — [ I"t- Start: Approximate Dollars 3� '3 Yr. _-S( ) Color NN,`[Q _QST Sr In. ft, ice and waterTlield to code )Install i -e nails per shingle �k [ 1 Clean our gutters 15 -year workmanship warranty 1 Quality Construction will provide general liability insurance coverage of at least $2,000,000 �l Make a magnetic sweep of driveway and yard for removal of any nails Remove all debris resulting from above work ( l Special Instructions [ )Tear off one layer of wood shingles 11 I/2CDX [ 1 Valleys(s) will be open If initialed by buyer, then the contract price is contingent upon insurance approval; and buyer is only responsible for his/her deductible. When the insurance carrier agrees to pay the claim for damage to the property, then the buyer agrees to allow Quality Construction, Inc, to perform all repairs prescribed by insurance company's adjuster report. By reference, said adjusterls report and estimate becomes and hen is a part of this contract. 1. This agreement is subject to final approval by Quality Construction, Inc. and it the entire agreement of the parties and no other terms will be recognized. 2. Stating that the roofing contractor stall hold in trust any payment from the property owner until the roofing contractor has delivered materials or has performed a majority of the work. 3. Any supplemental payment fmm the buyerl; insurance company is due to Quality Construction, Inc. inclWing Cootractors Overhead and Profit. The payw4t schedule shall be. 5o% Depoir, and the final 501A due at the completion of each trade. 4. Labor warranty does not toter damage caused by natural disasters: lighting, gak force wind, hurricane tornado, hailstorm, and impact of foreign objects or other damages due to settlement, distortion, or failure of the roof deck, walls or foundation of a building. S. Quality Construction, Inc. is not responsible to provide any materials or to perform asy work otter than what is described above. 6. 1.5%men thly will be added in daily increments to the balance of any and all unpaid portions of the o wunut, eommeocing upon completion date reception of remaining insurance proceeds. 7. Qua] ityConstnetion, Inc. wilIperform all work according tolocal building codes speciNat ion 8. If this contract is catcalled by the buyer later than three (3) days from signing, the buyer sham pay to Quality Construction, Inc an amount equivalent to thirty percent (30%) of Approved Replacement CostValue, as liquidation damages, and Quality Construction, Inc Agrees to accept such as reasonable and just compensation for said cancellation and Consequential loss of Profits. 9. Contract may be rescinded within 72 hours atter the property owner receives written notice that the Insurance claim has been denied 10. Buyer shall provide an electricity necessary to complete the above scope of work. Il. Quality Construction, Inc. shall not be liable for any structural movement, settfirig, cracks in drym] 1, driveways or dents in grittOrs created during coma] construction procedures. 12. Befort any warramN written or otherwise, 6 to be considered valid, the Contract must be paid in full. la the event of a problem, due to Workmanship, Quality Construction, Inc must be notified in writing within 10 business days of discovery of said problem. Quality Com truction, Inc. must be allowed to impact and correct the problem before anyone else, and will Or be held responsible for any problems &rising from long-term exposure to water. 13. Each trade represented will be payable in full at completion of said trade. 14. If customer fails to pay for services performed by Quality Construction, Ine. then the Customer 4 responsible to pay an legal Costs and fees acquired by Quality Construction, Inc in pursuing payment. 15. Final payment shall not be held while waiting for city or county inspection. 16. Quality Construction reserves the right to reject work at any time. If Quality Construction rejects a portion of the contract, the homeowner will be reimbursed for work not completed. 17. Quality cons tructionreserves the fight t ordu excess msterisls, All excess materials are properly of Quality Construction, 18. The Contractor cannot pay, waive r to an insurance deductible. All ch cede payable to Quali n tion, Inc `rt'���✓ 1. Owner: ry �- Consultant: Date: to ` 5 ^ 1:7 Approved By: Mountain Insurance Brokers - 3705 Kipling Street, Suite 104 -Wheat Ridge, CO 80033 ccs Inspections will not e perfortned unless this card is posted projectCall the inspection request line before 11: 59 pm. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this Foundation Inspections wl I o uu w INTI I� N Monolithic Reinforcement Co ne r a t Wiirtc« « w Ground FootJnQJStemwaI1 P.E. e- Underground/Slab InspectionsM- Mechanical �IIIMi ILII ..�' .'� The Rough Drywall e Iql IIII I PI III II II Inspector rnl, Final Inspections Initials Final Electrical�� Final Plumbing Final M Final Building / Frame - ! . , . � ♦ „.. , w . • Drainage {• To: Page 2 of 4 2016-05-31 20:17:00 (GMT) 13034240495 From: Jesse Lanyon City of WWI CoMMU'N-ITY OrVVLOPMENT Building A 1011 :ti Services Division 7500 M29M : I Ave,, Wheat Ridge, CO 80033 Plan Review Fee: Office:.30-235-2855," Fax. -303237-8929 grasp tion Line. 303-234.,5933 Emait. SMIlding Permit Application 4721 Cody St P V, k", l, Jon Morman 720-400-0140 Se .Address: 9!Y-1 �Slalel BluePlumbing& Heating 17835 ,----'30 1-2161 AO sara@blueskyplumbinq.com Complete altinformation on BOTH sides of this or To: Page 3 of 4 2016-05-31 20-117:00 (GMT) 13034240495 From Jesse Lany'a .s# ftes GOOOPS OWNERICONTRACTOR SIGNATUWOF UNDER ----- 'N3 "7I° .NMP. + REEME;;N 1,eetti tat ilt set e#istattcs trrtapn.gcd by thispe at applicatia are aeca i%areat vieriarta trrgtacirie rrz atistaartas, rtti or rre laticr s'ttft� .ii iri" est e r,ctr ceaveriatsts, tr its jarrestrictiun$ afrec0tti; that all nwAsuperiumts st own att t.atic a#s"atns t nad it a CCW1 ; ttt t iaaV�e.r ti d agree to ahi � y i Conditions printed on 016, application that I assme iii � sihi��fits pian With oppfiorjetity of Wheat tgc ccodens and ordtlwxcs for.work un*r any pmt its baste! :on is'se� phemion, tit i Xtra tae legal ca r er or ha ee s stt s t� y i le i owner f th .pr+ t p� r tho work a am a. O authorized rized by` w igat a erf any tit itte tilts a n this appbca iion tea Hsi That entity On ttais rappti trt3gm 2, the. applicant ftrr thiq budding prrtlxtst a plicatiotr, rovatmt.the trttthliihaa s ondw upplicabom v r ICOR OFFICE USE ONLY City of Dates: Ci{tt3N'1 LOivttl�3i planIpwMits'. .' Building & inspection Services Division 7500 W, 29th Ave., Wheat Ridge, CO 8 033 Flan Rev iew Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building er it Application Please complete all highlighted s on both $1d0$ of NS f0rM. incomplete ft t s may not be processed. *#z0r^�o �k �n'�q l� *�� t , Mailing Address (if different than property address Address: City, tete;' r h tectfE ngin a er E-mail: Phone: Contractor: ?Z0 Contractors City Ueense, #: �q7 Contractor E-mail Address: L"4 0 o' Stab Contract Electrical: Plumbing: Mechanical: W.k City License # W.k City License #W.R. City License # Other City Licensed Seib: Other City LicensedSub: City License # City License # Complete all information on BOTH sides of this for �; � Ami A.. •.•A � � � A M A A•• A !M W� $ PM * s i A i.1 INNovi M� amount of materials to be used, etc. oma. Sq. FULF Btu's Gallons Amps Square$ Other FOIR OFFICE USE ONLY City of Date: 0;0rWh6atR,�g1e COMMUNiTy DEVU011MENT PlanlPennit# '17 ? Building & Inspection Services Division q 1"] '- 7500 W, 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: 3ffice: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building permit Application Please complete all highlighted areas on both sides of this form. Incomplete al:Wllcatloos may not be processed. __� a, I Propettv Address: troperty Owner (please print): 4-1 T- ­ /v Property Owner Email: I Mailing Address: (if different than property address) Address: Cit y, State, Zip: ArchitectlEngineer E-mail.- Phone: Contractor: Contractors Coy, License Phone - 1 Contractorf-mall Address: r\ A- 18t/T a Sub Contract Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W,k City License # Other City Licensed Sub: Other City Licensed Sub: City License# City License # Complete all information on BOTH sides of this form NEW COMMERCIAL A MR • ELECTRICAL MP k SERVICE UPGRADE NEW RESIDENTIAL t w M COMMERCIAL R# COMMERCIAL t tCyO RESIDENTIAL R! t ADDITION WINDOW RAt COMMERCIAL Rk t..• • i E (Garage, shed, deck, etc.) RESIDENTIAL t kMR STRUCTURE RMR « shed, deck, MECHANICAL t t MF iA REPAIR M • tW or REPLACEMENT M iP i. PLUMBING M..r sysTtM/APPLIANCE REPAIR r t o • 1R t CMENT ELECTRICAL SYSTEM/fPLIANT! REPAIR or REPLACEMENT OTHER (Describe) f Sq. FULF u Stu' Gallons Amps Squares ,, Other