HomeMy WebLinkAbout4075 Benton Street1* ► � i City of Wheat Ridge
'/� Resid. Windows/Doors PERMIT - 202100900
PERMIT NO: 202100900 ISSUED: 05/06/2021
JOB ADDRESS: 4075 Benton St EXPIRES: 05/06/2022
JOB DESCRIPTION: Repalce (7) windows in living room, kitchen, bathroom, and bedroom. .29
u -value,
*** CONTACTS ***
OWNER (303)902-6272 VAIL JENNIFER L DAILEY
SUB (303)574-9594 RICK ROSE 080085 WINDOW WORLD OF DENVER
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41563.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 95.82
** TOTAL ** 145.82
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .30 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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 alI 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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/06/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Good morning,
Attached is the reread foryour permit fee payment t have also attached your job card and approved permit You may
schedule your InspeRlonlsj on the city a sl[e
Opemlor Code:
JBERRY
0Money Received
decade Cade:
Re<alM WW:
COB024715
OVO&21
Sual
RE win. P. Suat Residential nd wrymr Replacement it Monsoon
Date
intraday, May 6, 2021 10 44 33 AM
Beach mmrx.
eased I no
Money:
202/00500
Py.,tlai
ms Benton s Job
Good morning,
Attached is the reread foryour permit fee payment t have also attached your job card and approved permit You may
schedule your InspeRlonlsj on the city a sl[e
Opemlor Code:
JBERRY
0Money Received
decade Cade:
Re<alM WW:
COB024715
OVO&21
❑ Wlded
Distributions:
1458?
14582 PP
Money:
14582
Chane Due:
0.00
C? Form!
Resales pl windows
❑ca:emmxTmnseetian
Distributions
0 BPBP 14582PERMITNO 202100900 4085 Renton St 000
Tharrkyou and be Sabel
Justin Body
Building Division
Office Phone 303-235-2516
Office HOws: Pact
� W heat _4dge
COMMUNm DmwpM
From: norepN@a wbeamdge mus dno muffeci ats crus,
Sent Thursday, May 6, 2021825AM
To: CommOev Perm166erm16QJtl wbea[ddge cc us,
Subject Online Form Submittal Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application Is exclusively for RESIDENTIAL REPLACEM ENT WNDowS
andDOORS LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
W NDOw/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be Studied to the email address provided
below once it Is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
ta�c•�:rin►�n��a �� jrr:r_�y:3aan�xYna.
Is this application for
Yes
replacement window(s)
and/or door(s) like for like?
PROPERTY INFORMATION
Property Address
4075 Benton Street
Property Owner Name
Thomas Vail
Property Owner Phone
303-902-6272
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
tcornelljr.gmail.com
Address
Attach City of Wheat Ridge
cc 4075 odf
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
CONTRACTOR INFORMATION
Contractor Business Name
Window World
Contractor's License
080085
Number (This is a 5 or 6
digit number for the City of
Wheat Ridge)
Contractor Phone Number
303-574-9594
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
tenah®windowworldcolorao com
Retype Contractor Email
ten ahOwindowworldcolorado.com
Address
DESCRIPTION OF WORK
What is being replaced
Windows
Number of window and/or
7 Windows
doors being replaced
Location of
Living room, Kitchen, Bathroon, bedroom
windows)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
.29
windows)/door(s)? City of
Wheat Ridge requires the
u -value to be .30 or better
on windows..
Attach copy of 4075 order.odf
window/door cut sheets
showing sizes and u -value
Project Value (contract 4563.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
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 may Yes
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.
Person Applying for Permit Tasha Engh
Email not displaying correctly? View it in your browser.
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: AMpf'rwM V
Permit Number:
Ll No one available for inspection: Time & �' ('-I_'i�APM
Re -inspection required: Yes /'No?
When corrections have been made, cat for re -inspection at 303-234-5933 Inspector:—,
DO NOT REMOVE THIS NOTICE
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 le caner of the property and am authorized to obtain this permit a r onn the work described and approved in conjunction with
t s e it. 1 further attest that I am legally authorized to include all enAi named within this document as parties to the work to be
p rfo ed d that all work to be performed is disclosed in this docum and/or it
accompanying apxproved plans and specifications.
_-- �.�
Sig ature"o. OWNER or CONTRACTOR (Circle one) ate
1, T 's permit was issued based on the information provided in the permi application and accompanying Flans and specifications and is
sub t to the compliance with those documents, and all applicable statu s, ordinances, regulations, po Flans
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 �tnore 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.
q. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any Ord ma or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of thief Building Offic Date
REQUESTS MUST BE MADE BY 11: 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT -
201800389
PERMIT NO:
201800389
ISSUED:
02/07/2018
JOB ADDRESS:
4075 Benton ST
EXPIRES:
02/07/2019
JOB DESCRIPTION:
Residential electrical. Reinstall
and secure mast
to building.
*** CONTACTS ***
OWNER (303)902-6272
VAIL JENNIFER L DAILEY
SUB (303)681-9011 Micheel S Powell
170346 American
Roofing & Constructio
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
101 /
BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
850.00
FEES
Total Valuation
0.00
Use Tax
17.85
Permit Fee
40.10
** TOTAL **
57.95
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 le caner of the property and am authorized to obtain this permit a r onn the work described and approved in conjunction with
t s e it. 1 further attest that I am legally authorized to include all enAi named within this document as parties to the work to be
p rfo ed d that all work to be performed is disclosed in this docum and/or it
accompanying apxproved plans and specifications.
_-- �.�
Sig ature"o. OWNER or CONTRACTOR (Circle one) ate
1, T 's permit was issued based on the information provided in the permi application and accompanying Flans and specifications and is
sub t to the compliance with those documents, and all applicable statu s, ordinances, regulations, po Flans
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 �tnore 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.
q. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any Ord ma or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of thief Building Offic Date
REQUESTS MUST BE MADE BY 11: 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
CW heat jl,e
OMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: {� � 4
Plan/Permit ##}-
�qoIcI F603k
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:���
N
Property Owner (please print): T
Phone: �`y Z %
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
r:
ICY c� �--
Contractors City License #: I`7635L
Contractor E-mail Address: / 4 C2 6 E'rt L
Phone:
0—
For
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): v ` "`- Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors:
Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
/
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLAC NT
❑ ,F,LECTRICAL SYSTE�VI/APPLIANCE REPAIR or REP CEMENT
OTHER (Describe) ({ --5c G r� M 5t- Tn S pis
(For ALL projects, please provide a detailed description of oris to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to betc.)
e — r v ,� -t- 4 17 -C-C v i t_ iY /W vi
/ s
Sq. Ft/LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 95-0
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with 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 am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) ONTRACC ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name . o i ' �J DATE:
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
PERMIT: I L�� Y ADDRESS: �Or%� 2"-,-Q), JOB CODE:
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.
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: ADDRESS: y0'%� `�� JOB CODE: A_�f
cF�_,
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
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
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
AH
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line_:�9r
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �1�3/,a6f
Job Address: NS &tl42:,,g 5 -
Permit Number:
11
❑ No one available for inspection: Time --I,
Re -Inspection required: Yes 0��
When corrections have been made, call for re -inspection at 303-234-5933
Date: • F, % Inspector: 3aLL/---
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�,(30Building Inspection Division
3)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: qoq go
Job Address: 1/O n }-d /2 S
Permit Number: aaa 17 o tl y62:�
❑ No one available for inspection: Time ) (.. f) AM/PM
Re -Inspection required: Yes No/
fr
When corrections have been made, call for re -inspection at 303-234-5933
Date: i / / Inspector: `HJT#
DO NOT REMOVE THIS NOTICE
4, CITY OF WHEAT RIDGE . .
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -c<__
Job Address: U 7S o S
Permit Number: 7 0«U 4-2 S
N cert L120Q-0UJ20
❑ No one available for ins ion: Time_ M/ M
Re -Inspection require Yes o
When corrections have been made, call for re -1 pection 03-234-5933
Date: ML- Inspector:
DO NOT REMOVE THIS NOTICE
A � City of Wheat Ridge
r'
Residential Roofing PERMIT - 201704425
PERMIT NO: 201704425 ISSUED: 07/19/2017
JOB ADDRESS: 4075 Benton ST EXPIRES: 07/19/2018
JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 24
sq.
*** CONTACTS ***
OWNER (303)902-6272 VAIL JENNIFER L DAILEY
SUB (720)536-8870 Chris Falasco 160159 Endeavor Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 100 / Apartments
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,650.37
FEES
Total Valuation 0.00
Use Tax 244.66
Permit Fee 236.00 PAIrb
** TOTAL ** 480.66
*** 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 - 201704425
PERMIT NO: 201704425 ISSUED: 07/19/2017
JOB ADDRESS: 4075 Benton ST EXPIRES: 07/19/2018
JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 24
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 that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OW EI R/or'CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit 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 maybe subject to a fee equal to one-half of the originalpermitfee.
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 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 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
applicab or 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.
Dan Schultz 000044�
From: no-reply@ci.wheat ridge.co.us
Sent: Tuesday, July 11, 2017 10:57 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application \1 )
Categories: Dane
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
Property Owner Name
Property Owner Phone
Number
4075 Benton Street
Thomas Vail
303-902-6272
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
Endeavor Exteriors
Contractor's License
160159
Number (for the City of
Wheat Ridge)
Contractor Phone
720-536-8870
Number
Contractor Email Address
production@endeavorexteriors.com
Retype Contractor Email
production@endeavorexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
GAF Armorshield II - Asphalt Shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
24
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
24 t/
roofing material for this
project
Provide additional detail
House, shed, and detached garage, 5/12 pitch, 2 -story
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
11,650.37
Project Value (contract
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 Alex Knoll
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3
DocuSign Envelope ID: 5D52EE2B-585C-4982-8757-D76A78352D32
CLIENT AGREEMENT
00
.-N E VOR EXTERIORS
7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231 BBB.'
Office: (720) 536-8870 1 www.TheEndeavorTeam.com I Licensed & Insured
IClient Email Date
Thomas Vail I tcornelljr@gmail.com 6/21/2017
(Street Address Endeavor Rep
4075 Benton St. I Tom Wulf
City, State, Zip Insurance Company Insurance Agent
Wheat Ridge, CO 80212 Country Financial Andrea Romero
Home Phone Work Phone Claim #
(303) 902-6272 ( I 164-0059050
Mortgage Company (only if mortgage company is present on payment)
Lender Loan #
Borrow Authorization Form Signed
I New York Community Bank I "Processed by customer ❑ Photo of Mortgage Check Taken
t! Limited Lifetime Labor Warranty • Gen. Liability/Workers' Comp • BBB Accredited ♦ No Deposit Required
ROOF SCOPE: Full Partial Repair WINDOWS: u I Paortlal Repair PAINT: Full P �al ReFppair
Brand I Brand
05 GAF ASH(26 sqs.) X
Color Barkwood Model/Color.
Metal Color
Match Existing SIDING: u I Pa Ial Repair
Felt. SBrand X — --
✓ (Style:
GUTTERS: r571 Partial Repair
Color Q Gutters Coloc
Match [] Downspouts
Payment Terms
Client understands and agrees their insurance company will not pay the deductible
amount or any upgrade client is opting to pay for. Client's expense for these items are:
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
Brand. X
Color(s):
CII;f":�l
Supplement for existing Class
4 IR shingle currently installed
$ 1,000.00
$ 5702.93
$13,405.85 Supplements
Balance due upon substantial completion [:] CASH SALE ❑Contigency Agreement (Contigent upon Ins. approval)
0 INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their best interest in pursuit of full replacement costs for damages believed
to be covered under homeowner's insurance and allows Endeavor Exteriors to deal directly with the insurance company regarding this claim This contract does not obligate
the Ghent to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Extenors Upon approval of claim, Endeavor Extenors
will complete all specified work at a puce agreeable to the insurance company (RCV) and Endeavor Exteriors with no additional cost to the client, except for the deductible
Ordinance and Law (supplemental) items may increase the orginal (RCV) amount. Final agreed upon price will become the final contract price, and request that all payments
be made payable to Endeavor Exteriors Inc Endeavor Exteriors will not collect payment until the work has begun or materials have been delievered.
*Credit card payments are not accepted on insurance claims*
I (we) agree, by signing below, to all the contract conditions on both front and back, of this agreement
0 cuSigned by:
Client Signature: IL144aS Val � Date of Acceptance:
6/28J2017
8A13F.539E0AF404
Client Signature: Endeavor Signature:
LIV
Sign Envelope ID. 5D52EE2B-585C-4982.B757-D76A78352D32
1. If the client plans to use the proceeds of a property and casualty insurance policy pursuant to part i of
article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-2-105, the roofing contractor
cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible
applicable to the insurance claim for payment for work on the covered residential property.
2. All Contracts subject to approval by Endeavor Exteriors financial department.
3. Contract price is valid for thirty (30) days.
4. Endeavor Exteriors reserves the right to perform specified work in accordance with generally accepted
construction guidelines, while adhering to local codes in ellect at the time of contract.
D. All checks must be made payable to: Endeavor Exteriors.
6. All excess materials remain the property of Endeavor Exteriors.
7. Client is responsible for Homeowner's Association approval of products and colors.
8. Client acknowledges Endeavor Exteriors as a general contractor, as such F ndeavor Exteriors will be
entitled to ten percent (10%) overhead, and ten percent (10%) profit, (O&P) if approved by the insurance
company, if this project is part ol'a claim.
9. An account is defined as past due when 10 days have elapsed from the date of completion of work. Past
due accounts will earn interest at a rate of one and one-half percent (1.5%) per month or eighteen percent
(18%) annually. If Endeavor Exteriors is required to turn the matter over to an attorney for collection, the
client also agrees to pay all costs incurred, including attorney's fees.
10. Should default of payment occur on this contract, Endeavor Exteriors reserves the right to place a
mechanic's lien on the clients' property.
if. Endeavor Exteriors shall not be held liable for failure of performance due to labor controversies, strike,
lire, hail, weather, inability to obtain material from usual source, or any other circumstance beyond the
control of the company.
12. Our standard workmanship warranty for roofing is non -transferable limited lifetime, and one (1) year for all
other trades, and the company will provide a service call for roof inspection, as long as the client owns the
property.
13. Endeavor Exteriors is not responsible for any leaks or water damage below the roolline caused by
excessive wind, ice or hail during the period of the warranty.
14. Endeavor Exteriors shall refined any deposit if this contract is cancelled within 72 hours (3 days).
15. If this contract is cancelled by the client, after three (3) or more days of execution, the client agrees to
pay Endeavor lixteriors twenty percent (20%) of the contract price, set by the insurance company, only if
materials have been delivered or work has been performed, as liquidated damages. This payment is not a
penalty, but is fair and just compensation for services rendered to that point.
16. 'Ihe homeowner may cancel this contract within 72 hours if the insurer has denied, in whole or part, the
homeowners claim that relates to this contract.
17. While we make every effort to ensure there are limited consequences of construction, Endeavor Exteriors
will not be held responsible for slight scratching or denting of gutters, droplets of oil in the driveway,
cracks in concrete, or damage to plants and trees. Furthermore, Endeavor Exteriors will not be held
responsible for exterior damages such as deteriorated trim pieces, crown molding, stucco, solar panels,
evaporative coolers, existing skylights, or interior damage such as falling dust and debris, cracked plaster,
sheet rock or nail pops, as a result of normal re -roofing.
18. Replacement or repair of the deteriorated decking, fascia boards, swamp coolers, ventilators, chimneys,
counter flashing, or any other work completed for the homeowner not explicitly stated in this contract,
are not included in quoted price and will be charged as extra on a time and material basis.
19. Endeavor Exteriors holds the right to photograph all projects in which it is invloved, and the right to
publish throughout all Endeavor Exteriors' social media outlets.
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: � 0(o M I D POOF
Job Address: rQW ST.
Permit Number:
1'lJill- -
w
❑ No one available for inspection Time U A PM
Re -Inspection required: Ye No
When corrections have been made, call for re -in p ction at 303-`234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
x .:
• . •s ;ie
SUIlding PermitApplication
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