HomeMy WebLinkAbout4760 Dover StreetA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: goDO
Job Address:.
Permit Number: Ll
❑ No one available for inspection: Time�' M/PM
211-1-1
Re -Inspection required: Yes �o
When corrections are complete,
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Electric PERMIT - 202002201
202002201
4760 Dover St
Service upgrade - 200 amps
ISSUED: 10/27/2020
EXPIRES: 10/27/2021
*** CONTACTS ***
OWNER (518)229-5261 WALSH JENNIFER
SUB (720)309-1642 DARNELL BROWN 080122 III -D ELECTRIC
*** 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: 21250.00
FEES
Total Valuation 0.00
Use Tax 47.25
Permit Fee 93.35
** TOTAL ** 140.60
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2018 IRC & 2020 NEC . Subject to field inspection.
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 thispermit and perform the work described and approved in conjunction with
thispermrt. 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
applicable code 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.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Electrical Service Change/Upgrade Permit Application
Date: Friday, October 23, 2020 9:40:19 AM
Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4760 Dover St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Jennfier walsh
518-229-5261
CONTRACTOR INFORMATION
Contractor Business III D Electrics
Name
Contractor's License 080122
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 720-309-1642
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email darnel)@3delectric.cc
Address
Retype Contractor darnel)@3delectric.cc
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of
back of house
upgrade/change
(garage, house, etc)
Provide additional
none
details, if needed.
Project Value (contract
2000
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 Darnell Brown
Permit
Email not displaying correctly? View it in your browser.
Online Form Submittal: Sewer or Water Line Repair Permit ....... https://wrmail.ei.wheatridge.co.us/owa/#viewmodel=ReadMessage...
Online Form Submittal: Sewer or Water Line Repair Permit
Application
no-reply@ci.wheatridge.co.us
Mon 8/24/2020 12:31 PM
To:CommDev Permits <Permits@ci.wheatridge.co.us>;
Categories: Kim
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for sewer
line or water line repair - in
yard only?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
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**
Yes
Residential
4760 Dover St
Avi Haimowitz and Albert Tharpe
303-521-5371
Field not completed.
Electronic Payment Form.pdf
1 of 3 08/31/2020, 8:34 AM
Online Form Submittal: Sewer or Water Line Repair Permit ... - ...
CONTRACTOR INFORMATION
Contractor Business Name Sewer Lines Only
Contractor's License
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contractor Phone Number
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
180100
720-527-0580
http s: //wnnail. ci. wheatridge. co.us/owa/#viewmodel=ReadMessage...
lisa@sewerlinesonly.com
lisa@sewerlinesonly.com
Is this a sewer line or water Sewer Line
line repair?
Length of repair 3
Location of repair (backyard, Front yard
frontyard, etc)
Provide additional details Clean outs will be installed
including installation of
clean -outs.
Project Value (contract value 2500
or cost of ALL materials and
labor)
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 work may
not begin on this property
until a permit has been
issued and posted on the
property.
Yes
Yes
2 of 3 08/31/2020, 8:34 AM
Online Form Submittal: Sewer or Water Line Repair Permit ... -
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 stated Yes
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 Lisa Miller
https://wnnail.ci.wheatridge. co.us/owa/#viewmodel=ReadMessage...
Email not displaying correctly? View it in your browser.
3 of 3 08/31/2020, 8:34 AM
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:'+
Job Address:
Permit Number: u
R
y
❑ No one available for inspection: Time i , AM/PM
Re -Inspection required: Yes �_9
When corrections have been made, schedule for re -inspection online at:
MtpYAvww. ci, wheatridge. co, usrinspection
Date:" ,�'?'C�(*u Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTIC 1
Inspection Type:
Job Address:
Permit Number:,
❑ No one available for inspection: Time AM
Re -Inspection required: Yes o
When corrections have been made, schedule for re -inspection online at:
http://www.ci. wheatridge.co. uslinspection
Date:./ /i' Inspector: n --.---------
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201902488
PERMIT NO: 201902488 ISSUED: 11/27/2019
JOB ADDRESS: 4760 Dover St EXPIRES: 11/26/2020
JOB DESCRIPTION: Replacing 4 windows in bedroom and bathroom. U -value is 0.30
*** CONTACTS ***
OWNER (720)235-0758 HAIMOWITZ AVI
SUB (303)574-9594 RICK ROSE 080085 WINDOW WORLD OF DENVER
*** 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: 2,445.00
FEES
Total Valuation 0.00
Use Tax 51.35
Permit Fee 93.35
** TOTAL ** 144.70
*** 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 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 properly and am authorized to obtain this permit and perform the work described and approved in conjunction with
th1s ermrt. 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 OWNER or CONTRACTOR (Circle one) Date
I . 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or gran n 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 at6rdinance 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.
Dina Kemp��`
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, November 27, 2019 9:19 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS"
*
4760 Dover Street
Albert Haimowitz
720-235-0758
avi.haimowitz@gmail.com
Wr 4760 CC.gdf
CONTRACTOR INFORMATION
Contractor Business Window World
Name
1
Contractor's License 080085
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-235-0758
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address acaro@windowworldcolorado.com
Retype Contractor Email acaro@windowworldcolorado.com
Address
DESCRIPTION OF WORK
Number of window 4
and/or doors being
replaced
Location of Bedroom and Bathroom
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the .30
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .32 or
better on windows..
Attach copy of Wr 4760 Order.pdf
window/door cut sheets
showing sizes and u -value
Project Value (contract 2445.00
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
2
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 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 Tasha Engh
Permit
Email not displaying correctly? View it in your browser.
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:,,1Z)! A66i SO ADDRESS: JOB CODE:., 'C
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 / SlabInspections
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
koa
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
koa
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
PERMIT -J&/900/ 8-D ADDRESS: 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.
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: y07 A Q TC
Job Address: y /G0 ov / 5
Permit Number: ; D/ aoo)� a
❑ No one available for inspection: TfTe f
.% f`_ AM/PM
Re -Inspection required: Yes rN
When corrections have been made, call for re -inspection at 303 -234 -
Date:— Ayllg Inspector: AV/
l DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 4 Q� g0`=
Job Address: 4 Z VFW
Permit Number: gal gr '7 g M
❑ No one available for insp n: Time) / V AM/PM
Re -Inspection required: (!es/
Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 30 g Inspector: * 41 —
DO NOT REMOVE THIS NOTICE
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:
Job Address: y -7 6 0
Permit Number: Q (---)) << C,-)
❑ No one available for inspection: Time `� , l � /PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: I i IK Inspector_ !
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201800180
PERMIT NO: 201800180 ISSUED: 01/17/2018
JOB ADDRESS: 4760 Dover ST EXPIRES: 01/17/2019
JOB DESCRIPTION: Residential re -roof on house and back shed with Certainteed Landmark.
Squares: 16.58 Pitch: 4/12
*** CONTACTS ***
OWNER (720)644-6212 HAIMOWITZ AVI
SUB (970)797-1145 Jeramiah Larsen 170325 Anchor Roofing LLC
*** 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: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201800180
PERMIT NO: 201800180 ISSUED: 01/17/2018
JOB ADDRESS: 4760 Dover ST EXPIRES: 01/17/2019
JOB DESCRIPTION: Residential re -roof on house and back shed with Certainteed Landmark.
Squares: 16.58 Pitch: 4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permrt. I further attest that I am legally authorized to include ali entities named within this document as partres to the work to be
performed and that all work to.be performed is disclosed in this document end/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 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 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 c ' o any ordinance or red lation of this jurisdiction. Approval of work is subject to field inspection.
y r r -
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CONSTRUCTION COMPANY LLC
CertainTeed
PREFERRED
CONTRACTOR
Corporate Office: 1745 Shea Center Dr. 41h Floor, Highlands Ranch, CO 80129 - Phone 303-719-7663 - Fax 888-859-0135
W W W.ROOFSBYJO H NSON.COM
Customer Name: Date : l' I �a
Property Address: City / State:QJ '�j4
Billing Address: City / State:
Home Phone #:--&17 LVAi LP9162 Work Phone #:
SPECI17 ONS FOR PROPERTY REPAIR: Emergency Repairs / Tarps : YES NO `
ROOFI G YESNO o Type Size
o Roo ing Materi l('1074 'kfNAIM-A ( ZC�1��iding YES. 0
o Material Color: o Siding at:erial
o Valley Material: d oal Color:
o Ridge Material: Gutter YES 0
o Ventilation: AAIuQ 4....A- ,6" utter Size /Mater'
o Metal Edging: Q 1 ,,6 Material Color:
o Chimneys lashings: UJ Interior Damage YE NO -----
O
o Tear��PYe, - ayers (3u4 � o Paintin YE / NO1��o Felt.Ice Shield: u �L o Drywall/ Plaster YEStf 1yu 1
o Pitch: Stories:
N
Skylights # --X Sizes:
Protect Landscaping
Remove Trash From Gutters & Yard
(� Roll Property With Magnetic Roller
Customer Or Insurance Responsible For
Un-Nailable Surfaces (see back side)
SPECIAL INSTRUCTIONS
* Johnson Construction Company LLC Shall hold in trust any payment received
from you until Johnson Construction Company has delivered roofing materials at
the site or has performed a majority of the roofing work on your property.
* Property Owner is _/ is not _ intending to make payment from proceeds
of a property and casualty insurance policy.
General Contractor: Property Owner or Authorized Representative acknowledges that as a General Contractor Johnson
Construction Company LLC is entitled to any applicable Overhead & Profit as determined by Insurance Standards.
Insurance / Mortgage Company Note: I hereby authorize the Insurance and / or Mortgage Company listed below to make
all checks payable jointly.
Terms: This agreement does not obligate the property owner / authorized representative or Johnson Construction
Company LLC in anyway unless it is approved by the Insurance Company and agreed upon by Johnson Construction
Company LLC. When "price agreeable" is determined it shall become the final contract price of $ cJ Z sand the
property owner / authorized representative authorizes Johnson Construction Company LLC to obtain labor and material in
accordance with the "price agreement" and the specifications set out herein and on the reverse side hereof to accomplish the
project in full.
Accepted by Property Owner /Authorized Representative on: Date: -L/-4/& By: (41 ,4 11)q*-UU1
Insurance C mp n Mortgage Company:
Claim #: U tom) ` Account #:
Approx. Date of Service: Date of Completion: General Liability Insurance Provider: Stolly Insurance (p) 800-686-2147
Cv/9601�3D
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, January 17, 2018 10:13 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dina
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
4760 Dover St
Avi Haimowitz
Property Owner Phone 7206446212
Number (enter WITH
dashes, eg 303-123-4567)
G
v7
Cr
Property Owner Email
avi.haimowitz@gmail.com
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
Signed Contract.ipeg
Contract
CONTRACTOR INFORMATION
Contractor Business
Johnnson Construction Company
Name
Contractor's License
170235
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
3037197663
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
1745 SHEA CENTER DR
(Primary address of your
business)
Contractor Email Address
chelsea@exteriorsbyjohnson.com
Retype Contractor Email
chelsea@exteriorsbyjohnson.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
16.58
the entire scope of work:
Project Value (contract
8000.00
value or cost of ALL
materials and labor)
Are you re-decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
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 any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
16.58
Certainteed Landmark
Asphalt
House and back shed
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
3
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 chelsea moreland
Email not displaying correctly? View it in your browser.
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
4,t
INSPECTION NOTICE
Inspection Type: F. W .b
Job Address:!_Lle r -
Permit Number: C� O) c o► 3 1 1
❑ No one available for inspection: Time /n aa9 9/pm
Re -Inspection required: Yes �lo� v
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 1311 -11)(, Inspector;- t,v
DO NOT REMOVE THIS NOTICE
-DD k0 131
INSPECTION RECORD
\�
r �'a—� INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Roof Sheathing
Foundation Inspections Date
Inspector Comments
Initials
Comments
Monolithic Slab Reinforcement
Rough Plumbing
Caissons
Rough Mechanical
Concrete Encased Ground (CEG)
Final Mechanical
Footing/Stemwall P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below / In -slab)
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector Comments
Initials
Wall Sheathing
Roof Sheathing
Date
Lath /Wall Tie
Comments
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed Without Approval Of Above Rough Inspections
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
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.
Fire Inspection / Fire Protection Dist.
"*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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
W City hof a --t, (C-1.1
FOR OFFICE USE ONLY
Date: T) -'3
PMWPermit #
a-0 IV) 311
Plan Review Fee:
Building Permit Application PAID
Please complete all highlighted areas on both sides of this form. Incomplete applfcatlon��
Property Address: 4760 Dover St Wheat Ridge, CO 80033
Property Owner (please prino: Avi Haimowitz Phone'. 720-256-7700
Address: Same as Above
Archi
� 1111� 11111111111 1
� ;I I : 1112 41111 ILI 11
Contractor: Thd at Home Services, Inc
MOM
Contractor E-mail Address:
mraim
W,R� City License #
Other City Licensed Sub;
City License #
Plurnbing:
W, R, City License#
Phone: -
Phone: 1-855-712-8899
Mechanical-.
WR City License #
Complete all information on BOTH sides of this form
COMMERCIAL[I NEW El SERVICEELECTRICAL
El NEW RESIDENTIAL STRUCTURECOMMERCIALROOFING
0 COMMERCIAL ADDITION 0 RESIDENTIAL ROOFING
RESDENTIAL ADDITION• REPLACEMENT
COMMERCIAL
STRUCTURERESIDENTIAL ACCESSORY deck,
SYSTEM/APPLIANCEMECHANICAL REPAIR or
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
0 ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
0 OTHER (Describe)
(For ALL projects, please provide a detailed description of work 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 be used, etc.)
Replace ( 4 ) windows. Like for like in existing openings.
Sq. pt.A-F _._._ _ . ,._ _. Btu's �.. Gallons
Amps..1-1-1 ------------------ ------ _-..v___,.......... Squares _._...w..._
Order Detail - 9485436
, 8/30/2016 6.05 PM
1 Current Period: 1'
Job Number
Homeowner
M/M Avi Hairnowitz
Sales Consultant I Joshua
Watters
Branch
Denver
status
Released to Production
Sales Consultant 2
Product
Windows
Sale Date
8/25/2016
Installer
Grade
Clear Value
Price List Date
8/12/2016
Year Home Built 1956
Sale Amount
$2,780,69
Lead Paint Assumed - LSWP Required
Style/Series
Description
Color
Retail
Extended Mis
Price
Price Spec
3
S`qt e 1-it4ng/('L ew Wdue
CV500- Sirr�e Hung (Low
E) White
$699,00
Vs�)9'00
Sold I
Width 35
Height 59 Ordered I
Width 35 Height 59
Item #: 1,
Room: Bed 1
Floor: .1 Exterior Color: White
`>wiga e Ng/Clear Vali.
e
CV500 - Single Hung (Low
Q White
$699.00
$699,00
Sold I
Width 35
Height 59 Ordered I
Width 35 Height 59
Item #: 2
Room: Bed I
Floor: I Exterior Color: White
3 P,,,)ne! Sfider (l,'-I)Uear
Value
C 50 - 3 Pnl Sit, er - 1/4 (Low E) Whte
$774,00
$7 7'l
Sold I
Width 69
Height 50 Ordered I
Width 6I.) Height 50
Itern #::1
Room: bvilg
Floor: I Exterior Color: White
S -ige 9ider/Ciew, Valui,,�
CV500 - Single Slider (Low
White
$760,00
$760,00
Sold I
Width 52
Height 50 Ordered I
Width 52 Height 50
Item ##:.I
Room., Dining
Floor: I Exterior Color: White
Lead Safe Renovation
Not Applicable
$35,00
$1.40k,0
Sold 4
Width
Height Ordered 4
Width Height
Item #: 999
Room:
Floor: Exterior Color:
Ipad Offs
'et
able
Not Applic,
t 17,63
$17,63
Sold I
Width
Height Ordered I
Width Height
Item #: 999
Room: Nuil
Floor: Exterior Color:
Sold 9
Item Total: $3,089,63,
Special Considerations:
Installer Notes.
Manufacturer Notes:
Ordered 9
Acc Total: $0,00 Pricing Error. $0,02 Total Order: $3,089,65
** Warning:'Total Order Amount does not equal Sale Amount **
Hardie Paint Colors: Siding - it -
I kxx,ssorien, Exist Arriendrnerit Miscellaneous igen)
�D 2001 - 2016 THD At -Home Services, Inc. All rights reserved,
"'Ito Map
CowtaU „ffl +'t,-ntef (AH -,,
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nnlac� le( 0 1 f5upp
Trim - Window/ or -
Pricing Error; _'
Item Mis Spec
Access Mis Spec
Total Mis Spec
Mis Spec %*
Mis Spec % excludes NCI &
Cust Sat Amendments