HomeMy WebLinkAbout3980 Marshall Streetfir G/� n f, ���_ C),
�� ' ' JL J INSPECTION RECORD
t,ji-�O � INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Tye
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
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Lefler
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Floodplain Inspection (if applicable)
Plumbing
Final Electrical
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
�1
Final Electrical
Mid -Roof
Final Plumbing
Final Mechanical
Lath /Wall Tie
Roof j 'N
Final Window/Doors
Rough Electric
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof j 'N
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.
**For Inspection Time Window — Please email insptimerequest@ci.wheatridge.co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702396
PERMIT NO: 201702396 ISSUED: 06/22/2017
JOB ADDRESS: 3980 Marshall ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Duration asphalt shingles 30 sq.
*** CONTACTS ***
OWNER (720)217-1178 OSSEL RONALD D
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7_,710.00
FEES
Total Valuation 0.001,.
Use Tax 161.91
Permit Fee 172.60
** TOTAL ** 334.51
*** 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 A% -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 manufacturera€'"s 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's 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 - 201702396
PERMIT NO: 201702396 ISSUED: 06/22/2017
JOB ADDRESS: 3980 Marshall ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Duration asphalt shingles 30 sq.
1, 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 ermrt. I fur�}�er attest that 1 am legally authorized to include all entities named within this document as parties to the work to be
performed a fia work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
-? -I�
-?
Signature 6f'i`OW_NEd 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
subect 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
en ft,
Signature of Chief Buildi g 6� ficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.whcatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
TQC R"
lvo CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDDIYYYY)
6.30/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREll AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER
NAME: Terry Grunden
Colorado Insurance Benefits, Inc.
6635 S Dayton St 4320� �
AIC No Ext ; 303-649-9141 NC Mol; 303-649-4930
DRESS: tgrunden@coloradoinsb-cflts.com
INSURER(S) AFFORDING COVERAGE MAIC t
Greenwood Village CO 80111
INSURER A : Berkley Assurance Company
INSURED
INSURER Il Pirlttacol Assurance
Monarch Construction & Roofing, LLC
INSURER C;
5300 Broadway
INSURER D:
MED EXP (Any one Person) $ EXCLUDED
INSURER E:
Denver CO 80216
INSURER F :
COVERAGES CERTIFICATE NUMBER: Rr-V1clnw MIItMAl
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INUR
LTR
TYPE OF INSURANCE
INSO
WVp
POLICY NUMBER
POLICY EFF
MIDDIYYYY)
Lit; T ll
{MM7DOKYYYI
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
Y
VUMC0150410
0629/2017
06.2912018
EACH OCCURRENCE $ 1,000,000
PREMISES {Ea occurrence) $ 100,000
MED EXP (Any one Person) $ EXCLUDED
PERSONAL & ADV INJURY S 1,000,000
GENT AGGREGATE LIMIT APPLIES PFR:
X POLICY F—IIERCiElLOC
OTHER:
GENERAL AGGREGATE S 2,000,000
PRODUCTS - COMP/OPAGG $ 2,000,D00
$
AUTOMOBILE LIABILnY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Ea acddent}NULL LIM11 $
BODILY INJURY (Per person) $
BODILY INJURY {per accident $
)
Aer accident $
$
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIM&MADE
EACH OCCURRENCE $
AGGREGATE $
DED I I RETENTION $
$
S
WORKERS COMPENSATION
D EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOWPARTNER/EXECUTIVE
OFFJCEPJMEMBEREXCLUDED?FYINIA
Mandatory In NH)
fyes describe under
finsOF OPERATIONS below
4166829
10/01/2016
10/01/2017
X 5 ATUTE ER
_
E.L. EACH ACCIDENT $ 100,000
-
E.L. DISEASE - EA EMPLOYEE $ 500,000
E.L. DISEASE - POLICY LIMIT $ 100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
L,HJl
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED
Te-rry Crrwil
(V 1865-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Monarch Construction 8 Roofing, LLC will be refened
to in this contract as Monarch. The scope of wok and materials identified
Construction 8 Roofing; Monarch s not obligated to perform any pan of the �"' aro the of work recommended by b
for this additional work. of work that s not approved by the insurance cortpany Will— youBuithorize she wok and agree
Shi le Manufacturer L?!+/@ A/ fjP�� ^/ T yr %!!�
Col. 4W
'' Tear off all existing layers ( layers) ❑ Tear off one layer of wood shake shingles
✓install Decking (7116' OSB) "'C sheets of OSB are included, each additional sheet will be $65 per sheet
Install New Underlayment
1 — 301b, .— Synth. --- S e- -e- C d,c if lg_t Z % ] k -N
_all Pre -Painted metals to code Brown Charcoal Tan Gray White other—
�jiaftey(s) will be closed with ice & water shield ❑ Vallewo will be — Int
— Ridge (s) to be color -coordinated with shingle pen
�Ridge(s) to be High -Profile and color -coordinated with shingle
ter stall new Pipe jacks
v—�,8` Place vents as needed
✓ Re -flash chimney(s) and all wall abutment as needed
Install Ridge Vent _LF
> 11 11 Ice & Water shield per code, as well as all vents and skylights
Install 4-6 nails per shingle as required by city/county codes.
_�elfite/ Dish Alignment (each customer will need to contact the provider to re -align dish after roof installation)
F'nal Inspections will be completed as cityfcounties allows. I have read the back of contract # 23
5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr. workmanship warranty
Extended Warranty Per Sq. $______ Circle:
�onarch Construction & Roofing will provide general liability insurance ns Ccovetrage of $2,000 000 general aggregate
✓✓ P onn magnetic sweep of driveway and yard for removal of any nails
move all trash and debris from work listed
Gutters b SN LF Size: 5 -inch or 6 -inch Color:
— Replace Gutter Screens Type: Int.
— Insurance funds include Mortgage Co an
Int.
-
Int.
Otter.
Special Instructions y — Yes No (I es Please complete the third party y authorization form) !nt_�__
The approximate cost of the services based on damages known at the time this contract rs entered insurance. Monarch will pedonn the'SS ��$1
scope of work approved by the insurance coin
codes, which may increase initial dollar amount that insurance is a i determined b r
n xeases in costs bewrne a part of this contract The fi Party. Monarch win supplament. ms Y e ESTI ' Sfi
Paying n9 out. Supplemental claims billed by Monarch that are a� low not included or items needed to
insurance approved scope Customer win be responsiblenal scope and pr ce rbetweenPProved by the insurance company for adpass , ditional work o2
the insurance camred within
to pay for any coversdeductible, �e insurance company and Monarch shall Y
Pant determines is not covered within the scope of upgrade provided recoverable deprecation or additional work a e the final contract
Approximate Dates of Service: by your insurance policy. uNforized price for the
materials, by the customer that
Payment delays, insurance approval, ordfna--- - — these dates of service are sub' ct to change due
communication to customer to show tentative dates- ry weather delays, fe
ays, or by any other causes be g to unusual delays in transportation of
Notice: It the properly beyond reasonable control of Monarch. Monarch will provide
P party owner plans to use r
section 6-22-105, the roofi Proceeds of a property and casualty insurance li
Payment on the covered residential
pddr cannot pay, waive, rebate, or promise to Po cy issued pursuant to
rasidensal property, pay, waive, or rebate an or part t of article 410 ORS., to
part of any insurance Pay for the roofing hein work, Pursuant m
I(we) hereby authorize 8 instruct the insurance company �� applicable ro the insure
aver today's date authorize
indicates insurance dorm for
above I we a Pana 8 lien holders a include the name of Monarch Constru
relative to the claim number referee ( ) �� any legal relion 8 R
ked above, Ii(+we) further euthorize M match an - agent of Monarch Construction to fing LlC as ge, n ea on any sub
7Q O S Monarch to ick up' rn obtain inforrnafien compere loss draft or checks
W t Amount: rson any loss drafts or necessary to complete any funding
process
D Fe: /? checks onmylourbhanandtxstfof,�rch
bnarcn Cons -bon BRoofi .�7
'clam sd a maiwity pr pie r� LLG k o nold' "t any Payment from the R .Initials
rip work on the Property Property owner unwF r
k4onarc
WA) b GDrlstrlctian
agree & Roofin
, by signing below to all thes LLC has de ive ed roofin
corihact cOnlilOns, 9 maten'�s of the resbentid
Date oiAcceptance: 5 / 7 both front and bac�t Of thea9�em
Property site or has
Cusfomer5gnature(s);
MonamhR
ePresentative:
L
ent.
CustomerSgnature:�`
txeso N'.CWAR OA SUrlElb
uNEwono,
r
Top 1% of roofing contractors
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EMAI4 MONAREHfpFnMAtLWM
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Customer Name 0 O's7
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Address 3 � C�-,/
Phone �ZQ —
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Alt. Phone
Email
Insurance Company _'�O/G �✓/CJ S�
Gaim #
Ins.Policy# _eo C-7
Monarch Construction 8 Roofing, LLC will be refened
to in this contract as Monarch. The scope of wok and materials identified
Construction 8 Roofing; Monarch s not obligated to perform any pan of the �"' aro the of work recommended by b
for this additional work. of work that s not approved by the insurance cortpany Will— youBuithorize she wok and agree
Shi le Manufacturer L?!+/@ A/ fjP�� ^/ T yr %!!�
Col. 4W
'' Tear off all existing layers ( layers) ❑ Tear off one layer of wood shake shingles
✓install Decking (7116' OSB) "'C sheets of OSB are included, each additional sheet will be $65 per sheet
Install New Underlayment
1 — 301b, .— Synth. --- S e- -e- C d,c if lg_t Z % ] k -N
_all Pre -Painted metals to code Brown Charcoal Tan Gray White other—
�jiaftey(s) will be closed with ice & water shield ❑ Vallewo will be — Int
— Ridge (s) to be color -coordinated with shingle pen
�Ridge(s) to be High -Profile and color -coordinated with shingle
ter stall new Pipe jacks
v—�,8` Place vents as needed
✓ Re -flash chimney(s) and all wall abutment as needed
Install Ridge Vent _LF
> 11 11 Ice & Water shield per code, as well as all vents and skylights
Install 4-6 nails per shingle as required by city/county codes.
_�elfite/ Dish Alignment (each customer will need to contact the provider to re -align dish after roof installation)
F'nal Inspections will be completed as cityfcounties allows. I have read the back of contract # 23
5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr. workmanship warranty
Extended Warranty Per Sq. $______ Circle:
�onarch Construction & Roofing will provide general liability insurance ns Ccovetrage of $2,000 000 general aggregate
✓✓ P onn magnetic sweep of driveway and yard for removal of any nails
move all trash and debris from work listed
Gutters b SN LF Size: 5 -inch or 6 -inch Color:
— Replace Gutter Screens Type: Int.
— Insurance funds include Mortgage Co an
Int.
-
Int.
Otter.
Special Instructions y — Yes No (I es Please complete the third party y authorization form) !nt_�__
The approximate cost of the services based on damages known at the time this contract rs entered insurance. Monarch will pedonn the'SS ��$1
scope of work approved by the insurance coin
codes, which may increase initial dollar amount that insurance is a i determined b r
n xeases in costs bewrne a part of this contract The fi Party. Monarch win supplament. ms Y e ESTI ' Sfi
Paying n9 out. Supplemental claims billed by Monarch that are a� low not included or items needed to
insurance approved scope Customer win be responsiblenal scope and pr ce rbetweenPProved by the insurance company for adpass , ditional work o2
the insurance camred within
to pay for any coversdeductible, �e insurance company and Monarch shall Y
Pant determines is not covered within the scope of upgrade provided recoverable deprecation or additional work a e the final contract
Approximate Dates of Service: by your insurance policy. uNforized price for the
materials, by the customer that
Payment delays, insurance approval, ordfna--- - — these dates of service are sub' ct to change due
communication to customer to show tentative dates- ry weather delays, fe
ays, or by any other causes be g to unusual delays in transportation of
Notice: It the properly beyond reasonable control of Monarch. Monarch will provide
P party owner plans to use r
section 6-22-105, the roofi Proceeds of a property and casualty insurance li
Payment on the covered residential
pddr cannot pay, waive, rebate, or promise to Po cy issued pursuant to
rasidensal property, pay, waive, or rebate an or part t of article 410 ORS., to
part of any insurance Pay for the roofing hein work, Pursuant m
I(we) hereby authorize 8 instruct the insurance company �� applicable ro the insure
aver today's date authorize
indicates insurance dorm for
above I we a Pana 8 lien holders a include the name of Monarch Constru
relative to the claim number referee ( ) �� any legal relion 8 R
ked above, Ii(+we) further euthorize M match an - agent of Monarch Construction to fing LlC as ge, n ea on any sub
7Q O S Monarch to ick up' rn obtain inforrnafien compere loss draft or checks
W t Amount: rson any loss drafts or necessary to complete any funding
process
D Fe: /? checks onmylourbhanandtxstfof,�rch
bnarcn Cons -bon BRoofi .�7
'clam sd a maiwity pr pie r� LLG k o nold' "t any Payment from the R .Initials
rip work on the Property Property owner unwF r
k4onarc
WA) b GDrlstrlctian
agree & Roofin
, by signing below to all thes LLC has de ive ed roofin
corihact cOnlilOns, 9 maten'�s of the resbentid
Date oiAcceptance: 5 / 7 both front and bac�t Of thea9�em
Property site or has
Cusfomer5gnature(s);
MonamhR
ePresentative:
L
ent.
CustomerSgnature:�`
Antoinette Kulick �)O ( _� 6 2 -5-7
From: no -reply@ ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 11:30 AM
To: Permits CommDev
_
<
Subject: Online Form Submittal: Residential Roofing Permit Application
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. YOU WILL BE CONTACTED WHEN YOUR PERMIT
u,
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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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
Property Owner Email
Address
3986 marshall st
ronald ossel
720-271-1178
Field not completed.
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
monarch construction
100243
3039811265
Contractor Email Address blowrie@monarchroofs.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email blowrie@monarchroofs.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing duration
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 30
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.
2
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
30
house is a 3/12 pitch
(o-00
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 brie lowrie
Email not displaying correctly? View it in your browser.
3
1
i CITY OF WHEAT RIDGt
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F71 $I c, i
Job Address: q so
Permit Number: -D u 17 v o
�W d
❑ No one available for inspection: Time &PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: s Inspector: 7'- Q
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: 3 q So nl o r cL n &-4-
Permit
'4-
Permit Number: a v t 7 0 Q 43 rC s—
t� 1. l9 G I (_J� 6.e c .+-leci
❑ No one available for inspection: Time q- /9 L'iwpm
Re -Inspection required: 0 No
When corrections have been made, call for re -inspection at 303-234-
Date:- - Inspector: IT 6
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
INSPE9TION NOTICE
M
Inspection Type:
Job Address:
Permit Number: Z_)z —6 S
❑ No one available for inspection: Time PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
r--
Date: Ce Inspector: t — ail
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: 0 0 U\�
Job Address: _� I� 0 W A ir S 4
Permit Number: Q c/ -7 C, C A S 5
U a P,A)sc„,y1,\ n-+ -4-k,(
Uri} ps v 07 ,
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: _ 30 ' ' 7 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: L7 L
Job Address: 9� b Vy) L 11 S" A4� 11 7 -
Permit
Permit Number: I.7 0 6 f S �
t, ' t\-1 ` y
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date
Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700855
PERMIT NO: 201700855 ISSUED:
JOB ADDRESS: 3980 Marshall ST EXPIRES:
JOB DESCRIPTION: Reroof - asphalt shingles - 30 squares
*** CONTACTS ***
OWNER (720)217-1178 OSSEL RONALD D
SUB (303)981-1265 Jon Lowrie
05/25/2017
05/25/2018
100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,257.00
FEES
Total Valuation 0.00
Use Tax 202.63 _
Permit Fee 236.00ILI
** TOTAL ** 438.63
*** 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 k/2 -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&c—s 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's 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.
ra
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201700855
201700855
ISSUED
3980 Marshall ST EXPIRES
Reroof - asphalt shingles - 30 squares
05/25/2017
05/25/2018
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
this'perm[t. I furg1�er attest that I am legally 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' accom anymgjpproved plans and specifications.
Signature of QWWIER 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 may Pe subject to a fee equal to one-half of the original permit fee.
3. If this pen -nit 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, any violation of any provision of any
applicable codpor 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
h6 a I ick
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
- .a Date:
,
Plan/Permit # ODS
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:
Property Owner (please print): Rorp'`d b%W_t Phone:
Property Owner Email: rUYl0Y1S�� & Vali m • C.VVH
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: /Vtimx,rc,1„ `jbw%56taL k= 4
Contractors City License #: XV • 00; 3 Phone: 3t)3-gtt-12-45
Contractor E-mail Address: r prp0 ICS Q IM,mha.ricJllrrns�s�c c51
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
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 REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ 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.) V -f— ro(�4 , asyV-.aj
Sq. FtJLF
Amps
Btu's Gallons
Squares 3 d Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
I f 02 13 '�-
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, riles 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) <NTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic SiLmaturt (first and last name): " 5�DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION'.
Building Division Valuation: $
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Ntark Sytnor
Western Upholstary Supply
isia wuee Street
DerrveY, (S) 80292
PS FORM 3800
RECEIPT FOR CERTIFIED MAIL
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7500 WEST 29TH AVENUE
P.O. BOX 638
WHEAT RIDGE. CO 80034-0638
(303) 234-5900
City Admin. Faz # 234-5924
May 13, 1993
Mark Sytner
Western Upholstery
1812 Wazee Street
Denver, CO 80202
Dear Sir:
Police Dept. Fax # 235-2949
Supply
The City of
GWheat
GRidge
On May 12, 1993 an inspection was made at 3980 Marshall Street.
This inspection revealed the following problems with the cook top
unit:
A. The wire is brittle with many broken areas
H. Elements have been repaired with non-approved
equipment
C. Several wires are broken and lying on the bottom of
the appliance
You are hereby notified that this cooktop unit presents an
electrocution hazard and should be repiaced as soon as possible.
You should also be informed that if the repair in this kitchen
costs more than $1,000.00, smoke detectors must be installed per
the 1991 Uniform Building Code.
I£ you have any questions about this matter, please feel free to
contact me at 235-2853.
Sincerely,
04 UU"OPL-
/'John W. Eckert
Building Inspector
cc: Occupant
3980 Marshall Street
Wheat Ridge, CO 80033
JWE/at
1trSytner
4
INSPECTION tICKET
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DATE: BLDG. PERMITB
PERMITX
BLDG. CONTR
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DATE INSP. REQ.
~
TYPE OF INSP. ~
INSPECTION MADE 9- / Z (~d 3
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