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4195 Dudley Street
From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Date: Wednesday, January 5, 2022 11:16:27 AM 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 4195 Dudley St Property Owner Name Marcus Bittner Property Owner Phone 701-400-7192 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Attach City of Wheat bittner cc auth Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business seiler construction Name Contractor's License 180220 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 What is being replaced Number of window and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of window/door cut sheets showing sizes and u - value Ki8xMt1�1�ti mbeaudoin@renewalcolorado.com mbeaudoin@renewalcolorado.com NVA Morel, 2 RIFMUWE ILS1Mr0III .30 or better bittner specs. odf Attach any additional Field not completed. documentation Attach any additional Field not completed. documentation Project Value (contract 8259 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge oE-Res. Window Replacement PERMIT - 202001605 PERMIT NO: 202001605 ISSUED: 08/14/2020 JOB ADDRESS: 4195 Dudley St EXPIRES: 08/14/2021 JOB DESCRIPTION: Replacing one entry front door. U -value is .30 *** CONTACTS *** OWNER (701)400-7192 BITTNER MARCUS SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,349.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 259.33 ** TOTAL ** 309.33 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Window Replacement PERMIT - 202001605 202001605 4195 Dudley St ISSUED: EXPIRES: Replacing one entry front door. U -value is .30 08/14/2020 08/14/2021 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 le,ggally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pertbrmed is disclosed in this document and its' accompanying approved PIans 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 maybe 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 issuan e or gra g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appable ode or r ce 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. Online Form Submittal: Residential Window/Door Replacement R.. https:Hwrmaii.ci.wheatridge.co.us/owa/projection.aspx Reply all I Delete Junk I Online Form Submittal: Residential Window/Door Replacement Permit Application • no-reply@ci.wheatridge.co.us Reply all at Fri 8/14,135 PM CommDev Permits 2018 Dina Action Items 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 1 of 3 4195 Dudley St Marcus Bittner 701-400-7192 Field not completed. 08/19/2020, 9:57 AM Online Form Submittal: Residential Window/Door Replacement P... Reply all Delete Junk **DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name seiler construction Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number 303-945-1519 (enter WITH dashes, eg 303-123-4567) https://wrmail.ci.wheatridge.co.us/owa/projection.aspx Contractor Email Address mbeaudoin@renewalcolorado.com Retype Contractor Email mbeaudoin@renewalcolorado.com Address DESCRIPTION OF WORK Number of window and/or 1 entry door doors being replaced Location of front window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the .30 or better window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of window/door bittner specs.pdf cut sheets showing sizes and u -value Project Value (contract value 12349 or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 2 of 3 08/19/2020, 9:57 AM Online Form Submittal: Residential Window/Door Replacement P... Reply all I Delete Junk 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. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything 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. Yes Yes Yes Person Applying for Permit Mackenzie Beaudoin https://wnnail.ci.wheatridge.co.us/owa/projection.aspx Email not displaying correctly? View it in your browser. 3 of 3 08/19/2020, 9:57 AM lr , �4 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 �cc��ancv/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business '-,y.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To A proval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric* Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather n (A I 111c_t ri J 1 s u Jt PECTION 14ECORD 7 1NS 10 ONLINE FORM: http:r.`www.ci.wheatridge.co.t,s;inspection L_ 7, t�, INSPECTION REQUEST LINE: (303) 234-5933 ?ect ons will not be performed unless this card is posted on the project site. t an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project "ation Inspections Date Inspector CommentsInitials - - .;rete Encased Ground (CEG) Foundation / P.E. Let+., T- A ,V I of Thn Ahnva Inc nor- inns Ian Nnt Cover Underarounci or belowan-wap VVOrK rrlyr 1y /1PplyVal v1 I IIc r%"Wvv • r1""••"••„ — Rough Inspections Date Inspector CommentsInitials Wall Sheathing Underground/Slab Inspections Date Inspector CommentsInitials Electrical Rough Mechanical Rough Framing Rough Grading Sewer Service Drywall Screw / Nail — Plumbing Ian Nnt Cover Underarounci or belowan-wap VVOrK rrlyr 1y /1PplyVal v1 I IIc r%"Wvv • r1""••"••„ — Rough Inspections Date Inspector CommentsInitials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail — Inspector Comments Date Final Inspections Initials Landscaping & Parking / Planning Dept. Inspections from these entities should be requested ROW & Drainage / Public Works Dept. one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage Floodplain Inspection (if applicable) inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. Final Electrical Final Plumbing Final Mechanical �` 2 Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 'For low voltage permits – Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �S INSPECTI CORD NSPECTIG"NLINE FORM: http://www.ci.wheatridge.co.us/inspection VC 0. � a U INSPECTION REQUEST LINE: (303) 234-5933 Occ�anc�}�e Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Plumbing Mid -Roof Concrete Encased Ground (CEG) Lath /Wall Tie Foundation / P.E. Letter , Rough Electric Rough Plumbing/Gas Line Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath /Wall Tie , Rough Electric Rough Plumbing/Gas Line Rough Mechanical GH.;5C 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 Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Mechanic PERMIT - 201704563 PERMIT NO: 201704563 ISSUED: 07/21/2017 JOB ADDRESS: 4195 Dudley ST EXPIRES: 07/21/2018 JOB DESCRIPTION: Replacing 5 ton AC and one fire place 32K BTUs *** CONTACTS *** OWNER (303)947-6055 POLLACK, SAGE, JAMIN SUB (720)298-2288 Alireza Pakraran 120017 ARP Service Masters *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 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 property and am authorized to obtain this permit and perform the work described and approved in conjunction with thisermit. 1 further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perform d and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. If � - "�-`2 J . �- Signature of OfVNER 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 andprocedures 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 .` r conceal . itho wr en approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a` not be construe t a permit for, or an approval of, an violation 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. City of �W heat -Midge COMMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsCcDci.wheatridge.co.us FOR OFFICE USE ONLY I Date: Plan/Permit # ac 1� 06 `f' 3 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: _411q5' l ,5 / 5-k Owner Phone: 7- 0� Property Owner Email: 0 e �0.Cll Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: 4 rK I _� CIL _I ( -e i 0 ) l Phone: Contractors City License #: Phone:_3 2. C 2 ci og 12 Contractor E-mail Address: I"' SO Z ,D1:0 P-461, S -:" '� D L W C,,, ( . C 0 �-- 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 eVRESIDENTIAL 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.) ✓ g MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT n _ ❑ OTHER (Describe)fA i C Lo ,��,� C _..��,� r;� d u (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.) Sq. Ft./LF Btu's Amps Squares Gallons Other Project/Value: (Contract value or the cost of all materials and labor included in the entire project) 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 1 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, (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): -f' j DATE: 1 1 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE/ Uyiz` Inspection Type: --- Job Address: �/ f�%"'� S _ Permit Number: % C412 3 ❑ No one available for inspection-Timef `f `'' AM/PM Re -Inspection required: Ye :JNo When corrections have been made, call for re -in 4)egtion at 303-234-5933 Date: ' Inspector�d / DO NOT REMOVE THIS NOTICE n 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: 1�76 �_ Job Address: ' W `f P"'l if y s ---L Permit Number: ?(,1 7u3 L 1 LlNo one available for inspection: Time 1 t,, Z_, ) AM'/PM v Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 91Z 1 1-7- Inspector: L, 4 DO NOT REMOVE THIS NOTICE City of Wheat Ridge 0f Residential Remodel PERMIT - 201702338 PERMIT NO: 201702338 ISSUED: 07/24/2017 JOB ADDRESS: 4195 Dudley ST EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential remodel including: Remodeling 2 bathrooms, kitchen, plumbing, kitchen remodel, electrical. *** CONTACTS *** OWNER (303)961-6719 POLLACK, SAGE, JAMIN SUB (303)909-3117 Douglas Maclean 150220 IRCE, LLC SUB (303)967-6719 JAMIN POLLACK 170395 ROCKY MOUNTAIN ELECT. SERVICES SUB (303)505-1180 Enrique Reyes 130191 Starz Plumbing & Heating *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 52,000.00 FEES Total Valuation 0.00 afit Plan Review Fee 484.67 Use Tax 1,092.00 Permit Fee 745.65 ** TOTAL ** 2,322.32 *** COMMENTS *** **HVAC WORK PULL ON SEPARATE PERMIT NO. 201704563** *** CONDITIONS *** I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, nd applicable building codes, and all applicable municipal codes, policies and procedures, athat 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 inclu all entities named within this document as parties to the work to be performed and that all work to -he performed ' isc�lo e in this o ment and/or its' a compaa ying approved plans and specifications. Signature r OWNER or CONTRACTOR (Circle one) Date 1. This f ermit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired pen -nits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ov.Z e Corr regulation -of this jurisdiction. Approval of work is subject to f any inspection. n �r"A4 *A— Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Ts City of W heat j, COMMUNITY DEVELOPMENT 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: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Pennit # Z' - Plan Review Fee: Building Permit Application I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: s ww , Property Owner Email: Mailing Address: (if different than property address) Address:'A'-�LA5l-, City, State, Zip:.tllYl.rC' Architect/Engineer E-mail: m D N Phone: Ki ( N Contractor: 3:� N Contractors City License #: Phone: Contractor Email Address: r)ar)Akg ACc-)'kpuc- `� `3 94f-7 fes_ Sub Contractors: Electrical: '��� Plumbing: CJS VL' 1%�}Mechanical: 44L�' /:�c i �j %��r,�clZr,c r �l� W.R. City License # W.R. City License # W.R. City License # ;2,-/,-P 9 3 Other City Licensed Sub: City License # Other City Licensed Sub: 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 ❑ RESIDENTIAL 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) ww' T riWN'%.,Naj L' .na�� ,A,k (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.) iabr ; I '1�►CVI�+rc�� Co/ / C�--r-(�--e—tiro- ter' �� rJ CJVei :ne,S , c`r y i,�a�� J�� �l�mb;:�� kV A -C 4cZacx& -64 .) l NSW ;4���,s -a- F��� �s-�GaJ 1�►�mbo,�� �:�cl,,,r-�ssv� , ���lti« ��G� ; Sq. Ft`JLF%(J fol Z/ > J4 Btu's J Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) S �5 ei t% r-/=' 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 Drovided on the anDlication. CIRCLE ONE: (OWNAV (CONTRACTOR) or Electronic Signature (first and last name): DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) L.7f� e ski (C0:1JrAA afv) , ~, ;;��:rlfff►�l��ixRl t3RI�i��a s7�i'�sa �r y _ ,"A TME Building Division Valuation: $ A4,a,,'A- 4195 Dudley Rehab Scope 1st floor approx. 2170 sq. ft. Prior to demolition of walls in the kitchen and master bedroom were tested for lead paint,& Asbestos. Test showed. Less than 1% percent, safe to proceed using approved OSHA methods. Test report provided. Scope of work detail: • Demolition: All existing Floor Coverings tile, carpet, cabinetry and appliances. Please note that house was under some repair when we started. Remove pocket door for pantry, remove linen closet in hall to accommodate toilet location. Cut doorway for master closet, installed double 2 x 12 header in structural wall. • Framing: New non-structural framing on the peninsula in the kitchen, the master closet. Fill in closet in hall bedroom, the fire place, enclosure for toilet master, pantry addition in kitchen and then extending to closet in office, Other then that things we're Existing We only added non-structural walls. • Drywall: Float textured walls and ceilings, remove wall paper, and paneling on walls in kitchen/ dining hall and bathrooms. Repair damaged drywall. Small drywall repairs were made for plumbing and electrical changes. Electrical: Add Recessed cans, kitchen, bedrooms, bathrooms, etc. also moving some switch legs. and Upgrade for kitchen code issues. Add circuit for fireplace. Upgrade smoke detectors. Please note preexisting wiring upgrades were made from previous owner check all existing wiring for code issues. • Plumbing: Upgrade stop box for washer hook ups, refrigerator line, minimal move of water lines and drain lines to accommodate new kitchen and bath designs, replace all old worn out plumbing fixtures — locations for fixtures remains the same upgrade plumbing fixtures in bathrooms, just moved existing plumbing slightly to accommodate new cabinetry layout. Add drain and supplies for new freestanding tub. Upgrade main gas line to accommodate new gas fireplace. -HVAC: existing air conditioning unit will need to be replaced at sometime. Venting for new fireplace. Change out all round diffusers to square type using existing ducting. May need new venting for Gas range. • Finishes: non New cabinets, interior doors, n t new tile, new floor coverings, new base and casing, New stove, refrigerator, & microwave, reuse dishwasher. Alf-, I� L *ALL WALLS ARE EXISTING UNLESS OTHERWISE NOTED. 4195 DUDLEY ST. I POLLACK RESIDENCE OFFICt COPY cry of wheat piage CorwMumw Dtv[wpmewf APPROVED Rovewed for Code Compliance 7// / -7 G,419 Plan Examiner Date youllkwofra.w ti : The issuance of* permit or approval o/plons specifkarions andcanpwotions ZNW not be a permit fpr, Of an coproval of. any vlofotion to atrof00MoMsionsoftheEWid gcodeorofons�Ci�yorofnonoes.vermin WCKOW V to ytve aaMaft to violate of cancel the provisions of the BuiNxp codes or cher ordinances of the City shop not be volid. m. I. yr C�fy� %j/ hLatR�d eui/di �@ 09 D�V/'s on FIRST FLOOR N N 0 N L 5'-0" N r N M 0 7'- 5 1/2" 0 19'-7" NEW HALF WALL PARTITION 5'-9" 5'-31/2" 6'-51/2" NEW PARTITION WALL ET DOORS 4195 DUDLEY ST. I POLLACK RESIDENCE SKYLIGHTS ABOVE NEW KITCHEN ISLAND 6'- 4 1/8" NEW WING PARTITION WALL *HALF WALLS ARE TO BE 35" A.F.F. N O City of Wheat Ridge ENLARGED KITCHEN PLAN N r r v 8'-41/2" 3'-6" 0'-8" 5'-4" 6'- 4 1/8" m NEW HALF WALL ``' PARTITION HALF WALLS ARE TO BE 35" A.F.F. 15' - 0 3/8" 4195 DUDLEY ST. I POLLACK RESIDENCE 10'-3" 6'-3" V- 7 1/2" City of Wheat Ridge Building Divison ENLARGED DINING ROOM PLAN O (V 4195 DUDLEY ST. I POLLACK RESIDENCE I Lli City Of Wheat Ridge ENLARGED OFFICE PLAN 6'- 5 1/2" v rn 4'-0" 10'- 0 1/2" 7'-10" 3'-7" NEW GAS LINE; FIREPLACE PARTITION 1'-5" LTJ 4'-0" 5'-71/2" Am 0 (V r City of Wheat Ridge Buildino Divison 4195 DUDLEY ST. I POLLACK RESIDENCE ENLARGED LIVING ROOM PLAN NEW WING PARTITION 6'-5" 2'-8" 3'-8" 3'-01/4" 4195 DUDLEY ST. I POLLACK RESIDENCE 3'-4" z 0 J Q 2'- 10" l'- 10 1/2" W N i Lf) d w *EXISTING BATHROOM; NEW FURNISHINGS C;ty of Wheat Ridge Q, actino Divisors ENLARGED GUEST BATHDROOM PLAN p N un 4195 DUDLEY ST. 6'- 4 1/2" 14'- 10 1/2" c u 2'-01/2" 1'-11" T-5" 3'-23/4" 21 2'-6" l'- 1 3/4" 2' - 10" 4'-6" T-6" POLLACK RESIDENCE M Lo N T_t 01 City of Wheat Ridge ENLARGED GUEST BEDROOM PLAN PANTRY DOOR REPLACED WITH BATHROOM TOILET PARTITION *BATHROOM REDESIGNED C 4'-6" 6'-41/2" 5'-7" l'- 2 1/2" 4'- 4" 4'- 2 1/2" co r 0 4195 DUDLEY ST. I POLLACK RESIDENCE fV P r co City of Wheat Ridge ENLARGED MASTER BATHROOM PLAN 13' - 6" 5'-11" 3'-6" 0' - 4" 2' - 10" ! 0' - 4" 25'-9" zZ M O:E K0 DO (no m� �D C7 � r O cn m 5'- 10 3/4" 2'- 5 3/4" 4195 DUDLEY ST. I POLLACK RESIDENCE ENLARGED MASTER BEDROOM PLAN City of - W heat P4 yCOMMUNITY DEVELOPMENT APPROVED Reviewed for Code Comaliance --21L-7A-7 GwD Plans Examiner Date yalkr'" Of txrnA The issuance of a permit a opwovol of plans specions ficati and computotions shall not be o permit 101, Or on approval of, any vatotbn to any of the provisions of the building code or of a" City ordinances. permits presuming to glue authority to violate of cancel the provisions of the Suddhtg coda or other ordinances of the Cit' shall not be valid 0 LLA lc 11 �` ► City of Wheat I ,. dlge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 \ Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(aD-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Z'0 1-10233 K 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: 1Wwv` "3:� property Owner Email: Mailing Address: (if different than property address) r A /' -___. ti. if 5) �" <)� Architect/Engineer E-mail:] Phone: Contractor: Contractors City"License#: l �J��oZoZ (2) Phone: �U�J IL7 Contractor E l ____ ess GY"�'� Al�trha'r'e C©v�. acel- 30'3 9 -7 60. 5_ Sub ,or Electrical: ;� y,� _ 1 Plumbin r _ (St)C � /�� 7 ���e r,C. 9' S � � ���( PI,1%t�+l)7ti'i� ...... Mechanical: �' .... tick I'� nG� W.R. City License # W.R. City License # W.R. City License # aZo� 8 3� Other City Licensed Sub: Other City Licensed Sub: City License # 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 SYST /APPLI�NCE REPAIR or REPLACEMENT OTHER (Describe) �•trw' ra^-`, -,a "IJ C'vS lam} IJQ�r�dC� 5 (For ALL projects, please provide a detailed deAcription of work to be performed, including cdrrent 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.) (� See c\c)Q.jeA Scv�Z �bor kc, cv- rn�,Cv/ L�Ch-)o / ��afv): ; m F: /1` S em, a ie,# f .cs C w�c rccted L116 P".4 Cove► ` s , car y i. �` Jrf� ,r �I�mb�:1� , �vr iaacr0 .i Wia►�j���'�' �''�c�es � F KL -r -e5 ��Id�mb;,�a� �e! . C,J��J • GrT rZ r I �l C �/��!�� (,' f` F/ti 000CS T, l2 Sq. Ft` L _ of I �y SD (� t Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) S "5'09D G G17 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:" (OWN (CONTRACTOR) or (A H TATIVE) of (OWNER) (CONTRACTOR) iectironic S`is�ature (t3rst and last na)m .ATE: _..,_._•—__BEP/4f MENT-ti9E"9ttft'1F_.. .. :3•*T ii.. rvs:�. !�l.."�7, ....JC ZONWG CQMMMQ fs:i, k;a�, t3f+CMAKY•F+i.�KATION. •- r r Reviewer. 'n-I�v<t-++1-0W1-.l •. - i� -„ ,..� .ori .. .w...5 .. , .° i' .. . ...-. .. ..:L' .. .. � � .'Y'" � ?.. °_.. BUILDING WARTMF,Kr 00lJMEb1• S;- r rrf r c •s :. .�.. 3.5�'.i°.a i, .'1. .... °ills dt r -:.P � r .... •° ..., ` i:' Reviewer. fmided on 1:. .171 (CtJ'X1AAt Tei: > ::a Fa .74 vl S. I Building Division Valuation: $ A4Lv-�(v,�m� � 4195 Dudley Rehab Scope 1st floor approx. 2170 sq. ft. Prior to demolition of walls in the kitchen and master bedroom were tested for lead paint,& Asbestos. Test showed. Less than 1% percent, safe to proceed using approved OSHA methods. Test report provided. Scope of work detail: • Demolition: All existing Floor Coverings tile, carpet, cabinetry and appliances. Please note that house was under some repair when we started. Remove pocket door for pantry, remove linen closet in hall to accommodate toilet location. Cut doorway for master closet, installed double 2 x 12 header in structural wall. • Framinsa: New non-structural framing on the peninsula in the kitchen, the master closet. Fill in closet in hall bedroom, the fire place, enclosure for toilet master, pantry addition in kitchen and then extending to closet in office, Other then that things we're Existing We only added non-structural walls. • Drywall: Float textured walls and ceilings, remove wall paper, and paneling on walls in kitchen/ dining hall and bathrooms. Repair damaged drywall. Small drywall repairs were made for plumbing and electrical changes. • Electrical: Add Recessed cans, kitchen, bedrooms, bathrooms, etc. also moving some switch legs. and Upgrade for kitchen code issues. Add circuit for fireplace. Upgrade smoke detectors. Please note preexisting wiring upgrades were made from previous owner check all existing wiring for code issues. Plumbing: Upgrade stop box for washer hook ups, refrigerator line, minimal move of water lines and drain lines to accommodate new kitchen and bath designs, replace all old worn out plumbing fixtures - locations for fixtures remains the same upgrade plumbing fixtures in bathrooms, just moved existing plumbing slightly to accommodate new cabinetry layout. Add drain and supplies for new freestanding tub. Upgrade main gas line to accommodate new gas fireplace. •HVAC: existing air conditioning unit will need to be replaced at sometime. Venting for new fireplace. Change out all round diffusers to square type using existing ducting. May need new venting for Gas range. • Finishes: New cabins interior doc new tile, new floor coverings, new base and casing, New stove, refrigerator, & microwave, reuse dishwasher. Cm' or �h�at Ridge 4195 Dudley Rehab Scope 1st floor approx. 2170 sq. ft. Prior to demolition of wails in the kitchen and master bedroom were tested for lead paint,& Asbestos. Test showed. Less than I% percent, safe to proceed using approved OSHA methods. Test report provided. Scope of work detail: - Demolition: All existing Floor Coverings tile, carpet, cabinetry and appliances. Please note that house was under some repair when we started. Remove pocket door for pantry, remove linen closet in hall to accommodate toilet location. Cut doorway for master closet, installed double 2 x 12 header in structural wall. - Framina: New non-structural framing on the peninsula in the kitchen, the master closet. Fill in closet in hall bedroom, the fire place, enclosure for toilet master, pantry addition in kitchen and then extending to closet in office, Other then that things we're Existing We only added non-structural walls. - Drywall: Float textured walls and ceilings, remove wail paper, and paneling on walls in kitchen/ dining hall and bathrooms. Repair damaged drywall. Small drywall repairs were made for plumbing and electrical changes. Electrical: Add Recessed cans, kitchen, bedrooms, bathrooms, etc. also moving some switch legs. and Upgrade for kitchen code issues. Add circuit for fireplace. Upgrade smoke detectors. Please note preexisting wiring upgrades were made from previous owner check all existing wiring for code issues. - Plumbinq: Upgrade stop box for washer hook ups, refrigerator line, minimal move of water lines and drain lines to accommodate new kitchen and bath designs, replace all old worn out plumbing fixtures - locations for fixtures remains the same upgrade plumbing fixtures in bathrooms, just moved existing plumbing slightly to accommodate new cabinetry layout. Add drain and supplies for new freestanding tub. Upgrade main gas line to accommodate new gas fireplace. -HVAC: existing air conditioning unit will need to be replaced at sometime. Venting for new fireplace. Change out all round diffusers to square type using existing ducting. May need new venting for Gas range. - Finishes: non -permitted items *** New cabinets, new plumbing fixtures, new tile, new floor coverings, new base and casing, New interior doors, new paint. Replace gas stove, refrigerator, & microwave, reuse dishwasher. City of Wheat Ridge i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: NSPECTION NOTICE ©/'7t9 "23 ❑ No one available for inspection: TimeAM/PM Re -Inspection required: Yes ON When corrections have been made, call for re -in specn 303-234-5933 Date: ? /7 -inspector: DO NOT REMOVE THIS NOTICE f i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE �/ 1'" /64 Inspection Tvpe'. y`L 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: M i 0 Job Address: _ �� S 1_)QDC q T Permit Number: Zo i -2 03 3 `d ❑ No one available for inspectio 'me /U (%j AM/PM Re -Inspection required: Yes No When correcti ns have been made, call for re -inspection at 303-234- Date:- d '7 Inspector: ► li DO NOT REMOVE THIS NOTICE sCITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: L / % uD Permit Number: /`% 0 Z.3 3 P / ❑ No one available for inspection: Time°- %AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspecti n at 303-234-5933 .-- Date:.e� Inspector: ! DO NOT REMOVE HIS NOTICE � F� i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: MIU _ --� Job Address: `f %S cirjl_.;J S Permit Number: _0 7—_3 j ❑ No one available for inspection: Time fL> AM/PM r� �l Re -Inspection required: ,'Yes) No When corrections have been made, call for re-insspp ction=at 303-234-5933 r I Date: 6-'t ` ° Inspector: DO NOT REMOVETHIS NOTICE 9 City of Wheat Ridge Residential Roofing PERMIT - 201703384 PERMIT NO: 201703384 ISSUED: 07/06/2017 JOB ADDRESS: 4195 Dudley ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia asphalt shingles - 53 sq. *** CONTACTS *** OWNER (303)330-8122 POLLACK, SAGE, JAMIN SUB (303)909-3117 Douglas Maclean 150220 IRCE, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 43,364.78 FEES Total Valuation 0.00 Use Tax 910.66 PAID Permit Fee 660.55 ** TOTAL ** 1,571.21 *** 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 - 201703384 PERMIT NO: 201703384 ISSUED: 07/06/2017 JOB ADDRESS: 4195 Dudley ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia asphalt shingles - 53 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 [ 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 le ally authorized to include all entities named within this document as parties to the work to be performed.a�d that, all wark.to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. -1- .�- _ __ I -(- Signature of OWNER orCSN-TRACTOR (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, po plans 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 required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issua granting of a permit shall n t be construed to be a permit for, or an approval of, any violation of any provision of any applicab cod oar tan`yl ordr re Pat n 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. Kimberly Cook 017 V _�)j From: no-reply@ci.wheatri dge.co.us Sent: Friday, June 23, 2017 12:24 PM 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 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 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 pok y 4195 Bc4e�Street Sage Polluck 303-330-8122 Field not completed. t_//6 L✓4 i ver � v5? 1, 1 1 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Douglas MacLean 150220 303-909-3117 Contractor Email Address douglasimaclean@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? douglasimaclean@gmail.com No / GAF Grand Sequoia Asphalt Field not completed. 53 No Field not completed TOTAL SQUARES of all 53 roofing material for this project 2 Provide additional detail Tearing off wood shake off of hip roof and replacing with here on the description of architectural asphalt shingle. Replacing gutters and work. (Is this for a house downspouts. Hauling all debris. or garage? What is the roof pitch? Etc) Project Value (contract ..43,364.78 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 Douglas MacLean Email not displaying correctly? View it in your browser. 3 Propose / Contract Contact R Roofina roofing C� irce Ilc.com Contract submitted to: Date: Address: U City: State: Col,orcOo zip: bIZ33 Home: ( ) Mobile: Email: Pitched Roof Shingle & Grade: iak,F Gif" Color: ` I Squares: 53 Felt: (rolls) 15# / 30# Ridge Material: (bundles) 1*-_ (linear feet) 1 bundle = 25 feet / 3 tab matching colorJ��-���� - Starter Strip: (bundles)CtrQ (linear feet) (100 feet 1 bundle) Nail Coil: 7j (boxes) - Plastic Caps: v, (boxes) 11 box = 20 squares)- ( 1 box a 20 squares) Tubes MPI matchi a' Step Flash: (linear feet) 11 tube = 20 squares) Ridge Vent: Box Vents: Ice/ Vater Shield: 0 (rolls) (linear feet) Valleys: (linear feet) 901b: 'Z,. (rolls) (linear ft) Paint: Color: Quantity: Chie Flashing/ Trim Coil; (rolls) Color: I-l.roll = 50 feet smooth) Pipe boots: Unrsal: Other Size: Drip Edge:ka5 (Wear feet) Size: 1• 4 (inch) Color: black Flat Roof - Rolled Roof: Color: Squares: s: Peel and Stick: Yes / No Torch Down: Color• Squares:. Rolls: 9Torch D ase: (rolls) Drip Edge; (pieces) (linear feet) Gutter et �WxC1 u Linear feet of gutters: Linear feet of downs: Color: 1 5 inch / 6 inch Aluminum / Galvanized / Screens / Covers Insurance This contract is contingent upon prior approval by Customer's insurer. Contract Total will be derived from insurance scope of loss plus deductible. -:ll, S9 No work will start until approved by insurer. Customer's Insurance Adjuster:'% Claim #: 1. IRCE reserves the right to file for supplemental insurance if Cus- tomer's insurer uses incorrect measurements, or if a price in- crease is applicable, at no cost to Customer. 2. With a base estimate prepared by IRCE and per Customer's insurer, overhead and profit may be invoiced to Customer's insurance company. All invoiced amounts are to be collected by IRCE. 3. This contract authorizes IRCE to make adjustments and assist in settling Customer's claim for insurance coverage. This includes exchanging insurance cost summaries, recaps, and payment tracking reportand documents of the like. 4. If work to be completed is to be paid through an insurance claim, IRCE cannot pay, waive or rebate the homeowner's insur- ance deductible in part or in whole --Customer's SignaturAlage • 2&&Z &— kni:is/ Special instructions Estimated Build Date: The Customer Is responsible for his or her deductible at the amount of: $ I d� Contract Submitted _ Date: O�ili I W11- .. -fiuppiementtotal: Customer Signature Date: Customer's Slignature ms a Binding Contract Esttmat Vold 15 days after Proposal one Any peyment wig be held Intrust until material has been delivered and a majority of work is compwe. By signing, Customer agrees to the Terms and Conditions on the reverse side of this document. Estimate total.: Permits: - _ Contract total: Down payment: Ba la nce: $ 3 $ $ 6 !Ap Customer Rign to Cancel: IT this contract Was.Welted at a residence, Customer may cancel this contract at any time within 72 hours of Customer's sf(nature a¢ovd and obtaifk;a full refund of any deposit. IRGE,UC (ironilid KiiAnig and Giii0ruction tntarprlses),126.220.W4 Terms and Conditions of Contract This Contract and any subsequent amendment hereto is between IRCE LLC, hereinafter referred to as the "Company," and the Customer / Property Owner named herein. This Contract shall be subject to the laws, regulations, and ordinances of the state of Colorado, as well as the following terms and conditions. IRCE LLC maintains General Liability Insurance with Builders Insurance Group, produced by Aspen Affiliated Agencies, 2238 South Broadway, Denver, CO 80210. LIMITED WARRANTY: In addition to any manufacturer warranty for materials, the Company warrants Customer's roof and/or gutter system against any defects arising from installation by the Company, for 5 years starting from the date this Contract is signed by Company and Customer. This limited warranty is non-transferrable, and does not cover damage arising from ice dams, excess snow, winds over 50 miles per hour, hall, or damage resulting from negligent snow or ice removal. This limited warranty shall be voided by any subsequent roof or gutter replacement or repair made by Customer or any third party. 1. This Contract is comprised of these Terms & Conditions, the material terms set forth on the opposite side of these Terms & Conditions, materials incorporated by reference, and any written, signed amendments; together consti- tuting the entire agreement of the Company and Custom- er. Any representations, statements, or other communi- cations shall be immaterial and non-binding. Company and Customer understand and agree that neither party shall rely upon any such representations, statements or communications as a modification or amendment of this Contract. The Company may terminate this Contract at any time, without notice. 2. All agreements or amendments to this Contract are sub- ject to signed written approval by the Company and Cus- tomer. 3. Customer grants the Company, its agents and employees full access to the entire premises of Customer's property for staging and execution of work. Customer warrants that any structure improved or repaired under this Con- tract shall be insured. 4. Customer agrees that Company shall not be responsible for slight scratching or denting of gutters, oil droplets or hairline fractures on or in concrete, or incidental damage to plants or landscaping. 5. Roofing will expand and contract with changing weather conditions, and in some cases may cause visible ripples or waves that will not affect roof performance. These effects are beyond the control of the Company. The Company does not guarantee absolute flatness or smoothness of roofs. Cosmetic deformities caused by weather are not covered by the warranty above. 6. The underlying structure of a roof may be irregular. Ac- cordingly the Company does not guarantee straight roof or gutter lines, symmetrical angles, consistent pitch, or any other characteristic determined by underlying con- struction. 7. The Company shall not be liable for failure to perform any duties under this Contract where such failure arises as a result of strikes, fires, weather, shortage of materials, or any other factor beyond the reasonable control of the Company. 8. While Customer may rely on insurance to make payments to the Company, this Contract is between Customer and the Company. The Company may file a lien against Cus- tomer's real property in the event Customer fails to make payment in full, pursuant to the terms of this Contract. 9. The company is not responsible for damage to Custom- er's roof or gutter caused by anyone other than the Com- pany or its agents or employees. 10. Customer may cancel this Contract at any time within 72 hours of customer's signature on the opposite page. If Customer cancels at any time thereafter, but before Com- pany has secured materials or begun work, Customer shall pay $1,000 as liquidated damages, not as a penalty. Company agrees to accept such payment as just and rea- sonable compensation for said cancellation. If Company is required to return materials and/or cancel material or- ders as a result of Customer's cancellation after the initial 72 hour cancellation period, Customer shall be responsi- ble for any restocking and cancellation fees charged to the Company as a result of the cancellation. 11. In the event Customer defaults on any payment obliga- tion arising under this Contract, charges shall be added at a rate of one and one half percent (1.5%) per month (18% per year) with a minimum charge of $10.00 per month. Customer shall be in default if any balance shall be due more than 30 days after the date all work under this Con- tract shall be completed. If Customer shall be in default greater than 60 days, Customer agrees that the Company may place its accounts with a collection attorney or col- lections agency. If Company elects to place an account in collections, Customer shall be responsible for legal fees and filing fees arising from the collections process and procedures. INSURANCE CLAIMS 12. Down payment shall be due upon insurance provider ap- proval. Fifty percent (50%) of the Contract Total shall be due upon delivery of materials to worksite, provided that Customer shall have received funds from its insurer. Bal- ance shall be due in full upon completion of all work un- der this Contract. 13. All direct cost overhead and profit paid to Customer by its insurer are included in the Contract Total with the insur- ance provider and/or due t6 the Company in accordance with the payment schedule set forth herein. Any settle- ment approved by Customer's insurer for additional work or cost increase will become part of this Contract. Any upgrades or additional work requested by Customer shall be Customer's sole financial responsibility under this Con- tract. At its discretion, Company may request payment in advance for any upgrade or additional work not covered by Customer's insurer. LIMITATIONS OF COMPANY LIABILITY IN NO EVENT WILL COMPANY BE RESPONSIBLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES, INCLUDING, BUT NOT LIMITED TO, LOSS OF INCOME OR PROFITS, INJURIES TO PERSONS, LOSS OF USE, OR DAMAGE TO FIXTURES OR REAL OR PERSONAL PROPERTY. CUSTOMER AGREES THAT COMPANY'S LIABILITY SHALL IN NO EVENT EXCEED THE CONTRACT TOTAL PAID TO COMPANY UNDER THE PRESENT CONTRACT.