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6000 W. 29th Avenue
A i CITY OF WHEAT RIDGE ��(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE It -"7z- t) Job Address: 600c) I Ue Permit Number: .26 1 ') 6 —),7 S D ❑ No one available for ins ion: Time > AM/PM Re -Inspection required:' �Yes__-No When corrections have been made, call for re -inspection at 303-234-5933 Date: ` Az Inspector: 4-7 - '� 0 !% DO NOT REMOVE THIS NOTICE City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: October 6, 2017 Reason: Contractor applied for permit with incorrect jurisdiction; permit #201703990, for 6000 29th Avenue is closed out. Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ 109.20 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 84.00 (acct 01-500-02-505) Total: $ 192.20 TO: Premier Roofing Company 2570 W. 8th Avenue Denver, CO 80204 Thank You! " CaO4 Permit Technician City ©l Wh6at Ridge � Ccar�tn>#t�l�hr Dranc��hrrr City of Wheat Ridge Municipal Building 7500 W. 29°1 Ave. �o 6ol-,Ilq VKM, 10 �U q sga2. 1 Wheat Ridge, CO 80033-8001 Refund Application P: 303.235.2855 F: 303.237.8929 lq�� /) _"� 'ow Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. Company Name/Narne (to whom check should be made out to): (/� �(� t �U�12 OI✓L Address: a -S76 W, S11 A\e— City: State: C� Zip: r_ Q Phone:r� -C 113C71 03 �� 1 mail: U�1n� Ce Oki Permit #: d'017 DS fD Permit Address: �� �� Printed Name: For office use only ]'his request has been: Approved by: ied N% -%r tt.c Lwhc-a tHdge.co.us Date: Refund A CEJ mount: � - a 10/06/17 11:35 City of Wheat Ridge cr121_pg.php/Job No: 4449 Valuation/Fee Money Postings List/Update In Update Mode Page 1 of 2 USER:KCOOK Permit Receipt Payment Fee Amount No No Date Code I Description Paid 201703990 CDE015822 07/19/17 PRM Permit Fee 109.20- 201703990 CDB015822 07/19/17 USE Use Tax 84.00 - TOTAL 193.20- 10106117 .php/ cr121_pg.php/Job No: 4449 City of Wheat Ridge Valuation/Fee Mone Postings List/Update date y 9 P Page 2 of 2 USER: KCOOK GL Posting Summary GL Account Description Debits Credits 01-101 BPS PERMIT PAYMENTS 193.20- 0.00 1ST WR/CI 01-500-02-505 BPS PERMIT PAYMENTS 0.00 84.00 USE TAX 01-510-00-516 BPS PERMIT PAYMENTS 0.00 109.20 BUILDING TOTAL 193.20- 193.20 A i CITY OF WHEAT RIDGE ��(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE It -"7z- t) Job Address: 600c) I Ue Permit Number: .26 1 ') 6 —),7 S D ❑ No one available for ins ion: Time > AM/PM Re -Inspection required:' �Yes__-No When corrections have been made, call for re -inspection at 303-234-5933 Date: ` Az Inspector: 4-7 - '� 0 !% 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: �`'�-11;�> 15h, Job Address: zi Permit Number: ? y p ❑ No one available for inspection: Time AM r Re -Inspection required: Yes (N When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: Z. DO NOT REMOVE THIS NOTICE � .� City of Wheat Ridge Residential Roofing PERMIT - 201703990 PERMIT NO: 201703990 ISSUED: 07/14/2017 JOB ADDRESS: 6000 W 29th AVE EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 15.32 sq. (14.99 sq pitched, .4 sq. flat) *** CONTACTS *** OWNER (720)985-3851 HORTON DIANA LYNN SUB (303)233-7663 Ben McFerron 070157 Premier Roofing Company *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00 FEES Total Valuation 0.00 Use Tax 84.00 Permit Fee 109.20 ** TOTAL ** 193.20 *** 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 - 201703990 PERMIT NO: 201703990 ISSUED: 07/14/2017 JOB ADDRESS: 6000 W 29th AVE EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re—roof to install GAF Timberline HD asphalt shingles with 15.32 sq. (14.99 sq pitched, .4 sq. flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and t I) -tabe performed is disclosed in this document an /or ill accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I • This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica�s a or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. err.. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 12:44 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Flagged Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 6000 29th Ave Horton, Diana 720-985-3851 4 20 s 0 Property Owner Email amccoy@premier-roofing.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Premier Roofing Company Contractor's License Number (for the City of Wheat Ridge) Contractor Phone 3039526873 Number Contractor Email Address amccoy@premier-roofing.com Retype Contractor Email amccoy@premier-roofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline HD Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 14.99 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares .4 on the flat roof? TOTAL SQUARES of all 15.32 lr roofing material for this project 2 Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) C4,000 Project Value (contract value or cost of ALL materials and labor) Tear off existing roof to deck and replace. House - 14.99 SQ's, Back Porch (Modbit) .4 SQ's. Pitch: 8/12, 3/12, 1/12 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 Alison McCoy Email not displaying correctly? View it in your browser. 3 DOW �4�"qqwhh-- cal w tT Eli 1455-800421 AGREEMENT THIS AGREEMENT SUEUECT TO INSURANCE COMPAhr APPROVAL N;me• Date: 51/ a I Address: n City'/State. p: b 'Z. i y Email:- Bit Phone:,' r Billing Address: City/State: Zip:_ RQQEI.Nfi PEr1� STING RQflEs i3At tAt;l `+ FOUNt} s t C Tt_ ; -� Steep Slope a Low Slope cfComposition Shingle oWood oMetai a0ther North Slope: 9-/0 a Single Ply Membrane: rModifted 08ulft Up South Slope:— a Roof Grade: Ridge: East Slope: 25 -- to etch: --?-/12 2 -Story cYoN Diff. Access.aYoK' West Skrpe:__ p <.ayers: Z Types: i-0 5 ipdcOther C}ama GULkicloung type:cPtywooa/mI3 135paced e0ther Ofers per shingle:#gi6 _aStaples oNalis 01)01)eck Protection: o Valley material: LF Retjammendaticsr: lydepts:750'sTurbines Bath Ridge_-L.F a Aemove Roof to Deck and Replace oSpot Repair e0fumbing Jacks: Sm Lg� _� f-RPQlace Rod": r MMetei EdgingaYaN aRakes ❑Eaves Brand: Style: / G � -r;� o,Step Flashing aCounter Flashing oReglet oOther Ridge• � • Deck Protection: Lr" a Skylights: oReflash cReplaoe # Size ge oRoofing o0eck ProtOction4Flashing a Leak Barrier Existing oYaN 10§14ft: WARRANTIES: Weather stopper System: ❑Y ❑N Workmanship: 02 -Yr 131 -Yr Premier � 25 -Yr Golden Pledge �+1a rlaia: 05 -Yr {Shingle Only) g50 -Yr Full System PAYMENT SCHEDULE First (ACV) or 1/3 payrnert due on day or construction Final payment due u on lwoi�e Paid Date: / [ CK# @S—. Paid Date: / / CK# @S Paid Date:^J.__ /,.•,_CK;r State Law: Any Payments to Be Held in Trust Premier Roofing shall hold In trust any payment received from you until Premier Roofing has delivered roofing materials at the site or has performed a majority of roofing work on your property. steak Barrier at c5taves m8`idewalls offal" aPenetrations aSkyilghts ofasteners Per Shingle: C_ crReplace Vents offeplac a Flashing o(nstail Gutter Apron d6stzill Rake Metal effaint All Roof Accessories cProtect Landscaping remove All Debris moll Property with Magnet Amish Permit (Where Required) c3 Special Project Upgrades: Quantity. Unit: Price: _ On addition to ko— ance prooeedii wW dedt mile) �oSpecial Property Protection Measures Terms: This agreement does NOT obligate the property owner or PREMIER ROOFING in any way unless the insurance claim is approved by the insurance company and accepted by PREMIER ROOFING. By signing this agreement the property owner authorizes PREMIER ROOFING to pursue property owner's best interests for a roof replacement at a "PRICE AGREEABLE" to the insurance company and PREMIER ROOFING with no cost to theproperty owner except for thaw lnsuratrl ,4CtiYrle_ When "PRICE AGREEABLE" is determined, the final contract amount shall be equal to the insurance Pry and Deductible, and,property owner authorizes PREMIER ROOFING to provide labor and material in accordance with this Agreement andj. ciSicgons set out herein and on the reverse side hereof to accomplish the roof replacement. Accepted b}: rt=z' _: i� l° - Date:_ - 1l Insurance Co.: 5 Mortgage Co.: Deductible Amount:$: Field Representative: N4A.t {J _Management Approval: Scanned by CamScanner