HomeMy WebLinkAbout2840 Harlan StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201706153
PERMIT NO: 201706153 ISSUED: 08/15/2017
JOB ADDRESS: 2840 Harlan ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
****revision add redecking 21 sq*******************
*** CONTACTS ***
OWNER (303)960-4482 ROCA ANA LARA
SUB (720)668-3603 Thomas Roca 150236 Tri -States General Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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 - 201706153
PERMIT NO: 201706153 ISSUED: 08/15/2017
JOB ADDRESS: 2840 Harlan ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
****revision add redecking 21 sq*******************
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 Off-cial 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
ap le code or any ordinance
or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
d !�J
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
I FOR OFFICE USE ONLY I
City of Date:
4� /7
W heat j�iclge
COMMUNITY DEVELOPMENT Add to Permit #
Building & Inspection Services Division I v l S 3
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(d�ci.wheatridge.co.us
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner
4;ZaL40 4A 2) 4,2
Property Owner Email:
Mailing Address: (if different than property address)
Address: �1� E✓
City, State,
Contact Person:
Contractor:�!-
Phone: _7 Z04fb'b -3L-d3
0�01;? ff_4-'f2'J
'_J
Phone: 2_0 L663 - j 1 -Lo d�
Contractors City License #: (S02-3 Phone: -% Z-(-) (,
Contractor E-mail Address: 0(4�_ C�cV10s�Alutlj (5�_)CC)t't) ( c+ c t
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
Sq. Ft./LF
An1DS
Btu's
Squares
Gallons
Other
Additional ProjecI�Value: (lust includ�'r� general and subcontracted work to be performed related to revisions/amendments described above)
OWNER/CONTT`RACTOR 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.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME:
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
SIGNATURE:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION.
❑ Not Required
❑ Not Required Building Division Valuation: $
City of Wheat Ridge
! Residential Roofing PERMIT - 201706153
PERMIT NO: 201706153 ISSUED: 08/15/2017
JOB ADDRESS: 2840 Harlan ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
*** CONTACTS ***
OWNER (303)960-4482 ROCA ANA LARA
SUB (720)668-3603 Thomas Roca
150236 Tri -States General Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00
FEES
Total Valuation 0.00
Use Tax 115.50
Permit Fee 140.90
** TOTAL ** 256.40 �' J
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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 - 201706153
PERMIT NO: 201706153 ISSUED: 08/15/2017
JOB ADDRESS: 2840 Harlan ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' act ompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Cid 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. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 2 0170 615
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 14, 2017 8:14 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION bL
Property Address 2840 Harlan St
Property Owner Name Ana Lara Roca
4Z 5-63 0
HIS
cp
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
303-960-4482
tarco1230@gmail.com
Yes
Contract 2840 Harlan St Alan.ipg
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Tri States General Contractors
-N-
4997-6T
160ZK�
720-668-3603
800 W Belleview Ave
Contractor Email Address roca477@gmail.com
Retype Contractor Email roca477@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 21 /
the entire scope of work:
Project Value (contract 5500.
value or cost of ALL
materials and labor)
z
Are you re -decking the
roof?
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No
No
Yes
21
GAF Timberline HD Lifetime dimensional
Asphalt
4/12
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
3
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Thomas Roca
Email not displaying correctly? View it in your browser.
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in arance company, and armpted by ATA Coust rudian. Upon approval of claini, ATA Construction vMl comolete stiecifted work at a once
agreeable to the ins r".ce company and to ATA Cousiruction with no additional cost to the hemeowm, except tar the deductZle. Agreed
upon price will become the *dual comm-ct price, and ATA Construction will receive all insurance procerids for work completed by ATA
Construction. The Homeowner z&ROW-IL4ges the mourial tarts of this agreianeent detailed an pap two.
I (We) agree, by signing below, to all the conUad coniffitions on both front and back, of this agreement,
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Work, to be completed according to the above specWkstions in the amount of: $ Vz"', C
Ily -Zhll= ATA Construction to represent the homeowners best interest in pursuit of roof
P= d=11. T,:- a not obligate fisc homeowner or ATA Construction antil the claim is approved by the
in arance company, and armpted by ATA Coust rudian. Upon approval of claini, ATA Construction vMl comolete stiecifted work at a once
agreeable to the ins r".ce company and to ATA Cousiruction with no additional cost to the hemeowm, except tar the deductZle. Agreed
upon price will become the *dual comm-ct price, and ATA Construction will receive all insurance procerids for work completed by ATA
Construction. The Homeowner z&ROW-IL4ges the mourial tarts of this agreianeent detailed an pap two.
I (We) agree, by signing below, to all the conUad coniffitions on both front and back, of this agreement,
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& Ip Gil F -,-,j
West Cro. ,i Iji-jvc: F5 ij-145 Lialdcu, 23
Plinm--. 00-3) 2157-MY7 Fax- (303) 423,16'70