HomeMy WebLinkAbout3998 Garrison Street1* � � i City of Wheat Ridge
-.A Residential Mechanical PERMIT - 202101395
PERMIT NO: 202101395 ISSUED: 06/28/2021
JOB ADDRESS: 3998 Garrison St EXPIRES: 06/28/2022
JOB DESCRIPTION: Mitsubishi single zone 12,000 BTU M - Series Air Conditioning & Heat Pump.
*** CONTACTS ***
SUB (720)870-1580 DEAN PETERSON 022447 SUMMIT HEATING & A/C INC.
OWNER (303) 503-9271 MILLER GLENN M
*** 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: 21490.00
FEES
Total Valuation 0.00
Use Tax 52.29
Permit Fee 93.35
** TOTAL ** 145.64
*** COMMENTS ***
*** CONDITIONS ***
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.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/28/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Monday, June 28, 20218:51:43 AM
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is this a new install or New Unit Installation
replacement for an
existing AC unit?
Is this Residential or Residential
Commercial?
Property Address 3998 Garrison Street
Property Owner Name Katia Dougherty
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email vafootprints@gmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Electronic-Payment-Form-Blda. odf
CONTRACTOR INFORMATION
Contractor Business Summit Heating and A/C
Name
Contractor's License
022447
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-870-1580
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@summitheatingco.com
Address
Retype Contractor
permits@summitheatingco.com
Email Address
DESCRIPTION OF WORK
What type of
Air Conditioner
replacement unit are
you installing?
How many tons is the
Mitsubishi single zone 12,000 BTU M - Series Air Conditioning &
unit?
Heat Pump.
For AC - what is the
Mitsubishi single zone 12,000 BTU M - Series Air Conditioning &
SEER?
Heat Pump.
For Evaporative
Coolers, what is the
CFMs?
Where is the unit
inside of the home
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for
No
re -hook?
Project Value (contract
2490
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 Dean Peterson
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 202000722
PERMIT NO: 202000722 ISSUED: 04/21/2020
JOB ADDRESS: 3998 Garrison St EXPIRES: 04/21/2021
JOB DESCRIPTION: Replacing 155BTU, 80% efficiency gas furnace in basement.
*** CONTACTS ***
OWNER (303)503-9271 MILLER GLENN M
SUB (303)313-3333 MICHAEL ENRIGHT 017953 AAA SERVICE PLUMBING
*** 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: 10,300.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 216.30
** TOTAL ** 256.30
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 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 ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City of Wheat Ridge
" E -Res. Furnace Replacement PERMIT - 202000722
PERMIT NO: 202000722 ISSUED: 04/21/2020
JOB ADDRESS: 3998 Garrison St EXPIRES: 04/21/2021
JOB DESCRIPTION: Replacing 155BTU, 80% efficiency gas furnace in basement.
I, by my signature'd o 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 ermit. I further attes{ that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180. days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granf of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appli e code or an rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, April 21, 2020 11:18 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Furnace/Boiler Replacement Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
Categories: Dina
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler 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
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
3998 Garrison Street
Patty Miller
3035039271
setfreellc@msn.com
wheat ridge credit card auth.pdf
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)
AAA Service Plumbing
017953
3033133333
Contractor Email Address permits@aaatoday.com
Retype Contractor Email permits@aaatoday.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace, Boiler
installed?
Number of BTUs 155 mbh
What is the efficiency 80
(%) of the unit?
Is the unit GAS or gas
ELECTRIC?
Where is the furnace or basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 10300
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
2
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for carrie
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201705868
201705868 ISSUED: 08/10/2017
PERMIT NO: EXPIRES: 08/10/2018
JOB ADDRESS: 3998 Garrison ST
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
34.33 sq
*** CONTACTS ***
OWNER (303)550-7641 MILLER GLENN M 150198 Prestige Roofing LLC
SUB (720)504-7571 Ken Medina
*** PARCEL INFO ***
USE: UA / Unassigned
ZONE CODE: UA / Unassigned 0 /
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#:
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,504.84
FEES
Total Valuation 0.00
241.60
Use Tax 236.00
Permit Fee 477.60
** TOTAL **
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved modroofr tofinal
inspection, conducted when 25-75 percent of the roof covering is installed, pr
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
one hundred
mid -roofs may be called in at the same time, 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 roecthe manufacturer
hastechnical
f the roof at (project
struction for (roof material brand name)
applied in accordance with the installation in
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.
y i (� Y6
INSPECTION
RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
3) 234-5933
Cancellations must be submitted is theonline
REQ
m before 8 a m. thUEST LINE: e day of the inspection
Occupan�ype
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 D t Inspector
a e Initials Comments
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To,
Underground/Slab Inspections Date Inspector
Electrical Initials
Sewer Service
Plumbing
Do Not Cover Undercirnunrl nr Rnl.,.../1.. Q1-1-
roval Of The Above Inspections
Comments
1 n4:T4._ wA-_--- .
�- "'-11— - rlGdbC ue sure tnat rough inspections are completed from the Fire District and electri
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
voltage
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: POF
Job Address: (f titz Z( SOK, Sly
Permit Number: 2017063S-69--"
❑ No one available for inspection: Time t I "--,".AMM
Re -Inspection required: Yes(: No
When corrections have been made, ca -for re-i/f�pection at 3'03 i34-5933
Date: I/S I ( �Inspec
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 4rm
Job Address:�1�
Permit Number:
Z, rir
❑ No one available for inspection: Time : 6M PM
Re -Inspection requirediil/
No
When corrections have been mfor re -i pection at 300-234-
Date:
0 • -234-Date: ( ZZ / _:�— Inspector: I�V" ZC
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: 1-/ o G -- rg I
Job Address: 39 q�R C a • s �„ S
Permit Number: 'd C 1 '7 b S S (c g
car\ c -e Ile j
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: la Inspector: "7-6
DO NOT REMOVE THIS NOTICE
q
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: c cf - r , n _ i
Job Address: (51 r- r " < < „ S4
Permit Number: -0 o 17 a s' ca g
C/
111Q �� f) r c 0 111
❑ No one available for inspection: Time ` - s` QflQ /PM
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303 -234 -
Date: /2
03-234-
Date:/2 ao 17 Inspector: Tb
DO NOT REMOVE THIS NOTICE
Property Owner Email
setfreellc@msn.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Miller Contract.pdf
Contract
CONTRACTOR INFORMATION e4
Contractor Business
Prestige Roofing LLC
Name
Contractor's License
150198
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-504-7571
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
1412 w 104th Ave Suite 101
(Primary address of your
business)
Contractor Email Address
maria h@myprestigeroofi ng.cd1v
Retype Contractor Email
mariah@myprestigeroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
34.33
the entire scope of work:
Project Value (contract
10299.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
158
S
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
Yes
34.33
Tamko architectual shingles
Asphalt
house & garage included
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
159
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 Mariah Rodriguez
Email not displaying correctly? View it in your browser.
160
Senate Bill 38 Contract Addendum
Any company performing roofing work in the State of Colorado, is now required by law to notify
consumers of the recent implementation of SB -38 contract language.
PAYING/WAIVING/REBATING HOMEOWNERS INSURANCE DEDUCTIBLE IS
CONSIDERED INSURANCE FRAUD.
Violation of 18-13-119.5, C.R.S - Contact Local Law Enforcement - Fraud Division.
Penalties: 18-13-119.5, C.R.S is part of the criminal code and thus investigation of cases would lie
with local law enforcement in charge of the particular jurisdiction and then prosecution would be
with the district attorneys for that jurisdiction. Penalty for violation is a Class 2 Misdemeanor. Law
enforcement will need facts (i.e. dates, addresses, names and documentation of the violation).
SB38'S WRITTEN CONTRACT VIOLATIONS.
SB38 also requires a written & signed contract between the property owner and the roofing contractor,
which must include at least the following:
(1) Scope of work & materials to be provided
(2) Cost for same based on damages known at the time the contract is entered into
(3) Approximate dates of service
(4) Roofing contractor's contact information
(5) Identification of contractor's surety & liability coverage insurer & their contact information
(6) Contractor's policy regarding cancellation of contract & refund of any deposit including a rescission
clause allowing the property owner to rescind the contract for roofing services and obtain a full refund
of any deposit within 72 hours after entering the contract
(7) A statement that if the property owner plans to pay for the roofrng services through an insurance
claim, the contractor cannot pay, waive or rebate the homeowner's insurance deductible in part or in
whole
(8) A statement that the contractor shall hold in trust any payment from the property owner until the
contractor has delivered roofing materials to the jobsite or has performed a majority of the roofing
work on the property
(9) A statement that the property owner may rescind a contract for services, the payment for which will
be made from the proceeds of a property insurance claim, within 72 hours after receiving notice from
their insurer that the claim is denied in whole or in part.
Violation of Written Contract Provision -- Unenforceable Contract
Penalties: A signed contract lacking SB38's specific written provisions may be found to be unenforceable
by either party.
In effort to comply the spirit and intent of these consumer protection contract requirements,
"The Firm, LLC" happily adopts all of the above provisions. You will find all scope of work and
materials, the cost for these (once in agreement with your insurer), approximate dates of service, and
our contact information on the accompanying contract with this addendum.
Customer has 72 hours to rescind this contract for roofing services from the time agreement
is entered into. If customer chooses to cancel after this 72 -hour period, a 15% of total claim value
(RCV) penalty applies.
General Liability
,47 Centennial Insurance Group
Policy #: VCGPO50054
Workers Compensation Insurance
Pinnacol Assurance
Policy #: 4155063
THIS CONTRACT TO BE COMPUSED OF THIS PAGE AND THE REVERSIDE SIDE OF THIS
PAGE AND SHALL BE CONSIDERED BY THE PARTIES.
Signature: A��rx-Z Date: 6-Z
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:) Mbt�UU(7�
JobAddress:
Permit Number:
CXR �
❑ No one available for inspection: Time 3,6AM/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 3- 34-5933
//:�Date: Z& Inspector:A�zw',f,
DO NOT REMOVE THIS NOTICE
✓ City of Wheat Ridge
Residential Roofing PERMIT - 201705868
PERMIT NO: 201705868 ISSUED: 08/10/2017
JOB ADDRESS: 3998 Garrison ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
34.33 sq
*** CONTACTS ***
OWNER (303)550-7641 MILLER GLENN M
SUB (720)504-7571 Ken Medina 150198 Prestige Roofing 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: 11,504.84
FEES
Total Valuation 0.00
Use Tax 241.601 D
Permit Fee 236.00
** TOTAL ** 477.60
*** 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.
s City of Wheat Ridge
Residential Roofing PERMIT - 201705868
PERMIT NO: 201705868 ISSUED: 08/10/2017
JOB ADDRESS: 3998 Garrison ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
34.33 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 ttjat 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 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 iss_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
applic�T_oranyyordin�e or r gul tion of this jurisdiction. Approval of work is subject to field inspection.
w�+M'
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
20TU�$6Yv
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 3, 2017 10:48 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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?S
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
3998 Garrison St)�_
Glenn Miller
303-550-7641
setfreellc@msn.com
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Miller Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Prestige Roofing LLC
Name
Contractor's License
150198'
Number (for the City of
Wheat Ridge)
Contractor Phone
7205047571
Number
Contractor Email Address
mariah@myprestigeroofing.com
Retype Contractor Email
mariah@myprestigeroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
roof?
Description of Roofing
Tamko
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
34.33
material selected above?
Does any portion of the
No ,
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
34.33/
(pitched + flat) of all
2
roofing material for this
project
Provide additional detail main house roof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL j
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 Mariah Rodriguez
Email not displaying correctly? View it in your browser.
3
Policy #: P -C102233-02 Expires: 07/14/2017
AOUSIN 58
Fully Insured
Licensed
Carrier: PCIC
Limit: $2,000,000.00
customer:
PRESTIGE
CO NTRAC--TI NG
/al r L'D kn�i1.
"Your Insurance Specialists"
A &
l
Roofing -Siding -Windows - Gutters
Phone #:
1412 W 104th Ave, Suite 101 Northglenn, CO 80234
C+
Office: 720-504-7571 Fax: 303-362-7271
Policy #: P -C102233-02 Expires: 07/14/2017
AOUSIN 58
Fully Insured
Licensed
Carrier: PCIC
Limit: $2,000,000.00
customer:
insurance Provider:
C
/al r L'D kn�i1.
Address:
A &
l
f� Jt
Phone #:
C+
'
Wrj37
p
Policy#: 7I qp
Phone #:
Cell:&9? ,� ,�7 J
Project Manager:
Date: — r
—
Loss Date: ,,,_ /
Phone #: 7aa _
& _ .1�
Email:
Lead Source:
U
WE PROPOSE
EtTTo furnish material and labor – complete in accordance with specifications bellow, 9
Deductible: Ns / /0. 00 Approximate Dollars ($)
Approximate Date of Roof Completion: 3 From Submitting File
Start: � lO a,!� From Submitting File
Materials present on roof: Asphalt�_layers Cedar Shake layers Cedar Shingles layers Flat_layers
Gear off existing _layers on House [>�nstall New Roofing Material Type A
��,� �,,ndaSfer�
ear aff existing layers on Garage/Shed Weight Color�� Style C%6/ e
Re- deck using 7/16" OSB Plywood toc", �Pe [ Al40 "l Permit fees and Taxes Included
[ ] Replace Water Damaged Decking at $ per piece Haul off all trash including Magnetic Sweep of Property
[I Install Standard Ridge Shingles
�nstall High Profile Ridge Shingles
[ ] Install ft. of Ridge Vent
stall 1411 Turtle Vents, Color to match roof
[I Install metal valleys
�nstali 901b valleys
[ ] Install Ice and water shield per code or $ per sci
[stall Drip Edge to all yj Eaves jukes T -e ere.ae
Knstall � Ib felt or [ ] $ for feltex
Options 1LAyf- i9wily
Year Labor Warranty X19—) Year Manufacturer Warranty
[ Install .� Pipe Jack Flashing(s)
LF 5" Gutter/ Downspouts Color.
SQ Siding Type Color
��»+/� t
Additional Work to be done Chiw�.nc
A, rl,.�
CUSTOMER INITIAL HERE IF SUBJECT TO INSURANCE ALLOWANCE AGREEMENT. If initialed, the following additional provisions apply:
A. This agreement is valid only if customer has full replacement cost Insurance coverage (less deductible)
B. Companies work will be completed with no cost to customer other than customer's insurance deductible. Unless customer chooses upgrades or additional work that is
not approved by customer's insurer.. Customer hereby assigns all amounts due from customer's insurers and mortgagees for companies work to company.
C. Customer will provide all documents and information necessary (i) for submission of claims to customer's insurer, and (11) for payments to be made by customer's
insurer and mortgagee(s). Customer authorizes companyto discuss scope of work and pricing with customer's insurers and adjusters. Customer appoints company as the
-
customeds power of attorney to inspect and adjust the loss, and to collect and receive all insurance payments. related to company's work.
D. All direct costs, overhead and profit allowed by customer's insurer, and any supplements approved by customers insurer for additional work, upgrades, options or
cost increases are to be paid to company. Company reserves the right to request and receive additional payments from customer's insurer due to material or labor
increases, storm environment, or if measurements and/or other information provided by customer's Insurer are incorrect.
E. Company may cancel this agreement If company and customer's insurer are unable to agree on the scope of work and price for work covered under customer'
I/we ag a to the terms and conditions gf this agreement, including all terms and conditions on the reverse side.
Cu�s`�)p_ Signature rDate / Customer Signature
Sales Repr ive Signature Date
Date
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '�;5(1:;, M 10
Job Address: ZalL> 6zAf 1'--0&j 5T -
Permit Number:
RM
�No one available for inspection: Time �a
Re -Inspection required: YesNo
When corrections have been made, call for r 'nspectio at,X03-234-5933
Date: 9 1'2011-4- Inspector -
DO NOT REMOVE THIS NOTICE
4' CITY OF WHEAT RIDGE
-1�9�Building Inspection Division
(303) 234-5933 Inspection line
,6303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L %J
Job Address: f'
Permit Number:
-1
❑ No one available for inspection: Time u AM/iM
Re -Inspection required: Yes
'Wl'e n codons have been made, aii for r n tio(n at3b3�$4-5933
ate: / _Inspector:
l�
N
DO NOT REMO VE THIS NOTICE
✓ City of Wheat Ridge
Residential Roofing PERMIT - 201705868
PERMIT NO: 201705868 ISSUED: 08/10/2017
JOB ADDRESS: 3998 Garrison ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
34.33 sq
*** CONTACTS ***
OWNER (303)550-7641 MILLER GLENN M
SUB (720)504-7571 Ken Medina 150198 Prestige Roofing 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: 11,504.84
FEES
Total Valuation 0.00
Use Tax 241.601 D
Permit Fee 236.00
** TOTAL ** 477.60
*** 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.
s City of Wheat Ridge
Residential Roofing PERMIT - 201705868
PERMIT NO: 201705868 ISSUED: 08/10/2017
JOB ADDRESS: 3998 Garrison ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
34.33 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 ttjat 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 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 iss_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
applic�T_oranyyordin�e or r gul tion of this jurisdiction. Approval of work is subject to field inspection.
w�+M'
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
20TU�$6Yv
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 3, 2017 10:48 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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?S
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
3998 Garrison St)�_
Glenn Miller
303-550-7641
setfreellc@msn.com
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Miller Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Prestige Roofing LLC
Name
Contractor's License
150198'
Number (for the City of
Wheat Ridge)
Contractor Phone
7205047571
Number
Contractor Email Address
mariah@myprestigeroofing.com
Retype Contractor Email
mariah@myprestigeroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
roof?
Description of Roofing
Tamko
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
34.33
material selected above?
Does any portion of the
No ,
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
34.33/
(pitched + flat) of all
2
roofing material for this
project
Provide additional detail main house roof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL j
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 Mariah Rodriguez
Email not displaying correctly? View it in your browser.
3
Policy #: P -C102233-02 Expires: 07/14/2017
AOUSIN 58
Fully Insured
Licensed
Carrier: PCIC
Limit: $2,000,000.00
customer:
PRESTIGE
CO NTRAC--TI NG
/al r L'D kn�i1.
"Your Insurance Specialists"
A &
l
Roofing -Siding -Windows - Gutters
Phone #:
1412 W 104th Ave, Suite 101 Northglenn, CO 80234
C+
Office: 720-504-7571 Fax: 303-362-7271
Policy #: P -C102233-02 Expires: 07/14/2017
AOUSIN 58
Fully Insured
Licensed
Carrier: PCIC
Limit: $2,000,000.00
customer:
insurance Provider:
C
/al r L'D kn�i1.
Address:
A &
l
f� Jt
Phone #:
C+
'
Wrj37
p
Policy#: 7I qp
Phone #:
Cell:&9? ,� ,�7 J
Project Manager:
Date: — r
—
Loss Date: ,,,_ /
Phone #: 7aa _
& _ .1�
Email:
Lead Source:
U
WE PROPOSE
EtTTo furnish material and labor – complete in accordance with specifications bellow, 9
Deductible: Ns / /0. 00 Approximate Dollars ($)
Approximate Date of Roof Completion: 3 From Submitting File
Start: � lO a,!� From Submitting File
Materials present on roof: Asphalt�_layers Cedar Shake layers Cedar Shingles layers Flat_layers
Gear off existing _layers on House [>�nstall New Roofing Material Type A
��,� �,,ndaSfer�
ear aff existing layers on Garage/Shed Weight Color�� Style C%6/ e
Re- deck using 7/16" OSB Plywood toc", �Pe [ Al40 "l Permit fees and Taxes Included
[ ] Replace Water Damaged Decking at $ per piece Haul off all trash including Magnetic Sweep of Property
[I Install Standard Ridge Shingles
�nstall High Profile Ridge Shingles
[ ] Install ft. of Ridge Vent
stall 1411 Turtle Vents, Color to match roof
[I Install metal valleys
�nstali 901b valleys
[ ] Install Ice and water shield per code or $ per sci
[stall Drip Edge to all yj Eaves jukes T -e ere.ae
Knstall � Ib felt or [ ] $ for feltex
Options 1LAyf- i9wily
Year Labor Warranty X19—) Year Manufacturer Warranty
[ Install .� Pipe Jack Flashing(s)
LF 5" Gutter/ Downspouts Color.
SQ Siding Type Color
��»+/� t
Additional Work to be done Chiw�.nc
A, rl,.�
CUSTOMER INITIAL HERE IF SUBJECT TO INSURANCE ALLOWANCE AGREEMENT. If initialed, the following additional provisions apply:
A. This agreement is valid only if customer has full replacement cost Insurance coverage (less deductible)
B. Companies work will be completed with no cost to customer other than customer's insurance deductible. Unless customer chooses upgrades or additional work that is
not approved by customer's insurer.. Customer hereby assigns all amounts due from customer's insurers and mortgagees for companies work to company.
C. Customer will provide all documents and information necessary (i) for submission of claims to customer's insurer, and (11) for payments to be made by customer's
insurer and mortgagee(s). Customer authorizes companyto discuss scope of work and pricing with customer's insurers and adjusters. Customer appoints company as the
-
customeds power of attorney to inspect and adjust the loss, and to collect and receive all insurance payments. related to company's work.
D. All direct costs, overhead and profit allowed by customer's insurer, and any supplements approved by customers insurer for additional work, upgrades, options or
cost increases are to be paid to company. Company reserves the right to request and receive additional payments from customer's insurer due to material or labor
increases, storm environment, or if measurements and/or other information provided by customer's Insurer are incorrect.
E. Company may cancel this agreement If company and customer's insurer are unable to agree on the scope of work and price for work covered under customer'
I/we ag a to the terms and conditions gf this agreement, including all terms and conditions on the reverse side.
Cu�s`�)p_ Signature rDate / Customer Signature
Sales Repr ive Signature Date
Date