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HomeMy WebLinkAbout6180 W 40th Avenuey PERMIT: � ADDRESS: JOB CODE: v - INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground o Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof o 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201707555 201707555 6180 W 40th AVE Residential Re -roof to pitched / 2 sq flat) ISSUED: EXPIRES: install laminated asphalt Pitch = 5/12 09/21/2017 09/21/2018 shingles - 10 sq (8 sq *** CONTACTS *** OWNER (303)423-7640 DILLON DIANE K SUB (303)222-0600 Jim Faydenko 150044 Roof N Exteriors, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,900.00 FEES Total Valuation 0.00 Use Tax 102.90 Permit Fee 125.05 ** TOTAL ** 227.95 *** 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge I Residential Roofing PERMIT - 201707555 PERMIT NO: 201707555 ISSUED: 09/21/2017 JOB ADDRESS: 6180 W 40th AVE EXPIRES: 09/21/2018 JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles - 10 sq (8 sq pitched / 2 sq flat) Pitch = 5/12 ure, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, Sing codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized ner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with lrther attest that I am leggall uthorized to include all entities named within this document as parties to the work to be that all work to brfo ed is disclosed in this document and/or its' accompanying approved plans and specifications. D1 'SigyAure of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flans 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 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 applicab 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. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Monday, September 18, 2017 4:00 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 residential roof? How many dwelling units are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Yes Single Family Home s. 6180 W 40th Ave Diane Dillion 303-423-7640 211 tq� 105 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 diane_dillion@yahoo.com Yes Dillon ATRs (RNE and LB).pdf.webloc CONTRACTOR INFORMATION Contractor Business Roof N Exteriors Name Contractor's License 150044 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) 303-222-0600 12081 W ALAMEDA AVE Contractor Email Address jim@roofnexteriors.com Retype Contractor Email jim@roofnexteriors.com Address DESCRIPTION OF WORK TOTAL SQUARES of 10 the entire scope of work: t Project Value (contract $4900 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 106 both? (check all that apply) What is the pitch of the 1:12 FLAT roof? How many squares are 2 part of the FLAT roof? Describe the roofing Modified bitumen peel and stick material for the FLAT roof: Type of material for the Rolled FLAT roof: What is the specific pitch 5/12 of the PITCHED roof? How many squares are 8 part of the PITCHED roof? Describe the roofing Laminated Composition materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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 107 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. 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 Dean Millar Email not displaying correctly? View it in your browser. 108 .+► Ph: 303 222-0600 Fax: 888 370-6018 Roof N Exteriors: LLC, Roo N Extoriors Email: office al�.roofnexteriprs.com 12081 W Alameda Pkwy. #229 Web Site: roofnexteriors.com Lakewood, CO 80228 AUTHORIZATION TO REPAIR Homeowner (Insured): ; AnE D, I\ Address: r ``' r- City/State: ,f Zip: ISWS3 Home Phone: 303 LVLJ(1 Work Phone: Cell Phone: Email: Job Site Address (if different from above): ROOFING SPECIFICATION Shingle Year: 25 ❑ 30 ❑ 40 P 50 ❑ Life ❑ Hail Resistant ❑ Color: Brand: Pitch(sl: /12 11 /12 Story(s): �llayers: Tear Off: Yes V No ❑ Ice & Water: El Overhang Depth ' Felt: Vents: ❑ R&R ❑ D&R ❑ Drip Edge: Eve ❑ Rake ❑ LF in Est. Color: Decking: $70 / Sheet R&R if needed Furnish Permit V Skylight(s): ❑ Magnetic yard for nalite ❑ Remove Trash from roof, gutters and yard: 12f Protect landscaping where applicable: P Material delivery: Shingles roof top Yes ❑ No 0 Other items driveway placed: Middle on RT ❑ or LTIA'side (Drive clear) Approximate dates of service: Property owner preferred completion date: to Q 1, Driveway Damage: Yesp No ❑ By law, RNE shall hold, in trust, any payment from the insured until roofing materials have been delivered to the property or until RNE has performed a majority of the roofing work on the property. (SENATE BILL 12-038) PROCEEDS BREAKDOWN Total Insurance Claim S 9 SO) � O� ri * TOTAL AMOUNT $ _ `The total amount of the agreement can change with additional monies from applicable overhead and profit, deductible, perm;ts, supplements, taxes and upgrades. I/we understand that e company is a general contractor and is entitled these ents from the insurance company. Customer Initials X Please make checks payable to: Roof N Exteriors, LLC. Payment Schedule 1) First Insurance Draft or equal sum due upon signing as a deposit to start work. 2) Final balance due upon completion to include applicable overhead and profit, deductible, permits, supplements and upgrades. PAYMENT DATE CHECK # AMOUNT First Check $ Vwe hereby authorize Roof N Exteriors, LLC. to communicate with our insurance and mortgage companies on our behalf. Mortgage o. Account Phone Number Insurance Co. AAN/r SA& Policy #P ') �> ��, (D Claim Phone Number Oil t Signature to X Client Signature Field Representative: Date Scanned by CamScanner AUTHORIZATIQN„TO REPAIR CQNDITIONS -TRhis3$AL coNTiNt3ENciE3: thag e dei eminent is contingent upon the insurance company paying for the majority of the repairs outlined in the Ism nuU a m is derhied tthe Insured has 72 hours after receiving notice from their insurance company to rescind this agrees re►hit void. The insured vAll be l OD% free of ail obligations. in R Exteriors, LLC. (RNE) agrees to invest our time and expertise in assisting the insured with their Insurance maim. The NE to Perfrin the work agreed upon in the insurance estimate for the 'Final.Replacerrent Cost" (RCV). ,AI! terms and oconditions in this "Authorization to Repair" are subject to RNE management approval prior to the start of the work. -Thee insu totalamount of the agreement may change whenfif RNE submits additional missing items (supplements) to the insurance coma taxes n � understand that RNE is entitled to the additional monies from applicable overhead and profit, deductible, permits, supe:+ All roofs upgrades. ►hg materials on job site are the property of RNE. NO CREDIT will be issued for materials leftover at job completion. RNE typ Orders dmare than what the insurance company estimated so as not to come up short. RNE red understands that delays can take place due to strikes, floods, accidents, fires, material shortages or other delays beyond the con' -in the event that payment is not made when doe, buyer agrees to pay Interest at a rate of 5% per month on the outstanding balance due. If collection is not obtained within 60 days of balance due, the insured will then be liable for all associated attorney fees and other costs for collection. -Alteration or deviation from the plans and specifications involving additional assts will be agreed upon in writing, fax, or email prior to performance of additional worts. -in the event the work outlined in the insurance estimate is not being completed by RNE, it will be labeled as 'Work Not Doing'. The insured understands that they are responsible for processing the proper insurance paperwork to obtain these insurance proceeds. The insured understands that those insurance monies are earmarked for completion of the repairs outline in the insurance estimate. The insured is responsible to hire contractors or complete the work themselves. All materials to be as specified and work conducted in a workmanlike fashion. if materials have to be reordered or restocked due to a cancellation and/or changes by the insured, a 50`Yo RESTOCKING FEE will be assessed on the total cost of materials purchased. -IF THIS AGREEMENT IS CANCELLED BY THE CLIENT LATER THAN 72 HOURS from the execution then the insured shall pay RNE 20% of the contract price, as fair compensation, if RNE accepts the cancellation. -if any of the materials have been installed this agreement CAN NOT be canceled, except by mutual written agreement of the parties. -The maximum liability for the company shall be the original cost of labor and materials for the work performed, which client agrees shaft be a liqubated sum, under any event of default of company herein. -City, County, Insurance & Mortgage companies, etc. can delay the payments and progress of the prolecL The insured agrees to snake available to RNE all insurance paperwork, claim and mortgage information to help your RNE representative with the process. -By law, RNE has nottwili not pay, waived or rebated the homeowreaees insurance deductible, in part or in whole, if the insured is paying for the roofing services through an insurance claim. (SENATE BILL 12-038) STRUCTURAL CONCERNS: '-Additional charges will incur if rotten wood such as roof decking, Wide boards, etc are deemed in need of replacement. Code requirements not covered by the insurance company will also incur additional fees as will material upgrades and services beyond the scope of the insurance claim. RNFs scope of work shall not include the detection, abatement, encapsulation or removal of asbestos or similar hazardous substances. RNA has the right to discontinue work of, and when, hazardous materials are discovered. RNE shag be entitled to receive compensation for changes in scope of work or lengthy delays encountered as a result of hazardous materials as detailed above. -RNE is not responsible for existing structural soundness and shalt have no liability whatsoever for the failure of the supporting structure tg support men, materials, equipment, ice, snow and water whether it has occurred before, during, or after the outlined work. -RNE is not responsible for interior damages resulting from structural deficiencies as outlined above. -if there are any solar panels on the roof, RNE Wit not be responsible for damage during repair, so homeowner agrees to have solar panel J company take appropriate action to protect if necessary. INSURANCE: -The buyer shall carry insurance of Fire and Vandalism to protect the contractor until the work is completed. ,All city, state, and county licenses to be held by RNE. -RNE is to carry insurance of $2,000,000.00 fear property damage and bodily injury policy. XHem Agency 303-99 PERMITS: -owner authorizes RNE to obtain any and all permits necessary for the outlined work. Most insurance companies wilt reimburse the cost of the permit WARRANTY: -Limited Warranty: 7 years labor on roof and t year on all other replacement or repairs. -No warranty work will be pertamred it payment in full has not been made upon completion. -Ali material warranties are as stated by the manufacturer. -RNE is not responsible for any damages due to leaks by excessive wind driven rain, ice, or hail during the period of the warranty. -Warranty is nontransferable unless in writing. Scanned by CamScanner Construction, Preparations & Expectations R -rucks will be unloading materials to your home and the construction process wifl stet soor'i thereafter. We would like to give you a specific day and time as to when construction will t)egin and end however, weather permitting, material and construction delays do not make this possible. 2. Be Prepared for the noise! There will be constant hammering for the duration of the project. You r -nay want to plan some time away from the house while the job is in progress. 3. Please keep children and pets away from the work area. 4- Remove all loose items from shelving and walls, i.e. pictures, mirrors, plates, etc. Hammering may create vibration that could shake these items off the shelves and walls. 5. Remove all items from the perimeter where debris may fall, i.e. patio/pool furniture, grills, potted Plants, vehicles, boats, bikes, etc. Itis extremely important to move or protect any and all items with valuable finishes. 6. We take every precaution to protect your plants, trees and shrubs, however, some leaves or blooms may be knocked off from failing debris especially on steep roofs. 7. Have your driveway open the day of the job. Our trucks will need it for loading and unloading materials and for clean up and debris removal. Most driveways are built to withstand such weight but Roof N Exteriors is not responsible for cracks or damage caused by our trucks. 8. During construction, if rotted wood, deteriorated or deflected decking is found Roof N Exteriors will not be held liable and construction may be deferred. This is your responsibility; we will replace rotted wood, deteriorated or deflected decking on a time and material basis and is a charge to the client. An extra contact number would be helpful in case we need to get in touch with you during your construction. 9. Ali measures will be taken to prevent damage to gutters and/or any reset items, however there are instances where damage is unavoidable, especially on very steep roofs or where there may be some rotten or rusted areas. 10. Roof N Exteriors does not cover nail pops, cracks and pre-existing damage that was not covered in your claim and/or noted on your specification sheet. 11. Debris removal and cleanup will be taking place for the duration of your job. Nails that fall from the roof during the job will be picked up with a magnetic nail roller. Every effort will be taken to pick up all nails; however, a few nails may remain hidden in the grass and shrubbery. 12. Removal of shingles can cause some granules or dusting to enter into your home (roof areas) through the plywood cracks. We are not responsible to clean or vacuum these areas. 13. The Roof N Exteriors' team, the field supervisor, project manager and production office all work together to help make your project go as smoothly as possible with the least amount of inconvenience t you and your family or business. We thank you now for your patience and understanding! A field representative from Roof N Exteriors has conducted a pre -construction evaluation and has_ explain the cFct ,nstW ion process that will take place on my property. A'I - Date: WIVIP7 CONSMUM Scanned by CamScanner D WORK AUTHORIZATION FOR REPAIRS AND DIRECTION OF PAYMENT DATE: -- l ;� 1"i CLAIM #: �1, ( Vi DATE Of: LOSS: INSURED: r - --- ADDRESS: W `� Ayc ���eAi ca$:_ 4c) Your insurance Carrier A / submitted a request tri Global Partners, Inc. and its affiliate Liciftsbridge Contracting Group to refer one of their vendors to provide the follower services: Perform the necessary services to mitigate further damages to the address listed above. Provide a reconstruction estimate. Perform repairs as indicated on Your Insurance Carrier's estimate. • This does not constitute a contract for reconstruction services. I/We • Authorize Your insurance Carrier to issue payment, less any remaining deductible, for mitigation and reconstruction services to CCA Global Partners, Inc. on my behalf. • understand that Your Insurance Carrier will pay for repairs of damages covered by the policy. • Understand that Your Insurance Carrier will provide me/us with a copy of the approved estimate. • Will sign a Certificate of Satisfaction once all services are completed so that payment may be made by CCA Global Partners, Inc. to their assigned vendor for services completed. • Understand that the deductible, and/or any non-recoverable depreciation, is my/our responsibility. • Understand that any materials upgrades that [/we request, additional work, and/or services that are not covered by Your Insurance Carrier, and are agreed to with a separate change order are my/our responsibility, are not s b ct to the five year warranty that is backed by Uonsbridge. Insured/or Authorized Representative Vendor Representative Date Date To be completed by program contractor — coordinated repairs under this claim may include: Structural Repairs Mitigation Flooring Roofing Textiles/Clothing Other Repair Start Date: J(Yf c}/ i1 Time: -1 • (X') m-,) am Estimated Completion Date: )tl/a1 / 1-1 Scanned by CarnScanner nr. CC4 0 la:a� CARPET boM CCA Global Partners 4�_ L t O N S B R i D G E CONTRACTOR �� # K ema fEt ��ous.ro�c Scanned by CarnScanner PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201707555 201707555 ISSUED: 09/21/2017 61 EXPIRES: 09/21 018 *REVISION** Adding decking to exis ing T LTi ares Residentia Re -roof to install laminated asphalt shingles - 10 sq (8 sq pitched / 2 sq flat) Pitch = 5/12 *** CONTACTS *** OWNER (303)423-7640 DILLON DIANE K SUB (303)222-0600 Jim Faydenko 150044 Roof N Exteriors, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,600.00 FEES Total Valuation 0.00 Use Tax 117.60 Permit Fee 140.90 ** TOTAL ** 258.50 *** 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201707555 201707555 6180 W 40th "REVISION" AVE ISSUED: EXPIRES Adding decking to existing permit 09/21/2017 09/21/2018 squares Residential Re -roof to install laminated asphalt shingles - 10 sq (8 sq pitched / 2 sq flat) Pitch = 5/12 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 ppex-m . I further attest that I am legally authorized to include all entities named within this document as parties to the work to be peq rmed and that all work to be'performed is disclosed in this document and/or its' accompanying approved plans and specifications. r9 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 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 Offcial 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 ordinance or regul,dfiohtof this jurisd'i'ction. Approva 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 _'��9'rWheat lidge COMMUNITY DEVELOPMENT Building & Inspection Services Division 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 FOR OFFICE USE ONLY Date: �} Add to Permit # Building Permit Revision/Amendmene4sli�" *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: LP 1 `G) 0 ((0te-1 A� Property Owner (please print): dam) ; C? 6 �e- IJ . \ 1, 1 Phone: 3o 3. 1-- Property Owner Email: C� Mailing Address: (if different than property address) Address: �'t ©D0 '-,' 4v-�-k City, State, Zip: �ne�z : c� 2 , 00 Contact Person: bc1r' .,\ A . ( I C'- Phone: -? ?--0 - (, 3 5-, 7C7 s Contractor: 2-3. 74,40 Contractors City License #: 1 S Phone: 36?5 Contractor E-mail Address: , ( 0 4--) 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 �?3 Btu's Amps Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) %D C?, CXi 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORI D REPRES TATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: � C -q /l IV \ 1( til- SIGNATURE: I -- 67 DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: BUILDING DEPARTMENT COMMENTS: Reviewer: t PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ 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: o og • , ;, I Job Address: o w L-! {, Permit Number: �3 a ► -7 r -7 s s -S- ❑ No one available for inspection: Time R Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:—/ 0 //3 i Inspector: T1j 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: cr ° q - r""- i Job Address: L r o Lj t-10 ;1' 14,,-c Permit Number: 0 1 -7 o -7 S' sr- S" r e -L C' I /') 5 A -i )lE c/ . IL/IL ld T 1, 4.1, t1C/ r) TS E v ❑ No one available for inspection: Time 9 5-s A PM Re -Inspection required: Q No When corrections have been made, call for re -inspection at 303-234-5933 Date: M/ s' f � -;� Inspector: rtb DO NOT REMOVE THIS NOTICE -_: 7..r: A 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: -3 d & - M r d Job Address: S 0 w 1-I o A .� Permit Number: 22 0 1-7 C-7 _51.5- L] `. ❑ No one available for inspection: Time o = PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: i O a //-7 Inspector: DO NOT REMOVE THIS NOTICE 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: Job Address: �® Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have have been made, call for re -inspection at 303-234-5933 Date: ° O`(`1% Inspector: DO NOT REMOVE THIS NOTICE 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: 2�531,__9 Job Address: p Permit Number: -------------� .� ❑ 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:' X-1/7 Inspector: DO NOT REMOVE THIS NOTICE