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7205 W. 28th Avenue
City of Wheat Ridge Residential Roofing PERMIT - 201700953 PERMIT NO: 201700953 ISSUED: 05/30/2017 JOB ADDRESS: 7205 W 28th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Replace roof Owens Corning 26 squares *** CONTACTS *** OWNER (303)233-2518 NEHLS NANCY L SUB (303)808-0687 Andrew Ubben & Lindsey Parker 170184 Black Bear Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,725.75 FEES Total Valuation 0.00 Use Tax 175.06 Permit Fee 204.30 ** TOTAL ** 379.36 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the root covering is installed, prior :.o final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€iMs 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's 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. zc, a INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 4 t— Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Electrical Concrete Encased Ground (CEG) Foundation / P.E. Letter Sewer Service 1�.......-.,1. 0r:�r Td% Annrnv71 (lt 1 hP LLnnvP_ IngnP_CilOns Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing ■r�'r!n7�Tf_TfT_T_ RTS-77r-TMI r:FL-14G71:1 WAY r.-VJ .41111 J.1 r.l i f.1•U7.1 LAW 11%W%.wwv . v..wv. Rough Inspections Date ------- Inspector --- CommentsInitials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Nlechanical - — Ruugh Framing Rough trading Insulation Drywall Screw / Nail Final Inspections Date Inspector CommentsInitials — Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW &Drainage /Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 0 -47W-1-7 Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. ..i L. .,IM *For low voltage permits - Fiease De sure tnat rouyn im5puL lullb a1c —111P �• �� - - by the Building Division. **For Inspection Time Window - Please email inSptimerequest ci.wheatridge.CO.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201700953 PERMIT NO: 201700953 ISSUED: 05/30/2017 JOB ADDRESS: 7205 W 28th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Replace roof Owens Corning 26 squares *** CONTACTS *** OWNER (303)233-2518 NEHLS NANCY L SUB (303)808-0687 Andrew Ubben & Lindsey Parker 170184 Black Bear Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,725.75 FEES Total Valuation 0.00 Use Tax 175.06 Permit Fee 204.30 ** TOTAL ** 379.36 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer'lems 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's 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. City of Wheat Ridge Residential Roofing PERMIT - 201700953 PERMIT NO: 201700953 ISSUED: 05/30/2017 JOB ADDRESS: 7205 W 28th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Replace roof Owens Corning 26 squares 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 performe and tha all work to be perrmed is disclosed in this document and/or its' accompanying approved plans and specifications. ?o ova natur of O`WI�ER or CONTRACTOR (Circle one) Date This p it 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. 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. 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. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 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. The issuance or granting of apermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any or an or regulation of this jur®sction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wh6at dl COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cr7,ci.wheatridge.co.us FOR OFFICE USE ONLY Date: %`���i.7 Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 7 o /,j 7 I Owner (please print): Rt'V\ C Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engil neer: Architect/Engineer E-mail: Contractor: Black Bear Roofing and Exteriors LLC Contractors City License #: 170184 Contractor E-mail Add ress:andrew@blackbearroofing. corn Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: X U ' ci1k�:�1I:�1I:�:�►1 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL © RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION © RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FtAF Owens Corning 30 Year Laminate Residential ReRoof Btu's Gallons Amps Squares W zZ (, Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances.. rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application_ that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) May 26, 2017 Electronic Signature (first and last name): DATE: y ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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:47oLO J /"!E -Job Address:kl �� Permit Number:. n 17009 f2 ❑ No one available for inspection: Time %/AM/PM Re -Inspection required: SS) No When corrections have been made, call for Date: `/ l Inspector: City of Wheat Ridge Residential Roofing PERMIT - 201700953 PERMIT NO: 201700953 ISSUED: 05/30/2017 JOB ADDRESS: 7205 W 28th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Replace roof Owens Corning 26 squares **REVISION** Adding redecking; added valuation: $2,675.00 *** CONTACTS *** OWNER (303)233-2518 NEHLS NANCY L SUB (303)808-0687 Andrew Ubben & Lindsey Parker 170184 Black Bear Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,400.75 FEES Total Valuation 0.00 Use Tax 260.42 Permit Fee 251.85 ** TOTAL ** 512.27 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€r"s 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's 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. �w City of Wheat Ridge Residential Roofing PERMIT - 201700953 PERMIT NO: 201700953 ISSUED: 05/30/2017 JOB ADDRESS: 7205 W 28th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Replace roof Owens Corning 26 squares **REVISION** Adding redecking; added valuation: $2,675.00 I, by my signature, do her 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesthat I am legally authorized to include all entities named within this document as parties to the work to be performed a d that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. natureof or CONTRACTOR (Circle one) Date 1. This p w ued 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 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official n Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of �OMMUNiTy Wheatd�e DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(oki.wheatridge.coms FOR OFFICE USE ONLY Date: Add to Permit # J� 1111 �/ Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: % ZO !�_ LQ 2% Owner Property Owner Email: v�c� 1�(•e tom. ( S Mailing Address: (if different than property address) Address: City, State, Zip: Phone: Submitting Company: p' Contact Person: d W—� Phone: Contractor: 4k -f 6-X)t,,'�V— &L -C Contractors City License #: 170 lj�,K V Contractor E-mail Address: G{ iqG' "ul 0— Jul,,' e J Phone: ,303 --�5oF -CY_,vS7 v 'C ' ' std 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: �Sk�4-� -J- Sq. Ft./LF 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) $ 4-I, 7 S-', J� 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 pen -nit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perfonn 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) :0:N:T:RA:C:T0?or (A UTHORIZED REPRESENTA TI VE) of (OWNER) (CONTRACTOR) PRINT NAME: u SIGNATURE: � �.� DATE: -A to (/ ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $