HomeMy WebLinkAbout4920 Ingalls StreetCity of
,. Wheat Iidg�
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Fermits(ar ci.wheatridve.co.,
FOR OFFICE USE ONLY
I
Date.
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: c I -c /1 G i• h� 3
Property Owner (please print): "1 Agleinrro r-edx Phone:
Property Owner Email: %�c0 i^LiS }dii1.
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: d 170jgjeill s !-
City, State, Zip: W heei�(44L CO3 0OZ 3
ArchitectlEngineer E-mail:
Contractor Name:
City of Wheat Ridge License ft:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):--
CONTACT
rint):_CONTACT EMAIL(please print):_ _
Phone:
Phone:,-___
Phone:
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical:' Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License 9 City License #
Complete all highlighted fields.
RCOMMERCIAL RESIDENTIAL
Provide description of work: For ALL projects, 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.
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Sq. FULF
Amps Squares
BTUs
Gallons
For Solar: Kw # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage: _
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ f) Goo
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: WNE (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): r r W2 DATE:
Printed Name: WO 9eiharo P'eiix
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
PERMIT:
ADDRESS: JOB CODE:
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.
_..
20 Plumbing Underground Int.
205 Plumbing Underground Ext.
[206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval UT i ne Above inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
3_05 Insulation
306 Mid -Roof
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
Z40 I -4-a 8tY /
q91240 2�I/rl JY-_
Rough Inspection continued
g p
Date
Inspector
Initials
Comments
316 R,)ugh lvi-,chanical 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
1409 Final Roof
f
�
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
befoee. a Certificutc of nic upancy isGued. Approval of the Final Build ng Ins, ectic . does n-1
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.
L)
I
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: Y0q- P_' 1101 N(4
Job Address: gan() 1,/W" Si.
Permit Number: 201700ZLrl
0 6y � 00 n /-0 Vto
❑ No one available for inspection: Time �11+ 3 7 AMI�M
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: YAW/ t Inspector:
DO NOT REMOVE THIS NOTICE
Cl
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
INSPECTION NOTICE
JobAddress: t -)9'3C
Permit Number: -3 01-7 0 8 3 Q 1
N
Yy0 r9 i:fIr I ; OL Coi r—J
❑ No one available for inspection: Time 9 = a(, 4M PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date:_3 1 r S Inspector: -7—b
DO NOT REMOVE THIS NOTICE
► ' , City of Wheat Ridge
Residential Roofing PERMIT - 201708241
PERMIT NO: 201708241 ISSUED: 10/12/2017
JOB ADDRESS: 4920 Ingalls ST EXPIRES: 10/12/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 28 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)424-0709 MARJORIE A ROHRIG TRUST
SUB (303)960-2783 Josh Lucero 110099 Expert Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 2337 / I-70 CORRIDOR
USE: UA / Unassigned
BLOCK/LOT*: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,196.00
FEES
Total Valuation 0.00
Use Tax 151.12
Permit Fee 172.60
** TOTAL ** 323.72
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201708241
201708241 ISSUED: 10/12/2017
4920 Ingalls ST EXPIRES: 10/12/2018
Residential Re -roof to install OC asphalt shingles - 28 sq Pitch = 4/12
I by my signature do heattest 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 alt 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 Cq`�TOR (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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division. -
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From:
Sent:
no-reply@ci.wheatridge.co.us
Tuesday, October 10, 2017 9:58 AM
'x
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
=t
Follow Up Flag:
Follow up
Flag Status:
Completed
C
Residential
Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property AddressIngalls st
Property Owner Name Marjorie Rohrig
Property Owner Phone 303-424-0709
Number (enter WITH
dashes, eg 303-123-4567)
17
Property Owner Email
Field not completed.
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
ic4518 contract.gdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Expert Exteriors
Name
Contractor's License
110099
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
7206073870
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
6245 Clermont st
(Primary address of your
business)
Contractor Email Address
jkawcak@expexts.com
Retype Contractor Email
jkawcak@expexts.com
Address
DESCRIPTION OF WORK
r
TOTAL SQUARES of
R&R 21sqs of 4/12 2 layer 1 story, R&R seperate Garage roof
the entire scope of work:
7 sqs
Project Value (contract
7000,
value or cost of ALL
b
materials and la or)
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
18
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 8 '
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? Etc)
OC TruDef Duration Storm
Asphalt
House and Seperate Garage
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
appi
'ication 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
19
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 Jake Kawcak
Email not displaying correctly? View it in your browser.
20
AgreementAOL
Expert Exteriors, LLC
6245 Clermont St. Commerce City, CO 80022
Office: 303.960.2783—Fax: 720.242.7480---,expertexteriors@gmaii.com
17t1' "CM 100 SERVING COLORADO i8P1 1IXfERlORS
CUSTOMER INFORMATION
First :'taa� Last:��
Property WoMite Addr: *•i-�✓ri�%
Mailing (if different) Addr:
Phone 1: 7( F�,'C_W_
Email 1:
INSURANCE INFO TIO
Company:/
Deductible Amount: $ lff7,00 or
Main Phone: 6fk )% -2A Ext:
Adj's Name, First: t`
First: Last:
f ,{,
City: �' �� e_ Stateel:� Zip•?OaV
City: State: Zip:
Phone 2:
Email 2:
H_C_W_
Claim#: Ow �W &_3 DOL:
_% Code Coverage e - No RCV Coverage es No
Fad' -- E-mail:
Last: �/���"� Cell: �}
"PRICE AGREEABLE" PAYMENT SCHEDULE
ACV CHECK DUE UPON MATERIAL DELIVERY
ALL OTHER AMOUNTS DUE ON COMPLETION OF WORK
THE AMOUNTS BELOW ARE ESTIMATES. FINAL PRICE YOU OWE IS DEFINED BY THE REPLACEMENT COST VALUE
(RCV CALCULATED BY EXPERT EXTERIORS OR YOUR INSURANCE, WHICHEVER IS GREATER, PLUS ANY AMOUNTS
SPECIFIED IN THIS CONTRACT.)
UNDER COLORADO LAW, EXPERT EXTERIORS CANNOT WAIVE YOUR INSURANCE DEDUCTIBLE.
THE DATE OF INSPECTION, FINAL INSPECTION, CERTIFICATION OR OTHER ACTIVITIES BY ANY CITY, COUNTY OR
CODE ENFORCEMENT AGENCIES ARE COMPLETELY IRRELEVANT TO THE DETERMINATION OF THE COMPLETION
DATE. THE COMPANY WARRANTS THAT ITS WORK WILL PASS INSPECTION. ISSUANCE OF WARRANTY* CERTIFI-
CATE & LIEN WAIVER WILL FOLLOW AFTER I�aL P
RCV AMOUNT. $ 2Gr. M" T.
DEPRECIATION: (-)
DEDUCTIBLE: (-)
ACV AMOUNT:=
SUPPLEMENTS*: +
CUST UP -GRADES: +
TOTAL:=
MONEY DOWN:(-)
CUST REF FEES:(-)
BALANCE OWED:=
Special
/'sf97ev
Q
Due upon Completion
I Due upon Completion
Due upon Material Del.
Due upon Completion.
Due upon Completion.
+SUPPLEMENTS
111AIN
+SUPPLEMENTS
SPECIFIC A0
09. RFG GRADE& STYLE: ,1S .
COLOR OF SHINGLE: e'/ INTen -re.
GUTTER:/ LF COLOR: INT.;M_J'Z•
t�. DRIP EDGE.. — LF COLOR: :mak. INT 1Z
1 VENTS:_ Color: S'D1 't/ INTV-,
"fff" RIDGE VENT ($719/vr): YES NQ_ / _LF
1 TEAR OFF: LAYER: , I SQS:S LAYS —. S:
' Q BOOT JACKS: QTY: A SIZE:_in QTY LZE:_in
FELT: 154SQS 3Syr
ICE & WATER SHIELD: VALLEYS EAVES 'Vr
PERMIT REQUIRED. YES�c NO
�I CLEAN ROOFING DEBRIS
PROTECT LANDSCAPING WHERE NECESSARY
j� ROLL YARD WITH MAGNETIC ROLLER
DECKING: 1 SQ FREE CODE REQ, FULL YESZW. NO
A LEAKS PRIOR TO STQ/I%M- YES_ NOK_
V Dates of service:
This date
+Is�an estimate and many change ebased on the actions of
This is a contract between Expert Exteriors, LLC ("Expert" or "Contractor") and the customer identified above and signing below ("you" or
"Customer"). Customer wishes to engage Expert to perform work on Customer's property as Expert recommends, which may include repair
and construction work. Customer will pay Expert for this work as calculated under the terms of this Agreement.
Expert agrees to communicate with Customer's insurance company ("insurer") to determine the scope and price and to perform labor and
furnish materials in accordance with the scope of the work approved by the insurance company with NO ADDITIONAL COST TO THE
HOMEOWNER EXCEPT FOR THE DEDUCTIBLE. Customer authorizes Expert to communicate with the insurer and irrevocably
instructs the insurance company to cooperate fully with Expert on this claim. Customer understands that Expert's obligation to perform labor
and furnish materials may be contingent upon the insurer approving the recommended services or materials and authorizing sufficient funds
to complete the project.
Per Senate Bill 12-038 deposits paid to ert be held it in trust until materials are delivered to the work site or a majority of the
scope of roofing work has b n d on th r erty. �P , 1 Approved:
Respectfully Submitted By: �,l �" " 7 S� '7'26/,'
A 05 LL a es Rep (signature) Expert Exterio LLC Sales Rep (print) Sales Rep Cell # Expert Exteriors, LLC
By signing below, I ac o edg d agree to be bound by all terms and conditions on the reverse side. I understand that this is a contract,
not an estimate or proposal. I acknowledge that Expert Exteriors is being hired as a General Couttactor.
Custo ex lature — U Date Customer Signature Date
Proudly Insured by: Western Pacific Insurance, 10397 West Centennial Road, Suite 250, Littleton Colorado 80127
A i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:«
Job Address: _ 9i 0 Jr
Permit Number: V3 1 -10 b- I
1r
cALL
L__M)
❑ No one available for inspection: Time S AM
CPI'
required: Yes No
When corrections have been made, call force -inspection at 303-234-5933
Date: Iv ?.� I "I Inspector:
elryl-N�AA-
DO
NOT REMOVE THIS NOTICE