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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. Nl'evv tufe f �jVJ,np^iL�s W i'll b,, Pu4 i'.,, vv>?'el'r XIS J//13 f ax w,,,,dowS car-e� 116e'1 6 LI�5 4/1 6,1ed"cr 6006-K 6WS��r�� tNi n,��i �v� GYI Di) f vvg rr- e4 G,n c rfrr,'C-+ y e v) wl ►Jn w5 GTL- G3 X U1 51,W frd Lys New w,�n� w;1' a')51n y W,"11 6, /��S'�G�u �� �� � 7 C I,U1 �k woo)1.5-eul,cd a4 q +vsa -ac¢ erre In �ro�� c7,- W+0)0'4- a -e. V-ri,or V" I ll be CGv-(rod M - 4h 64 eyreSt 6OV. r, -1-111'5 15 -rvlr 3 w plows' 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