HomeMy WebLinkAbout4577, 4579, 4581 Everett Courti CITY OF WHEAT RIDGE
Building Ingpection Division.,
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Ll o Cl - r, "I ek )
Job Address: '-/6-77 Ov e r- c- C`-�-
Permit Number: '3 0I s 0 l So 6
LJNo one available for inspection: Time ';i� IPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
t
Date: 93/7" 16 Inspector: / a
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: 3 C_> (" "- P -
Job Address: Li 1 V-, "== _ C+
Permit Number: 070 1 a J C, o
I
❑ No one available for inspection: Time
Re -Inspection required: Yes rV
When corrections have been made, call for re -inspection at 303-234-5933
Date: c_3 )311 / q,' Inspector:`A
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE IQ
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: S i I V �r2 c--+ C-( .
Permit Number: 0�7 )ce' 'b / 5 0 G
���cE4 ciCt �. ►. G bS�(11 4r �-
❑ No one available for inspection: Time"6 T Q�PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: V s) /I S Inspector:
DO NOT REMOVE THIS NOTICE
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: -3,-)3- ?-
Job Address: S -4 <4,
Permit Number: Do) �3 (Z) 1 S o
ice) � ti � cv Q i1 r,l C--
❑ No one available for inspection: Time a
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 5/3d) t Inspector:
DO NOT REMOVE THIS NOTICE
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201801506
201801506 ISSUED: 05/24/2018
4577 Everett CT EXPIRES: 05/24/2019
4 -flex 4577-4581 Everett Court Reroof. Remove and install Composition
Asphalt Shingles with 25 squares.
Pitch 4/12.
***Add redecking to 26.48 squares****
*** CONTACTS ***
OWNER ELIZABETH BUDD
SUB (720)690-4949 Christine Creason 170507 Pay It Forward Svcs.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,207.59
FEES
Total Valuation 0.00
Use Tax 277.36
Permit Fee 267.70
** TOTAL ** 545.06
*** 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.
e s A City of Wheat Ridge
� r
Residential Roofing PERMIT - 201801506
PERMIT NO: 201801506 Thu`
JOB ADDRESS: 4577 Everett CT
JOB DESCRIPTION: 4-Plex 4577-4581 Everett Court Reroof.
Asphalt Shingles with 25 squares.
Pitch 4/12.
***Add redecking to 26.48 squares****
ISSUED: 05/24/2018
EXPIRES: 05/24/2019
Remove and install Composition
I, by my signature, do hereby at
that the work to be performed shall comply with all accompanying approved plans and specifications;
applica le 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
tl}is_permit. I further atter that I am legally authorized to include al
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 andlor its' accompanying approved plans and specifications.
Signature of OWNER or_ ONTRAGT-OR. (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject,to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 o permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab de or any or nce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11959PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�w
heat i e
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(aD-ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
°'ro 6� 61i�cisa�
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner (please print): r—_ I Z_jq
Property Owner Email:
Mailing Address: (if different than property address)
n
Address: c j LS; ^cam -
S
M
Phone:
Contact Person: 1 Rn, 11IZ41k Phone: -Izo 6 logia - 4,7Ys- �
Contractor:�—
Contractors City License #: 110`509 Phone:
Contractor E-mail Address: L)
6 Z;78
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:
I ,-
�,,,�-,rte-�-
Sq. FULF
Amps
Btu's 2 /,- ,-I Gf Gallons
Squares
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ Iet4. L140
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 a thorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) _ TR or (A
PRINT NAMES: g1p a4 Z � SIGNATURE:
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
(CONTRACTOR)
DATE: ev _.- 4;�u "';Zjr-)
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
11 Not Required Building Division Valuation: $
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201801506
201801506 ISSUED: 05/24/2018
4577 Everett CT EXPIRES: 05/24/2019
4 -flex 4577-4581 Everett Court Reroof. Remove and install Composition
Asphalt Shingles with 25 squares.
Pitch 4/12.
***Add redecking to 26.48 squares****
*** CONTACTS ***
OWNER ELIZABETH BUDD
SUB (720)690-4949 Christine Creason 170507 Pay It Forward Svcs.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,207.59
FEES
Total Valuation 0.00
Use Tax 277.36
Permit Fee 267.70
** TOTAL ** 545.06
*** 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.
e s A City of Wheat Ridge
� r
Residential Roofing PERMIT - 201801506
PERMIT NO: 201801506 Thu`
JOB ADDRESS: 4577 Everett CT
JOB DESCRIPTION: 4-Plex 4577-4581 Everett Court Reroof.
Asphalt Shingles with 25 squares.
Pitch 4/12.
***Add redecking to 26.48 squares****
ISSUED: 05/24/2018
EXPIRES: 05/24/2019
Remove and install Composition
I, by my signature, do hereby at
that the work to be performed shall comply with all accompanying approved plans and specifications;
applica le 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
tl}is_permit. I further atter that I am legally authorized to include al
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 andlor its' accompanying approved plans and specifications.
Signature of OWNER or_ ONTRAGT-OR. (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject,to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 o permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab de or any or nce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11959PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�w
heat i e
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(aD-ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
°'ro 6� 61i�cisa�
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner (please print): r—_ I Z_jq
Property Owner Email:
Mailing Address: (if different than property address)
n
Address: c j LS; ^cam -
S
M
Phone:
Contact Person: 1 Rn, 11IZ41k Phone: -Izo 6 logia - 4,7Ys- �
Contractor:�—
Contractors City License #: 110`509 Phone:
Contractor E-mail Address: L)
6 Z;78
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:
I ,-
�,,,�-,rte-�-
Sq. FULF
Amps
Btu's 2 /,- ,-I Gf Gallons
Squares
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ Iet4. L140
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 a thorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) _ TR or (A
PRINT NAMES: g1p a4 Z � SIGNATURE:
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
(CONTRACTOR)
DATE: ev _.- 4;�u "';Zjr-)
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
11 Not Required Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201801506
PERMIT NO: 201801506 ISSUED: 05/24/2018
JOB ADDRESS: 4577 Everett ST EXPIRES: 05/24/2019
JOB DESCRIPTION: 4 -flex 4577-4581 Everett St Reroof. Remove and install Composition Asphalt
Shingles with 25 squares.
Pitch 4/12.
*** CONTACTS ***
OWNER ELIZABETH BUDD
SUB (720)690-4949 Christine Creason 170507 Pay It Forward Svcs.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,413.19
FEES
Total Valuation 0.00
Use Tax 260.68
Permit Fee 251.85
** TOTAL ** 512.53
*** 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.
I, by my signature, do hereby attest that the vt ork to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, aqd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal ovuner of the ,property,and am authorizes to obtain this permit and perform the work described and approved in conjunction with
this ermit, t further a est that am leeal y authorized to include all entities named within this document as parties to the work to be
performed`and that alw�lce per tzred i§ disclosed in this document and/or its' accompanying approved plans and specifications.
5
mature of OfVN OI�ItRACT Q1 (CiMle,one) Date
This permit s 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 originalpermit 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.
granting off' a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
or any orcyrjance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT -
201801506
PERMIT NO:
201801506
ISSUED:
05/24/2018
JOB ADDRESS:
4577 Everett ST
EXPIRES:
05/24/2019
JOB DESCRIPTION:
4-Plex 4577-4581 Everett St Reroof.
Remove and
install Composition Asphalt
Shingles with 25 squares.
Pitch 4/12.
I, by my signature, do hereby attest that the vt ork to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, aqd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal ovuner of the ,property,and am authorizes to obtain this permit and perform the work described and approved in conjunction with
this ermit, t further a est that am leeal y authorized to include all entities named within this document as parties to the work to be
performed`and that alw�lce per tzred i§ disclosed in this document and/or its' accompanying approved plans and specifications.
5
mature of OfVN OI�ItRACT Q1 (CiMle,one) Date
This permit s 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 originalpermit 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.
granting off' a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
or any orcyrjance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer &0/ Vo 1 5-C)
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, May 24, 2018 7:10 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
�V
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if�j
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. r
P1711
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? 1�
How many dwelling units 3- or 4- Units
are on the property?
PROPERTY INFORMATION
Property Address 4577 Everett St
Property Owner Name Elizabeth Budd
Property Owner Phone 303-751-3145
Number (enter WITH ,
dashes, eg 303-123-4567) 51'),55
I
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
kristi@payitforwardsvcs.com
Yes
4'
4577 Everett Signed Contract.pd
CONTRACTOR INFORMATION
Contractor Business Pay It Forward /
Name
r
Contractor's License 170507
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)
Contractor Email Address
Retype Contractor Email
Address
720-690-4949
120 S Wilcox St #100 Castle Rock, CO 80104
payitforwardservices@gmail.com
payitforwardservices@gmail.com
DESCRIPTION OF WORK;—
TOTAL SQUARES of 25
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
12413.19
No
Pitched roof (2:12 pitch or greater)
z
both? (check all that
apply)
What is the specific p' ch 4/12
of the PITCHED rooff--
How many squares are /� 25
part of the PITCHED
roof?
Describe the roofing Comp Asphalt Shingles
materials for the
PITCHED roof:
Type of material for t4! �sphalt
PITCHED roof: _
Provide any additional Reroof building
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
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
3
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 Troy Gray
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FORM(1).. 1402- 5147.,
6� �A
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ADDRESS Cltt WN RCOU
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FLOOR APi NO
CU70MEER N E (PRINT) ,/$�7-�-+gp�,ry -
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ACTION TAKEN
7 J...: C)d`�' - ""'°'
,❑ APPL ANCE
SPECIFY
OWNER W TENANT® AGENT❑ OTHER ❑
p. BOTH APPL &. METER O
❑ METER SHUT OFF
_ WARNING - -�� 1
THE CONDITION FOUND, AS SHOWN BELOW, IS NOT IN COMPLIANCE WITH CURRENTLY ACCE
P CES AND PROCEDURES
:COULD CREATE A HAZARD: CORRECTIONS SHOULD BE MADE BY A QUALIFIED CONTRACTOR. CONTACT YOUR LOCH: BUILDING DE
MENT FOR CODE AND PERMIT REQUIREMENTS PRIORTO PERFORMING REPAIR WORK
T]AM[ AND TYPE OF APPLIANCE
(ONDRION TOBE CORRECTED
f FOR FURTHER INFORMATION, PHONE
TAGGED B
TIME
DATE
CUS M R OOF SIGNATURI // - J/
TIME
DATE
86 NSHIP OF OCCUPANT TO CUSTOMER