The URL can be used to link to this page

Home My WebLink About3615 Sheridan BoulevardPERMIT: ADDRESS: JOB CODE: INSPECTION RECORD Inspection online form: http://Www.ci.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 uo Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground y%JVWI v11 =IIII vullu cn oeivw i in-aiao vvorK i nor 10 Approval Ut The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS fir, 1`7 0 7-N6, Rough Inspection (continued) 316 Rough Mechanical Residential Date Inspector CommentsInitials 317 Rough Mechanical Commercial 318 Boiler / Furnace �+ J 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector CommentsInitials 402 Gas Meter Release 403 Final Electrical Residential �+ J 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof t� 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. Page 1 of 2 The City of Wheat Ridge Third Party Party Form Check Lisp Property Address CA Aft&� Permit Number Permit Issued Date tywner Information Property Owner Information d 6164--g; rr j Property Owner Address IgIpector Information Inspection Company =.u, Gary Manlove Inspector Dame MC*A"R" t1 �1 Fi PQ. amt 263 Inspector ontact info. 5'fjV -A;' ",k pr.CC3 W1 is CSD TdD.H1.8i90 Enui: �rynvntowt�guaarvm rnent and AcknoWedaement * I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with tqe minimum requirements of the 2012 IRC and 2012 IBC as well as3� ty of Wheat Riddle Policies and Procedure and Manufacturer's recommendatidnY and sne io . Inspector: Date: *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent fof the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat Ridge Building Division inspection. PtoperyE Ownerl ftent� Date: Nov 13, 2017 Dougta ikkers (Nov 13, 2017) This original document and permi? card as well as the rozl g &eck 1.,,3t must be submitted tc the (thief Building Official rtvithin seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 The Qty -of Wheat Rd,�e Isliection Checklist Not� MID -ROOF -,/ Page 2 of 2 The City of Wheat Ridge Inspect,kdr5tfllotes FINAL Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify, sheathing nail pattern (See Policy & Procedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings; are damagedor rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2" in heated wall spaces z�L Underlayments must follow 2012 IRC 12012 IBC Verify roof slope for proper drainage t Dripedge shall have min of 2" overlap Lt Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shalt not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min- slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1f4_12 slope Aboveroof insulation R-25 Below roof residential R-38 Bellove roof commercial R-32 ,Modified Bitumen, EPDM, TPO min slope 1f4:12 slope must be installed in accordance vMh the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection F-1 WA El Fait Metal roof shingles shall not be installed on slope less 3-12 WA 7fla- Fail Metal valley flashing shalt, be the same material as roof air Metal valley flashing shall extend a rnin of 8" from the centerline with a min- of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min- of 4" T -He Roofse Failirements EJ Fa ii Clay and concrete tile shall have a min, 2-1/2:12 slope Slopes 4-12 and under require double underlayment Company Name: JBA NSU S 1 117Company Name: JBA NSULT Inspector Signature, Inspector Signature: Date of MID -ROOF Inspection: Date of FINAL Inspection: Roof Insgilection Fail NVA L_P— 1-1 Fall wA P Fail WA 'I P Fail El wA Pdt6 rail r,*--- 11 avi El NO Page 2 of 2 The City of Wheat Ridge Inspect,kdr5tfllotes FINAL Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify, sheathing nail pattern (See Policy & Procedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings; are damagedor rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2" in heated wall spaces z�L Underlayments must follow 2012 IRC 12012 IBC Verify roof slope for proper drainage t Dripedge shall have min of 2" overlap Lt Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shalt not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min- slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1f4_12 slope Aboveroof insulation R-25 Below roof residential R-38 Bellove roof commercial R-32 ,Modified Bitumen, EPDM, TPO min slope 1f4:12 slope must be installed in accordance vMh the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection F-1 WA El Fait Metal roof shingles shall not be installed on slope less 3-12 WA 7fla- Fail Metal valley flashing shalt, be the same material as roof air Metal valley flashing shall extend a rnin of 8" from the centerline with a min- of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min- of 4" T -He Roofse Failirements EJ Fa ii Clay and concrete tile shall have a min, 2-1/2:12 slope Slopes 4-12 and under require double underlayment Company Name: JBA NSU S 1 117Company Name: JBA NSULT Inspector Signature, Inspector Signature: Date of MID -ROOF Inspection: Date of FINAL Inspection: rL—.,. P as's Fail NVA va'. Fail wA P Fail WA 'I P E] Fail MIA Fail UfA Fail jA E P Fail F -I UJA 7�Pas-s Fail N. -A pa -'q Q Fail M'0A E'71—T'aSS E] Fail WA !�- Paws, LJ rail -1 NVA Pass El Pail 14;A Fail 'A E] pates F -A Fail Page 2 of 2 The City of Wheat Ridge Inspect,kdr5tfllotes FINAL Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify, sheathing nail pattern (See Policy & Procedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings; are damagedor rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2" in heated wall spaces z�L Underlayments must follow 2012 IRC 12012 IBC Verify roof slope for proper drainage t Dripedge shall have min of 2" overlap Lt Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shalt not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min- slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1f4_12 slope Aboveroof insulation R-25 Below roof residential R-38 Bellove roof commercial R-32 ,Modified Bitumen, EPDM, TPO min slope 1f4:12 slope must be installed in accordance vMh the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection F-1 WA El Fait Metal roof shingles shall not be installed on slope less 3-12 WA 7fla- Fail Metal valley flashing shalt, be the same material as roof air Metal valley flashing shall extend a rnin of 8" from the centerline with a min- of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min- of 4" T -He Roofse Failirements EJ Fa ii Clay and concrete tile shall have a min, 2-1/2:12 slope Slopes 4-12 and under require double underlayment Company Name: JBA NSU S 1 117Company Name: JBA NSULT Inspector Signature, Inspector Signature: Date of MID -ROOF Inspection: Date of FINAL Inspection: Fail KA va'. Fail N -A Fail 'I P Q Fail Fail Page 2 of 2 The City of Wheat Ridge Inspect,kdr5tfllotes FINAL Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify, sheathing nail pattern (See Policy & Procedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings; are damagedor rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2" in heated wall spaces z�L Underlayments must follow 2012 IRC 12012 IBC Verify roof slope for proper drainage t Dripedge shall have min of 2" overlap Lt Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shalt not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min- slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1f4_12 slope Aboveroof insulation R-25 Below roof residential R-38 Bellove roof commercial R-32 ,Modified Bitumen, EPDM, TPO min slope 1f4:12 slope must be installed in accordance vMh the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection F-1 WA El Fait Metal roof shingles shall not be installed on slope less 3-12 WA 7fla- Fail Metal valley flashing shalt, be the same material as roof air Metal valley flashing shall extend a rnin of 8" from the centerline with a min- of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min- of 4" T -He Roofse Failirements EJ Fa ii Clay and concrete tile shall have a min, 2-1/2:12 slope Slopes 4-12 and under require double underlayment Company Name: JBA NSU S 1 117Company Name: JBA NSULT Inspector Signature, Inspector Signature: Date of MID -ROOF Inspection: Date of FINAL Inspection: ► City of Wheat Ridge Residential Roofing PERMIT - 201707796 PERMIT NO: 201707796 ISSUED: 09/28/2017 JOB ADDRESS: 3615 Sheridan BLVD EXPIRES: 09/28/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 19 sq Pitch = 8/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)880-6947 RIKKERS DOUG SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE:. 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,520.59 FEES Total Valuation 0.00 Use Tax 136.93 Permit Fee 156.75 ** TOTAL ** 293.68 *** 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 inspe-ction. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201707796 PERMIT NO: 201707796 ISSUED: JOB ADDRESS: 3615 Sheridan BLVD EXPIRES: JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles (3rd party inspector required) 09/28/2017 09/28/2018 19 sq Pitch = 8/12 I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed d that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permits allexpire 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 ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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 Date V REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Com(/ 7� 6 From: no-reply@ci.wh eatridge.co.us (� Sent: Monday, September 25, 2017 2:35 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION �(/ l Property Address 3615 SheridanBlvd, Property Owner Name Doug Rikkers Property Owner Phone 303-880-6947 Number (enter WITH dashes, eg 303-123-4567) 69 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 drll983@gmail.com Yes Rikkers Contract 3516.pdf CONTRACTOR INFORMATION Contractor Business Elite Roofing Name Contractor's License 130240 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-296-0361 5475 Peoria St., Unit 4-106 Contractor Email Address kathy@elite-roofs.com Retype Contractor Email kathy@elite-roofs.com Address DESCRIPTION OF WORK TOTAL SQUARES of 19 the entire scope of work: Project Value (contract6520.59 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No j Pitched roof (2:12 pitch or greater) 70 both? (check all that apply) What is the specific pitch 8/12 of the PITCHED roof? How many squares are 19 part of the PITCHED roof? Describe the roofing Dimensional/Architectural materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof. Provide any additional Remove composition shingles to deck and replace with Owens detail here on the Corning Duration Sedona Canyon 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 owner of the property to 71 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 Hilda Cowie-Bozner Email not displaying correctly? View it in your browser. 72 ga., .ft M E3 M B !n R rELITEE Row 1A4G -R"$' s a PREFERRED CORTWOR Contract Submitted To Q E-mails t`12 t983gv,n.�9 Corr►-► -- pQj� Home Phoned — g�A - �v�t 4 Alternate Phone Streets 1 �t�., , 'ZXO► City tJ1^,,ecVyl: !;, 0 StateL+,_Zlp . -A We propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of. REPLACEMENT COST VALUE (RCV) per insurance proceeds plus agreed to supplements that may apply to your claim. Upon approval of your claim, Elite Roofing will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will, on your behalf, negotiate a fair and equitable settlement agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you; except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof replacement, you will not be obligated to this contract and will only be liable for approved work performed prior to denial and/or may enter into an acceptable repair agreement with Elite Roofing. Shingle ManufacturerQ LQtdr S Type a c wK-==A ``" [)4 Tear off I_ layer(s) of composition or wood shingles [� Stories_ Bad Access Y {y[ Install felt _/Y� 151b 301b Ridge cap shingles to be color coordinated [)c] Install new pipe jacks [A Replace vents as needed Slant back Turtle [X] Re -flash chimneys and all wall abutments as needed VC] Install 6— nails per shingle Code Items: (] Install Decking (7116" OSB) �] Install pre -painted eave metal to code - Color p(j Ice & Water Penetrations_Xvalleys Eaves Upgrades: "Synthetic Felt" ] °Ridgevent" if. [ ] "High Profile Ridge" If. [ ] "Surenail" lifetime shingles { ] "Class IV Impact resistant" lifetime shingles [ ] Manufacturer Warranty - Pick one Below [ ] OC Advantage [ ] OC Preferred [ ] GAF System Plus Misc: t' Clean out gutters & Remove all debris from above work [9] Five (5) year workmanship warranty K Elite Roofing will provide general liability insurance coverage of $2,000,000 [A Elite Roofing will provide workman's Comp at $500,000 V Make a magnetic sweep of driveway and yard for removal of any nails Special -Instructions: 9y7t k-01 C k d 2,e_h tea . • tri. Donation: Trades: Approx. Job Completion: weeks from insurance approval Homeowner Payment Summary: Deductible: $-I 1000 , Upgrades: $ I,.-, Balance Due*: $ 1,00 d " *Balance due is equal to the amount of out of pocket expenses as agreed upon by the homeowner and is in addition to all other insurance proceeds as described above. Kno insurance claim is involved then balance due is the total contractual amount due. Insurance CompanyAn k.--, (_ �_ t. PA is ) At V, Claim # 3 0 A A Cpl _DOL —577—L. 8 I C> r • I (We) hereby authorize and/or instruct any legal representative and/or agent of Elite Roofing to obtain any and all information necessary to negotiate the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above. • I (We) hereby authorize and/or instruct Elite Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing. • I (We) hereby authorize and/or instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and lnstruet my (our) insurance company to release the customary 10% overhead and 100% profit for scheduling and coordinating any and all trades needed. Elite Roofing shall hold in trust any payment received from you until materials have been delivered. This contract is subject to Elite Roofing management review and approval. I accept the above to of is'', to proceed. Date of Acceptance t ( Homeowner's Signature(s)1. Representative AV"\ f-, Representative's Sig 5475 Peoria St. Sub 4105, Denver, CO 80239 I Ph: 303.296.0351 1 Pax: 720.317.2233 1 Colo. Spgs.: 718.203.3107 1 Pt. Collins: 91o.818.3990 wwwAlteroofingcolorado,com i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office a (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30 0 Job Address: / P6rl 61ll Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes When correcti ni7�ve been made, callfor re -inspection at 303-234-5933 Date: � 7 Inspector: 1"M ► DO NOT REMOVE THIS NOTICE v . CITY OF WHEAT RIDGE r "f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office; ` (303) 237 -8929 Fax INSPECTION NOTICE `Inspection Type ROF Job Address Permit Number Y x C i �.� �.> /" f'". C�',— TT�iflJ F JJ .Z .' J C�„I ❑ No one available for inspection: Time 1IIi , AMJ PM Re- Inspection required: c No s„ When corrections have been made, call for re- inspection at 303-234-5933 Date: f! 1 /11 Inspector: l(� r DO NOT REMOVE THIS NOTICE ' CITY OF WHEAT"RIDOE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 5�1 Job Address Permit Number r ❑ No one available for inspection: Time ✓ AM IPM .Re- Inspection required: Yes to *When corrections have been made, call for re- inspection at 303- 234 -5933 Date: 4///1/// Inspector: DO NOT REMOVE THIS NOTICE ? I � 1 r i "., l 4i l CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address Permit Number T on . I ❑ No one available for inspection: Time /0 )r /PM Re- Inspection required: GeV No ♦iii • CITY O r 400 0r 23 Building (3 234- (303) 235 2855 INSPE Inspection Type - Job Address Permit Number %1 i 'EAT RIDGE ispection Division 933 Inspection line Vice * (303) 237 -8929 Fax MON NOTICE ❑ No one available for inspection: Time AM Re- Inspection required: Yes des; *When corrections have been made, call for re- inspection at 303- 234 -5933 Date: /f_ > /J��i; Inspector: T� DO NOT REMOVE THIS NOTICE I° " ' City of Wheat Ridge Residential Roofing PERMIT - 111227 PERMIT NO: 111227 ISSUED: 10/11/2011 JOB ADDRESS: 3615 SHERIDAN BLVD EXPIRES: 10/10/2012 DESCRIPTION: Remove and replace 54 sqs asphalt shingles * ** CONTACTS * ** Sc 303/287 -7666 Joseph Wheless 09 -0214 J & P Roofing, Inc. Owner 303/841 -8208 Steve Dyer ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0448 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: FEES 394.50 .00 390.60 785.10 21,700.00 Permit Fee Total Valuation Use Tax ** TOTAL ** 5 C� u Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 performed and that all work to be performed is disclosed in thiq\document and /or s ts' accompanying approved plans and specifications. , Signature of`\ OWNER Jb� / /ZO rf (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 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 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, any violation of any provision of any app, icoe code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field insnection.n /.(Is Signature of Chief Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat �gc - COMMUNITy DEVELOAMENT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Owner (please print): STX'cac 2)416/1_ Phi Mailing Address: (if different than property address) Address: Date: Plan # Permit# 111ZZ7 City, State, Zip: k 77 C;6kw / �, /GFry /i✓/i Z^1� Contractors City License #: /�D Phone: �d3 aS��666 Plumbing: Mechanical: City License # City License # City License # b'escrlptionrofyork / 6&3s i'2) Contract Value: e� /rUSi GL r CGs CsGLl4/!O ye �rr /id5/Jg EX��io S moo InJIZGG ®J >TF6 �/S �g. (�cGT. .L�iJS /G£GilC r/1G7G� i �T/f/i SFF /.�/�i LAS Review Fee (due at time of submittal): Squares � BTU's Gallons _ Amps Sq Ft. $ 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: (� /Z� W �l SIGNATURE LLLg ATE: _/9 �� FIREPEPARTnne)JT� 4 app oven (otnlenfsq disc ro edo�OevieWgiFedBldg Valuation $