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HomeMy WebLinkAbout43 Skyline Drivei CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ko F Job Address: K Permit Number: 70 ❑ No one available for inspection: Time—/, /,D( A M Re -Inspection required: Yes CNo When corrections have been made, call for re -inspection at 303-234-5933 Date:'- Inspector: DO NOT REMOVE THIS NOTICE x(303 4 (9- G4.3 5�`I�l� -,Dv414- RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 OccupancTLpe Inspections will not be performed unless this rd is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to recei an inspection the following business day.** Inspector Must Sign ALL Spa linen his project Foundation Inspections Date Inspector s Initials - Pier i Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line ' Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather b City of Wheat Ridge Residential Roofing PERMIT - 201703414 PERMIT NO: 201703414 ISSUED: 07/06/2017 JOB ADDRESS: 43 Skyline DR EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 29 sq. *** CONTACTS *** OWNER (303)232-2188 PETERS JOEY CARLISLE SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,800.00 FEES Total Valuation 0.00 Use Tax 289.80 Permit Fee 267.70 ** TOTAL ** 557.50 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. PERMIT: �-O 7 ADDRESS: JOB CODE: INSPECTION RECORDG�+ 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 - Comments Initials f` 102 Caissons / Piers 201 Electrical / Cable/ Conduit 103 Footing / P.E. Letter 202 Sewer Underground Int. 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation 204 Plumbing Underground Int. 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. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of 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 Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank %. 320 Drywall screw and Nail 321 Moisture board / shower walls 2 Rough Grading F 3 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 409 Final Roof 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, Fir before a Certificate of Occupancy is issued. Approval of the Final Building Inspec constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed b', Electrical low voltage by the Building Division. � b/707y�l L13 4 �-Jar City of Wheat Ridge Residential Mechanic PERMIT - 201707451 PERMIT NO: 201707451 ISSUED: 09/20/2017 JOB ADDRESS: 43 Skyline DR EXPIRES: 09/20/2018 JOB DESCRIPTION: Permit to remove and replace furnace. 120K BTU. Same location. *** CONTACTS *** OWNER (303)232-2188 PETERS JOEY CARLISLE SUB (303)233-7007 Torrey Cosgrove 017885 Lakewood Plumbing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,100.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 86.10 ** TOTAL ** 126.10 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe and that all work to be pert �d�pscloddocument anctgr its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTO (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 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 applicable code or any ordinance or regp�lati of this jurisdiction. Approval of work is subject to field inspection. %6�77_a"4 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat j,dg,e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: In ( Plan/Pennit # Z ).1b1-]'�1 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Proaertv Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/EIng! neer: Architect/Engineer E-mail: S Phone: Phone 0014 - Contractor: Contractors City License #: ; I O J Phone:T/:::Too Contractor E-mail Address:] Ci&(� i4 t'C1w o u (n t bi% zo • W M Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 0 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Pf [a u 0 �-h al -6A r" ct- Sq. Ft./LF Amps Btu's Vol D O V Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or(AUTHORIZED RESENTATIhE) of (OWNER) CONTRACT R) Electronic Signature (First and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: OE/ /%c -A , r Job Address: 3 S \A,A1-e Permit Number:/�/ 7 q 5 ❑ No one available for inspection: Time vt-�`AM/M Re -Inspection required: Yes No ' When corrections have been made, call for re -inspection at 303 -234 - Date: /�' a�' /% Inspector: Gi DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703414 PERMIT NO: 201703414 ISSUED: 07/06/2017 JOB ADDRESS: 43 Skyline DR EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 29 sq. *** CONTACTS *** OWNER (303)232-2188 PETERS JOEY CARLISLE SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,800.00 FEES Total Valuation 0.00 Use Tax 289.80 Permit Fee 267.70 ** TOTAL ** 557.50 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703414 PERMIT NO: 201703414 ISSUED: 07/06/2017 JOB ADDRESS: 43 Skyline DR EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 29 sq. 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 1 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 le ally authorized to include all entities named within this document as parties to the work to be performed and that all work t e per orme is disclosed in this documen 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 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 Budding 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"gr 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 cod ordinance u on f this jurisdiction. Approval of work is subject to fyeld inspection. �. " U Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz 03`3014 From: no-reply@ci.wheatridge.co.us Sent: Monday, June 26, 2017 3:50 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 Address Property Owner Name Property Owner Phone Number 43 Skyline Dr Joe Peters 3032322188 % �s S-�. 0 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Interstate Roofing Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing 29 Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 29 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? 4 TOTAL SQUARES of all 29 roofing material for this project Provide additional detail house, 6:12 pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 13800 value or cost of ALL materials and labor) 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 submit this application and to perform the work described above. Name of Applicant John Quante Email not displaying correctly? View it in your browser. 3 referralist-0 com Submitted To �C INTERSTATE ROOFING Email I jCG �. VACc{..a t1.'�f Phone : �3 "f d J 1t Aft. Date _` Phone'_3 0 -r? 3:� d if Street r`4-- T l J t City LA t4GJ L' o State Zip Insurance Company A -CA r me rS Claim# 3 0qi�70b(n L Policy# K0Z_ 15— Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing inc.: however, interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. L /� /J�� jtrr� t f I Chinr.lo &A.—f rf —r 1) I n��'1�J� f • ii r�i I,i= Tv 1 l0 �71 CI ✓i Q.! (�nlnr t�i. 1 1 L/fes-).• j!t- Tear off 1— layers of composition shingles ❑ Tear off one layer of wood shingles ❑ Install Decking (7116" OSB) 911�'` nstali new felt `) Ll rt" rr C.J ijf linstall pre -painted eave metal to code - Color Brown Tan Gray ci�hit int. 0�–/alley(s) will be closed ❑ valleys will be open i-Ridge(s) to be color -coordinated ❑Ridge(s) will be "High Profile Ridge" color -coordinated shingles Wnstall new pipejacks ELRep+ace Vents as needed ❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install7—n In. ft. of series ridge vent Install u - in. ft. of ice & water shield to code Install nails per shingle U Clean out gutters It 5 year workmanship warranty Rdf4werstate Roofing, Inc. will provide general ;lability insurance coverage of $2,000,000, general aggregate AMake a magnetic sweep of driveway and yard for removal of any nails 5L The approximate costs of the services based on damages known at the time this contract is entered is s iig b i (P 133. ( Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate oo ing. Inc. shalt ome t e ma contract price for the Insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. ^ Approximate Dates of Service: 6 I These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S.. to pay for the roofing work, pursuant to section 6-22-105, the rooting contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent !oss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of interstate Roofing. Deposit Amount: $ 5 Q J Date: / lD " ReD. Initials: Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of thl ent Date of Acceptance s I Client Signature(s) ` Representative�Ii.- Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne office Black Ins. Agency 1000 W. 47th Ave. 2161 N. Academy Blvd. P 970 482.7722 F 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205 Denver. CO 80211 Colorado Springs, CO 80909 Toil Free 877.898.8144 Cheyenne, WY 80211 Englewood, Cc 80112-3726 P. 303.763.9114 F. 303789 3790 P. 719 471 9752 F 719 597.4444 www-interstateroof.com P. 307.634.2553 (303) 397-7820 www.interstateroof.com info@interstateroof.com 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: ❑ No one available for inspection: Time r .,� ,'' AM/PM Re -Inspection required: Yes ' No~ When corrections have been made, calf for re -inspection at 303-234-5933 Date: Inspector: A ,F ' DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ko F Job Address: K Permit Number: 70 ❑ No one available for inspection: Time—/, /,D( A M Re -Inspection required: Yes CNo When corrections have been made, call for re -inspection at 303-234-5933 Date:'- Inspector: DO NOT REMOVE THIS NOTICE 5 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: 4E_/o Job Address: `l S / �� ��n/ Permit Number: 2_0 / °% 0 3 L/ 05 r ❑ No one available for inspection: Time 0 n Y AM/PM Re -Inspection required: es No When corrections have been made, call for re -inspect' t 3 3-234-5933 Date:-?--/ r/T / Inspector: DO NOT REMOVE T IS 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: Job Address: �� S /4c k/ PermitNumber: ZcD / 47 0 3 4-/ /4�' t ❑ No one available for inspection: Time AM/PM Re -Inspection required: es No *When corrections have been made, call for rye -inspect" t 3 3-234-5933 Date:-?—/ /7_ Inspector: DO NOT REMOVE T1411JIS NOTICE ♦ i CITY OF WHEAT RIDGE. �-j Building Inspection Division' (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: _ Pnf� r Job Address: Ly 2 4 iu E M pp . Permit Number: t)Q G /�::� ❑ No one available for inspectio Time Re- Inspection required: Yes When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: -f Inspector: 4 L_ DO NOT REMOVE THIS NOTICE 3011ON S1H13AOW3U ION 00 :jo#oedsu� Q irG S •also EE69 t EZ EOE #g uqt edsyhej ro# / 'epem useq envy suof eii oo us (I ON �O�) :pannbaa uoiloodsul-ab /Wy r aw!l :uoiloedsui jol olqui me auo ON ❑ � Jt m /U rF rtl9 l=id , Zf J, / VS - /Fr/ :aagwnN }iwaad , - dn Q u S 1 ;ssajppV qor ow :edA.L uolloodsul 30110N N01103dSNl xv-4 6e6£-LEZ (£OE) • 94 �U#D S9EZ-9EZ (£0£) euil uoi;oadsu/ C069-PCg (COG) uoisinia uol;aedsul 6ulppng 3001a 1tl3HM d0 A110 r s ✓ CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: IV10,0 ®aF Job Address: Iq L>1C Permit Number: © 7 7 `!n 7 4 �� es roe }fir _ Sc — c p 3 _,��cijf E �'.6%ErJ � ,aQo ✓ >�afo ,s-r >. <7 /Afrr. .¢ ,cf/1Sam/ .. CUkIo .9-ra.fiy�'�fn rrt,4 f ,.�/�sFr.�s�,/T • - �>tc� - 7 ❑ No one available for inspection: Time �F - oS AM/�M�. Re- Inspection required: (2&� -No When corrections have been made, call for / inspection at 303 234 - 5933 Date: S Y >a Inspector: 7' DO NOT REMOVE THIS NOTICE April 15, 2010 City of Wheat Ridge As per our conversation, please charge the credit card you have on file to extent the two permits we spoke of today. 43 Skyline drive fG 39 Skyline dive C~ After doing so, I will call and request inspections to be completed. Thank you for your assistance in this matter, Julie Finley Perkins Construction CITY OF WHEAT RIDGE 04/16/18 12:27 PM edbb 720-381-0453 Lee M. Perkins RECEIPT NO:CDBO04341 AMOUNT BPSP Reroof 29 sqs 81.45 720-381-0542 fax 092407 Extend Expired per®i 81.45 BPSP Reroof 36 sqs 99.65 091962 Extend Expired Pervi 99.65 PAYMENT RECEIVED AMOUNT VS 7623 181.10 Auth Code: 830697 TOTAL 181.10 PERMIT NO� JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge 20092407 43 Skyline DR Reroof 29 sqs ISSUED: 09/15/2009 EXPIRES: 09/15/2010 *** CONTACTS *** OWNER (303)232-2188 Joe Peters SUB (720) 381-0453 Lee Perkins 090207 Perkins Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA Unassigned SUBDIVISION CODE: 0675 / PARAMOUNT HEIGHTS PART I ELF OCK/LOT#: 0 *** COMMENTS *** CONDITIONS *** 6 nail installation & mid-roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2 inside exterior walls. Subject to field inspection. I7yn£ signature, do }meby ,e a ttest that teark t befvrr�ed s }} cc�n }}�tf ai} acccaygin �xx rc�kci }ss end "ificas aplica} bu} }dingy cc�des and applicable Inuraiciai codes, pca }icier and rescedcr.es and that } any tine lea} cap +per arSzv L�r uficarc PC' (s t }� legal n riser csftite po° rp rt}x and a acath >I z A tea obkai11 this errs `rt and pertnrrn the mark describer} and apprc�eXed in ccartjc unction wit t} }s permit. I fu lber attest that I any le rally authcari'7 to inc Iudc al entities naar ed itltist this dcacunaent as parties try t} e r rk "trs be per r rrraed and that a }} �s }or to e er rrne is d scic red in this c}c�cuu�ent arzci,' r its' accc� �tsata it ap r a ec} }aa�s arsci specifications. '' UNSTS ��ST BE MADE BY 3PM ANY BUSINESS DAY FOR impECTION THIS FOLLOWING BUSINESS DAY.