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Home My WebLink About2945-2949 Kendall Street70170 70 &, .q ) INSPECTION RECORD ZA INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 _..� —;4 A .,;- +h- 1inn form hafnra R a -m. the day of the inspection Occupancy/Type 4m VQI ltlulla ul lJ ll l ..... ---- Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Comments Wall Sheathing Mid -Roof Concrete Encased Ground (CEG) Sewer Service i Foundation / P.E. Letter Plumbina UO NOT tour l.vnc.l W to r I w1 1 v . •t•� •• •• • •..... _ - - Underground/Slab Inspections Date Inspector Initials Comments --- - Electrical Comments Wall Sheathing Mid -Roof Sewer Service i Plumbina Lath /Wall Tie -ter �� .� r.� �� r� .rarer-� r � � � a� .� �.�w_. � � � � � n =sc� � i �>•�i.� . � n>t . �-�.a � iv_ir� Do Not Cover unaer rounu or ou uvvill -.iia.., ._%,... - - — - Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof i 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. 1of.ri from tha Fire District and electrical low voltage "For low voltage permits - rleasC L)c aU]c Ll- I J --- by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather A �( City of Wheat Ridge v '/ Residential Roofing PERMIT - 201707029 PERMIT NO: 201707029 ISSUED: 09/07/2017 JOB ADDRESS: 2945 Kendall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 33 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)233-4332 WELLER RITA E SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,481.00 FEES Total Valuation 0.00 Use Tax 178.10 Permit Fee 188.45 ** TOTAL ** 366.55 *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 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 - 201707029 PERMIT NO: 201707029 ISSUED: 09/07/2017 JOB ADDRESS: 2945 Kendall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re—roof to install OC Duration asphalt shingles — 33 sq Pitch = 4/12 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 and that all work to be performed 's disclosed in this document and/or its' accompanying approved plans and specifications. C 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 issua ranting ofit sh lai be construed to be a permit for, or an approval of, an of any provision of any applicable co inane of this jurisdiction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 20170 70 ZQ From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 11:33 AM 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 �I1 Property Address 2945-29449 Property Owner Name Kendall St Property Owner Phone 303-233-4332 Number (enter WITH dashes, eg 303-123-4567) 65 �366.SS It Q 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 jwiles@interstateroof.com Yes 17-6779 Contract08032017 (1).pdf CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name b Contractor's License 019938 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) 3037639114 1000 W 47th Ave Contractor Email Address jwiles@interstateroof.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? jwiles@interstateroof.com 33 -.846e— W( No / 66 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No / Yes 4:12 33 O/C Duration Asphalt duplex SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 67 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. 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 John Quante Email not displaying correctly? View it in your browser. 68 hai9MemNtk lMkattlN's --_-- referralist-O Cold NTERSTATE _- _._-- + ROOFING Submitted To �A tJ e t -e ip Email (JC 1 � C_ <-'r e, Q G7 . (f pry Phone Alt. Phone Stre ' KG w A l S--_ Cite ¢ State Zip 5'6.Z Insurance Company I bt • -4=LC Claim# t yT=q 12a Policy# 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. 0 - Tear off layers of composition shines ❑ Tear off one layer of wood shingles ❑ Install Decking (7/16" OSB) install new felt�Zly nstall pre -painted eave metal to code - Color Brown Charcoal Tan ray White int. f1 • .— le Valley(s) will be closed ❑ Valleys wilt be open idge(s) to be color -coordinated ❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles Install new pipejacks Replace Vents as needed �Q Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) //❑ Install In. It. of series ridge vent XInstall In. ftof ice & water shield to code Install nails per shingle Clean out gutters X5 year workmanship warranty y tzInterstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate Make a magnetic sweep of driveway and yard for removal of any nails `t Remove all debris resulting from above work Special Instructions 15212a /�1 /J L 1 r l 1 The approximate costs of the services based on damages known at the time this contract is entered is j is Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company forthe ardbunt of the insurance app oileA proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing, Inc. shall become the final 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: 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 roofing 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 subseauen! loss 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: $ Date: Rep. InitialG• 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 this agreement Date of Acceptance a LJL, Representative „ / Client Signature(s)� Corporate Headquarters Colorado Springs Office Fort Collins Office 1050 W. 47th Ave. 2161 N. Academy Blvd, P. 970.482.7722 F. 970.682 10 18 Denver, CO 80211 Colorado Scrings, CO 80909 Toll Free 877.898.8144 P. 303.763.9114 F. 303.789, 3790 P 719.471.9752 F. 719.597.4444 www.interstateroof.com www.interstateroof.com Cheyenne Office Black fns. Agency 1010 5 Greeley Highway 9600 E Arapahoe Rd #205 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 307.634.2553 (303) 397-7820 info@interstateroof.com A �( City of Wheat Ridge v '/ Residential Roofing PERMIT - 201707029 PERMIT NO: 201707029 ISSUED: 09/07/2017 JOB ADDRESS: 2945 Kendall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 33 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)233-4332 WELLER RITA E SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,481.00 FEES Total Valuation 0.00 Use Tax 178.10 Permit Fee 188.45 ** TOTAL ** 366.55 *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 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 - 201707029 PERMIT NO: 201707029 ISSUED: 09/07/2017 JOB ADDRESS: 2945 Kendall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re—roof to install OC Duration asphalt shingles — 33 sq Pitch = 4/12 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 and that all work to be performed 's disclosed in this document and/or its' accompanying approved plans and specifications. C 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 issua ranting ofit sh lai be construed to be a permit for, or an approval of, an of any provision of any applicable co inane of this jurisdiction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 20170 70 ZQ From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 11:33 AM 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 �I1 Property Address 2945-29449 Property Owner Name Kendall St Property Owner Phone 303-233-4332 Number (enter WITH dashes, eg 303-123-4567) 65 �366.SS It Q 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 jwiles@interstateroof.com Yes 17-6779 Contract08032017 (1).pdf CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name b Contractor's License 019938 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) 3037639114 1000 W 47th Ave Contractor Email Address jwiles@interstateroof.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? jwiles@interstateroof.com 33 -.846e— W( No / 66 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No / Yes 4:12 33 O/C Duration Asphalt duplex SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 67 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. 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 John Quante Email not displaying correctly? View it in your browser. 68 hai9MemNtk lMkattlN's --_-- referralist-O Cold NTERSTATE _- _._-- + ROOFING Submitted To �A tJ e t -e ip Email (JC 1 � C_ <-'r e, Q G7 . (f pry Phone Alt. Phone Stre ' KG w A l S--_ Cite ¢ State Zip 5'6.Z Insurance Company I bt • -4=LC Claim# t yT=q 12a Policy# 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. 0 - Tear off layers of composition shines ❑ Tear off one layer of wood shingles ❑ Install Decking (7/16" OSB) install new felt�Zly nstall pre -painted eave metal to code - Color Brown Charcoal Tan ray White int. f1 • .— le Valley(s) will be closed ❑ Valleys wilt be open idge(s) to be color -coordinated ❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles Install new pipejacks Replace Vents as needed �Q Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) //❑ Install In. It. of series ridge vent XInstall In. ftof ice & water shield to code Install nails per shingle Clean out gutters X5 year workmanship warranty y tzInterstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate Make a magnetic sweep of driveway and yard for removal of any nails `t Remove all debris resulting from above work Special Instructions 15212a /�1 /J L 1 r l 1 The approximate costs of the services based on damages known at the time this contract is entered is j is Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company forthe ardbunt of the insurance app oileA proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing, Inc. shall become the final 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: 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 roofing 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 subseauen! loss 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: $ Date: Rep. InitialG• 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 this agreement Date of Acceptance a LJL, Representative „ / Client Signature(s)� Corporate Headquarters Colorado Springs Office Fort Collins Office 1050 W. 47th Ave. 2161 N. Academy Blvd, P. 970.482.7722 F. 970.682 10 18 Denver, CO 80211 Colorado Scrings, CO 80909 Toll Free 877.898.8144 P. 303.763.9114 F. 303.789, 3790 P 719.471.9752 F. 719.597.4444 www.interstateroof.com www.interstateroof.com Cheyenne Office Black fns. Agency 1010 5 Greeley Highway 9600 E Arapahoe Rd #205 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 307.634.2553 (303) 397-7820 info@interstateroof.com \ N* i CITY OF WHEAT RIDGE �9Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: AF Job Address: r4 y IL Permit Number: r7 cl `-&7,, ❑ No one available for inspection: Time Re -Inspection required: Yes No ` When corrections have been made, call for re -inspection at 303-234-5933 Date: WW/_/_'7'_1nspector: J `/(_ 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: 0 Job Address: ? I y r !!gin rlq 1 Permit Number: L, 7L, -7,, ; i ❑ No one available for inspection: Time AM/F 1�1 Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 303-234-5933 Date: � � 1q11Inspector: Inspector:�- DO NOT REMOVE THIS NOTICE INSPECTION RECORD OccapancyiTVpe - ®'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. -IT 100JY INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR _____ __ INITIALS COMMENTS: _ Footings /Caissons all tic Stemwall / (CEG) Concrete -- Encased Ground or Monolithic al Service; rGas L forcing therproof / French D rain Electric ._.... r Service Lines . -.... _. Plumbing r Serv ice Lines ing CONCRETE SLAB FLOOR Electr (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathin all tic Roof al Service; rGas Electric ._.... . -.... _. Plumbing _. -i .. ... ing Rough Mec hanical _ Framing ABO Insulation _ Drywall Screw -- FINALS Electrical Plumbing Mechan4..11 Roof Building r final UNTIL ABOVE HAS BEEN ABOVE HqS BP.EN SIGNED TO BC S444 1,P PIIIUR TO I 1 (';, ,I ?DING rFirerUno�nt ._ DL4n Ige rc42 Pl NNIN G & ZO 'ING, FIRE AND pUhi 14C WORKS ,:ULD BE CALI F..D At IL AST ONE W_ - .SEK PRIOR IO r INA INSPECTIONS. Land I }ping ALL. IT FMS MUST BE COMPLCITO AND APPROVED P ''LANNING AND ZONING, BUILDING AN, q />Uf,ALIC WORKS BEFOREA CATE OF OCCUPANCY IS ISSUCD. ("INAL lNSl�6 " «' +'J BY THE BUILDING DIVL^ION DOES NOT CONJ - -i jp1C AUTHORIZATION OF A CE P UI> r'ANCY NOR PERMISSLON FO II GCC'1J!'ANC;Y, Te rn C . ?.. — - - -_ -: OCCUPANCY NC?,-Q_+rIf1 UNTIL CERTIFICATE t r OCCUPANCY IS IS§trcv P ROTE!:T THIS CARD F I'OM THE WEATHER ♦ , i CITY OF WHEAT RIDGE r Building Inspection Division (303) 234~5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f) Y~ Job Address: Sl e F Permit Number: El No one available for inspection: Time C PM f Re-Inspection required: Yes When corrections have been made, call for r7lnspection at 303-2345933 Date: Inspector: JDO 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 NSOT Inspection Type: Job Address: Spe Ct Permit Number: ^1~~i°7 ❑ _No one available for inspection: Time O-J A Re-Inspection required: Yes No ' When corrections have been made, call for re-inspection at 303-234-5933 Date: r - 1 Inspector:, e DO NOT REMOVE THIS N OTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE _ ZZ/Lo ra,F kC~a/° isr/fT~s/F ~ff~! e~d~' d~~'r•1~ l~ ❑ No one available for inspection: Time d ! ~Mkv Re-Inspection required• Ye _No When corrections have been made, cag for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE Inspection Type: Job Address: llgli o*W s 7' Permit Number: >6t03c7r City of Wheat Ridge Building Division Date: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan oO<oRno° Inspection Line: 303-234-5933 Permit Building Permit Application 7 Propgrty-Atidrgss"s ~gqE_gq t- Property Owner (please print): W Phone: V03 3 3 Mailing Address: (if different than property address) Address: 3,9q C) 'T a LLt 5 r- City, State, Zip: UN o rIl? RGe- d Ey Contractor: hluy W-eia=`l gk ~2GS~trJ4 t Contractor License Q 110 L( t„ Phone• (3 L 3) ;I Y4 -1539 Sub Contractors, Electrical City License Company: Exp. Date: Approval: Use of space (description): N cxs p Description of work: 30 yf~ TflmVO Si. ttg L,0,5 Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Approval: Approval: Loiz Construction Value: 006 (as calculated per the Building Valuation Data sheet) A~- she t'Lh Plan Review(due at time of submittal): $ Sq. Ft./L.Ftadded: Squares .333 BTU's Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRALTO r PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: -51MI 'T oWAL S'ILt= SIGNATURE: Date: A-it) -1-0 Bldg Valuation: