HomeMy WebLinkAbout4560 Saulsbury Streeti 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:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: I Inspector: "
DO NOT REMOVE THIS NOTICE
2vI70- mo
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occugancy/Type
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 Comments
Initials
Pier
1!717
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Dae
Inspector
Initi Is
Comments
-WWW Sheathing �f
1!717
Mff'
Abid -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
City of Wheat Ridge
Residential Roofing PERMIT - 201705570
PERMIT NO: 201705570 ISSUED: 08/07/2017
JOB ADDRESS: 4560 Saulsbury ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
*** CONTACTS ***
OWNER (303)204-5167 SISKAR DOROTHY A
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: 5,520.00
FEES
Total Valuation 0.00 orik
Use Tax 115.92 VIA I
Permit Fee 140.90
** TOTAL ** 256.82 J
*** 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.
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.
IV � A -i City of Wheat Ridge
Residential Roofing PERMIT - 201705570
PERMIT NO: 201705570 ISSUED: 08/07/2017
JOB ADDRESS: 4560 Saulsbury ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
I, by my signature, do hereby attest
applicable building codes, and all al
by the legal owner of the property a
this permit. I further attest that I am
performed and that all work to be pi
work to be performed shall comply with all accompanying approved plans and specifications,
municippal codes, policies and procedures, and that I am the legal owner or have been authorized
uthorized to obtain thispermit and perform the work described and approved in conjunction with
authorized to include all entities named within this document as parties to the work to be
J is�disclosed in this document and/or its' accompanying approved plans and specifications.
LI -
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accomanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit 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 issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an of any provision of any
applicab oor�an�y ordma or re ulat' n of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 31, 2017 1:59 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
Property Owner Email
Address
4560 Saulsbury St
Dorothy Siskar
303-204-5167
jwiles@interstateroof.com
�t-
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Siskar, Dorothy Contract 6-12-17.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Interstate Roofing
Name
Contractor's License
019938 ,DL
Number (for the City of
(( jjl,
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
GAF Timberline
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
21
material selected above?
Does any portion of the
No /
property include a flat
r
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
21 ,r
(pitched + flat) of all
l
N
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
house, 4:12 pitch
020
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-OcomINTE6PR-STATE'
- —ROFING BBB
Submitted To us �_PK- Date
Email e-VIPhone3 `�tf • S167Ait. Phone
Streetac,bo 5n) UN City State co Zip
insurance company �_r 7 Claim Y ®® Poiicv# Cla" 23 -ol-ib3
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 compan
unless you authorize the work and agree to pay for this additional work.
Shineie Manufacturer ti 0 'Arf— Tyke i I N114k L+ color ti In..
OTear off i layers of composition shingles ❑ Tear off one layer of wo*shingles,,,�Install Decking {�,rQSB) ! O-Qinstall new felt rL'� ��/(install pre -painted eave metal to code - Color Rro:vn Charcoal Tan gray Jhitev 1ni.
Vailey(s) will be closed ❑ Valleys will be open
Pf,Ridgels) to be color -coordinated
Azidge(s) w ,I be "High Prefile Ridge" color -coordinated shingles
$-install new Pipejacks rte.
;SLRep;ace Vents as needed A—e
A-pef as'n ch!m,evs and all wa'' abutment as needed and if possible (stucco or siding may be a deterrent)
❑ insta t of series ridge vent
Ins -.al ,. t. cf Ice & ,vaier sveid to code
Insta 42— na'is Per srmg e
�e Clear, c4' gi ers
b yea- ;. •tmanShip warranty
nterstate Roofing. Inc_ will provide general liability insurance coverage of $2,000,000. general aggregate
K Va,,e a magnetic sweep of driveway and yard for removal of any nails
a Remove a!'i debris resui g from above 'work
�� lL. ,Ap ,�-� - ►-yy� r�"►+� C
Sp a nstructons !•
The app'gx mate Doss cf the services based cn damages known at the time this contract is entrered 4s Ah
_�hg in
.._-r^ rh= scgoe 0f_w rk cv d ' h . in urn tion ,con rhe msura
` ` r r tc e ;f r deduC big i ne ❑nd� �w �• _ pay y rapes ui
'i. 'n rice for the insurance a^ roved sco e You wit:. be responsible to a or an up
a'e R^^= ? ^ir.. sHail become the tinal contract
the insurance company for additional work or increases in costs
ad C^a! 'k actho^zed ll you that the insurance company determines s not covered tiviihin he scope of coverage provided by your insurance
PO',, " p pmenta a+ms d tied by Interstate Roofing Inc. that are approved by
ontr `,� /}/j
become a a ,h._ ac.. VlJ enek These dates of service are sub ect to change due to unusual delays in
A roxirnate Dates of Service:
delays. or by any other causes beyond the reasonable control of Contractor
trayPC"a` on of materials, ordinary weather
Notice: ro t and causuaity insurance policy issued pursuant to part 1 of article e of title ate c.R.S., i
I! he prcpe • waive, rebate. or promise to pay, waive. or rebate all or par
+. y owner pians to use the proceeds of a p he Y
pa,; f he roofing work, Pursuanta to the ems ance c aim for paymenttfor work opahe covered residential property.
of any nsurance deductible appi
ee or' any
Terms:
1 (We) hereby authorize & instruct the insurance company &all lien Holders to include the name of Interstate Roofing, inc. as o complete any funding
subsegen`, foss drafts cr checks after ?eday's date as irwicated shove.
We) also authorize any legal representative and.'or agent of Interstate Roofing, Inc. to obtain nformatson necessary t P
process relative to the claim number referenced above. person any joss -drafts or checks gn myiour behalf an
i iwe} fo^.. d behalf of interstate Rooting.
r author.ze interstate Roofing, Inc. to pick uRn P o
e o'") 9 A/—? Q.n initialS:
Deposit Amount: �)t6V
interstate Roofing shall ho
materials at the residential
I (we) a9r
Date of Acceptance
a
Representative
Corporate Fleadqusrtets
..:;.: in A.ve.
80211vq z an
nn s otfii.a fnrt 7, 22 n 970.6
G014rat5o SP 9 P, 97ry-ga2T22 F. 970.682.1018
211,1 N Academy Blvd. T li tree 877.898.8144
cc cradc springs. Co 80909 y,i,,..,rlerstaier0D1 corn
710 d71 07r,i P 71Q 557 4444
,,,,Y_,..._ -
1010 s Greeley Highway
Cheyenne, WY 80211
P. 307.634.2553
Englewood, Co 80112.
(303) 397-7820
A 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: M c
Job Address: W"blo(-
Permit Number: '?
V-
I --
.L)
.❑ No one available for ins ection: Time �. - S D AM/PM
Re -Inspection require Yes No C -p J ! � ✓ �-
`
When corrections have been ina for re -inspection at 303-234-5933
Date: r Inspector ;;n..A"r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705570
PERMIT NO: 201705570 ISSUED: 08/07/2017
JOB ADDRESS: 4560 Saulsbury ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
*** CONTACTS ***
OWNER (303)204-5167 SISKAR DOROTHY A
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: 5,520.00
FEES
Total Valuation 0.00 orik
Use Tax 115.92 VIA I
Permit Fee 140.90
** TOTAL ** 256.82 J
*** 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.
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.
IV � A -i City of Wheat Ridge
Residential Roofing PERMIT - 201705570
PERMIT NO: 201705570 ISSUED: 08/07/2017
JOB ADDRESS: 4560 Saulsbury ST EXPIRES: 08/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 21 sq
I, by my signature, do hereby attest
applicable building codes, and all al
by the legal owner of the property a
this permit. I further attest that I am
performed and that all work to be pi
work to be performed shall comply with all accompanying approved plans and specifications,
municippal codes, policies and procedures, and that I am the legal owner or have been authorized
uthorized to obtain thispermit and perform the work described and approved in conjunction with
authorized to include all entities named within this document as parties to the work to be
J is�disclosed in this document and/or its' accompanying approved plans and specifications.
LI -
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accomanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit 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 issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an of any provision of any
applicab oor�an�y ordma or re ulat' n of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 31, 2017 1:59 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
Property Owner Email
Address
4560 Saulsbury St
Dorothy Siskar
303-204-5167
jwiles@interstateroof.com
�t-
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Siskar, Dorothy Contract 6-12-17.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Interstate Roofing
Name
Contractor's License
019938 ,DL
Number (for the City of
(( jjl,
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
GAF Timberline
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
21
material selected above?
Does any portion of the
No /
property include a flat
r
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
21 ,r
(pitched + flat) of all
l
N
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
house, 4:12 pitch
020
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-OcomINTE6PR-STATE'
- —ROFING BBB
Submitted To us �_PK- Date
Email e-VIPhone3 `�tf • S167Ait. Phone
Streetac,bo 5n) UN City State co Zip
insurance company �_r 7 Claim Y ®® Poiicv# Cla" 23 -ol-ib3
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 compan
unless you authorize the work and agree to pay for this additional work.
Shineie Manufacturer ti 0 'Arf— Tyke i I N114k L+ color ti In..
OTear off i layers of composition shingles ❑ Tear off one layer of wo*shingles,,,�Install Decking {�,rQSB) ! O-Qinstall new felt rL'� ��/(install pre -painted eave metal to code - Color Rro:vn Charcoal Tan gray Jhitev 1ni.
Vailey(s) will be closed ❑ Valleys will be open
Pf,Ridgels) to be color -coordinated
Azidge(s) w ,I be "High Prefile Ridge" color -coordinated shingles
$-install new Pipejacks rte.
;SLRep;ace Vents as needed A—e
A-pef as'n ch!m,evs and all wa'' abutment as needed and if possible (stucco or siding may be a deterrent)
❑ insta t of series ridge vent
Ins -.al ,. t. cf Ice & ,vaier sveid to code
Insta 42— na'is Per srmg e
�e Clear, c4' gi ers
b yea- ;. •tmanShip warranty
nterstate Roofing. Inc_ will provide general liability insurance coverage of $2,000,000. general aggregate
K Va,,e a magnetic sweep of driveway and yard for removal of any nails
a Remove a!'i debris resui g from above 'work
�� lL. ,Ap ,�-� - ►-yy� r�"►+� C
Sp a nstructons !•
The app'gx mate Doss cf the services based cn damages known at the time this contract is entrered 4s Ah
_�hg in
.._-r^ rh= scgoe 0f_w rk cv d ' h . in urn tion ,con rhe msura
` ` r r tc e ;f r deduC big i ne ❑nd� �w �• _ pay y rapes ui
'i. 'n rice for the insurance a^ roved sco e You wit:. be responsible to a or an up
a'e R^^= ? ^ir.. sHail become the tinal contract
the insurance company for additional work or increases in costs
ad C^a! 'k actho^zed ll you that the insurance company determines s not covered tiviihin he scope of coverage provided by your insurance
PO',, " p pmenta a+ms d tied by Interstate Roofing Inc. that are approved by
ontr `,� /}/j
become a a ,h._ ac.. VlJ enek These dates of service are sub ect to change due to unusual delays in
A roxirnate Dates of Service:
delays. or by any other causes beyond the reasonable control of Contractor
trayPC"a` on of materials, ordinary weather
Notice: ro t and causuaity insurance policy issued pursuant to part 1 of article e of title ate c.R.S., i
I! he prcpe • waive, rebate. or promise to pay, waive. or rebate all or par
+. y owner pians to use the proceeds of a p he Y
pa,; f he roofing work, Pursuanta to the ems ance c aim for paymenttfor work opahe covered residential property.
of any nsurance deductible appi
ee or' any
Terms:
1 (We) hereby authorize & instruct the insurance company &all lien Holders to include the name of Interstate Roofing, inc. as o complete any funding
subsegen`, foss drafts cr checks after ?eday's date as irwicated shove.
We) also authorize any legal representative and.'or agent of Interstate Roofing, Inc. to obtain nformatson necessary t P
process relative to the claim number referenced above. person any joss -drafts or checks gn myiour behalf an
i iwe} fo^.. d behalf of interstate Rooting.
r author.ze interstate Roofing, Inc. to pick uRn P o
e o'") 9 A/—? Q.n initialS:
Deposit Amount: �)t6V
interstate Roofing shall ho
materials at the residential
I (we) a9r
Date of Acceptance
a
Representative
Corporate Fleadqusrtets
..:;.: in A.ve.
80211vq z an
nn s otfii.a fnrt 7, 22 n 970.6
G014rat5o SP 9 P, 97ry-ga2T22 F. 970.682.1018
211,1 N Academy Blvd. T li tree 877.898.8144
cc cradc springs. Co 80909 y,i,,..,rlerstaier0D1 corn
710 d71 07r,i P 71Q 557 4444
,,,,Y_,..._ -
1010 s Greeley Highway
Cheyenne, WY 80211
P. 307.634.2553
Englewood, Co 80112.
(303) 397-7820
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:
OF
Job Address: TC: (i S I f J`
Permit Number: ? 0/7, S'70
❑ No one available for inspection: Time '/PM
Re -Inspection required: Yes;j'N9
*When corrections have been made, call "for re -inspection at 303-234-5933
A` F
Date: f 7// 7 Inspector: %
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A 1,010E
Job Address: q`16 d Sa v[5 bvl)l
Permit Number: JIDY70!El70
❑ No one available for inspection: Time Il`7 ' ! AM/PM
Re -Inspection required: Yes6_01)
When corrections have been made, call for re -inspection at 303 -234 -
Date: 1f 1 % Inspector: fiAl
DO NOT REMOVE THIS NOTICE
INSPE TiON ECORD.
OCCUpadcy ]TVDe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the budding site
_ x Call by 3:00 PM to receive inspection the following business day.
INSPECTO ST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:
INITIALS
Footings /Caissons -
Stemwall / (CEG) Concrete
Encased Ground _
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
:.Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
i;
ROUGHS
Sheathing ,
3
: Lath / Wall tie
t
Mid -Roof` _ 1
6e ` 1 Electrical Service
* `Rough Electric
Rough Plumbing
Gas Piping -
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing i
Mechanical
/.
Roof
Building Final
Fire Department' '
9
R.O.W B Drainage INSPECTIONS FOR PLANNING $ZONING, FIRE '�ND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PReO FINAL INSPECTIONS.
* *NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A r.
CERTIFICATE OF OCCUPANCY is ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONST(TUTEAUTHORIZATION !"
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. �` ` -
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
s A s CITY OF WHEAT RIDGE
f 303) uilding Inspection Division
(303) 234 -5933 Inspection line
235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: it L
Job Address:
Permit Number:
❑ No one available for inspection: Time r,' ;5 AM /PM
i Re- Inspection required: Yes No
When corrections have been made, cal/ for re- inspection at 303 - 234 -5933
Date: - i 41- In Inspector ?L , ..
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 Type:
Job Address:
Permit Number:
INSPECTION NOTICE
No one available for inspection: Time AMa
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234.5933
Date: 4'-f Vf Inspector:
DO NOT REMOVE THIS N TICS
♦ 16 4 i CITY OF WHEAT RIDGE
~-j Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _ Mid X&204
Job Address: 5 60 J -
Permit Number: GPI / Sr U
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, calf for re-inspection at 303-2345933
~
l1 Date: . Inspector:
A
DO NOT REMOVE THIS NOTICE
A"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: 4-66 U Sh J ~~oV rti
Permit Number: C'')~2 Z h
I No one available for inspection: Time . A PM
Re Inspection required: Ye No
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: (1)&4
DO NOT REMOVE THIS NOTICE ,
♦ 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
Inspection Type:
Job Address:
l~
Permit Number: 7 411
I
El No one available for inspection: Time/,~,::o % A/M1 hA
Re-Inspection required:,,Ye~) No
"When corrections have been made, call for re-inspection at 303-2345933
Date: 1 1 1 0 0°{ Inspector: 0,c 1
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r4000"'F (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0 i!do-
Job Address: 1~S! ; _ S , ;,1 s ? ✓~f
Permit Number: L5c ? t!/5'
El No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
'When corrections have been made, call for re-inspection at 303-234-5933
Date: 16-141-,,g? Inspector: ,9-V
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Sa1sr
Job Address: sr--
Permit Number: c9rr9779
4p .0aFo
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes
*When corrections have been made, call for re-inspection at 303-234-5933
Date:_ f3Flllre Inspector
DO NOT REMOVE THIS NOTICE
FRM"7171TOMMI
20092415
4560 Saulsbury ST
Reroof 27 sqs
ISSUED: 09/15/2009
EXPIRES: 05/14/2010
*** CONTACTS ***
OWNER (303)421.-3580 Dorothy Siskar
SUB (303)763- Lorin Hanson, 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: LTA / Unassigned USE: UA Unassigned
SUBDIVISION CODE: 0297 / TELLER MANOR BLOCK/LOT#: 0
*** FEE SUMMARY ***
*** 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
IN!
20092415
4560 Saulsbury ST
Reroof 27 sqs
ISSUED: 09/15/2009
EXPIRES: 05/14/2010
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DEPARTMENT OF PLANNING AND DEVELOPMENT
' BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number : 11754
Date : 2/5/2001
Property Owner :
Property Address : 4560 Saulsbury Street Phone : 3034213580
Contractor License No. : 17908
Company : Rock's Roofing Phone : 425 1083
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 rewrd; that atl measurements shown, and allegations
made are accurate; that I have read and ayree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridg ordinance~s, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED / ^t-~ . '//~<DATE -P '5-'0 1
Use:
Description : Remov@ three layers, installing 26 squares T-locks
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Construction Value :
$6,154.00
Permit Fee :
$139.25
Plan Review Fee :
$0.00
Use Tax :
$92.31
Total:
$231.56
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issuetl in accortlance wkh ihe provisions set (oM in yopur application antl is subjec[ to the laws of the Sfate of Coloredo and ro the Zoning
Regulations and Builtling Code of Wheat Ridge,COlo2tlo or any other applicable oMinances of the Ciry.
(2) This permit shall ezpire if (A) ihe work authorized is not commanced within sixty (60) days from issue date or (B) ihe builtlin9 authorizetl Is suspendetl or
a6andoned (or a perioU of 720 days.
(3) If this permit expires, a new pertnrt may be acquired for a fee of onahalf the amount normally require4 provided no changes have been or will Ge matle in the
original plans antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be palG for a new permit.
(4) No work of any manner shall be tlone ihat will change ihe naturel flax of water causing a tlreinage problem.
(5) Contreclor shall noUy the Buliding Inspector lwenry-four (24) hours in advance for all inspecUOns antl shall receive written approval on inspeclion wrd before
proceediing with successive phap osea of the job.
ule oregu ationtions shall not be consW etl to be a permit for, nor an approval of, eny violation of the provisions
the 11
(8) o
bmince of tle or i ayr,y~y~q rdinance aw, ~r9 tl
Building I
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 AppLICATIo N
PropertyOwner: Doroj'ky 515ka1"
PropertyAddress: J-f 5(pL1SaUlsbur~\ 5{'• Phone:3D3`~la~ y35sa
Contractor License No. ~jCi S' ~J
Company :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND
Pnone : 303 qoZ$ - /o83
Construction Value ~ i S .
Permit Fee :
Use Tax :
Total :
I hereby certify that the setback distanxs proposed by this permit epplication are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat RWge or
covenants, easements or restrictions of roeord; that all measuremenb shown, and allagations
made are accurate; that I have read and ayrce to abide by all conditions printed on this
applieation, and that I assume lull responsibility for comPhanea wkh the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this parmk.
(OWNER)(CONTR,4CTOR) SIGNED DATE
uar;
Description : 5 a.~fx+~5 I c^'~"'~~j ~ (o i7, 3 " f " °'~oCf~ .
° U
BUILDING DEPARTMENT USE ON
~
Sq. Ft. :
Approval :
Zoning : S g
LSYMing REcEI V~0
Approval : ~ 10,5 ?n~~ A0
Approval
Occupancy : Walls : Roof : i ntial Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiretion Date :
Approval:
Expiration Date :
Approval :
(1) Thia pertnit waa iaeuatl fn accortlance wNh Ma piovialona xt loAh in yoDur applin6on ond b aupjeC to the lewa o( the Shte ol Colorado anE to the Zoniny
Regulatlone enE BuilElny CoOe W Wheet Ridpe, ColonEO or any oMer sOWinOb adinances o( the Ciy.
(2) This permit shall mxphe d(ql the wak auC~orizatl ia not wmmenceC wiMin shcly (EO) tlaya Irom iasue Eete or (B) the buildinq sulhaizetl is suapenCee or
abantloneA for a nwri nr I 3n ns„a
(3) u Mis cemtt expiiea, a new pemmt may be aoqulree ror s tee o1 ono-natt the amount normeiy requirea, qoviaee no chanpea nave Exn a win be maee in me
onqinal plane anO apa~Jfieations antl arry wapenebn or aWntlonment haa rwt sxceeCeO me (1) yeer. tt Cunqas ere maAe or 11 suapension or aDS~onment
esceeda oiro (t) Yeer. NII kea ahall De paM for a new pertniL
(4) No vrork of arry manner shsll be done that will eharpe the natunl Ilow o1 water pusirq a dralnage probkm.
(5) Con1 r sUie Builtlinp Inapector Mronry-four (24) houn in advaMe kr all inspeNann end shall receive wriMen approvsl on inepectlm prd before
iutteani asof tlropb
(8) ~ ~e ~ ' e sl o! tlrawinqa arW apedfinbona ahall not be corotrueC Ip be a peimtt lor, nor an approval M, erry violation W Me provisbns
e ortllnanee, law, mk a repulatlon.
Chief Building