HomeMy WebLinkAbout4630 Saulsbury StreetX630 �avlis
201 ?Q�
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
Occupancy/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
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
Wall Sheathing
Sewer Service
Plumbing
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.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector Comments
Initials
Wall Sheathing
Landscaping & Parking / Planning Dept.
Mid -Roof
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.
Lath / Wall Tie
Floodplain Inspection (if applicable)
Rough Electric
Fire Inspection / Fire Protection Dist.
Rough Plumbing/Gas Line
Final Electrical
Rough Mechanical
Rough Framing
Rough Grading
Final Mechanical
Insulation
Roof
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
1
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
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT -
201705849
PERMIT NO:
201705849
ISSUED:
08/10/2017
JOB ADDRESS:
4630 Saulsbury ST
EXPIRES:
08/10/2018
JOB DESCRIPTION:
Residential Re -roof to install OC
Duration asphalt
shingles - 18 sq
*** CONTACTS ***
OWNER (303)421-7260 CONJURSKE MARIANNE R
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:
4,626.00
FEES
Total Valuation
0.00
Use Tax
97.15
Permit Fee
125.05
** TOTAL **
222.20
*** 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.
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:(L�(?sUfZ �l .
Permit Number: IZO CJS, h V 7
❑ No one available for inspection: TimePM
Re -Inspection required: Yes
*When correc ions ave been made, call for re -in tion at 03=234-5933
Date: Inspector:
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: tG-of:,--
Job Address: 4/ VO- 1
Permit Number: X61225 a
4"No one available for inspection: Time C,>�M
Re -Inspection required: Yes Co
When corrections have been made, call for re -inflection at.303;g34-5933
Date: 4�Inspector:
DO NOT REMOVE THIS NOTICE
.; City of Wheat Ridge
Residential Roofing PERMIT - 201705849
PERMIT NO: 201705849 ISSUED: 08/10/2017
JOB ADDRESS: 4630 Saulsbury ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 18 sq
*** CONTACTS ***
OWNER (303)421-7260 CONJURSKE MARIANNE R
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: 4,626.00
FEES
Total Valuation 0.00
Use Tax 97.15
Permit Fee 125.05
** TOTAL ** 222.20 (�
*** 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.
4
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201705849
201705849
4630 Saulsbury ST
ISSUED: 08/10/2017
EXPIRES: 08/10/2018
Residential Re -roof to install OC Duration asphalt shingles - 18 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 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 pert rm is disclosed in this document am it' ccom anying 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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 violation of any provision of any
applic e c e or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett '0 1705-W
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 3, 2017 12:17 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
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
4630 Saulsbury St(�
Marianne Conjurske
3034217260
jwiles@interstateroof.com
1;L2:u
,.$,
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
Coniurske Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Interstate Roofing
Name
Contractor's License
019938
Number (for the City of
r
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
O/C Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
18
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not omp/eted.
on the flat roof?
TOTAL SQUARES
18
(pitched + flat) of all
Pi
roofing material for this
proj ect
Provide additional detail house, 4:12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract moo,
value or cost of ALL ; r� i
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
referrallst-o com �f
NTERSTATE � •
------nn—-- — ROOFING 13gJs
Submitted To ccy L,r S4 .F_ Date - Y-1,2
Email Phone Alt. Phone
Street,30 y
t�oe City U k State (t ZipC3�
Insurance Company Atn Claim# _ 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
unless you authorize the work and agree to pay for this additional work. approved by the insurance company
q f
Shingle Manufacturer D c Type
- I FU
Tear off layers of composition shingles Tear off one layer of wood shingles
Install Decking (7/16" OSB) 11f000
install new felt
Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray W it int.,
( Valley(s) will be closed n r +in o en
j!1 Ridge(s) to be color -coordinated
/❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles
Install new pipejacks
,4 Replace Vents as needed
Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
❑ Install In. ft. of series ridge vent
❑ Install In. ft- of ice & water shield to code
�} Install nails per shingle
Clean out gutters
5 year workmanship warranty
1i Interstate 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
r Remove all debris resulting from above work,A
Ii
❑ Special Instructions � � !
The approximate costs of the services based on damages known at the time this contract is entered is 76 f%f 4,*,, % -
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
InterstateRoofing, Inc. shall tcome the fine! conUacf price foe the insurance approved scope. You will be responsible to pay for any upgrades or
additional work autF:orized by you that ttte insurance company determines is not covered within the scope of coverage provided by your insurance
policy. Supplemental claims bit ed by interstate Roofing, Inc. that are approved by the
become a insurance company for additional work or increases in costs
part of this contract. , � �� � C�.
Approximate Dates of Service: tG_ S These dates of sorvice are subject to change due to unusual delays in
transportation of materials, ordinary weath de{a 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 or, the covered residential property.
Terms:
1 (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any
subsequent 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.
1 (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:
Data: Ra . InitjaJ :
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 fr9pt & back of this agreement }
Date of Acceptance
Client Signature(
Representative
Corporate Headquarters Corrado Springs Otfice Fort Collins Office Cheyenne office
y Stack Ins. Agency
1000 w. 47th Ave. 2161 N, Academy Blvd. P. 970.4827722 F. 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd x205
Denver. CO 80211 Colorado Springs, CO 809o9 Tell Free 877.898.8144 Cha enne, wY 80211
R 303.763.9114 P. 303.789.3790 F. 719.471.9752 F. 719.5974444 www.interstaterool.com Englewood, Co 80112-3726
.307-634.2553 (303)397-7820
www.interstateroof.cam info@interstateroof.com
CITY OF WHEAT RIDGE �
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIONNOTICE
Inspection Type: Al 1 //
Job Address: %3o S 5�,,�- z
Permit Number:
❑ No one available for inspection: Time
MOW)
Re -Inspection required: Yes , No,,,
When corrections have been made, r re -inspection at 303 -234 -
Date:— Inspector:
DO NOT REMOVE THIS NOTICE
Permit#:201500273 Issued: 03/17/2015
Stipulations: Installation of New Gas Fireplace Including Gas
Line, Venting and Electrical.
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met.
Site Address: 4630 Saulsbury ST
#wner: CONJURSKE MARIANNE R
4630 SAULSBURY ST
WHEAT RIDGE • 80033-3535
IFICATE MUST BE POSTED BY FRONT DOOR rl�
COMMERCIAL OCCUPANCIES IN
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: `r`G 3U S ti�S�c..e y St
Permit Number: 20/ 5 00 2 7 3
❑ 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
Inspector:
DO NOT R EMOVE THIS NOTICE
4 1 CITY OF D
017 uIlding Inspection Division
d ' Inspection
• t 8929 Fax
Date:
Plan
, quitcling & Inspection Services Division
Perniit - .7"; t -
VV Ave , V%0 Ridge CO 800'1
Fax 3`03-23
Inspc. Reqi,tE st Llne, 303-1
BUilding Permit Application
(Complete all lik.)[ifiqlited areas)
Property Address:
___ q -
r o p e rt y Ow n e r (ph , pf Jr 1) -1 Phone: t)
-- tkqt�j�� ----
Mailing Address, (if i1ifferpot than propelly address)
Address: 3 ct,
City, State, Zip)�
Contractor
Contractors City License Phone: LO
Sub Contractors:
Electrical (;E Plunibing: Its
e. icenst City In #
Description of work: (Fully describe work to be performed - Attach additional sheet if necessary)
aa
0- Fcontract — VaJue of all work
i eN its 4 7�1 tic 5 5
o t.4 LeA C:l 6te—c-
Squares BTU's -------- —,-, Gallons Sq Ft,
Review Fee (due at time of submittal):
OWNEWCONTRAcrOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I het cly"'xi Illaf thc a Ctbacr distances propoNcd by thi's, permit application are accorate and do nor violate aj)plicablt: ordI111111CC",
mkl of fc!wlaIions or 11w Oiy rat \Vhear Ritbge I"- coveoai)M. ClISC010115 Or restriclionsof record 04)t ail Awwn stool
11,4deare accuralc khat I have rcm, mid aurcc w abide rivall condiii( p oil this apiflicalioll and that I assuille gall
ith al)tilicabic Ck,, or , \Vhv�i( Rid cod" and ordioances fill work under any j)vrmit issucd based out
this application: that I am tile iqtatl owncr or havc becit authorized by flic )e to owner of the property to periorm Ore* describcd work
ako mitholized h'^ V III le". - , r ofarty olutY tricludcd on this applic"Itiorl to list that en�
lit Oil this apphcafioll.
0\1� tOIJAER) �0\11(�Wlo rrt of (OWNER) (('()A7l?,4C/'0R)
- 11RE:
SIGNA DATE:
Z0raNG COMMENTS
Zoning
Reviewer:
BUILDING DEPARTMENT COMMENT&
Reviewer:
PUBLIC WORKS COMMENTS
Reviewer,
DEPARTMENT USE ONLY
k tDo V r, I
FIRE DEPARTMENIT:: C- 4)proved-! colllrneilrs E: (fSaPproved --. IV feview required I Bldg Valuation� $
PRODUCTS SHOPPING TOOLS WHY HEAT & CLO FMEPLACE SAFETY
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SUP,REME-130
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29-19
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19-1/8
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(0 2015 HEAT & GLO, ALL RICH TS RESERVED
r ♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
I (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: jr~ Fr s
Job Address: s// ~o {~gEP~~
Permit Number: +91P
a '
3 f~a~r~d. .dtdiadsdasirra~r sr -F
~'~1~//_ ,(tales lLt~~ mar/ »GIr~~
ac.
❑ No one available for inspection: Time , es AM/PM
Re-Inspection required: es No
' When corrections have been made, call for re-inspection at 303-234-5933
Date: ,</,-/n 2! Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 090188
PERMIT NO: 090188`: 'ISSUED; 03/09/2009
JOB ADDRESS: 4630 SAULSBURY.'. ST EXPIRES: 09./05/2009
DESCRIPTION:.. T/O resheath and reroof with 730 yr dimensional 30 sqs
**CONTACTS
owner 303/421-7260 John Conjurske
sub 303/237-2145 Travis Mudler 09-0039 3 Trades Roofing
PARCEL INFO
ZONE CODE: UA e. USE: UA
SUBDIVISION: 0009. BLOCK/LOT#: 0/;
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,310.06
FEES
Permit Fee ? 162.90
Total Valuation .00 'CDfbl
Use 'Tax 95.58 -
TOTAL 258.48
Conditions:`
6 nail installation & mid-roof inspection required. Board sheeting spaced more
thence 1/4 of an inch apart requires plywood overlay on entire roof
Subject to field inspections.
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 o£, 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
W HEgT
City of Wheat Ridge Building Division
al 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
o Inspection Line: 303-234-5933
OGORP~
Building Permit Application
Property AddressU ~o ~Ll Sby~ 1~
r
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Date:
Plan
Permit
Phone:
City, State, Zip:
Contractor:
Contractor License / Phone: :;O Z,23 Z7-
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): iCpC Construction Value: $
Description of work: (as calculated per the Building Valuation Data sheet)
lLk!° a ~~y Plan Review (due at time of submittal): $
/C 0 IRV &([V
Sq. Ft./L.Ft added: Squares 30 BTU's Gallons Amps
thereby 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) (CONTRACTOOi.} ~ PERSONAL REPRESENTATIVE o>ER) (CONTRATOR)
PRINT NAME: SIGNATUR§. - ' Date: r1;CelefY
DEPARTMENT USI
ZONINGCOMMENTS
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer
FIRE DEPARTMENT: D approved w/ comments ❑ disapproved 0 no review required
OCCUPANCY:
Bldg Valuation:
DtPARTMENT 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
Date :
Property Owner: MARY ANN CONJURSKE
Property Address : 4630 SAULSBURY ST
Contractor License No. : 18701
Company : ARS Rescue Rooter
Phone: 421-7260
Phone: 739-2993
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 (U.B.C.) and all other applicable Wheat Ridg o dinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED1DATE 1 Z O D~
Construction Value :
$3,800.00
Permit Fee :
$97.25
Plan Review Fee :
$0 00
Use Tax :
$57.00
Total
$154.25
Use:
13218
12/4/01
Description : EXCAVATE AND REPAIR SEWER LINE 31' FROM HOUSE TO SIDEWALK
L~
BUILDING DEPARTMENT USE ONLY
SIC : Sq Ft :
oft
Approvai :
Zoning :
Approval :
Approval :
Occupancy : Walls
Electrical License No :
Company :
Expiration Date :
Approval:
Roof : Stories
Plumbing License No :18701
Company :ARS Rescue Rooter
Expiration Date: 5/31/02
Approval : OKIKS
Cl\
Residential Units :
Mechanical License No
Company :
Expiration Date :
Approval :
(1) This permit was issuetl in acwrdance with the provisions set forth in yopur application and is subjec[ to the laws of the State of Colorado antl to the Zoning
Regulations and Buiiding Code of Wheat Ridge, Coloredo or any other applicable ortlinances of the Ciry.
(2) This permit shali expire if (A) the work authorizetl is not commenced within sixty (60) days from issue date or (B) the building authonzed is suspentletl or
abantlonetl for a period ot 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provitletl no changes have been or will be matle in the
original plans and specifications and any suspension or abandonment has not exceedetl one (1) year. If changes are matle or if suspension or abandonment
exceeds one (i) year, full fees shall be paid for a new permit.
(4) No work of any manner shail be done that will change the naNral flow of water causing a dreinage pmblem.
(5) Conhactor shall notify the Building Inspector lwenry-four (24) hours in advance for all inspections antl shall receive written approval on inspection card before
proceediing with successive phases oi the job.
(6) The issuance of a permit or the appmval of drawings antl specifcations shall nol be construed to be a permil for, nor an approval of, any violation of the
provis the builtlin codes or any olher ordinance, law, rule or regulation.
.
ChTeYBUilding I ector `
OCT 31 2001 08:37 FR KELLYS FFXlC 970 667 9470 TO 13034186037 P.03
11EPART1vWi OF PLAPtNIlVG APtD ABVELOPMENT ' Builmng Parmit Nimmbu:
BQII.DVJG IN6P8CCTON LYf1E - 303-334-5933 Date:
.
` C= OF FlBEAT RIDGL
~ 7560 W&4T 19TS AVENIIE
o h W$BAT RIDGE, CO 80215 -(503-235-285S) •
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Eleciricat L'ume No: Plumbmg LicenseNa Mechmicil License No:
Compmy; Compacy Compaay:
Bxpirntion Date: Expiration Date: ' Expiratioa DMe:
Appmvel: Approval• Approval:
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TOTAL PFlGE.03