HomeMy WebLinkAbout7205 W 27th Avenuec;6/70`2 7-3 rXF7
7�f'w, 2NAe- INSPECT iON RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
i
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
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector
Initials
Comments
Sheathing
A.
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roofinsi
r
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 - 201704073
PERMIT NO: 201704073 ISSUED: 07/15/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
25 sq.
*** CONTACTS ***
OWNER (303)963-9114 SMART TRENT W
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: 8,680.00
FEES
Total Valuation 0.00
Use Tax 182.28
Permit Fee 188.45
** TOTAL ** 370.73
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
r
1 N S P E G g i IN L C ,iii iU Occiwanc T3Te
INSPECTION ONLINE FORM: http://wwnn=.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
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
Wall Sheathing
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Mid -Roof
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 ADDroval Of The Above Insnectinn
Rough Inspections
Date
!Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
- —
Lath / Wall Tie
Rough Electric
-
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
i
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 o"` 1k L _,
Residentim t�i o i :10
PERMIT NO: 201705110 ISSUED: 07/31/2
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 07/31/201
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - ,
*** CONTACTS ***
OWNER (303)763-9114 SMART TRENT W
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Ir )rate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,285.00
FEES
Total Valuation 0.00
Use Tax 26.99
Permit Fee 53.70
** TOTAL ** 80.69
*** 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.
'2 - 0170 �7Iru
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-mthe rlav of thz inenon inn
O
Cf
c
c
u
pancy/Type
q_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
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To
Underground/Slab Inspections Date Inspector
Initials
Electrical
Sewer Service
roval Of The Above Ins
Comments
Plumbing
Do Not Covpr llndprnrniinrl nr Rnlnui/Ir,_CI.w4, 1A1 I- n..:_..
ions
Rough Inspections
-----
Date
--- —
Inspector
Initials
— v.--� V1%0 4A1 VI Ilia P1uVVC II1, ecuvns
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Kit
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
K
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 lnw vnlfnno nor—ifc — Dl000 hn •.. aL a _ .._� :___
w.,JP1VLVU 11V111 uIG nre ulsinci ano electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
fi
• City of Wheat Ridge
Residential Roofing PERMIT - 201705218
PERMIT NO: 201705218 ISSUED: 08/02/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 28 sq.
*** CONTACTS ***
OWNER (303)963-9114
SMART TRENT W
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:
9,383.50
FEES
Total Valuation
0.00
Use Tax
197.05
Permit Fee
204.30
** TOTAL **
401.35
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201705110
PERMIT NO: 201705110 ISSUED: 07/31/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 5 sq
*** CONTACTS ***
OWNER (303)763-9114 SMART TRENT W
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: 1,285.00
FEES
Total Valuation 0.00
Use Tax 26.99
Permit Fee 53.70
** TOTAL ** 80.69
*** 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.
City of Wheat Ridge
f
®r Residential Roofing PERMIT - 201705110
PERMIT NO: 201705110 ISSUED: 07/31/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 5 sq
I, by my signature, do hereby attest that the work
applicable building codes, and all applicable mur
by the legal owner of the property and am author
this permit. I further attest that I am legally authc
performed and that all work to be performed js di
performed shall comply with all accompanying approved plans and specifications,
codes, policies and procedures, and that I am the legal owner or have been authorized
obtain this permit and perform the work described and approved in conjunction with
to include all entities named within this document as parties to the work to be
--d in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
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
applies, jode 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.
Dan Schultz
i7�� I '
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 21, 2017 1:22 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
7205 W 27th Ave DL
Trent Smart
3037639114
Field not completed.
f
a
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business Interstate Roofing
Name
Contractor's License 019938
Number (for the City of ��
Wheat Ridge)
Contractor Phone 3037639114
Number
Contractor Email Address jwiles@interstateroof.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
jwiles@interstateroof.com
No
O/C Duration
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 5
material selected above?
Does any portion of the No /
property include a flat Cl
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 5 /
(pitched + flat) of all
roofing material for this
project
2
Provide additional detail GARAGE
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 L��
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
re1errauS1<j) c9m J7TEXRSTATE
OOFING t
Submitted To 7 A4Date '+
Email t;t w;r��rt,t-A 1 4 e_rzA — Phone 303 -`/?-`f d2Q2 Alt. Phone
Street -7d-o5 w i4t, d 7 T,l City "fgfji4�L.. State CC)
Insurance Company Claim# ` J (_,;Ls~! ,P)1� Polic #
Y —
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
aniess you authorize the work and agree to pay for this additional work.
Zip _:�3
2/'Tear
off ALL. layers of composition shingles ❑ Tear off one layer of wood shingles
(]/Instal! Decking (7,116" OSB)
®/ ffisiall new felt
nstall pre -painted eave meta' to code - Color Brown Charcoal Tan Gray White int.
'Ilailey(s) will be closed ❑ Valleys will be open
® Ridge(s) to be color -coordinated
❑ Idge(s) will be "High Profile Ridge" color -coordinated shingles
[� install new pipejacks
t\
eplace Vent .00'' ctj Q, y
Y
VRe-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
�j !n talkg�v+— In. ft. of icor & water shield to code �,`�� n
�UaIW
nails per shingle(
gutters15tr��ttirlXQAq tLK Wrnd nSJ�J 1C�E �r�yyyy
ear workmanship warranty /
[fid }nterstate Roofing, Inc. will provide general liability insurance coverage of $2.000,000, general aggregate
eke a magnetic sweep of driveway and yard for removal of any nails
rSremove all debris result in from above work f #
pec,al Instructions 1 °t
$The approximate costs of the services based on damages known at the time this contract is entered is
ia,ayg
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 scrape 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. j %
Approximate Dates of Service: _71r7t-- t 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:
It 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 rooting 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 Rooting, Inc. as co -payee on any
subsequent loss drafts or checks after today's date as indicated above.
t (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:$ 1?IR 31 9
Interstate Roofing shall hbld in trust any payment from the property owner until Interstate Roofing has a ivered roofing
materials at the residential property site or has preformed a majority of the roofing work on the property.
1 (We) agree, by signing below, to all the contract conditions, both front & back of this agreement -17
Date of Acceptance b�7�1 Client
Representative ��—
Signature(
Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Slack Ina. Agency
1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970 482.7722 F. 970.682.1018 1010 S Greeley Highway 9600 c Arapahoe Rd #205
Denver. CO 80211 Colorado Springs, CO 80909 Tali Free 877-898.8144 Cheyenne. WY 80211 Englewood, Co 80112-3726
P 303.763 9114 F 303.789.3790 P 719 471 9752 F. 719.597.4444 www interstateroof corn P. 307.634.2553 (303) 397-7820
www.interstateroof.com info@ interstateroof.com
City of Wheat Ridge
Residential Roofing PERMIT - 201705218
PERMIT NO: 201705218 ISSUED: 08/02/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 28 sq.
*** CONTACTS ***
OWNER (303)963-9114 SMART TRENT W
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: 9,383.50
FEES
Total Valuation 0.00 PAID Use Tax 197.05
Permit Fee 204.30
** TOTAL ** 401.35 ---^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.
City of Wheat Ridge
�'. Residential Roofing PERMIT - 201705218
PERMIT NO: 201705218 ISSUED: 08/02/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 28 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 roperty and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this penmt. I further attesthat I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disosed in this document and/gr its' accompanying approved plans and specifications.
!7 I
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature o3f�fi'i_ring Offici'ai"""'_j 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:
Tuesday, July 25, 2017 1:14 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories:
Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in .�
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
7205 W 27th Ave
Trent Smart
3039639114
Field not completed.
t A-0 1 .-5 S--
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attach Copy of Contact KM C554e-20170619151025.pdf
CONTRACTOR INFORMATION
Contractor Business Interstate Roofing
Name
Contractor's License 019938
Number (for the City of
Wheat Ridge)
Contractor Phone 3037639114
Number
Contractor Email Address jwiles@interstateroof.com
Retype Contractor Email jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
Are you re -decking the (Les
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
TOTAL SQUARES
(pitched + flat) of all
jwiles@interstateroof.com
Asphalt
Field not completed.
28
No V
Field not completed.
28 \/
6
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)
REDECK permit for house and garage
gAnn 38-3.50
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
rofcrralistocom fNT-EIRSTATF
Submitted To
ROOFING
Qk
��}—�--- a Date _6 /
Email � �Liee.>,r.,. �t-�„w. Phone Alt. Phone
Street --7cW,5 131i aft a Z ""cityr (ice` n�
State Co Zip ift-'23
Insurance Company Claim#Policy#
Scope of Work and Materials to be Provided. The scope of work arta 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
Ga/"ear off All layers of composition shingles
,_,/
install Decking (7!16" CSB) , � W04
stall new- feit �j
stall pre -painted eave metal to code - Color Brown/"",
Tan
/i Vailey(s) will be closed
® Ridge(s) to be color -coordinated
❑ Tear off one layer of wood shingles
�S
Gray White int,- _
valleys will be open
❑lR dge(s) will be "High Profile Ridge" color -coordinated shingles
instaii new pipejacks
iV
eplace Ventsd ct,'v4t p,�
Re -flash chimneys and all wall abutment as needed and it possible (stucco or siding may be a deterrent)
❑
install
pp�� '''' In. ft. of series —ridge vent
��J �In tail+— In. ft. of ice & water shield to code !1�
tfd"�ea,
nails per shingle (�
gutters
stt [12 tk�iLr7tLr�4l�mr �e�r �( �wv.�jcvt
a / kmanship warranty O '® l/
��terstate Roofing, Inc. will provide general liability insurance coverage of 52,000.000, general aggregate
�ake a magnetic sweep of driveway and yard for removal of any nails
remove all debris resuItin from above wor
peciai Instructions Lia
The approximate costs of the services based on damages known at the time this centrad is entered is $ +,.°2 r d- V —! • d
Interstate Roofing, Inc.. however. will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate 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
policv. 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. ��% (1�
Approximate Dates of Service: ,7� These dates of service are subject to change due to unusual delays in
transportation of materiais, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor
Notice:
It the property owner plans to use the proceeds of a property and causuaity insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S.. to
pay for the rooting 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
subseguen' 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: I 1 3. 97
Interstate Rooting shall hold Intrust any payment from the property owner until Interstate Roofing has i
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 G�Zzl > Client
--r
Representative 1 ��
_--
Signature(
Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Black Ins. Agency
1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970.482.7722 F, 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205
Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144 Cheyenne. WY 80211 Englewood, Co 80112-3726
P. 303.763.9114 F. 303.789.3790 P. 719-471.9752 F. 719.597,4444 www interstateroof.00m P. 307.634.2553 (303) 397-7820
www.interstateroof.com info@ interstate roof. com
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTI(C
� �
Inspection Type: M ) J
Job Address: 7 Z d S' W 27T
Permit Number:
1,- 1, ( r 11 1
❑ No one available for inspection: Time k, AM16M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: / ` ./ �/ Inspector: kl\
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line_:�9r
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: < Vt-
Job Address: ?" f i,,-, Z 7'
Permit Number: -7 u!-70 F it u t -
C�.(�
r
❑ No one available for inspection: Time r ! f 4m/PM
Re -Inspection required: Yes Nb
When corrections have been made, call for re -inspection at 303-234-5933
Date: X110z Inspector: ' �`-
J
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704073
PERMIT NO: 201704073 ISSUED: 07/15/2017
JOB ADDRESS: 7205 W 27th AVE EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
25 sq.
*** CONTACTS ***
OWNER (303)963-9114 SMART TRENT W
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: 8,680.00
FEES
Total Valuation 0.00 PAID
Use Tax 182.28
Permit Fee 188.45
** TOTAL ** 370.73
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704073
201704073 ISSUED: 07/15/2017
7205 W 27th AVE EXPIRES: 07/15/2018
Residential Re -roof to install Owens Corning Duration asphalt shingles with
25 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
pert o ed and that all work to e pertbrmef� is disclosed in this document and/or its' accompanying approved plans and specifications.
7 l . // ®i7 1i)-1
Signature of OWNER or CONTRACY'OR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any o ddinance or regulation of this ' risdiction. 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
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 6, 2017 12:07 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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 7205 W 27th Ave
Property Owner Name Trent Smart
Property Owner Phone 3037639114
Number
Property Owner Email jwiles@interstateroof.com
Address
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Interstate Roofing
Contractor's License
019938
Number (for the City of
Wheat Ridge)
Contractor Phone
3037639114
Number
Contractor Email Address
jwiles@interstateroof.com
Retype Contractor Email
jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No ;%
roof?
Description of Roofing
O/C Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
25
material selected above?
Does an portion of the
Y
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
25
roofing material for this
project
Provide additional detail
house, 4:12 pitch
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 8680
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jeremy Wiles
Email not displaying correctly? View it in your browser.
3
P,8q A10adtr olfan WtlNi -.-.--.-_. -
roforralisto-co JN_T L RSTI
- --- ---- ROOFING rt
Submitted Toj} t Date -cim7
Email A.'�,_�lri .G; ,�,�• Phone3-`%/?-a Alt, Phone
Street 7c�2C} cJ tiU a a - - a Z r r� _ City (—ne_ State CCS Zip 3
insurance Company _ _ Claitnfl 7 j�'//� Policytt
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 cart 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.
hingIg Manufacturer T Color
,�/Tear off i�L �-- layers of composition ❑ Tear off one layer of wood shingles
Install Decking (7%16" OSB) ]b{
staff new felt J AU �� /f�
(�J jnstall pre -painted eave metal to code - Color Brown 1-Z.—
Tan Gray White int.!
1� alley(s) will be closed ❑ Valleys will be open
7J Ridge(s) to be color -coordinated
❑V0 idge(s) will be "High Profile Ridge" color -coordinated shingles
stall new pipejacks
Veplace Vents cUti�{
Re-flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
❑ Install
FP '' �''�'' nn In. ft. of series ridge vent
�_��In tall yv_+— in. ft. of ice & water shield to code N,
(� I tahalls per shingle(
gutters5l r �fUl+UC 2 d�1X 1� intl wilv+r.ZA 7�
�
ear workmanship warranty /
�terstate Roofing, Inc. will provide general ;iabifity insurance coverage of $2.000,000, general aggregate + -
�,vF,ake a magnetic sweep of driveway and yard for removal of any nails � I � ����
emove all debris resuitin from above work
special ins t uctions 2MAi.7
The approximate costs of the services based on damages known at the time this contract is entered is $1 a �0 vq.
Interstate Roofing, Inc.. however. will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds. with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate 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 ,n 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 10 section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or par
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
subsecl :enl loss drafts or checks after today's date as indicated above,
i i Wef also authorize any iegaf 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:$ P� JR5, " *L/)Date: OL ReD. Initials:6/1
Interstate Roofing shall hold in trust any payment from the property owner until interstate Roofing has a Ivered 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 -7 -7 Client
RepresentativeI,
t �-
Signature(sy/
Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Stack Ins. Agency
1000 W- 47th Ave. 2161 N. Academy Blvd. P. 970 482.7722 F. 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205
Denver. CO 80211 Colorado Springs, CO 80909 Toll Free 877.698.8144 Cheyenne, WY 8027 7 Englewood, Co 80112-3726
P. 303.763.9' 14 F. 303-789.3790 P 7,9-471.9752 F. 719.597.4444 www interstateroof.com P. 307.634.2553 (303) 387-7820
www.interstateroot.com info@interstateroof.com
^"~pARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 2580
SUlCpING INSPECTION DIVISION - 235-2855 Date : 2/5/96
CITY OF WHEAT RIDGE
75001NEST 28TH AVENUE
WHEAT RIDGE, CO 80215
property Owner. FARRIS LINDA L
Property Address : 7205 27TH AV Phone : 462-0963
Contractdr License No. :
Company : Phone :
CJWR1EWCONTRACTOR SIGNATURE OP UNDERSTANDING AND AGREEMENT
I Miratxjr rat ene ssmack disc■ncaa a~aed br m+s aem~a appiia~oo .ro aca,re~e,
YW #~K 1id~tli ippIkabb ordinaneosNles w repulaUons of the Cily of YVheat RWge or
~r~ pr rasMqipns pf record; that aB meaau~omeMS shown, and epegatans
.rtq~~ltaa#oi{ , qqR I have reed antlag ree M abideby alt conditlona printed on this
#nd~at I. assume fufl responsibUttv tor comdance vrith the Wheat Rklge Building
8.~.) and aN. ~her applkabb Wheat Rfdga ordina ces, tor work under this permil
((~yYWER~GO1+fTRACTOR) SIGNED ` DATEj~~~„~O
pescfiptjptt : REPLACE SPLIT RAIL FENCE
ConstrucGon Vaiue :
$530.00
Permit Fee :
$17.00
Plan Review Fee :
$0.00
Use Tax :
$7.95
Total:
$24.95
BUILDING DEPARTAAENT USE ONLY
SM-R-2 215186 FENCE IN SIGHT TRIANGLE CANNOT EXCEED 42"
Zoning :
Walis : Roof : Stories : Residential Units :
~t} ~a
9r
`W tli
~S d
~
4
No; Plumbing License No : Mechanical License No :
Company : Company :
Expiration Date : Expira8on Date :
Approval : ApProval :
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e rbw~ maY ~~ketl tu a fea of rnehaM the amamt nanrAY reQUirad,~ m chsnpee hfw DMn a vAtl De msAS In IM
or abendonmeM liat mt axoee0ad ona (7) Y~. lf dienpm6 xa made a tt w~P~sbn a aWndorxnent
Yrr~ NN (eef MM W WIA~ DertMt
es done n~,wu dierwe me reaual now awahr eN,exro. ar~rape wowem.
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1~t~~or bpvanty-1a, (sq noun ~n eava~e ror ai~ ~n.a~ end atnu iecalvs wA~ eav^~ ~~^weeUon eard earae
~das
a
~d ~npe arW~W~~ s ehdl not be com4uetl b 6e a P~ larnor en appiowl d. enY vbMbn of IM Provhbns SIGNED
IEF 'fHIS PERMIT CALL~ 2ONLY 34.59 3 24 HOURS PRI R TOHN PECTION G INSPECTOR
m
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
Property Owner:~
Property Address Phone : 303 -qG,) -091G-S
Contractor License No: :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certAy that the selback distances proposed by this pertnit application are acwrate.
antl do not violate applicable ordinances, rules or regulations ot the City of Wheat Ridge or
wvenants, easements or restrictions of record: that all measurements shown. and allegations
made are aecurete; that 1 have read and agree ro abide by all conditions printetl on this
application, and that I assume tull responsibility for compllance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable Wheat Ridge ordinances, for work untler this pertnrt.
(OWNER)(CONTRACTOR)SIGNEQ~~,c.G~~,.~L~.✓~ DATE e C1
Phone :
ConstructionValue: 5-3u.UL>
Permit Fee :
Use Tax :
TOWI :
Description: C&'- P/_A PC r,' , I;
D~' n. f
- . . .~v~v. v
6
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning : i~z
Approval:
Approval:
Occupancy : Walls
Roof : Stories : Residential Units :
Electncal License No : Plumbing License No Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
~ Pfans Re'qu(redI ~ Plans Required .I P;fSt►s;f.t8qui
(i) 7his permit was issuetl in accordance wrth the provisions sel lorth in yopur appucabon antl is suOjM to the laws ot the Stale of Coloratlo ana ro the Zoning
Regulanons anE Builamg Cotle of Wheat Ridge. Coloraao or any other aDPiiwble ortlinances ol the Ciry.
(2) ThtS permrt 5hall exprt2 il (A) the work aulhonzetl is not fqmmenteE within 5izty (60) days frOm issue date o! (8) the bUdEing authOni2tl i5 SuSpEntleE or
aDanEOneu lor a peno0 of 120 Cays.
(3) ❑ this permd expires, a new permit may be acqwred lor a fee of one-half the amounl normauy reQwreQ provltleC no changes nave been or x+ll Oe maCe in the
original plans an0 speGfiCations anE any suspension or abanGOnment has nol exCeetlM one (1) yeaG If chanqes are maEe or il suspension or aCantlonment
exceetls one (1) year. tull tees shall be paltl Por a new permiL .
14 1 No work ot any manner shall be tlone Ihat wdl change the naNral flow of water causing a Grainage pm0lem.
(5) Conirector snau noury tne BuilCmg Inspector hvenry-four (24) nours m a0vance ror an inspecuons ana snali recerve wntten aoprovai on mspecuon wrc oerore
oroceednng with successrve phases ol the job.
i61 The asuance of a permn or the approval ol tlrewmgs antl sDecifications shall not be construea to De a permrt for. nor an a00rovai o/. any vwianon of the provisons
of the budtling cotles or any other ortlinance, law. rule or regulation.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
' L A N D S U R V E Y I N G
6460 WARO RoAD • SViTE 180
ARVnDn, CoLoRr,60 80002
13031 420•4790
IMPROYEMENT LOGATION CER7IFICATE
Attn: NO NAME
1
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b«
Y F'
~n
~
84 24
_ _ . . _ C"^'T~l""I w N
i^
~
0
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P~
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r
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w
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r
qztc
-25'
~205 W, 21 TH A"l E
( S0* R,O,W. 1= 20
e wae rered for
On th9 bdfJ6of my kncwlBd9s. I~qTT1e~on 8nC U811ef, I her oby , CBrtky that e ImptGv ment Id'Am t _.K I nd SUNey Plat
~~(~gp N~►,~f Othef ~Ui4rA
t~ ~n°It~a~~R~ ^Ot to relted upor for the eatantlsm mnt of fenco, buildin Ce t util~ty
oY ImproveMOnt Suro9y~a
improVernent tlnea• I further ceRltY tnet tha Im ovamente o the eoovo tlescr ed percal on tbis dete. ~Cp
pt as Ind catrd end thet there ~n na a pc~ o~Y $N e~ce o
connoctlone, eta entKay wdntn tha DourxfeAee oT ^9 P~~1eee, e ce e
de9aribed (xerMSes by Improvemante on eny adJo I
tlgn of any eeesrt+ant crossing or burdening any p rt ot eeid FHrc t, except as no „etl'IJJ m~•r n'^'n> "^'r ro"
t ~g h ~ U rmwr tnan ten S'saro Me dnro W
"NpMCtI Aetddin9 t0 CIXorado lew yw mWt G06, en~dsl i M~~E F9 %
e~Pistciiemca ennodw°n n°Qere n ~nt mey env e,non
h i8 n1y IntlrPteleNon th91 th9 abovB deacdb0d
Pro"rtY A5esi9r.'' ior,MQw+Rinet00
..._....,.~r.e,.,,innxManhseedanfaderdl . ~ 27
C-
bare f~e/84 "E 80.00 JoB# 94-1958
MoarcncE co. GLOBAL FINAIJCIAL
n
ADDRESS * mYe
BORROWEq5 NAME FARRIS
ICOAL UC6CRIPTiOIV
1r,11 CIIIMTI
' L07 9 F.XC~P7 'fHE NORTH 10 FEET ~
THERO~, 1iELLMANS RESUBDZVISIOhi,
COUNTY UF JEPfERSON, STATE OF
COLORADO
L J
LL
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-424
%S~/
-
Date :2/24/95
Property Owner : FARRIS LINDA L
Property Address : 7205 27TH AV
Contractor License No. : 17202
Company : Stahl, Inc.
Phone: 425-9400
Phone: 469-1917
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby ce rtify that the setback distances prop
and do noC violate applicable ordinances, rules
covenants, easements or restrictions of record
made are accurate; that I have read and a 01t
application, and that I assume full responCode (U.B.C.) and all other applicable Wh (OWNER)(CONTRACTOR) SIGNED j I
Description : REROOF
dt application are accurete,
:he City of Wheat Ridge or
nents shown, and allegations
nditions printed on this
iith the Wheat Ridge Building
for work under this pertnit.
} 7T/._ 4
Total
$2,844.25
$54.00
$0.00
$42.66
$96.66
Electrical License No :
Company:
Expiration Date :
Approval:
0
Plumbing License No :
Company :
Expiration Date :
Approval :
.
Construction Value
Permit Fee
Plan Review Fee
Use Tax
Mechanical License No :
Company :
Expiration Date :
Approval:
0
(i) This pertnit was issuetl in accordance with the Drovisions set foM in yopur application an0 is subjecl N the laws of the Slale of Coloratlo and to the Zoning
Regula6ons and Builtling Code of Wheat RitlBe, Coloredo or any other applicable ordinances ofthe City.
(2) This permit shall "plre if (A) the work authonzed is not wmmenced within sixty (80) tlays from issue date or (B) the building authonzed is suspentletl or
abantlonetl for a period of 120 Gays.
(3) If this permit expires, a new permit may be acquiretl tor a fee of onehal( the amount normaly requireQ provided no changes have Deen or will be made in the
onginal plans anO specifications antl any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abanaonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done ihat will change the naturel flow of water causin9 a drainage problem.
(5) Contraclor shall notify the Building Inspector twenry-(our (24) hours in atlvance for all inspections antl shall receive wntten approval on inspection cartl before
procee0iirp with succassive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be wnstrued lo be a pertnit for, nor an approval of, any violation of the pravisions
of thepuilding cQtles or any other orCinance, law, rule or regulation.
Iding'Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF GOMMUNITY DEVELOPMENT
BUILDWG INSPECTION DIVISION PERMIT N0.
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED
JOB ADDRESS 7
~
CONTRACTOR
ADDRESS 7711 ~62• I"OtxJ ~k
CITY ZIP CODE
PHONE LICENSENO.
L TYPE Ground❑ Woll❑
2. MATERIAL
SIGNS 3. ILLUMINATION Yaa❑ No❑ TY7°
Y LME N-_ S-- E
4. SET BACK FROM PROPERT
❑
(Spacify which is f ronl ) ❑
~
I. TYPE SolidO Mors Tnon 80% OGa^~
MATERIAL -
FENCES 3 SET BACH FROM PROPERTY LINE N__
($Petify whicA ie }ront) ❑
~pJ'7r".~7.~z~ I &I v . QCI.
2~~O
OTHER
3.
AND RECEIPTED BEL'Jw.
_LANEOUS rtrcm~ i r
OWNER ~ ~ 11ileJ -
ADDRESS 7'~ 05 4 a 'q 7~ i'L%~ -
PHONE ZIPCODE
; , . . -
CONTRACT PRICE $ ~ ~ y y• ~ ~ -
DATE `9- /_-Z
Proieelinp❑ OMer S or D Foee
Total Squon FeN
ElW. Permit No.
yy Zom_ Apprwed, Zone Inspeetw
0 11 DisoDMa'b
lats Thon 80% OM^
E_ W Zone_ ADDrwed,Zone InsPeeta
❑ ❑ _ DisaDProved
pRAW $ ETCH OFt SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIN3 71STANCES FROM PROPERTV IINES.
(SETBACKS OR PROJFCTIONS INCIUDED)
~
SPECIFY NORTN
STREET NAME
SHD STANCE N TO SPROPERTY LINESBNOTDIMAXIMUMJOR IA ERAGEEDISTAN E S,AND PROPERTY LINESiON IRREGUTAR LATS, S110W LEESI
qPPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS FkPPLICATION WILL BECOME A PERMIT TO PERFORM THE INOICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSl1ANCE IF WORK IS NOT STARTED WITHIN THAT TIME RMIT
E:LECTRICAL PERMIT
STATE t_ICENSE N0.
1MINUM'JJIRE UNOERSIZE 8 ILLEGAL
[NE PORARY METER _
ERVICE - AMPS
NGE SERV ICE-QMPS
T W G
fING
ER SU6-CIFCUITS
.ITY (RAN6E, DISPO5ER, ETC.)
FIXI'URES
WIRING MOTORS 9 CON7ROL5_
SIGNS
TRANSFORMERS B RECTFIER$
wnniriniu 7n OLD WORK
I herlby ocknowledQe ihat this apDlita-
fion is ton'ec1 and undeistond tnat I
eannor stort this project until tnis ovoli-
toti0n if apDroved. I sl+all comply with
tpe Iaws ol the SIa1e of Colorado and fo
ths Zoninp Repulations ond Burldinp
Code of tl+e City of Wt+eat RidQe. QnY
violalion of the above terme will tause
immediote revocation of thie Dermit
PLUMBING PERMIT
STATE LICENSE NO
FLOOR BSM IST 2N[
WATER CIASET
WASH BOWL
BATH TUB
SHOWER
SINK
GARBAGE DISP
WATER HEATER
AUTO.WASHER
DISH WASHER
FLOOR DRAIN
URINAL
SEWERS
OTHER
TOTAL FIXTURES
PERMIT FEE
USE TAX
TOTAL FEE
a. ~ 6
$ ~ ~j • (O C^
APPROVED
DISAPPROVED
GHIEF BUILDING INSPECTOR,City of Wheat Ridge
MECHANICAL PE
NOT
I D0t¢
91qm~ur•