HomeMy WebLinkAbout6530 W. 45th PlaceA ® City of Wheat Ridge
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Residential Roofing PERMIT - 201704642
PERMIT NO: 201704642 ISSUED: 07/24/2017
JOB ADDRESS: 6630 W 45th PL EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re-roof to install 0/C Duration asphalt shingles with 16SQ
house, 5/12 pitch
*** CONTACTS ***
OWNER (303)378-4809 LEONARD TAMERA M
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,510.00
FEES
Total Valuation 0.00
Use Tax 115.71
Permit Fee 140.90
** TOTAL ** 256.61
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required.. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704642
PERMIT NO: 201704642 ISSUED: 07/24/2017
JOB ADDRESS: 6630 W 45th PL EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install 0/C Duration asphalt shingles with 16SQ
house, 5/12 pitch
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 p rf rmed is disclosed 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 the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
nmawxmeoar«. ■mres
reierraiistoc NTERSTATE
ROOFING eBB
Submitted To _ 14(11 �� L�� L„��{ Date -7
Email a/ynruIry -- rd Phone _?as 37K-��57AIt. Phone
Street �6�G' L✓ `�5 � � CityGkr,Jsrc StateCG' zip .1b03��
Insurance Company f�'r Claim# e 3c Policy#
Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate
Roofing Inc.. however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company
unless you authorize the work and agree to pay for this additional work.
/ X
Shingle Manufacturer ��.��,,. Cv:!-� ,..� Type
�rJru'� is Color ll G.� Int.
Tear off >/� layers of composition shingles ❑ Tear off one layer of wood shingles
��.❑ Install Decking (7/16" OSB)
Install new felt X
'\ 1 install pre -painted eave metal to code - Color Brown Charcoal Tan Gray hite .�ij Y�_
L� Valley(s) will be closed ❑ Valleys will be open
Ridge(s) to be color -coordinated
\ LLLL1 Ridge(s) will be "High Profile Ridge" color -coordinated shingles
\y' Install new pipejacks /��.�"-/ &/, i Z /fr
Replace Vents as needed 4-� 4j" �'j
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
�r Install A)U in. ft. of ice & water shield to code
\� Install —4— nails per shingle '—
�1 Clean out �gutters% 5 year workmanship w nty
\ _ Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate
L� Make a magnetic sweep of driveway and yard for removal of any nails
Remove all debris resulting from above work
❑ Special Instructions? I t' ✓ sf y i �� G� �' 3 �y �s3;
The approximate costs of the services based on damages known at the time this contract is entered is / 27. Z' � t
interstate Rooting, 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 in costs
become a part of this contract.
Approximate Dates of Service: �S _ l 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 causuaity 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 ail or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of interstate Roofing, Inc. as co -payee on any
subsequent 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 mylour behalf and behalf of Interstate Roofing
Deposit Amount: �� G' / .
i Date: pg../3a �lru en. lnitiais
Interstate Roofing shall hold in trust any payment from th property owner until Interstate Roofing has at
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
Date of Acceptance
` -
Client Signature(si
Representative
Corporate Headq ers
Colo do Springs Office
Fort Collins Office Cheyenne Office
Black ins. Agency
1000 W 47th Ave.
2161 N. Academy Bivd,
P. 970,482 7722 F. 970.682.1018 1010 S Greeley highway
9600 E Arapahoe Rd #205
Denver. CO 80211
Colorado Springs, CO 80909
Toa 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.interstaterootcorn P. 307.634.2553
(303) 397-7820
www.interstateroof.com
info@intersiateroof.com
Dan Schultz
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, July 13, 2017 2:15 PM
To:
Permits CommDev
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
6630 W 45th PI
Tammy Leonard
3033784809
jwiles@interstateroof.com _
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
16
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
16 /
roofing material for this
project
Provide additional detail
house, 5:12 pitch
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5510
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant John Quante
Email not displaying correctly? View it in your browser.
3
♦ 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: 15,s. -1 Z1
Job Address: Ysr-d P.L.
Permit Number: 0
El No one available for inspection: Time tPM
Re- Inspection required: Ses — > No
* When corrections have been made, call for rr re-inspection at 303 - 234 -5933
Date: Inspecto
F
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
- Bung Inspection Division
r' (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSP CTION NOTICE
Inspection Type:
Job Address: ~3 pJ~
n '
Permit Number: In
N' A' rr
tM v ,CV\
kc
9 /
❑ No one available for inspection: Time ! AM/ M
Re-Inspection required No
When corrections have been made, call fore-inspection at 303-234-5933
Date: st Inspector: ~,k)SA4
DO NOT REMOVE THIS kOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, cail for re-inspection at 303-2345933
Date
♦ e CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 06 t a
Job Address: C. S 7 t; 4: 44 )'L
Permit Number: (_J C l l h J
?� 7
❑ No one available for inspection: Time 4/'090 AM /PM
Re- Inspection required: Yes
When corrections have been made, call for re inspection at 303- 234 - 5933
Date: ` _ /( Inspector:
DO NOT REMOVE THIS NOTICE
i vvvaM Vaa VaNa i`V V1111G 1 L1t1~111 U/111VJ
SUBDIVISION:-;. 0378' :i.BLOCK/LOT#: 0/:
FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,956.59
FEES
Permit Fee
108.30
F
Total Valuation
Use 'Tax
53.22
~
TOTAL
161.52
Comments:
g
r
w Eyr
City of Wheat Ridge Building Division Date: QS
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax 303-235-2857 Plan
o Inspection Line:` 303-234-5933
°LORPO Permit #:OC/j//3
Building P?e/~Jrmit Application
Property Address: l~.✓
- I
L
Property Owner (please print): 7~ kc C A Ve z,- Phone: j YS~ l?
Mailing Address: (if different than property address)
Contractor License ~l ~19~ g Phone:
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Approval:
Mechanical City License
Company:
Exp. Date:
Use of space (description): Construction Value: $ 'Z 3 Y~ , U
Description of work: (as. calculated per the Buil ing Zm Data sheet)
I A
~e od w lO t' , T30 Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 613- BTU's Gallons - Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: L.o r4 90r SIGNATURE: 1~w" afiYt Date: la-
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:.
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
FIRE. DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review, required
- 3 79'0
OCCUPANCY;
I Bldg Valuation: $~XC./ / tE " L • I
Contractor: y rrf~is ! ~7`~ j-qQOF;~7ct ) c .
CEPARThtENT OF COMMUNiTr DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M92I/17927
237-6944 EXT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO. THI$ PERMIT VALID ONLY WHEN SIGNED BY THE CHiEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PERMIT I
JOB ADDRESS ~L OWNER ('A` b c--C+ SC7Y1
CONTRACTOR I j) Y1.,P P.f RC7('Civ~.y=~ly-tA i v.r, ADDRESS LS3d '--IS*h AVC'.
ADDRESS L'I~A :~J b~G..('k cvny"I` J v~ ~ PHONE '42 2-ZIPCODEZ-30-3a
CITY ZIP CODE CUNTRACT P ICE $ a o- j J
PHONE ~'-'~'ZZ"C-~ JSlO LICENSENO. DATE ~ o~fn GrL- I. TYPE Ground ❑ Woll❑ Proiectin0❑ Other 5 or D Faes
2. MATERIAL
Total Squore Feef
SIGNS
3. ILLUMINATION Yes❑ No❑
7ype
Eleef. Permit No.
4 SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
Zone
_ Apprwad, Zone lnspector
(SVeeify which is froni)
❑
❑
❑ ❑
Disapproved
1. 7YPE Solido More Thon BO
% ODenO
Laae Thon 80°/a Open
MATERIAL
H•iphf
FENCES
3. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zono
_ Apprwed,2one Inepeetor
(SpecifywhieAiefront)
❑
❑
❑ ❑
Dieapproved
I.
O
2
`
THER
DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE,GIV{hu DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
w ~
z .
J
r
t-
z
SPECIFY NORTH
~
N
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TO- ADJOINING HOUSES,STREETS, AND PROPERTY LINES; ON IRREGULAR IATS,SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY l1PON VALI0ATI0N BY THE BUILDING INSPECTION DIVISION,
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZEBILIEGAI
FLOOR
BSM
IST
2ND
3RD
4TN
N0.
F11ELC'rcGeOneGa8011ProponeCodElxSolar
N0.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - 8TU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eronl Group
UTILITY(RANGE,DISPO5ER,ETC.)
AUTO.WASHER
pounds Char e
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
1 hereby acknowladga that this aDOlico-
PERMIT FEE
NOT VALID UNIESS RECEIPTE
sl6S7
fi0n ia Conect and undarsfond thot I
U$E TAX
cannof start this project unfil this opvli-
cation ie apOroved. I shall comply with
of the Stnfe oi Colorado ond to
th
l
TOTAL FEE
$
awe
e
the Zoninq Requlations and Buildinp
APPROVE
ARRR
DI^
~e~
Code of the City of Wheat RidQe. Any
~
J
violafion ot tha obove terme willcause
CHIEF BUILDIN INSPECTOR, City of Wheat Ridge
immediate revocation of this permit
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
Date Issued Z~~~_~ ~7 L__I FOR INSPECTIONS
4CDlicanb 9ipnamrA