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4600 Upham Street
�+ INSPECTION RECORD -- INSPECTION REQUEST LINE. (303) 234-5933 °°° 'tee �. Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Wall Sheathing Foundation Inspections Date Inspector Comments Initials Final Electrical Pier r ZA7 &; Concrete Encased Ground (CEG) Lath / Wall Tie Roof Foundation / P.E. Letter Final Window/Doors Rough Electric " Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date InsInt ectactor Comments 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 Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof r ZA7 &; 4-7 / /t! Lath / Wall Tie Roof Final Window/Doors Rough Electric " 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. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits -- Please be cure that rough inspections are completed from the Fire District and PiPctrical low voltage by the Building Division. For notification of your assigned inspection time window please email i�nicrequestw ci.y heatridgexo.us by 8:01) :-. M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201702606 PERMIT NO: 201702606 ISSUED: 06/27/2017 JOB ADDRESS: 4600 Upham ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 34 sq. *** CONTACTS *** OWNER (303)549-4185 HAWLEY DEAN B & MARY KAY SUB (303)76379114 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: 8,738.00 FEES Total Valuation 0.00 Use Tax 183.50 Permit Fee 188.45 ** TOTAL ** 371.95 *** 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 Ai, -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 manufacturera€T"s 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's 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. City of Wheat Ridge :4r Residential Roofing PERMIT -201702606 PERMIT NO: 201702606 ISSUED: 06/27/2017 JOB ADDRESS: 4600 Upham ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 34 sq. 11 by m 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 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 I?�ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be perfo is disclosed in this document and/or its' accompanying 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, po plans 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 original permit fee. 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, 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 of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick C t7 b(;� 606 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 9:32 AM 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. 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. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 4600 Upham St Mary Kay Hawley 3035494185 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name Interstate Roofing $ 377 1 .9 'S- Contractor's License 19938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No VZ roof? Description of Roofing Owens Corning Duration Material How many squares of 34 material? Provide additional detail house, 5/12 pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract Z92019 - 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 01 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. nwarnioararam area --- — -.- referralistocom N rERSTATE - --- -- - ROOFING Submitted To_E44 pe, Email _ J TOL id A Phone3'J �S` % `l I Y5 Alt. Street terM. insurance Company Claim# ACCREDITED BUSINESS Phone City � /7/ .� State C Zip s } 7 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 Rooting 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. y) / Sh:/n e Manufacture � , f(f�� Type ) Color .,/ 14 Int p Tear off ayers of composition shingles ❑ Tea off one layer of wood shingles !❑ Instal' Decking (7'16" OSB) install new telt g install pre -painted ave metal to code - Color Brown Charcoal Tar, Gray White nt.______ Z Valley(s) will be closed ❑ Valleys wi a open 0 Ridge(s) to be color -coordinated ,eRidge(s) will ba "High Profile Ridge" color -coordinated shingles X!nsta4 new pipejacks �r Rep!ace Vents as needed Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) U Install In, ft. of series ridge vent j instal! Inft. of ice & water shield to code install nails per shingle IA2Te Clear. out gutters Z 5 year workmanship warranty Interstate Roofing, Inc will provide general liability insurance coverage of $2,000,000.. general aggregate Make a rnacnetic sweep of driveway and yard for removal of any nails Remove a!i debris resulting from above work ((n y1 1 , i�f/ El Special instructions /��i/i Y �ff ` I RV A/0IMl The approximate costs of the services based on damages known at the time this contract is entered is it e J ka 7 d interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amou 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 ap roved by the insuranc company for additional work or increases in costs become a part of this contract. fl, t.' �,�,r�di Approximate Dates of Service fl, t Sly These dates of service aresubject 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 rooting work, pursuant to section 6-22-105, the roofing contractor cannot pay. wave, 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 subsequent !oss 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 to person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing, Deposit Amount: Interstate Roofing shall hold lit trust any payment from the pro y own until Interstate Roofing has de 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 -1— Representative Client Signatures)"L Corporate Headquarters C440rado Springs Office Fort Collins Mica "L'% `N 4"'^ A, e 2161 N. Academy Blvd P. 970.482.7722 c 970 682.1018 Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877 898.8144 ?.3037639*'4 F 303 789 3790 P 719.4719752 c. 719.5974444 www.1nterstateroof.cor, www.interstateroof.com Cheyenne Office Black ins. Agency 1010 S Greeley Highway 9600 E Arapahoe Rd #205 Cheyenne, Wy 80211 Englewood, Ce 80112-3726 P, 307.834.2553 (303) 397-7820 info Co interstateroof. com 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: Yh 10 Job Address: 1-/6 o c) U p NA k -n 5,7 Permit Number: -201-7( ,)/770 1qrprZ0L1trj ❑ No one available for inspection: Time 12 1'15 AM/ I& Re -Inspection required: Yes o *When corrections have been made, call for re -inspection at 303-234-5933 Date: �o���1II! Inspector: 6'A 6 DO NOT REMOVE THIS NOTICE r 7 pi 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: (2Dr— Job Address: 600 opp/am Permit Number: 201—} 0z &C)( LJNo one available for inspection: Time'f `;rI/PM Re -Inspection required: Yes (NN When corrections have been made, call f�inspection at.303-234-5933 1 Date: !�` '� Inspector: - � DO NOT REMOVE THIS NOTICE A12W 4 1 it'1 .r LJNo one available for inspection: Time'f `;rI/PM Re -Inspection required: Yes (NN When corrections have been made, call f�inspection at.303-234-5933 1 Date: !�` '� Inspector: - � DO NOT REMOVE THIS NOTICE # M3 I 1:2 Address: mmmg ?! O"WW (OHINER) (CONTRACTOR) gr (AUTHORIZED .a :. TI VE) of (0 (CONTRACTOR) hu&w"* ♦ 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: r� � r Job Address: 1 14 , _'/, n .,_., Permit Number: g 7 u K- roll ✓.- :i:. r� L . ten_. � f'•;�� T r ❑ No one available for inspection: Time `'c %, `) AM /PM Re- Inspection required: Yes No * When corrections have been made, call for re- inspection at 303 -234 -5933 Date: G Inspector Z'1 r DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE f n Building Inspection Division (303) 234 -5933 Inspection line _ (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Z�, Job Address: Permit Number: n C> R r 9 ❑ No one available for inspection: Time 3n A tM Re- Inspection required: Yes No When corrections have been made, calf for re inspection at 303 Date: / °% Inspector: DO NOT REMOVE THIS NOTICE ` CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE r Inspection Type: NV' =;rtyl Job Address /Permit Number: 6MMn t' t i, , ). Znv w ❑ No one available for inspection: Time 1 :04 AM4 Re- Inspection required: Yes When corrections have been made, call for I re- inspection at 303 - 234 -5933 Date: t? Inspector: d f l,f T�aP DO NOT REMOVE THIS NOTICE r ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: , o vt Job Address: 4_1ZJ tJ0 o Permit Number: C;o- 7V Y T ❑ No one available for inspecti on: Time A /.�Q AM1I'M Re- Inspection required: Y No * When corrections have been made, call for re action at 303 234 - 5933 �' i Date: rl' . `7 Inspector: ` ; " DO NOT REMOVE THIS NOTICE 4\1\ °F W tiEgT v m °OloRro° City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 Inspection Line: 303-234-5933 Property Address: Property Owner (please print): Mailing Address: (if different than property address) Contractor License Ol'l ~ Phone: Date: 0 71 Plan Permit #:0 78?- 3790 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): Construction Value: $ D • 00 Description of work:--,- (as. calculated per the Building Valuation Data sheet) 1~/n a Plan Review (due at time of submittal): $ w13oy~z - ©,G, Sq. Ft./L.Ft added: Squares 3z BTU's Gallons Amps OWNERICONTRACTOR 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 offC ~(OWNER) (CONTRATOR) PRINT NAME: Lo ,r4 Hc. Soil SIGNATURE: _ ~wGV~afiY` Date:? I b ZONING.COMMENTS: Zoning; Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments El dlsapprov OCCUPANCY: ed ❑ no review: required Bldg Valuation: Building Permit Application Contractor: rnfeiS ! c ~o to : n e .