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HomeMy WebLinkAbout4745 Field Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C o u r 4-c s Job Address: '-j 7 y r-". ),d 4- Permit Number: - r ' t ❑ No one available for inspection: Time ([__�PM Re -Inspection required: (9)No When corrections have been made, call for re -inspection at 303-234- Date:- / ( /Inspector: DO NOT REMOVE THIS NOTICE 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: L-/0,5-- Ell e:z ! IA e c Job Address: q -7L-/ 5- P -, 'e Q S Permit Number: 2 o I R o/© -7 / ❑ No one available for inspection: Time ) O = SPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: to t L/ //,a Inspector: 10 DO NOT REMOVE THIS NOTICE City of Wheat Ridge .: Residential Mechanic PERMIT - 201801071 Y PERMIT NO: 201801071 ISSUED: 04/17/2018 JOB ADDRESS: 4745 Field ST EXPIRES: 04/17/2019 JOB DESCRIPTION: Replace existing furnace with new 40K BTUs 95% efficiency; like for like *** CONTACTS *** OWNER (303)467-9555 AGGUS ERIN SUB (720)236-1344 Howard Brooks 140153 Energy Resource Center *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 37.80 ** TOTAL ** 77.80 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 tegally authorized to include all entities named,within this document as parties to the work to be performed and that -all work to be peeformed is disclosed in�this document and/or i s' accomp vying approved plans and specifications. Signature of OWNER or cbNTkXCTOk (Circle one) Date — 1. This permit was issued based on't a 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 Budding 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 ermit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any ordinap%e or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of hiefBuilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat ldge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits _ci.wheatridge.co.us FOR OFFICE USE ONLY Date: '�I ^ lJ 1 Plan/Permit # ao� `/ Plan Review Fee: Building Permit Application **` Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "' Property Address: S f _i e_IA S4. OJ � cc T I� i 003 3 Property Owner (please print): E F i A) /� q q iA 5 _ Phone: 3®3 - q& 7- q 5sS Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Phone: Contractor: V f2Q Contractors City License #' / q© 15' 3 Phone: -702 D - a 3& - L 3 Liz Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # rk (w, erc-Co. nr Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ip� RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Gars a shed, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR oREPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or RE ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) .-kpC QXis - ^'g t )r[ z iJa� < Sq. Ft./LF Amps -Purl�)att I-;ke Pr Btu's JQ, 00c) Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ /8o© - / C) OV1'NEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 xvith applicable City of Wheat Ridge codes and ordinances tm work under any permit issued based on this application: that I am the legal owner or have been authorized by the legal oxvner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE 0.%'E.- (OWNER) (CO/VTRACTOR rrr(AC-'TIIORIZEDREPRG.SE.N"I'-4TIt'E) of (Ol)'NER) (C'Oh'TR4CTOR) , • PRINT NAME: 1_ T (Ct SIGNATURE: w Qk DATE: i� 6442 0 Do ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION. TYPE OF CONSTRUCTION _ SPRINKLERED OCCUPANT LOAD Building Division Valuation: $ A i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '11140 Job Address: 9 7,4 S F,e tt~ S Permit Number: `�'7 LH �3 (�( G ❑ No one available for inspection: Time f [J //M/PM Re -Inspection required: Yes (N) When corrections have been made, call for re -inspection at 303-234-5933 Date: 71�T1fT Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704334 PERMIT NO: 201704334 ISSUED: 07/18/2017 JOB ADDRESS: 4745 Field ST EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning TruDef asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)210-4928 DEMPSEY ERIN L SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,280.00 FEES Total Valuation 0.00 Use Tax 152.88 Permit Fee 172.60 ** TOTAL ** 325.48 *** 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. INSPECTION RECORD Occupancy/ rvp` INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 CommentsInitials 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 Qw 11w...!1— Q11 -k %Ahrlr Drier T., Annrnvni (1f Thp Ahnve Insnections Rough Inspections Date Inspector CommentsInitials Wall Sheathing Mid -Roof Z Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector CommentsInitials 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. ..J ..I....a..-1 ....1 I..... .d4. -.ter• `For low voltage permits — Niease De sure inat ruuyn 111bNeuuUlla 01C kAJ111PIUMU 11 11 �,�•, �• - _. by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather J City of Wheat Ridge Residential Roofing PERMIT - 201704334 PERMIT NO: 201704334 ISSUED: 07/18/2017 JOB ADDRESS: 4745 Field ST EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning TruDef asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)210-4928 DEMPSEY ERIN L SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,280.00 FEES Total Valuation 0.00 PAI Use Tax 152.88 `_- Permit Fee 172.60 ** TOTAL ** 325.48 *** 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. `*dA41 ® r J PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704334 201704334 4745 Field ST ISSUED: 07/18/2017 EXPIRES: 07/18/2018 Residential Re -roof to install Owens Corning TruDef asphalt shingles - 26 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 o operty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit rther attest t at I am legally authorized to include all entities named within this document as parties to the work to be perform and that all wo to be performed is disclosed in this document and/or its' a omp nying approved plans and specifications. l f—I Signature of OWNER or CON ( rcle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flans 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, anew 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 is 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 applic le c eeorpany,e or r1keSu tion of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 110 l70 � s From: no-reply@ci.wheatridge.co.us Sent: Monday, July 10, 2017 11:37 AM To: Permits CommDev 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 4745 Field Street Erin Dempsey 3032104928 erin@aggusrealty.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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Colorado Superior Roofing 160142 3039377000 Contractor Email Address JessicaT@ColoradoSuperiorRoofing.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material JessicaT@ColoradoSuperiorRoofing.com No/ Owens Corning TruDef Shingles Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No j Field not completed. TOTAL SQUARES of all 26 % roofing material for this project Provide additional detail Re -roofing the house, 4.12 pitch, 26 squares. here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7280.00 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 William J. Brown Email not displaying correctly? View it in your browser. �nDroval of CSR&C credit department and management and this contract is not valid until s rent Per ^r completion shalt accrue interest charges at a rate of one and one half Pe entitled tv -�nv increases of labor or material and CSR&C shall be d StnrR,s. '�— Colorado - es from fire, water intrusion, e covering a 9$ SuPer! -- v owners insurance c&C and N O Wads, or Roof," _and Of' °"h Blvd,Su►te 6 CR Construction, inc. } 303-937-70kewoOd1 Co 80214 C SCOPE OF •nry/ f� J —+� f -y AMA ALTPyONf G£ -INFO .. 3., ear p(fShinC�PE OF LOS A4ATION /N , ear p Shakg es finC)ude 80,)r FOR / PyONE Re -sheath in e Roofing # of layers lVSURANCfP PUR 1 Sh1 (ps ) OSfS ONLY /e Mme .. _ . B) � ., APProx Start e= ode rice for work srd eruct s Credit and Will be Sub- dIn this Agreement ba any appro c. ( Rnt written above to a 3i fonvenience ch n the darnag car ves ) an this fie. k en^l0 COST TO ywork Work,,. pncIncludes item �ntract Is for ��wn as °f the date and Overhe , E1rCfPTFO arcePtab/e tooted to ruche FUCC SCdp� of this Agreement NQT£, if You d and Profit re TyF 1NSURAN Sq C 8y work like dt in �� tNS pRANC is estimated to be orris so rt u oave an Acv ated to work of pFpU IBL£ g this �o �eeS and mateROCEEDs FOR THE s Your dedu . Cher it policy or do not rf°nnE by CSRsubJe�r rc} act, Vou authoaztaxes. IV T HE VV ORK A�UALLY P gutters ifa X--rs a Please talk to . Also be aware Lave code up r &C) ►vin, b�co Paragraph �� wSR&C to Aur ueuaN r nor CSR&C is o Aga eMEp by Colorado aff3� the other eab/e) ACy + DQ Your lnsurarn et n` You hale ne, the, on-�� me the final cont a the final price agreed airs at a price afire efeunder unl�5y aF t amount trades (windo rluCtib/e Deposit You about your —C4.1ii, l y be responsib! Price. to by the insurance Coto the ins (Plus any sup K'S siding 011e at Ma AC j_ '" a depre ti e f r pa rnPanY (f0_1 It Insur P Aaintin terial Deli =oven na on in Your - gout of AOt S'ht to onket for ce ScOPe: ep related to roo fStuccs U'O etc.) a de vel'= S .fie. CSR&C is happy to a Z1h �ce scope Y u //certain items like res r `nsurcind ance carh,s AgreeMe gutters or a , sit 9 ter J '�` the AC Initialis- just aske re$pOnsib/e for pa if °sem CRS yg Carrier that Younc�a�d receive a full rynejtems to be pe a ��s Perfor ed unt for that trade i tass 13'219.S pro m has been refund of r ford ) is due once all s due when tha fna�nsPection Mbit �RgC from denred in whole odePosii t+s,. - ed rk is substantiaRycotrade,5 scheduied , CSR�CnsPe�'On sche eil/n rOrnPtly ana»ng waiving or �Q�Par* �`=in 72 hours after the late f of mpiete The t��' d those rice �l aft aid tion relaae:� Problems to ensure the *� Portion o f your i (') entenng into this ggreement or cow n the reverse d ga ornPany balm inchl f does Pass in nsurance deductible. (n) receivir= NER�BV YFR e h epf ark a cebOut thi I c r?) au horT �P insurance sPe�,on. However Payment is due at th aym encs hYYot, your insuraoPes or approvals a time the work is cam" work Perform., con"PanY to is YOU hereby gram r� _ rm. , INSURANCE OWNER ADDRESS Colorado Superior Roofing & Construction, Inc. 950 Wadsworth Blvd., Suite 306, Lakewood, CCD 80214 303-937-7000 HOME PHONE -.J t / �) 1 ALT PHONE 3 0 � - 4 Tj � � EMAIL 1 t INSURANCE DATE "` Its CSR REP NAME PHONE j /i� Y- �J:] Approx Start SCOPE OF DAMAGE — INFORMATION IN BOX FOR INSURANCE PURPOSES ONLY SCOPE OF LOSS ADDITIONAL DESCRIPTION (it necessary) QUANTITY Tear Off Shingles (include # of layers) Tear Off Shake Roofing Re -sheathing (OSB) Shingle Manufacturer Qd d t j C Shingle Calor Sc Ice & Water Shield (if pre-existing) Drip Edge (color) 3 -j ` u Turtle Vents Broan Vents (4", 8") Pipe Jacks Skylights (#, style, length, & width) Chimney Flashing (length & width) R&R Gutters (color, LF) R&R Downspouts (color, LF) I n> > /..+_ / iG, Siding Type & Color Fascia Type (wood, metal) Antenna/Satellite Paint (type and color) Windows Window Screens Soffit Overhang (LF) Additional Info or Instructions: The price for work contemplated in this Agreement, based on the damage known as of the date of this Agreement, is estimated to be $ r 11 Any payments made by credit card will be subject to a 3% convenience charge - Regardless of the amount written above, this contract is for the FULL SCOPE OF INSURANCE PROCEEDS FOR THE WORK ACTUALLY PERFORMED by Colorado Superior Roofing & Construction, Inc. ("CSR&C") and includes items related to such work like dump fees and material taxes. Neither you nor CSR&C is obligated hereunder unless your insurance company approves the work at a price acceptable to CSR&C. By signing this contract, you authorize CSR&C to pursue all repairs at a price agreeable to the insurance company and CSR&C at NO COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE (subject to the paragraph below). The final price agreed to by the insurance company (including any supplements and overhead and profit related to work performed by CSR&C) will become the final contract price. PLEASE NOTE: If you have an ACV policy or do not have code upgrade, then you may be responsible for paying out of pocket for certain items like replacement of decking, fascia boards, soffits, or other items. Also be aware that if you have non-recoverable depreciation in your insurance scope you will be responsible for paying that amount in addition to your dedu,o-ble. Please talk to your insurance agent about your policy coverage. CSR&C is happy to assist w' this- just ask. Roof (and gutters if apitable) ACV + Deductible Deposit Due at Material Delivery: $ Initial III For each of the other trades (windows, siding, painting, stucco, etc.) a deposit equal to the ACV amount for that trade is due when that trade is scheduled. The balance of the total contract amount (plus any sup en related to roof, gutters or any other trades perfor ed) is due once all work is substantially complete. Date of Current Insurance Scope: b Line items to be performed: ! l G? l 41sit V / You have the right to rescind this Agreement and receive a full refund of any deposit within 72 hours after the later of (i) entering into this Agreement or (ii) receiving written notice from your insurance carrier that your claim has been denied in whole or in part. Colorado 58 38 and CRS 18.13.119.5 prohibit CSR&C from paying, waiving or rebating any portion of your insurance deductible the roof does not pass inspection, CSR&C will promp t[ problems problems to ensure the roof does pass inspection. However payment is due at the time the work is complete and NOT contingent on final inspection schedule. Initial You agree to provide CSR&C with all information related to this claim, including any updated insurance scopes or approvals_ You hereby grant CSR&C and its age, to speak with your insurance company and mortga ompany about this im and authorize your insurance company to share all documentation with CSR&C claim- These terms and those on the reverse side h eof are accept All ayments by you for work perfor ed are to be/de �di�r(e ilyto CSR&C. ACCEPTANCE BY HOMEOWNER/BUYERCSR REP: 1. All contracts are subject to approval of CSR&C credit department and management and this contract is not valid until such approval is granted 2. Any amounts not paid by you within (10) days of completion shall accrue interest charges at a rate of one and one half percent per month (18% per annum). 3. CSR&C reserves the right to supplement your insurance scope for any increases of labor or material and CSR&C shall be entitled to all such supplement amounts. 4. You agree that CSR&C and its subcontractors and agents are not responsible for damages from fire, water intrusion, wind storms, hail, tornadoes, hurricanes, or other hazards to work in progress or to completed work. You agree to maintain in force a policy of property owners insurance covering casualty to your property from such conditions. Our limited warranty does not apply to damage or repairs resulting from any of the foregoing events and CSR&C and its subcontractors and agents shall have no obligation to repair or replace components damaged by such events. 5. This contract and warranty shall not be assigned and is non -transferable by you. CSR&C may assign this contract or any of its rights hereunder. 6. If this contract is canceled by you later than three (3) days from execution, you shall pay CSR&C twenty-five percent (25%) of the contract price as liquidated damages, not as a penalty, and CSR&C agrees to accept such as a reasonable and just compensation for said cancellations. In addition, if material has to be re -ordered or re- stocked because of cancellation or changes by you, there will be a re -stocking fee equal to fifteen percent (15%) of the returned materials. 7_ Construction work involves demolition and can result in falling debris. You agree not to enter or permit guests or invitees to enter the work area during construction. CSR&C AND ITS SUBCONTRACTORS ARE NOT RESPONSIBLE FOR INJURIES TO YOU OR YOUR GUESTS OR INVITEES WHO ENTER THE WORK AREA. YOU AGREE TO INDEMNIFY, HOLD HARMLESS AND DEFEND CSR&C & ITS SUBCONTRACTORS FROM AND AGAINST ALL DAMAGES CSR&C OR ITS SUBCONTRACTORS MAY BECOME OBLIGATED TO PAY TO ANY PERSON (NOT AN EMPLOYEE OR AGENT OF CSR&C) INJURED AT THE PREMISES REGARDLESS OF ANY NEGLIGENCE ON BEHALF OF CSR&C. 8. You acknowledge that CSR&C shall not be responsible for inconveniences to you or damages to your property resulting from CSR&C's performance of the work, including but not limited to gutter scratches, stains on driveway, cracks in concrete, landscaping damage, scratched or dented fascia, siding or flashing, damaged molding, stucco or plaster, damage to vehicles or other items left in the driveway, any roof related debris in attic, or any interior damage resulting from the work. 9. You agree to provide CSR&C and its subcontractors and agents, unobstructed access to your driveway while work is in progress. The equipment and materials used in replacing a roof are heavy and CSR&C and its subcontractors and agents are not responsible for driveway or curb cracking/damage that results from settling, compression, or inadequate support of your driveway and or curbs. 10. Replacing a roof frequently exposes preexisting structural problems. You agree that repairing preexisting structural problems is not a part of this contract and CSR&C and its subcontractors and agents are not obligated to make such repairs. The appearance of pre-existing reflections from sagging rafters or trusses may be accentuated by a new roof system and you agree that CSR&C is not responsible if this occurs. 11_ Building codes and good building practices require that nails penetrate through roofing materials and a minimum of %" into the sheathing. If the sheathing is less than %" thick, nails will penetrate through the sheathing. Building codes also require that air-conditioning, water, electrical lines, and pipes be located a safe distance below roof decking. You agree that CSR&C and its subcontractors and agents are not responsible for nail penetrations or other occurrences to air conditioning, water, electrical line or pipes that are located below the bottom of the roof deck or any resulting damages thereof. 12. Properly installing a new roof may, and frequently does, require the removal and replacement of existing flashing. During installation, wood siding, vinyl siding, stucco siding, and other exterior wall surfaces adjacent to the flashing may break, crack, or tear. You agree that CSR&C and its subcontractors and agents are not responsible for any damages to siding as a result of replacing flashing. 13. Removing & replacing a roof creates vibrations that may be transmitted throughout the house. You agree to remove items hanging from inside & outside walls, soffits & ceilings prior to construction beginning. CSR&C and its subcontractors and agents are not responsible for damages caused to or by falling objects. 14. It may be necessary to remove roof mounted equipment (e.g. satellite dishes, antennas, solar panels, weather stations etc.) You agree to remove and reinstall/adjust such equipment at your cost. CSR&C or its subcontractors and agents may remove such equipment if you fail to do so, but will have no obligation to reinstall or align the equipment and no liability for any damage caused. 15. The work will be deemed accepted by you unless you provide us with written notification within 10 days after completion of the work, specifying any and all alleged deficiencies in the work. Any alleged damages or deficiencies not reported within that time frame shall be deemed forever waived and released by you. 16. IN NO EVENT WILL CSR&C OR ITS AGENTS OR SUBCONTRACTORS BE LIABLE TO YOU FOR ANY CONSEQUENTIAL, EXEMPLARY, INDIRECT, SPECIAL OR INCIDENTAL DAMAGES ARISING OUT OF THIS CONTRACT, REGARDLESS OF THE LEGAL OR EQUITABLE THEORY (CONTRACT, TORT OR OTHERWISE) UPON WHICH THE CLAIM IS BASED. CSR&C'S ENTIRE LIABILITY TO YOU IN ANY WAY RELATED TO THE SUBJECT MATTER OF THIS CONTRACT AND REGARDLESS OF WHETHER A CLAIM 15 BASED IN CONTRACT, NEGLIGENCE OR TORT, WILL NOT EXCEED THE TOTAL CONTRACT PRICE. 17. Roofing materials are separately warranted and CSR&C and its subcontractors are not responsible for manufacturers warranties. You agree to notify CSR&C within 24 hours of discovering a leak and agree to take reasonable affirmative action to prevent further damages. CSR&C will send an authorized representative to investigate any reported leak. You agree to cooperate with such inspection(s) by providing CSR&C and its subcontractors, access to the interior and exterior of the property at reasonable times. All work other than roofing, such as gutters, painting, windows, siding, or drywall shall carry a warranty against defects in workmanship for a period of one(I)year. For any warranties to be valid, the contract must be paid in full. Except as specifically set forth herein, CSR&C and its subcontractors and agents make no warranties, expressed or implied, including warranties of fitness or merchantability, applicable to this contract. 18. You hereby authorize your insurance company and or mortgage company to make any checks related to the work payable jointly to CSR&C and you. You hereby agree to assign to CSR&C all amounts due from your insurance company and/or mortgage company relating to the work performed (including ay supplements , overhead and profit related to such work). 19. This contract constitutes the entire agreement between the parties. It may be changed only by written instrument signed by both parties. Any representation, statements, or other communications not in this contract are agreed to be immaterial, and not relied on by either party, unless written and fully stated, and do not survive the execution of this contract. 20. Any dispute arising hereunder shall be subject to the exclusive jurisdiction of the federal and state courts located in Jefferson County Colorado and you hereby expressly consent to the jurisdiction of such courts. The prevailing party shall be entitled to reimbursement of its attorneys' fees and costs from the other party. 21. Our Insurance Liability Carrier is APCO Insurance, 400 Inverness Pkwy, Suite 180, Englewood, CO. Cheryl Baier 303-300-2726. A i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '11140 Job Address: 9 7,4 S F,e tt~ S Permit Number: `�'7 LH �3 (�( G ❑ No one available for inspection: Time f [J //M/PM Re -Inspection required: Yes (N) When corrections have been made, call for re -inspection at 303-234-5933 Date: 71�T1fT Inspector: DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type; W uF Job Address: `� 7y Permit Number: ❑ No one available for inspection: Time Re -Inspection r WPM Yes No "When corrections have been made, call for re -inspection at 303-234 933 Date: 2 Inspector:—)' 6 DO NOT REMOVE TH/S NOT/CE ! • (Complete MU highlighted areas) Property Address: L Property Owner (please print): Er Ae ox Phone: 10 -5- w 5 j Mailing Address: (if different than property address) Address: . Contractors City License #: I),-c , 0j , 2= Louzlz= WE= U2,11