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3610 Gray Street
INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical 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 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 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 A i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `"/ a q- F 1'r) a i Job Address: _ 3 4 1 o C rake S f Permit Number: 2 0 1-7 0 3 3 (4 -1 �71lin I PgV_�� ) o h o �'�'r � i1 e o� � S r r U ej - D O- Ole- Ll /i ❑ No one available for inspection: Time '07= s3 69PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: 11//.51- i 7 Inspector: -T-b DO NOT REMOVE THIS NOTICE i C11'Y�OF WHEAL RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: q 09 - P_I ill,, Job Address: '3 4,1 0 6-3, rv,r S -L - Permit Number: '-d 0 1-7 0 3 7 y A)IC ❑ No one available for inspection: Time = 5_6 AM fM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303 -234 - Date: /1 11-3; /7 Inspector: T DO NOT REMOVE THIS NOTICE ❑ No one available for inspection: Time = 5_6 AM fM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303 -234 - Date: /1 11-3; /7 Inspector: T DO NOT REMOVE THIS NOTICE r City of Wheat Ridge Residential Roofing PERMIT - 201703349 PERMIT NO: 201703349 ISSUED: 07/06/2017 JOB ADDRESS: 3610 Gray ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install OC DURATION DESERT TAN asphalt shingles with ROOF DECKING 23 SQ *** CONTACTS *** OWNER (303)431-0255 PEDERSEN MICKEY R SUB (303)237-2632 Ryan Scheeler 150237 AGR Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,707. FEES Uz D Total Valuation 0.00 Use Tax 161.87 r Permit Fee 172.60`-- ** TOTAL ** 334.47 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703349 PERMIT NO: 201703349 ISSUED: 07/06/2017 JOB ADDRESS: 3610 Gray ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re—roof to install OC DURATION DESERT TAN asphalt shingles with ROOF DECKING 23 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 le ally 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 disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRA*ffOR (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 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 an 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 appliqueode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 0 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 insptimerequest@ci.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. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Friday, June 23, 2017 1:21 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. 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 the issued Permits - at time you are your permit. are currently being processed within 5 business days, subject to change based on volume. `- a �i 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 3610 Gray St Mickey Pedersen 3034310255 Field not completed. 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 AGR Inc Contractor's License 150237 Number (for the City of Wheat Ridge) Contractor Phone 4062605512 Number Contractor Email Address skylarmunzing@agr-mw.com Retype Contractor Email skylarmunzing@agr-mw.com Address DESCRIPTION OF WORK Are you re -decking the Yes / roof? Description of Roofing OC Duration Desert Tan Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23 material selected above? Does any portion of the No i property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 23 i roofing material for this project z 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) Residential re -roof and redeck per building codes and manufacturer specs. 5/12 pitch ._506ft—(� � . S 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 Skylar Munzing Email not displaying correctly? View it in your browser. 3 adoG—XA P�f—�t � ROOFING AND CONSTRUCTION 1300 Carr Street, Lakewood, Colorado 80214 (303) 237 - 2632 • www.agrroofingandeonstruction.com COLORADO SERVICE CONTRACT Customer Name: 9164-_v Phone: 3413- �(3 Fax: Property Address: 3( 1a2, Mailing Address (ifdifferent): State: zip: E-mail Address /L C:. L<;7&/ '& JOB NOTES D , INSURANCE INFORMATION Shingle,�tanuf. tJC.. Style LJ�fiQ I./ Insurance Carrier: Phone No: Coj6r IJz 1 I.— iil/5�1l- ear off j _ layers ol�bsphalt O wood shingle ❑ Decking is/currently to Q code eze � Wnstall felt (0 15il ❑ 30p) 'A117JV 7 16, Claim No: `t Date of Loss (approx): o 'Fs( � o ❑ Re -use edge tnatcrial �ti F{ ❑ Install new pipe jacks Valleys) (XIosed-cut ❑ Open, W -Valley Color _ _) Widgc(s) to be mated cgqjjttyy or INSTRUCTIONS ! NOTES J UPGRADES ❑ Re -use vents /(/ C3Re-usc existing flashing Irecut starter on caves /��r�C nstall ice and water shield to code >t Cosmetic course over apron flashing ginstall d nails per shingle year AGR Workmanship Warranty (see reverse side) n lean out gutters >9emove debris resulting from above work �yNagnetic sweep of driveway and yard These notes arc for organizational and quality control purposes. ESTIMATED PRICE: $_ __ _ C (� (or RCV) AND DATE OF SERVICE ' 26, % This price is an estimate. The final price you owe is defined by the Replacement Cost Value (RCV) that is calculated by your insurance carrier, plus your deductible and any amounts specified in this contract. You will pay this amount in progress installments, which may not be known in advance. Contractor cannot waive your deductible! This date of service is an estimate. It may change based on the actions of your carrier, weather, or other factors. This is a contract between AGR Roofing and Construction, Inc. ("Contractor") and the Customer identified above and signing below ("you" or "Customer"). Customer wishes to engage Contractor as a general contractor to perform work on property owned by the Customer, or by a person that Customer represents, as Contractor recommends. Customer will pay Contractor for this work as calculated in this contract. Contractor agrees to communicate with Customer's carrier to determine the scope and price and then perform labor and furnish materials in accordance with the scope of work approved by the carrier. Customer authorizes Contractor to communicate with the carrier and irrevocably instructs the carrier to cooperate fully with Contractor on this claim. Contractor's obligation to perform labor and furnish materials is contingent upon the carrier approving the recommended services or materials and authorizing sufficient funds. If a deposit is paid, Contractor will hold it in trust until roofing materials have been delivered to the work site or a majority of the scope of roofing work on the property is done. Customer further has reviewed and agrees to be bound by the Terms and Conditions appearing on the second page or reverse side of this contract. Customer understands that this is a contract, notanestimate. Cust cr tymature Date Customer Signature Date Submitted By: (Business Customers Only) Guaranteed By: s J7 Sales ep ,enta e ' Date Signature Date Approved By: ACS, Inc. Date Print Name Proudly Insured BY Title C'-"7 TERMS AND CONDITION'S 1. PAYMENT. You we personally obligated to pay the final Price for all work and materials provided byConttactor. The final price will be detetnainedby calntlatingthe Replacement Cost Value (RCv) of the work performed. You will pay the RCV amount calculated by your insurance company. In addition to this, you also agree to pay the amount of any inn ance supplements and any casts, including profit and overhead, related to necessary weak not Included in the insurance company estimate but undertaken by Comracta' at its sokdisctelion. including but nes limited to destructive testing, repair and replacement of damaged properly. uaprovemonts to the property, supplements requested by you err recommended by Contractor. or upgrades requited by code, permit, or direr law. You represent to Contractor that the price will be paid by your insurance company, exmpt for year deductible, butt you agree that you will be personalty liable for all amounts due to Contractor. This tonal may not be known with certainty until the project is compimeok and so Contractor will inform you of its bat estimate ofthetinalcmforprxpusaofcotgrutinganiountsdtw. BYLAICCONTRACTORCANNOT PAY, WANE, REBATE,ORPROM(SE7O PAY, W.M'EOR REBATEYOUR INSURANCE DEDUCTIBLE 2. DUEDATF Parratatt corral tothe Actual Cost Value (ACV) ofyour insurance claim is due upon ddivrry of maenals. Ifyou do not receive a check for your ACV from your carrier, then payment equal to the cost of Cunttactor's materials is due at that time. Contractor may request that you make progress payments if the.ACV amount increases as a result orm expanded scope of work or supplement, or as a percentage of completion of the scope of work and such payments arc due upon request. Upon completion of work defined as the date when the work is substantially completc, Cotmectm shall present you with a final invoice. Work nay be complete even if warranty, minor, or trivial work remains to be done. This invoice is due upon receipt. Payments with restrictive endorsements or condition are prohibited and will not he accepted. If any dispute arises, you must send all payments, including those uffered as settlement or payoff. to Contractor's attorneys and nes to Contractor directly. 3. LATE PAYhIENr. If a payment is not received by Contractor within 5 calendar days of the due date, you sm in default. In that event, you will pay a ane -time 109.1, late ten on the late payment. The notal amount owing shall bear interest from the date due at the lesser of 189/6po annum Co pounded mortally or the maximum rate permitted by law. Payment may nut be withheld (and late payment is ria excused) by allegations of improper work, setoff, waiting for inspections, or for any otter reason. You are solely responsible to pay for all of Contractor's costs, dunnages, and attorney fees for any dispute related to this contract. Contractor has a security interest in the property at which the work is perforated for any, ampum due under the tenor ofthis conuact. This interest may be enforced by filing amechauic's fieri You agme to waive your homestead exemption, if any, with respect to my lien foreclosure, collection, or judgment. The security interest and lien arise under C.R.S. § 38-01-212 and yea homestead exempno is nes applicable. These remedies are cumulative and nothing in this sectio limits Contractor's rights ender Colorado or other law. 4. INSURANCE 4(a). Communication. You authorize Contract- to contact and negotiate with your earner to file a claim on your behalfand determine the scope of weak, Replacement Cast Value, Supplements, and all other issues related to the facts of the work andthe price. You instruct you earner to cooperate with Contractor, and agree that you and your insurer shall cooperate fully and in good faith with Contractor- You amhorim and instruct your carrier to include Connector as a payee on all payments related to this contract. You instruct any mortgage company who my come into possession of insurance foods to immediately convey any insurance funds received to Contactor. These directives are inevm-able and you understand Contractor is relying on therm 4(b). Scope of Work Because the services redderedbyContrataor may be intended to address an emergency situation, it may not be possible to determine the final scope of work and price before work begins. Contractor will undertake reasonable efortstoagree on a scope ofwerk and prim with yon carrier, but cannot guarantee that your carrier will ag me or approve the work. In the event that Contractorandyour mare agree on a scope ofwok, you agree that Contractor will perform all work in that scope for the prices identified in that score unless you and Contractor agree, in writing which specific items can the scope of wurk will nut be urakdakrn 4(e). Adequacy. Contractor's obligation to perform the scope of work tinder this contract is contingent upon your carrier authorizing sufficient funds to Coplete the project. If, in Contractor's sole discretion, Cmimactor determines that your carrier cannot be mask to pay Funds commercially reasonable and sufficient to complete the project, Contractor may cancel this contract without penalty to Contracts. 4(d) Assignment. You today assign to Contractor the right to collect funds that may be owing to you or paid by your carver to you related to Contractor's scope of work. Cotraclo will receive Ell fiords paid by ,your oarticr, unless you and Contractor reach a specific written agreement, sighed bybothparties, specifying which portion ofthe insurance scope ufworkwill one be performed and the total amount of related insurance funds that will wnveycd to you. 4(e) Funds Held In Trust If yaw many third party, including any mortgpgecompany, receive any money from a carrier, to the extent you owe orwill ave funds to Contractor, that money is owned by Contractor and shall be held in trust for Contractor. The funds will not be subject to any claim or lien by any cher person, and you indcmnifv C(traao against any damages or costs related to the same. You agree that you or anyone else possessing or disbursing these funds will be subject to Inability, including liability under C.RS. §§ 194401, et seq. 4(Q No Wlthboldhtg by MortgaVCnmpany. If arty insurance fads come imothe possession of or most be endorsed by on entity holding a mortgage w other interest in the real property otherthan you ("mortgage compwry'J, then you agree that thismortggecompany ism entitled to withhold any amount of drat payment from Contractor. Sira c you might ask Contractorto do less than all of the week on the insurance scope, your mortgage company is not permitted to withhold money until Final completion of work. You will fully Cooperate in ensgpog any mortgage company's Compliance with this provision, including signing Ides instructing it to release funds or provide its crdorsement You acknowledge that delays in payment caused by your —gage company may ap— you to Iae fees, interests, and default wrier this contract. 5. WARRANTIES AND LIABILITY. 5(a) Injuries. You agree not toenter orpcmeit others, including pegs, to enter under the work area while work is ongoing or to approach Contractor's equipme t orrmterials. CONTRACTOR IS NOTRESPONSIBLE FOR INJURIES TO THOSE WHO ENTER THE WORK AREA. YOU SHAH INDEMNIFY, DEFEND, AND HOLD HARMLESS CONTRACTOR FROM ALL DAMAGES TO ANIYPERSON NOTAN AGENI' OF CONTRACTOR INNRL•D AT THE PREMISES. 5(h) Ilaord Testing. You repressor to Contmetor that, to the beat of you knowledge. utdcomiding, and belief, Warhome, does not containasbesues manyodierrlwuudau material. Neverdoless, ifCcan euor detemtines that a tat for asbestos or other environmental hazerel is necessary, you agree to pay the costs far such a test and approve delay related to such testing. 5(c) Incidental and Consequential Damages. You agree that Contractor is rad liable for any damages ofany kind, whetter direct, consequential, incidental, or otherwise, resulting from the action of Contractor or its subcontractors, and you agree to indemnify and hold hamdess Contractor and any of its cmployees, agent' or subcontractors from any claim This includes damages related to Horneowner's Association rules or penalties, disruption to business, tenant complaints, damage to utility Woes located underneath decking, mold or water damage, ur any dheralleged damageorharmresulting tram Contractor's work. Contractor's liability is limited to fs wamanly. 5(d). Pro -Existing or Hidden Conditions. Contractor is not responsible for inspecting the property fur structural deficiencies, or other pre-existing hamrds, or those occurring as an inevirabteconsequence ofproper work, including but not limited to deflect kim, prulrusiuns, damage to stucco or siding, probletns with decking, fascia hoards- bullets, jacks. vemilalexs. guncrs, or flashing. Rruf wwk can change the load on the structure. leading to cracking, distortion, changes in the foundation. or other mamicstatium of hidden dclbds or unavoidableevents. You acknowlo* that discovery of any such dcliciencies or hazards may alta the scope of the work, cause damage, increase she prim of the wok or ruse delay or additional testing, a Curictwor's sole disaemm. 5(e). Hanging Iterm and Attachments. Roofing work creates vibrations that maydanage hanging inerts, so yaw agree to remove items hanging from inside and outside walls, soffits, and railings. If it is necessary or prinks to remove roof-moumcd equipment to pert a no work you will nararve and reinstall the same at your cost. Caanictor may remove the equipment if you have not done so in order to complete work and, if it does. will have no obligation to reinstall or align the equipment. 5(q Warranty and Limitation. Comtractor warrants that its work will be pedorned to a good and workmanlike manner and that your rmfwill pass any inspection required by law This warranty assts 2 years from the date work is complete. You agree to notify Contractor within 72 hausofdiscoming anypoblem with its work and to mtrrtediatelytake reasonable action to prevent any further darmnge and allow Contractor to inspect and cure any allegrcd defects. Ifyou do not, Contmctorshall ha%v w liability and its warranty shall be void Up( proper Mice, Contractor will investigytc the problem. Multiple investigations may he timasary. If Contractor deter nines that further work is required it will cuoperaie with you in ensuring that work is completed. You ayeee to cooperate with such rnsixctons o additional work by providing to Contractor access to your property at rcasonahic totes Some of the material tsed m yowrproject troy be covered by manulacturer's warmaies. and if su, those warranties arc unaffmted by this contract. Contractor will transfer all materiae warranties to you upon payment in full. Contractor is not responsible fir work done to- others. yothers. if yut have anther contractor finish. redo, or Perfon destructive testing on Contractors work without C(tmctor's prior written approval. all wamtnties are void. EXCEPT AS SPECIFICALLY WRITTEN HERE. CONTRACTOR MAKES NO WARRANTIES, EXPRESSOR IMPLIED INCLUDING WARRANTIESOF FITNESS OR MERCHANTABILITY. ALL WARRANTIL'S ARE VOID IF YOU BRFACH THIS CONTRACT OR IF YOU rA1L TO TIMELY PAY .ANY AMOUNT OWING. Sig). Accidents or Acts of Gal. You agree that Contractor is not responsible for damage from fire, rain, windstur a, hail. tornadoes, terrorist attack, dnuortiom, failure or cracking of the roof deck, walls, or foundation, hurricane, or other hwwds to work in progress, completed work or the property, or your personal property. You agree to maintain in force a policy ofinsurance covering casualty to your property from such conditions. 6, APPRAISAL; PUBLICADSUSTTNG. Contractor's communications with yourctuner are limited to obtaining facts surrounding a "s or furnishing technical assistance of an incidental mature. Cotractur is not acting as your public adjuster -or other agent and has no fiduciary day to you. You shall indemnify and hold Contractor harmless from all cats or damages related to its conimmications with }oar carrier or lender. If you hire an appraiser or public adjuster related to this property, then you will give a right of first rehissl in an appraiser or public adjuster recommended by Contractor. 7. CANCELLATION/ RESCISSION. You tnayonlycariml and rescind this ecounct by delivering written notice to Contractor nt1300 Carr Street. Lakewood, Colorado 80214, received on orbefae 72 houn after. (I) you enter into this contract; or(2)ywucaria denies all or part ofyrnar claim You may give notice by personal delivery or mail. You may also cancel or rescind this contract under C.R.S. § 6-22.104. Ifyou cancel before Contractor begins work, you agree to pay the Contractor the wen of 209/0 of the final price as compensation Inc Contractor's preparations as liquidated damage, If you cancel after Con actorlas perfomned work, you will pay the prim fur any work completed already and such work as is necessary- at Contractor's discretion, to prevent damage o W io properly after cancellation. 11. EXCESSMATERIAL. AsanumvrridabkcoseN meufCpntwx 'setfonstomsure your 7xuject is properly completed, there tray he excess materials purchased. If so. those cxcess materials remain the property of Cotractor. 9. AUTHORITY. Couaao is not obligated offer this contract unul it is signed and approved by an officer of the company. an authorized agent, or work has commenced. A Saks Representative is not an oRccr oragent of the Contractor. 10. ASSIGNMENT AND BENEFICIARIES: This contract including dor bmited warranty, is ren-transfemablc, and you may not assign or delegatc any of your rights or obligations. There are no third -party beneficiaries. II. GOVERNING LAW. This contract shall be governed by the laws ofC'olorado. Ali lawsuits or other disputes related too ursine under this contract shall be brought only in Arapahoe Count•, Colorado, or in the County in which the property is situated, at Contractor's sole option. Upon Contractor's sole election, all such disputesshall be resolved by binding arbitration underthe rules of the American Arbitration Association. with you and Contractor each paying halrbf the costs ofany whitratirm, and Contractor may rm-cr its costs toccduct arbitration fmmyou in addition wanyothera omnis ifit prevails.and may obtain defaultjudgment against yeu of yon dmlirx: to panicipuica pray yam pont(. 12. INCORPORATION- This contras c(stitmes the full and cornpleteagmement between the panics. You ogres that you will not rely upon and have not mccived any n fep emations by a sales representative, Contractor, a its agents except as Nper:ifically written in this contract, and that no additional promises or representations have been o11ered as an inducement to signing. 13. MODIFICATION. 'ihs contract nay oly be modified in writing. signed by you and by C(tmson The headers in this contres are fm urganianictal purposes only and are rad themselves teem of the contra. No failure by Connmeim to mlimr any pmvisiun of tleis contract will be construed as a waiver. 14. INVALIDITY. If any provision of this contract is invalid under applicable law, it is to that extent deemed ornined. The remainder ofthis cotraca shall be valid and enforceable to the maximum extent possible. 15, COUN'17ERP.ARTS. This Contract may be executed in more than one counterpart and by different people un separate counterparts which together constitute the contmc:. 16. CL'ARAN7EE. Any individuals signing this contract on behalf of Customer are guarantors and represent that they have actual uutl erity to bind the owner ofthe p iperty and agueeto penally guameteethe perfbnnanecand payment by theCustoterand the property owner. Contractor may make other arrangements with Customer or the owner and the guarantors will remain responsible for all payeucnsand obligation, Cumorerdues net have to ratify Guamoss if Custancr or tlic property owner fail to oaf obligations under the contract. If they do, guarantors shall immediately pay in accurdurCce with the &-fault provisions of the cotrxtall surra due and perform all obligations under the contract. -ASP' _F+t•;C ANID CONSTPUC ION 1300 Carr Street. Lakewood, Colorado 80214 (30' ) 237 - 2632 • tvww.agrroofingandconstruction.com COLORADO SERVICE CONTRACT I Customer Name: ia31//iw fir ACr I Phone: I Property Addrcss;��,IW I Mailing Address (if different) State: l_© I zip A&Z/Z I U,- mail: tti'S4; sl�i/ 1�tit►ris... s%.v ArJ ws JOB NOTES INSURANCE INFORMATION ,r�� Shingle uf: 0X Stylei).#(`O,ti 6m InsuranCcr arrier: Phone No: Col L Int. �=c f 1� 1`407- . 05 4ff r o—Llayers of . sphalt O wood shingle _4. WD king is currently to code.,-*, p�( tall felt (t7 I5# O 309 Wsynthetic) Claim No: © Date f Loss approx): x): kr edge metal (color_y_, int._ ���"'((( Il new p_�ip jacks tey(s) WClosed-cut ❑ Open, W Color -Valley _ ) e(s) to be color -coordinated INSTRUCTIONS /NOTES /UPGRADES lace vents �C-l.,s lace existing flashing starter on eaves [!i"G}(tSlI ice and water shield to code Emetic E` metre course otter apron flashing a 16 nails per shingle M® Workmanship Warranty (see reverse side) t gutters ove debris resulting from above work retic sweep of driveway and yard All trades will be billed separately as completed ESTIMATED PRICE: S IOt _ OC (or RCV) AND DATE OF SERVICE 4 994 Phis price is an estimate. The final price you owe is defined by the Replacement Cost Value (RCV) that is calculated by your insurance carrier, plus your deductible and any amounts specified in this contract. You will pay this amount in progress installments, which may not be known in advance. Contractor cannot waive your deductible! This date of service is an estimate. It may change based on the actions of your carrier, weather, or other factors. This is a contract between AGR Roofing and Construction, Inc. ("Contractor") and the Customer identified above and signing below ("you" or "Customer"). Customer wishes to engage Contractor as a general contractor to perform work on property owned by the Customer, or by a person that Customer represents, as Contractor recommends. Customer will pay Contractor for this work as calculated in this contract. Contractor agrees to communicate with Customer's carrier to determine the scope and price and then perform labor and famish materials in accordance with the scope of work approved by the carrier. Customer authorizes Contractor to communicate with the carrier and irrevocably instructs the carrier to cooperate fully with Contractor on this claim. Contractor's obligation to perform labor and furnish materials is contingent upon the carrier approving the recommended services or materials and authorizing sufficient funds. If a deposit is paid, Contractor will hold it in trust until roofing materials have been delivered to the work site or a majority of the scope of roofing work on the property is done. Customer further has reviewed and agrees to be bound by the Terms and Conditions appearing on the second page or reverse side of this contract. Customer understands that this is a contract, not an estimate. Customer Signature l)af�� Customer Signature Date Submitted By: (Business Customers Only) Guaranteed By: eels (./"17 Sales Representative Date Signature Date Approved By AGR. Inc. Date Print Name Title 1. PAYMENT. You are personally obligated to pay the final price for all work and mlterials pmvidedbyCentraclor. The final price will be determined by calculating tile Replacement Cost Value (RCt•� of the work performed. You will pay the RCV amount calculated by your insurance company. In addition to this, you also agree to pay the amount of any insurance supplements and any costs, including profit and overheat!, related to necessary work not included in the insurance company estimate but undertaken by Contractmat its rule discretion, including but not limited to destructive testing, repair and replacement of damaged property, improvements to the property. supplements requested by you or recommended by Contractor, or upgrades required by code, permit, or Either law. You represent to Contractor that the price will be paid by your insurance company. except for your deductible, but you agree that you will be personally liable for all amounts due to Contractor. This total may not be known with certainty until the project is completed, and so Contractor will inform you of its best estimate ofthefimlwstforpurposesofmniputingamountsdne. BYLAW, CONTR.AC70RCANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE OR REBATE YOUR INSURANCE DEDUCTIBLE L DUE DATE. Payment equal to the Actual Cwt Value (ACV) ofyour insurance claim is due upon delivery of materials. If you do not receive a check for your ACV from your carrier, then payment equal to the cost of Contractor's materials is due at that time. Contractor may request that you make progress payments if the ACV amount increases es a result ofan expanded scope of work or supplement, or as a percentage of completion of the scope of work, mid such payments arc due upon request. Upon completion of work, defined as the date when the work is substantially complete, Contractor shall present you with a final invoice. Work may be complete even ifwarran y, minor, or trivial work remains to be done. This invoice is due upon receipt. payments with restrictive endorsements or conditions are prohibited and will not be accepted. If any dispute arises, you must send all payments, including those offered as settlement or payoff, to Contractors attorneys and not to Contractor directly. 3. LATE PAYMENT. If a payment is not received by Contractor within 5 calendar days of the due date, you arc in default. In that event, you will pay a one-time IOYe late fee on the late payment. The total amount owing shall bear interest from the date due at the lesser of 18% per annum compounded annually or the maximum rate permitted by law. Payment may not be withheld (and late payment is not excused) by allegations of improper work. set-off. waiting for inspections, or for »ray other reason. You are sulely responsible to pay for all ofContractor's costs, damages, and attorney fees for any dispute related to this contract Contractor has a security interest in the property at which the work is performed for any amount due under the torms ofthis contract. This interest may be enforced by filing a mechanic's lien. You agree to waive your homestead exemption, if any, with respect to any lien, foreclosure, collection, or judgment. The security interest and lien arises under C.R. S.§38-41-212 and your homestead exemption is not applicable. These remedies are cumulative and nothing in itis section limits Contractor's rights under Colorado or other law. 4. INSURANCE. 4(a). Communication. You autharize Contractor to contact and negotiate with your carrier to file a claim on your behalf and determine the scope of work, Replacement Cost Value, Supplements, andall other issues related to the facts ofthcworkand the price. You instruct your carrier to cooperate with Contactor, and agree that ,you and your insurer shall cooperate iWiy and in good faith with Contractor. You authorize and instruct your carrier to include Compactor as a payee on all payments related to this contract. You instruct any mongage company who may come into possession of insurance funds to irrmnedimel'v convey any insurance funds received to Contractor. These directives arc irrevocable and you understand Contractor is retying on them. 4 ft Scope of Work Becarese the services mr deredby Contractor maybe intended to address an emergency situation, it may not be possible to determine the final scope of work and pricy before workbegins. Contractor will undertake reasonable efforts to agree on scope off orkand price with your carrier, but cannot guarantee that your carrier will agree or approve the work. In the event that Contractor and your carrier agree on a scope ofwak, you agree that Contractor will perform all work in that scope for the prices identified in that scope unless you and Contractor agree, in writing, which specific item on the scope ofwork will not be undertaken. 4(c), Adequacy. Contractor's obligation to perform the scope of work under this contract is wntingent upon your carrier authorizing sufficient finds to complete the project. If. in Contractor's sole discretion, Contractor detemrines that your carrier cannot be made to pay finds conunercially reasonable and sufficient to complete the project, Contractor may cancel this contract without penalty to Contractor. 4(d) Assignment You today assign to Contractor the right to collect funds that may be owing to you or paid by your carrier to you related to Contractor's scope of uwk. C'ontracta will receive all funds paid by your carrier, unless you and Contractor reach a specific written agreement, signed bybahpartics, spatifyingwiuchportions ofthe insurance scope ofisork will riot be perfanned and the total amount of rciated insurance funds that w411 conveyed to you. 4(e)Funds Held inTrust. ifyouor any third party. including any mortgage company, receive any money from a carrier, to the extent you oux or will owe fiends to Contractor, that money is owned by Contractor and shall be held in trust for Contractor. The funds will not be subject to any claim or lien by any other person, and you indemnity Contractor against any damabres or costs related to the same. You agree that you or anyone else possessing or disbursing these finds will besubject to liability, including liability under C.R.S. §§ 184401, erseq. 4(f)No Withholding by Mortgage Company. Ifmy insurancefundscmne intothcposscssim of or must be endorsed by an entity holding a mortgage orother interest in the real property other than you ('tnongige company"), then you agree that this mortgage company is not entitled to withhold any amount of flat payment from Contractor. Sinceyou might ask Cuntractorto do less than all of the work on the insurance scope. your mortgage company is not permitted to withhold money until final completion of work. You will fully cooperate in ensuring any nortguge company's compliance with this provision, including signing letters inscmcting it to release funds or provide its endorsement. You acknowledge that delays in payment caused by your morua6e company nay expose you to late fees• interests, and default under this contract. 5. WARRANTIES AND LIABILITY.5(s)Injurles. You agree not to enter or permit others, including pets, to enter under the work area while work is ongoing or to approach Contractor's equipmemormaterials. CONTRACTOR IS NOTRESPONSIBLE FOR INR)RIFSTOTIIOSE W140 ENTER THE WORK AREA YOU SHALL INDEMNIFY, DEFEND, AND HOLD HARMLESS CONTRACTOR FROM ALL DAMAGE-STOAINY PERSON NOT AN AGENT OF CONTRACTOR INJURED A l THE• PREMISES. 5(b) Hazard Testing. You represent to Contractor that, to the best of your knowledge, understamling, anal helief, your home does trot contain asbestos a anyotherhanrmluw rrmierial. Nevertheless, i f Cmtmcta determines that a test for asbestos a other environmental hazard is necessary, you agree to pay the cows for such a test and approve delay related to such testing. 5(c) Incidental and Consequential Ihmages- You agree that Contractor is not liable for any damages ofany kind, whetherdirect, consequential, incidental, orothenvise, resulting from the actions of Contractor or its subcontractors, and you agree to indemnify and hold harmless Contractor and any of its employees, agents, or subcontractors from any claim This includes damages relaxed to Homeowner's Association rules or penalties, disruption to business, teriant complaints, damage to utility fires located underneath decking, mold or water damage, or any otherallegeddanrWorharmresultingfromContmctm's work. Contractor's liability is limited to its warranty. Sid). Pre -Existing or Hidden Conditions. Contractor is not responsible for inspecting the property for structural deficiencies, or other pre-existing hazards, or those occurring as an damage iosiuwo orsiding. pmbiems with decking. lawia b-nis, buffets.}ticks, vemilewrs, gutters, or flashing. Root work cant chunee the load on doe structure, leading to cracking, distortion, changes in the foundation. or other maufestutioru, of hidden detects or unavoidableevents. N'uu aciarowledge that discovery of any such deficiencies or hazards may alter the scope ofthe work, cave damage, incense the price of the work, w crux delay or additional testing; at Contractor :s sole discretion. 5(e). Hangingltems and.Attachmemts. Ronfing work creates vibrations that maydamage hanging items, se you agree to remove items hanging from inside and outside walls, colli ls. and milinrp'. If it is necessary or pnuicni to remove roof -mourned equipment io pertbrm work, you will mrxeve and reinstall du: vette at your cosi. Cumratctor may remove the equipment if you have not done set in order to complete work and, d it does, will have no obli cation to reinstall or alig a the equ ipnicnt. 5(f) Warranty and Limitations. Contractor wunnnis that its work will be performed in it good and wo:knnnlikc manner and that your morwili pass any inspection required by law. This warranty lasts 2 years from the date work is complete. You agrcc to notiNb Contractor within 72 hours ofdiscovering any problem with its work and to i ntnedintely take masonabic action to prevent any further damage and allow Contractor to inspect and cure may alleged defects. Ifytou do not, Contractor shall have no liability and its warranty shall be void. Upon proper notice, Contractor will investigate the problent. Multiple investigations ntuy be necessary. IfConlractor determines that further work is requi red, it will cooperate with you to ensuring that work is completed. You agree to cooperate with such inspections or additional work by providing to Contractor access to your properly at reasonable tinter. Someof the material used on your project maybe covered by mnwfacturtr's wan -antras, and ifs% those warranties are unaffected by this contract. Contractor will hamster al I im ictal warranties to your upon payment in lidl. Contractor is not responsible for wok done by others. If you have another contractor finish, redo, or perform destructive lasting on Contractor's work wdihom Contractor's prier written approval, all warranties are void. EXCEPT AS SPECIFICALLY WRITTEN HERE C'ONIRACTOR MAKES NO WARRANTIFS. EXPRESS ORIMPLIED. INCLUDING WARRANTIES OF FIINESSOR MERCHANTABILITY. ALL WARRANTIES ARE VOID IF YOU BREACH THIS CONTRACT OR IF YOU FAIL TO TIMELY PAY ANY AMOUNT OWING. 5(g). Accidents or Acts of God. You agree that Contractor is not respunsibir for damage from fire. rain, windstorm, hen I, tumadees, terrorist attack, distortions, failure or cracking of the roof" deck, walls, or foundation, hurnua nes, or other hazards to work in progress, comphacd work, or the property or your personal property. You agree to n mintuin un force a policy of insurance covering casudliv to your property hum such conditions. 6. APPRAISAL/ PUBLICADJUSTING. cr are limited to obtaining f cts surramdma a loss or f mnishine technical assistance of.in incidental nature. Contractor isnot acing as your puhhc admister ur other agau:nod his no fiduciary duty to you. You slail Indo mi(v and IoW Contracts hamiless from all coats or damages related to its communications with your, carrier or lender. Ifynu hire an appruser or public ad usicr related to this property. then you will give a right of fiat mftsal to an appraiser or public adjnsicr recommended by Cimiractur. 7. CANCFLI.ATION / RESCISSION, You may only cancel and rescind this contract by delivering written notice to Contractor at 1300 Carr Street, takewaod, Colorado 80214, received on or before 72 hours after: (I I you enter into this contract; or (2) your carrier dentes all or pan of your claim You may give notice by personal delivery or mail. You may also cancel or rescind this contract under C.R.S. § 622-104. If you cancel before Contractor begins work, you agree to pay the Contractor the stun of 20% of the final price as compensation for Contractor's prcparmincis as liquidated damages. If you cimmi after Contractor has perfomned work, you will pay the price for any work completed already and such work as is necessary, at Contractor's discretion, to prevent damage or loss to popery after cancellation. 8. EXCESSMA'FER1AL. Asian unavoidabiccottsequenceofCo imctor''seffortstuensuir your project is properly completed, there may be excess materials purchased. If so, those excess materials certain the property of Contractor. 9. AUTHORITY. Contractor is not obligated under this contract until it is signed and approved by an officer of the company, an authorized agent, or work has comineirced. A Sales Representative is net an officer a agent of the Comrachir. 10, ASSIGNMENT AND BENEFICIARIES: Timis contract, including the limited warranty, is non-transferrahlc, and you may not assign or deleynte any of your nghts or obligations. There are no third -party beneficiaries. It. GOVERNING LAZY. This contract shall be governed by the laws of C olnrtdo. All lawsuits or other disputes related to or arising under this contract shall be brought only in Arapahoe County. Colorado. or in the County in which the propeny is siumted, at Contractor's soleoption. Upon Contractor's sole election, all such disputes sha II he resolved by binding arbitration under the rules of ilio American .Arbumtion Assceim ion. with Wl, and Connucta each paying half of the caw; of any arbitration. and Cuntracor may recover ins costs to conduct arbitration trnmyou in addition to any other amounts if it prevails, and may obtain default judgtrrcni against you if you decline to participate or pay your porion 12. INCORPORAI'ION. Thiswntranct consitititesilieftilt."dcumpicielLreemeniW, vmn the parties. You agrcc that you will not rely upon and have not receivedany representations by a sales representative. Contractor. or its agents except as speci fic:dly wi iten in this contract. and that no additional promises or mism,cmaliom have been ollered as in inducement to signing. 13. MODIFICATION. This contract movoniy be modified in w•nung, silted hyyouand by Contractor. The headers in this ccntraci are for organiavional purposes onivand are not themselves rams of the contract. No failure by Cuntrdchur to enloree any Prov iston ol'this contract will be construed as a waiver. 14. INVALIDITY- Ifany provision ofthis contract is invalid under applicable taw, it is to that extent deemed omitted. The mnxtinder of this contract 0all be valid and enforceable to the maximum extent possible 1S COUNTERPARTS. This eontuet may lie executed in more than one cininterp:m and by drfferrnt people on separate LQ uotcghans which together constitute the contrtcl. 16. GUARANTEE. Any individuals signing this contract on behalf o(C ustoner arc guaramurs and represent that they have actual authority to bind the owner ufthc prupeny and agreetoprrsonalh•pt ammee the perlbrouni Band rmyient bythe Custunerand theproperty, owner. Contractor may make other arangements with Customer or the mvner and the guaantors willremain responsible furdl payments and vtbligsatirnts Cuslnlerdasnothave to notify (ivarantors if Cwturner or ire propo4y owner fail io meet obligation.; under the contract. If they do, guarantors shall immediately pay in accordance with die dcl'ault provisions of the contractall sums, due and perform all obhgdwns under the cootr ct. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line I (303) 235-2855 Office • (303) 237-8929 Fax \ Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/P Re -Inspection required: Yes Noj When corrections have been made, call -for re -inspection at 303-234-5933 ) • � � Inspector: f Date: 1' OV . / l DO NOT REMOVE THIS NOTICE P f { 4 i CITY OF WHEAT RIDGE Building Inspection Division j (303) 234-5933 Inspection line_:�9�t. ! (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M ( C) I Job Address: & `A S Permit Number: 23 `7 Q ?j ❑ No one available for inspection: Time Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector:s� DO NOT REMOVE THIS NOTICE DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 9399 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date: 8/30/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: Property Address: 3610 GRAY ST Contractor License No.: 19312 Company: Deer Creek Plumbing OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 431-0255 Phone: 697 5583 (OWNER)(CONTRACTOR) SIGNED DATE Total: $300.00 $23.50 $0.00 $4.50 $28.00 Construction Value: Permit Fee: Plan Review Fee: Use Tax: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Use: Description: Install 40 gal water heater BUILDING DEPARTMENT USE ONLY SIC: Sq, Ft.: ---- Approval: Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year. full fees shaH be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of thel'ob. The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the proviSions ,f\....Of the building codes or any, other ordinance, law, rule or regulation. .., \ ,)~C ,0,. uilding In ctor (1) (2) (3) l3UILDI IG IN:;i 'LC liON DIVISION - ;.!JS-; CITY OF WHEAT RIDGE 7500 WEST 29TH ^\'ENUE WHEAT RIDGE, CO 80215 s 'te 3G\Q (~~~~ {:Jzdu.'<" ~- '<) \~::,\~ 'D-u" C~"t{AL r perty Ownr'r": 'fly Address : License Nil. I 'hone : L( 5 \ - ()~SS Pr, Contract, :p\ b~ rANDING A () AGREEMENT 'lhone: (.o6Jj S~3 Compar OWN' 'VCOIITRAC' )R SIGNAl I~E OF UNDER se 1 IX: 300 .;::...:::, , ') L\. n 'hereb certify 'hat the ",nd do lot viol; Ie appl; coven;- Its, easl'lllenl!: made ~ '! accurate; th~ f1rplic '1n, an(' that I ,. c"d'" R.C.) f\d all f ~lback distances proposed by II "lermif appli( 10n are acct/fale, 1ble ordinances, rules or regula! ; of the City' VVheat RidQe or reslridions of record; thaI all nJ' .urements sf, -n, "nd ;I!1f;q<1tions have read t:lnd agree to abide b III conditions' flied (m Ih; . lime full resronsibility for camp!' Ice with the \' ":al Ridgf' ! 'uilding 'r applicablr Wheal Ridge ordin ces, for wott lder this p("rnit. )SIGNE[J~{\~l~3-c( Construct;, n Value: Pr mit Fee: T<"ll: --ro:uo ~'<::::' U (OWN' \)(CONTRACl Use c D':ription: 2i~\ ~u.st 0.0 -.5 \J....)~ BUILDING DI:PARTMENT 1 I: ONLY ( ,1& ()mmem~; I\pproval : Zoning: ~ tUlnlJj, Jmmnelil Approval: li[l I[t3W.U{KSIl,>OJl1 '!ll9 AI'proval : SIC: q, FL: 0, supan, y : Walls: Roof' Storie' Rr sidential Units: Fleclr' 11 License No : (~omp 'y: Plumbing licP'llse Nt) : :ompClI1Y: Mech;mical icense No : Company: :.xpir? r1n Dal~ : \rprn 'I: 'pira\' n Da' Approv, ,I : Expir;rtion [ 'Ie: Approval: I') 5) (13' 'is permit was Is'l' ''"(I In ar'7lfdance with the pro'/isions ~ 'I forth h 'Julation'l and B' 'ling e, <1e of lNheal Ridge. Colorado l'f My oll i, permj' ,hall ~ 'e if (P the work authoriz~ is nol CO! 'mence" :' mdon!'!' fOf. r >d of 1.'1 da)'s. I' lis pem it expif' :I new I ~r1'mt may be "c:qulr"d for.. I' 'of 011< ~inal pt;ms and. ~fications and gny suspen');':m 01' ab 'ldortm< r ....eeds OI'1'! (1) Y" '. fun fe'!s shall be paid for R PI~W fX!n' , f! I work 0' .,ny"'" ''!r shall be done that will d' 1ge Ihe I ItUfal fI, { 'ntrador ,han no f the BuildIng Inspedor tw,,, {-lour (7 'j hOUf!: p' <:eedilng with SI! :esslve phases of the/'ob. 11 ~ iuuanc~ of a r 'fmil Of Ihe approval 0 drawing,> and; '''dfical' or 'he building cod,. Q( any olher ordinan~. law, lule Of If' ''1lalion "pur <11 lication ;md Is subi~ct 10 !he laws of UH! Stale of CcOOrado and 10 'he ZoninQ 'applic 'I~ ordir' ,nces 01 the CIty. ',!\hin si;< ( (60) {' '$ from Issu~ date or (B) the buildfng 8uthoriud is sus~nded or ,,,If the ~mounl f1 1l'l11y requiff'd, pfOvided no changes have been or will '~made in Ihe 'has not excee<::l one (1) year. II ch8r'1geS are made or i' SUSp"r'lSion 0' abandonment (I) (2) P) ',f W",IN C",USil' dr~in~Qe problem. Oldvancro 'or all ""dion,> and shall rl!Ceive written apl .roval on Inspection card before '\ ,>hall nol be hUM 10 be a permll 'or, nor an apploval of, any violation of the provl,>lons (',ief Buildin~ 'lspe lor fHIS PER~ f VA' 10 ONLY WIWN' ;NEI CALL: 2J4-5~ J 24 I For Mayor IY THE CIIIEF BUILDING INSPECT' 'R AND MAYOR )URS PRI<JR TO INSPECTION