HomeMy WebLinkAbout2780 Fenton 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:k//'tjz7>
Job Address: `E LA2�� 52�
Permit Number:
❑ No one available for inspection: Time QAM�/P
Re -Inspection required: Z_,X�116'r'—fe-inspection
r:`._ o
When corrections have been at 303 -234 -
Date: -:2
03 -234 -
Date:_:% ' l Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201901222
PERMIT NO: 201901222 ISSUED: 0,6/13/2019
JOB ADDRESS: 2780 Fenton St EXPIRES: 06/12/2020
JOB DESCRIPTION: Replacing 3 windows in office and bedroom. U -factor is 0.27.
*** CONTACTS ***
OWNER (858)395-9342 VITRANO LINDSEY
SUB (888)736-6335 ADAM KALINER 160260 POWER HOME REMODELING GROUP
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,297.27
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 69.24
** TOTAL ** 119.24
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to be oe
rformed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal odespoicave been authorized
bthe lal owneroftheropertyand am authorzetoobtain tisin conjunction with
this ermit.furtherattest that I amegaly authorizdtinclude 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 CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The ' nce or granti f a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
app ca e c e or an dinance or regulation of this jurisdiction. Approval of work is subject to fyeld inspection.
pr
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, June 13, 2019 8:58 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
2780 Fenton St
Vitrano, Gerlesits
858-395-9342
Field not completed.
CC Auth for online submit.pdf
CONTRACTOR INFORMATION
Contractor Business PowerHRG
Name
Contractor's License 160260
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 888-736-6335
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address shane.laird@powerhrg.com
Retype Contractor Email shane.laird@powerhrg.com
Address
DESCRIPTION OF WORK
Number of window 3
and/or doors being
replaced
Location of office, br
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the 0.27
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of Vitrano.pdf
window/door cut sheets
showing sizes and a -value
Project Value (contract 3297.27
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
z
issued based on this
application.
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Shane Laird
Permit
Email not displaying correctly? View it in your browser.
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
4
Project Specifications
Windows: Front LR 1 33.0"x51.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White : Grid Pattern : Top Sash Only : Colonial : Standard I Removal Wood
Additional Details None
Windows: Front office 1 27.0"x52.0"
WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None
OPTIONS: Color White / White : Grid Pattern : Top Sash Only : Colonial : Standard I Removal Wood
Additional Details None
Windows: Right bedroom 1 73.0"x53.0"
WINDOWS: Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS: Color White / White : Grid Pattern : None I Removal Wood I Additional Details None
June 07, 2019 20:43
Lindsey Vitrano and Tim Gerlesits
33-94542
June 07, 2019
Page 2of2
ppWER
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
PRODUCT SPECIFICATIONS
Lindsey Vitrano and Tim Geriesits
33-94542
June 07, 2019
Buyer(s)' Information and Description of the Property:
Project Number: 33-94542
June 07, 2019
Lindsey Vitrano
(303) 694-7165 (Work)
Date of Agreement
Tim Gerlesits
Ivitranol4@gmail.com
2780 Fenton Street
(858) 395-9342 (Lindsey's Cell)
E -Mail Address 1
Denver, CO, 80214
(630) 885-1547 (Tim's Cell)
County: Jefferson
Township:
Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification
sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications
(collectively, this "Agreement").
Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Sat 6/22 between 1:35p and 2:35p.
Windows - SL 2700 Inclusions: Includes metal reinforced meeting rails and nighttime safety locks on double hung windows only, welded
corners, foam injected frames, Sashlite technology, Heatshield, Duraglass, exterior custom capping, installation, clean up and haul away of
all job related debris.
It is agreed and understood by and between the parties that the Product Specifications, along with the Custom Remodeling and
Improvement Agreement, constitutes the entire understanding between the parties, and replace any and all prior negotiations,
representations, or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless
such changes are in writing and signed by both Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read the Product
Specifications.
I have read and received each page of this 2 page agreement.
Power Ho Re o ling Group
/06/07/19
Signature of Remodeling Consultant
Steven Barbano
Buyer(s)
&�� /06/07/19
Signature
Lindsey Vitrano
Buye (s)
/06/07/19
Signature
Tim Gerlesits
YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
June 07, 2019 20:43
Page 1 of 2
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Questions or comments regarding your new windows?
Please contact us at: 877.454.8955
or email us at:
CustomerCare@PowerHRG.com —
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► A i CITY OF WHEAT RIDGE
Building Inspection Division
�9�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /P7 �,D
Job Address: 77? 0
Permit Number: 2G/T 3�ZZ-
❑ No one available for inspection: Time 5 AM/0
Re -Inspection required: Yes Q
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: (SAL
DO NOT REMOVE THIS NOTICE
5
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:
Job Address:
Permit Number: -7V7-U JtC Z
❑ No one available for inspection: Time ——CJ /PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933 !
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703822
PERMIT NO: 201703822 ISSUED: 07/12/2017
JOB ADDRESS: 2780 Fenton ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 30 sq.
*** CONTACTS ***
OWNER (303)358-8558 ECKENWILER MICHAEL
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation 0.00
Use Tax 294.00 A D
Permit Fee 267.70 - -
** TOTAL ** 561.70
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A,ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703822
PERMIT NO: 201703822 ISSUED: 07/12/2017
JOB ADDRESS: 2780 Fenton ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 30 sq.
1, by m 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 [ am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alf entities named within this document as parties to the work to be
performed and that all work to be performed is dy closed jn tis document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 original permit 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 Budding Official and is not guaranteed.
q'No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official U Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 29, 2017 10:34 AM
To: Permits CommDev
Z
Subject: Online Form Submittal: Residential Roofing Permit Application
.-
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
2780 Fenton St
Mike Eckenwiler
3033588558
jwiles@interstateroof.com
A 4 S61 , 70
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Interstate Roofing
Contractor's License
019938
Number (for the City of
Wheat Ridge)
Contractor Phone
3037639114
Number
Contractor Email Address
jwiles@interstateroof.com
Retype Contractor Email
jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
O/C Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
30
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
30
roofing material for this
project
Provide additional detail
house, 6:12 pitch
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 14000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant John Quante
Email not displaying correctly? View it in your browser.
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Submitted To
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NTERSTATE
ROOFING
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Date i ry
Phone�03.VF � Alt. Phone_
City 2r Pr r State Zip
Insurance Company Claim# Policy#
Scope of Work and Materials to be Provided. The scope of work and materials identified belo re the scope of work recommended by Interstate
Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work tha ' not approved by the insurance company
unless you authorize the work and agree to pay for this additional work. r y
Shingle Manufacturer T Color:Qohrr, Int.
Tear oft,_ layers co position shi lies', ` ❑Tear off one layer of wood shingles
�L
Install Decking (7/16" OSB)y
f�f�.cc_
I ��JttY..;
C+ A
JAInstall II
IL.I Install new feft��{
r ,
0 Install pre -painted elav__e metal to code - Color Brown Charcoal Tan Gray White int.j�
f1� }
Kf Valley(s) will be closed ❑ Valle open
p{ 1)
Ridge(s) to be color -coordinated /' 1,L j 44
�1,
VRidge(s) will be "High Profile Ridge" color -coordinated shingles l7eJ%(jJJ
W41
9600 E Arapahoe Rd #205
new pipejacks
Toll Free 877.898.8144
/Install
id Replace Vents as needed
Englewood, Co 80112.3726
V Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
www.interstateroof corn
❑ install In. ft. of series ridge vent
(303) 397-7820
❑ Install In. ft. of ice & water shield to code
XInstall Z nails per shingle
XClean out gutters
5 year workmanship warranty
Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate
A
Make a magnetic sweep of driveway and yard for removal of any nails C L
❑ Remove all debris resulting from above work p94
,A%� PK�cJ
[ISpecial Instructions
lN_J
The approximate costs of the services based on damages known at the time this contract is entered is t
Interstate Roofing, Inc.. however, will perform the scope of work approved by the insurance company for the amouift of the insurance approved
proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate Roofing. Inc. shall become the final contract pnce or the insurance approved scope. You will be responsible to pay for any upgrades or
additional work authorized by you that the 'insurance company determines is not covered within the scope of coverage provided by your insurance
policy. Supplemental claims billed by Interstate Roofing, In�y th t are proved by the insurance company for additional work or increases in costs
become a part of this contract. bb h , y. _
Approximate Dates of Service �t>v3 to rCiJA� 1 rrr 111 These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor
Notice:
If the property owner pians to use the proceeds of a property and causuaity insurance policy issued pursuant to part 1 of article 4 of title 10. G.R.S., to
pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any
subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding
process relative to the claim number referenced above.
I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing.
/ //
Deposit Amount: � 7G c� t� - r6 1-11
Date: / R.12. Initials:
Interstate Roofing shall hold n trust any payment from the property ner until interstate Roofing has delivered roofing
materials at the residential property site or has preformed a majority of the roofing work on the property.
I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement
Date of Acceptance
Client Signatures)
Representative
Corporate Headquarters Colorado Springs office
Fort Collins Office
Cheyenne office
Black Ins. Agency
1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970 482.7722 F. 970.682.1018
1010 S Greeley Highway
9600 E Arapahoe Rd #205
Denver, CO 80211 Colorado Springs, CO 80909
Toll Free 877.898.8144
Cheyenne, WY 80211
Englewood, Co 80112.3726
R 303.763.9114 F. 303.789.3790 R 719.4719752 F. 719.597.4444
www.interstateroof corn
P. 307.634.2553
(303) 397-7820
www.interstateroot.com
info@interstateroof.com
�on
Address: All
Complete all information on BOTH sides of this form
Sq. FULF Stu's Gallo n
Amps Squares _ tatter
Building Division Valuation,
Ranco Roofing or Ken Ranum lee. 29,2013 P#I
455 S Quail St
Lakewood, Co 80226
Contact Ken C- 720-297-5886
Fax# 303-988-5232
Roof Project at 2780 Fenton St ( Garage re-roof
C/O Mike Eckenwiler
Cell# 303-358-8558
Fax# 720-708-6357
Project start date scheduled as on or before Jan 4 1h 2014,
, with a two day completion time weather permitting.
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CERTIFICATE OF OCCUPANCY
City of Whew. Ridge
7500 W 29th Ave
Whet Ridge CO 80033
Permit# 1113
Issued: 01/06/12
01/06/12 16 :40 r 04 City of Wheat Ridge Page
bp?01-ls PERMIT INFORMATION - 1.1.1.345 mmackey
PERMIT INFORKATION�
Permit#: 111345
Permit Type. Residential Addition
Permit Lit.; 11/01/2011
Expires: 10/31/2012
I-AND PARCEL INFORMATION�
Zone Cd Residential SFR
Funct Use. Unassigned
Sxdxlivision: PRINCES RESUB OF LAK
Cont Type,- Miscellaneous
Legalz
Address: 2780 FENTON ST
Parcel Cd 39-254-24.
OWNER: Daniel lovine
Address- 2780 Penton St
City/St/Zips Wheat Ridge SO 80214
Du : I
LaSt Zone Dt:
Annex Dt;
Lots Block No 0
JOB DESCRIPTION: 576 sq ft room addition- bed, bath, laundry, dining, & deck
SetBacks-Front: 20.0
Left; 16 5
Right: 5,0
Back: 5, 0
FEES QTY CUP PAID;
Permit Fee '70,000,00 890.55 890,55
Plan Review Fee ,00 578,86 578,86
Same Day Inspection .00 60.00 60,00
Total Valuation 70,000'00 .00 '00
Use Tax 70,000,00 1,260,00 1,260,00
2,789. 41 2,789.41
CONTACTS
owner Daniel lovine 2780 Fenton St Wheat Ridge CeD 80214 303'7284837
go CL3 Regal Construction Inc, Pace Regalado 1017 S. Johnson St, Lakewood, DO 80226 3039031790
sub CL9 R & A Heating & Cooling Inc ROBERT D. GROSS, SR, 1005 E, 75th Ave, Denver, CO 80229 3032893441
sub CLA Creative Electric 1851 W. Hamilton P1. Englewood, SO 80110 3037811241
sub CL8 Above the Top Plumbing Ronnie Martinez 6765 King St Deriver, ( 80221 7202615940
PARCEL INFORMSTION�
10 Structure Type RANG
20 Year. Built 1927.00
30 Property Type RESID
PERPUT CONDITIONS:
MR: Note: Owner /Contractor is responsible for locating property lines slid
constructing improvements according to the approved plan and required
development standards. The City is not responsible for inaccurate information
submitted within the plan set and any construction errors resulting from
inaccurate information,
KCz Approved per plans and red-line notes on plans. Must, comply with 2006 IRC
2005 NEC and all applicable City of wheat Ridge Municipal Codes, Subject to
field inspections,
APPROVALS�
Req Apprv'1 Date Approver Note
ZONING 01/04/12 MR House addition complete - still working on back deck.
REQUIRED INSPECTIONS STATUS�
Type Description Required By Completed on
I - — - 11 -------------- --- ---- - --- -11 -
ZONE Seeing Final Inspect 01/04/12
01/06/12. 16 AQ: 04 City Of Wheat Ridge Page 2
bp7ol-.Is PERMIT INFORMATION , 113,345 rnmackey
11/01/11 ExLension of non-confonning setback on the north allowed. Permit approved by Planning,
1I/0V11 (.RFATED FROM APPL# 11-0296
10/31/il re-revieried and approved plans with notes on plans, rtn, to drawer
10/28/11 Elevation sheet, emailed. Printed and incorporated into plan set.
!0/25/11 Photos printed and added to Plan set,
10/21/11 began review of plans.e.-vailed request for elevations. rescheck upgrade etc— returned to drawer 4
10 Originally assigned to Lauren brat took plans since she's goint Oil vacation.
10/20/11 No elevation Submitted with permit. Contractor called. Homeowner does riot want, to pay for elevations
emailing picture elevations,
10/19/11 Sent email to MR at 8:15am. Put in drawer 44,
INSPECTION INFORVIATION;
#
TYPE
CC yrR#
CALLED
CNCL
W140
RECD DT
INS DT
STATUS
I
FOUL Foundation Insp,
11-0221
11/14/11
110
KC
11/14/11
11/14/11
COMPLETE
2
SHE:Sheathing/Sheer Insp
11/16/11
no
AC'
11/17/11
11/1'7/11
COMPLETE
3
ERR: Electrical Rough Ins
01.18098
11121/11
no
KC
11/22/11
11/22/11
PARTIAL
4
EMR:Elec Service EMR
11/22111
110
PC
11122/11
11/22/11
COMPLETE
5
SHE:Sheathing/Sheer insp
11-0221
11/23/11
no
PC
11/23/11
11/23/11
COMPLETE
6
PRI Plumbing Rough Insp,
02-0914
11128/13
no
AC
11/29/11
11/29/11
COMPLETE
7
FRAcFraming Inspection
11-0221
11/30/11
no
AC
12/01/11
12/01/13
a)MPLETE
8
ROF:Roof. Inspection
11-0221
11/30/11
yes
AC
12/01/11
9
ERI:Electrical Rough Ins
01-8098
11/30/11
110
PC
12/01/11
12/01/11
COMPLETE
10
MRIMechanical Rough ins
01-9659
11/30/11
no
KC
12/01/11
12/01/11
COMPLETE
11
INE:Insulation
11-0221
12/01/22.
no
AC
12/02/11
12/02/11
COMPLETE
12
DWS:Drywall screw/nail
11-0221,
12/05/11
no
SO
12/06/11
12/06/11
COMPLETE
13
MFI:Mechanical Final,
01-9659
12/20/11,
no
KC
12/21/11
12/21/11
COMPLETE
14
EFI:Electrical Final Ins
01-8098
12/20/11
110
PC
12/21/11
12/21/11
COMPLETE
15
ROF:Roof. Inspection
11-0221
12/20/11
no
PC
12/21/11
12/21/11
COMPLETE
16
ZONE:Zoning Final Inspect
11-0221
01/03/12
no
MR
01/04/12
01/04112
(N)VIPLETE
17
PFISPlinnbirrg Final insp
02-0914
01/05/12
no
AC
01/06/12
01/06/12
COMPLETE
113
BFI:Building Final Insp
01/06312
no
AC
DI/06312
01/06/12
COMPLETE
Im
Project address. =m Permit
General Contractor: L . _ x
Electrical Contractor
Company Name: Phone #:
State License #: Master #:
Signature of Authorized Agent Date
Plumbing Contractor tz��..
Company Name: ' , ) t . � � � Phone #:
State License #: >° n Master #:
Wheat ridge License #: "2-
[on
Mechanical C ontracto r
Company Name: Phone:
Wheat Ridge License #:
Signature of +r D ate
CITY OF WHEAT AIDC
IJ/ (303) 234 -5933 Inspect
(303) 235 -2855 Office'' (303) 2
INSPECTION NO'
- u�aNcyuv - ,Y 1±°
Job Address
Permit Number
4 ,,»
/ j/ fir
.r.... a P' 'jY
[f'�i1zEr•° ....�
pd No one available for inspection: Time L/ A
6 rs�
Re- Inspection required: Yes No '
When corrections have been made, call for re- inspection at 303 - 234 - 5933
Date: r l Inspector: y /' ,
DO NOT REMOVE THIS NOTICE
MOOS �
} � Y
13719 W. Amherst Way, Lakewood CO 80228
Phone: (303) 359 -4678 Fax: (303) 948 -1949
November 10, 2011
RE: Certification Letter for Residential Addition Structure Project
(2780 Fenton St., Wheat Ridge, CO 80214)
ATTN: Owner, Construction & Municipality Officials.
To All Concerned:
This letter is to provide documentation of a visual structural evaluation conducted on
November 8 2011 and November 9 2011 for the project listed in the above reference line. The
new foundation footing and stem wall associated with permit #111345 appears to be erected utilizing
sound construction techniques and the design intent of the construction documents. The foundation
should be adequate to resist the load case as shown in the project drawings and given in the general
notes as they pertain to the 2006 IRC.
Sincerely,
Darren Dowell P.E.
President
Page 1 of 1
awl
13719 W. Amherst Way, Lakewood CO 80228
Phone: (303) 359 -4678 Fax: (303) 948 -1949
November 10, 2011
RE: Certification Letter for Residential Addition Structure Project
(2780 Fenton St., Wheat Ridge, CO 80214)
ATTN: Owner, Construction & Municipality Officials.
To All Concerned:
This letter is to provide documentation of a visual structural evaluation conducted on
November 8 2011 and November 9` 2011 for the project listed in the above reference line. The
new foundation footing and stem wall associated with permit #111345 appears to be erected utilizing
sound construction techniques and the design intent of the construction documents. The foundation
should be adequate to resist the load case as shown in the project drawings and given in the general
notes as they pertain to the 2006 IRC.
Sincerely,
Darren Dowell P.E.
President
Page 1 of 1
A City of Wheat Ridge
l Residential Addition PERMIT - 111345
PERMIT NO: 111345 ISSUED: 11/01/2011
JOB ADDRESS: 2780 FENTON ST EXPIRES: 10/31/2012
DESCRIPTION: 576 sq ft room addition- bed, bath, laundry, dining, & deck
* ** CONTACTS * **
owner 303/728 -4837
Daniel Iovine
go 303/903 -1790
Pete Regalado
11
-0221
Regal
Construction Inc.
sub 303/289 -3441
ROBERT D. GROSS, SR.
01
-9659
R & R
Heating & Cooling, Inc
sub 303/781 -1241
01
-8098
Creative Electric
sub 720/261 -5940
Ronnie Martinez
02
-0914
Above
the Top Plumbing
** PARCEL INFO **
ZONE CODE: R -1C
USE:
UA
SUBDIVISION: 0535
BLOCK /LOT #:
0/
Conditions:
MR: Note: Owner /Contractor is responsible for locating property lines and
constructing improvements according to the approved plan and required
development standards. The City is not responsible for inaccurate information
submitted within the plan set and any construction errors resulting from
inaccurate information.
KC: Approved per plans and red -line notes on plans. Must comply with 2006 IRC,
2005 NEC and all applicable City of Wheat Ridge Municipal. Codes. Subject to
field inspections.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
thi c�acjment_aud(or its' accompanying approved plans and specifications.
Signature Of N R oCONTRACTOIt (Circle one) / dilate
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 original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to
Signature Cf Building Offical Date
INSPE TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
�
' d ',. City of
OM Wheat dge
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
Building Permit Application
Date: 1 201 f _
Plan #
Permit # 1 ��
NJ V - 2 Fn1l17 s-T-. 90 2-15 -
Property Owner (please print): DA- -/ytt�L � L 15 -L7oVi 1V E- Phone: 303 - - 720 8 3 7
Mailing Address: (if different than property address)
Address:
City, State, Zip:
" on 1b ": �AL jAllS'TI�UC�70/iG L/S C T SEC �I L
Contractors City License #: I — 0 2 2 Phone: �S�3 - 963 - J - 7
b Chan
Electrical: Plumbing: Mechanical:
City License # City License # City License #
F-WA4 Abl>i - 6oiQ 0 -� s4 t'I -
I KcUQOi RIE- >3C-- i?®ONL B> to ovn� L—Au n)n>z+�
llZ00AA, ) ,ADD D I tit I hl & i� C) A-A Ai,( p
S7G I�l '�-3L Ic�f,o�
s�G.rS, S' �C� ✓£.ZcO r [gr'�.7.aJ �ilG8.5' J)[GiL4
Squares BTU's Gallons Amps Sq Ft �.Sv
Contract Value:
$ Z , OIXJ
Review Fee (due at time of submittal):
$ �9.9& ,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made we 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to fist that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR) A (AUTHORIZED REPRESENTATIVE) o OWNER) (CONTRACTOR)
PRINTNAME: I C'1ZEQ- Al-AVo
Bldg Valuation: $ 2�jEfls fJ
y
u
„,, Buildi Permit Residential Worksheet
Address - /& F�t� —
Zoning: K C/
Lot Size: q 3 �_ S sq. ft.
Property in the flood plain? V10”
Lot Width: - T5 ft. 6 , R.1n, C25'
Maximum Lot Coverage: 4P %
Existing Improvements:
House: I (7 V n � sq. ft.
Shed: I q,5 sq. ft.
Detached garage: sq ft.
Other sq. ft.
37 5 O sq. ft.
Proposed Improvements:
House: sq. ft.
Addition to house: 5�� sq. ft
Shed: sq. ft.
Detached garage sq. ft.
Existing Lot Coverage:
(Total)
1 -7. 9
%
/& 03
sq.
ft.
Proposed Lot Coverage:
(Total)
mac(, 1
%
225 c)
sq.
ft.
Required Setbacks: FR ,[ 0 S e` -b S R
Provided Setbacks: FR S' I to . S ' S 31.5 ' R - 5 . lA nn
"' / A � tfx -�evvS p` � v\ /M —c �SVCQ -
t 3 4-Sb s
Maximum Height: 3S ft. Maximum Size: q. ft.
Proposed Height: ft. Proposed Size: -7 7,S sq. ft.
Access Notes
For one and two - family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be
surfaced with concrete, asphalt, brick pavers or similar materials.
For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line,
except when used as joint access for two or more lots.
In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width.
One and two - family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart,
measured from the interior edges.
For all uses, one access point per property is permitted.
Landscaping Notes
For one -and two - family dwellings, one tree for every 70 feet of street frontage is required..
100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O.
Street trees required:
Street trees provided:
In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement
with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be
required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements
are in place.
t (mot w
- -
PROPERTY DESCRIPTION
Subdivision Name: 615200 - PRINCES RESUB OF LAKESIDE BLKS 11 & 12
Block
Lot
lKey
ISection
Township
lRanqe
f ouartersection
Land Soft
012
0032
1
125
3
69
SE
0
012
0033
Public Trustee's Deed
25
3
69
M
0
012
0034
1
125
13
69
1
10
Land Characteristics
Retail
Total
10
Assessor Parcel Maps Associated with Sch
- -- --- - - -_ -- - -- Schedule Graphic Parcel Mao Ma oOuest Location
omao39- 254c.odf
PROPERTYINVENTORY
Property Type RESID Year Built: 1927 Adjusted Year Built: 1927
Design: Ranch Improvement Number: 1
Item
Quality
Construction
MAIN BEDROOM
FIRST FLOOR
Low
'.F
768
d
MAIN FIREPLCE
Low
288
Adjustment CodelAdjustment Sq Ft
WALL /FLR HEAT 1768
SALE HISTORY
Areas
Quality,
Construction
Sqft
FIRST FLOOR
Low
'.F
768
BSMT TOTAL
Low
Quit Claim Deed
288
ENCLOSD PORCH
Low
Warranty Deed
128
COVERED PORCH
Low
Public Trustee's Deed
112
DETACH GARAGE
Low
M
480
RES BLDG /SHED
F -
195
BSMTFINISHED
Low
72
Land Characteristics
Retail
Sale Date
Sale Amount
Deed Type
Reception
11 -19 -1993
63,500
Warranty Deed -
93195765
01 -16 -1998
0
Quit Claim Deed
F0550305
04 -02 -1999
137,000
Warranty Deed
F0847267
10 -23 -2008
0
Public Trustee's Deed
2008098064
11 -10 -2008
149,700
Special Warranty Deed -Joint Tenancy
2008111107
TAX INFORMATION
View Mill Levy Detail For Year ;2011 2Q,1,d�
2011 Payable 2012
Actual Value
Assessrd alue
Total
12,084
2010 Payable 2011
Actual Value
Total
i 161,270
Assessed Value
Total
12,837
11 Mill Levv Information
URBAN DRAINAGE &FLOOD CONT DIST I TBA
URBAN DRAINAGE &FLOOD C SO.PLAT TBA
Treasurer Information
4
L.
r'Y
1
ITI .... .
NORTH ELEVATION
J /8 - 1-O
NOTE: FROST DEPTH FOUNDATION ONLY,
OWNER MUST FOLLOW RECOMMENDATIONS IN SOILS
I RFPORT IF MOVEMENT POTENTIAL IS UNACCEPTABLE
� l``9�
. �z
REFER yssoar�E�
REFERENCE SHEET p1 FOR
GENERAL NOTES. Im- 2��2011
MAMG MM
❑ PRfNmI OEi ONLY - WT TOR mN51F cC
❑ IMM i IWMAM PIMVOgS C Y
❑ Imm FUR MImwmw N mm. / mG. MPROVPL
❑ Imm m O m mNIRACiOR MIwv&
Imm m CpSI nffl
❑ OESIPM Ill %BMWs ms
Is9m gY DID. p6h 10-71 -7011
N4POHO aY W7F
Wtfrm BY Mfr
RBIWATE EMSTINS OPACE 4 13ECT ADDITION
ORPNN
L.D. -A- oRAjr xo SX6T NO.
69171 7011 -M9'
vRa P.R °io•n•n 4 OF 4
REScheck Software Version 4.4.1
Compliance Certificate
Project Title: LOVINE RESIDENCE
Energy Code:
Location:
Construction Type:
Project Type:
Heating Degree Days
Climate Zone:
Construction Site:
2780 FENTON ST.
WHEAT RIDGE, CO
2009 IECC
Wheat Ridge, Colorado
Single Family
Addition /Alteration
6158
5
Owner /Agent
80215
Designer /Contractor
DAREN DOWELL
INNOVATIVE STRUCTURAL
SERVICES
13719 W. AMHERST WAY
LAKEWOOD, CO 80228
303.359.4678
INFORMATION@ INNOVATI V ESTRUCTURAL. COM
ompliance: 0.0% Better Than Co e Maximum UA: 97 Your UA: 97
The % Better or worse Than Code index reflects how dose to compliance the house is based on code tradeoff rates.
It DOES. NOT provide an estimate of energy use or cost relative to a minimum -code home.
Wall 1: Wood Frame, 16" D.C.
576 16.0 0.0
32
Window 1: Metal Frame:Double Pane with Low -E
56 0.280
16
Door 1: Glass
40 0.280
11
Ceiling 1: Flat Ceiling or Scissor Truss
576 38.0 0.0
17
Crawl 1: Solid Concrete or Masonry
320 0.0 11.0
21
Wall height: 3.3'
Depth below grade: 2.3'
Insulation depth: 3.0'
Inside below -grade depth: 0.0'
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2009 IECC requirements in
REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name - Title Signature Date
APPROVED
Subject to Field Inspections
Wheat Ridge Building Dept.
a."
Sign ......................Plan Checker
Project Title: LOVINE RESIDENCE Report date: 10/12111
Data filename: C:\ Users\ Darren \Documents \REScheck \REGAL CONST LOVINE Residence.rck Page 1 of 4
L�J( REScheck Software Version 4.4.1
Inspection Checklist
Ceilings:
❑ Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity insulation
Comments:
Above -Grade Walls:
❑ Wall 1: Wood Frame, 16" o.c., R -16.0 cavity insulation
Comments:
Windows:
❑ Window 1: Metal Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes — Frame Type
Comments:
Doors:
❑ Door 1: Glass, U- factor: 0.280
Comments:
Thermal Break? Yes No
Crawl Space Walls:
❑ Crawl 1: Solid Concrete or Masonry, 3.3' ht / 2.3' bg / 3.0' ext. insul / 0.0' inside bg depth, R -11.0 continuous insulation
Comments:
Exposed earth in unvented crawl space foundations is covered with a continuous vapor retarder (less than or equal to 0.1 perm). All joints
of the vapor retarder are overlapped by 6 inches and are sealed or taped with edges extending at least 6 inches up the stem wall and
securely attached.
Air Leakage:
❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are
sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or
solid material.
❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs /showers, and in openings between
window /doorjambs and framing.
❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk
between the housing and the interior wall or ceiling covering.
❑ Access doors separating conditioned from unconditioned space are weather - stripped and insulated (without insulation compression or
damage) to at least the level of insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer is installed
to maintain insulation application.
❑ Wood - burning fireplaces have gasketed doors and outdoor combustion air.
Air Sealing and Insulation:
❑ Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7
ACH at 33.5 psf OR 2) the following items have been satisfied:
(a) Air barriers and thermal barrier: Installed on outside of air - permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b) Ceiling /attic: Air barrier in any dropped ceiling /soffit is substantially aligned with insulation and any gaps are sealed.
(c) Above -grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
(d) Floors: Air barrier is installed at any exposed edge of insulation.
(e) Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or
sprayed /blown insulation extends behind piping and wiring.
(f1 Corners, headers, narrow framing cavities, and rim joists are insulated.
Project Title: LOVINE RESIDENCE Report date: 10/12/11
Data filename: Q\ Users \Darren \Documents \REScheck \REGAL CONST LOVINE Residence.rck Page 2 of 4
(9) Shower /tub on exterior wall: Insulation exists between showers /tubs and exterior wall.
Sunrooms:
U Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U- factor of 0.50 and the maximum
skylight U- factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
Materials Identification and Installation:
Materials and equipment are installed in accordance with the manufacturer's installation instructions.
Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R- value.
Lj Materials and equipment are identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
n Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications.
Duct Insulation:
F1 Supply ducts in attics are insulated to a minimum of R -8. All other ducts in unconditioned spaces or outside the building envelope are
insulated to at least R -6.
Duct Construction and Testing:
Building framing cavities are not used as supply ducts.
❑ All joints and seams of air ducts, air handlers, filter boxes, and building cavities used as return ducts are substantially airtight by means
of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or
UL 181 B and are labeled according to the duct construction. Metal duct connections with equipment and /or fittings are mechanically
fastened. Comp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet -metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa).
O Duct tightness test has been performed and meets one of the following test criteria:
(1) Postconstruction leakage to outdoors test: Less than or equal to 8 cfm per 100 112 of conditioned floor area.
( Postconstruction total leakage test (including air handler enclosure): Less than or equal to 12 cfm per 100 ft2 pressure differential of
0.1 inches w.g.
(3) Rough -in total leakage lest with air handler installed: Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at
a pressure differential of 0.1 inches w.g.
(4) Rough -in total leakage test without air handler installed: Less than or equal to 4 cfm per 100 ft2 of conditioned floor area.
Heating and Cooling Equipment Sizing:
O Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
O For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and /or Service Water Heating (Sections 503 and 504).
Circulating Service Hot Water Systems:
Circulating service hot water pipes are insulated to R -2.
O Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
O HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R -3.
Swimming Pools:
FI Heated swimming pools have an on /off heater switch.
❑ Pool heaters operating on natural gas or LPG have an electronic pilot light.
O Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar- and /or waste- heat - recovery systems.
❑ Heated swimming pools have a cover on or at the water surface. For pools healed over 90 degrees F (32 degrees C) the cover has a
minimum insulation value of R -12.
Project Title: LOVINE RESIDENCE Report date: 10/12/11
Data filename: C:\ Users \Darren\Documents\REScheck \REGAL CONST LOVINE Residence.rck Page 3 of 4
Exceptions:
Covers are not required when 60% of the heating energy is from site - recovered energy or solar energy source.
Lighting Requirements:
O A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:
(a) Compact fluorescent
(b) T -8 or smaller diameter linear fluorescent
(c) 40 lumens per watt for lamp wattage <= 15
(d) 50 lumens per watt for lamp wattage > 15 and <= 40
(e) 60 lumens per watt for lamp wattage > 40
Other Requirements:
❑ Snow- and ice - melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting
off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is
above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement's').
Certificate:
O A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R- values; window
U- factors; type and efficiency of space- conditioning and water heating equipment. The certificate does not cover or obstruct the visibility
of the circuit directory label, service disconnect label or other required labels.
NOTES TO FIELD: (Building Department Use Only)
Project Title: LOVINE RESIDENCE Report dale: 10/12/11
Data filename: C: \Users \Darren \Documents \REScheck \REGAL CONST LOVINE Page 4 of 4
Coiling I Roof
38.00
Wall
16.00
Floor Foundation
11.00
Ductwork (unconditioned s pace
+-0
G
�YOrrRa
3u,,,
}mgt 5 ,
U Facor
Window
x ;t}GC:
0.28
Door
Heating System:
Cooling System:
Water Heater:
ti',tw -�'t`
Date
Comments:
APPROVED
Subject to Field Inspections
Wheat Ridge Building Dept.
Sign .......................Planer
"',,,,"'"",",,,,,,,,,,,,."C', ""'l!,~"",,~,~,t "''''''''~''''''ll'''' ""..,"',";"" "."""".,,,,,.,,,,,,,,.,,l,..,,,,,,., "7'."''7'.W'"""""""""",,,,, .""" ''''''''''''''''''''''''.'''''''~''''
PEPAR$I;N'fQFPi..ANN'NG ANP DEVELOPMENT Building Permit Number: 5581
BUILDfNGfNSP.EC110NPIVIS'ON - 235-2855
CITY OF WHEATRIOGE
75Q~lWEST29TH AVENUE
WHEATRIOGE. CO 80215
t-.<~
Date:' 8/4/97
Propert)'Owner :
Property Address: 2780 FENTON ST
Contractor License No. :
Company:
Phone: 2334855
Phone :
O'NNERlCONTRAC1'OftSI~TURE OF UNOEftSTANOINGANO AGREEMENT
IlJerei>ycertlfy thai tlJese~dl$tallc;e. p~ by !hill permll a~IICl1tIon are accurate,
lIlId do> notvlolatttapp11Callle 9/dlnan"""" A!. <>r F89Ulations of the City of Wheal Rklge or
covenants, 88III1l1'l/llIC)f"",~a of record; that all meaaurementuhown, and ~atic)ns
made are accurate,' ,.; tbm,' .I haY, ' ., !l',RIad, and. agree to, abide:.. ',all e<>ndlllOnse on this
llPPIiClItIon,lIlIdlbatl~"1'!~R,~$lbfol .. ... II> the , Ridge Building
Code (U.B.G.) lIhil,a"~ ~ W/l8at lIan, fqr W<>JI< under thIS P'lnnlL
(OWNER)(CONTflACTOR)$IGN DATE ~-.r-- ?".
Description: 6' PRIVACY FENCE
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax :
Total:
$1;400,00
$46.75
$0,00
$28.00
$74,75
BUILDING DEPARTMENT USE ONLY
Approval: SM 811/97
Zoning: R1C
SIC: Sq. Ft. :
6' PRIVACY FENCE MEETS ALL REQUIREMeNTS
Approval:
Occupancy :
Walls:
Roof:
Stories :
Residential Units :
EJectricaI License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
.
Expiration Date:
Approval:
.
Expiration Date :
. Approval:
.
(1) ~~==~~=~::o=~"==~1:~_oI1he_oICoIoI\IdOanlltofh8Zomng
(2) ====~<t!o~ 18 not co~ wIthln ~ (6O)dayslrom 188UO date or (B) the bulking ~ 18 suspended or
(~) ~this pOllnlle>qllres,aqOoil>el1l!ftmay be llOl:ltJIni<Iib< alee of ona-ha/ftheamountnormally raquiIad, _ ""changea _..... or\Nilll>e made In 1he
O!lg'noJ,J>ll!n"anll,~''''' OIlY ''''''''''''"''' or abandonment h.. not..._ one (1) yaor. llchangeo ora _orWouspensIonor ~
uCaecl$ _("l)_"fulI__bejolldib<atwlwpOllnll
(451 No...... ot onv:........llI\lIIIbe _1l\Il \NiIIc:hanGe 1he _'floW oIwa.,-........ a drainaga problem.
( e.-=~:-.:~",.:",~~r(24))lours In __lor aD fr1spedIonsofld _ __~onlnopOclloncanl """""
(8) ~oIapemlllor,.~ ot~ ofId 'pacification' _ not be_to bO. pel1Ylillor, noran_, 01, any_ 01 the povI_
of the <odiIOor..., _ loW, ruIa orraQula1lon.
(r).-
B'\!IICIii$lllspector
IS PERMIT VALID ONLY WHEN SIGNED!lY '1}lE CHiEf EJUij.DING INSPEC1'ORANbMAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215.
Building Permit Number:
Date:
+Property Owner:.,-t no. L. I1l<J..rv f)
j-Property Address: ';;;78'0 FL./lfr,n
Contractor License No.: N / A
Company; N I fr
1--Phone: 83~- L(QS 5
Phone:
(OWNERJ(CONTRACTOR) SIG ED
onstruction Value ;/~
Permit Fee:
Plan Review Fee;
Use Tax:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of t Ridge or
covenants. easements or restrictions of record: that all measurements show d allegations
made are accurate; that I have read and agree to abide by all conditions pri e on this
application, and that I assume full responsibility for compliance with the at idge Building
Code (U.B.C.) and all other applicable \Nh t Ridge ord!n or work d this permit
. ATE 7- 3/-1
Total:
'~DescriPtion: (9 r+. "Pr; 'VQCY FJ.iYJ-
BUILDING DEPARTMENT USE ONLY
Zonlil"!l'&Ol11mentS:! tt/1/t!f.1 SIC: Sq. Ft. :
Approval: ~ IJ/ IU1 ~ W.Auo. ~ J1lU.li~
Zoning: 11'-' ,- - - V-b D-v-- . "I '
BlIllllJ~!lmmems';]
Approval:
~nlil~~ol11l)1ents;]
Approval:
Occupancy; Walls: Roof: Stories: Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
rID ~!!fI~!!:!flIl.-Wl._
Expiration Date:
Approval:
1I1P.1l!!!~.B~ql!~~
Expiration Date:
Approval:
. ~l!m!J~__
(I)
(2)
P)
This permit was Issued in accoroanee with the provisions set forth in yopur application and Is subfect to the laws of the State of Cobrado and to the Zoning
R~ulallon$ and Building Code of Wheat Ridge, Colorado or any other appliea~ ordinances of the City.
TIus pemul shall expire If (A) the work authonzed is not commenced within sixty (60) days from jS$ue dale Of (B)ttle building authorized is suspended or
abandoned. for a period of 120 days.
If thiS permIt expires. a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the
original ~ans and specifications and any suspensIon or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
l!!!xceeds one (1) year, full fees shall be paid for a new permit.
No worx of any manner shall be done that Will change the natural now of water causing a drainage problem.
Contractor shall nObly the Building Inspector lwenty.four (24) hours In advance fOf all inspections and shall receive written approval on inspection card before
proceedli WIth successive phases of the/."".
The iS5,.c cefi' permit or the app al 0 drawings and specifications shan not be construed to be a permit for, nor an approval of, any violation of the provisions
of (he.tS ding es or any ther inance, law, rule or regulation.
;.", G .
(')
(5)
(6)
Ch. f Building Inspector For Mayor
THIS PERMIT V AUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
r
..~v
IMPROVEMENT LOCATION CERTIFICATE
2780 FENTON STREET.
LOTS 32. 33. AND 34. BLOCK 12. PRINCE'S RE-SUBDIVSION OF ~WCr,€$ 11 /l.. 12 LAKESIDE.
COUNTY OFJEFFERSON. STATE OF COLORADO.
(LEGAL DE6CRIF'110N I'URt-lISHED ~y WENT.)
2...1E>O
FE.\-.1TO.\-.1
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.s T 12..EE.. \
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33
34
=
250
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CERTIFICATION: I hereby certify that this improvement location certificate was prepared for
AUSTIN MORTGAGE INC., V
THAT IT IS NOT A LAND SURVEY PLAT OR IMPROVEMENT SURVEY PLAT, and that it is not to be
relied upon for the establishment of fence, building, or other future improvement lines.
I further certify that the improvements on the above described parcel on this date, NOVEMBER 16,1993,
except utility connections, are entirely within the boundaries of the parcel, except as shown, that there are
no encroachments upon the described premises by improvements on any adjoining premises. except as
indicated. and that there is no APPARENT evidence or sign of any easement crossing or burdening any part
,,+: "..",--, ....."'.........0.1 .av,...ont ~lO: nntpn
City of Wheat Ridge
Residential Roofing PERMIT - 201703822
PERMIT NO: 201703822 ISSUED: 07/12/2017
JOB ADDRESS: 2780 Fenton ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 30 sq.
*** CONTACTS ***
OWNER (303)358-8558 ECKENWILER MICHAEL
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation 0.00
Use Tax 294.00 A D
Permit Fee 267.70 - -
** TOTAL ** 561.70
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A,ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703822
PERMIT NO: 201703822 ISSUED: 07/12/2017
JOB ADDRESS: 2780 Fenton ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 30 sq.
1, by m 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 [ am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alf entities named within this document as parties to the work to be
performed and that all work to be performed is dy closed jn tis document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 original permit 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 Budding Official and is not guaranteed.
q'No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official U Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 29, 2017 10:34 AM
To: Permits CommDev
Z
Subject: Online Form Submittal: Residential Roofing Permit Application
.-
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
2780 Fenton St
Mike Eckenwiler
3033588558
jwiles@interstateroof.com
A 4 S61 , 70
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Interstate Roofing
Contractor's License
019938
Number (for the City of
Wheat Ridge)
Contractor Phone
3037639114
Number
Contractor Email Address
jwiles@interstateroof.com
Retype Contractor Email
jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
O/C Duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
30
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
30
roofing material for this
project
Provide additional detail
house, 6:12 pitch
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 14000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant John Quante
Email not displaying correctly? View it in your browser.
3
reterrallsto com
,+ C
Submitted To
I I - 55y�a
NTERSTATE
ROOFING
Emailc+. z+ _
Street �'� 0 T�'�� *� S l
r
BBB
Date i ry
Phone�03.VF � Alt. Phone_
City 2r Pr r State Zip
Insurance Company Claim# Policy#
Scope of Work and Materials to be Provided. The scope of work and materials identified belo re the scope of work recommended by Interstate
Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work tha ' not approved by the insurance company
unless you authorize the work and agree to pay for this additional work. r y
Shingle Manufacturer T Color:Qohrr, Int.
Tear oft,_ layers co position shi lies', ` ❑Tear off one layer of wood shingles
�L
Install Decking (7/16" OSB)y
f�f�.cc_
I ��JttY..;
C+ A
JAInstall II
IL.I Install new feft��{
r ,
0 Install pre -painted elav__e metal to code - Color Brown Charcoal Tan Gray White int.j�
f1� }
Kf Valley(s) will be closed ❑ Valle open
p{ 1)
Ridge(s) to be color -coordinated /' 1,L j 44
�1,
VRidge(s) will be "High Profile Ridge" color -coordinated shingles l7eJ%(jJJ
W41
9600 E Arapahoe Rd #205
new pipejacks
Toll Free 877.898.8144
/Install
id Replace Vents as needed
Englewood, Co 80112.3726
V Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
www.interstateroof corn
❑ install In. ft. of series ridge vent
(303) 397-7820
❑ Install In. ft. of ice & water shield to code
XInstall Z nails per shingle
XClean out gutters
5 year workmanship warranty
Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate
A
Make a magnetic sweep of driveway and yard for removal of any nails C L
❑ Remove all debris resulting from above work p94
,A%� PK�cJ
[ISpecial Instructions
lN_J
The approximate costs of the services based on damages known at the time this contract is entered is t
Interstate Roofing, Inc.. however, will perform the scope of work approved by the insurance company for the amouift of the insurance approved
proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate Roofing. Inc. shall become the final contract pnce or the insurance approved scope. You will be responsible to pay for any upgrades or
additional work authorized by you that the 'insurance company determines is not covered within the scope of coverage provided by your insurance
policy. Supplemental claims billed by Interstate Roofing, In�y th t are proved by the insurance company for additional work or increases in costs
become a part of this contract. bb h , y. _
Approximate Dates of Service �t>v3 to rCiJA� 1 rrr 111 These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor
Notice:
If the property owner pians to use the proceeds of a property and causuaity insurance policy issued pursuant to part 1 of article 4 of title 10. G.R.S., to
pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any
subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding
process relative to the claim number referenced above.
I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing.
/ //
Deposit Amount: � 7G c� t� - r6 1-11
Date: / R.12. Initials:
Interstate Roofing shall hold n trust any payment from the property ner until interstate Roofing has delivered roofing
materials at the residential property site or has preformed a majority of the roofing work on the property.
I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement
Date of Acceptance
Client Signatures)
Representative
Corporate Headquarters Colorado Springs office
Fort Collins Office
Cheyenne office
Black Ins. Agency
1000 W. 47th Ave. 2161 N. Academy Blvd. P. 970 482.7722 F. 970.682.1018
1010 S Greeley Highway
9600 E Arapahoe Rd #205
Denver, CO 80211 Colorado Springs, CO 80909
Toll Free 877.898.8144
Cheyenne, WY 80211
Englewood, Co 80112.3726
R 303.763.9114 F. 303.789.3790 R 719.4719752 F. 719.597.4444
www.interstateroof corn
P. 307.634.2553
(303) 397-7820
www.interstateroot.com
info@interstateroof.com