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Home My WebLink About4295 Lamar StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Monday, April 12, 2021 11:15:50 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4295 Lamar St. Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Jesse Saffold 415-341-4459 Property Owner Email jsaffoldl3@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Apex Plumbing Inc Name Contractor's License 060162 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-215-1348 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permitting@apexplumbing.com Address Retype Contractor permitting@apexplumbing.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair Five feet Location of repair Front yard (backyard, frontyard, etc) Provide additional Installation of 4" double wye clean-outs in the yard. details including installation of clean- o uts. Project Value (contract 3270 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been 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 Charlotte Graham Permit Email not displaying correctly? View it in your browser. 1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202100664 PERMIT NO: 202100664 ISSUED: 04/12/2021 JOB ADDRESS: 4295 Lamar St EXPIRES: 04/12/2022 JOB DESCRIPTION: Installation of 4" double wye clean -outs in the front yard.5 feet total *** CONTACTS *** OWNER (415) 341-4459 SAFFOLD JESSE SUB (303)215-1348 BRIAN WILKIE 060162 APEX PLUMBING INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31270.00 FEES Total Valuation 0.00 Use Tax 68.67 Permit Fee 109.20 ** TOTAL ** 177.87 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. 1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202100664 PERMIT NO: 202100664 ISSUED: 04/12/2021 JOB ADDRESS: 4295 Lamar St EXPIRES: 04/12/2022 JOB DESCRIPTION: Installation of 4" double wye clean -outs in the front yard.5 feet total 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 permrt. I further attest that I am leg 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 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 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 requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 04/12/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201705312 201705312 4295 Lamar ST Residential Re -roof to sq. C0- l^�AOo ISSUED: 08/02/2017 EXPIRES: 08/02/2018 install GAF Timberline HD asphalt shingles with 23 *** CONTACTS *** OWNER (206)719-5851 WOOD RYAN SUB (303)741-2561 Marcus McDermett 170349 American Heritage Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,707.88 FEES Total Valuation 0.00 Use Tax 161.87 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. INSPECTION RECORD °cc" uncvnype INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection 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 ADDroval 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 Inspectors Initials Comments Sheathing ebD a' Ju I Rte- afrUA�f V &VP 5Pe*AW l(A TZ> F'��MIT Mid -Roof $ llp I-� Or')Jev 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 Residential Roofing PERMIT - 201705312 PERMIT NO: 201705312 ISSUED: 08/02/2017 JOB ADDRESS: 4295 Lamar ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 23 sq. *** CONTACTS *** OWNER (206)719-5851 WOOD RYAN SUB (303)741-2561 Marcus McDermett 170349 American Heritage Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,707.88 FEES Total Valuation 0.00 Use Tax 161.87" 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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 - 201705312 PERMIT NO: 201705312 ISSUED: 08/02/2017 JOB ADDRESS: 4295 Lamar ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 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 legally authorized to include all entities named within this document as parties to the work to be performed and that all w�rt7to be�perfopned is disclosed in this document and/pr its' acco panying approved plans and specifications. Signature of OWNER.-lor .CONTRACTOR ir`cle one) — Date J 1. This permit was issued base on e ' a ion 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 andmaybe 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 nting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicablec de y ordmangul iqn f this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, July 24, 2017 12:02 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4295 Lamar St. DL Ryan Wood (206) 719-5851 Property Owner Email ryanmcwood@gmail.com Address 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 Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number American Heritage Restoration, LLC 170349 h 3037412561 Contractor Email Address Victoria@ahrroofing.com Retype Contractor Email Victoria@ahrroofing.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing GAF Timberline HD Shingles 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 v property include a flat roof? If yes, how many squares Field not completed. on the flat roof? / TOTAL SQUARES 23 v (pitched + flat) of all roofing material for this project 2 Provide additional detail House, pitch is 5:12, will be removing existing roof system and here on the description of replace with new GAF roofing system. work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract J690a��— -76 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 Victoria Compo Email not displaying correctly? View it in your browser. 3 �Vvtn�rL�l�titlVV�� •• �� - -r1 jA it N V if 1 �_ l Iei 3380 S. Knox Court • Englewood, CO 80110 Main: 303-741-2561 Fax 855-204-3640 • www.restoreamericanheritage.com General Contractor • Licensed and Insured 312- Home Owner: Ryan Wood Phone # (206)719-5851 Work # (206)719-5851 Date 07/19/2017 Street Address City Zip 4295 Lamar Street Wheat Ridge 80033 Email Address Claim# Insurance Agent / Ph. # ryanmcwood@gmail.com 1002-07-6627 I/We authorize American Heritage Restoration LLC. (AHR) to work directly with my insurance company on my behalf and furnish material and labor as listed below for the Agreed Insurance Replacement Cost Value. Property owners out of pocket expense will not exceed their insurance deductible in the amount of $ 1000 plus any upgrade fees. No down payment is required. First payment is due upon delivery of materials and start of work. All insurance supplement payments made to correct errors in original insurance estimate for work that AHR has completed will be paid to American Heritage Restoration LLC. We propose to furnish the following materials and labor as listed below: ❑ Remove all existing layers of roofing material. ❑ Install new felt underlayment. ❑ Install all new plumbing pipe jacks. ❑ Install new attic vents: ❑ Turtle Vents ALL ❑ Continuous Ridge vent N/A ❑ Flash sidewalls, chimneys, or skylights as needed. ❑ Install ice and water shield, as needed in valleys, around skylights, chimneys 24" Inside Heated Wall ❑ Install GAF Timberline HD . Manuf. Warranty: Limited Lifetime Color: TBD ❑ 5 year American Heritage Restoration LLC. Workmanship warranty ❑ Clean roofing materials out of gutter. ❑ Protect all landscaping with tarps as needed. ❑ Haul off debris and clean area around grounds and parking lots with magnetic sweep. ❑ All work to meet or exceed the local building code(s). ❑ Gutters / Downspouts: ALL Color: To snatch ❑ Paint As Per Insurance Scope ❑ Windows / Screens As Per Insurance Scope ❑ Other Referral Fee- $1000 Approximate Completion Date: 9 302017 Terms and Conditions: Total out of pocket expense $ 0 If deductible is more than stated above, customer agrees to pay the difference. Customer agrees to provide a copy of the Insurance Claim Report to AHR upon receipt. Acceptance of Proposal — The above terms and conditions and those contained on the reverse side is satisfactory and are hereby accepted. American Heritage Restoration LLC is authorized to do the work as specified by the Insurance Company. Payment will be made as outlined in this contract. e -Signed by Sam Hollander Owner or Authorized Agent e -Signed by Ryan Wood Owner or Authorized Agent 07/19/2017 Date Sam Hollander American Heritage Restoration LLC.CeII# Ryan Wood AEPnt (Printarl Namal NOTICE THE CONTRACT ON THE FACE HEREOF AND ANY AGREEMENT MADE PURSUANT THERETO BETWEEN AMERICAN HERITAGE RESTORATION LLC. (THE "COMPANY") AND CUSTOMER(S) WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING SPECIAL TERMS AND CONDITIONS. 1. All Agreements shall be subject to approval by our credit department and office without exception. Approval must be obtained from the office for this contract to be effective under any conditions. 2. American Heritage Restoration LLC. has the right to order excess material. These materials will not be charged above the agreed price. All excess material belongs to American Heritage Restoration LLC. If materials need to be restocked or reordered due to a cancellation from the customer, there will be a RESTOCKING FEE of $500.00. 3. Supplement paid by the Insurance Company for the additional labor and materials needed beyond the original scope of repairs shall be paid directly to American Heritage Restoration LLC for work that AHR has completed. 4. All Material is guaranteed as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. American Heritage Restoration LLC. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils. Homeowner to carry fire, tornado and other necessary insurance. 5. This Agreement constitutes the entire agreement between the parties. It may be changed only by written instrument signed by both parties. 6. If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceable of the remaining provisions of this agreement shall not be affected hereby. 7. Any representation, statements or other communications not written in this contract is agreed to be immaterial, and not relied on by either party, and do not survive the execution of this contract. 8. The company is not responsible for any damage below the roof, due to leaks by winds in excess of 45 mph, ice dams, hail, pre-existing or future construction defects caused by storms or lack of maintenance during the period of the warranty or depressions in driveway caused by trailers or dumpsters. The company is also not responsible for nail pops. 9. The company will take appropriate means necessary to protect the roof during the repair of the roof and during the entire duration of the work, the homeowner's insurance will be responsible for ANY interior damages. 10. The dollar amount of the contract is the amount approved by the Insurance Company for the scope of loss, plus overhead and profit (if applicable) and any agreed to upgrades and deductible. ANY replacement of damaged or deteriorated decking, flashing, roof jacks, fascia boards, vents or other materials unless included in this contract, are considered NOT INCLUDED and will be charged for material and labor. 11. The final payment in full shall not be held up while waiting for the city to inspect the work the company agrees to meet or exceed all city inspection requirements. 12. First payment is to be one half of contract price or balance of first check from insurance company (No Cash). Additional payments will be paid in full upon completion of each segment. Any unpaid balance shall be due upon final completion. Any balance unpaid after thirty (30) days of completion will be deemed in breach of contract and Homeowners held in default. 13. Should Homeowners default on this contract, charges shall be added from date thereof at a rate of eighteen percent per annum (18% PER ANNUM); and if placed in the hands of an attorney for collection, all attorney fees, costs, and legal filing fees shall be paid by customer accepting said contract. 14. Title to job shall remain in contractor's titles until such a time homeowner shall pay for job in full. Homeowner does hereby authorize contractor or its designated representative to enter upon the premises of the homeowner and remove the job in the event of default of payment of any of the installment of the contract price when due. Contractor shall be responsible for any damages that may be caused to the premises of the homeowner of the result of the installation or the removal of said job and equipment in the event of default as herein set forth. 15. These conditions shall be considered as part of any contract entered into, including the contingent agreement when the work is approved and will be paid for by the Insurance Company, the same as if they were included herein. 16. The company is not responsible satellite dish removal, resetting, or damage on the house. Homeowner's insurance company will pay to have the satellite dish removed and reset properly. The company does not take responsibility for damage to solar panels on the roof during repair; homeowner agrees to take necessary means in removing, protecting, and re -installation of solar panels at homeowner's expense. 17. The company will not take responsibility for construction problems on your home. The company will point out and inform the homeowner on correcting the problem on a materials and labor basis. 18. Homeowner's agreement to the contingency statement on the front of this contract holds the entire contract as valid and binding as long as the Insurance Company approves to pay homeowner for the loss. 19. Roof replacement warranty is for 5 years, 2 years siding replacement, and 1 year on gutter installation. 20. You, the buyer, may cancel this transaction at any time prior to midnight of the third working day after the date of this transaction. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to: American Heritage Restoration LLC. 3380 S. Knox Court, Englewood, CO. 80110. 21. Owner acknowledges that this agreement automatically terminates and the Owner/Authorized Agent will owe contractor nothing in the event that the insurance company does not authorize repairs to property. 22. American Heritage Restoration LLC Liability coverage insurer is Mac Insurance & Financial Services and can be contacted 16 Inverness Place E. Building D200. Acceptance of Proposal — The above terms and conditions and those contained on the reverse side is satisfactory and are hereby accepted. American Heritage Restoration LLC is authorized to do the work as specified by the Insurance Company. Payment will be made as outlined on front of contract. Live-, eSignLiveTM Electronic Evidence Summary Signing Ceremony ID: ID: Name: Created: Completed: Summary document generated: Sender: Name: esign@acculynx.com Documents: Electronic Disclosures and Signatures Consent contract eSignLive Electronic Evidence Summary Recipients: Name: Email: Role: ID: Name: Email: Role: ID: Electronic Disclosures and Signatures Consent contract Name: Email: Role: ID: Electronic Disclosures and Signatures Consent contract Audit Trail: KLzURJdkQQgBIHKAmwouXuUal6E= American Heritage Restoration - Contract 2017 -Jul -19 23:19:41 GMT 2017 -Jul -21 11:29:36 GMT 2017 -Jul -2111:29:39 GMT Accu Lynx Software 2 pages 2 pages 2 pages AccuLynx Software esign@acculynx.com Owner vtd9fpMcjB89 Sam Hollander sam@ahrroofing.com 982alb1ce5164a6680f9lddc5df62d2a 982alb1ce5164a6680f9lddc5df62d2a 1 accept 1 signature Ryan Wood ryanmcwood@gmail.com 868702e1O1bc40918066a43ld579eb4e 868702e101bc40918066a43ld579eb4e 1 accept 1 signature Date and Time IRecipient Action IDocument lip 10ther 2017 -Jul -19 23:20:43 GMT Sam Hollander Login I N/A 24.8.152.183 2017 -Jul -19 23:20:43 GMT Sam Hollander Signing Session N/A 24.8.152.183 Signing session For Recipient for recipient: sam@ahrroofing. com(Sam Hollander) 2017 -Jul -1923:20:47 GMT Sam Hollander View Electronic 24.8.152.183 Disclosures and Signatures Consent 2017 -Jul -19 23:20:51 GMT Sam Hollander Accept Electronic 24.8.152.183 Approval: Disclosures and f98c13d18-981e- Signatures 4221 -a655 - Consent b8282clfelef 2017 -Jul -1923:20:51 GMT Sam Hollander Confirm Electronic 24.8.152.183 Disclosures and Signatures Consent 2017 -Jul -1923:20:53 GMT Sam Hollander View contract 24.8.152.183 2017 -Jul -19 23:20:56 GMT Sam Hollander Click To Sign contract 24.8.152.183 Approval: XAuKiHngnd8C 2017 -Jul -1923:20:59 GMT Sam Hollander Confirm contract 24.8.152.183 2017 -Jul -19 23:21:01 GMT Sam Hollander View contract 24.8.152.183 2017 -Jul -2111:27:27 GMT Ryan Wood Login N/A 65.157.106.242 2017 -Jul -2111:27:27 GMT Ryan Wood Signing Session N/A 65.157.106.242 Signing session For Recipient for recipient: ryanmcwood@ gmail.com(Ryan Wood) 2017 -Jul -21 11:27:29 GMT Ryan Wood View Electronic 65.157.106.242 Disclosures and Signatures Consent 2017 -Jul -21 11:27:50 GMT Ryan Wood Accept Electronic 65.157.106.242 Approval: Disclosures and 3a92372e-f46e- Signatures 4a61-ac41- Consent 7785fdd29fld 2017 -Jul -21 11:27:51 GMT Ryan Wood Confirm Electronic 65.157.106.242 Disclosures and Signatures Consent 2017 -Jul -2111:27:51 GMT Ryan Wood View contract 65.157.106.242 2017 -Jul -21 11:29:31 GMT Ryan Wood Click To Sign contract 65.157.106.242 Approval: 334rwrv7rMsl 2017 -Jul -21 11:29:36 GMT Ryan Wood Confirm contract 65.157.106.242 2017 -Jul -2111:29:37 GMT AccuLynx Download contract Softwa re City of Wheat Ridge Residential Roofing PERMIT - 201705312 PERMIT NO: 201705312 ISSUED: 08/02/2017 JOB ADDRESS: 4295 Lamar ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential REDECK & Re -roof to install GAF Timberline HD asphalt shingles with 23 sq. *** CONTACTS *** OWNER (206)719-5851 WOOD RYAN SUB (303)741-2561 Marcus McDermett 170349 American Heritage Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,707.88 FEES Total Valuation 0.00 Use Tax 161.87 5 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mlid-roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201705312 201705312 ISSUED 4295 Lamar ST EXPIRES Residential REDECK & Re -roof to install GAF Timberline HD asphalt shingles with 23 sq. 08/02/2017 08/02/2018 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 �wnerfthc propertyand am authorized to obtain this ermit and perform the work describedand approved in conjunction with this permit.urther attestthat I amlegally authorizdtoinclude al entitiesnamewthinthisdocumntas parties totheworkto be performed aat�vorlco be performed ins disclosed in this document and/or its' accompanying approved plans and specifications. 9 Signature of OWNER or (CONTRACTOR (Circle one) Date t / I. This permit was issued based an -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 originalpermrt fee. 3. If this permit expires, a new pen -nit 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 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 issuancer g" ting -of a-perGl sh no be construed to be a permit for, or an approval of, any violation of any provision of any applicable cod r ' anceg of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat ge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: � qC C` Lcc Yl � , +- Property Owner (please print): IZy Cz ►'Z W OCA Phone: Property Owner Email: /V /A - Mailing Address: (if different than property address) Address: SA -Mf A 6c fz City, State, Zip: Submitting Company: ( AffwAl-xoSv Contact Person: V �LA—cv � C-R- Phone: `Z0 -:?--> I - �)- SSI Contractor: ��Q✓� C ct-�JV� T� �r CEt'� Contractors City License #: C�3 C� Phone: Contractor E-mail Address: CA , - }-� CZ "N r) Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: pezcj -A-o kaLj� et re -6,"'n� e,rm1 ao(� 610-CaLx� Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ SeA YY (t S VQL,- t e- i $ -�--1 C4. �,, a OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 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 list entity on this application. CIRCLE ONE: (OWNER)NTRACTO , or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) � j PRINT NAME: �/ j'l-fy l C�V✓SIGNATURE: (j ��' t�� DATE: Ci r i DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ A 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: 4 &1 Job Address: I Z Permit Number: ❑ No one available for inspection: Time 4I/13M Re -Inspection required: Yes When corrections/ have been made, call for re -inspection at 303-234-5933 Inspector: Date: -Y / `�% 1 1V! DO NOT REMOVE THIS NOTICE 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: GIG Job Address: 2�!rJ At-4A(Z- ST" Permit Number: 761-1-045SIZ 0�j - S rim . ).1C� cce_s� -M (No one available for inspection: Time A PM Re -Inspection required Yes No When corrections have been made, call for re -i ection -234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE 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: 011y 3 /.e ;F� kU iY 10 ❑ No one available for inspection: Time b `s 2 .> &/PM Re -Inspection required: When corrections have been n de, call for re -inspection at 303-234-5933 1 Date: ,>,l"i Inspector, DO NOT REMOVE THIS NOTICE 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: GIG Job Address: 2�!rJ At-4A(Z- ST" Permit Number: 761-1-045SIZ 0�j - S rim . ).1C� cce_s� -M (No one available for inspection: Time A PM Re -Inspection required Yes No When corrections have been made, call for re -i ection -234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE 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: M i ri Job Address: 2 '; L-4 Pel 111Z Permit Number: ❑ No one available for inspection: Time,4 AIVEMD Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:- l Inspector: DO NOT REMOVE THIS NOTICE ,DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 2638 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 2/14/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: NELSON JOSEPH W Property Address: 4295 LAMAR ST Contractor License No. : 17667 Company: Jebco Heating & A1C Inc. Phone: 573-7300 Phone: 573-7300 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and a~ree 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 R.idge ordinances. for work under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: $1,641.00 $39.00 $0.00 $24.62 (OWNER)(CONTRACTOR) SIGNED DATE Total: $63.61 Description: FURNACE BUILDING DEPARTMENT USE ONLY -- Approval: Zoning: Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical license No : Company: II Expiration Date: Approval: II Expiration Date: Approval: II Expiration Date: Approval : 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 (B) 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 shall 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 s II notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceedii th successive phases of the job. The issu nc of a rmit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the b i1di) co or any othe{rdin~~w, rule or regulation. ~ {\-, 4~~ uilding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3) (4) (5) (6) rn~;] c..:.~ OfloCJSlQ3 JOB ADDRESS CONTRACTOR ADDRESS DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL')W. ELLANEOUS I I OWNER ADDRE S I PHONE c;ONTRACT PRICE $ PERMIT NO, CITY PHONE SIGNS I. TYPE Ground 0 2, MATERIAL 3. ILLUMINATION y"O NoD Type 4, SET BACK FROM PROPERTY LINE N_ S_ E_ W (Specily which islront) 0 0 0 0 SOlidO More Than BO% Openo Le.. Thon BO% Open HsiQht Zonl_ Approved,Zon.ln.plcfor . approved WallO Proi,ctinoD Other S or 0 Fact Total Square Fe.t Eleet. Permit No. Zon,_ Approved, Zone Inspector DilOPproved FENCES I. TYPE ~. MATERIAL 3. SET BACK FROM PROPERTY LINE (Specify which i ~ ant) OTHER I. 2, 3. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES, (SETBACKS OR PROJECTIONS INCLUDED) REAR PROPERTY LINE w w + z z ::; ::; >- >- l- Ii: ffi Q. i SPECIFY NORTH 0 0: Q. ~ l!: Ul in FRONT PROPERTY LINE STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SHOW I.tMI DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE, APPLICATION FOR PLUMBING; ELECTRICAL;MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WDRK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE NO, STATE LICENSE NO, ALUMINUM WI RE UNDER SIZE B ILLEGAL FLOOR BSM 1ST 2ND 3RD 4TH NQ ML'CircIe OneI~IOIIIPmponeICoollElecISoIor NO. WATER CLOSET r FORCED AIR - BTU ,t:"V\Y1) TEMPORARY METER WASH BOWL HOT WATER - BTU , NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE - AMPS SHOWER AIR CONDITIONING -BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER ~efrio.ront GrauD UTILITY (RANGE, DISPOSER, ETC) AUTO, WASHER Pound. Chortle FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS II CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS II RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMARKS 1 hereby acknowledoe thot this applica- tion IS correct and understand thot I cannot ,fo,t this project until this appli- cation i. approved. I sholl comply with the lows of the State of Colorado and to the Zonina R'aulations ond Buildino Cod. of the City of Wheat Rida.. Any violation of the obove t.rms will couse immediate revocation of this permit PERMIT FEE USE TAX TOTAL FEE NOT VALID UNLESS RECEIPTED $ APPROVED DISAPPROVED CHIEF BUILDING INSPECTOR,City of Wheat Ridge ~~ ' -(~.--J , .pplicant. Si'flotu,. CALL 237-6944 EXT.255 24 HOURS IN ADVANCE FOR INSPECTIONS Dote Issued DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 2618 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 2/12/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: NELSON JOSEPH W Property Address: 4295 LAMAR ST Contractor License No.: 18121 Company: The Electri-Serve Corp. Phone: 424-2194 Phone: 892 0027 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: (OWNER)(CONTRACTOR) SIGNSl.:::2 Total: $150.00 $25.00 $0.00 $2.25 $27.25 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 responsibili for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat idge ordinances, fa wo.,r.k u this permit. Description: CONNECT FURNACE BUILDING DEPARTMENT USE ONLY Approval: Zoning: ~ 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: . (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws oflhe State of Colorado and to the Zoning Regulations and Building Code of lfYheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) 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 jf suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notift 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 the/'ob. (6) The;lSsuance 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 \'\. of f/le bU, iI ng codes o. '':"'v other 1". inane.,' law, ~ule or regulation. "r . : 1 C/ (i.:.~' L/c; ( f Building Inspector / THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Well1] 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: -.J 0 e l\l e \SDV\ Property Address : 4~ q :; U VV\tl V- r;.J-- Contractor License No. 4;;t8 Ct.&t =- 18ft-I Company, f1ectr{ - ~~..rve c,rf' Phone, 4z. t-- u crt Phone, 8<(2- DOl} OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Use Tax: 15D~ 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 aU 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 Wh(1 Ridge orm.;oy work under th'::, r::J...., (OWNER)(CONTRACTOR) SIGNED () ~ _ ~ DATE~ Total: Description: I' L:o ~\ ~ BUILDING DEPARTMENT USE ONLY Approval : ImllIlC~n4if'lS-; Approval: Occupancy: Walls: Roof: Stories: Residentiai Units: Electncal License No, I g I ?j Company'EJetfri.5Gvve Ce~ Plumbing License No Company: Mechamcallicense No : Company: Expiration Date: Approvai : -2l pra:nsR~urred~: Expiration Date: Approval: .J prans ,Required I Expiration Date: Approval: :I · P.fII!.ll;BJqIll...d (1) 12) (3) ThiS permit was ISSUed In accordance with the prOVIsions set forth in yopur applicatIon and IS subject 10 the laws of the Slale of Colorado and to the Zoning Regulations and BUilding Code of lfoIheat Ridge, ColoradO or any other applicable ordinances of the CIty. This permit shall expire If (A) the worK authonzed IS not commenced within Sixty (60) days from Issue dale or (8) the bUilding authonzed is suspended or abandoned for a penco of 120 days. If this permit expires. anew 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 ongmal plans and specifications and any suspension or abandonment has nOI exceeded one (') year. If changes are made or If suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done mat Will change me natural flow of water causing a drainage problem Contractor shall notify tne BUilding Inspector twenty-four (24) hours In advance for all Inspections and shall receive wrrtten approval on Inspection card before proceedling with successive phases of the Job The Issuance of a permit or tne approval of drawmgs ana specifications shall not be construea to be a permit for. nor an approval of. any vIolation of the provisions of the bUilding codes or any other orClnance, law. rule or regulation (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1841 - BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 9/12/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 4295 LAMAR ST Phone: 424-2194 Contractor License No.: 17795 Company: Performance Roofing, L.L.C. Phone: 9406453 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: (OWNER)(CONTRACTOR) SIGNED DATE Total: $3,400.00 $63.00 $0.00 $51.00 $114.00 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. Description: RE-ROOF - TEAR OFF 3 LAYERS -INSTALL 3-TAB BUILDING DEPARTMENT USE ONLY Approval: Zoning: Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: III Expiration Date: Approval: II Expiration Date: Approval: II (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 (B) the building authorized is suspended or aba~doned. 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 shall 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 Insfector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases 0 the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. ~rL ~=N Chief Building Ins ctor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: i'lllLDING INSPECTION DIVISION - 235-2855 '? / CITY OF WHEAT RIDGE Date: 'l// /1 5 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : Company: v&c #f"~N/ /;/'Cl 95 //TMn-te ST /7795 , ft/,4;~?m;rC ~~~7 Phone: -Y';?-Y- .7/97'" Phone: 1'/c:J -~/..5 :3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Perrnit Fee: 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 aQree to abide by all conditions printed on this application, and that I assume full responsibility for com 'ance~lth Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat .~~~s, f rk under this pe it. (OWNER)(CONTRACTOR) SIGNED ~ ~DATE 1';// 7.5 DescriPtion:7!'~ ~:3 /hy'/./..5. ..:z;;;s;rm/ 3-777~ Use Tax: :::.- / Total: I". ..... BUILDING DEPARTMENT USE ONLY Approval : Zoning: Approval : Approvai : Occupancy: Walls: Roof: Stories : Residentiai Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: JII rl~tII.IIII.ll Expiration Date: Approval: L'!II ~,'iE!""'.. . --"'.....'::7 '1 ad.~g~", " (1) (2) (3) 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 Re,gulatlons and Buildin\1 Code of Wheat Rid!1e. Colorado or any other applicable ordinances of. the City ThIS permit shall expire.f (A) the work 8uthonzed is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or abandoned for '8 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 shall be paid tor a new permit. No work of any manner shall be done that Will change the natural flow of water causin9 a drainage problem. Contractor shaJl notIfy the Building Inspector twenty-four (24) hours in advance for all Inspections and shall receive written approval on inspection card before proceediing wUh successive phases of the job. The Issuance ofa permIt or the approval of drawings and specifi,cations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the buildIng codes or any other ordinance, law. rule or regulation (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION