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3700 Chase Street
PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201703011 201703011 3700 Chase ST Residential Re -roof to 19.51 sq. ISSUED: 07/01/2017 EXPIRES: 07/01/2018 install GAF ArmorShield II asphalt shingles with *** CONTACTS *** OWNER (303)358-0886 CRAVITT CINDY SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 % *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION 5,853.00 FEES Total Valuation 0.00 Use Tax 122.91 Permit Fee 140.90 ** TOTAL ** 263.81 *** 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. 17C36U INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter sT70 r.T i'1TFri .KT:T.7 M Tat 1117TiTi A_rT-*TdeVF.I [91 i I iT�--WG\ 7iWa I oT_11 +I=1N i M i E- Underground/Slab Inspections Date Inspector Comments Initials Electrical Wf Sheathing t ';7 , Sewer Service Mid-Roof Plumbing L ne% Nln+ ('_near I Indarnrnunrl nr Below/In-Slab Work Prior 10 ADDroval UT I ne ADOve Inspections Rough Inspections Date Inspector Initials Comments Wf Sheathing t ';7 , Mid-Roof L 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 — Nlease oe sure tnat rougn inspections are compieteo from me rie vlsulct allu cIULATI ;al ww vunayc by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge j', Residential Roofing PERMIT - 201703011 PERMIT NO: 201703011 ISSUED: 07/01/2017 JOB ADDRESS: 3700 Chase ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 19.51 sq. **REVISION**Adding redecking; Added valuation: $1,483.00 *** CONTACTS *** OWNER (303)358-0886 CRAVITT CINDY SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,336.00 FEES Total Valuation 0.00 Use Tax 154.06 Permit Fee 172.60 ----` �� * * TOTAL * * 326.66 - ---- *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703011 PERMIT NO: 201703011 ISSUED: 07/01/2017 JOB ADDRESS: 3700 Chase ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 19.51 sq. **REVISION**Adding redecking; Added valuation: $1,483.00 I, by my signature, do hereby attest that the work to be per shall comply with all accompanying approved plans and specifications.. applicabble building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the le al owner the property and am authorizes to obtain this permit and perform the work described and approved in conjunction with this e t fu er attest that I am le ally authorized to include all entities named within this document as parties to the work to be perfo n all work to be performed is disclosed in this document and/oar its' accompanying approved plans and specifications. Signaturel%2.-46WNER or 16NTRA (Circle one) Date I . This permit was issued einformation provided in the pen -nit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 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 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 re uired 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 gp Q 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 ora rdinance orlatio oft, is jurisdiction. Approval of work is subject to Held 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 Midge COMML)NiTy 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 I FOR OFFICE USE ONLY I Date: Add to Permit # )Cnos 11 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Pror)erty Owner Property Owner Email: �I Mailing Address: (if different than property address) Address C�<.ev'-, Sfr nol Phone: jai - $tk:�'^ Contact Person: �(�� Phone: 1ZQ- 32-(-J Contractor: S. Contractors City License #: ! Zw Phone: ZA du� Contractor E-mail Address: \ 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: Sq. Ft./LF 1915 Btu's Amps Squares slw�a,kty Gallons Other M Additional q Project (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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 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 list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or(AUTHORIZED EPRESENTA of (OWNER) (CONTRACTOR) t PRINT NAME: �V�w�/� SIGNATURE: DATE: %IVIF DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received 11 Not Required Building Division Valuation: $ i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: C� Permit Number: 2(D/-> D ❑ No one available for inspection: Time �' AMM Re -Inspection required: Yes fN%q When corrections have been made, ca( for re -inspection at 303-234-5933 Date: -7/1 I / / Inspector: �1 AC 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: Job Address: 370D Permit Number:. -76 c�J( ❑ No one available for inspection: Time f> �M/pM Re -Inspection required: Yes N When corrections have been made, call for re -inspection at 303-234-5933 Date: �,11(_ I17 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge a Residential Roofing PERMIT - 201703011 PERMIT NO: 201703011 ISSUED: 07/01/2017 JOB ADDRESS: 3700 Chase ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 19.51 sq. *** CONTACTS *** OWNER (303)358-0886 CRAVITT CINDY SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,853.00 FEES Total Valuation 0.00 Use Tax 122.91 Permit Fee 140.90 ** TOTAL ** 263.81 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703011 PERMIT NO: 201703011 ISSUED: JOB ADDRESS: 3700 Chase ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II 19.51 sq. 07/01/2017 07/01/2018 asphalt shingles with I, 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 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 furth est that I am legally authorized to include all entities named within this document as parties to the work to be performed and 1�z(t �k11rk`N be perfonned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OW,R or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the pernit application and accompanying dans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies andprocedures. 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 field inspection. Signature of Chief Building Official `"` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett G G t From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 20, 2017 9:36 AM To: Permits CommDev (� Subject: Online Form Submittal: Residential Roofing Permit Application C Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. 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 3700 Chase Street Cindy Cravitt 3033580886 Field not completed. -6 0� -2, _ (;� [ Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Lousberg Roofing & Exteriors 120073 3038957968 Contractor Email Address sandra@lousbergcontracting.com (permit pick-up instructions will be sent to this email) Retype Contractor Email sandra@lousbergcontracting.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Armorshield II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 16.64 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? z TOTAL SQUARES of all 19.51 V roofing material for this proj ect Provide additional detail House; pitch is 2/12 and 5/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract5853 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 Sandra Ramirez Email not displaying correctly? View it in your browser. 3 Fl PREFERRED ° ttdisrl, tam.... CONTRACTOR LvUSC'%$ERG ROOFING & EXTERIORS ,, FiA" CrA WA;M tmmn To ✓T 4 &&k T J WAR..A. ep Ct'.AS44. 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Print name: -Jrz �7111-le Signature: Ak- I osp Ow v p ^hW Y } '° YS ' , � io V 7 , hl- -PUOLIO� 0 77 7 Bldg Valuation* Credit Card Payment: Use credit card listed 6n file. D te* ....... ... Print name: -Jrz �7111-le Signature: Ak- I ♦ II I r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office " (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type y o Job Address 37CD (- n4-e Permit Number f 0Z /2 3 l ` j ft;. . ((; } y E 3' 1 't,.�_ t F i d e'9A:' CJtR .3�.,+C.R & �F�`A,4� w P S �3 i A /j t r f S r P }t o t- (t �1 om e— ' t 4 r'tsG P" 4 9 it : 4E;111'1 °i' J Af' A (k h. J 04'i�Pm,f G d,i�f c j c r} [e T1.Y f. /✓'F'r! f CV, b]lS(If C �'�5 i �i a` tl�'�'. yE �' .�s�' �.fx� i-i F7: f.. F! l 6 ❑ No one available for inspection: Time AM Re- Inspection required: Nes) No City of Wheat Ridge Residential Roofing PERMIT - 102123 PERMIT NO: 102123 ISSUED: 09/08/2010 JOB ADDRESS: 3700 CHASE ST EXPIRES: 09/08/2011 DESCRIPTION: Reroof 19 sqs asphault shingles * ** CONTACTS * ** owner 303/358 -0886 Cindy Cravitt sub 303/988 -7663 Aaron Kantor 10 -0167 Summit Restoration Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0452 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,500.00 FEES Permit Fee 172.60 Total Valuation .00 Use Tax 135.00 l s ** TOTAL ** 307.60 -.....s sm a..u: Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Midroof inspection is not required on permits purchased after 4/18/10. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 Vli cation and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other i cable Whkak\Ridge Ordinances, for work under this permit Plans subject to field inspection. 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 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 have been or if 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. S. Contractor shall notify the Building inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. 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. All plan re 'ew subject to field inspections. Signature' f C f Building Official date INSPE ION 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. oFw °Ty City of Wheat Ridge Building Division Date: = ° 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 ' Fax: 303 - 235 -2857 Plan #: oO�oRPO° Inspection Line: 303 234 - 5933 Permit Building Permit Application bje� 6i 's 370 Chr Se < / + Property Owner (please print): Cinder (..,cr'" A Phone: 348-35-fi ° O? (Y6 Mailing Address: (if different than property address) Address: 39 C4 �5 Q -S City, state, zip: LJhee- t FP— L- � e— IMPlaffieff - rn1? J t� ,/ Contractor License #: fip &4 7 Phone: Jo 3 / 7V S77fo 5) NCO'", - eto s Electrical City License #: Company: Exp. Date: Plumbing City License #: Company Exp. Date: Mechanical City License #: Company: Exp. Date: Use of s ace (description): k2 (6Uf Construcfion Value: $ ✓CJIJ . - (as catcutated per the Building Valuation Data sheet) M- O 4- Plan Review (due at time of submittal): $ ' Sq. Ft. /L. Ft added: Squares 1 9 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE.: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) .PRINT NAME: ACQ t'1. K-%& +Z-3('. SIGNATUR . Date:. VY /0 I !IIWII"IJf.'l"l ":~. ,,~<,""'''''''e'''~'''_N'''"''T'''''I'''!!''''~~ " ,,' ......~.. '. ,. ,).. ",...".........,..~~~7'...m'...._"",.." ,~JlllI_""'F'" ''''''"'",,J:.~~'r'''''''''. ;::,.~..~,..,.,. ",.,.. ___, " " ",', ,",' """ ,,,,,,,',', ,','" '"',,, "__,,,,,,,,,,;,,,,,,,,____.-,,,,,.-,,,,,,,,, ,""cO--- _" O~ARTMENTOF PLANNING ....0 DEVELOPMENT Building Permit Number: 5728 ,/ BUILOING INSPECTION DIVISION - 235-2855 CITY OF WHEAT,~II)GE Date: 8/26/97 7500 weST 29TH AVeNUE W1i~TRIDGE, CQ .215 Property OWner: Property Address: 3700 CHASE $T Contractor License No. : Company: Phone: 202-1111 Phone: ""---:' , OWNER/CONTRACTOR SIGNATURE OF UNDleRSTNlDING AND AGREEMENT I hereby certify that lh8 ~d1stancea proposlld by.lhis panni! ~tIon are accurate. and do not violate aPl)llcabIe ordinances. rules or reg~lJlion~ of Iha elty of Whaal Ridge or covenan!$. ~asemei!ls or restrictions of record; that all me..,rements shown, and allegations made are acCurate: that I havl! reild and agree to abide by all condftions printed on this application. ~ that I a$8lOm8fu1! reeponslbllllY k!r c:qmplianl:e With the Whaat f\idge Building Code (U.B.C.) and allotMrappllcableWl1$8t Ridge .anees. for work under this pennlt. (OWNER)(CONTRACrOR) SIGNEO ~~ ~ DATE fj -..2t -97 DesCription: 6' FENCE ON N TH SlOE OF PROPERTY i" ; Construction Value : Permit Fee : Plan Review Fee : Use Tax : Total: $479.67 $22.00 $0.00 $9.59 $31.59 BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : 6' FENCE WILL NOT BE LOCATED IN FRONT OF EXISTING HOUSE ApproVal: Occupancy : Walls: Roof: Stories : Residential Units : " I Plumbing License No : Company : Mechanical License No : Company: Electrical License No : Company: Expiration Date : Approval: Expiration Dale: Approval: Expiration Date: Approval: . . . , ' """ ' ,i (1) ThIs penn~ wee.l$8Ued 10 _denc;e WIIh the provIOlons sOl fo<th In yopur application and is s_ to the laws of \he Slata of COlorado and to the Zoning RegulsllOnS and Building Code of Whesl RIda8. CoIonIdo oJ any other _bIa ordlll8l1088 of the City. (2) This permlt_ 8xpiIe "(Al the wort< authoriZ8d Isl\Ol con1meticed wl1lil1i sixty (60) days from issue data or (B) Iha bullcllng aulhorizeclls suspended Of aba_forajl8liodof1~days. .. (3) II this peI'lll1! explreO, a _ peI'lll1! _ be eoquko<! for a fa!> of ono-haW Iha amount normally required, pI1)Vlded no _ have been Of WIll be mada In \he original pIOns and speclIIcationI.... any _siol> Of ebsp1donment has not exceeded one (1) year. W _ .... mad<> or W suspenalon Of abandonment ._one(llyur, lull"" shaI be jlalcIfor a _R8fllI\l (45) No work of any manner _l>&done.1hel Will ~1Ile natural now ofwelar cau::re.:~~ probIam. () ~:~~=~~Iobtwentv- (2~) hour8ln advancalor IlII s snd shellreoeiVe_ epprovaI on Inspection CSI<l before (6) issuanca of a permit or epprovaI of drawl'9and sJl&Oificatlons shall not be construed to be a pennil for. nor an _, of, any _bon oIlha p!OYIsions of Iha building CCldes Of any other OR!tnanca, law. lUIo or retuletlon. hief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-593G 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNIW' AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION ~ JISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 roperty Owner: 6 i ftJ 0 ~ Property Address: '3 'I 0 6 Contractor License No. : Company: t!.(LfJ II lIT Q,H A 'Jt- 51. Aphone: ()..J' ;l,oa, . II1I Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT onstruction Value: Permit Fee: Plan Review Fee: Use Tax: 1J9{,;, ,) 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 VVheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances. for work under this permit. (QWNER)(CONTRACTOR) SIGNEO t.t'*'t h",;;~ OATE fl-,} (; -97 ~ Descnptlon : If ~ i!)-7v ~ ..~ to.-tdJu BUILDING DEPARTMENT USE ONLY Zbr1Ii11f.9liml1lents-:] 'b I 'ZI.P {Ci-;:r Approval: w-:-. Zoning: pi,.. Bmrdlng:.C.omm"n~ Approval: f:ll1iI~S1.l;omm!l!!~ Approval: Occupancy: Total: SIC: Sq. Ft. : ee' ~ v:.v ~.J?e- to cJut ~.....A ~ ~'-~~- 4-- Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: JZI !!;LIli"SlR!I:!IID.-!iJl.. Expiration Date: Approval: II E1lllII18[l1t!1Nll.- Expiration Date: Approval: . ~DJrn!f.@__ 14) 5) (6) This permit was Issued In aCCOfdance with the provisions set foc1h in yopur application and Is subiect to the laws of the State of Co6orado and to the Zoning Regulations and Building Code of If'\Iheat Ridge. Colorado Of any other .pplica~ ordinances of the City. . This petTl'llt shall expire If (A) ttle work authonzed is not commenced witNn sixty (60) days from issue dale Of (8) the building authorized is suspended or abandoned for a ,period of 120 days. If thiS permit expIres, . new permit may be acquired for a fee of one-hatf the amount normally required. provided no changes have been or will be made in the original plans and specifications al'\d any suspension Of abandonmenlhas 001 exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) ~ar. full fees shall be paid lor a new permil No won<. of any manner shall be done thai will change the natural now of water causing a drainage problem, Contractor shall nolify the BuildIng Inspector twenty.four (24) hours in advance fOf an inspections and shall receive written approval on inspection card before proceednng WIth SucceSSive phases ot the/'ob, The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a pennit for. nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rute Of regulation, (l) (2) (3) For Mayor Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION """"",,' "'~,ll'\: "'ii) itl:1!il"_~'Fl':_'''A.'~_~!'l''''''f''~-~''''~+''~' c,~""lIl,UII!lll~n4l'll~D!h,,,JI!::'i!!'''~1:'!'_.A) '_'",,'"'' ",IllI!!fl:I"llill~~I.\I)J~!' .' ( oj . D~ARTMENT OF PLANNINC:. .ND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: 5150 Date: 5/27/97 ., d j' ,~ Property Owner: Properly Address: 3700 CHASE ST Contractor License No.: 19264 Company: Tony Capra Plumbing & Heating Co. I: ~ 1 l' I Phone: 424-7559 Phone: 296 1966 I hereby certify that the setback distances proposed by this pannit application are accurate, and do not violate applicable ordinances, rules or regutations 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'responslbility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this penn~. (OWNER)(CONTRACTOR)SIGNED~:1'<J l1'~ DAT 7-f Description: REPLACE BORKE WATER SERVICE LINE FROM METER TO HOUSE Total: $67.50 li : , :j i' I II II I. ii I. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: $1,500.00 $49.50 $0.00 $18.00 BUILDING DEPARTMENT USE ONLY SIC: Sq. Fl. : Approval: Zoning: ; I I I I I r. i. Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: i I: I Expiration Date: Approval: II 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 jf (Al 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 exceecled 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 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 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 f the uilding cod or any othe~ rdinance, law, rule or regulation. (1) (2) (3) 1M.- lef Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DfPARTMENT OF PLANNINl .ND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : Company: l'et-<-# :ZA~"'f' .3 700 ch# eM / '1;.1.(; t( /d-~ G<<f'V' tP.e....4y :i IIdt~ Phone: '1;1 '1' 1 (' ~r Phone: ;).. 9 tr / '1 C.t' OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: /,.50'(7 . 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that r 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. (OWNER)(CONTRACTOR) SIGNED DATE Total: Description: ~., BUILDING DEPARTME Zon!!l~~ Approval: Zoning: BliI!t',I.!lM-eljmm:e'n~ Approval: gOI)IfC:lWMkSl.epmm!ln~ Approval: Occupancy: Walls: SIC: Sq. Ft. : 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: III . ) . .~.' lli' . !., ~ i..' I [D..'J . .: -" i:.'LU~f (4) (5) (6) 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 Re~lUlations and BUildin$! Code of Wheat Rid~e. 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 date or (6) 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 waler causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in ad....ance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of 1hei-ob. The issuance of a permit or the approval 0 drawings and specifications shall not be construed 10 be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulallon. (1) (2) (3) 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 DATE C;/?R/Q7 FEE fir, nn . . JOB# 'l7 --- 1 SuLt r!INTEGRITY MC MORTGAGE CO. n~T("^r~n T rTi " ADDRESS ~7fln ........I-lo.:-F "-,'j 5460 WI\RD ROAD. SUITE 16P ARVADA, COLORADO 80002 (303) 420-4 7 8~ . IMPROVEMENT LOCATION CERTIFICATE 80RROWERS NAM E _- CRAVITT Attn; ELAINE! Al-1BER I LOT B, W.E.G.,COUNTY STATE OF COLORADO LEGAL DESCRIPTION IPER CL.lENTl OF I .JEFFERSCN, L -.J ?<..J. '3 IS '"i" A-u~. r-; -=- Q I~ VI ,t\J See/e: 1"-20' ;' ~ 1_.1 J ~ v'l ~r <tt;! 1::~ \10 ~ a o l' rJ1 '0 " \- <t ~ ......~.~~~~..7 q/ Dl'z.. 2B.o ..~~ ~'O o N fl.o OiUlE--s. t'04Z-y Be.:c.Ck LoTS I:! I~ I ~ ~ o M M 11\.. ~ N'F.S. q -45 c::.OJt"- SIICP )(.(0.... SH I<,D /.$' 3/.0 ~)C"..::c.~- 1=-~ A.X..E. 135.00 No -n::::. S l-f 'Z D C::>IU c.oA.,)C. 0 ~TO r;;:~MT. AS SI-IOlVN. i ~ISDRAWNUSlNQ /" ::=N:~: knowledge, Information and b r.;;;~::bY certify~~p~vement location ce~~ate '~as prepared for . / ,that ~ is,,'lot a Land..SUrvey Plat or Improvement SUrYEOf'llf@~\O~}ldfmLIt is t to be relied u n for the establishment of fence,_,building, or other future improvement lines. I further certify that t e improvement on the above described parcel on this date, exc~pt utility connections, are entirely within the bounda es of the parcel, except as shown, that there are no encroachments ~pon the described premises by improvements on an adjoining premi s, except as indicated. and ~t there is no apparent evjdence or sign of any easement crossing or burdening a y part of ~d p eel, except as~~miJ"JlJll. " I ,\\~ nl\ R ~r.I;f/{, I "NOnCE: According to Colorado law you must mence any action _ ~l I.~ this survey within three7e rs after you first discover such defect. In no event, may any action upon an defect in more than ten years the date of U..,. cort/fil':stlon shown hereon." ~~..;., . ,;..~~ . . ;:: (.j .5Q" ~. V" :.;::;: ~ :C ~.. ~ - :cc z.: a:.g .0= .~.:: .e~$ ) ~ .- il (~. City of Wheat Ridge a Residential Roofing PERMIT - 201703011 PERMIT NO: 201703011 ISSUED: 07/01/2017 JOB ADDRESS: 3700 Chase ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 19.51 sq. *** CONTACTS *** OWNER (303)358-0886 CRAVITT CINDY SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,853.00 FEES Total Valuation 0.00 Use Tax 122.91 Permit Fee 140.90 ** TOTAL ** 263.81 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703011 PERMIT NO: 201703011 ISSUED: JOB ADDRESS: 3700 Chase ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II 19.51 sq. 07/01/2017 07/01/2018 asphalt shingles with I, 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 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 furth est that I am legally authorized to include all entities named within this document as parties to the work to be performed and 1�z(t �k11rk`N be perfonned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OW,R or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the pernit application and accompanying dans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies andprocedures. 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 field inspection. Signature of Chief Building Official `"` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett G G t From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 20, 2017 9:36 AM To: Permits CommDev (� Subject: Online Form Submittal: Residential Roofing Permit Application C Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. 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 3700 Chase Street Cindy Cravitt 3033580886 Field not completed. -6 0� -2, _ (;� [ Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Lousberg Roofing & Exteriors 120073 3038957968 Contractor Email Address sandra@lousbergcontracting.com (permit pick-up instructions will be sent to this email) Retype Contractor Email sandra@lousbergcontracting.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Armorshield II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 16.64 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? z TOTAL SQUARES of all 19.51 V roofing material for this proj ect Provide additional detail House; pitch is 2/12 and 5/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract5853 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 Sandra Ramirez Email not displaying correctly? View it in your browser. 3 Fl PREFERRED ° ttdisrl, tam.... CONTRACTOR LvUSC'%$ERG ROOFING & EXTERIORS ,, FiA" CrA WA;M tmmn To ✓T 4 &&k T J WAR..A. ep Ct'.AS44. 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ApMrTtf "AND 0kihT7.T.TjC#4 An SkTDC,Q:RCMT AMj MW HES,,#d �aT rx t{U R+Y.z047L�%Z"'rR32"109+€f4l=Af II C:t7f�11iFD`-a{ AT t ',7it31X:t 4,li�',� I�C9Pii1�7�#9CTf-f'atrAw$, ,'d4S G'�#"'hYYF S36}nn4y �,4Li57Et"rtiE?,T3f t.Yx�tS Ttu�s .x iaR Ci�l� � i s tR 4 t%A4'T"� i�ITS k7CttRifC,AT�3,RtQyE, # i A.&0 A1MiA; i; 1 Lia” WX4%rst wT4704AND CA M"' Cr fXaMTWTMTO € ot-uN IFVY°. [X$Ti 4Y A,*,sA ° ro cowRzm kt3'r` tt� S ATr,ib CLAufe MAIGM ^,= FORTHaA�Rrtm - iMr,)Akt?l „gg LS hf Ml t::Aik2 IONVO `kms KR ON w C*x P CR' 9W ., 41cwER ke7fEz'tlCxw pmnmm- ff)ro;N 2W+Tom I AMAOW, nT WAS . TaAI T DTRETMWf Af S aw BOTR FRONT $ BACK to Ti 9m Arun , �IAw;.; t t� CO 80030 `hone. .sMjaS$ • fax, 888401,8377 aaD�;a�:' �cantra�. WAPITI ENTERPRISES LLC "Committed to you 8454. Sugarloaf Road our Customer" r Lar' spur. CO 80118 i (303) 921-2358 Gemini Insurance CO Email. brent@wanitienterorises.com PROPOSAL /'CONTRACT Bell-5855-7suranceGroup 855-766-39$0 Name3— H7 m o Z i -7� Work Daie �g - Address IJob Location '33301 + M City, State Zip W At 4.4- 9. 1,-/ _f c) R 0 03-1 3-1 City, State Zip - vrc-rfcncoT Auomil r_*iiMAlt ruti: Near off layer(s) of ❑ Install ft. Ridge Vent ❑ Replace rotten plywood decking DRLReplace all plumbing pipe flashing ❑ Re -deck entire roof ar XPaint all roof penetrations frt~ r,/1�.r.�" Trip edge eve 2" x4" Q Rake 2"X2" �' �kReflash ❑ Skylights Chimney 0 X.ICe/water shield Eves ✓ Valley _ W Replace step flashing color. ❑ Synthetic felt „SrProtect landscaping ><Roller magnet Recover roof with IrO T i,,6, r„r 14 Q „Clean up and haul off all debris Roof colorA; ls,_4- 0Provide permit/ schedule inspection ,fes -Ridge type� Fasteners N'Furnish all material, labor & insurance ' Valley type_ �! Material warranty Replace attic vents add _ f Labor warranty J�7 Approximate start date:_ - Approximate complete date: 3 d/411 Additional Work: Tn' _ _4x14le'- fy n f A r a0 ,: e- I n . ,.rn.. A. _J -k,� ,f 14re, khcr eojae- 79 07 9 r f r Roof Price: k � , � Permit: Contract: The final payment is due on completion - not upon final inspection by any municipality - any questions or corrections requested by an inspector will be corrected as a warranty item. 3% will be added to all credit card transaction. I/We agree to retain Wapiti Enterprises to replace and/or repair the roof on the property aforementioned, contingent upon Wapiti Enterprises obtaining my insurance company's approval and payment to have said work done. It is understood and agreed that Wapiti Enterprises is empowered to contact my insurance carrier and meet their representatives in order to negotiate the payment (as to the amount of damage to the above property), and to discuss the repair or replacement work to be cone on the property. Upon insurance carrier's and Wapiti Enterprises agreement to the extent of damages and.the cost of fixing them, may begin work on said property, HOMEOWNER'S OUT-OF- POCKET EXPENSE WILL NOT EXCEED THE HOMEOWNER'S INSURANCE POLICY DEDUCTIBLE AMOUNT FOR WORK AGREED UPON BETWEEN THE INSURANCE CARRIER AND WAPITI ENTERPRISES. Homeowner also agrees to provide all necessary documentation for claim, also providing all pertinent documentation to facilitate payment from insurance carrierand/or mortgage company. All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Homeowner hereby acknowledges. that Wapiti Enterprises may be subject to delays occasion by inclement weather, labor disputes, material shortage and/or insurance carrier delays which are beyond the control of Wapiti Enterprises and hereby accepts any delays occasioned by one or all of these circumstances in the installation of your roof. Homeowner grants full access to the entire property for staging and execution of work unless otherwise agreed. Wapiti Enterprises will not be liable for any damage to soft or defective driveways due to staging of work area and/or delivery of materials. Alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become and extra charge over and above the estimate. Also Wapiti Enterprises reserves the right to file for supplemental claim due to material or labor price increases due to a storm environment or if insurance measurements are proven to be incorrect. Labor and material warranty covers roof only. Homeowner to carry fire, tornado, and all necessary insurance. WE AT WAPITI ENTERPRISES ARE PROUD OF OUR SATISFIED CUSTOMERS AND THE MANNER IN WHICH WE HAVE SERVED THEM WE CERTIFY THAT ALL MATERIALS AND LABOR WILL BE PAID UPON COMPLETION OF OUR WORK AND CONCURRENT WITH RECEIPT OF PAYMENT IN FULL AS AGREED, WAIVES ALL MECHANIC LIEN RIGHTS. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work,, you may rescind this contract within 72 hours after you receive written notice from the property and casualty insurer that your claim has been denied in whole or in part. However, Wapiti Enterprises is entitled to retain payments or deposits to compensate Wapiti Enterprises for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Wapiti Enterprises will hold in trust any payment from property owner until the contractor has delivered roofing material to the job site or has performed a majority of the roofing work on the property. Wapiti Enterprises cannot pay, waive, rebate, or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance clam for payment for roofing work on your property. Property Owner is : / is not intending to make payment from the proceeds of a property and casualty insurance policy. Acceptance of Contract: in Witness whereof the undersigned have hereunto specifications and conditions are satisfactory and hereby accepted. You are at Buyer has three (3) day right to revision. Authorized Signature €Nheir narpgs the day and year first above written, the above prices, to N therGofk as specified. Payment will be made as outlined above. Signature f ! n Date Signature Date wrLlw A I® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 17/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Frost Insurance - Dallas 2950 N Harwood Ste 1200 Dallas TX 75201 CONTACT NAME: Nicole Pelchat PHONE . 214-515-4145 FAX No,. 214-515-4199 E AIL Nicole.Pelchat@frostinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Ar onaut Ins Company 19801 EACH OCCURRENCE $ INSURED EMPLRES-01 INSURER B : INSURER C: Employee Resource Administration LP l /l 12400 Coit Road #1030 `C Dallas TX 75251 INSURER D GENERAL AGGREGATE $ i INSURER E: INSURER F: AUTOMOBILE LIABILITYCOMBINED ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS Cr1VFRAGES CERTIFICATE N1IMRFR- 1078127999 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE I D WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MWDD/YYYY LIMITS COMMERCIAL GENERAL UABIUTY CLAIMS -MADE '0 OCCUR EACH OCCURRENCE $ DAMAGE TO R PREMISESEaEoccu ence $ MED EXP (Any one person) $ PERSONAL BADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG $ $ AUTOMOBILE LIABILITYCOMBINED ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS SINGLE LI IT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑N (Mandatory in NH)L. If yes, describe under DESCRIPTION OF OPERATIONS below N/A y WC928228328054 1/1/2017 1/1/2018 H X STATUTE ER E.L. EACH ACCIDENT $1,000,000 DISEASE - EA EMPLOYE $1,000,000 E.. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Coverage is provided for only those employees leased to but not subcontractors of: Wapiti Enterprises t City of Wheat Ridge 7500 W. 29th Avenue Wheat Ridge CO 80033 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD