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3718 Jay Street
INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection 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 MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS: UJ alU JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 202 Sewer Underground Int. 103 Footing / P.E. Letter 203 Sewer Underground Ext. 104 Foundation Setback Cert. 205 Plumbing Underground Ext. 105 Stem Walls 206 Water Underground 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 301 Rough Framing 202 Sewer Underground Int. 302 Wall Sheathing 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 304 Sheer Inspection 206 Water Underground 305 Insulation Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: aO ADDRESS: J i �Q7� JOB CODE: _kMJ Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 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: '-/ c `7 - •',•� Job Address: -3-71 S _77_,xL� Permit Number: -9 C) 's 0 c a I r• j ❑ No one available for inspection: Time i = 141 AM/&i Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: --g /11 /-s Inspector:'r� DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Roofing PERMIT - 201800411 PERMIT NO: 201800411 ISSUED: 02/09/2018 JOB ADDRESS: 3718 Jay ST # 1/2 EXPIRES: 02/09/2019 JOB DESCRIPTION: Commercial re -roof with OC Duration shingles. Squares: 41 Pitch: 4/12 *** CONTACTS *** OWNER (303)748-2235 KORN, CRAIG SUB (303)246-9769 Alex Burker 160163 Altitude Contracting *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,001.18 FEES Total Valuation 0.00 Use Tax 525.02 Permit Fee 453.55 ** TOTAL ** 978.57 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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. City of Wheat Ridge Opt e Commercial Roofing PERMIT - 201800411 PERMIT NO: 201800411 ISSUED: 02/09/2018 JOB ADDRESS: 3718 Jay ST # 1/2 EXPIRES: 02/09/2019 JOB DESCRIPTION: Commercial re -roof with OC Duration shingles. Squares: 41 Pitch: 4/12 gnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, nd building codes, and all applicable municipal codes, policies and procedures, athat I am the legal owner or have been authorized 1 owner of the property and am authorized to obtain this permit\ nd perform the work described and approved in conjunction with I further st that I legally authorized to include all entitie nrt named within this document as parties to the work to be and that alatt w rk perfo is disclosed in this docu ent a d/or its' accompanying approved plans and specifications. Signatbre of OWNER or CONTRACTOR (Circle one) DatJaplication I. This permit was issued based on the information provided in the permit and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 Pe performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall noti the Building and Inspection Services Division in accordance with established policy of all required inspections andsshall not pro ed or conceal work without written approval of such work from the Building and Inspection Services Divisiop s %; 6, The iss a grantng oia r�shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica eodt or any ordin 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. City of Wheat' 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: perm its(oki.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # �PD l g", Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *"* Property Address: 1718 yz j w 5TJ2-� 1 Property Owner (please print): 0_>zp)e,- i2,,� Phone: �3-- 74,6 - Property Owner Email: )4z>n. Ay-3 tw Z4�,gp G c T •Wks Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: 4 L ) .kV Phone: Contractors City License #: (/ < [ Phone: ZzD • 32Y• L/) / 3 Contractor E-mail Address: 41 -CX, 6�l.ce�1�4� C@ A For Plan Review Questions & Comments (please print): %% CONTACT NAME (please print): /�t2 r�7X R aqi� Phone: %ZD -32 -y1/- CONTACT EMAIL(please print): #qLE-X . 1.13 ,CL Q 19-2-77 tZ-tUCe-e>-Al?72a'q<f774,f, ,� Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form M COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE J2 COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) aE5-,1LAC--= Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 25. mol. ie 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED RPER ESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): �l DATE: ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ PERMIT: ADDRESS: JOB CODE: INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection 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 MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground (p L rL Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof (p L rL 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls F322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential ;408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. PERMIT: ADDRESS: JOB CODE: INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection 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 MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground (p L rL Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof (p L rL 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls F322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential ;408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 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: C-/ o 9 - E_, :, _ I Job Address: 3 -71 '9 5 -4 - Permit Number: '�Q 0 1-7 0 7 -7-7 3 ❑ No one available for inspection: Time )) = o y */ Pm Re -Inspection required: Yeses When corrections have been made, call for re -inspection at 303-234-5933 Date:_1 3 c �),g Inspector: -Tb DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201800216 PERMIT NO: 201800216 ISSUED: 01/22/2018 JOB ADDRESS: 3718 Jay ST EXPIRES: 01/22/2019 JOB DESCRIPTION: Installing 40 gallon water heater; like for like; 40K BTUS EF Series 6.7 natural gas, atmospheric vent *** CONTACTS *** OWNER (303)908-9289 CUESTA MARLILI SUB (303)430-1911 Felipe Ramos 021881 Plumb Pros *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 31.50 ** TOTAL ** 71.50 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, byy myy 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 pennit and perform the work described and approved in conjunction with this errrirt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed an hat all work to be p rmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or ONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 noe construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulati of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official I Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. W h6 i, City t P�tjd ge ((),\A til#_1N1-1Y Df VI I.01 01: l Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us 1 FOR OFFICE USE ONLY Date: 4 I 1 N _/7 , Plan/Permit # Plan Review Fee: 7 1 ` �50 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:.�7 / $ v v Sf Property Owner (please print): 1 T I �T ( I CU�Sf G� Phone: �Q - Property Owner Email: Mailing Address: (if different than property address) Address: A719 City, State, Zip: tk)k'r-C11-.1-I'�c� LO 'ri G -13 Architect/Engineer: Architect/Engineer E-mail: Contractor: PlV m� pi -G -e, Phone: Contractors City License #: &L-02-1 ISIN Phone: 30 t D 0 /t7// Contractor E-mail Address: U+ .'� �i� � Er "5 ; C6M.6 -h"2_ , ac* For Plan Review Questions & Comments (please print): CONTACT NAME (please print):_ j�) e— �S Phone: 303-1/30-/91/ CONTACT EMAIL(p/ease print):(j Pro-5 , Cq&Cr fy 4--L '2- 2 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form F1COMMERCIAL O RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ CHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) z,�J5+G.f(I'N5 q0,5 am, Wim- yeokc_4- o(90 8Tv'sFF � ,✓s ,� 4;,4 Sq. FULF Btu's 10 TUU Gallons i V �jG /10 J`fS Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ C/ 50o 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, casements or restrictions of record; that all measurements shown and allegations made arc 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE. (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $__ —_ ► ' . City of Wheat Ridge Residential Roofing PERMIT - 201707773 PERMIT NO: 201707773 ISSUED: 09/28/2017 JOB ADDRESS: 3718 Jay ST EXPIRES: 09/28/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 24 sq (19.7 sq pitched / 3.84 sq flat) Pitch = 4/12 *** CONTACTS *** OWNER (303)908-9289 CUESTA MARLILI SUB (720)270-0040 Perry S. Hillegas 170308 Fox Roofing & Contr. Svcs *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,626.86 FEES Total Valuation 0.00 Use Tax 349.16 Permit Fee 315.25 ** TOTAL ** 664.41 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge :�. Residential Roofing PERMIT - 201707773 PERMIT NO: 201707773 ISSUED: 09/28/2017 JOB ADDRESS: 3718 Jay ST EXPIRES: 09/28/2018 JOB DESCRIPTION: Residential Re—roof to install OC asphalt shingles with ROOF DECKING — 24 sq (19.7 sq pitched / 3.84 sq flat) Pitch = 4/12 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 perfoo n, ed and that all rk to be per f"Ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature ofWNER or CONTRACTOR (Circle one) Date I. This permit as issued b ed 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantin a rmit shall not be construed o be a permit for, or an approval of, an violation of any provision of any applicable code or any oidia o this ftis fiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 17(17 77,) From: no -reply@ ci.wheatridge.co.us" Sent: Monday, September 2S, 2017 12:07 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 c� 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 F- I Property Address 3718 Jay Street Property Owner Name Marlili Cuesta Property Owner Phone 303-908-9289 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Marlili@msn.com Yes 3718JayStreet-201 70921 -FoxContract.pdf CONTRACTOR INFORMATION Contractor Business Fox Roofing and Contracting Services, LLC Name y �i Contractor's License 170308 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 720-270-0040 9779 Dam pler Way Contractor Email Address perry@foxroof.com Retype Contractor Email perry@foxroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 24 SQ 16,626.86 Yes Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or greater) 2 both? (check all that apply) What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Type of material for the FLAT roof: What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof. Type of material for the PITCHED roof - Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 1/2 inch per 12 inch rise and 1.8:12 on porch Two areas totaling 3.84 SQ modified bitumen Rolled 2/12 over porch and 4/12 for all other slopes 19.7 Owens Corning TruDef Duration Storm Class 4 Impact Resistant Asphalt Tear off to deck, redeck, reroof, and gutter replacement for home. 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 t�' 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. 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. Name of Applicant Perry Steven Hillegas Email not displaying correctly? View it in your browser. Fox Roofing and Contracting Services, LLC 9779 Dampler Way RODFING Highlands Ranch, CO 80130 Mobile: 720-270-0040 and Contracting Services, LLC perry@foxroof.com www.foxroof.com Madill, ,^ ii .` Property Owner: ,' a 1 i f ly cue's `cu Phone: 303-9"-112-91 Date: _q /?-) ` 1-7 1. Would you like to be notified prior to the work startini ?Day ofdvanced notice desired: Z Yes E3 No O S d -X 2. Are there any valuables on shelves that may fall due to vibration from hammering? W Yes ❑ No NOTE: It is the customers responsibility to safeguard valuables 3. Customer has been informed that in rare cases normal vibration from roof replacement may cause plaster or drywall es O No blemishes which are beyond the control of the contractor. 4. Roof Load? If not, define material location: _f ❑ Yes o 5. Exterior access to water and electric? Location: -hr)* f KCAK 1'0 'f of r{CMf f COY OQ te°f O Yes ❑ No 6. Presence of exposed decking such as cathedral ceilings, carports, porch, or open soffit areas. NOTE: Nails may protrude the through the wood decking. Building codes require nails to be a certain length and special El Yes UNo U/ measures must be taken in order to prevent nail protrusions. By checking NO the customer understands that the Company will not be responsible for any exposed nails in the above mentioned areas. 7. Existing leaks in roof? ❑ Yes No 8. Any requests or special instructions that would help us serve you better? 0 No Po-4Jt.C' Fy v es 9. Any hidden conditions or building code related issues not covered by insurance may result in additional labor and/or material cost and may require a signed change order to proceed. Customer understands the Company may issue a stop j work order if a change order is not accepted. For example: (rotten decking, fascia, soffits, gas vents, rafter damage) Init: 10. The Company will take all reasonable precautions to protect the driveway and/or pavers during the project. Customer understands the Company cannot be held responsible for damages to driveway and/or pavers caused by 3`d party dump , and/or waste disposal service_ Init: 11. Customer understands the Company is not responsible for any mold or any damages as the result of mold. Init: 12. Customer understands new decking required not covered by insurance will be installed at an additional cost of $65 per sheet for materials and labor unless waived by the Company. Init: 13. Customer understands existing framing issues such as uneven rafters and bowed sheeting are not the responsibility of Fox Roofing to fix and will only be repaired if needed and on a time and material basis. Init: 14. Customer understands the pay per trade policy. Company reserves the right to collect payment in full per trade prior to r beginning any work on the next trade. Init: 15. CUSTOMER UNDERSTANDS CHECKS MUST BE MADE PAYABLE ONLY TO Fox Roofing. If purchase order financing is provided for Fox Roofing, checks are to be made out to GCV servicing with an additional agreement. Init: 16. Payments are to be made as follows: 50% down of initial insurance estimate AND customer agrees to our percentage of completion billing policy. Company reserves the right to bill proportionately based on percentage of work complete. Customer understands the Company may issue a stop work order if requested progresspayments Init: 17. Customer agrees to pay in full at the time of completion of each contract, less items to be completed by homeowner_ The maximum allowable retainage for any punch -out will be 5% of original contract price. Init: , I Accepted by Property Owner on: q fI/ 2-1 / 'Z-0 i7 Signe4 Project Manager: ?'frig cS t'itIVAas Signed: ,. FO-- Fox Roofing and Contracting Services, LLC X g g 9779 Dampier Way Highlands Ranch, 27 80040 Mobile: 720-270-0040 perry@foxroof.com and Contracting Services, LLC www.foxroof.com Property Owner: W1111' CLt e -51A Phone: Date: Roof Shingle Manufacturer: L"V,0445 CDfv►wie Product: �u Ziitirm STGi�W1 Color: BtDOAL.Imd Ridge Shingle Manufacturer: OP" 00I0n Product: Pfb _ Color: �i�i�tlu:o Starter Shingle Manufacturer: ©WeinS (Wv1WA Product: 5fofier lom- Ice/Water Manufacturer: TV',-INVljl Product: Y -Ce f I (Ller Eave LF. zZF% Valley 1LF 15.E Underlayment Manufacturer: Product: VUIWNi 001. 30 Material: "N�►7 _ Drip Edge 2"x4": Rake LF 'Z-8' Eave LF ZI-& color: l�` (Lin OSB Decking: Roofing Notes: fWeck- nec�u�r�c , X-0- -IT t4p4_f f�k Weeh wuadnto s6!m1G M P%10 i� L/IZ-- OV -0 Siding: Manufacturer: t4#>- Profile: ADS Fascia: Color Nt& 6NIS'fI ,LF. T130 Size: X & Soffit: Color Siding Notes: __W��i , VrVJP_,. <>CCJKi.j� �atKt°t�l+-yt�i, `iL° i� t;LI �Vis()�-1' CP.li1eW SLa�u' iA3�i haV�f�oi,..�li,£�y'' r�'tittrtdb'yr St"d��� Gutters: Material: M onL1'tom Color: T!Liq LF. Zb Downspouts: Color. FbM1rt_& 11� Size: td2x3 pp❑ 3x4Count _ Notes: _PQ. a if Ae aAA dct vnS x Lt it Yki(,De c -1 n Lt6 Color: ja_ SQFT T13D Size: Ud 5" ❑ G' Paint: ❑ Yes 0 No _ Kick -outs: 5 LF. (00 Misc. Trades: (Exterior Paint, Interior Paint, Doors, Screens, A/C comb, etc.) Exterior Paint Brand: 0 � Color: Coats: SQFT: Interior Paint Brand: p, Color: Coats: SQFT: Pressure Washing: Fence *T9P %ia h0iMc'oc.3»eC SQFT: Siding, /� SQFT: Windows: Doors: %iib a�4"TDID tAy Screens: A/C Comb: _ Other: hfto"ty^ w(LV&; �r' molmre' "I'mi- , Aonc t'J "Q/1" YP.fntA' ir7Ab C tA'o � Accepted by Property Owner on: Signed: } Project Manager: Signed: ACCESS. Customer agrees to provide Fox Roofing and its agents unobstructed access to Customer's driveway while work is in progress. Customer gives permission to Fox Roofing to use, at Customer's expense, all electricity and water required for the work. The equipment and materials used in replacing a roof are heavy, and Customer agrees that Fox Roofing is not responsible for driveway and curb damage that results from settling, compression, or inadequate support of Customer's driveway and curbs. Customer also agrees that Fox Roofing will not be responsible for structural movement, settling, damage to sheet rock, or cracks in drywall, sidewalks, or driveway due to the roofing or loading processes or due to water intrusion resulting from damage to the roof. Customer agrees to keep pets and people from walking in the area on the ground below the roof or around the area where Fox Roofing is providing services. Fox Roofing takes no responsibility for damage to vehicles or other personal property located at Customer's residence or in or near the work area, and Customer agrees to hold Fox Roofing harmless for any such damage. SUPPLEMENTS: Any and all additional work that is absent from the original insurance scope of work, whether required by city/county code or overlooked during the insurance adjustment (i.e., building code requirements, depreciation, code upgrade, etc.) ("Supplements"), will require your assistance to submit s requests for supplemental funds to Customer's insurance company. Customer agrees to provide Fox Roofing with the final insurance loss sheet, to assist Fox Roofing with such submission for additional funds, and to provide Fox Roofing with any additional funds released by Customer's insurance company for services performed by Fox Roofing. Customer agrees not to close its insurance claim until Fox Roofing has received payment for such Supplements and, if the insurance company does not cover Supplements, to pay Fox Roofing for such Supplements. Customer agrees to pay Fox Roofing any funds released by the insurance company for taxes, base service charges, overhead, or profit. Replacement of deteriorated decking, fascia boards, and roof jacks, ventilators, flashing or other materials, unless otherwise stated in this Agreement, are not included and will be charged as an extra, on a time and material basis. INSURANCE: A certificate of insurance identifying and containing the contact information of Fox Roofing's insurance carrier and the types and amounts of coverage will be provided to you and is incorporated herein by reference and should be considered part of this agreement. Fox Roofing shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as it is normally contemplated to be covered by homeowner's insurance or business risk insurance, or unless a specified written agreement be made therefor prior to commencement of the work at Customer's residence. During the duration of the work, Customer's homeowner's insurance will be responsible for any interior damage as long as Fox Roofing has taken appropriate action to protect the roof during the repair/replacement period. Fox Roofing is not responsible for any mold, fungi, interior damage resulting from mold or fungi, or the abatement of any said items. The quotation on the face hereof does not include expenses or charges for bond insurance premiums or costs beyond normal insurance coverage, and any such additional expenses, premiums, or costs shall be added to the amount of the agreement. DAMAGES: Fox Roofing's maximum liability in the event of any default by it shall be the original cost of labor and materials for the work, which Customer agrees is a liquidated sum. Customer hereby releases, indemnifies, and holds Fox Roofing (including its owners, employees, and agents) harmless from and against all other liabilities, claims, causes of action, damages, losses and expenses (including attorney's fees and costs,) including by not limited to, any property damage or personal injury incurred by Customer or any other party related to or arising out of the services rendered by Fox Roofing as part of the work. This indemnification extends to all responsibilities and undertaking as set forth in this agreement and all warranties and warranty exclusions set forth in this agreement. SOLAR: If there are solar panels on the roof, Customer agrees to take all necessary steps to remove, protect, and reinstall the same. Under no circumstances will Fox Roofing be responsible for damage to them during the work. OTHER WORK: Fox Roofing is not responsible for construction problems associated with Customer's home. If pointed out to Fox Roofing, it will attempt to assist Customer to correct them on a time and material basis. Fox Roofing is not responsible for any damages related to leaks from skylights unless Fox Roofing completed the skylight replacement as part of the work. ENFORCEMENT: Fox Roofing's failure to enforce any right under this Agreement shall not be construed as a waiver of any subsequent right to enforce the same or any other right, term or condition. Customer Initials ENTIRE AGREEMENT. This agreement is the entire agreement between the parties concerning services to be provided to Customer by Fox Roofing and replaces and supersedes any prior or contemporaneous negotiations, oral representations, agreements, or understandings among or attributable to the parties hereto. This agreement may not be amended, modified, or otherwise changed except by a writing executed by Fox Roofing. If any provision of this Agreement should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this contract shall not be affected thereby. GOVERNING AND CONTROLLING LAW. This agreement and all performance under it are governed by and construed in accordance with the laws of the state of Colorado. Fox Roofing and Customer hereby expressly agree that any and all claims arising from Fox Roofing's work are subject to the rights, remedies, and procedures set forth in the Construction Defect Reform Act, C.R.S. §13-20-801 et seq. Customer agrees Fox Roofing's aggregate liability for any claim for damages due to Fox Roofing's provision of services will not exceed the price set forth above. OBLIGATION OF CUSTOMER. Customer warrants that all information provided to Fox Roofing is complete and accurate to the best of Customer's knowledge, and Customer understands that Fox Roofing is relying upon Customers information to do the appropriate work. Customer agrees to obtain any necessary permissions and approvals from any homeowners' associations to which the property is subject and to be responsible for any related delays. WARRANTY. Fox Roofing is not a manufacturer. If any equipment or material is used or purchased by Fox Roofing for use on site, the manufacturers' warranties of the equipment or material are solely of the manufacturer. Fox Roofing provides a workmanship warranty for two years on roof replacement, one year on siding replacement, one year on gutter repairs, and one year on all other repairs (including interior work). Fox Roofing makes no other representation, guarantee, or warranty, express or implied, in fact or by law, as to merchantability, fitness for a particular purpose, or otherwise, concerning any of the goods or services used or purchased by Fox Roofing. Fox Roofing is not responsible for any damages on or below the roof due to leaks by excessive wind driven rain, ice, or hail during the period of warranty. Excessive wind is 65 M.P.H. or greater. The warranty is not transferrable. DISPUTE RESOLUTION. Fox Roofing and Customer agree to settle all disputes in accordance with the laws of Colorado and in courts within the county in which the property is located. If Customer defaults on its obligation to pay under this agreement, a lien will be placed on the property and/or interest will be added to the amount owed from the date of substantial completion at the maximum rate allowed by law. If any dispute is placed in the hands of an attorney for collection or enforcement of this agreement, Customer will pay all collection costs incurred by Fox Roofing and, if Fox Roofing is the prevailing party in any dispute, Customer will also pay all reasonable attorneys' fees incurred by Fox Roofing. Any persons or companies supplying labor or materials for this improvement to the property may file a lien against the property if those persons or companies are not paid for their contribution. PAYMENT. Payment by Customer of 50% of total contract amount is required up front. Payment is due for the remainder of the agreed-upon price upon completion of the work to be performed for each individual trade, including applicable overhead and profit, such as: roofing, gutters, siding & trim, awnings & carports, interior repairs, punch list. In the event Customer chooses to withhold full payment until after final inspection, Customer understands that Fox Roofing may issue a stop work order if requested progress payment is not received. Fox Roofing reserves the right to collect payment in full per trade prior to beginning on the next trade. Customer agrees to pay the total balance due less 10% as hold -back until the final inspection and any subsequent punch list is completed, at which time Customer will pay the final 10%. TIMING. The approximate dates of service represent Fox Roofing's best estimate and are subject to change. Because various factors impact Fox Roofing's performance (e.g., approval from the insurance carrier, issuance of permits, material shortages), the estimated dates for completing the roofing work are not a material term of the agreement. And Customer waives any and all claims for damages stemming from Fox Roofing's failure to complete the roofing work within the estimated timeframe. Fox Roofing shall not be liable for failure of performances due to labor controversies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of Fox Roofing, whether of a similar or dissimilar nature. CANCELLATION POLICY. Customer may rescind the agreement, by giving written notice to Fox Roofing, in writing within seventy-two (72) hours after entering the agreement. Customer may also rescind the agreement, by giving written notice to Fox Roofing, within seventy-two (72) hours after Customer receives written notice from Customer's property and casualty insurer that the claim for payment for roofing work on the residential property is denied in whole or in part. Customer's right of rescission does not apply when the property and casualty insurer denies, in whole or in part, a claim related to a request for supplemental roofing services if the damage requiring the supplemental roofing services could not have been reasonably foreseen as a necessary and related roofing service at the time of the initial roofing inspection or the execution of the agreement. Upon rescission, Fox Roofing will comply with the requirements of C.R.S. § 6-22-104. In the event Customer cancels this agreement for any reason, Customer agrees to immediately pay Fox Roofing any actual incurred costs pertaining to the work (including, but not limited to, on-site property inspections, travel to and from property inspections, calls and meetings with third party representatives, and provision of necessary equipment and tools, ladders and safety equipment needed for inspections, estimates and reports), plus 15% restocking fee. Customer Initials �' FOX M anJ Contracting Services, LLC Property Owner: 1 IANC (11 64 S t& Street: 31 i q� )L -'N M(ep-t City: wlieyt 1ZAt State: ! % Zip Gcv3_ Fox Roofing and Contracting Services, LLC 9779 Dampler Way Highlands Ranch, CO 80130 Mobile: 720-270-0040 perry@foxroof.com www.foxroof.com Cell: Date: 4d2_1117 17 Email: Mfi 11h P') msy) '('0M Alternate #: i2-0 — i5W - 2-04P4 Fox Roofing intends to perform the following work pursuant to this contract with the following dates) of service: Date:11�A/17 Completion prior to:110 C 11 Date: Completion prior to: 16130 1-7 Date: f 1:7 Completion prior to: ) 0 *30 Estimated Initial Project Cost (Subject to change due to permits and supplements):2F% Roof Specifications f ❑ Shingle Manufacturer: VI'm (V- A SQ,:` •X3 C1 Grade: 61455 4 Style: �IltilfJn� tCi( � � - olor. tol�ilieox ❑ Ridge Material: OWMS CtTi11Zh FfD ❑ IleyType: 10$ L3nts: t --t3" Pipe Jacks: ❑ Drip Edge: 2- i 4 Pair' lml (F��elt:-flkv6o vw U� XILI Ice/Water Barrier: t�Y�Q c Roof bottoms (eaves) and valleys to receive Ice/Water Barrie . " I -i W iD p l e existing roof° bare wood — �dec necessary i�"M/a=i_,/al Tear -Off 13 Layers to Remove: _j_ ❑ Pitch: )Z UR Remove Trash from Roof, Gutters, and Yard UP_otect landscaping where applicable with tarps /Roll Yard at least three times with magnetic pick up .b/urnish all required permits and order inspections od Final Quality Control Inspection and contract walk through This Agreement includes these additional documents: @' PPD EJScope of Work addendum lid Prestart Checklist ❑ Mortgage Affidavit (if applicable) If the Customer plans to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for the roofing work, under C.R.S. § 6-22-105, Fox Roofing cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on the covered residential property. Fox Roofing shall NOT deposit any payment from the Customer until delivery of the roofing materials at the residential property site or until Fox Roofing has performed a majority of the roofing work on the residential property. Weather Permitting: Should Fox Roofing determine, in its sole discretion, that the weather is unsuitable to perform the work described above, Fox Roofing shall notify Customer in writing when said work shall commence, but in no case will said work commence later than days after the weather is no longer a factor and has been deemed suitable for the performance of the agreement. TERMS: By Signing this Agreement, the Property Owner authorizes Fox Roofing and Contracting Services, LLC (Company) to obtain labor and material in accordance with the contract price and Property Owner authorizes Company to accomplish the replacement or repair. During the course of the project, Property Owner agrees to pay Company any monies received from third party, such as cost increases, supplements, and/or general contractor overhead and profit, when paid by third party. Furthermore, customer understands they are responsible for items not listed on this contract or scope of work on a time and material basis. % GENERAL CONTRACTOR: Property Owner acknowledges Fox Roofing and Contracting Services, LLC as a gene (contractor and as such will be entitled to 10% overhead and 10% profit, as allowed by insurance industry standards. Accepted by Property Owner on: . i/j` z 1 / ( Signed Project Manager: I�e'a�r c S • t11`1��65 Signed: M --Fox Roofing and Contracting Services, LLC • 9779 Dampler Way OOFING Highlands Ranch, 80130 Mr R Mobile: 720-2727 0-0040 and Contracting Services, LLC perry@foxroof.com www.foxroof.com Property Owner: ( 1 i 1 i utS tel, Phone: c 3 ' 1 Z Date: i i% Details — Enter notes as needed Amount Original Insurance Estimate (Total Claim RCV Amount) including deductible. + Upgrades desired by homeowner not covered by insurance. AmoumiS tp � 1ti1� ��� i�'1�� b b2d�w� Wi,ttG1Jw L>✓°vLt� 1�iifl� S�� + Additional Supplements Work Trades to be completed by homeowner and not by Fox Roofing and Contracting Services, LLC 1) Homeowwp- ' -For i4ew, -,7 7- - Z3 Feviee 2) 3)f1i�eUiJ�1��� 4) 4 ( ) i Payment Schedule Paid Date: 1/ Z 1/17 Check# i 1, 357 Amount $ ;00 Paid Date: / / Check# Amount $ Paid Date: / / Check# Amount $ Paid Date: / / Check# Amount $ Paid Date: J / Check# Amount $ Paid Date: / / Check# Amount $ Initial Contract Amount $ 1st Payment $ Balance Due $ J� �' Supplements (If Applicable) $ Adjusted Contract Amount $ Accepted by Property Owner on: t,'n� J Z / Signed: Y• Project Manager: Signed: TQ -L, S d a ORD OCCupancygVpe. 'Z INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground - Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical Plumbing Heating ( ROUGHS POUR NO Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Pinino Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof - a- Building Final Fire Department R.O.W & Drainage START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS Parking & Landscaping . ""NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNT IF OCCUPANCY IS ISSUED 4 HER " ' City of Wheat Ridge Residential Roofing PERMIT - 081039 PERMIT NO: 081039 ISSUED: 09/09/2008 JOB ADDRESS:. 3718 JAY ST EXPIRES: 03/08/2009 DESCRIPTION: T/O install 25 yr 3 tab 25 sqs CONTACTS owner 303/903-4120 Joe Bower - gC 303/234-1539 S.Kowalski/M.Kowalsk 01-7246 Any Weather Roofing, Inc. PARCEL INFO ZONE CODE: UA SUBDIVISION: 0474 USE: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION:. 5,000.00 FEES Permit Fee 144.70 Total Valuation .00 Use Tax 90.00 TOTAL 234.70 Conditions:. 6 nail installation & mid-roof inspection required. Board sheeting spaced more thena 1/4 of an inch apart requires plywood overlay on entire roof 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 Ridqe Ordinances, for work under this permit. Plans subject to field inspection. Signature of cor9ractor/owner date 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 revie?issub ct field i nspections. Signature of Chief Official date INSPECTION RE INE: .(303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY. r2-) City of Wheat Ridge Building Permit Number: alc I Community Development Department Date: 9- 2 -b ? SINGLE AND TWO-FAMMILY B ILD.YG, RE ADT AP MA TION Property Owner: 50~ ecoweP Property Address: 3 j 1$ ~TRy 5 r Phone: 0j 0 3_ t4 l at) Contractor License No.: p i 7 a L! Jo . ' Company: We A re e2 2c0_f,,1J b Phone: OWNERICONTRACTOR SIGNATURE OF. UNDERSTANDING AND AGREEMENT I Building Dept, Valuation Figure: $ I hereby certify. that the setback distances proposed by this permit application are accurate, and d0 not violate applicable ordinances, rules or regulations of the City of Valne:$ SL~00 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 Permit Fee:$ 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 Plan Review Fee:$ Ridge Ordinances, for work under this permit. Plans subject to field Insp ectidn. Use Ta x : p (OWNER)(CONTRACTOR): SIGNED,-, - I~eTt w.tnQ. DATE _J -9 ~ t Total:$ Use of Space (description): PLOno4r a rXl~r,N, Din C ~zet<w.+ e2ghrgLp AT~UriC Z~ % ~e Description of work: New t~+t e ; ~ V-Q -5r aS/ 2 3-T- & -A);4".) Sq. Ft. added pcs R Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws oftheState of - Colorado and to the ZoningRegulations and Building Codes of W heat 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 180 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 orwill be made inthe original plans and specifications and anysuspension 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 anew permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (6) 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 review is subjectto field inspections. - Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: " DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number: Date: 10235 3/14/00 , Property Owner: Property Address: 3718 JAY ST Contractor License No, : 19312 Company: Deer Creek Plumbing OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 424-3885 Phone: 697 5583 (OWNER)(CONTRACTOR) SIGNED DATE Total: $300,00 $23,50 $0.00 $4.50 $28,00 Construction Value: Permit Fee: Plan Review Fee: Use Tax: I hereby certify that the setback distances proposed by this permit application afe accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Use: Description: I nstail water heater BUILDING DEPARTMENT USE ONLY SIC: Sq, Ft: Approval : Occupancy: Wails: 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 : ~~l (6) This pannit 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 BuildinQ Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City, This permit shall expire If (A) the wor\< authonzed 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 pennit expires, a new permit may be acquired for a fee of one.half the amount nonnally 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 pennit. No wor\< 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 proceediin with successive phases of the Job. The iss 71la enn' r the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of ldi 9 yother ordinance, law, rule or regulation. , (1) (2) (3) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPl\Cf\TIO N Property Owner: C.l~ Property Address: ::) { (3 ~ S'4-. Contractor License No,: \Ce,':'::> \ d.. Company: ~ ~-L1:C '91?!, _ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: ~dL\ - 5&-8 s Phone: to'1r-::>I'--\\o Construction Value: 3Cb- Permit Fee: 0l~~ '~JO Cl~ UseTax: -4,50 Total :~ , ':JO d if ,DU ,~~ I hereby certify thot the setback distances proposed by this penn~ oppllcation are accurato, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that III measurements shown, Ind allegations made are eccurate; thot I have reod snd o9.ree to abide by oil cond~ions printed on this appllcallon, end that I ossume full responsibility for compliance w~h the Wheat Ridge Building Code (U,B.C,) ond all other opplicable Whoot Ftldge ord,nances, for work under this penn~, (OWNER)(CONTRACTOR) SIGNED~/(\,Cj~ ~- \\-(.0 Use: Description : ~ voC0\L< ~ BUILDING DEPARTMENT USE ONLY >;(:llll1l~rl'.:tillIlHU ; - SIC: Sq, Ft: Approval: Zoning: ~ll:!-!J ll'), 1':.:JIJlllUil~ Approval: :.lll!ll~: '1';;) 'l~~~' ~~, il}.!~" Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No: \'\? \ ~ Company : ~_ ~_ l, '-"\~ \\~- Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval : Expiration Date: Approval: 14) 5) (6) This permit was Issued in accordance with the provllfons set forth In yopur application end Is subject to the IIws of the State of COlorado and to the Zoning Regulations and Building COde of 'Mle.t Ridge, CoIonIdo or any other applicable ordinances of the City. This """"~ sholl ..pi.. W (A) th8 ""'" _ad II not commenced within sixty (60) days from Iuuo dsle or (B) th8 building oulhorizad Is suspended or abandOned for a period of 120 days. . If this pennIt expires, a new petmlt mey be acquired for a fee of one-half the amount normalty requited, provided no changes hllVtl been or wtll be made In the original pions ond speclftcallons snCIany lusponllon or sbandonment hal not excaedad ono (1) yeor, "Chsnges a.. mode or ~ "_"ion or abandonmOnl _ ono (1) yeor, lull !HI Iholl be paid for a _ pe_ No work of any manner shall be dOne thll wtn chlinge the natural now of water causing a drainage problem. Contractor shaH notify the Buflding Inspector twenty.four (24) hours In advance for alllnspecllons and shall receive written approval on inspection CIIrd before _ling _ IUCCllSltve ahasol 01 th8 iob, 'The issuance of a perrn;t or the appl'OVll of drawings and speclfieetions 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 ordtnance, law, rule or regulation. (1) (2) (3) Chief Building Inspector 6~