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HomeMy WebLinkAbout3333 Estes Streetz Pr The City of Wheat Ridge epenY Add,,Third Party Form Check List permit NU SS rnber 3333 54. Permit Issued pate C;�O 17o5a8o DS/o�(t� Owns-- tion Property Y Owner Information pertYOwnerAddress 3333 6,4�, s�, Inspector Information Inspection Company Inspector Name Inspector Contact info. fnsAector Statement and Acknowledgement I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of heat Ridge Policies and Procedure and Manufacturer's recommendations an pecific 'o Inspector: Date: A©- Z,5 Property Owner Statement of Acknowledgement '1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection c pan to perform my roof inspection in lieu of the City of Wheat Ridge i! ' i isio in tion. Propery Owner/Agent: Date: ,Zt2:—z1— 7 This original document and permit card, as well a roofing check list, must be submitted tc the Chief Building Official within seven days of th final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side Scanned by CarnScanner 5AFFbu It THIRD PARTY ROOF INSPECTION REQUEST FORM FOR WHEAT RIDGE -p-fOp?�Address •, Perms ---.t Number Permit Issued Date "020 -- Number of Stories Sloe of Roof ^ _ RoofTT e f_ -- Ins ection T pe I hereby ai:Mowledge that I am the owner of the building referenced above and I give my consent for the listed th rd - art ins eclion com an to rfor m roof ins ctio i lieu of the CAy of Wheat Rid a Building D,vis�on inspection Owner Name e Owner Signature Contact — Phone -- E-Mail Ghd u C+^^ This original document, as well as roofing checklists for each inspection, must be submitted by ti:e Tn rd Pauly Root Inspection provider to the Chief Building Official w,lhin seven days of the final inspection. Drop off in person Submit via Email Permit Counter, 2^d floor kcook@ci wheatridge,co us 7500 W. 29" Ave Wheat Ridge, CO 80033 Scanned by CarnScanner Roof Inspection ❑ N/A 0 Pass ❑ Fail ❑ N/A L4 Pass ❑ Fail ❑ N/A a Pass ❑ Fail N/A ❑ Pass ❑ Fail ❑ Pass ❑ Fail N/A N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A N/A N/A N/A N/A ® N/A N/A mac' N/A ❑ Pass ❑ Pass Pass Pass Pass Pass ❑ Pass Pass Pass Pass lid Pass Pass [ Pass ❑ Pass ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail ❑ Fail The City of Wheat Ridge Inspection Check List notes Mid -Roof Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify sheathing nail pattern (See Policy & Procedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings are damaged or rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2' in heated wall spaces Underlayments must follow 2012 IRC / 2012 IBC Verify roof slope for proper drainage Dripedge shall have min of 2" overlap Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1/4:12 slope Above roof insulation R-25 Below roof residential R-38 ❑ Pass ❑ Fail Below roof commercial R-32 ❑ Pass Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 10 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof IX N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements N/A ❑ Pass ^� Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name:v , Inspector signature: Date of Inspection: / ',r5 Jr ' 201 The Ci of Wheat Ridge ry a Third Party Form Check List Property Address _3333 _ES�s s4 - Permit Number 20170) SD Permit Issued Date 8/ Z 1 ;z Owner Information Op Property Owner Information koO C,4 (/, iY� Property Owner Address _ 33 ?� F-4� � Inspection Company - (0&t, f Inspector Name J ( , Inspector Contact info. 303 - 14 IN - Inspector Statement and Acknowledgement I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. ' I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations aAspecifications. Inspector: �>v✓� ­\_ Date: t= 7 Property Owner Statement of Acknowledgement '1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat Ridge Building Division ' spection. Propery Owner/Agent: Date: //_- / 7 This original document and permit card, as well /the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side SAFEbu V. THIRD PARTY ROOF INSPECTION REQUEST FORM FOR WHEAT RIDGE PROPERTY INFORMATION Pro eri Address S �- Permit Number a0l 0 Z ?TO Permit Issued Date U 62 I Number of Stories d. Slope of Roof Roof Type Inspection Type F;ny I hereby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third- This original document, as well as roofing checklists for each inspection must be submitted by the Th,rd Party Roof Inspection provider to the Chief Building Official within seven days of the final inspection Drop off in person Submit via Email Permit Counter, 2- floor kcook ci.wheatridge co us 7500 W. 29, Ave Wheat Ridge, CO 80033 f. The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A ❑ Pass ❑ Fail Structural roof components ❑ N/A 4 Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A ❑ Pass ❑ Fail Flashing for roof and walls 0 Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) ❑ N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A ❑ Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A ❑ Pass ❑ Fail Verify vent caps ❑ N/A h Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Cl Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A ❑ Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A ❑ Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A ❑ Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A 1� Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC ❑ N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 ❑ N/A 4 Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope ❑ N/A Pass ❑ Fail Above roof insulation R-25 ❑ N/A Pass ❑ Fail Below roof residential R-38 ❑ N/A Pass ❑ Fail Below roof commercial R-32 ❑ N/A Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications - Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ N/A Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements ❑ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: �! Inspector signature: Date of Inspection: INSPECTION RECORD Occupancy/, -'IT "ISPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection//_�_rj 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 Plumbing �; •�_ Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter Rough Electric Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service Plumbing �; •�_ Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof �; •�_ Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing - AU.iN 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 r of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occur 'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and ,v the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issur Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705280 PERMIT NO: 201705280 ISSUED: 08/02/2017 JOB ADDRESS: 3333 Estes ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning duration asphalt shingles with 15sq 6/12 pitch house and shed *** CONTACTS *** OWNER (303)295-2229 VITRY ROBERT W SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,390.00 FEES Total Valuation 0.00 Use Tax 113.19 Permit Fee 140.90 ** TOTAL ** 254.09 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. N* i City of Wheat Ridge Residential Roofing PERMIT - 201705280 PERMIT NO: 201705280 ISSUED: 08/02/2017 JOB ADDRESS: 3333 Estes ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning duration asphalt shingles with 15sq 6/12 pitch house and shed *** CONTACTS *** OWNER (303)295-2229 VITRY ROBERT W SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,390.00 FEES Total Valuation 0.00 Use Tax 113.19 Permit Fee 140.90 ** TOTAL ** 254.09 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 11* r City of Wheat Ridge Residential Roofing PERMIT - 201705280 PERMIT N0: 201705280 ISSUED: 08/02/2017 JOB ADDRESS: 3333 Estes ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning duration asphalt shingles with 15sq 6/12 pitch house and shed I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, a by thpplicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized e legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this er it I rther tt t at I am le ally authorized to include alI entities named within this document as parties to the work to be perfo� ha o c t e ed is dis used in this docum and/or itcc�ompang approved plans and specifications. S' nature of OWNER or CONTRACTOR (Circle one) Ddte This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Oficial 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 granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co ny ordinance or regulation f this jurisdiction. Approval of work is subject to field inspection. ` O�NM • Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz —)-( A / l' ) 11 From: no-reply@ci.wheatridge.co.us Sent: Monday, July 24, 2017 8:10 AM To: CommDev Permits P Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina C� 4R Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of reduests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a residential roof? How many dwelling units are on the property? PROPERTY INFORMATIO Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Yes Single Family Home N 3333 Estes Street Wheat Ridge CO 80033 Bob Vitry 303-295-2229 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Core Contractors c1 110052 303-295-2220 Contractor Email Address docs@coredoes.com Retype Contractor Email docs@coredoes.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 15 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 15 (pitched + flat) of all roofing material for this project z Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 6/12 for house and shed 5,390 SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Yes Yes Yes Yes Karen Tobin Core Contractors Email not displaying correctly? View it in your browser. 3 • CONTRACTORS ROOFING SYSTEMS Property Owner Bob and Mary Ann Vitry Property Address 3333 Estes St City/State Zip Wheat Ridge 80033 Primary Phone number 303.233.6137 Email Address mavitco@att.net Terms: Agreement "Doing it right matters" Effective Date 07/06/2017 4501 Logan St, Denver, CO 80216 303.997.1559 Secondary Phone Number By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier. Roofing Scope: The roofing system replacement includes all shingles, Additional Roofing Scope Notes underlayment, valley linings, and miscellaneous flashing, Roof shed gutters. Not doing porch roof on south per local applicable municipal code. This also includes full side of home. clean-up of the property and a 5 year Roof Workmanship Warranty (on full roof replacement only). A one year workmanship warranty is included on all non -roof work performed by CORE. Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system. 8900 Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, �owEKEv Qy�i c, t�canvas -�;;,.as.co must be requested in writing, by the property owner. If, you, the property owner, plan 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 roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. All estimates or contract amounts include a 3.5% discount for cash or check transactions. Property Owner's Initials Right to Cancel You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours after entering the agreement. 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 insurer that your claim has been denied in whole or in part. Property Owner Date Mary Ann Vitry 07/06/2017 Property Owner Signature Insurance Company Safe Co ,'1-'%V! RED BY <, -canvas www.gocanvas.com �� I? = ` �,?"j,-?{ '0-9,\40 <ct> )41)01'457( D CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that: (a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. 1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this contract to be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 %2) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made therefore prior to commencement of the work. 4. Should legal action be necessary, because of any act that might arise during the course of this agreement, CORE shall be entitled to all costs incurred in connection with such action, including a reasonable attorney's fee. 5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of Colorado. 6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or other materials) not covered by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT. 7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE Contractors, Ins. whether of a similar or dissimilar nature. 8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner, the owner shall be financially responsible for all work performed based on the following milestones (percentages are additive). a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid. b. Substantial agreement or scope confirmation with insurer — 5% of total bid. c. Ordering and scheduling of work — 2% of total bid. d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor overhead and profit. 9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid pu,VFRFDBY �, 'canvas www.gocanvas.com 3?._ ",--i x" by the owner within 30 days of invoice date. 10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee assessed to CORE by the supplier. 11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforce -ability of the remaining provisions of this contract shall not be affected thereby. 12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do not survive the execution of this contract. 13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE Contractors, Inc. herein. 14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof and siding during the repair of the roof. 15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. If pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems on a time and material basis. 16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES. DBY ��., '`.canvas www.gocanvas.com ?'-';)i�_ 3 -t' -1 4k'70 f «,. '• �"' 1 �� iii ,� �J€}[ �.,,C.) F OR OMCE USE O NLY i x; ; p �... Suil ding Pe rmit Ap plicatio n s*� ` ":a ��. '.SFtt:'n '�. � e.�. ' %` i � +3 e '� " 1 .. a4', ,"ti�.2 � "�� '" '� .�a. „:i "..- ,.la e ! «, � aw �}.A ac r ��.` a .� ; ,. •.4* t rd..�fi.p'°nt�tTkedk a A - 4 , $ # r IM Electrical. Plumbing: Mechanical, W.R. City .icense # � �� Wk City License a W.R. City License Other City Licensed Sub: Other City Licensed Sub: City License W City Ucense* "I RMIMIM, M W s ".1 : Iff e t City of Wheat Ridge Planning and Development Department Memorandum TO: Accounting Department FROM: Kristy Shutto, Building Division SUBJECT: Refund for Permit DATE: June 5, 2001 Reason: Custom canceled furnace replacement. 100% permit fee: 100% use tax: $69.25 $ 28.89 Please refund: Total: $98.14 TO: Empire Mechanical Systems 11528 W. Colfax Ave. Lakewood, CO 80215 (303) 232-6167 Thank You! c,-/:-C:K(~ . c-.". , ')t(':'f.i)' Kristv M. Shutto Bldg. Dept. Secretary C:\Building Department\Word Perfect\Forms\Refund Total Permit .\VjJd -,- E'..'. MPIItE " MECHANICAL SYSTEMS " YOUR HEATING & AIR CONDITIONING SPECIALISTS " Dept of Planning & Development City of Wheat Ridge 7500 West 29th Ave. Wheat Ridge, Co. 80215 25 May 01 Re: Permit # 12212 for furnace replacement at 3333 Estes st. Customer canceled this furnace replacement and therefore we would like to be reimbursed for the permit expense - $98.14 Thank You, Christiansen EMPIRE MECHANICAL SYSTEMS Enclosed Copy of permit. 11528 West Colfax Ave., Lakewood, CO 80215 (303) 232-6167 Fax: (303) 232-6576 ....ARTMENT 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: 12212 5/25/2001 Property Owner: Property Address: 3333 ESTES ST Contractor License No.: 17701 Company: Empire Mechanical Systems OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 233-6137 Phone: 232-6167 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Total: $1,926.00 $69.25 $0.00 $28,89 $98.14 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Use: cplJ/9q.. Description: FURNACE REPLACEMENT BUILDING DEPARTMENT USE ONLY '. SIC: Sq. Ft.: Approval: Zoning: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : 17701 Company: Empire Mechanical Systems Expiration Date: 3/8/2002 Approval: OK/KS Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Gode of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned fOf a period of 120 da}'s. . If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building 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 ~r 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 lid' 9 / I ! ~y other ordinance, law, rule or regulation, Chief B~ilding 1:C . (4) (5) (6) ..;"- - 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: 12212 Date: 5/25/2001 Property Owner: Property Address: 3333 ESTES ST Contractor License No. : 17701 Company: Empire Mechanical Systems OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 233-6137 Phone: 232-6167 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rUle~or ions of the City of Wheat Ridge or covenants, easements or restrictions of rece ~t allr:neasurements shown allegations made are accurate; that I have read and agree 0- abiae by' onditions' e n this application, and that I assume full responSI .Ii for compha with t Ridge Building Code (U.B.C.) and all other applica ge 0 ices, fa 0 nder this permit. ATE-='~ /dl~ I Use: Total: $1,926,00 $69.25 $0,00 $28.89 $98.14 Construction Value: Permit Fee: Plan Review Fee: Use Tax: (OWNER)(CONTRACTOR) SIG Description: FURNACE REPLACEMENT tii~ BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : 17701 Company: Empire Mechanical Systems Expiration Date: 3/8/2002 Approval: OK/KS Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 da)'s. If this permit expires, a new permIt may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Insrector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases 0 the job. The issua 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 e i codes or yother ordinance, law, rule or regulation. (4) (5) (6) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pennit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 property OWner: 80 b Vj~v: property Address: 3~'3~ Ss'kS ~t- Contractor License No.: / 7- 'l 0 I Company: f:....;f,.-e. ~ec.I".,3M;cal S~s~~ Phone b03):;':;3' b/3"r Phone:8()~);'3.;t.. {/(,'?- Construction Value: tf /9 ;U.!E.!! Pennit Fee : UseTax: OVIINERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I henlby certify _1IIe.-a< d_ .,Iopooed by this penm --"'" are aa:untl8. and do net vioIalIl applicable ordinanaIS. NIas or reg.-.s of the City 01_ RIdge or covenants, _._ or ....t>Uiol.. of recanI; _ all.. " . remants .hawn, and aIIegatlona made 11'8 aa:untl8; _I _.- and 10 _ aN COI.dilioI.. arinled on this .,.,.lication, and _ I ......... MI far wIlh the Wheat Ridge Building COde (U.B.C.) and .. _ ..~U ._ _ for_ _this penniI. :rE/.,~{)1 Description: /' 'u..p& C.<' I JLC.,...:f: BUILDING DEPARTMENT USE ONLY Total: Approval : Occupancy : Walls: Roof: StorieS: Residential Units : Expiration Dale: Approval: A ~"" ;;, : '~. ' Expiration Dale : Approval: . Mechanical License No : /770 I Company: r;:Mf,..e (l\e~"c.;.(S1.-.f, Expiration Date: 3, e. O:;l. Approval: . Plumbing License No : Company: Electrical License No : Company: (1) Thlspermil_"'~- in_lCllwilh.."'CO:--in_.... - .....ond.._1D.._of.._of~ond1Dthe- ~and ~of__.' .n,,,_;...a.-~di..._oftheClly. (2) TIlispermil__ (A)the__fo.........,..---(8O)----'''(ll)..buildlng-is~'" _""aperioclof'ZO_. (3) WIhfo permilOJqlinla, a _pormIt_ be ___"" alMof_................., ftIllIlO1Id, .....- no _ - _",will be'- in lho origlnaIpIonIand....... ' .ondanr....-..._......_.........__(l)_. n_...._"'w-""'""'aa-.du....... __.... (1) _, 1uI_ _ be PaId "'" a - pormIt. (4) NIl_of'" __ be done"" will .......- _of_causing a...--..-. (5) ~_nofIIy..IIuIIdIng__-bJr(24)_In_""aIIiil1poctio11aand_.-..-_....inapodiDncanl- (6) ~~w:: ~:,,".;::..therdniwinp and I~ .-.... . sneu net be construed lObe a permit for. nor an approval d. anyvialldion of the pn:wiIiDM of llle building codes '" any __. law. rilIIl "'~. 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 /> r' --..--..'.....'......---1 I BUILDING DEPARTMENT (303) 235.2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at ~ 3 3 3 Es -; <"'s "7/ I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: . A 1,,, ';)'"'5 0p..., ..,.,,/ /5 /t> C rnYPc/' jJ / J j- <'?r .A <; '.:Jr,dtiP..... 51/<;)'~ I / ~e4~ ~ -:~ ~~~/,~p u</,,/c I I. / ..4 14 J f /' <:.t c,"~t'I/ / You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date 9;U/YC/ J~~~/J} .. Inspector f Building Dept. DO NOT REMOVE THIS TAG FORM WR6.22 , , "'-------"---.--- '!!'''~I'.~1l'r1!'n'' "''''''''''''~'''~",'''''C'''~'l''''''1c~,,~''''''l''~~''''l!''~'''''''':<i!'~'~''j'1f!?':r","I!J~.",l:.t""'''f,,,,,,~"II.,''''''))~~.Jlll~,,,J,,,,,,1~JJ,~''1111~~~'1I!i\I~1' ),~bI5PAR""NT OFP....,.~IN<.lt-ND DE&l!LOPlllENT Building Permit Number: 2584 ".' BUILDINGIN$Pi!CTION, '.IiJNI$ION .235-2855 CITY OF ~TRtDGE Date: 215196 7IOQWIE$128'TH AVENUE wtfEA1' RIDGE, CO 80215 Properly OWner: V1TRY JOSEPHINE Property Address: 3333 ESTES ST Contractor License No. : 17836 Comj)any : A to Z Roofing Phone: 233.e137 Phone: 781 8185 OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I ~" cerIlIy lIIat 1M, ~ dlltllnces~. by th",~rmIt IPPI." 1ca,Ilon are_, """ <<lO not vlOI8telllllllk:al>l!l~. ftiIM or.1lilIOns of 1M City of Wheat Ri!Jge or C!lV8mmta. ......"..or ~ ofriM;Ord:lIl8I iilI~_lIa"own. and allegallons madeI_ 8CQIlI8Ie; 8lat I '*'" "id~, ,.8Ill!' , \0 abide=:' 'alI~CO"dlllona "lid 0II1111s ~.andtll8ll......1ulI '. ", for, IlOOwIth llIRldgeBuildlng =:;:~:::=_Wheat .',~ u:~th;p~ Construction Value : Pennit Fee : Plan Review Fee : Use Tax : Total: $2,028.00 $54.00 $0.00 $30,42 $84.42 Description : REROOF BUILDING DEPARTMENT USE ONLY Approval: Occupancy : Walls: Roof: Stories: Residential Units : E1liolrieal License No : Company: Plumbing License No : Company: Mechanical Lic:ense No : Company: expiration Date : Approval: . Expiration Date : Approval: . expiration Date : Approval : . (1) ==-=....~.::.~,::.:..,:i=::.>>..:~ct~_orIl\8StaloorCc*lnodOIndIo...ZonIng (2) ==-~~21U1hc11fHd1o1lCll"""'.II(:od 1ildy(80)dap___or(B)lI\8bu11d1nO_Io.__or (3) WII1Is""",*""Pi!"',a. ',l118l'llOooquINdlora""oI_II\8_llQIYIIIlIIyrequ/led,_no-""hawI_..wlIbIl_1n1le orlgInil.....1Ii1d ' _1l1Y"-'-"_Il/OI",...dhllsnot_one(l)~. 1fc:hongOo"''-orW..", .....'or-.'..d 14) ~C=:*~='='lle-:r~..r.:.,,:C""'-_lIowol_""=:t'r..-. 5) ~~!::!~,~~r't\:;:::::='::::::~Io::':::-:~::==:m::::.":.- llIllIdIng~orll1Y_ .Iow,.........-. Chief 8ulldin9lll$P8Ctor THI$ PERIIfTVALIO ONLY WHEN SIGNED BY THE CHIEF BUlI.DING INSPECTOR CAU: 234-G833 24 HOURS PRIOR TO INSPECnoN IJ1ii:]) 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 Property Owner: ~~, baOSSfT/2 + Property Address: 333:::' c ~'5 S-+ Phone: 253 ~~/3 7 Contractor License No. : I '7& 3<'.0 Company A.-~ 4v+;~ f S01~ Phone: 7i?(-'?j<;;-S- OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :J: 202'i5- Permit Fee: Use Tax: Total: -7eM-v1'~ BUILDING DEPARTMENT USE ONLY ~ ic2-J5.;JMm ~ i .IWfi.IJ ~J~JlliJ..t"~I~"'lI' "I' t Approval : Zoning: ;~1I ~I, . '"!.~:rl'fi':)I\'F Approval: ~b,lle~WaYka;uulllhl.lftS:! Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical l,cense No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: .J Plans R~u!redT:-J Expiration Date: Approval: J1 P!ansRequired J Expiration Date: Approval: ]I : P.fl!ns,Re'qull'illll51l (1) (2) (3) This permit was ISSUed In accordance with the provIsions sel forth In vopur application and IS Subject to the laws of the State of Colorado and to the Zoning RegulatIons aM Building Code of Wheal Ridge. Colorado or any other applicable ordmances of the City, ThIS permit shall expIre II (Al the work aulhonzed IS not commenced within SIXty (60) days from Issue date or (B) the building authonzed is suspended or abandonea for a penod of 120 days. If this pennrt expIres, a ,new pem'llt may be acquired for a fee of one-half the amount normally required, prOVided no changes have been or WIll be made In the orlgrnal 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 now of water causrng a drainage problem Contractor Shall notify the Budding Inspeclor twenty.four (24) hours In advance for alllnspectlons and Shall receive written approval on Inspectlon card before proceedllng WIth successive phases of the Job. The Issuance ot a permit or the approval of draWings and specifications shall no! be construeo 10 be a permit for, nor an approval at. any Violation of the provISions Jl the bUIlding codes or any other ordrnance. law, rule or regulatIon. (4' (5) (61 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