Loading...
HomeMy WebLinkAbout3835 Hoyt StreetX1760 -7y 3�3S- Ay-rl Sl. INSPECTION RECORD °ccupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection bd_::�_ INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter uo not your concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inc actions Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof r "J 6 Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof IVA Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. WWW .%J1LQy0 N011111LS — ricase ue sure inat rougn inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705794 'ERMIT NO: 201705794 ISSUED: 08/09/2017 TOB ADDRESS: 3835 Hoyt ST EXPIRES: 08/09/2018 )B DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 57 sq. ** CONTACTS *** 4NER (303)424-0582 SPANDLER RUDOLF SPANDLER BARBA UB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. '** PARCEL INFO *** '.ONE CODE: UA / Unassigned USE: UA / Unassigned `1BDIVISION CODE: 0269 / WHEAT RIDGE ACRES MINOR RPL BLOCK/LOT#: 0 / '** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,427.00 FEES rotal Valuation 0.00 Use Tax 386.97 ':,ermit Fee 346.95 *^' TOTAL ** 733.92 *** 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. 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: a4Z', Job Address: 1-x-1 'r' �� Permit Number: So `'j C) 5:) � A: l ❑ No one available for inspection: Time &PM Re -Inspection required: Yes 9 When corrections have been made, call fK re -inspection at 303 -234 - Dated inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 06 A_ Job Address: Permit Number:��%OrJ ❑ No one available for inspection: TimeAM/PM Re -Inspection required: Yeso When corrections have been made, call for re -inspection at 303-234-5933 1 a/ Date: / b/ /7 Inspector: DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Residential Roofing PERMIT - 201705794 PERMIT NO: 201705794 ISSUED: 08/09/2017 JOB ADDRESS: 3835 Hoyt ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 57 sq. *** CONTACTS *** OWNER (303)424-0582 SPANDLER RUDOLF SPANDLER BARBA SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 0269 / WHEAT RIDGE ACRES MINOR RPL BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,427.00 FEES Total Valuation 0.00 5: Use Tax 386.97 Permit Fee 346.95 ** TOTAL ** 733.92-- *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential RoofingPERMIT - 201705794 PERMIT NO: 201705794 ISSUED: 08/09/2017 JOB ADDRESS: 3835 Hoyt ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re—roof to install GAF Timberline asphalt shingles with 57 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform tha a ork erfonned is disclosed in this documen and/o r its' accompanying approved plans and specifications. Signature of OWNER oV-CONTRACTOR (Circle one) Date 1. This permit was issue based on the information provided in thepermit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans 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 be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz oon-7f?, From: no-reply@ci.wheatridge.co.us Sent: Friday, August 4, 2017 9:35 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3835 Hoyt Street W heatridge CO Rudolf Spandler 303-424-0582 docs@coredoes.com 0-1 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Core Contractors Name Contractor's License 110052 Number (for the City of Wheat Ridge) Contractor Phone 3032952220 Number 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 GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 57 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 57 (pitched + flat) of all z roofing material for this project Provide additional detail Predominate pitch is 4/12. Home, garage and playhouse here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 6E27D value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tomas Wolfram Email not displaying correctly? View it in your browser. 3 Colorado Owned And Operated Since 2001 CORE CONTRACTORS, Inc. General Contracting and Insurance Restoration 4501 Lagan Street, Denver, Colorado 80216 Phone: 303-295-2220 J Fax: 303 427.5557 "Doing it right matters" Property Owner; Property Address: City/State: Horne Phone: Rated A+ Licensed and insured Westfield tnsurarxe compony M -?be -9133 Effective Date; 't " Zip; E -Mail: W;rk Cell Phone: TERMS* By signing this agreement, the Property fawner authorizes CORE CONTRACTORS, INC ("CORE") to perform the work and supply the materials as agreed upon by Property Owner's insurance carrier. Homeowner agrees to use CORE exclusively, and authorizes CORE to obtain tabor 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, undertayment, valley Linings and miscellaneous flashings, per local applicable municipal code, This also includes full clean-up of the property. A 5 year Roof Workmanship Warranty included on full roof replacement only, A one year workmanship warranty included all. non -roof replacements. Roof repairs are excluded, Due to the nature of repairs.relat tj insurance claims, this contract includes an estimated repair price of the roof system, approximately- Because the final scope has not been agreed upon with the insurer, this repair price might change. The amount of this contract is for 1t of the replacement cost as3©roVed by the insurance company for work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part, we wilt 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 agreement on the scope of repairs on your behalf. CURE agrees to bid the work using the primary insurance industry pricing database (Xactirnate) 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 (M on Xactimate tine items). Any substantial additions or deductions to the scope of wont will be handled on the Customer Verification Form, Property Owner agrees that if a scope of work and project cost is agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by 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. Property Owner0s Initials PAYMENTS ARE TO BE MADE; Ya (OR FIRST INSURANCE CHECK RECEIVED - ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND BALANCE UPON COMPLETION OF WORK. WORD 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. RIGHT TO CANCEL You, the homeowner, have the right to rescind this Agreerneit 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: V � ;'insurance Company: :1� Core Representative: pate: Claim I# A City of Wheat Ridge Residential Roofing PERMIT - 201705794 PERMIT NO: 201705794 ISSUED: 08/09/2017 JOB ADDRESS: 3835 Hoyt ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 57 sq. *** CONTACTS *** OWNER (303)424-0582 SPANDLER RUDOLF SPANDLER BARBA SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 0269 / WHEAT RIDGE ACRES MINOR RPL BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,427.00 FEES Total Valuation 0.00 5: Use Tax 386.97 Permit Fee 346.95 ** TOTAL ** 733.92-- *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential RoofingPERMIT - 201705794 PERMIT NO: 201705794 ISSUED: 08/09/2017 JOB ADDRESS: 3835 Hoyt ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re—roof to install GAF Timberline asphalt shingles with 57 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform tha a ork erfonned is disclosed in this documen and/o r its' accompanying approved plans and specifications. Signature of OWNER oV-CONTRACTOR (Circle one) Date 1. This permit was issue based on the information provided in thepermit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans 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 be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz oon-7f?, From: no-reply@ci.wheatridge.co.us Sent: Friday, August 4, 2017 9:35 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3835 Hoyt Street W heatridge CO Rudolf Spandler 303-424-0582 docs@coredoes.com 0-1 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Core Contractors Name Contractor's License 110052 Number (for the City of Wheat Ridge) Contractor Phone 3032952220 Number 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 GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 57 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 57 (pitched + flat) of all z roofing material for this project Provide additional detail Predominate pitch is 4/12. Home, garage and playhouse here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 6E27D value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tomas Wolfram Email not displaying correctly? View it in your browser. 3 Colorado Owned And Operated Since 2001 CORE CONTRACTORS, Inc. General Contracting and Insurance Restoration 4501 Lagan Street, Denver, Colorado 80216 Phone: 303-295-2220 J Fax: 303 427.5557 "Doing it right matters" Property Owner; Property Address: City/State: Horne Phone: Rated A+ Licensed and insured Westfield tnsurarxe compony M -?be -9133 Effective Date; 't " Zip; E -Mail: W;rk Cell Phone: TERMS* By signing this agreement, the Property fawner authorizes CORE CONTRACTORS, INC ("CORE") to perform the work and supply the materials as agreed upon by Property Owner's insurance carrier. Homeowner agrees to use CORE exclusively, and authorizes CORE to obtain tabor 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, undertayment, valley Linings and miscellaneous flashings, per local applicable municipal code, This also includes full clean-up of the property. A 5 year Roof Workmanship Warranty included on full roof replacement only, A one year workmanship warranty included all. non -roof replacements. Roof repairs are excluded, Due to the nature of repairs.relat tj insurance claims, this contract includes an estimated repair price of the roof system, approximately- Because the final scope has not been agreed upon with the insurer, this repair price might change. The amount of this contract is for 1t of the replacement cost as3©roVed by the insurance company for work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part, we wilt 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 agreement on the scope of repairs on your behalf. CURE agrees to bid the work using the primary insurance industry pricing database (Xactirnate) 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 (M on Xactimate tine items). Any substantial additions or deductions to the scope of wont will be handled on the Customer Verification Form, Property Owner agrees that if a scope of work and project cost is agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by 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. Property Owner0s Initials PAYMENTS ARE TO BE MADE; Ya (OR FIRST INSURANCE CHECK RECEIVED - ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND BALANCE UPON COMPLETION OF WORK. WORD 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. RIGHT TO CANCEL You, the homeowner, have the right to rescind this Agreerneit 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: V � ;'insurance Company: :1� Core Representative: pate: Claim I# COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE. (303.234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033. (303-235-2855) Building Permit Number: 17260 Date: 6/23/2004 Property Owner: Rudolf Spandler Property Address: 3835 Hoyt Street Contractor License No. : Company: If~~jJ Phone: 424-0582 Phone: 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 the Wheat Ridge Building Code (U.B,C.) and all other applicable Wheat Ridge or,anees.lor work under this permit. (OWNER)(CONTRACTOR) SIGNED :J!u.t>klf ~a?W.j4 DATE 6- z <.~c" Total: $1,600.00 $74.22 $0.00 $32.00 $106.22 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: Asphalt singles BUILDING DEPARTMENT USE ONLY IrI1fI1~entll,;; Approval: Zoning: _fllllt~rlts.;A Approval: l>illill~orks'~ts:. Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (BO) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive ph he job. The issuance of a permi val wings and spe provisions of the bui . ~a tions shall not be construed to be a permit for, nor an approval of, any violation of the rregulation. (1) (2) (3) Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE. 303.234.5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033. (303-235-2855) APPLICATION Building Permit Number: Date: Property Owner! Property Address: Contractor License No.: Company: .Q.UD~I- F' SPRlJr.:>t:. E Ie 3835' !-Icy,.Jr 1A,//lEI?rRil:)C,E (. ~ g o~ 3''3 Phone: 3D'J-c.;2Y-O"rf~ <tlI<IAlE'/C Phone, OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value:$ ! (" C: 0 ,CC Permit Fee:$ Plan Review Fee:$ Use Tax'S; Total:$ 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 01 covenants, easements or restrictions of record; that all measurements shown. and allegations made are accurate; that 1 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. ,OWNERXCONTAACTOR,SIGNEO 2....k1 ,'r~/ftl', DATE (OWNERXCONTRACTOR):PR'NTED !2UbIJL t:' jpBAlD/. Fe!? Description: T?E 'Roo-F Sq, Ft, added BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZON'NG COMMENTS: Approval: Zoning: BU'LDING COMMENTS: Approval: PUBUC WORKS COMMENTS: Approval: joccupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days_ (3) If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and spedfications 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. (5) 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 spedfications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Building Official