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3655 Holland Court
CRC CONSULTING 1830 Iroquois Road Pueblo, Colorado, 81001 Cecil C. (719)-924-9733 Dustin N. (719)369-4401 dustinniah(draol.com April 4, 2022 Re: Mid roof inspection (underlayment & sheathing) for the house addition construction at 3655 Holland Court, Wheat Ridge, Colorado We did a roof undedayment & sheathing nailing inspection for the above-described site. Upon inspection of both the underlayment and sheathing, the nailing pattern appeared adequate and per guidelines from IRC 2018 requirements and no nailing pattern discrepancies were found at time of inspection. Sincerely, �r Crowe �iTb P 330 'u-wrl TM Y. Cecil R. Crowe PE & PLS 12330 Cecil Digitally signed by Cecil Crowe Crowe Date: 125727 06'00' 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Demolition PERMIT - 202101453 202101453 3655 Holland Ct Garage demo, 860 sq ft ISSUED: 07/07/2021 EXPIRES: 07/07/2022 *** CONTACTS *** OWNER (3 0 3) 618-6346 MAE S CARL I SUB (303)434-4993 ROY SANCHE Z 210151 OTRA EXCAVATING *** 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: 21800.00 FEES Total Valuation 0.00 Use Tax 58.80 Permit Fee 93.35 ** TOTAL ** 152.15 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 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 thispermit and perform the work described and approved in conjunction with this�permrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/07/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ASBESTOS SURVEY REPORT Location: 3655 Holland Court Denver. CO 80209 Prepared for: Bryan Moore 303 Construction 303-915-3575 Prepared by: Asbestos Masters, LLC 12445 E. 39th Ave., Suite 402 Denver. CO 80239 Date of Inspection: May 26, 2021 Asbestos Project#: 2021-6-1 /gs�as /�a�ers Removal - Training - Consulting Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 "We can't wait to make your space safe" Page 1 ASBESTOS SURVEY REPORT Location: 3655 Holland Court Denver. CO 80209 TABLE OF CONTENTS Page 1.0 Executive Summary....................................................................................................................3 2.0 Suspect Asbestos Containing Material....................................................................................4 3.0 Analytical Procedures................................................................................................................5 4.0 Asbestos Containing Materials.................................................................................................5 5.0 Suspect Non -Asbestos Containing Materials.........................................................................5 6.0 Conclusions and Recommendations...... qw. 7.0 Consulting Firm and Inspector Certifications......................................................................7-9 8.0 Chain of Custody and Lab Results.......................................................................................10-11 Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 2 Asbestos Survey 3655 Holland Court Denver, CO 80209 June 1, 2021 Bryan Moore 303 Construction Ref: Report of Asbestos Survey Conducted at: 3655 Holland Street (Garage Only) Denver, CO 80209 Dear Mr. Moore: On May 26th, 2021, Asbestos Masters LLC conducted a full inspection of the garage for the presence of asbestos containing materials at the address listed above. The homeowner would like to demolish the garage, so samples were collected to determine asbestos content. The inspection consisted of the following: • A full inspection of the garage to identify suspect asbestos containing materials (ACM): • Grouping suspect ACM into homogeneous areas: what will be impacted • Collect bulk samples of suspect materials: • Physical assessment of the suspect ACM to determine the current condition and the potential for future disturbance: • Laboratory analysis of the bulk samples: Reservoirs Environmental, Inc • Report results of the inspection and lab analysis of the bulk samples collected: Attached is a detailed report of the analysis and the inspection. If you have any questions about this report do not hesitate to contact me at 720-227-7129. Sincerely, Rodney Payne Asbestos Building Inspector CDPHE License No. 13337 Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 IP7 Page 3 Asbestos Survey 3655 Holland Court Denver, CO 80209 2.0 Suspect Asbestos Containing Materials During the walkthrough of the building, five (5) homogeneous area will be impacted by the demolition. The homeowner wants to demolish the garage, back patio, and an exterior wall of the main house. The caulk around the windows contains asbestos. The amount is less than the trigger levels. Suspect Asbestos Containing Materials Homoeenous Area Material Description Material Location Material Condition ID A Caulk Garage Good B Roof Shingles Garage Roof Good C Windows on House Good D Shingles Back Patio Good E Brick Mortar Southeast Exterior Wall Good Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 4 Asbestos Survey 3655 Holland Court Denver, CO 80209 3.0 Analytical Procedures Ten (10) bulk samples were collected in accordance with CDPHE Regulation 8, Part B. The US Environmental Protection Agency (EPA), the Occupational Safety and Health Administration (OSHA), and the State of Colorado Air Quality Control Commission considers a material as asbestos containing if the reported amount of asbestos is greater than one percent. 4.0 Asbestos Containing Materials Asbestos Containing Materials Homogenous Area ID Material Description Potential for Disturbance Material Quantities A rox. A Caulk HIGH 1 SF 5.0 Non — Asbestos Containing Materials Non -Asbestos Containing Materials Homogenous Area ID Material Description Potential for Disturbance Material Quantities A rox. A Caulk HIGH 1 SF B Roof Shingles HIGH 860 SF D Shingles HIGH 360 SF E Brick Mortar HIGH 240 SF Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 5 Asbestos Survey 646 S. Lincoln Street Denver, CO 80209 6.0 Conclusions and Recommendations for Asbestos Containing Materials Based on the laboratory results, asbestos WILL NOT be impacted or disturbed during this demolition of the garage. Asbestos will be impacted if the windows are removed from the house. The brick mortar does not contain asbestos. EPA, state, and local asbestos regulations do not apply. OSHA regulations do apply for the proper removal of the window. Asbestos Masters' liability, for this asbestos renovation survey, is limited to the amount invoiced for the project. All quantities are approximate. The General Abatement Contractor is responsible for determining the exact quantity of materials to be removed. Asbestos Masters appreciates the opportunity to assist you with your asbestos sampling needs. If you have any questions regarding this report of findings, please do not hesitate to call me at (720) 227-7129. NO ASBESTOS WAS DETECTED IN THE GARAGE Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 6 Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 I d v L x a 0 a z z AN] R Page 7 Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 9 � I W I N O gg U y u a � o 1o1 L ISI N U p es I � L � r7 H h V F+ O VJm O � N vz 8 oG O a L Q Cz9 W g a a+ o app d N N W L O V = F � cu N L U epi vMv .ax ia7 Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 9 DIdeIID: 222103593 A4g1 c. Asbestos Chain of Custody ERBL Order Number Iran use ow: 2ZZro3Sgs Asbestos Masters PHONE' FAX: Street: 12465 E. 391h Ave. Suite 402 1 Okr. Denver I Sate or Province: CO I ❑ NIOSH 7600 ❑ 1N OSHA li TWA PLM -Sulk rwonino Ilmltl 2 PLM EPA 6001R-991116 (<I%) ❑ PLM EPA NOB (0%) Pont Coon[ ❑ 400 (<0.25%) [:11001) 1<111 %) Pant Cowt vWGlavfmabk ❑ 400 (-011.25%) ❑ 10o0 (<a1 %) Q NYS 198.1 (Mable - NY) Q NYS 199,6 wit (rlal-1rwww) ❑ NYS 198.8 SOF-V Received ❑ AHERA 80 CFR, Part 763 ❑ NIOSH 7402 ❑ EPA Level II D ISO 10312 TEM -bulk ❑ TEM EPA NOB ❑ NYS NOS 198.6 (non -Stable -NY) TEM EPA SOQ'R-937116 w41h milling Flbws>10pro ❑Was4a ❑Drklking All Phar S4es ❑ Wade ❑ Drinking ❑ Mlcmvac - ASTM D 5758 ❑ Wye -ASTM D6460 ❑ PLM EPA 600'R -93f116 with milling prep (<0.25%) ❑ TEM EPA 6901R -93f116 vnlh milling prep (<0.1%J- ❑ TEM Qualitative via Fitr36on Prop ❑ TEM Otlalitailve via Dmp Mount Prep ❑ Ciwmrati Methon EPA 6OOrR-04MW — PLWTEM 'Lower reaMi,m funks avefa/a1O on reouast C WM nxv ,t WCQSMa . a1t1-11MIQUil FMS( Aneylte(sc:a:0134':A TeY.,,Oj labealory Tum¢a'd Cen44onswv r.WM MIMOIbe Dan Of oby bymleww 4 tel.eruvy S.b sdvndm .lv EARA ry Oal i,cc Iulai ac«renr .rd ad .kKWA ddl wx antl¢ad Page _ i.I Asbestos Masters, LLC 12445 E.39"'Ave 720.227.7129 If Pagel o1�L- pages Page 10 OLdeLID: 222103593 Asbestos Chain of Custody EMSL Order Humber (w ure a erwel �xxmcwt elc. O 3 5 9 Additional Pages of the Chain of Custody are only necessary if needed for additional sorrrpto infomlatlon PHONE: FAX: -�—' of—)L pages O.ee4eeeowe+-ODeae..e.nw-oral -iwow Ins* 4mr W. 34bnwYepW d LA mplma w EU$L"a"WIn, Cd ew InmryowmeImo mMem•rvsROj ey wrerrre cow Wlee ecwµvice eM KknmM}.e•R d A Mme rr w�6Yana Lag, 2 ❑f Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 11 + y SInstructions simple -�—' of—)L pages O.ee4eeeowe+-ODeae..e.nw-oral -iwow Ins* 4mr W. 34bnwYepW d LA mplma w EU$L"a"WIn, Cd ew InmryowmeImo mMem•rvsROj ey wrerrre cow Wlee ecwµvice eM KknmM}.e•R d A Mme rr w�6Yana Lag, 2 ❑f Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 11 EMSL Analytical, Inc. 1N0 tuna SZ Oonve, Co am TeVFan. 15U3 i W 5700 f 790a1741.1600 ntU= waw.EN�mm � denerl�emsl.can EMS L Order: "9103&93 CustdmerlD: AMC042 Customer PO: Protect ID: Attention: Rodney Payne Phone: (720)227-7129 AsheWos MastLrs, LLC FaKt: aY♦� %IV" 12445 E 39d1Ave Received Date: 05282021 2:05 PM Suite 402 Analysis Date: 061272021 Denver, CO 80239 Collected Date: 06262021 Project: Test Report: Asbestos Analysis of Bulk Materials via EPA 6001R•931116 Method using Polarized Light Microscopy sampY Uescrlpbon A61Werallca NMAeM51x Flom.. %Ndn•reIIOYA aY♦� %IV" Al CADLKING 90%Nmfibmis loam j the Deeded Non Fume Ibmo9meas A21..e CAULKING VAse 100%Nmfibras ICeerl None Dated& Non Fieraa Nonegeneas et'sningk 1 SHINGLES Blas 10%Gass 90%Nmfiams ICelml Nine Deeded Fnmas manors Nonlm eas BI-Smngle2 SHINGLES BnaeroGway IS%GUa� O p Nae 0.yeded FCmvs �nlms>ame IMingenews 62-ShingkI SHINGLES W1as91edt 10%Glass so%Nm,Iai sla�l Note 00.Ieded Nmfiaas 1almsa0oor Ibnegenadls 62-Shhgk2 SHINGLES alam 10%Gas amUmfibmis IGeal None Deleaeu Mnfibmu IbneRmmis C1 w1NDGWCAI.lIONG Gray 100% N. fiN 1010.1 Nme Daladed NniiMas S9Imf}taf HEnasmew C2 WINDOWCALIKING BrwnNVFiles 9e%NmfiG mlG p 2%Claymde NoniiNac ]9lmf]AYtl Halm9eneas 01 SBNGLES M.M r0%am. 90%Non fimm l CNe,p Nae Deleued Fb.. mlmsamm Kbmogen%1s 02 SHINGLES 9ronrt,Beck 129: Ges 0%Non fiaous lOee't Nme Deeded Non Forma IGnwqm. EI BRICK MORTAR G.,'Pnk 6% C. Clvbuse H. Deteded Non Finrms 96%Non.fia m lO t Nonegeneas E2 BRICK MORTAR Pink 700%N fid m I O p Nate Deleded MonFibrors urlmslmrc Fbnmenms b ikii lepothan0&279021 166769 ASa PLN_IM! _0001. 1. M PIYltl: &2F=I I AT PN 1 _t: Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 12 EMSLAnalytical, Inc. tel@y .SllwOto 'Co Mm TeVFan: 0001740 5700 1(207) 7411400 ntbl'w.w.ENSLmm r xn•.L.m&m.Lrom An,,I Ky"M IW May E&— fsl EMSL Order: 222103593 CustomerlD: AMC042 Customer PO: Project ID: M¢ay Pmts, TE1dPCM Labnawy SuOn . or CF Awnma Slg M, EL mvealcY Yn¢ nmY Man.,tis nmye"-_emuu a mu¢w N LaynwWlV a tb the rh e•Inc su . 1ap[mE some. aM ma,.M npo]cai euq[ In 1.1, wlaeN wla gpanl b,E EY Eaxf In ns Wft Msem¢WMWLn YSYWsar xs W, rtuPN mmsnrs. Tnerrp'fl,M ,1W svryWs x.a . Ruu¢rr gercralM I. aw Yb samof 6 (wn ' Minas.... IVZvu, r )PWMMM to Wrc an Ow Gan dWi, mmdnWurM mR mtl'M spxaf[a6au unW. tlnW W nyAa i1N apnsa anyyKs wnf piMmap In gYNil fpnplyAYwln I.µYAa E N Su[y'Yt E d rp CFR Ipa.rlll EPA tiU•lN.9lw30'Irwm I.Itivl} doa,PnenAd MnOrraOin eulWEnW19V3 fNSYIwnWnolOw meRM. i1W 1.N1 ma[MWwat E,W MFmtlam CmOaclrolresba'•. YYmal oretlMemml JN.. NOT Garry aaelu,N Va HEvy �.ammW.Nal-MYM agaYUY,EwMmYulispesa[e Q4Vun mshG atl lwvlme ELEtLamm�¢v6 ganNncltic0a"pLx el ai'aryes nNe[s irquesYE by M¢ roe's. w4n� maNnas mr✓xliai M niape lap¢ I. a bwlena wLbbVa ac.l ye i0atu x a segle sanbM EtWnalon d unnnanry s swam m roia:v. 8anpn --',asJ a EM5L MiW[al Inc Mv¢. CA NVLM LaE COM 2a09RB4 ImtmIzrtf.:0&2?J 27114749 Asa PLM 000!_"j • 7.]a Pvld: d2F=1 1:47PM OaOc 2.f 2 Asbestos Masters, LLC 12445 E. 39" Ave 720.227.7129 Page 13 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Roy Sanchez Permit 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. Email not displaying correctly? View it in your browser. Contractor Business Otra Excavating Name Wheat Ridge 210151 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3034344993 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email rsanchez5280j@gmail.com Address Retype Contractor rsanchez5280j@gmail.com Email Address DESCRIPTION OF WORK State Permit No. or garage demo Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement 3655 Holland Ct Wheatridge Square Footage Area 860 of Abatement Has the abatement Yes been completed If abatement has been Holland Street Garage no asbestos 1 pdf completed, upload the clearance report. Project Value (contract 2800 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Asbestos Abatement Date: Tuesday, July 6, 20218:51:55 AM Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for residential asbestos abatement? Provide copy of CDPHE State Permit or Stamped Approved CDPHE State Permit Application Yes PROPERTY INFORMATION Property Address 3655 Holland Ct Property Owner Name Cal Maes Property Owner Phone 3036186346 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email ccmaes@comcast.net Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Electronic-Payment-Form-Blda 7 2 21.Ddf CONTRACTOR INFORMATION � ► � i City of Wheat Ridge Residential Addition PERMIT - 202001481 PERMIT NO: 202001481 ISSUED: 03/04/2021 JOB ADDRESS: 3655 Holland Ct EXPIRES: 03/04/2022 JOB DESCRIPTION: Demo existing detached garage; Construct master bedroom addition (528 sq f t) , new detached garage ( 910 sq f t) and covered pat io ( 4 6 8 sq f t) ; l , 9 0 6 sq ft total *** CONTACTS *** OWNER ( 3 0 3) 618-6346 MAE S CARL I SUB (720)404-7425 DAVID HARDCASTLE 202302 HARDCASTLE MECHANICAL DESIGN SUB (303)332-6438 MICHAEL GEIER 140268 TECHMASTERS PLUMBING LLC SUB (303)591-0495 W. DANIEL MCAMIS 160169 KELLEM ELECTRIC LLC GC (303)919-2086 CARLOS BOYD 202281 303 CONSTRUTION MANAGMENT *** 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: 150,000.00 FEES Total Valuation 0.00 Plan Review Fee 945.46 Use Tax 31150.00 Permit Fee 11454.55 Engin. Review Fee 150.00 ** TOTAL ** 51700.01 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. As part of the foundation inspections and PRIOR TO proceeding with any further construction/inspections, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Approved per Case No. WA -20-05. For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. Prior to of a CO, 2 tree (s) shall be planted within the front etbacK. In additionsu cless than twenty-£iVe percent (25%) o£ the gross lot area and no less than one hundred percent (100%) o£ the Front yard shall be landscaped. I, bY tore, do heresy attest that the work to be performed shall comply with all accom yin proved plans and specifications, bppli a�lel�alding codes d all applicable mumci al codes, policies and procedures, and that I am �heplegal owner or have been authonzed y the legal owner of the ' roperty and am authonzed to obtain flus amrt and perform the work descnbed and approved in con'uncfion with trusfpe d�andelltw�olrktotbemis�a�xned. �s�oaeain,�aa�,>.iee a.,aio=ea a��"o••°lnsaocumenta=pda.i,esw aswo�sc�t,ons. per orme pe panying approve p ans an peci Sigrtature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the infoamafion provided' the ami[ applicat'on and accom anying P1. sand specifications and is s ubj ect to the compliance wrth those documentr, and all applicable statutes ordinances, regulations, policies andprocedures. 2. T}us.ped t shto the�date of uaysation. �An ea#epsilon of no more t�heans 180 da�ty' 3 gbestr f �d at the �sc=estiobn of the Clrief B�uil�n pnor pu ys ma gran g Official and may be subject to a fee equal to one-half of the onginal rmit fee. 3. If tlns pemut expses, anew VV ermit may be req d to be obtazned. 1Psauance of a new permit shall be subject to the standard thgmrements, fees and r edures for approval of any new perrmt. Re -issuance or extension of expued perrmts is at the sole discretion of e Chief Builth �g Official and is not guaranteed. q. No work of an shall be perfoamed that shall results in a change. of the natural flow of water without prior ands ed fic a royal. 5. The p tions anddahall not ohfy dor cson eat worksw.ath ut wn'tten aDs�sel of such work finm�thest$a�lidsihed podlic�of aIPre�uire� Division. P=ocee pprov ng an pec ion ermces 6. The issb ce de orr anh� d naana o tre elation of [hist' add' ction. A �t el of workPs�sub� t to � ld ins�ontof any provision of any /qpp sa je co y or g duns pprov lec pec ion. Signature of Chief Building Official Date R8QD85T5 MOST B8 MADE BY 11:59PM ANY BOSIN855 DAY FOR INSPECTION TH8 FOLLOWING BOSIN855 DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Addition to Existing Building Date: Monday, August 3, 2020 3:17:41 PM Addition to Existing Building THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this Residential or Residential - upload Proof of Submission to Sanitation District Commercial? and Water District Upload Proof of Proof of Submission Sanitation 3655 Holland CT POS.odf Submission to Sanitation Department Upload Proof of Wheat Ridge Water District 3655 Holland CT POS Ddf Submission to Water Department PROPERTY INFORMATION Property Address 3655 Holland Court Wheat Ridge CO 80033 Property Owner Name Carl Maes Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 303-618-6346 3655 Holland Court Wheat Ridge CO 80033 APPLICANT INFORMATION Applicant Name Carl Maes What is your role in the Property Owner project? Contact Phone Number 303-618-6346 (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments Retype Contact Email Address DESCRIPTION OF WORK Detailed Scope of Work - Provide use of addition (i.e. master bedroom with master bathroom); Indicate mechanical, electrical, plumbing scopes Location of Work Square Footage of Addition Upload Soils Report if Addition is over 500 sq ft. ccmaes@comcast.net ccmaes@comcast.net Master Bedroom addition and demo old detached Garage and build new detached garage, electrical subpanel and waste and water Add Master to house on the south west corner of the existing structure see site plan Asbestos Report Field not completed. Engineering Letters, Energy Calcs and Other Letter Size Attachments Field not completed. Construction Plans Sewage and Water plan 3566 Holland Court pdf scanned on 11'x17" or larger Provide Passcode for Field not completed. Plans if locked AQQltlori: �6�SI X �)122.46 = �)64,6DV Project Value (contract $150,000 Garage: 910sf x $48.30 = $43,953 value or cost of ALL Covered Patio: 468 x $14.50 = $6,786 materials and labor) Total: $115,398 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Carl Maes Permit 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. Email not displaying correctly? View it in your browser. Colorado Department of Publlc Health and Emironment CGS &(q5 - DEMOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED (Notice will be mailed to the demolition contractor unless specified otherwise) Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ S5,00 (See instruction #1 on reverse side) Submit form to. Permit Coordinator Colorado Dept of Public Health and Environment APCD-IE-B 1 4300 Cherry Creek Drive South Denver. CO 80246-1530 Phone. 303-692-3100 Fax 303-782-0278 Asbestos@state co us ' Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriabie ACM that has become friable, (c) Category i nonfriabie ACM that will be or has been subjected to sanding, grinding. cutting, or abrading or (d) Category II nonfnable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. APPROVED By Trevor Strosnider at 9:44 am, Aug 26, 2020 Rev b17uU8 Company Name _ Building Name: Street _3(aS 5 1-10 it X'! C 7 Square footage of fo t rine of facility or porton of facility to be demolished City: I State: 2i Code. wk�....�t- R.S � cv 66)033 Street. 0 �I'S 5 ,+,11r-�- Telephone # Fax # _ N City I County. Zip Code _ Project Manager Cell Phone # +",/��L ;; Proposed art Date Proposed ompletion Date ` i3//Zozb ,ms s s3.:-5) $ -ts b n 9�P�/ad2� .a I cemy that the Certified Asbestos Building Inspector has informed me .__ --- E Method/Means of Demolition - 0 E about any remaining asbestos -containing materials in the facility to be Ldemolished Ud -- - I wr,,C ecking ❑ Burning' ❑ Implosion []Moving ❑ Other. specify: S nature r------- i Print Name. Landfill Receiving Bu ding Debris: Vc ^J� ( &'—t C'• Burnmg requires additional authorization - Piaase ca! +303) 692-3100 a^C asp. t-- saeaK to the Open BurninQ Permit Coordinate Genera Abatement Contractor (GAC) Owner's Name: C " f r'Vt A p ; 0 ( CDPHE Asbestos Permit # i Total Quantity of Asbestos Removed O Street. t� 1 1 3�5S N� Iiw,A �""f? to O to rDate Removal Completed Telephone # C City: State: Code M` E __ . Types; o(Asbestos-Containing Material Removed: j Contact's Name: Telephone # 12 (` ,: I\ ru(A -G3UG- With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished. as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of CL asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the c facility.' I also certify that I have informed the owner/operator of the facility or the demolition contractor that any = y a asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) M of ACM remaining, below: (check appropriate box(es)): ❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings a v a ❑moray -applied tar coatings ❑ Caulking ❑ Glazing ❑ Other, specify: _ C+ Signat e: (In Blue Ink) Printed Name: D.at@ of Fin I in ioCn 0 Cert # Expiration Date Telephone # Cell Phone # !, t i "li I verify that all refrigerants from air conditioninglrefrigeration appliances have been properly recovered in accordance with AQCC Regulation No 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been `p disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692.3320) c :E ` CHECK, THE APPROPRIATE BOX, mO G Q Building Owner ❑ Contractor ❑ Ottxar Datev-- �—J iL4�_zL_.... Ug Si nature' Print Name: rn. THis BOX is FOR C Postmark or Hand Delivery Date: 08/16/2020 Approved By: APPROVED Code ❑ initial -310 ❑ transfer -380 By Trevor Strosn ld., at 9'.44 am, Aug 26, 2020 Form of Payment & # CC 6645 $55 Permit !#: Record tk Date Issued: ' Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriabie ACM that has become friable, (c) Category i nonfriabie ACM that will be or has been subjected to sanding, grinding. cutting, or abrading or (d) Category II nonfnable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. APPROVED By Trevor Strosnider at 9:44 am, Aug 26, 2020 Rev b17uU8 ReLPOM LAND S U RVEYI N G 5460 WARD ROAD + SUITE 160 ARVADA, COLORADO 80002 (303) 420-4788 IMPROVEMENT LOCATION CERTIFICATE NOTES: 1. Certificate is based on control as noted, an Improvement Survey Plat is recommended for precise location of improvements. 2. Location of fence lines, if shown, are approximate. Scale: 1 "=20' 0 20 I I I 126.3 DATE 06/17/2020 FEE $250.00 JOB# 20�224 ADDRESS 3655 HOLJ.AND COURT NAME 1YIAEH LEGAL DESCRIPTION (PER CLIENT) LOT 3, WILLOW LANE SUBDIVISION, COUNTY OF JEFFERSON, STATE OF COLORADO 1 Fr.>~1�rn C = :3 Concrete Covered Area �f Crawl Space Access 17.6 a N � w0 I � Note: Portion of garage may extend into easement as shown. Concrete/Block Retaining Wall 34.7 LOTS S' I�tility &Drainage Easement (Per Plat) - o I Note: I Found #S Rebar/Plastic Cap at the I Southwest corner of Lot 6. Said monument was relied upon to locate subject improvements. o On the basis of m Iovr�e, information and belief, I hereby certify that this improvement location certificate was prepared for _ ,that it is not a Land Survey Plat or Improvement Survey Plat, and that it is not to be relied upon for,ttr�ablishment of fen ,building, or other future improvement lines. I further certify that the improvements on above described parcel on date, except utility connections, are entirely within the boundaries of the parcel, a ept as shown, that there are no encr chments upon the described premises by improvements on any ad'oining premise except as indicated, and that there is no ap rent evidence or sign of any easement crossing or burdening any art of said par I, except as noted. NOTICE: This improvement location certificate is prepared for .the sol purpose of use parties stated her ,1��1�i1„ �fit�v blish property corners or property lines. A more precise relationship of the improvements to the boundary lines can be determine y an Improvem t Survey Plat. i'C!� ' Ily situated as shown and only a parent improvements and encroachments are noted. R.E. PORT & ASSOCIATES INC and Robert Port will not Ilable for m T h ant Location Certificate, and en only to the parties specifically shown hereon. Acceptance and/or use of this Improvement Loo ertifloate fo pur`cp %( s nG d agreement to all terms s ted hereon. O 27.2W NOTE: SURVEY IS DRAWN USING PLATTED ANOLE9 OR BEARINGS AND DIMENSIONS Architecture Structural Geotechnical 43D ROCKY MOUNTAIN GROUP Materials Testing Forensic Civil/Planning SUBSURFACE SOIL INVESTIGATION 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado Respectfully Submitted, RMG—RockyMountain Group 164 "Me:t' Matthew Meier E.I.T. Geotechnical Staff Engineer PREPARED FOR: Carl Maes 5812 Queen St Arvada, CO 80004 JOB NO. 163338 April 25, 2018 Reviewed by, RMG—Rocky Mountain Group Forrest K. Wright, P.E. Sr. Geotechnical Project Engineer city0t W heat Ridge CO..wo 1Y DEVELOPMENT APPROVED Reviewed for Code ComWiance Randy Slusser 1/08/2021 Plans Examiner Date veEax.mee�n: meawarvecruarmnwrovmwraAb�umlrmrnn wOaamyubtwv A.M. O/bvY( .>vnvyYvvurc�v %wvle4mb enY Nme mow✓vru Mme Nntlrn9 m0e ara91 fEY bOivxes. IbmN Ma'mxnB b Enx yurM1wiryre NNMbmnrl rneyronnw MMe�uWlnp andb wmn>a.m...awun,nm,wee wH6 rPD0•L� K.'1'i ti '0 4/25/18 C •• Z. L' 0053145 '-1 Southern Office: Central Office: Northern Office: Fort Collins: 970-616-4364 Colorado Springs, CO 80918 Englewood, CO 80112 Evans, CO 80620 Monument: 719.488.2145 719.548.0600 303.688.9475 970.330.1071 Woodland Park: 719.687.6077 www.rmgengineers.com 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado Scope of Investigation RMG - Rocky Mountain Group drilled two test borings at the above -referenced address on April 2, 2018. The layout of the site and the approximate location of our explorations are provided in Figure 1, Aerial Site Map. Our findings, conclusions and recommendations are provided in this report. This report presents geotechnical engineering recommendations for design and construction of residential foundations. The following is excluded from the scope of this report including but not limited to geologic, natural and environmental hazards such as landslides, unstable slopes, seismicity, snow avalanches, water flooding, corrosive soils, erosion, radon, wild fire protection, hazardous waste and natural resources. Site Description and Proposed Construction The site was developed and occupied at the time of our field exploration. The site was occupied by a single -story residential structure with a crawlspace and a detached garage structure. The conditions of the existing structures have not been evaluated for this report. The existing vegetation consists of lawn and landscaped areas and scattered deciduous trees. The topography of the site slopes slightly from the south down to the north-northwest. Based on conversations with the client, it is our understanding the existing residential structure is supported on a deep foundation system consisting of drilled piers and the detached garage structure is supported on a shallow foundation system. The proposed construction is to consist of the complete demolition and removal of the existing detached garage structure and the construction of an addition to the existing residential structure, including a new attached garage. Based on conversations with the client, it is our understanding that the proposed construction is to be one story in height and the residential addition is to be constructed with a crawlspace. It has been assumed that excavation for the proposed construction will not exceed 4 feet deep from the existing ground surface and is to consist of light, wood framed construction. If the proposed construction differs from the information provided or the assumptions made, RMG should be contacted immediately to review the differences and how they may impact construction and design of the proposed construction. Subsurface Materials The subsurface materials encountered during the explorations were generally classified using the Unified Soils Classification System (USCS). Topsoil Topsoil was encountered in the test borings to approximately 12 inches below the existing ground surface (bgs). Topsoil is generally defined as a surficial layer of soil which contains a higher percentage of organic matter of decayed plant roots, stems, and leaves. Topsoil is not considered suitable for construction. Topsoil was visually described as dark brown and moist. Native Soils Underlying the surficial topsoil, native soils were encountered in the test borings to the termifiiW®h depth of test boring B-1 and to approximately 19.5 feet bgs in test boring B-2. Native skkeAeftdge RMG — Rocky Mountain Group 2 RMG Job No. 163338 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado generally classified as stiff fat clay with sand. Native soils were visually described as gray to brown and moist to wet. Bedrock Underlying the native soils in test boring B-2, bedrock was encountered to the termination depth of test boring B-2. Bedrock was generally classified as firm to medium hard sandy claystone. Bedrock was visually described as light gray to gray with oxidation staining and moist to wet. Groundwater Groundwater was encountered at 16.8 feet in B-1 and was not encountered in B-2 at the time of drilling. When checked on April 12, 2018, groundwater was encountered at 14.5 feet in B-1 and at 13.5 feet in 13- 2. Fluctuations in groundwater and subsurface moisture conditions may occur due to variations in rainfall and other factors not readily apparent at this time. Development of the property and adjacent properties may also affect groundwater levels. Additional descriptions and the interpreted distribution (approximate depths) of the subsurface materials are presented in the Test Boring Logs. The soil/rock classifications shown on the logs are based upon the engineer's classification of samples. Lines shown on the logs represent the approximate boundary between subsurface materials, and the actual transition may be gradual and vary across the site. An Explanation of the Test Boring Logs, the Test Boring Logs, and a Summary of Laboratory Test Results are presented in Figures 2 through 4. Soil Classification Data are presented in Figure 5. Swell/Consolidation Test Results are presented in Figures 6 through 8. Demolition This project will include the complete demolition of an existing detached garage structure that currently occupies a portion of the site. Demolition should include complete removal of the structure and all associated concrete elements including any walls and slabs. Remnants from demolition activities should be removed from the site. Holes or voids resulting from removal of buried obstructions that extend below finish grade should be backfilled with compacted structural fill. We recommend the fill placed in the excavation within 4 feet of the perimeter of the new foundation components be observed and tested as structural fill during placement, as indicated under the Structural Fill section of this report, to ensure proper compaction. Summary of Findings The results of this investigation indicate that the site is suitable for the proposed construction, provided the recommendations presented herein are implemented and appropriate construction practices are followed. It is our understanding the existing residential structure is supported on a deep foundation system. In order to reduce the likelihood of differential movement between the existing structure and the proposed additions, the proposed additions should be supported atop the same type of foundation and the same soil conditions as the original structure. If it is determined that the existing structure is not supported on a deep foundation type or that the existing foundation bears atop a different soil condition, it is the responsibility of the builder or contractor to contact this office for alternate foundation design recommendations. City of Wheat Ridge RMG — Rocky Mountain Group 3 RMG Job No. 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado Foundation Recommendations In order to reduce the likelihood of differential movement between the existing structure and the proposed additions, a deep foundation system consisting of drilled piers is recommended for support of the proposed additions. The design criteria presented below should be considered for drilled pier design. The foundation design should be prepared by a qualified Colorado Registered Professional Engineer using the recommendations presented in this report. Design Parameters for Drilled Piers: 1. For axial compressive loading, drilled piers should be designed for a maximum allowable end bearing pressure of 40,000 psf. 2. For the portion of the pier embedded in overburden soils, the pier shall be designed to resist an uplift skin pressure of 150 psf. For the portion of the pier in bedrock is considered to be below the zone of wetting when in its confined in-situ state. 3. To resist axial loading due to compression (structural loads) or due to tension (expansive soil/bedrock), an allowable skin friction value of 2,000 psf should be used for bedrock and embedded within competent bedrock. 4. The piers should penetrate into competent bedrock a minimum of 5 feet and have a minimum total length of 25 feet below the bottom of the grade beams. Piers should have a minimum diameter of 12 inches to facilitate placement of reinforcing steel and concrete and inspection. 5. The piers should be reinforced the entire length of the pier to resist the anticipated loads. Reinforcement should conform to the latest edition of applicable American Concrete Institute (ACI) standards and guidelines. 6. A minimum 4 -inch thick continuous void should be placed beneath grade beams and tie beams between piers to help concentrate the dead load onto the piers and to help reduce the impact of uplift of the expansive soils on the foundation walls. 7. The drilled piers should be cleaned thoroughly prior to the placement of concrete. Concrete should be placed in the pier holes immediately after the holes are drilled, cleaned and observed using "drill and pour" construction methods. The concrete should have a slump of 4 to 6 inches. Pier excavations should not be left open overnight. 8. Groundwater was encountered during our investigation. If groundwater is encountered during pier construction, temporary steel casing may be required to prevent groundwater infiltration. Concrete should have sufficient slump so it will fill the pier excavations completely and Chtof adhere to the sides of the casing while the casing is extracted. If casing is required, the c&ea�eRidge RMG — Rocky Mountain Group 4 RMG Job No. 1 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado slump should be between 5 and 7 inches. In uncased pier installations, a slump of 4 to 6 inches is preferred. 9. To prevent the potential for additional uplift forces from the swelling of expansive soils/bedrock, a Sonotube® or similar concrete form should be used to prevent enlarging at the top of the pier (mushrooming) during and subsequent to pier installation. The form should be placed prior to concrete placement. Structural Floors It is our understanding that the residential addition is to utilize a structural floor system (supported by the foundation independently of the subgrade soils) for the interior floor system of the proposed structures. Garage floor slabs supported on the on-site soils may experience vertical movement on the order of four inches, or more. If a non -concrete system is used, environmental health hazards associated with mold growth in crawlspaces must be reduced by utilizing "clean" construction methods. The floor should be properly sealed and vented. A ventilation system activated by temperature and humidity levels may be required in the crawlspace. The entire floor system and ventilation system should be designed by a qualified professional. Recommendations for exterior concrete slabs, such as patios, driveways, and sidewalks, are not included in this report. Interior Partitions Interior non-bearing partitions walls and other attached finishes do not require isolation from the structural floor system. Lateral Earth Pressures Foundation walls should be designed to resist lateral earth pressures. For moisture -conditioned, low - expansive, onsite backfill materials, we recommend an equivalent fluid pressure of 60 pcf for "Active" conditions and 80 pcf for "At -Rest' conditions be used for design. The above lateral earth pressure applies to level, drained backfill conditions. Equivalent Fluid Pressures for sloping/undrained conditions should be determined on an individual basis. Excavations Excavations for the project are expected to encounter primarily clay soils. The native soils will generally be excavatable with heavy-duty earth moving equipment. The excavated on-site soils may be reused as structural fill, provided the recommendations set forth herein are implemented. The contractor should provide safely sloped excavations or an appropriately designed and constructed braced -shoring system, in compliance with Occupational Safety and Health Administration (Odi+AI 2005) guidelines, for employees working in an excavation that may expose employees to the d t Ridge RMG — Rocky Mountain Group 5 RMG Job No. 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado moving ground. hi our opinion, the native soils should generally be considered a Type "A" soil when applying the OSHA guidelines. For these soil conditions, OSHA recommends a temporary slope inclination of 3/4H:1 V or flatter for excavations 20 feet or less in depth. Some surface sloughing may occur on the slope face at these angles. Steeper cut slopes may be utilized for excavations less than 4 feet deep depending on the strength, moisture content, and homogeneity of the soils as observed in the field. Appropriate slope inclinations should be evaluated in the field by an OSHA -qualified "Competent Person" based on the actual conditions encountered. Site Grading The following sections present recommendations for earthwork during construction including site preparation, structural fill, and exterior backfill. Site Preparation Prior to construction, the ground surface in proposed structure and improvement areas should be stripped of existing vegetation, debris, topsoil, undocumented fill, soft, loose, or disturbed native soils and other deleterious material. This includes areas below foundation and floor slabs. The existing soil stockpile is considered unsuitable material and will require removal within construction area. Care should be taken to reduce drying of the subgrade soil below the foundation during construction. Site preparation procedures should be performed such that the potential for standing and ponding of water around the site is reduced. During wet weather earthen berms, swales, or other means should be used to direct water away from excavations. Water that accumulates in excavations should be pumped out or otherwise removed and these areas should be allowed to return to their "natural" moisture condition before resuming construction. Structural Fill In the event structural fill is needed, areas to receive moisture -conditioned structural fill should have topsoil, organic material, or debris removed. The upper 6 inches of the exposed surface soils should be scarified and moisture conditioned to facilitate compaction (usually within 2 percent of the optimum moisture content) and compacted to a minimum of 95 percent of the maximum dry density as determined by the Standard Proctor test (ASTM D-698) prior to placing structural fill. Structural fill placed on slopes should be benched into the slope. Maximum bench heights should not exceed 4 feet, and bench widths should be wide enough to accommodate compaction equipment. Based on the field explorations and the laboratory testing, the existing on-site clay soil may be acceptable for use as structural fill. This material should generally be free of topsoil, organics, debris, particles greater than 3 inches in diameter, and other deleterious materials. Once excavated and processed, on-site soils to be used as structural fill should be separated and stockpiled to be evaluated by the project geotechnical engineer for suitability. Structural fill shall consist of moisture -conditioned, on-site soils, should be placed in loose lifts not exceeding 8 inches, moisture -conditioned to a minimum of 1 percent to 4 percent above optimum moisture content (as determined by the Standard Proctor test, ASTM D-698), and compacted to a City of Wheat Ridge RMG — Rocky Mountain Group 6 RMG Job No. 15d08®ig Division 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado minimum of 95 percent of the maximum dry density as determined by the Modified Proctor test, ASTM D-1557. The materials should be compacted by mechanical means. Earthwork operations should be observed and compaction of structural fill materials should be tested by the project's geotechnical consultant. It is the responsibility of the builder or contractor to schedule with this office to conduct compaction tests, retrieve or accept delivery of a fill sample, or certify the fill material. Early testing is recommended to demonstrate that placement and compaction methods are achieving the required compaction for the entire depth of fill. Without a strict quality assurance program, the fill may not be of sufficient quality to achieved required performance. Exterior Backfill Backfill should generally be free of topsoil, organics, particles greater than 4 inches in diameter, debris, or other deleterious material. Backfill should be placed in loose lifts not exceeding 8 to 12 inches, moisture conditioned to facilitate compaction (usually within 2 percent of the optimum moisture content) and compacted to 90 percent of the maximum dry density as determined by the Standard Proctor test, ASTM D-698 on exterior sides of walls in landscaped areas. In areas where backfill supports pavement and concrete flatwork, the materials should be compacted to 95 percent of the maximum dry density as determined by the Standard Proctor test, ASTM D-698. Fill placed on slopes should be benched into the slope. Maximum bench heights should not exceed 4 feet, and bench widths should be wide enough to accommodate compaction equipment. The appropriate government/utility specifications should be used for fill placed in utility trenches. If material is imported for backfill, the material should be approved by the Geotechnical Engineer prior to hauling it to the site. The backfill should not be placed on frozen subgrade or allowed to freeze during moisture conditioning and placement. Backfill should be compacted by mechanical means, and foundation walls should be braced during backfilling and compaction. Surface Grading and Drainage Drainage is an important key to the successful performance of shallow foundations. The ground surface should be sloped away from structures with a minimum gradient of 10 percent for the first 10 feet. This is equivalent to 12 inches of fall across this 10 -foot zone. If a 10 -foot zone is not possible on the upslope side of the structure, then a well-defined swale should be created a minimum 5 feet from the foundation and sloped parallel with the wall with a minimum slope of 2 percent to intercept the surface water and transport it around and away from the structure. Roof drains should extend across backfill zones and landscaped areas to a region that is graded to direct flow away from the structure. It is imperative that homeowners maintain the surface grading and drainage recommended in this report to help prevent water from being directed toward and/or ponding near the foundations. Failure to maintain positive surface drainage away from the structure may result in localized differential vertical movement of foundations and slabs. Landscaping should be selected to reduce irrigation requirements. Plants used close to foundation walls should be limited to those with low moisture requirements; and irrigated grass should not be loUff4f Wheat Ridge RMG — Rocky Mountain Group 7 RMG Job No. 163338 Building Division 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado within 5 feet of the foundation. To help control weed growth, geotextiles should be used below landscaped areas adjacent to foundations. Impervious plastic membranes are not recommended. Irrigation devices should not be placed within 5 feet of the foundation. Irrigation should be limited to the amount sufficient to maintain vegetation. Application of more water will increase the likelihood of slab and foundation movements. Perimeter Drain A subsurface perimeter drain is recommended around portions of the structure which will have habitable or storage space located below the finished ground surface. This includes crawlspace areas but not the walkout trench, if applicable. A typical drain detail is presented in Figure 9. A subsurface perimeter drain is designed to intercept some types of subsurface moisture and not others. Therefore, the drain could operate properly and not mitigate all moisture problems relating to foundation performance or moisture intrusion into the basement area Concrete Type PH cement is recommended for concrete in contact with the subsurface materials. Calcium chloride should be used with caution for soils with high sulfate contents. The concrete should not be placed on frozen ground. If placed during periods of cold temperatures, the concrete should be kept from freezing. This may require covering the concrete with insulated blankets and heating. Concrete work should be completed in accordance with the latest applicable guidelines and standards published by ACI. Foundation Configuration Remarks The configuration of the foundation system is critical to its performance. The position of foundation windows, jogs, steps and the relative elevation of adjacent and opposite walls can affect foundation performance. The nature of residential foundation construction does not allow for control of these conditions by the Foundation Design Engineer. Improper placement of the above can result in differential and lateral foundation movement not anticipated by the Geotechnical Engineer. The Foundation Design Engineer should be contacted regarding the foundation configuration. General Remarks The recommendations provided in this report are based upon the subsurface conditions encountered in the test borings, anticipated foundation loads, and accepted engineering practices and principles in the area at the time of report preparation. No warranty is made or implied in this report that this firm has an all inclusive knowledge of every portion of the subsurface materials on or under the site. There is no evaluation detailed enough to reveal every subsurface condition. The nature and extent of variations across the site may not become evident until construction commences or thereafter. The construction process itself may also alter subsurface conditions. If variations appear evident at the time of construction, our office should be notified. If additional mass site grading is performed at the site which results in elevations that vary significantly from existing grades (more than plus or minus 2 ft), our office should be informed about these changes. If needed and/or if desired, we will reexamine our analyses and make supplemental recommendations. City of Wheat Ridge RMG — Rocky Mountain Group 8 RMG Job No. 163BAding Division 3655 Holland Ct Lot 0003, Section 27, Township 69 Wheat Ridge, Colorado The recommendations are intended to reduce differential movement. However, it should be noted that geotechnical engineering recommendations are not an exact science. The recommendations presented in a geotechnical engineering report are not based only on the analytical and empirical tools but rely on engineering judgement as well. The fact that professional judgements must be used in making recommendations means that the conclusions and recommendations presented in a geotechnical engineering report should not be considered risk-free and, more importantly, are not a guarantee that the interaction between the soils and the proposed structure will perform as planned. Furthermore, it must be recognized that the foundation will undergo some movement on all soil types. Concrete floor slabs will likely move vertically. The recommendations for isolating floor slabs from columns, walls, partitions or other structural components should be implemented to mitigate potential damage to the structure. Subsequent owners should be provided a copy of this report. The recommendations are based on accepted local engineering practice and are intended for individuals familiar with local construction practices and standards. The owner is also encouraged to read A Guide to Swelling Soils for Colorado Homebuyers and Homeowners, Special Publication No. 43, available from the Colorado Geological Survey. Recommendations contained in the report are also applicable for prevention of settlement due to wetting of support soils. RMG does not assure the existence of and/or the compliance with the above recommendations. This is the responsibility of the client referenced on the first page. RMG provided recommendations only and does not supervise, direct or control the implementation of the recommendations. Senate Bill 13 This report may be partial fulfillment of Colorado Senate Bill 13 (1984), C.R.S. 6-6.5-101, The Soil and Hazard Analysis of Residential Construction, if the purchaser receives this report at least fourteen days prior to closing. The purpose of Senate Bill 13 is to inform the purchaser of the presence of expansive soil or hazards on the site. Geologic and environmental hazards are outside the scope of services of this report. Expansive soil and bedrock may result in movement of foundation components and floor slabs. The recommendations presented in this report are intended to reduce, not eliminate, these movements. The homeowner and builder should review and become familiar with Special Publications 43 issued by the Colorado Geologic Survey. This report and the recommendations contained therein are only valid if all parts of Senate Bill 13 are satisfied. If we can be of further assistance in discussing the contents of this report or analysis of the proposed project, from a geotechnical engineering point -of -view, please feel free to contact us. City of Wheat Ridge RMG — Rocky Mountain Group 9 RMG Job No. 1 x ' ASSUMED fIROP "M ). r n NOT TO SCALE N W E s B-2 T APPROXIMATE TEST BORING LOCATION F J EXISTING STRUCTURE TO BE REMOVED Souftm once ARCHITECTS Colorado Spdngs,CO 80918 mMG (719)54 d,CO Cen0a1 Ofte: Ergamrood, CO 80112 ENGINEERS (303)688-9475 Norfh armee: Gm1eROCKY MOUNTAIN GROUP (970)yD-1071,0080820 (e7o) ato-ton 9 AERIAL SITE MAP JOB. No. 163338 3655 HOLLAND CT FIG. No. 1 City WHEAT RIDGE, COLORADO DATE: OtA414 CARL MAES 'd III Building 9 SOILS DESCRIPTION ® FAT CLAY WITH SAND CLAYSTONE T TOPSOIL UNLESS NOTED OTHERWISE, ALL LABORATORY TESTS PRESENTED HEREIN WERE PERFORMED BY: RMG - ROCKY MOUNTAIN GROUP 14 INVERNESS DR. EAST, SUITE E-136 ENGLEWOOD, COLORADO SYMBOLS AND NOTES STANDARD PENETRATION TEST - MADE BY DRIVING A SPLIT -BARREL SAMPLER INTO THE SOIL BY DROPPING A 140 LB. HAMMER 30", IN GENERAL ACCORDANCE WITH ASTM XX D-1586. NUMBER INDICATES NUMBER OF HAMMER BLOWS PER FOOT (UNLESS OTHERWISE INDICATED). UNDISTURBED CALIFORNIA SAMPLE - MADE BY DRIVING A RING -LINED SAMPLER INTO A XX THE SOIL BY DROPPING A 140 LB. HAMMER 30", IN GENERAL ACCORDANCE WITH ASTM D-3550. NUMBER INDICATES NUMBER OF HAMMER BLOWS PER FOOT (UNLESS OTHERWISE INDICATED). �z FREE WATER TABLE 0 DEPTH AT WHICH BORING CAVED BBULK DISTURBED BULK SAMPLE ® AUG AUGER "CUTTINGS" 4.5 WATER CONTENT (%) zzy I�� �•nmr_m�H zm. ARCHITECTS 1�M C AH,itRd_1 G N.c,,icl Structural Materials Tasting EO�,sia ENGINEERS Dvil Pl—i'g Coloretlo Spnngs (Comoieta Off�cz) 2910 Austin Bluffs Parkway Colorado Spi,gs, CO 80918 (719) 54&0600 SOUTHERN COLORADO. DENVER METRO. NORTHERN COLORADO EXPLANATION OF TEST BORING LOGS JOB No. 163338 FIGURE No. City of Wheat Ridl DATE 4/23/18 Building Divis TEST BORING: B-1 DATE DRILLED: 4/2/18 ELEVATION (FT): GROUNDWATER @ 14.5' 4/12/18 = a Lu 0 00 >- U) w a Q L w a 00 0 z O W Q TEST BORING: B-2 DATE DRILLED: 4/2/18 ELEVATION (FT): GROUNDWATER @ 13.5' 4/12/18 = a w 0 °° U) w a Q L w a OJ °° 0 z O W Q [TOPSOIL]: dark brown, moist 5 10 15� 20 14 16 14 14 24.6 18.2 21.7 26.6 [TOPSOIL]: dark brown, moist 5 10 15 20 25--AA48 30 10 12 17 43 50/11" 50/10" 27. `. 23.E 38.E 24. E 21.E 18.E 20.E FAT CLAY with Sand - brown, stiff, moist to wet FAT CLAY with Sand - gray to brown, stiff, moist to wet Sandy CLAYSTONE - light gray to gray with oxidation staining, firm to medium hard, wet ROCKY MOUNTAIN GROUP ARCHITECTS ENGINEERS AH,,itea—1 DeeteC,-1l Structural KM JU Materials Tasting ens Forics Qvann Pling Coloretlo Spnngs (Comoieta Office) 2910 Austin Bluffs Parkway Colorado Spings, CO 80918 (719) 54&0600 SOUTHERN COLORADO, DENVER METRO, NORTHERN COLORADO TEST BORING LOGS JOB No. 163338 FIGURE No DATE 4/23/dRy of Building Division ROCKY MOUNTAIN GROUP ARCHITECTS Stl,a��l RMG F,L-i��l EO��sia ENGINEERS Test Boring No. Depth Water Content (0/0) Dry Density (pcq Liquid Limit Plasticity Index ° /° Retained No.4 Sieve ° /0 Passing No. 200 Sieve FHA Expansion pressure (psq %Swell/ Collapse USCS Classification B-1 4.0 24.6 99.7 0.4 B-1 9.0 18.2 105.1 50 31 76.3 0.1 CH B-1 14.0 21.7 B-1 19.0 26.6 B-2 4.0 27.5 B-2 9.0 23.8 B-2 14.0 38.6 91.5 0.1 B-2 19.0 24.8 B-2 24.0 21.4 108.1 3.7 B-2 29.0 18.8 105.2 4.0 B-2 34.0 20.6 60 34 55.7 CH ROCKY MOUNTAIN GROUP GN.c,,icl SUMMARY OF MCivil sTas, CMI, LABORATORY TEST Pla��h9 RESULTS JOB No. 163338 FIGURE No. 4 PAGE 1 OF C1ty of DATE WO R ARCHITECTS Stl,a��l RMG F,L-i��l EO��sia ENGINEERS Coloretlo Spnngs (Comoieta Off�cz) 2910 Austin Bluffs FRHV,,y Colorado Spings, CO 80918 (719) 548-0600 SOUTHERN COLORADO. DENVER METRO. NORTHERN COLORADO GN.c,,icl SUMMARY OF MCivil sTas, CMI, LABORATORY TEST Pla��h9 RESULTS JOB No. 163338 FIGURE No. 4 PAGE 1 OF C1ty of DATE WO R =80 c7 uJ 70 c060 (D Z U) 50 Q a �-- 40 z LU of 30 LU a ►IX 10 0 U.S. SIEVE OPENING IN INCHES U.S. SIEVE NUMBERS HYDROMETER 3 1.5 1 3/4 1/23/8 4 10 20 40 100 200 100 10 1 0.1 0.01 0.001 GRAIN SIZE IN MILLIMETERS COBBLES GRAVEL SAND SILT OR CLAY coarse fine coarse medium fine Test Boring Depth (ft) Classification LL PL PI • B-1 9.0 FAT CLAY with SAND(CH) 50 19 31 X B-2 34.0 SANDY FAT CLAY(CH) 60 26 34 Test Boring Depth (ft) %Gravel %Sand IIIIIIIII � B-1 9.0 X B-2 34.0 %Silt I %Clay 76.3 55.7 JOB No. 163338 SOIL CLASSIFICATION FIGURE No. 5 DATA City of DATE 4/23/18 Wheat Ridg Building Division ROCKY MOUNTAIN GROUP ARCHITECTS Archit.,WralRGeotechnical Structural Materials Tasting Eo�rsia ENGINEERS Civil, Pl-1,g Coloretlo Spnngs (Comoieta Off�cz) 2910 Austin Bluffs Parkway Colorado Spings, CO 80918 (719) 548-0600 SOUTHERN COLORADO. DENVER METRO. NORTHERN COLORADO %Silt I %Clay 76.3 55.7 JOB No. 163338 SOIL CLASSIFICATION FIGURE No. 5 DATA City of DATE 4/23/18 Wheat Ridg Building Division m 4 FA z O U) z a 0 x w 0 o -2 U) U) w -4 O U im N, 100 000 APPLIED 4RE - PSF PROJECT: 3655 Holland Ct Wheat Ridge, CO SAMPLE DESCRIPTION: FAT CLAY with Sand NOTE: SAMPLE WAS INUNDATED WITH WATER AT 1,000 PSF m 4 FA z O U) z a 0 x w 0 o -2 U) U) w -4 O U im N, 100 000 APPLIED 4RE - PSF PROJECT: 3655 Holland Ct Wheat Ridge, CO SAMPLE DESCRIPTION: FAT CLAY with Sand NOTE: SAMPLE WAS INUNDATED WITH WATER AT 1,000 PSF 10,000 SAMPLE LOCATION: B-1 @ 4 FT NATURAL DRY UNIT WEIGHT: 99.7 PCF NATURAL MOISTURE CONTENT: 24.6% PERCENT SWELUCOMPRESSION: 0.4 10,000 SAMPLE LOCATION: B-1 @ 9 FT NATURAL DRY UNIT WEIGHT: 105.1 PCF NATURAL MOISTURE CONTENT: 18.2% PERCENT SWELUCOMPRESSION: 0.1 JOB No. 163338 SWELL/CONSOLIDATIONI FIGURE No. 6 TEST RESULTS DATE 4/23[Yef Wheat Ridge 10 Building Division ROCKY MOUNTAIN GROUP ARCHITECTS Archite t—1 Geotechnical Structural RMGa,o,Pla Materials Tasting Forensics ENGINEERS 1,g Coloretlo Spnngs (Comoieta Off�cz) 2910 Austin Bluffs Parkway Colorado Spings,CO 80918 (719) 548-0600 SOUTHERN COLORADO, DENVER METRO, NORTHERN COLORADO 10,000 SAMPLE LOCATION: B-1 @ 4 FT NATURAL DRY UNIT WEIGHT: 99.7 PCF NATURAL MOISTURE CONTENT: 24.6% PERCENT SWELUCOMPRESSION: 0.4 10,000 SAMPLE LOCATION: B-1 @ 9 FT NATURAL DRY UNIT WEIGHT: 105.1 PCF NATURAL MOISTURE CONTENT: 18.2% PERCENT SWELUCOMPRESSION: 0.1 JOB No. 163338 SWELL/CONSOLIDATIONI FIGURE No. 6 TEST RESULTS DATE 4/23[Yef Wheat Ridge 10 Building Division m 4 FA z O U) z a 0 x w 0 o -2 U) U) w -4 O U im N, 100 000 APPLIED 4RE - PSF PROJECT: 3655 Holland Ct Wheat Ridge, CO SAMPLE DESCRIPTION: FAT CLAY with Sand NOTE: SAMPLE WAS INUNDATED WITH WATER AT 1,000 PSF m 4 FA z O U) z a 0 x w 0 o -2 U) U) w -4 O U im N, 100 000 APPLIED 4RE - PSF PROJECT: 3655 Holland Ct Wheat Ridge, CO SAMPLE DESCRIPTION: Sandy CLAYSTONE NOTE: SAMPLE WAS INUNDATED WITH WATER AT 1,000 PSF 10,000 SAMPLE LOCATION: B-2 @ 14 FT NATURAL DRY UNIT WEIGHT: 91.5 PCF NATURAL MOISTURE CONTENT: 38.6% PERCENT SWELUCOMPRESSION: 0.1 10,000 SAMPLE LOCATION: B-2 @ 24 FT NATURAL DRY UNIT WEIGHT: 108.1 PCF NATURAL MOISTURE CONTENT: 21.4% PERCENT SWELUCOMPRESSION: 3.7 JOB No. 163338 SWELL/CONSOLIDATION FIGURE No. 7 TEST RESULTS City of DATE 4/23/18 Wheat Ridge Building Division ROCKY MOUNTAIN GROUP ARCHITECTS Archite t—1 Geotechnical Structural RMGa,o,Pla Materials Tasting Forensics ENGINEERS 1,g Coloretlo Spnngs (Comoieta Off�cz) 2910 Austin Bluffs Parkway Colorado Spings,CO 80918 (719) 548-0600 SOUTHERN COLORADO, DENVER METRO, NORTHERN COLORADO 10,000 SAMPLE LOCATION: B-2 @ 14 FT NATURAL DRY UNIT WEIGHT: 91.5 PCF NATURAL MOISTURE CONTENT: 38.6% PERCENT SWELUCOMPRESSION: 0.1 10,000 SAMPLE LOCATION: B-2 @ 24 FT NATURAL DRY UNIT WEIGHT: 108.1 PCF NATURAL MOISTURE CONTENT: 21.4% PERCENT SWELUCOMPRESSION: 3.7 JOB No. 163338 SWELL/CONSOLIDATION FIGURE No. 7 TEST RESULTS City of DATE 4/23/18 Wheat Ridge Building Division 6 4- 2— z 2z O U) z a 0 x w 0 o -2— U) U) w -4 O U -6 -8 100 1 000 APPLIED PRESSURE - PSF PROJECT: 3655 Holland Ct Wheat Ridge, CO SAMPLE DESCRIPTION: Sandy CLAYSTONE NOTE: SAMPLE WAS INUNDATED WITH WATER AT 1,000 PSF ROCKY MOUNTAIN GROUP ARCHITECTS ENGINEERS 4<,,itea-1 DeeteN,1i�i Structural KMIU Materials Tasting Forensics Qvil, Planning Coloretlo Spnngs (Comoieta Office) 2910 Austin Bluffs Parkway Colorado Spings,CO 80918 (719) 54&0600 SOUTHERN COLORADO, DENVER METRO, NORTHERN COLORADO 10,000 SAMPLE LOCATION: B-2 @ 29 FT NATURAL DRY UNIT WEIGHT: 105.2 PCF NATURAL MOISTURE CONTENT: 18.8% PERCENT SWELUCOMPRESSION: 4.0 JOB No. 163338 SWELL/CONSOLIDATIONI FIGURE No. 8 TEST RESULTS DATE 4/Rm 8' Wheat Ridge Building Division EXTERIOR BACK FILL POLYETHYLENE FILM SEALED TO WALL AND EXTENDED AROUND BOTTOM OF GRAVEL COLLECTOR AS SHOWN MIRAFI ® 140N GEOTEXTILE OR EQUIVALENT - WRAP BOTTOM EDGE ALONG POLYETHYLENE FILM AND WRAP TOP EDGE ALONG FOOTING (AS SHOWN) GRAVEL COLLECTOR: GRAVEL SIZE TO BE AT LEAST 2X THE WIDTH OF SLOTTED PERFORATIONS OR 1.5X THE DIAMETER OF ROUND PERFORATIONS GENERAL NOTES: 1. BOTTOM OF DRAIN PIPE SHALL BE AT OR BELOW BOTTOM OF FOOTING AT ALL LOCATIONS 2. ALL DRAIN PIPE SHALL BE PERFORATED PLASTIC, WITH THE EXCEPTION OF THE DISCHARGE PORTION WHICH SHALL BE SOLID, NON -PERFORATED PIPE. 3. MINIMUM GRADE FOR DRAIN PIPE SHALL BE 1%, OR 3 INCHES OF FALL IN 25 FEET. 4. DRAIN PIPE SHALL BE PROVIDED WITH A FREE GRAVITY OUTFALL, IF POSSIBLE. IF A GRAVITY OUTFALL CANNOT BE ACHIEVED, THEN A SUMP PIT AND PUMP SHALL BE USED. 5. ALL DRAIN COMPONENTS SHALL BE RATED/APPROVED BY THE MANUFACTURER FOR THE INSTALLED DEPTH AND APPLICATION 6. DRAIN SYSTEM, INCLUDING THE OUTFALL OF THE DRAIN, SHALL BE OBSERVED BY QUALIFIED PERSONNEL PRIOR TO BACKFILLING TO VERIFY INSTALLATION. ARCHITECTS ENGINEERS ROCKY MOUNTAIN GROUP Southern Office Colorado Springs,CO 80918 (719) 548-0600 Central Office: Englewood, CO 80112 (303) 688-9475 Northern Office: Greeley / Evans, CO 80620 (970) 330-1071 PERIMETER DRAIN I FIG NQy9 Wheat Ridge any nt Wheat I idge. CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2355. i 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date:CQ7 0? 9/b,0 -1-0 Project Address: �� d�Ul'�+�.8- Ce)(.N -4 rv� Name of Firm/Individual submitting documents: C Ak L- ..1- v1l 4- Q w rt ev Project Type/Description: po yyl_ Q A,),ne + aN 0 NJ Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT FOR AGENCY USE ONLY am a duly authorized representative of the agency indicated below and do, by my signature below,�hereby acknowledge receipt of documents necessary for review and approval of the project indicated- above. Agency represented: (Please Check one) o Wheat Ridge. Water District o Consolidated Mutual Water District o Valley Water District o Denver Water Agency Notes: �n✓� `O Ist o Clear Creek Sanitation District o Fruitdale Sanitation District o/Westridge Sanitation District o Other The Westridge Sanitation District conditionally grants approval of this project, with the following stipulations: 1) The property owner must sign an Agreement to be provided by the District, stating that if use of this structure is ever changed to any type of living unit for any duration of time, a sanitary sewer tap must be purchased, and a new, independent service line from the structure to the District's main be installed, - 2) If the above-mentioned agreement is not signed when provided by the District, the property owner will be required to immediately purchase a sanitary sewer tap and install an independent service line from the structure served to the District's main. Signature: t'�, a,,,,,� 1�� �., , Date: -Z 20 (Agency Representative) City of 'KA0*0r wheat [��e CITY OF WHEAT RINE BUILDING AND INSPECTION SERVICES DIVISION, 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303,235,2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review (Watei. and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: AR Project Address: Name of Firm/Individual submitting documents: C, Project Type/Description: ( 4.".. -v--v � Signature of Firm Representative or Individual'. Y, DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY am a duly authorized representative of the agency indicated Ell below and do, by m) signature �beloW hereby acknowledge receipt of documents necessary for review and approval of the project indicated abcwe- Ag@ncy reRrq§kn_tMC_V, (Please check one) o Wheat Ridge Sanitation District o Mneat Rid e Water �Distriecrr� o Clear Creek Sanitation District at Water i a I Wat E idateed �Mutual Water District s o �l o Fruitdale Sanitation District c. Valley Water District o Westridge Sanitation District Denver Water Q Other Agency Notes: CL r ; Ct qUZ r -L i Signature: Date: gen— e cy Re sentative) s0 lJ ce 6 qq 5' Tl--kl- CVyl ZJ, LeL&__� Lu 41PIr -� / I -- , f-6 h/ -L 6) tj rvl- k / L i " wUtJ 77� 2020104489 812412020 2:10 PM PGS 7 $43.00 DF $0.00 Electronically Recorded Jefferson County, CO George P Stern, Clerk and Recorder TD1000 N COMMON SEWER SERVICE LINE AGREEMENT THIS COMMON SEWER SERVICE LINE AGREEMENT ("Agreement") is made and entered into this e O'� day of' 2020, 2020, by and between CARL I. MAES and CELINA P. MAES (``Owners") who e address is 3655 Holland Court. Wheat Ridge, Colorado 80033 and the WESTRIDGE SANITATION DISTRICT, a quasi- municipal corporation and political subdivision of the State of Colorado, whose address is 3705 Kipling St., # 101. Wheat Ridge. CO 80033 ("District"'). RECITALS WHEREAS, Owners own certain real property commonly known and numbered as 3655 Holland Court, Wheat Ridge, Colorado 800331, which is legally described on Exhibit A as attached hereto and incorporated herein by this reference ("Owners' Property")- and WHEREAS, there is currently a single-family residence (`Residence"), and an attached garage located on Owners' Property: and WHEREAS. Owners intend to construct a one -bedroom addition to the Residence, demolish the existing garage and replace it with a new detached garage that will include a bathroom consisting of a sink. toilet and shower ("New Garage"): and WHEREAS, Owners have requested permission to connect the sewer service line that will serve the New Garage with the existing sewer service line that serves the Residence so as to avoid having to install a separate sewer line for the New Garage: and WHEREAS. the District's Rules and Regulations generally require that each separate building located on a single parcel of land be served by a separate sewer service line: and WHEREAS. Article III, Section 5.2(c) of the District's Rules and Regulations. however. authorize the Board to permit separate buildings that are part of a unified development to be served by a single service line upon such terms and conditions as the Board shall determine.. including entering into an agreement with the property owner setting forth the Board's conditions, which agreement shall run with the land and be recorded in the records of the Jefferson County Clerk and Recorder's Office, and ;00772237.D0CX , WHEREAS, on July 21, 2020, Owners petitioned the District's Board of Directors for permission to connect the sewer service line serving the New Garage to the sewer service line serving the Residence; and WHEREAS, after considering the Owners' Petition, the Board determined that good cause exists for allowing the Residence and the New Garage to be served by a single - sewer line; and WHEREAS, the Board further determined that the granting of such permission is subject to the terms. conditions and limitations as more particularly set forth herein. NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties hereto agree as follows: 1. Permission to Connect New Garage Service Line to Residence. With respect to the Owners' Property, the District hereby grants Owners' permission to connect the New Garage service line to the service line serving the Residence in accordance with the provisions of Article I11. Section 5.2(c) of the District's Rules and Regulations. As grounds for allowing a single -service line (hereinafter sometimes referred to as "Common Sewer Service Line") to serve both buildings, the Board hereby determines that requiring a separate sewer service line for the New Garage, would impose a disproportionate financial burden upon the Owners in light of the limited use that will be made of the New Garage. 2. Conditions. The permission hereby granted is conditioned upon: i) the Owners signing this Agreement and thereby consenting to its recordation upon the public records of Jefferson County. Colorado; ii) the New Garage being used only as a garage for the Owners personal use and that the New Garage is never converted into an accessory dwelling unit, or used for any purposes other than a garage with a bathroom facility for the Owners of the Residence. By way of explanation and not limitation, the installation of a kitchen or any other additional fixtures within the New Garage, or leasing the New Garage. or permitting the New Garage to be used for anything other than a garage, such as an accessory dwelling unit, is hereby expressly prohibited. 3. Revocation of Permission. Without terminating this Agreement. the Permission hereby granted (but not the other terms and provisions of this Agreement) shall automatically terminate and be of no further force and effect, if anv term or provision of this Aureement is not strictly complied with. 4. Right of Inspection. District, upon reasonable advance notice to Owners. shall have a right to inspect the New Garage for purposes of determining compliance with this Agreement. 002?22 -,TDOCX , 5. Common Sewer Service Line Capacity. Owners hereby expressly warrant and agree that the Common Sewer Service Line serving the New Garage and the Residence will have adequate capacity to serve both the New Garage and the Residence, and that the anticipated combined flows in the Common Sewer Service Line from the Residence and the New Garage will not exceed the flow attributable to that of one single- family residence, i.e. gallons per day of average flow. If it should ever be determined by the District. in the reasonable exercise of its discretion. that there is not sufficient capacity to serve both the New Garage and the Residence through the Common Sewer Service Line. the Owners, or their successors and assigns, as applicable, agree to enlarge the Common Sewer Service Line as necessary, or to connect the sewer service lines serving the New Garage directly to the District's Sanitary Sewer Main and disconnect it from the Residence Service Line. 6. Billing by the District. From and after the date the New Garage service line is connected to the New Garage. District shall continue to bill Owners' Property for sewer service at the District's rate for one single-family residential equivalent sewer connection. 7. Indemnification. The Owners. for themselves. their successors and assigns, hereby agree to indemnify, defend and hold harmless the District, from and against any claim. lawsuit, cause of action, liability or expense of whatsoever kind or nature that arises out of, or is in any way related to the Common Sewer Service Line, its use, operation, maintenance, repair or replacement and/or which arises out of or is related to the Permission to utilize a single -service line as herein granted by the District. The provisions of this paragraph 7 shall survive termination of this Agreement. 8. No Warranties. The District, in allowing the New Garage to be served through the Common Sewer Service Line, is making an accommodation to the Owners. which accommodation is being made without any representations or warranties of whatsoever kind or nature, either express or implied, as to the condition of the Common Sewer Service Line. or the capacity thereof to handle the flows from the New Garage concurrently with the flows from the Residence. 9. Remedies. In the event of a breach of this Agreement by Owners or their successors and assigns, the District shall have the right to require that a new sewer service line serving only the New Garage be installed and that it be connected directly to the District's Sewer Main in Holland Court. 10. Inspections. If an inspection has not already been performed, Owners agree to provide the District with at least forty-eight (48) hours' advance written notice before the sewer service line serving the New Garage is connected to the Common Sewer Service Line serving the Residence, so that the District can inspect the same and note the location of the point of connection. Owners shall pay the District's standard sewer inspection fee for such inspection. 0077223 7. DOCX i ; 3 11. Successors; Covenants Run with the Land. All provisions of this Agreement, including all benefits and burdens, shall run with the land and shall be binding upon and benefit, as the case may require, the heirs. successors, and assigns of the parties hereto. 12. Severability. Each provision of this Agreement is hereby declared to be independent of and severable from the remainder of this Agreement. If any provision contained herein shall be held to be invalid or to be unenforceable or not to run with the land. such holding shall not affect the validity or enforceability of the remainder of this Agreement. 13. Entire Agreement. This Agreement contains the complete understanding and agreement of the parties hereto with respect to all matters directly referred to herein, and all prior representations, negotiations, and understandings are superseded hereby. 14. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed to be an original, and all of which shall together constitute one and the same instrument. ISIGNATURE PAGES FOLLOW 007722+7.DOCX 1 4 IN WITNESS WHEREOF,. the parties have executed this Agreement as of the date indicated below. DATED this / M/ ay of A IS a r r 2020. WESTRIDGE SANITATION DISTRICT Carl Cerveny. President Attest: Mark Bergman, Secretary STATE OF COLORADO ) ss. COUNTY OF JEFFERSON ) The fore going instrument was acknowledged before me this day of Lt1r , 2020, by Carl Cerveny, as President of the Westridge Sanitation District. a quasi -I inicipal corporation and political subdivision of the State of Colorado. Witness my hand and official seal. My commission expires: 5, C f f Notary P lic CRY=SEPTEmapR, TT NO STATDO NOTA054 COA SSIOapR , T0?1 100772237 DOC X OWNERS Carl I. Maes By: Celina P. Maes STATE OF 00.®C-> 0 ss. COUNTY OF The foregoing instrument was acknowledged before me this ,0 day of 2020. by Carl I. Maes. LRA L R S ao,i j t Vn nc1 0r 5i8 v COnin Is -I c,,-, rr' > z_ 1010 }I Witness my hand and official seal. My commission expires STATE OF ('Q Ao COUNTY OF -. e - Notary Public 7 f�L R CIII [VI n �r ss. The foregoing instrument was acknowledged before me this _day of, 2020. by Celina P. Maes. Witness my hand and official seal. My commission expires: '- `d � Notary Public The foregoing instrument was acknowledged before me this day of 2020. by ( o07 72-23 Z[.)OCX% ; 6 FXHIRiT A Legal Description of Owners' Property Lot 3. Willow Lane Subdivision, County of Jefferson. State of Colorado. Also, known as street number: 36.55 Holland Court, Wheat Ridge, Colorado 80033 0077223 7, DOC x i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: mitis , �Ja C•} Permit Number: ZDl 706. ❑ No one available for inspection: Time i 1 0 A /PM Re -Inspection required: Yes v When corrections have been made, call for re -inspection at 303-234-5933 Date:_ 11/V V H5 Inspector: Ane tt 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: L-10 7- cn_ I �) )um 6 r.,c Job Address: 3 4, S -S- Pa" c Permit Number: 'a o 1-7 0 4, 3 o s, - )l et mL,11 ❑ No one available for inspection: Time q = 3j { 49/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: q 1144 /113' Inspector:_ % t> DO NOT REMOVE THIS NOTICE City of Wheat Ridge 1'V Homeowner Interior Remodel PERMIT - 201706305 PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland Ct EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Install forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door **Revision Converting Bedroom into a bathroom,(Bedroom at the west and south corner of house) adding shower, toilet,vanity, and non bearing interior wall to make bathroom loft x 8ft, Original bathroom designs are modified for location of bathtub, vanities and in one bathroom removed shower to make 1/2 bathroom; Added valuation: $10,000.00 **Per plan review: Dining room changes with addition of counterop & refrigerator, kitchen layout changed from original drawings, laundry room moved to utility room *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances **Revision 2 Adding Gas fireplace insert, Bellevue 32 Direct -vent Fireplace Insert, setting and venting the gas fireplace.Added Valuation $3000.00** *** CONTACTS *** OWNER (303)618-6346 MAES CARL I SUB (720)660-0448 Brien Gyger 180031 BG Electric, Ltd. SUB (303)501-6121 Robert Kahn 018068 Fireplace Warehouse *** 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: 99,000.00 FEES Total Valuation 0.00 Plan Review Fee 714.90 Use Tax 2,079.00 Permit Fee 1,124.00 ** TOTAL ** 3,917.90 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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.All roughs to be done at Framing Inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signa of OWNER otONT C R (Circle one) Date 1. is permit was issued based on 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, 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 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 permits all not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or an rdmance or r lation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Of cial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W h6 at7 C tvtuNrry D ELC)t'JvtENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits a@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: r�/Dom l /� Plan/Permit#(,�),J�,,�/ b�Cy��l V��C 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: 30 5 flQ 1' i t6 r 4 Property Owner (please print): COX &es Phone: 363-6L(�Lf & Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: ArchitectfEnaineer: ArchitectlEngineer E-mail: Phone: Contractor: -h1�'P10 W(�Xrk1�u5�,7L City of Wheat Ridge License Phone: "So 3 " Z –3 $ 2-3 Contractor E-mail Address: WA!l p�V L A S-0 It C O WI For Plan Review Questions & Comments (please print): CONTACT NAME (please print): —Phone a-3 Z (o gZ 3 CONTACT EMAIL(p/ease print):_ ZCkOn PJ Qaxhs - CO Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL RESIDENTIAL Description of work: For ALL projects, 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. + d- a0deoaol'1 (o so Commercial Projects Only: Occupancy Type: Construction Type: _ Sq. Ft./LF BTUs Gallons Amps Squares Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3i (D0 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) ( NTRACTO) or (AUTHOYIZED REPRESENTATIVE) of (OWQNER/)'� (CONTRACTOR) Signature (first and %last /n�atm�e):.Q� Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. Building Division Valuation: Appliance Specifications - L BellevueTm 32 Top View 0 �// '"'a'"Qrr H Left Side View Front View DIRECT -VENT FIREPLACE INSERT Right Side View Model A B C 0 E F G H Bellevue 32 19-3/8" 15-7/8" 11-7/8" 31-5/8" 21" 9-3/4" 15-3/8" 25-3/4" (492mm) (403mm) (302mm) (803mm) (533mm) (248mm) (391mm) (654mm) MINIMUM FIREPLACE SIZES REQUIRED ................ Bellevue 32 MINIMUM CLEARANCES Front Opening Width '........................................ 32" (813mm) Height............................................................19-1/2" Mantel (495mm) Rear Width ..................................................... 22" (559mm) C Depth............................................................ 16" (406mm) MINIMUM CLEARANCES TO COMBUSTIBLES A = Mantel 32" (813mm) A B = Side Wall .................................................. 4" (102mm) g C = Mantel Depth ........................................... 10" (254mm) ° HEARTH PROTECTION p D = Vertical Distance from base of appliance 0" 4" E to Hearth Extension .......................... (Omm) : (102mm) Non -Combustible E = Minimum Horizontal Distance from Front of Appliance .................... (254mm) ; (Omm) The front opening width of the fireplace must be maintained to a 3" depth into the fireplace firebox. P�c us Report p 16-204 Efficiencies Natural Propane Gas Gas AFUE 70% 67% EnerGuide P4 57% 61% NOTE* Efficiency varies slightly with various pipe configurations. This insert has been tested and certified to ANSI Z21.88 / CSA 2.33 Standard for Vented NOTE. Diagrams, illustrations and photographs are not to scale Gas Fireplace Heater and CGA 2.17-M91 and UL 307B Gas Burning Heating Appliances — consult installation instructions. Product designs, materials, for Manufactured (Mobile) Homes in both USA and Canada, dimensions, specifications, colors andpricesare sub%ecttochange or discontinuance without notice. P/N 900787-02, REV. C, 112017 Page 1 of 2 4 BellevueTm 32 Product Reference Information Cat. No. Description Ship. Ship. Adaptor w/ Flashing - #46DVA-GK 10' - 15' 0 Weight Volume F3025 Bellevue- 32, Medium 96 lbs 18.1 cu. ft. liner STRAIGHT and avoid bending. Insert Vent Adaptor - #4DT-CTB When at maximum vertical height, The flexible vent pipe must NOT be allowed to sag behind insert or in fireplace flue. G • Electronic ignition with optional continuous pilot mode. zz • Battery back-up in case of power outage • Standard 140 -CFM variable -speed blower delivers warm, consistent heat The existing fireplace chimneys Natural Gas (NG) Flex Liner 3" X 35' - #3DFA-35 may take various contours which Adaptor w/ Flashing - #46DVA-GK 10' - 15' 0 the flexible liners will accommo- Vertical Cap - #460 DVA-VWG date. However, keep the flexible Selkirk - Highliner liner STRAIGHT and avoid bending. Frontier Vent Adaptor - #4DT-CTB When at maximum vertical height, Termination standing pilot should be used for Connector correct operation. Liner Requirements: Wireless Wall Switch Use 3" (77 mm) diameter listed gas vent liner (UL1777 ONLY) for the — EXHAUST Use 3" (77 mm) diameter listed �— `� liner (UL 181 or UL1777) for the Exhaust — AIR INTAKE. c.� Vertical Height Min. =10 ft. (3.1 M) Intake - Vertical height Max. = 35 ft. (7.6 M) NOTE: Measured from base on unit to the end of the vent pipe or liner The flexible vent pipe must NOT be allowed to sag behind insert or in fireplace flue. G • Electronic ignition with optional continuous pilot mode. zz • Battery back-up in case of power outage • Standard 140 -CFM variable -speed blower delivers warm, consistent heat Flue Restrictor Adjustment Termination Cap - #460DVA-VC Co -Linear Kit w/ 3" X 35' Flex Liner (Intake and Exhaust), Adaptor, Flashing and Termination Cap - #46DVA-CL33 Venting - 3' x 35' #AF35-03 Venting - 3' x 25' # AF25-03 Venting - 3' x 15' # AF15-03 1. Using a phillips screwdriver, remove the two screws holding the flue restrictor in place. 2. Refer to table below and position the flue restrictor to the recom- mended setting and reattach with the two screws removed in step 1. 3 2 1 0 NOTE. Setting 0 is open, and setting 3 is closed. Simpson Dura Vent - Natural Gas (NG) Flex Liner 3" X 35' - #3DFA-35 4.2 Adaptor w/ Flashing - #46DVA-GK 10' - 15' 0 Termination Cap - #46DVA-VCH With 25'&up 2 #460 DVA-VWG Iron Rail Selkirk - Highliner Termination Cap - #4DT-VT Frontier Vent Adaptor - #4DT-CTB Flue Restrictor Adjustment Termination Cap - #460DVA-VC Co -Linear Kit w/ 3" X 35' Flex Liner (Intake and Exhaust), Adaptor, Flashing and Termination Cap - #46DVA-CL33 Venting - 3' x 35' #AF35-03 Venting - 3' x 25' # AF25-03 Venting - 3' x 15' # AF15-03 1. Using a phillips screwdriver, remove the two screws holding the flue restrictor in place. 2. Refer to table below and position the flue restrictor to the recom- mended setting and reattach with the two screws removed in step 1. 3 2 1 0 NOTE. Setting 0 is open, and setting 3 is closed. Full Front Facade Kits - Optional Ecoflow Control Kits One Required Venting Height Position Natural Gas (NG) 25' or less 1 (factory setting) 25'&up #2 Propane (LP) 10' - 15' 0 15' - 25' 1 (factory setting) 25'&up 2 Full Front Facade Kits - Optional Ecoflow Control Kits One Required Basic Remote Control, On/Off, IPI/CPI 3 Sided, 41" x 25" Wireless Wall Switch, On/Off, High/Low 3 Sided, 43" x 32" 4 Sided, Trimmable 46" x 38" Decorative Accent Trim o Iron Rail o Highliner Frontier Basic Remote Iron Rail Highliner Wireless Wall Switch Frontier Printed in U.S.A. © 2016 Innovative Hearth Products P/N 900787-02 REV.0 11/2017 10 11111111.101119 , . Page 2oi2 City of Wh6a - �g e COMML7NITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. This form will not be accepted with missing information. Project Address:3�SS�j�ta Permit #: U1 � S General Contractor: Electrical Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Phone #• Master #: (required field) Date Phone #• Master #: _(required field) Date Company Name: kNkA Q, �Mmowvhone: `>'Zgc9-�gZ3 Wheat Ridge License #: ! bJ (required field) it����� Sign or' e n Date 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: q S- Ff'n c\ I i") i e c Job Address: 3 (P S -S— 0 t, Ila. � C IL Permit Number: a 0 f '7 0 6-5 0 -5-- 0 M I ' 0MI ❑ No one available for inspection: Time j3 -_ ;,,9 <@VPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: 9 / J 3 )13 Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax SDS--77i%Suoil INSPECTION NOTICE 1 Lj0,j r'inM MC4r an"c-n/ Inspection Type: Ll 0 -7 - F-1 n I ?)VM 6 ,'f, A Job Address: 31v.SS 140114"j C Permit Number: '? o 1-7 o 6 3 0 S ❑ No one available for inspection: Time 1! S'7 &PM Re -Inspection required: Qje No When corrections have been made, call for re -inspection at 303-234-5933 f Date: c� -7 > ig Inspector: i i5 DO NOT REMOVE THIS NOTICE ed 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: L/ 0 3 - tom- ►. c. 1 '1 eco <_ Job Address: C �- Permit Number: D t -a 0& 3 D 9--- ❑ No one available for inspection: TimAlp M Re -Inspection required: Yes When corrections have been made, cale-inspection at 303-234-5933 Da Inspector: DO NOT REMO11 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: 6)(� `_ Job Address: d / %c %� � i"Ir I _ C l Permit Number: �itrlr� �- one available for inspection: Time Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date Inspector:_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection- line (303) 235-2855 Office • (303) 237-8929 Fax I INSPECTION NOTICE Inspection Type: L-/ 0 3 - �icy I ) ee- . e5 Job Address: -3&5-57 Wo )) an d C -L Permit Number: -0 0 1-7 0 4 3 0 5 ❑ No one available for inspection: Tim - M/PM Re -Inspection required,:"- Yes- No When corrections have been made, call for -inspection at 303-234-5933 Date Inspect - DO NOT REM eEh IS NOTICE v i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIOJV NOTI , -3 -0 44 - l -9t Inspection Type: 3 0,15-n Job Address: 3 to S'S l_4o i% n d C + Permit Number: a o 1-7 o & 3 o S— C s -A w l S fJace VJof p Of- a f -r e e ❑ No one available for inspection: Time / O = 13 ®'N PM Re -inspection required: Yes 9 When corrections have been made, call for re -inspection at 303-234-5933 Date: - 13 4,Fi_Inspector: TC� DO NOT REMOVE THIS NOTICE 1 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line_:�9r�i r (303) 235-2855 Office • (303) 237-8929 Fa INSPECTION NOTICE A) Inspection Type:�Si1du% Job Address: Permit Number: G% C� ❑ No one available for inspection: Time "IT/PM Re -Inspection required: Yes o .�- When corrections have been made, call for re -inspection at 303-234-5933 Date:L ' 7, / Inspector: 3eAj�-- DO NOT REMOVE THIS NOTICE 9 i CITY OF WHEAT RIDGE Building Inspection -Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax -3 a )- Al a "54,1,e 1 " ,/ INSPECTION NOTICE ) 305 = a�svl, .7L �n Inspection Type: Job Address: '365—S7- N o i )C111C 4 - Permit Number: —d 0 1 7 0 6 3 o-.5— n 4 Mo S40rr_- DOL5' 4"PPr-?,)Vr__01 ❑ No one available for inspection: Time l) = PS- OPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: S- 15-- /9 Inspector: ) ID DO NOT REMOVE THIS NOTICE 30-3^ IE -(-3`f& 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: 3 � ��'"�' 1 �� ' -22�5/,'�,-I- Job Address: 3625�� 11-0119wd Permit Number: /_Z06 0 ❑ No one available for inspect orr:-TiMe `r =�/ M Re -Inspection required: Ye DIG ^) When corrections have been made, call for re -inspection at 303-234-5933 Date:.5 ' ' /" /9 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201706305 PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Install forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door **Revision Converting Bedroom into a bathroom,(Bedroom at the west and south corner of house) adding shower, toilet,vanity, and non bearing interior wall to make bathroom loft x 8ft, Original bathroom designs are modified for location of bathtub, vanities and in one bathroom removed shower to make 1/2 bathroom; Added valuation: $10,000.00 **Per plan review: Dining room changes with addition of counterop & refrigerator, kitchen layout changed from original drawings, laundry room moved to utility room *** CONTACTS *** OWNER (303)618-6346 MAES CARL I SUB (720)660-0448 Brien Gyger 180031 BG Electric, Ltd. *** 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: 96,000.00 FEES Total Valuation 0.00 Plan Review Fee 714.90 Use Tax 2,016.00 Permit Fee 1,099.85 ** TOTAL ** 3,830.75 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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.All roughs to be done at Framing Inspection. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201706305 PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Install forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door **Revision Converting Bedroom into a bathroom,(Bedroom at the west and south corner of house) adding shower, toilet,vanity, and non bearing interior wall to make bathroom loft x 8ft, Original bathroom designs are modified for location of bathtub, vanities and in one bathroom removed shower to make 1/2 bathroom; Added valuation: $10,000.00 **Per plan review: Dining room changes with addition of counterop & refrigerator, kitchen layout changed from original drawings, laundry room moved to utility room I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I, 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 e 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 Off-cial 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 code or any ordinance 9r regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat -Midge 41 COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: % � 7 / I Add to Permit # '?o Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: � �`� M) d&w�7 Property Owner (please print): a'4 e / Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: Contact Person: (2Xl2_C.r 411 6&5 Phone: 3L',3 --G,/9 -6�4 Contractor: e - Contractors City License #: Contractor E-mail Address: Phone: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: C _ '/ ch �:eT'2 rZ c YYl �' C�/' , j�•{�jv'iC'�dL �`lGG C'i/'�rYLc-� c) cv e +� Sq. Ft.ILF Amps yl Btu's Gallons Squares Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: CA t2�— --f 1144(-5 SIGNATURE: C DATE: /�c� / 7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT C MENTS: Reviewer f�l(� PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required WIN fo c) Building Division Valuation: $ Ln c O U _O L 0 r - O N Ln l� rn v C ca C) v Ln Lri _ O u _O h0 _ O O 4- v s c v .3 H � v a� U- 0 � C N f0 v c o m c O O E u O L � = U m O m z le O N ca u •L U v tv L U O Ln s U 00 0 E :3 _ N X �{ O E ri � N U v Y Ln U LU N s U } U Y ate.+ 0 L O U <L U Q c0 � _ v � 4- U 0 u - N Ur U QJ N � N 4 a f6 ++ L Q (31 v C Q1 L O Q lB � � O v) -0 v c U M M Ln +1 � Q v + N O L O N rN-1 Z _ 00 Q a; v1 Q% L N C - 3 +r = c f° v - v N + L^ O u hA vi _c E o Q O Q L �^ O V 4.1 � 4J U U � L s U c O 0 N C v � Q vi E O O N OL Ln C O 73 V) C N 0 L C � 0 -0 U QJ N O O U Q. Ll � Q C N = O L � 0 N a) C N � � U a c w N 0 Z v s V) u cuL 3 c 0 N N 9 I I N'- 90 IN "�"a.®+�. 121 BEDROOM wM E 'Nk 1A1 1 BATHROOM g" 11,111 - -------------Mm 12 1ml 11 NMI 1 SPIN` UN B ATHROO "�"a.®+�. 121 BEDROOM wM E TA13 BEDROOM W4 RE I 0 m L I VIN G ROOM sax, n ,fUllll 365:50 Holland Court 1� 4i/2�7/2018 Bill imqg BREAKFAST NOOK I 121 BEDROOM W7 E m L I VIN G ROOM sax, n ,fUllll 365:50 Holland Court 1� 4i/2�7/2018 Bill imqg BREAKFAST NOOK I m ALL c.EC-7)2)cg1 s�-c.� C�Mv�y w rT)4 ep Nuc. 9 ON i w"s vmT W7 m ALL c.EC-7)2)cg1 s�-c.� C�Mv�y w rT)4 ep Nuc. 9 ON i w"s vmT City of Wheat Ridge =" Residential Mechanic PERMIT - 201800558 PERMIT NO: 201800558 ISSUED: 02/28/2018 JOB ADDRESS: 3655 Holland CT EXPIRES: 02/28/2019 JOB DESCRIPTION: Replace furnace like for like, 80K BTUs, 80% efficiency *** CONTACTS *** OWNER (303)618-6346 MAES CARL I SUB (719)339-6399 Chistopher M. Hightower 150103 Peace of Mind Heating & Coolin *** 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: 3,000.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 63.00 ** TOTAL ** 103.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 thispermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all w , lobe performed is disclosed in this document angor its' accompanying approved plans and specifications. Signa ure of OWNER or CONTRACTOR (Circle one) Date I. 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, po icies 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 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 granting of a permits 1 not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or re ilation of this jurisdiction. Approval of work is subject to field inspection. s Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of _,,4:�rWheat Midge 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(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit #1 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: K 51� Property Owner (please print): L. G r � L2� E19 Phone: �0� - V 0 - c3gq 3 Property Owner Email: Mailing Address: (if different than property address) Address: , State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor: Phone: Contractors City License #: 1 0 % 0 Phone: Contractor E-mail Address: k Q = vi o . Ca For Plan Review Questions & Comments (please print): ,,n CONTACT NAME (please print): �" ' I it l�q S C_ y? A117 ; Phone: -� S C)q% CONTACT EMAIL(p/ease print): Sub Contractors: Electrical: Plumbing: han cal: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ,� RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ 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.) Ltiae�GCE Sq. Ft.ILF Amps vJ4�--> Btu's I Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 03 o - - 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name):)�a-"`^• :Sk� I DATE: d ('1 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:Gi Job Address: �C�•= Permit Number: 71/ a bo'N"'o one available for inspection: Time , ' �+;�� Re -Inspection required Y _No When corrections have been made, call for re -inspection at 303-234-5933 Date: �) • & /(7 Inspector: 1W 6'ifL, -4--- DO NOT REMOVE THIS NOTICE INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted is the onli REQUEST before 8 a m. the day of thegi inspection Occu n� "rte 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 Pier Initials Comments Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Electrical Initials Comments Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Ins 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 Landscaping & Parking / Planning Dept. Initials ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof i I Final Window/Doors . Final Building Comments 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. 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 authorizatin of occupancy. by the Building Division. *For low voltage permits —Please be sure thoat rough inspections are completed from the Fire District and electrical low voltage Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ons INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted INSPECTION a the online REQUEST before L8 a m. fh03) 234-5933 e day of the inspection ff upancy/Type V I) 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 Pier Initials Comments Concrete Encased Ground (CEG) Foundation/ P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover -Underground or Below/In-Slab Work Prior To Approval Of The Above In 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 Landscaping &Parking /Planning Dept. Initials ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors � / Final Building Comments 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. NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate Of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits —Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ns 3 ��.vo-OU' Yn C��a Ato-�Q� 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: voub Job Address:J� C Permit Number: �'� ()Lp_�>0 5 ❑ No one available for inspection: Time2i 2� AM4!9 Re -Inspection required: Yes No When corrections have been made, call f r -inspection 303-234-5933 Date: t d Inspector: C �A� DO NOT REMOVE THIS NOTICE i CITY CSF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 1/ Inspection Type: Ll / O - F , , � 1 1,t, , ,, c✓e w Job Address: 3 ss- NV Y'n" d 0 _� Permit Number: 'D o t -7 .0 J cJ 1-4��a1 ��f�rnve� ❑ No one available for inspection: Time `r = 3 s A 'PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: / 1 2i 3 4 -7 Inspector: -1-7b DO NOT REMOVE THIS NOTICE i 1 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspectionalime AM/PM 1 Re -Inspection required: Yes When corrections have been made, call for re-inspe io at 303-234-5933 , OW,Date: Y/,Inspector: J DO NOT REMOVE THIS NOTICE . City of Wheat Ridge `ff HO Interior Remodel PERMIT - 201706305 t� PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Install forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door *** CONTACTS *** OWNER (303)618-6346 MAES CARL I SUB (303)777-2318 Vandre Electric 018136 Vandre Electric SUB (303)777-2318 Corky Baverstock 170480 Vandre Electric & Refrigeratio *** 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: 86,000.00 FEES Total Valuation 0.00 Plan Review Fee 662.58 Use Tax 1,806.00 Permit Fee 1,019.35 ** TOTAL ** 3,487.93 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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.All roughs to be done at Framing Inspection. City of Wheat Ridge HO Interior Remodel PERMIT - 201706305 PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Install forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door 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 le ally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying Flans 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 and� �pprocedures 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. j t j i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: s I Permit Number: 7025S07 7 ❑ No one available for inspection: Time r !�_ Re -Inspection required: Yes "No .-- When corrections have been made, call for re -inspection at 303-234-5933 Date: e) • 1?3, /-7 Inspector: DO NOT REMOVE THIS NOTICE i 1 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspectionalime AM/PM 1 Re -Inspection required: Yes When corrections have been made, call for re-inspe io at 303-234-5933 , OW,Date: Y/,Inspector: J DO NOT REMOVE THIS NOTICE M1 City of Wheat Ridge �`. Residential Roofing PERMIT - 201702030 PERMIT NO: 201702030 ISSUED: 06/7.5/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 06/15/2018 JOB DESCRIPTION: Remove and replace comp shingles on main house only. 4/12 pitch **REVISION**ADDING REDECKING; ADDED VALUATION 377.45 *** CONTACTS *** OWNER (720)656-1838 MAES CARL I GC (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: 9,377.45 FEES Total Valuation. 0.00 , Use Tax 196.93' ` Permit Fee 204.30-� ** TOTAL ** 401.23 — --- *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding Al/2-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€lms 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702030 PERMIT NO: 201702030 ISSUED: 06/15/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 06/15/2015 JOB DESCRIPTION: Remove and replace comp shingles on main house only. 4/12 pitch **REVISION**ADDING REDECKING; ADDED VALUATION 377.45 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 amt legal owner or have been authorized by the Legalwrier 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 per rmed d that all work to be performedis.dlsclosed in this document and/or its' accompanying approved plans and specifications. t-this gnature of OWNER or ONTRACTO� (Circle one) Date permit was issued based on the information provided in the permit application and accompanying )tans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuaiie-0 o . ranting 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 r any ordmarret' reg alio of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat ,Ae- COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:& Q q ��' h o i (a n(A 6±— Owner (please print): G a Property Owner Email: Mailing Address: (if different than property address) Address , State, Phone:� .(V, td's' Contact Person: W Phone: < '�22 0 Contractor: Tom S Contractors City License #: /�(-2, i2- Phone: &9 - 2 V,� -222 Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour – 2 hour minimum). Description of revised/amended work: Mo i , ��6 TTM Btu'sSq. Ft./LFr1���+� Amps Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 3 1- .�A 5 OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or �UTHORM�IZEEDEPRESENTA E) of (OWNER) ONTRACTOR PRINT NAME: d na I um Itir Pki�e SIGNATURE: DEP ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required _ J DATE:OV ENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201702030 PERMIT NO: 201702030 ISSUED: 06/15/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 06/15/2018 JOB DESCRIPTION: Remove and replace comp shingles on main house only. 4/12 pitch *** CONTACTS *** OWNER (720)656-1838 MAES CARL I GC (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: 91000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€rms 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's 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201702030 201702030 ISSUED: 06/15/2017 3655 Holland CT EXPIRES: 06/15/2018 Remove and replace comp shingles on main house only. 4/12 pitch 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 le ally authorized to include all entities named within this document as parties to the work to be pertonTwd and t ,at all lwwork to be -pe formed is disclosed in this document and/or its' accompanying approved plans and specifications. nature of OWNER or CONTRACTOR (Circle one) Date 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. 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 originalermit fee. 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. 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. 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. The issuance or granting ofd p`gmit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordm realatioff- t is risdiction. Approval of work is subject to field inspection. Or .Vit,. F Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook Z (D I ? O Z03 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 12:43 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Due By: Monday, June 19, 2017 4:00 PM Flag Status: Flagged Categories: Brian Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 3655 Holland St. Property Owner Name Scott Williams Property Owner Phone 720-656-1838 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Core Contractors Contractor's License 110052 Number (for the City of Wheat Ridge) Contractor Phone 303-295-2220 Number Contractor Email Address docs@coredoes.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material How many squares of material? Yes 22 Owens Corning TruDefinition Duration 31 Provide additional detail Remove and replace comp shingles on main house only. 4/12 here on the description of pitch. work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract $9,000.00 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 2 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. CGRE CONTRACTORS Colorado Owned And Operated Since 2001 Property Owner: ' Property Address: City/State: Home Phone CORE CONTRACTORS, Inc, General Contracting and Insurance Restoration 4501 Logan Street, Denver, Colorado 80216 Phone: 303-295-2220 / Fax: 303 477-5557 "Doing it right matters Effective Date: Zip: ��_5 $ E -Mail: Work / Cell Phone: 40 Rated or BBBA+ Licensed and Insured Westfield Insurance Company 800-766-9133 TERMS: By signing this agreement, the Property Owner 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 ftashings, 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 at( non -roof replacements. Roof repairs are excluded. Additional Roofing scope notes: Due to the nature of repairs related 8 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 1009 of the replacement cost approved 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 wit[ 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. 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 shalt be entitled to overhead and profit, at customary insurance industry rates (209 on Xactimate tine items). Any substantial additions or deductions to the scope of work 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 RQOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. Property Owner's Initials PAYMENTS ARE TO BE MADE: 1/2 (OR FIRST INSURANCE CHECK RECEIVED - ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND BALANCE UPON COMPLETION OF WORK. WORK 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 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 hole or in part. Property Owner: Date- / Insurance Company: ~�1 Core Representative: �'"' Date: - Claim #: City of Wheat Ridge HO Interior Remodel PERMIT - 201706305 PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Instal! forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door *** CONTACTS *** OWNER (303)618-6346 MASS CARL I SUB (303)777-2318 Vandre Electric 018136 Vandre Electric SUB (303)777-2318 Corky Baverstock 170480 Vandre Electric & Refrigeratio *** 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: 86,000.00 FEES Total Valuation 0.00 Plan Review Fee 662.58 Use Tax 1,806.00 Permit Fee 1,019.35 ** TOTAL ** 3,487.93 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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.All roughs to be done at Framing Inspection. City of Wheat Ridge HO Interior Remodel PERMIT - 201706305 _r PERMIT NO: 201706305 ISSUED: 09/21/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 09/21/2018 JOB DESCRIPTION: Interior Remodel: Electrical service upgrade 200 amps; New wiring; Instar forced air heating; Replace AC and boiler system; Remove 141 sq ft of interior wall framing and drywall; Install new support for ceiling in open area; replace 10 windows and 1 patio door 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that 011 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. C\ — Signature of OWNER or CONTRACTOR (Circle one) Date I. 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 maybe 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 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code orany—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. �l I Building & Inspection Services Division 7500 W. 29'h Ave., Wheat Ridge, CO 80033 Office: 303-235-2655 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perrnits@ci.wheatrid_qe.co,_us FOR OFFICE USE ONLY pfanlPennit # �0 / `7 �� 305 Plan Review *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3655 Holland Court Wheat Ridge, Colorado Property Owner (please print): Carl I Maes Phone: 303-618-6346 Property Owner Email:ccmaes@comcast.net Mailing Address: (if different than property address) Address: 3655 Holland Court City, tate, Zip. Wheat Ridge, Colorado Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Electrical: Vandre Electric W.R. City License,# Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: Vandre Refrig. W.R. City License # Complete all information on BOTH sides of this form Q COMMERCIAL WIRESIDENTIAL Description of work: (Check all that apply) NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE= WCOMMERCIAL ROOFING COMMERCIAL ADDITION ESIDENTIAL ROOFING RESDENTIAL ADDITION INDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garag , ed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT LUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT LECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT �/ THER (Describe) Interior Wall removal, see Knott structural and desi n blue riot. (For�y�+gprvgeci�s,ppr��e�as/e/yP�ryt�vlti�ejyaq�jtpyii/ery�jd/ysncriytEjnoyf ywoyyrk(tnt�Ipe�pyeyr�fjcrfrrY4ed+�, Incy leu*dlnscytptgrrertt uy{se/cfyy}treay, g� j proposed 445 lY xMGrTiAJVReP iiI#f 7Rt, 1� V1Pi iV �tRF1k aii4} I VI%V 7£f{'TPT WIf4i ltllil ,tr GIIIGIt iLef4C an� G,i�Vtl1Vy3 .1V SinM amount of materials to be used, etc.) 1) Electrical Service Upgrade and interior wiring 2) Install forced air Heading and AC replacing boiler heating system 3) Remove 141 square feet of interior wall, framing and drywall install new flooring ceiling and flooring support for desired open concept kitchen area. (See Knott Engineering design and structural plan. 4) Replace 10 windows and patio door Comfort 365 glass, temper glass bathrooms Sq. FtJLF 1744 Amps 200 qM Squares Gallons Project Value. (Contract value or the cost of all materials and labor included in the RaLlre project) 86,000 $ __ ._ ' 11.111, - .... .. OWNE;RIC ON'TRACTOR 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 assurne 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 perforin 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. CIRCLEONE: (011;SER) (CONTRACTOR) or. (417THORIZE _REPRESENTATIFE) of (OfVVER) (C01'VTP-4CT0R) PRu+ITNAME: Carl I Maes SIGNATURE: I" — DATE, 8/18/2017 DEPARTMENT USE ONLY ZONING COMMMENT& OCCUPANCY CLASSIFICATION: .A"" Rel'ieVdeC TYPE OF CONSTRUCTION, %�jN; IS SPRINKLE1 ED, NO BUILDING DEPARTMENT COMMENTS: OCCUPANT LOAD R wet 00 X PUBLIC WORKS COMMENTS: Reviear -* .FORMS Fire Departrnent Received 0 Not Required water 011strict -. D Not Required City of 00-05" Wh6atp_,idlge P' COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Carl I Maes Project Property: 3655 Holland Court Notarized signature of Applicant State of Colorado } County of r dho-e, } ss The foregoing instrument was acknowledged by me this /�o day of , 20 17 by Orl T Maes V My Commission Expires _y /A2/202D Notary Public TAMMERA L R� p� Notary Public state of Colorado Notary ID # 19964008378 My Commission Expires 08-22.2020 Maes Project July 20, 2017 Kevin Schleicher Natural Stone Designs Estimate 8706 Aberdeen Cir Highlands Ranch, COLORADO 80130 Mobile 303-882-1002 natstonedesigns@gmail.com Customer Maes Project Carl & Celina Maes Mobile 303-618-4826 13655 Holland Court ccmaes@comcast.net Wheat Ridge, COLORADO 80033 Description p --Quantity ost , Demolition�► r� Demolition of bathrooms, kitchen, floors 1 Ea 6,500.00 Includes walls, floor, cabinets, plumbing, and electrical. Dumpster rental 1 Ea 1,000.00 ' 1 Hall Bathroom 7,041.00 Install 1/2" fiberock 80 SF 280.00 Install and fabricate countertops 1 Ea 650.00 Install decorative band 1 Ea 100.00 Install floor tile 39 SF 273.00 Install kitchen cabinets 23 Ea 2,300.00 Install mirrors, towel bars, toilet paper holder 1 Ea 300.00 Install new light fixture 1 Ea 150.00 Install new plumbing valves for shower. Install toilet and hook up sink and tub 1 Ea 1,650.00 Install shower niche 1 Ea 150.00 Install subfloor 39 SF 78.00 Install vanity 1 Ea 150.00 Install wall tile 80 SF 800.00 Waterproof shower walls 80 SF 160.00 Small Bathroom 4,732.50 Install 1/2" fiberock 73 SF 255.50 Install and fabricate countertops 1 Ea 400.00 Install decorative band 1 Ea 100.00 Install floor tile 16 SF 112.00 Install mirrors, towel bars, toilet paper holder 1 Ea 300.00 Install new light fixture 1 Ea 150.00 Install new plumbing valves for shower, hook up sink and toilet 1 Ea 1,650.00 Moving water and drain lines Natural Stone Designs 1 Maes Project July 20 2017 x Installation Small Bathroom Install shower niche 1 Ea 150.00 Install shower pan 10 SF 500.00 Poured concrete pan Install subfloor 16 SF 64.00 Install vanity 1 Ea 75.00 Install wall tile 73 SF 730.00 Tile shower pan and curb 10 SF 100.00 Waterproof shower walls 73 SF 146.00 Main Floor 20,868.00 Install baseboards 274 LF 822.00 Install new doors 11 Ea 2,750.00 Install pre -finished wood floor 1,449 SF 5,796.00 Painting walls, ceiling, and trim. 1 Ea 9,000.00 Includes materials for painting Rework closets 2 Ea 2,500.00 Materials 0.00 Project Total 40,141.50 This is an estimate, all estimates are subject to change. Any unforeseen issues or changes by client may adjust cost. Jobs of $5000 or more require a 50% deposit on start date. Balance is due when 100% satisfaction is achieved. We appreciate your business and look forward to working with you. Approved By: Date: 7/20/17 Contractor 1X__11 C��~�� Date: Ot' x) ( Customers/�. Natural Stone Designs 2 AW Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953° July 26, 2017 Carl Maes 3655 Holland Court Wheatridge, CO 80033 Attention: Carl Maes Email: ccmaes@comcast.net Quote Number: R-64378 Project Location: Carl Maes 3655 Holland Court Wheatridge, CO 80033 Scope of Work: Remove existing boiler. Quote Amount: $1,100.00 See Terms & Conditions We would like to "thank you" for choosing Vandre Electric & Refrigeration Company to service your needs. We specialize in Commercial/Industrial Electrical, Refrigeration, Heating, Air Conditioning, and Ventilating Service and Installation. We are committed to providing you with the highest level of customer satisfaction possible. We propose the following work for the above captioned project location: 1) Remove and dispose of existing boiler. 2) Remove all baseboard heaters throughout the entire home. 3) Remove and cap all water lines back to the main waterline. 4) Clean up work area. Terms and conditions of this quote: 1) This proposal excludes the following: A) Any work not specifically listed above. B) Load calculations, gas piping, condensate pump, engineering, and blue prints. C) Repair of any refrigerant leaks. D) Any repairs to existing deficiencies not listed above. E) Any additional work and/or materials generated by a change in the scope of work. All additional work shall be billed on a Time and Material basis unless arrangements are made to quote the additional work. F) Any additional work in case of hazardous material testing, abatement and/or removal. G) Any mechanical, gas, electrical service upgrades, new circuitry or changes not listed above. H) Any additional work generated by the building department or its inspectors. I) Any fee incurred or additional work generated by Xcel Company of Co. J) Any certified wages, registration fees, bond fees or city fees. K) Any refinishing repairs (drywall patching, painting, etc.). L) Any roofing repairs curb caps or sealing of any penetration point's walls, roof, or foundation. Customer is responsible for contracting a roofing company. M) Any core drilling. N) Any hazardous materials testing, abatement or removal. O) Any overtime or weekend work resulting from delays by other contractor 2) This proposal may be invalid if not accepted within 10 days. 3) All work shall be performed during normal business hours (M -F 8 A.M to 4 P.M.). 4) Nothing in this agreement shall require Seller (Vandre Electric and Refrigeration) to continue performance if timely payments are not made for suitably performed work or stored material. The Buyer(Carl Maes) is to prepare all work areas so as to be acceptable for Seller under contract. Seller will start work when sufficient areas are ready to insure continued work. 64378 Page] of 2 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 5) Additional equipment, labor or location changes toward this proposal will result in a change order and will be billed in addition to this quote on a time and material basis. 6) This proposal is in accordance with seller's understanding of the requirements of this project from information received from the buyer, or its agent, and if written plans and specifications are furnished, the seller's interpretation of them. The seller assumes no responsibility as to the accuracy or suitability of such plans and specifications. It is further understood and agreed that this proposal and contract does not include any labor or materials not specifically mentioned. Unless otherwise provided in the plans and specifications, the seller shall have the right to select all materials. When specified materials are unavailable, the seller shall have the right to substitute materials of equal or better quality. 7) Nothing in this agreement shall serve to void Seller's right to file a lien or claim on its behalf in the event that any payment is not timely made. 8) No work shall commence until Vandre Electric and Refrigeration Co. has received a signed copy of this quote. 9) Payment terms: 50% down final due upon completion. 10) All sums not paid when due shall bear interest at the rate of 2% per month (24% per annum) or the maximum legal rate permitted by law, whichever is less. The buyer shall pay all costs of collections, including reasonable attorney fees. 11) All workmanship is guaranteed against defect for a period of thirty days from the date of installation. This warranty is in lieu of all other warranties, expressed or implied. The exclusive remedy shall be that the seller will repair or replace any part of its work, which is found to be defective. Seller will not be responsible for damage to its work by other parties or for improper use of equipment by others. 12) Acceptance of this proposal by the buyer shall be acceptance of all terms and conditions recited herein, which shall supersede any conflicting terms in any other proposal. Any of the buyer's terms and conditions in addition or different to this proposal are objected to and shall have no effect. Buyer's agreement herewith shall be evidence by buyer's signature hereon or by permitting seller to commence work for the proposed project. 13) Due to market conditions all materials are subject to price increase at any time unless this quote expressly states that pricing for any item is firm or fixed. If you have any questions, please call me at (303) 777-2318. Thank you for the opportunity to quote this work. Sincerely, Cody Carr Jr HVAC/R Service Manager Vandre Electric & Refrigeration Accepted: rrW�C� �1 " — ' Date: ?hl� 0 f Authorized Agent for: Carl Maes 64378 Page 2 of 2 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" July 26, 2017 Carl Maes 3655 Holland Court Wheatridge, CO 80033 Attention: Carl Maes Phone: 303-241-3326 Email: Nnoll@ho Ilan dpartnergroup.com Quote Number: R-64378 Project Location: Carl Maes 3655 Holland Court Wheatridge, CO 80033 Scope of Work: See Below. Quote Amount: $20,305.43 See Terms & Conditions We would like to "thank you" for choosing Vandre Electric & Refrigeration Company to service your needs. We specialize in Commercial/Industrial Electrical, Refrigeration, Heating, Air Conditioning, and Ventilating Service and Installation. We are committed to providing you with the highest level of customer satisfaction possible. We propose the following work for the above captioned project location: 1) Supply all necessary permits and inspection's. 2) Set the new furnace in the existing mechanical room onve the boiler is removed. 3) Supply and install (1) Carrier 59SC2C100S21 90% gas furnace. 4) Set the furnace on a return air filter box. 5) Supply and install (1) Carrier 24ACC648A003 R41 OA condenser. 6) Supply and install (2) Carrier CNPHP4821ALA evaporative coil. 7) Supply and install 40' of 20X8 supply air ducting in the attic. 8) Supply and install 25' of 20X8 return air ducting in the crawl space. 9) Supply and install up to 16 supply air runs. 10) Supply and install (5) return air grills. 11) Run new 3" PVC flue for the high efficient furnace. 12) Supply and install (1) Honeywell Pro 8000 thermostat. 13) Supply and install (4) exhaust fans 14) Pressure test, evacuate and charge the system. 15) Perform a proper start up on the unit. Terms and conditions of this quote: 1) This proposal excludes the following: A) Any work not specifically listed above. B) Load calculations, gas piping, condensate pump, engineering, and blue prints. C) Repair of any refrigerant leaks. D) Any repairs to existing deficiencies not listed above. E) Any additional work and/or materials generated by a change in the scope of work. All additional work shall be billed on a Time and Material basis unless arrangements are made to quote the additional work. F) Any additional work in case of hazardous material testing, abatement and/or removal. G) Any mechanical, gas, electrical service upgrades, new circuitry or changes not listed above. H) Any additional work generated by the building department or its inspectors. I) Any fee incurred or additional work generated by Xcel Company of Co. J) Any certified wages, registration fees, bond fees or city fees. K) Any refinishing repairs (drywall patching, painting, etc.). 64378 Page 1 of 3 rot- Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" L) Any roofing repairs curb caps or sealing of any penetration point's walls, roof, or foundation. Customer is responsible for contracting a roofing company. M) Any core drilling. N) Any hazardous materials testing, abatement or removal. O) Any overtime or weekend work resulting from delays by other contractor 2) This proposal may be invalid if not accepted within 10 days. 3) All work shall be performed during normal business hours (M -F 8 A.M to 4 P.M.). 4) Nothing in this agreement shall require Seller (Vandre Electric and Refrigeration) to continue performance if timely payments are not made for suitably performed work or stored material. The Buyer(Carl Maes) is to prepare all work areas so as to be acceptable for Seller under contract. Seller will start work when sufficient areas are ready to insure continued work. 5) Additional equipment, labor or location changes toward this proposal will result in a change order and will be billed in addition to this quote on a time and material basis. 6) This proposal is in accordance with seller's understanding of the requirements of this project from information received from the buyer, or its agent, and if written plans and specifications are furnished, the seller's interpretation of them. The seller assumes no responsibility as to the accuracy or suitability of such plans and specifications. It is further understood and agreed that this proposal and contract does not include any labor or materials not specifically mentioned. Unless otherwise provided in the plans and specifications, the seller shall have the right to select all materials. When specified materials are unavailable, the seller shall have the right to substitute materials of equal or better quality. 7) Nothing in this agreement shall serve to void Seller's right to file a lien or claim on its behalf in the event that any payment is not timely made. 8) No work shall commence until Vandre Electric and Refrigeration Co. has received a signed copy of this quote. 9) Payment terms: 50% down final due upon completion. 10) All sums not paid when due shall bear interest at the rate of 2% per month (24% per annum) or the maximum legal rate permitted by law, whichever is less. The buyer shall pay all costs of collections, including reasonable attorney fees. 11) All workmanship is guaranteed against defect for a period of thirty days from the date of installation. This warranty is in lieu of all other warranties, expressed or implied. The exclusive remedy shall be that the seller will repair or replace any part of its work, which is found to be defective. Seller will not be responsible for damage to its work by other parties or for improper use of equipment by others. 12) Acceptance of this proposal by the buyer shall be acceptance of all terms and conditions recited herein, which shall supersede any conflicting terms in any other proposal. Any of the buyer's terms and conditions in addition or different to this proposal are objected to and shall have no effect. Buyer's agreement herewith shall be evidence by buyer's signature hereon or by permitting seller to commence work for the proposed project. 13) Due to market conditions all materials are subject to price increase at any time unless this quote expressly states that pricing for any item is firm or fixed. If you have any questions, please call me at (303) 777-2318. Thank you for the opportunity to quote this work. Sincerely, Cody Carr Jr HVAC/R Service Manager Vandre Electric & Refrigeration Accepted: � O"N' Date: Authorized Agent for: Carl Maes 64378 Page 2 of 3 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 64378 Page 3 of 3 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 1276 S. Bannock Street • Denver, Colorado 80223 • Phone: 303-777-2318 • Fax: 303-777-4483 July 25, 2017 Carl Maes 3655 Holland Court Wheat Ridge CO 80033 Attention: Carl Phone: Email: ccmaes@comcast.net Quote Number: E-84752 Project Location: Maes Residence 3655 Holland Court Wheat Ridge CO 80033 Scope of Work: Electrical service upgrade and three interior panel consolidation Quote Amount: 4,975.00 See Terms d& Conditions Vandre Electric and Refrigeration Company proposes the following work for the above captioned project location: 1. Provide the electrical permit and complete all necessary inspections. 2. Remove one (1) exterior 100 -amp meter housing. 3. Remove one (1) 70 -amp interior disconnect. 4. Remove three (3) interior breaker panels. 5. Supply and install one (1) 200 -amp exterior meter and panel combo to the exterior of the house. 6. Supply and install one (1) new 2" riser and 2ot wiring thru the soffit and above the roof line. 7. Supply and install seven (7) arc fault breakers to feed the existing 120 -volt branch circuits. 8. Supply and install standard breakers for the range and dryer. 9. Supply and install two (2) ground rods and #6 wire to connect to the new service panel. 10. Supply and install one (1) cold water bond with #4 wire and two water pipe clamps to bypass the existing shut off valve. 11. Supply and install one (1) intersystem bonding connector for the low volt wiring ground. 12. Supply and install one (1) splice box in the crawl space to splice the existing circuitry. 13. Supply and install new wiring from the exterior panel to the crawl space splice box. 14. Supply and install one (1) splice box in the attic to splice the existing circuitry. 15. Supply and install new wiring from the exterior panel to the attic splice box. 16. Label all the newly relocated circuits in the main panel. Note; The drywall behind the new exterior panel will need to be removed by others for the delivery of the newly replaced circuitry to access the interior wall for the attic and crawl space. The drywall where the existing electrical panels are currently will need to be removed by others for access for the re -wiring. Terms and conditions of this quote: 1) This proposal excludes the following: A) Any work not specifically listed above. B) Any repairs to existing deficiencies not listed above. C) Any smoke detectors. D) Any additional work and/or materials generated by a. change in the scope of work. All additional work shall be billed on a Time and Material basis unless arrangements are made to quote the additional work with an Electrical Supervisor. Continued to next page: Page 1 of 2 'Y �Fv RW Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 1276 S. Bannock Street • Denver, Colorado 80223 • Phone: 303-777-2318 • Fax: 303-777-4483 Quote# E-84752 Continued E) Any additional work and/or upgrades generated by the building department, and/or their representatives. F) Any additional work in case of hazardous material testing, abatement and/or removal. G) Engineered drawings. 2) This quote is based on the existing circuitry being in a useable and stable condition. 3) This proposal may be invalid if not accepted within 10 days. 4) All work shall be performed during normal business hours (Monday through Friday 7 A.M to 5 P.M.). 5) Nothing in this agreement shall require Seller (Vandre Electric and Refrigeration) to continue performance if timely payments are not made for suitably performed work or stored material. The Buyer (Carl Maes) is to prepare all work areas so as to be acceptable for Seller under contract. Seller will start work when sufficient areas are ready to insure continued work. 6) This proposal is in accordance with sellers understanding of the requirements of this project from information received from the buyer, or its agent, and if written plans and specifications are furnished, the seller's interpretation of them. 7) The seller assumes no responsibility as to the accuracy or suitability of such plans and specifications. It is further understood and agreed that this proposal and contract does not include any labor or materials not specifically mentioned. Unless otherwise provided in the plans and specifications, the seller shall have the right to select all materials. When specified materials are unavailable, the seller shall have the right to substitute materials of equal or better quality. 8) Nothing in this agreement shall serve to void Seller's right to file a lien or claim on its behalf in the event that any payment is not timely made. 9) No work shall commence until Vandre Electric has received a signed copy of this quote. 10) Payment, 50% down and final due upon completion with approved credit, and or card on file. 11) All sums not paid when due shall bear interest at the rate of 2% per month (24% per annum) or the maximum legal rate permitted by law, whichever is less. The buyer shall pay all costs of collections, including reasonable attorney fees. 12) All workmanship is guaranteed against defect for a period of thirty days from the date of installation. This warranty is in lieu of all other warranties, expressed or implied. The exclusive remedy shall be that the seller will repair or replace any part of its work, which is found to be defective. Seller will not be responsible for damage to its work by other parties or for improper use of equipment by others. 13) Acceptance of this proposal by the buyer shall be acceptance of all terms and conditions recited herein, which shall supersede any conflicting terms in any other proposal. Any of the buyer's terms and conditions in addition or different to this proposal are objected to and shall have no effect. Buyer's agreement herewith shall be evidence by buyer's signature hereon or by permitting seller to commence work for the proposed project. 14) Due to market conditions all materials are subject to price increase at any time unless this quote expressly states that pricing for any item is firm or fixed. If you have any questions, please call me at (303) 777-2318. Thank you for the opportunity to quote this work. Sincerely, ti Corky Baverstock Co-Owner/Sales Manager0 ` n / Accepted: ' V V , Date: Authorized Agent for Carl Maes/3655 Holland Court Wheat Ridge CO 80033 Page 2 of 2 sP CHAMPFOAf Champion Window Company Denver, ILCPATI0 D00R C0NTRAC 100 E. 45th Avenue • Denvea r, CO 80238 303-375-0745 0 F 303-375-1065 TO C4WLL MRE& GetChampion.com E -Mail CC MICE F C)N 1 . W F T Address Y-4Ct 0LLmV-D C _ Home Phone Cell/Other 303 (i 1 C 4 2. City ? State Co zip � Factory Rep Estimate Date i CHAMPION WINDOW COMPANY OF DENVER, LLC (CHAMPION) AGREES TO MEASURE, MANUFACTURE OR FURNISH AND INSTALL THE FOLLOWING CUSTOM MADE DOOR FEATURING COMFORT 365 GLASS FOR THE AMOUNT STIPULATED BELOW: PATIO DOOR COLOR SrWhite ❑ Tan (if choosing ColorBon,V option for exterior, you must still select an interior color) HARDWARVPTION (Multipoint locking system standard): VVhite ❑ Tan ❑ Satin Nickel ❑ Bright Brass ❑ Antique Brass ❑ Aged Bronze ❑ Yes o ColorBond® OPTION: (exterior only) ❑ White ❑ Tan ❑ Adobe ❑ Bronze ❑ Pebble ❑ Colonial Blue ❑ Yes Cho TimberBond® OPTION: (interior only) ❑ Dark Oak ❑ English Oak ❑ Cherrywood TRIM COIL COLOR: Threshold Color: Your patio door will be built with the threshold and screen track color as follows: WHITE for white patio doors, TAN for tan patio door; CHOCOLATE for adobe and bronze patio doors and CLAY for Pebble, Colonial Blue and all special -order ColorBond patio doors SLIDING PATIO DOOR - Standard sizes HE T NOMINAL WIDTH (actual size is smaller) 9.5" 05'=2.5'+2.5' ❑6'=3'+3' ❑8'=4'+4' ❑9'=T+3'+3' -,/81.5" ❑5'=2.5'+2.5' G T+3' YES NO OPTIONS ❑ T= T+ 4' ❑ CUSTOM Approx ❑12'=4'+4'+4' ❑ 9'= T+ T+ 3' ❑ CUSTOM Approx X it X = ACTIVE 0 = FIXED (ISLO) X ❑ Grid Styles: ❑ RECTANGLE ❑ CONTOUR (Not available in ColorBond®) ❑ COLONIAL ❑ PRAIRIE ❑ OPEN PRAIRIE ❑ CUSTOM ❑ Transom QTY: ❑ SIDE LITE ❑ RIGHT ❑ LEFT ❑ INTERNAL BLINDS (51, 61, & 9' Doors only - Internal mini blinds will be white in color) PATIO DOORS WITH INTERNAL BUNDS WILL NOT HAVE COMFORT 36511/G1 GLASS YES N OPTIONS PET DOOR OPENING SIZE 0 IN SCREEN PET DOOR LlSmall 5.5 x 7.5 LJLarge 11 x 16 LJExtra Large 14 x 19.5 LIIN GLASS PET DOOR ❑ Small Medium 6.5 x 9.5 ❑ Tall Large 11 x 19.5 ❑ Extra Large Plus 14 x 23.5 ❑ Medium 8.5 x 12.5 ❑ Tall Large Plus 11 x 23.5 ❑ Giant 15.5 x 27.5 ❑ Tall Medium 8.5 x 16 ❑ Extra Tall Large 11 x 27.5 Dog doors feature extruded aluminum frames with two flexible PVC vinyl flaps and impact resistant GE LEXANO security cover. Dog doors will be placed under the handle of the operating door & cannot have blinds. Dog doors in bath the door & screen are not compatible with each other. Unless otherwise stated, customer is responsible for removing and replacing all door coverings, moving furniture, disconnecting and reconnecting alarm systems & sensors, and touching up paint or stain as needed. Cha on shall determine whether any trim replacement is necessary at measure. Customer is responsible for any paint or stain on new trim pieces. mer agrees to allow Champion to display HOA Approval Needed ❑ YE NO Buyer shall obtain all a yard sign unti 30 days after completion. necessary approvals, and authoriiatio s from HOA or local authorities. X BUYER'S INITIALS X BUYER'S INITIALS "' t " � T TWO YEARS FREE IN HOME SERVICE. There is a standard $99 service -trip charge (which may be changed based on inflation and distance) after two years following installation. 'e -" c h '1Y) T,n AA% 1 M BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THF SFI I FR AT THE ADDRESS SHOWN ABOVE. Total Investment $ 21900 Down Payment (Method — Z S' Z) $ Q Balance $ Ut� Substantial Payment $ FINAL Balance . Due upon completed installation $ � t SLIDING PATIO DOOR - Standard sizes 7T NOMINAL WIDTH (actual size is smaller) " ❑5'=2.5'+2.5' ❑6'=3'+3' 07'=3'+4' ❑ CUSTOM Approx ❑8'=4'+4' ❑9'=T+3'+3' ❑12'=4'+4'+4' ,,/81.5" ❑5'=2.5'+2.5' 6'=3'+3' ❑9'=T+3'+3' ❑ CUSTOM Approx YES N OPTIONS L3 Grid Styles: ❑ RECTANGLE ❑Transom QTY: ElSIDE I LITE L)RIGHT LJLEFT ❑ INTERNAL BLINDS ❑ CONTOUR (Not available in ColorBond®) (5', 6', & 9' Doors only - Internal mini blinds will be white in color) PATIO DOORS WITH INTERNAL BLINDS WILL NOT HAVE COMFORT 3650/G1 GLASS ❑ COLONIAL ❑ PRAIRIE X so X = ACTIVE 0 = FIXED (ISLO) X ❑ OPEN PRAIRIE ❑ CUSTOM YES N OPTIONS PET DOOR OPENING SIZE LlIN SCREEN PET DOOR LJSmall 5.5 x 7.5 CJ Large 11 x 16 LJ Extra Large 14 x 19.5 ❑ IN GLASS PET DOOR ❑ Small Medium 6.5 x 9.5 ❑ Tall Large 11 x 19.5 ❑ Extra Large Plus 14 x 23.5 ❑ Medium 8.5 x 12.5 ❑ Tall Large Plus 11 x 23.5 ❑ Giant 15.5 x 27.5 ❑ Tall Medium 8.5 x 16 ❑ Extra Tall Large 11 x 27.5 Dog doors feature extruded aluminum frames with two flexible PVC vinyl flaps and impact resistant GE LEXAN® security cover. Dog doors will be placed under the handle of the operating door & cannot have blinds. Dog doors in both the door & screen are not compatible with each other. . Unless otherwise stated, customer is responsible for removing and replacing all door coverings, moving furniture, disconnecting and reconnecting alarm systems & sensors, and touching up paint or stain as needed. Chanloon shall determine whether any trim replacement is necessary at measure. Customer is responsible for any paint or stain on new trim pieces.. agrees to allow Champion to display HOA Approval Needed ❑ YESV NO Buyer shall obtain all i unti 30 days after completion. necessary approvals, and authodzatio s from HOA or local authorities. BUYER'S INITIALS XBUYER'S INITIALS TWO YEARS FREE IN HOME SERVICE. There is a standard $99 service -trip charge (which may be changed based on inflation and distance) after two years following installation. 7 W BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. Total Investment Down Payment (Method G:J Z. $ ' 4.5 Balance $ Substantial Payment $ �y FINAL Balance Due upon completed installation $ �� V Method: ' Inahce Plan # ❑ Cash, Check or Charge All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Customer agrees that Champion may terminat or rescind this contract, in whole or in part, with the return of any payments collected up to the start of installation. Champion shall not be held responsible for time and materii delays, strikes, acts of God or any other matters beyond its control. Champion shall not be liable for any pre-existing conditions or damages, or hidden site conditions that ar discovered during installation. Owner agrees that the equity in this property is security for this contract. This contract calls for custom made to order goods. Customer me cancel this contract at any time following the three (3) day right of rescission period, subject to the customer's agreement and obligation to pay a cancellation fel Champion will charge and Customer will pay five (5) percent of the total contract price (up to $1,000) as a cancellation fee U the Customer cancels prior to the projec Re -Measure Day. Customer will pay thirty (30) percent of the total contract price N the Customer cancels after the project Re -Measure Day but prior to the installatio start date. Once installation of the project begins, the full contract price shall be due and payable and any such amounts paid shall be nonrefundable. Re -Measure Da is the date on which a Champion technician performs all final project measurements. In the event of default payment causing Champio to place this matter in the hands ( an attorney for collection, buyer agrees to pay all costs of collection, including a reasonable attorney's fee. Start installation approximately weeks from contract dat or the date on which Champion obtains all HOA permissions, permits, final change orders, and other contingencies necessary to complete the proje .Verbal promises can caus misunderstandings, therefore this contract and the accompanying limited warranty constitutes the entire understanding of the parties. No other understanding, collateral, verb; or otherwise, shall be binding. Champion to remove and haul away all job related debris. All sales and discounts allotted. All charges included above. i=, it r:VU9,A_n11R_nr- (clr:hamninn® 2016 - - NAMPICA( Champion Window Company of Denver, LLC 0000 E. 45th Avenue • Denver, CO 80238 303-375-0745 0 F 303-375-1065 GetChampion.com WINDOW CONTRACT E a L M Kt7-'$ E -Mail (.. c_MN E S L (,OM (As , la%t: 11 dress �aa� J 40Home Phone5:93 (o1 R (034- 1, Cell/Other -30'�6) 2- CII y a State Co Zip CJ W3� Factory RepCYirl Ct 1 _ Estimate Date I CNA PION WINDOW COMPANY OF DENVER, LLC (CHAMPION) AGREES TO MEASURE, MANUFACTURE OR FURNISH AND INSTALL THE FOLLOWING CUSTOM MADE PRODUCTS FOR THE AMOUNT STIPULATED BELOW: STANDARD INSULATED GLASS UNITS ARE ARGON. FILLED IN A FOAM ENHANCED FRAME WITH FUSION WELDED CORNERS iNDOW LOH ❑ Yes ColorBond® (exterior only) O Tan ❑ White ❑ Adobe ❑ Bronze ❑ Pebble ❑ Colonial Blue ITE ``mo�o ❑ Yes {d'Ivo TimberSond®(interior only) ❑ Cherrywood ❑ English Oak ❑ Dark Oak Location: O All Windows ❑ Specified Location I TAN 16lomfort 365® glass Qty ❑ Glass Option 1 Oty-.O Glass Option 2 Qty: ]UANTITY QUANTITY QUANTITY HOU` wrrHWITHOUr wrrH WHOUT - wrrH lips GRIDS GRIDS GRIDS GRIDS GRIDS DOUBLE HUNG ❑ Half Screen Qty: -Left CASEMENT Hand: Qty: GARDEN WINDOW WITH CASEMENT END -VENTS ❑ Full Screen Qty:Right Hand: Qty: Head and seat boards have a water resistant ❑ Single Egress Qty: laminate finish color matched to window (TWO FULL SCREENS) G1 Glass Only 2 LITE SLIDER DOUBLE CASEMENT BAY WINDOW LIHalf Screen Qty. r , Single Operator Qty, 4 ❑ Casement (Full sc eers) LI Full Screen Qty: a ;far' Double Operator Qty: ❑ Double Hung (Hvfscreens) ❑ Single Egress Qty: Offset Casement Egress: Oty:_ Yes No Box options: ❑ ❑ Unfinished Wood* ORIEL (DBL HUNG) Top 3/5 Bottom 2/3 MULTI -LITE ❑ Non Std:El3 >z Lite Ll4 Lite L]5 Lite ❑ ❑ Laminated: O White El Tan ❑ Half Screen Qty: ❑ ADD'L Operator Qty: The width of center picture window will vary based on LI FUII Screen' Qty: Less than 72" equal lites 72 to 90' end vents are 1e" in width overall width of the bay window. 3 LITE SLIDER ❑ Std 25/50/25: 91" to 114" end vents are 22" in width End vents are standard; Screens are provided with operators only BOW WINDOW v . (FULL SCREEN) ❑ Non Std:AWNING O Casement (Fuji screens) r ., ❑ Double Hung (Hari screens) PICTURE WINDOW (NO SCREEN) Yes No Box options: HOPPER TILT BASEMENT Im WINDOW (FULL SCREEN) ❑ ❑ Unfinished Wood* ❑ ❑ Laminated: ❑ white ❑ Tan .. SHAPED WINDOWS (NOT FOAM ENHANCED) (CONTOUR GRIDS UNAVAILABLE) KITES ElHALF ROUND LlEYEBROW LITRAP LIOTHER (Draw In Space) #OPERATORS - r� 2 end vents are standard; Screens are provided with Qty, Qty, Qty. Qty, operators only Glass Block Windows Location: Color: Total Number of Windows on Order ❑ Diamond ❑ Wavy ❑ Ice ❑ Vent Qty: ❑ Dryer Vent Qty: *Customer is responsible for paint or stain of all unfinished wood. rids: ❑ Rectangle ❑ Colonial L3Contour* - , ❑ Diamond ❑ PrairieLIOpen Prairie LICustom ;' The undersigned understands that windows of certain styles and/ a larger than the maximum size tested may rat be AAMA and/or (Not available in Timbe Bond and avail ons n NFRC certified. Ask your factay representative for details. Kterior PVC Com"" Tempered Gla es ❑ No j(,A Obscure Glass ❑ Yes o Rain Glass ❑ Yes ❑ No > HOA Approval Needed ❑ YES Buyer shall obtain all necessary approvals, and authorizations from HOA local authorities. im Color: �, Location: KJ Location: M Qli AJ X BUYER'S INITIALS X10 YEARS FREE IN HOME SERVICE. There is a standard �l 96stomer agrees to allow Champion to display a yard sign until Was Was home built prior to 1978? Ll NO The undersigned agrees to the 39 service -trip charge (which may vary based on inflation 30 days after completion terms and condr6'ons of Me Champion Lead Sale work Practices^and "lead td distance) after two years following installation. em Acknowledgment' if documentation da home rias built prior to 1978. X BUYER'S INITIALS X BUYER'S INITIALS Mess otherwise stated, customer is responsible for removing & replacing all window coverings, moving fumiture, disconnecting & reconnecting alarm systems & sensors, and touching up paint or stain as needed. HER: OL C, �1 W, C_. sig kavv e BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO HE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY 4FTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS'THAT NOTICE BY WRITING `"I HEREBY CANCEL AT THE BOTTOM AND DDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. Total Investment $ Down Payment (Method Z .- 1 $ � 4 i5 Balance $ &q__j Substantial Payment $ FINAL Balance Due upon completed installation $ \� .. . I_ - _. - Lac� t "HER: , le-le—b 10, cc ,G1. Q v1 BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO HE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY %FTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL AT THE BOTTOM AND DDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. P"StJ Total Investment Down Payment (Method $ AL Balance $ Substantial Payment $ c FINAL Balance Due upon completed installation $ , (� Method: L11- nance Plan #" ❑ cash,'Checkor Charge natenal Is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Customer agrees that Champion may terminate escind this contract, in whole or in part, with the return of any payments collected up to the start of installation. Champion shall not be held responsible for time and material lys, strikes, acts of God or any other matters beyond its control. Champion shall not be liable for any pre-existing conditions or damages, or hidden site conditions that are :overed during installation. Owner agrees that the equity in this property is security for this contract. This contract calls for custom made to order goods. Customer may cel this contract at any time following the three (3). day right of rescission period, subject to the customer's agreement and obligation to pay a cancellation fee. Impion will charge and Customer will pay five (5) percent of the total contract price (up to $1,000) as a cancellation fee if the Customer cancels prior to the project Measure Day. Customer will pay thirty (30) percent of the total contract price if the Customer cancels after the project Re -Measure Day but prior to the installation t date. Once installation of the project begins, the full contract price shall be due and payable and any such amounts paid shall be nonrefundable. Re -Measure: Day re date on which a Champion technician performs all final project measurements. In the event of default payment causing Champion to pla this matter in the hands of ittomey for collection, buyer agrees to pay all costs of collection, including a reasonable attorney's fee. Start installation approximately weeks from contract date Te date on which Champion obtains all HOA permissions, permits, final change orders, and other contingencies necessary to complete, the GOP, promises can cause inderstandings, therefore this contract and the accompanying limited warranty constitutes the entire understanding of the parties. No other understanding, collateral, verbal thprvVlSp shall hp hinrlinn rhamninn +n mm -in end kn,a .,.... ....0 :-L,All __.__ __ .. .. . ... . l _"_' __ _--.v. --... .v �..�•..r•�.. — Q..ay 0111 JULJ ,15xatct, uCUxls. rursales and discounts auottea. All charges included above tme'' T .5svr ❑Half Screen Qty: Left Hand: Qty: •� CASEMENT END -VENTS ' fflnlaia 6 3 i R+ n ❑ Full Screen Y: Right Hand: Qty: T t � _ Head and seat boards have a water resistant laminate color -matched to l3'€➢f7 sem+"`*�!'u ty5 LJ Single Egress Qty: (TWO FULLLL SCREENS) G1 Glasss Only Only rM 2 LITE SLIDER ❑ Half Screen Qty: ❑ Full Screen Qty: DOUBLE CASEMENT Single Operator' Qty Double Operator Qty. oil BAY WINDOW ❑ Casement (Full sc�) - ❑ Double Hung Mall weans) ❑ Single Egress Qty: Offset Casement Egress: Qty:_ Yes No Box options: ORIEL (DBL HUNG) Topp s 6n y otta a MULTI -LITE ❑ Non Std: ❑ 3 Lite 0 4 Lite ❑ 5 Lite ❑ ❑ Unfinished Wood* ❑ I] Laminated: ❑ Whfte p Tan ❑ Half Screen �Y� ❑ ADD'L Operator Qty: The width of center picture window will vary based on ❑ Full ScreenLess QtY than 72" equal lites 72" to 90" end vents are 18" in width overall width of the bay window. . 3 LITE SLIDER 0 Std 25/50/25: 1operators 91" to 114" end vents are 22" in width End vents are standard; Screens are provided with only BOW WINDOW ❑ Casement AWNING (FULL SCREEN) Ll Non Std: (Folli saeem) 13 Double Hung Wsaeens) PICTURE WINDOW Yes No Box options: HOPPER TILT BASEMENT (NO SCREEN) WINDOW ❑ ❑ Unfinished Wood* (FULL SCREEN) ❑ ❑ Laminated: ❑ White O Tan SHAPED WINDOWS (NOT FOAM ENHANCED) (CONTOUR GRIDS UNAVAILABLE) L3HALF ROUND ❑ EYEBROW ❑ TRAP C)OTHER #uTES #OPERATORS2 r (Draw In Space) Qty:Qty: Qty: ft6 end vents are standard; Screens are provided with Qty: operators only Glass Block Windows Location: Color: Total Number of windows on Order ❑ Diamond ❑Wavy LJ ice Ll Vent Qty: ❑Dryer Vent Qty: *Customer is responsible for paint or stain of all unfinished wood. irldS: ❑ Rectangle ❑ Colonial ❑Contour i TmberBond ❑ Diamond ❑ Prairie ❑ Open Prairie ❑ Custom The undersigned understands that windows of certain styles and/ or larger ihan the maximum sae tested may and/or and GolorBon and olorSavailand) NFR certified. Ask your factory representative for details, xterior PVC Coll Tempered Qlassl/es ❑ No Obscure Glass ❑ Yes o Rain Glass ❑ Yes ❑ No HOAApproval Needed ❑ YES Buyer shall obtain all necessary rim Color: Location: to IM L Location: Cam ' VAt/ approvals, and authorizations from HOA local authonties. }�' X BUYER'S INITIALS WO YEARS FREE IN HOME SERVICE. There is a standard �9 Comer agrees to allow Champion to display a yard sign until Was home built prior to 1978? ❑ NO The undersl lied a � 9 9� to the 99 service -trip charge (which may vary based on inflation 30 days after completion terms and caxdr6ons of the Champion "Lead Safe Work Prach'ces"and ''lead d lid distance) after two years following installation. AckaWedgmerxt"ifdocumentaffonde!p�s(ram�,�fxebome was prior to 1978. X BUYER'S INITIALS X -_BUYER'S INITIALS nless otherwise stated, customer is responsible for removing & replacing all window coverings, moving fumitu , disconnecting & reconnecting alarm systems &sensors, and touching up paint or stain as needed. n "HER: , le-le—b 10, cc ,G1. Q v1 BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO HE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY %FTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL AT THE BOTTOM AND DDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. P"StJ Total Investment Down Payment (Method $ AL Balance $ Substantial Payment $ c FINAL Balance Due upon completed installation $ , (� Method: L11- nance Plan #" ❑ cash,'Checkor Charge natenal Is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Customer agrees that Champion may terminate escind this contract, in whole or in part, with the return of any payments collected up to the start of installation. Champion shall not be held responsible for time and material lys, strikes, acts of God or any other matters beyond its control. Champion shall not be liable for any pre-existing conditions or damages, or hidden site conditions that are :overed during installation. Owner agrees that the equity in this property is security for this contract. This contract calls for custom made to order goods. Customer may cel this contract at any time following the three (3). day right of rescission period, subject to the customer's agreement and obligation to pay a cancellation fee. Impion will charge and Customer will pay five (5) percent of the total contract price (up to $1,000) as a cancellation fee if the Customer cancels prior to the project Measure Day. Customer will pay thirty (30) percent of the total contract price if the Customer cancels after the project Re -Measure Day but prior to the installation t date. Once installation of the project begins, the full contract price shall be due and payable and any such amounts paid shall be nonrefundable. Re -Measure: Day re date on which a Champion technician performs all final project measurements. In the event of default payment causing Champion to pla this matter in the hands of ittomey for collection, buyer agrees to pay all costs of collection, including a reasonable attorney's fee. Start installation approximately weeks from contract date Te date on which Champion obtains all HOA permissions, permits, final change orders, and other contingencies necessary to complete, the GOP, promises can cause inderstandings, therefore this contract and the accompanying limited warranty constitutes the entire understanding of the parties. No other understanding, collateral, verbal thprvVlSp shall hp hinrlinn rhamninn +n mm -in end kn,a .,.... ....0 :-L,All __.__ __ .. .. . ... . l _"_' __ _--.v. --... .v �..�•..r•�.. — Q..ay 0111 JULJ ,15xatct, uCUxls. rursales and discounts auottea. All charges included above tme'' T .5svr .meq01 ",„s •� ' fflnlaia 6 3 i R+ n T t � _ l3'€➢f7 sem+"`*�!'u ty5 i• 1 O Champion,2016 +.tl�• i I 1 �_ 8 GENERAL INFORMATION as of Dec 31, 2016 PIN/Schedule: 300023389 AIN/Parcel ID: 39-272-10-003 Status: Active Property Type: Residential Property Address: 03655 HOLLAND CT Owner Name(s) WHEAT RIDGE CO 80033 5749 MAES CARL I Mailing Address: 05812 QUEEN ST MAES CECINA P ARVADA CO 80004 Neighborhood: 2406 - BEL AIRE,HILLCREST HEIGHTS, MELROSE MANOR AREA PROPERTY DESCRIPTION Subdivision Name: 838000 - WILLOW LANE 3lock Lot Key Section Township Range QuarterSection Land Sgft 0003 27 3 69 9760 Tota 1 9760 PROPERTYINVENTORY Property Type RESID Design: Ranch Item Quality No. FULL BATH Average 1 3FIX-3/4 BATH Average 1 MAIN FIREPLCE Average 1 MAIN BEDROOM 3 Adjustment Code Adjustment SgFt HOT WTR HEAT 11744 SALE HISTORY Year Built: 1955 Adjusted Year Built: 1955 Areas Quality Construction Sqft FIRST FLOOR Average M 1744 COVERED PORCH Average 77 DETACH GARAGE Average F 495 ENCLOSD PORCH Low 438 Sale Date Sale Amount Deed Type Reception 06-03-1974 38,000 Other 26310232 01-20-1992 101,000 Warranty Deed 92007017 03-28-1996 0 Letter or Letters F0306894 09-19-1996 134,000 Personal Representative Deed - Joint Tenancy F0306895 05-15-2001 1 0 JQuit Claim Deed F1237933 10-30-2002 1 226,500 Warranty Deed - Joint Tenancy IF1599994 TAX INFORMATION 2016 Payable 2017 Actual Value Tota 1 296,265 Assessed Value Total 23,583 Mill Levy Information Tax District 3137 County 24.7090 School 45.9410 WEST METRO FIRE PROTECTION - G 12.4210 WESTRIDGE SAN DIST 8.0280 WHEATRIDGE WATER DIST 0.0000 REGIONAL TRANSPORTATION DIST 0.0000 URBAN DRAINAGE&FLOOD CONT DIST 0.5590 URBAN DRAINAGE&FLOOD C SO PLAT 0.0610 WHEAT RIDGE 1.8300 [Tota 1 93.5490 BankofAmerica'� PO Box 31785 Tampa, FL 33631-3785 CARL I & CELINA P MAES 5812 QUEEN ST ARVADA CO 80004-4263 Your Home Loan AcCOUnt Statement date: August 15, 2017 Customer 'service information Customer service: 800.669.6607 TDDfM users only: 800.300.6407 En Espanol: 800.295.0025 bankofamerica.com Account number 218172749 Payment due date 09/01/17 Total amount due $1,310.35 If payment is received after 09/18/17, $50.24 late fee will be charged.' 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Account information Property address 3655 HOLLAND CT Loan type 30 Yr Conventional Contractual remaining term 22 Years, 05 Months Principal balance $150,803.27 Escrow balance -$281.30 Interest rate 5.500% Prepayment penalty No Explanation of total amount due Principal $313.81 Interest $691.18 Escrow (taxes and insurance) $305.36 Regular monthly payment $1,310.35 Current period fees and charges $0.00 Total amount due $1,310.35 `Pleose see the 'Other important information" section of the statement Past payments breakdown Principal Interest Escrow (taxes and insurance) Paid since last statement Paid year to date' $312.38 $2,902.32 $692.61 $5,587.36 $305.36 $2,354.13 Fees, charges, and advances $0.00 $50.24 Total $1,310.35 $10,894.05 J E F F E P SN COUNTY COLORADO REAL PROPERTY NOTICE OF VALUATION THIS IS NOT A TAX BILL *****`" ``AUTO"5-DIGIT 80002 300023389 MAES CARL I MAES CELINA P 5812 QUEEN ST ARVADA CO 80004-4263 Jill 111111111111 Jill IIIIII IIIII IIIIII III III III RON SANDSTROM Assessor 100 Jefferson County Pkwy Golden, CO 80419-2500 303- 271-8600 — Information 303- 271-8616 — Fax Regular Office Hours: Monday through Friday 7:30 AM - 5:30 PM TAX YEAR TAX AREA PINISCHEDULE CONTROL # DATE BRICK 2017 3137 , 3000233810 39-272-10-003 PROPERTY ADDRESS LEGAL DESCRIPTION 3655 HOLLAND CT SECTION 27 TOWNSHIP 03 RANGE 69 Units SUBDIVISIONCD 838000 SUBDIVISIONNAME WILLOW LANE BLOCK LOT 0003 SIZE: 9760 TRACT VALUE: .224 PROPERTY CURRENT YEAR PRIOR YEAR DETACHED GARAGE CLASSIFICATION ACTUAL VALUE ACTUAL VALUE CHANGE IN VALUE 438 AS OF JUNE 30, 2016 AS OF JUNE 30, 2014 FIRST FLOOR RESIDENTIAL FIREPLACE (ABOVE GRADE) 1.0 TOTAL: $368,392.00 $296,260.00 $72,132.00 PROPERTY CHARACTERISTICS ARE SHOWN BELOW Your property was valued as it existed on January 1 st of the current year. Your taxes will be calculated using a percentage of current year actual value. The assessment percentage for residential is 7.96% of the current year actual value. Generally, all other property, including vacant land, is assessed at 29.00%, § 39-1-104(1) and (1.5), C.R.S. A change in the residential assessment percentage is not grounds for appeal or abatement of taxes, § 39-5-121(1), C.R.S. Real property includes both land and improvements. Improvements are defined as all structures, buildings, fixtures, fences, and water rights erected upon or affixed to land, whether or not title to such land has been acquired, § 39-1-102(7), C.R.S. You may file your protest online at http://co-jefferson.publicaccessnow.com. The Residential assessment percentage is 7.96% and is anticipated to decrcase following the end of the legislative session. PLEASE REVIEW THE PROPERTY INVENTORY BELOW (if any), MAKE ANY NECESSARY CORRECTIONS, AND RETURN TO THE JEFFERSON COUNTY ASSESSOR'S OFFICE. Total # Buildings: 1 Total # Sections: 1 Total Above Grade Square Footage: 1744 Total # Units: Inventory below is Building 1, Section 1 Type: SINGLE FAMILY Style: 1 STORY/RANCH Construction Class: BRICK Year Built: 1955 Area Description Square Feet Category Type Percent Category Units COVERED PORCH 77 HVAC SYSTEMS HOT WATER 100 3/4 BATH (3 FIXTURE) 1.0 DETACHED GARAGE 495 BASE BATH (1 FULL, KITCHEN & LAUNDR 1.0 ENCLOSED PORCH 438 BEDROOM (ABOVE GRADE) 3.0 FIRST FLOOR 1744 FIREPLACE (ABOVE GRADE) 1.0 Neighborhood sales used to develop residential Current Year Actual Values may be viewed at Website: hfp://assessor.jeffco.us. 4 DCM I LABORATORY, INC. 12421 W. 49th Avenue, Unit #6 Wheat Ridge, CO 80033 DCM Project No.: CMAES 1 Client Job No.: PD CC Bulk Sample Analysis Page"Z of ,I-' BULK SAMPLE ANALYSIS PROCEDURES: DCM Science Laboratory, Inc. analyzes bulk asbestos samples following procedures developed by the McCrone Research Institute and in compliance with guidelines established by the Environmental Protection Agency (EPA -600/M4-82-020, 1982 and EPA -600/R-93/116, July, 1993). Bulk samples are prepared for analysis using a 1 OX -80X stereo microscope in a hepa filter hood which provides a contamination -free environment. The sample is then analyzed by polarized light microscopy (PLM) at 100X. When the sample consists of more than one layer, each layer is prepared and analyzed separately. Fiber and matrix materials are identified by the characterization of optical properties including color and pleochroism, form, cleavage, relief, birefringence, extinction, orientation, twinning, interference figure and other distinguishing features. Dispersion staining is also used to further aid in mineral identification. All percentages of asbestos, other fibers and non-fibrous constituents are calculated from the values obtained from analyses using the stereo and PLM microscopes. In-house and NIST standards as well as a chart prepared by R.D. Terry and G.V. Chilinger for "The Journal of Sedimentary Petrology", (Volume 24, pp. 229-234, 1955) provide a guide for estimating percentages. All samples are archived for six months unless other arrangements are made by the client. ACCREDITATION: DCMSL is accredited by NVLAP (since April 1, 1989). Our NVLAP Lab Code is 101258-0. DCMSL complies with NVLAP requirements unless otherwise noted. ENDORSEMENT: The results of this analysis must not be used by the client to claim endorsement by NVLAP or any agency of the U.S. Government. The analysis was performed by: John Silverman, Analyst Jason Barnes, Analyst Ron Schott, Analyst '1!-I— �—) Date Ron Schott IN ISL�J`J,J Laboratory Director NVLAP Lab Code 1011258-0 > > 0 zzU 0 o 0 0 0 0 0 0 0 0 0 0 A 0 0 0 0 0 0 d ¢ O A ¢ A A Q W � I�xo� o�y3 0�� 0:3 0 O p a O a O a z Ew � p UO W C p Q OU w� O� Q W a A � x 000 z x Z zx j z z x z w I Id-< < Hi 3 cn V i o 0 0 0 o 0 o n oaoo: o 0 o v oo:oa: 0 0 o v Wcc)cD 0:000; ¢ o .q o � H I i I x H H zo U I S S 12 CIO V) o 0 0 o n O O Cl vl 0 0 o n o 0 0 In 00 0 0 0 00 0 0 0 00 0 0 0 00 0 Cl 0 00 0 W m q w .. a m w yam x x a; wz QcnZ F O O U i z V 8 C) d AAAAAMoon 04AA QAC]A e I zzzzz z^zz z-zz -zzz H F H III 0 a a a FO O O Ln U U U zwa n o 0 ov o 0 0 0 0 0 0 0 v 0 o In C [V m N ^ N m O In N m N V O m00 0 d N w w a O 0 I � - I A d ¢ O A ¢ A A Q � I�xo� o�y3 0�� 0:3 O O p a O a O a z Ew � p UO W C p Q OU w� O� Q W a' x 000 z x Z zx j z z x z w 3m3H3 Id-< < Hi 3 A QmUL1ui ¢tYmUL] <mUG] QmUC] ¢ o .q o i I x H S S 12 W x o � � ucnZ m q a m w yam x x a; QcnZ 0 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" July 26, 2017 Carl Maes 3655 Holland Court Wheatridge, CO 80033 Attention: Carl Maes Email: ccmaes@comcast.net Quote Number: R-64378 Project Location: Carl Maes 3655 Holland Court Wheatridge, CO 80033 Scope of Work: Remove existing boiler. Quote Amount: $1,100.00 See Terms & Conditions We would like to "thank you" for choosing Vandre Electric & Refrigeration Company to service your needs. We specialize in Commercial/Industrial Electrical, Refrigeration, Heating, Air Conditioning, and Ventilating Service and Installation. We are committed to providing you with the highest level of customer satisfaction possible. We propose the following work for the above captioned project location: 1) Remove and dispose of existing boiler. 2) Remove all baseboard heaters throughout the entire home. 3) Remove and cap all water lines back to the main waterline. 4) Clean up work area. Terms and conditions of this quote: 1) This proposal excludes the following: A) Any work not specifically listed above. B) Load calculations, gas piping, condensate pump, engineering, and blue prints. C) Repair of any refrigerant leaks. D) Any repairs to existing deficiencies not listed above. E) Any additional work and/or materials generated by a change in the scope of work. All additional work shall be billed on a Time and Material basis unless arrangements are made to quote the additional work. F) Any additional work in case of hazardous material testing, abatement and/or removal. G) Any mechanical, gas, electrical service upgrades, new circuitry or changes not listed above. H) Any additional work generated by the building department or its inspectors. I) Any fee incurred or additional work generated by Xcel Company of Co. J) Any certified wages, registration fees, bond fees or city fees. K) Any refinishing repairs (drywall patching, painting, etc.). L) Any roofing repairs curb caps or sealing of any penetration point's walls, roof, or foundation. Customer is responsible for contracting a roofing company. M) Any core drilling. N) Any hazardous materials testing, abatement or removal. O) Any overtime or weekend work resulting from delays by other contractor 2) This proposal may be invalid if not accepted within 10 days. 3) All work shall be performed during normal business hours (M -F 8 A.M to 4 P.M.). 4) Nothing in this agreement shall require Seller (Vandre Electric and Refrigeration) to continue performance if timely payments are not made for suitably performed work or stored material. The Buyer(Carl Maes) is to prepare all work areas so as to be acceptable for Seller under contract. Seller will start work when sufficient areas are ready to insure continued work. 64378 Page 1 of 2 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 5) Additional equipment, labor or location changes toward this proposal will result in a change order and will be billed in addition to this quote on a time and material basis. 6) This proposal is in accordance with seller's understanding of the requirements of this project from information received from the buyer, or its agent, and if written plans and specifications are furnished, the seller's interpretation of them. The seller assumes no responsibility as to the accuracy or suitability of such plans and specifications. It is further understood and agreed that this proposal and contract does not include any labor or materials not specifically mentioned. Unless otherwise provided in the plans and specifications, the seller shall have the right to select all materials. When specified materials are unavailable, the seller shall have the right to substitute materials of equal or better quality. 7) Nothing in this agreement shall serve to void Seller's right to file a lien or claim on its behalf in the event that any payment is not timely made. 8) No work shall commence until Vandre Electric and Refrigeration Co. has received a signed copy of this quote. 9) Payment terms: 50% down final due upon completion. 10) All sums not paid when due shall bear interest at the rate of 2% per month (24% per annum) or the maximum legal rate permitted by law, whichever is less. The buyer shall pay all costs of collections, including reasonable attorney fees. 11) All workmanship is guaranteed against defect for a period of thirty days from the date of installation. This warranty is in lieu of all other warranties, expressed or implied. The exclusive remedy shall be that the seller will repair or replace any part of its work, which is found to be defective. Seller will not be responsible for damage to its work by other parties or for improper use of equipment by others. 12) Acceptance of this proposal by the buyer shall be acceptance of all terms and conditions recited herein, which shall supersede any conflicting terms in any other proposal. Any of the buyer's terms and conditions in addition or different to this proposal are objected to and shall have no effect. Buyer's agreement herewith shall be evidence by buyer's signature hereon or by permitting seller to commence work for the proposed project. 13) Due to market conditions all materials are subject to price increase at any time unless this quote expressly states that pricing for any item is firm or fixed. If you have any questions, please call me at (303) 777-2318. Thank you for the opportunity to quote this work. Sincerely, Cody Carr Jr HVAC/R Service Manager Vandre Electric & Refrigeration �� j , � —7 Accepted: _�(\ �k ��' Date: v t.4"1 )� 1 Autho it zed Agent for: Carl Maes 64378 Page 2 of 2 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" July 26, 2017 Carl Maes 3655 Holland Court Wheatridge, CO 80033 Attention: Carl Maes Phone: 303-241-3326 Email: Nnoll@hollandpartnergroup.com Quote Number: R-64378 Project Location: Carl Maes 3655 Holland Court Wheatridge, CO 80033 Scope of Work: See Below. Quote Amount: $20,305.43 See Terms & Conditions We would like to "thank you" for choosing Vandre Electric & Refrigeration Company to service your needs. We specialize in Commercial/Industrial Electrical, Refrigeration, Heating, Air Conditioning, and Ventilating Service and Installation. We are committed to providing you with the highest level of customer satisfaction possible. We propose the following work for the above captioned project location: 1) Supply all necessary permits and inspection's. 2) Set the new furnace in the existing mechanical room onve the boiler is removed. 3) Supply and install (1) Carrier 59SC2C100S21 90% gas furnace. 4) Set the furnace on a return air filter box. 5) Supply and install (1) Carrier 24ACC648A003 R410A condenser. 6) Supply and install (2) Carrier CNPHP4821ALA evaporative coil. 7) Supply and install 40' of 20X8 supply air ducting in the attic. 8) Supply and install 25' of 20X8 return air ducting in the crawl space. 9) Supply and install up to 16 supply air runs. 10) Supply and install (5) return air grills. 11) Run new 3" PVC flue for the high efficient furnace. 12) Supply and install (1) Honeywell Pro 8000 thermostat. 13) Supply and install (4) exhaust fans 14) Pressure test, evacuate and charge the system. 15) Perform a proper start up on the unit. Terms and conditions of this quote: 1) This proposal excludes the following: A) Any work not specifically listed above. B) Load calculations, gas piping, condensate pump, engineering, and blue prints. C) Repair of any refrigerant leaks. D) Any repairs to existing deficiencies not listed above. E) Any additional work and/or materials generated by a change in the scope of work. All additional work shall be billed on a Time and Material basis unless arrangements are made to quote the additional work. F) Any additional work in case of hazardous material testing, abatement and/or removal. G) Any mechanical, gas, electrical service upgrades, new circuitry or changes not listed above. H) Any additional work generated by the building department or its inspectors. I) Any fee incurred or additional work generated by Xcel Company of Co. J) Any certified wages, registration fees, bond fees or city fees. K) Any refinishing repairs (drywall patching, painting, etc.). 64378 Page 1 of 3 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" L) Any roofing repairs curb caps or sealing of any penetration point's walls, roof, or foundation. Customer is responsible for contracting a roofing company. M) Any core drilling. N) Any hazardous materials testing, abatement or removal. O) Any overtime or weekend work resulting from delays by other contractor 2) This proposal may be invalid if not accepted within 10 days. 3) All work shall be performed during normal business hours (M -F 8 A.M to 4 P.M.). 4) Nothing in this agreement shall require Seller (Vandre Electric and Refrigeration) to continue performance if timely payments are not made for suitably performed work or stored material. The Buyer(Carl Maes) is to prepare all work areas so as to be acceptable for Seller under contract. Seller will start work when sufficient areas are ready to insure continued work. 5) Additional equipment, labor or location changes toward this proposal will result in a change order and will be billed in addition to this quote on a time and material basis. 6) This proposal is in accordance with seller's understanding of the requirements of this project from information received from the buyer, or its agent, and if written plans and specifications are furnished, the seller's interpretation of them. The seller assumes no responsibility as to the accuracy or suitability of such plans and specifications. It is further understood and agreed that this proposal and contract does not include any labor or materials not specifically mentioned. Unless otherwise provided in the plans and specifications, the seller shall have the right to select all materials. When specified materials are unavailable, the seller shall have the right to substitute materials of equal or better quality. 7) Nothing in this agreement shall serve to void Seller's right to file a lien or claim on its behalf in the event that any payment is not timely made. 8) No work shall commence until Vandre Electric and Refrigeration Co. has received a signed copy of this quote. 9) Payment terms: 50% down final due upon completion. 10) All sums not paid when due shall bear interest at the rate of 2% per month (24% per annum) or the maximum legal rate permitted by law, whichever is less. The buyer shall pay all costs of collections, including reasonable attorney fees. 11) All workmanship is guaranteed against defect for a period of thirty days from the date of installation. This warranty is in lieu of all other warranties, expressed or implied. The exclusive remedy shall be that the seller will repair or replace any part of its work, which is found to be defective. Seller will not be responsible for damage to its work by other parties or for improper use of equipment by others. 12) Acceptance of this proposal by the buyer shall be acceptance of all terms and conditions recited herein, which shall supersede any conflicting terms in any other proposal. Any of the buyer's terms and conditions in addition or different to this proposal are objected to and shall have no effect. Buyer's agreement herewith shall be evidence by buyer's signature hereon or by permitting seller to commence work for the proposed project. 13) Due to market conditions all materials are subject to price increase at any time unless this quote expressly states that pricing for any item is firm or fixed. If you have any questions, please call me at (303) 777-2318. Thank you for the opportunity to quote this work. Sincerely, Cody Carr Jr HVAC/R Service Manager Vandre Electric & Refrigeration Accepted: _ �-NNA 1Date: Authorized Agent for: Carl Maes 64378 Page 2 of 3 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 64378 Pare 3 of') Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 1276 S. Bannock Street • Denver, Colorado 80223 • Phone: 303-777-2318 • Fax: 303-777-4483 July 25, 2017 Carl Maes 3655 Holland Court Wheat Ridge CO 80033 Attention: Carl Phone: Email: ccmaes@comcast.net Quote Number: E-84752 Project Location: Maes Residence 3655 Holland Court Wheat Ridge CO 80033 Scope of Work: Electrical service upgrade and three interior panel consolidation Quote Amount: 4,975.00 See Terms & Conditions Vandre Electric and Refrigeration Company proposes the following work for the above captioned project location: 1. Provide the electrical permit and complete all necessary inspections. 2. Remove one (1) exterior 100 -amp meter housing. 3. Remove one (1) 70 -amp interior disconnect. 4. Remove three (3) interior breaker panels. 5. Supply and install one (1) 200 -amp exterior meter and panel combo to the exterior of the house. 6. Supply and install one (1) new 2" riser and 2ot wiring thru the soffit and above the roof line. 7. Supply and install seven (7) arc fault breakers to feed the existing 120 -volt branch circuits. 8. Supply and install standard breakers for the range and dryer. 9. Supply and install two (2) ground rods and #6 wire to connect to the new service panel. 10. Supply and install one (1) cold water bond with #4 wire and two water pipe clamps to bypass the existing shut off valve. 11. Supply and install one (1) intersystem bonding connector for the low volt wiring ground. 12. Supply and install one (1) splice box in the crawl space to splice the existing circuitry. 13. Supply and install new wiring from the exterior panel to the crawl space splice box. 14. Supply and install one (1) splice box in the attic to splice the existing circuitry. 15. Supply and install new wiring from the exterior panel to the attic splice box. 16. Label all the newly relocated circuits in the main panel. Note; The drywall behind the new exterior panel will need to be removed by others for the delivery of the newly replaced circuitry to access the interior wall for the attic and crawl space. The drywall where the existing electrical panels are currently will need to be removed by others for access for the re -wiring. Terms and conditions of this quote: 1) This proposal excludes the following: A) Any work not specifically listed above. B) Any repairs to existing deficiencies not listed above. C) Any smoke detectors. D) Any additional work and/or materials generated by a change in the scope of work. All additional work shall be billed on a Time and Material basis unless arrangements are made to quote the additional work with an Electrical Supervisor. Continued to next page: Page 1 of 2 Vandre Electric & Refrigeration Co. "Serving the Denver Metro Area Since 1953" 1276 S. Bannock Street • Denver, Colorado 80223 • Phone: 303-777-2318 • Fax: 303-777-4483 Quote# E-84752 Continued E) Any additional work and/or upgrades generated by the building department, and/or their representatives. F) Any additional work in case of hazardous material testing, abatement and/or removal. G) Engineered drawings. 2) This quote is based on the existing circuitry being in a useable and stable condition. 3) This proposal may be invalid if not accepted within 10 days. 4) All work shall be performed during normal business hours (Monday through Friday 7 A.M to 5 P.M.). 5) Nothing in this agreement shall require Seller (Vandre Electric and Refrigeration) to continue performance if timely payments are not made for suitably performed work or stored material. The Buyer (Carl Maes) is to prepare all work areas so as to be acceptable for Seller under contract. Seller will start work when sufficient areas are ready to insure continued work. 6) This proposal is in accordance with seller's understanding of the requirements of this project from information received from the buyer, or its agent, and if written plans and specifications are furnished, the seller's interpretation of them. 7) The seller assumes no responsibility as to the accuracy or suitability of such plans and specifications. It is further understood and agreed that this proposal and contract does not include any labor or materials not specifically mentioned. Unless otherwise provided in the plans and specifications, the seller shall have the right to select all materials. When specified materials are unavailable, the seller shall have the right to substitute materials of equal or better quality. 8) Nothing in this agreement shall serve to void Seller's right to file a lien or claim on its behalf in the event that any payment is not timely made. 9) No work shall commence until Vandre Electric has received a signed copy of this quote. 10) Payment, 50% down and final due upon completion with approved credit, and or card on file. 11) All sums not paid when due shall bear interest at the rate of 2% per month (24% per annum) or the maximum legal rate permitted by law, whichever is less. The buyer shall pay all costs of collections, including reasonable attorney fees. 12) All workmanship is guaranteed against defect for a period of thirty days from the date of installation. This warranty is in lieu of all other warranties, expressed or implied. The exclusive remedy shall be that the seller will repair or replace any part of its work, which is found to be defective. Seller will not be responsible for damage to its work by other parties or for improper use of equipment by others. 13) Acceptance of this proposal by the buyer shall be acceptance of all terms and conditions recited herein, which shall supersede any conflicting terms in any other proposal. Any of the buyer's terms and conditions in addition or different to this proposal are objected to and shall have no effect. Buyer's agreement herewith shall be evidence by buyer's signature hereon or by permitting seller to commence work for the proposed project. 14) Due to market conditions all materials are subject to price increase at any time unless this quote expressly states that pricing for any item is firm or fixed. If you have any questions, please call me at (303) 777-2318. Thank you for the opportunity to quote this work. Sincerely, Corky Baverstock Co-Owner/Sales Manager0 \n / � t Accepted: `l V �C� Date: / 7 /V— Authorized � Authorized Agent for Carl Maes/3655 Holland Court Wheat Ridge CO 80033 Page 2 of 2 Kevin Schleicher Natural Stone Designs 8706 Aberdeen Cir Highlands Ranch, COLORADO 80130 Mobile 303-882-1002 natstonedesigns@gmail.com Maes Project July 20, 2017 imp a aFP, Project Customer Maes Project Carl & Celina Maes Mobile 303-618-4826 3655 Holland Court ccmaes@comcast.net Wheat Ridge, COLORADO 80033 Description Quantity cost Demolition of bathrooms, kitchen, floors 1 Ea 6,500.00 Includes walls, floor, cabinets, plumbing, and electrical. Dumpster rental 1 Ea 1,000.00 Installation i Hall Bathroom 7,041.00 Install 1/2" fiberock 80 SF 280.00 Install and fabricate countertops 1 Ea 650.00 Install decorative band 1 Ea 100.00 Install floor the 39 SF 273.00 Install kitchen cabinets 23 Ea 2,300.00 Install mirrors, towel bars, toilet paper holder 1 Ea 300.00 Install new light fixture 1 Ea 150.00 Install new plumbing valves for shower. Install toilet and hook up sink and tub 1 Ea 1,650.00 Install shower niche 1 Ea 150.00 Install subfloor 39 SF 78.00 Install vanity 1 Ea 150.00 Install wall tile 80 SF 800.00 Waterproof shower walls 80 SF 160.00 Small Bathroom 4,732.50 Install 1/2" fiberock 73 SF 255.50 Install and fabricate countertops 1 Ea 400.00 Install decorative band 1 Ea 100.00 Install floor tile 16 SF 112.00 Install mirrors, towel bars, toilet paper holder 1 Ea 300.00 Install new light fixture 1 Ea 150.00 Install new plumbing valves for shower, hook up sink and toilet 1 Ea 1,650.00 Moving water and drain lines Natural Stone Designs 1 Maes Project July 20, 2017 Deorr¢tior# Quantity Cost Small Bathroom Install shower niche 1 Ea 150.00 Install shower pan 10 SF 500.00 Poured concrete pan Install subfloor 16 SF 64.00 Install vanity 1 Ea 75.00 Install wall tile 73 SF 730.00 Tile shower pan and curb 10 SF 100.00 Waterproof shower walls 73 SF 146.00 Main Floor 20,868.00 Install baseboards 274 LF 822.00 Install new doors 11 Ea 2,750.00 Install pre -finished wood floor 1,449 SF 5,796.00 Painting walls, ceiling, and trim. 1 Ea 9,000.00 Includes materials for painting Rework closets 2 Ea 2,500.00 Project Total 40,141.50 This is an estimate, all estimates are subject to change. Any unforeseen issues or changes by client may adjust cost. Jobs of $5000 or more require a 50% deposit on start date. Balance is due when 100% satisfaction is achieved. We appreciate your business and look forward to working with you. Approved By: Date: 7/20/17 Contractor / � Date: 2,416)(7 Customer Natural Stone Designs 2 CHAMPION Champion Window Company of Denver, LLC 10000 E. 45th Avenue • Denver, CO 80238 303-375-0745 0 F 303-375-1065 .0" PATIO DOOR CONTRACI TO CPR6,,.. Mb GetChamplon.com E -Mail CC MK -S e C,0MCAK T • W I Address 4claw D C t Home Phone Cell/Other 303 (o) $ 4 2 City ? State C: C) Zip 9 0036 Factory Rep Estimate Date 1 CHAMPION WINDOW COMPANY OF DENVER, LLC (CHAMPION) AGREES TO MEASURE, MANUFACTURE OR FURNISH AND INSTALL THE FOLLOWING CUSTOM MADE DOOR FEATURING COMFORT 365 GLASS FOR THE AMOUNT STIPULATED BELOW: PATIO DOOR COLOR hite ❑ Tan (if choosing ColorBon option for exterior, you must still select an interior color) HARDWARE PTION (Multipoint locking system standard): VVhite ❑ Tan ❑ Satin Nickel ❑ Bright Brass ❑ Antique Brass ❑ Aged Bronze ❑ Yes WNo ColorBond® OPTION: (exterior only) ❑ White ❑ Tan ❑ Adobe ❑ Bronze ❑ Pebble ❑ Colonial Blue ❑ Yes UW4o TimberBond® OPTION: (interior only) ❑ Dark Oak ❑ English Oak ❑ Cherrywood TRIM COIL COLOR: Threshold Color: Your patio door will be built with the threshold and screen track color as follows: WHITE for white patio doors, TAN for tan patio doors, CHOCOLATE for adobe and bronze patio doors and CLAY for Pebble, Colonial Blue and all special -order ColorBond patio doors SLIDING PATIO DOOR - Standard sizes HE T NOMINAL WIDTH (actual size is smaller) 'qr9.5" ❑5'=2.5'+2.5' ❑6'=3'+3' ❑8'=4'+4' ❑9'=T+3'+3' 1.5" ❑5'=2.5'+2.5'6'=3'+3' YES NO OPTIONS ❑ T= T+ 4' ❑ CUSTOM Approx ❑12'=4'+4'+4' ❑ 9'= T+ T+ 3' ❑ CUSTOM Approx a ❑ Grid Styles: ❑ RECTANGLE ❑ CONTOUR (Not available in ColorBonde) ❑ COLONIAL ❑ PRAIRIE ❑ OPEN PRAIRIE ❑ CUSTOM ❑ U Transom QTY: ❑ SIDE LITE ❑ RIGHT ❑ LEFT � ❑ INTERNAL BLINDS (51, 61, & 9' Doors only - Internal mini blinds will be white in color) PATIO DOORS WITH INTERNAL BLINDS WILL NOT HAVE COMFORT 36511/131 GLASS YES NJ OPTIONS PET DOOR OPENING SIZE LlIN SCREEN PET DOOR LJSmall 5.5 x 7.5 ❑ Large 11 x 16 ❑ Extra Large 14 x 19.5 LlIN GLASS PET DOOR ❑ Small Medium 6.5 x 9.5 ❑ Tall Large 11 x 19.5 ❑ Extra Large Plus 14 x 23.5 ❑ Medium 8.5 x 12.5 ❑ Tall Large Plus 11 x 23.5 ❑ Giant 15.5 x 27.5 ❑ Tall Medium 8.5 x 16 ❑ Extra Tall Large 11 x 27.5 Dog doors feature extruded aluminum frames with two flexible PVC vinyl flaps and impact resistant GE LEXAN® security cover. Dog doors will be placed under the handle of the operating door & cannot have blinds. Dog doors in both the door & screen are not compatible with each other. Unless otherwise stated, customer is responsible for removing and replacing all door coverings, moving furniture, disconnecting and reconnecting alarm systems & sensors, and touching up paint or stain as needed. Cha ion shall determine whether any trim replacement is necessary at measure. Customer is responsible for any paint or stain on new trim pieces. ustomer agrees to allow Champion to display HOA Approval Needed O YE NO Buyer shall obtain all h61t I o e�atfe . [et �kx a yard sign unti30 days after completion. necessary approvals, and authorizatio s from HOA or local authorities. bYo lt$ALI'sra rheIrt#p�f M 5� X BUYER'S INITIALS X BUYER'S INITIALS yt, TWO YEARS FREE IN HOME SERVICE. There is a standard $99 service -trip charge (which may be changed based on inflation and distance) after two years following installation. . i Total Investment BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO Down Payment (Method 22- ) $ / D THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY Balance $ AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND Substantial Payment $ ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO FINAL Balance Due upon completed installation $ THE SELLER AT THE ADDRESS SHOWN ABOVE. 6-+"-,4_ �1.<__'k-- Dl- 4 ,) C-2_1 r -r r..r, rrh.,, ,,. rrr,�r„ o SLIDING PATIO DOOR - Standard sizes HE1QHT NOMINAL WIDTH (actual size is smaller) 9.5" ❑5'=2.5'+2.5' ❑6'=3'+3' `l� 81.51 ❑8'=4'+4' ❑5'=2.5'+2.5' OPTIONS ❑9'=3'+3'+3' V6'= T+ 3' ❑ T= T+ 4' ❑ CUSTOM Approx X ❑12'=4'+4'+4' X = ACTIVE 0 = FIXED (ISLO) ❑ 9'= T+ T+ 3' ❑ CUSTOM Approx Grid Styles: ❑ RECTANGLE ❑ CONTOUR (Not available in ColorBondo) ❑ COLONIAL ❑ PRAIRIE Transom QTY: SIDE LITE ❑ RIGHT ❑ LEFT INTERNAL BLINDS (51, 61, & 9' Doors only - Internal mini blinds will be white in color) PATIO DOORS WITH INTERNAL BLINDS WILL NOT HAVE COMFORT 365®/G1 GLASS ❑ OPEN PRAIRIE ❑ CUSTOM YES N OPTIONS PET DOOR OPENING SIZE ❑ IN SCREEN PET DOOR ❑ Small 5.5 x 7.5 LlLarge 11 x 16 L1Extra Large 14 x 19.5 ElIN GLASS PET DOOR ❑ Small Medium 6.5 x 9.5 ❑ Tall Large 11 x 19.5 ❑ Extra Large Plus 14 x 23.5 ❑ Medium 8.5 x 12.5 ❑ Tall Large Plus 11 x 23.5 ❑ Giant 15.5 x 27.5 ❑ Tall Medium 8.5 x 16 ❑ Extra Tall Large 11 x 27.5 Dog doors feature extruded aluminum frames with two flexible PUC vinyl flaps and impact resistant GE LEXAN® security cover. Dog doors will be placed under the handle of the operating door & cannot have blinds. Dog doors in both the door & screen are not compatible with each other. . Unless otherwise stated, customer is responsible for removing and replacing all door coverings, moving furniture, disconnecting and reconnecting alarm systems & sensors, and touching up paint or stain as needed. Champion shall determine whether any trim replacement is necessary at measure. Customer is responsible for any paint or stain on new trim pieces. ustomer agrees to allow Champion to display HOA Approval Needed ❑ YEVNO Buyer shall obtain all y as 19 u s I v rxrc�wl w�lolyl qx who +w 4 # #nom, w a yard sign unti30 days after completion. necessary, approvals, and authorizatio s from HOA or local authorities. X BUYER'S INITIALS X BUYER'S INITIALS TWO YEARS FREE IN.HOME SERVICE. There is a standard $99 service -trip charge (which may be changed based on inflation and distance) after two years following installation. 9— W BUYER'S RIGHT TO CANCEL Total Investment $ .9- - I s...r�,f BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO Down Payment (Methodi( Z 571 ) $ I y THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY Balance $ ' AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND Substantial Payment $ ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO FINAL Balance Due upon completed installation $ THE SELLER AT THE ADDRESS SHOWN ABOVE. Method: 405nahce Plan # 2 111 ❑ Cash, Check or Charge All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Customer agrees that Champion may terminate or rescind this contract, in whole or in part, with the return of any payments collected up to the start of installation. Champion shall not be held responsible for time and materia delays, strikes, acts of God or any other matters beyond its control. Champion shall not be liable for any pre-existing conditions or damages, or hidden site conditions that arE discovered during installation. Owner agrees that the equity in this property is security for this contract. This contract calls for custom made to order goods. Customer may cancel this contract at any time following the three (3) day right of rescission period, subject to the customer's agreement and obligation to pay a cancellation fee Champion will charge and Customer will pay five (5) percent of the total contract price (up to $1,000) as a cancellation fee if the Customer cancels prior to the project Re -Measure Day. Customer will pay thirty (30) percent of the total contract price if the Customer cancels after the project Re -Measure Day but prior to the installatior start date. Once installation of the project begins, the full contract price shall be due and payable and any such amounts paid shall be nonrefundable. Re -Measure Dal is the date on which a Champion technician performs all final project measurements. In the event of default payment causing Champion to place this matter in the hands a an attorney for collection, buyer agrees to pay all costs of collection, including a reasonable attorney's fee. Start installation approximately _weeks from contract dat( or the date on which Champion obtains all HOA permissions, permits, final change orders, and other contingencies necessary to complete the project. Verbal promises can cause misunderstandings, therefore this contract and the accompanying limited warranty constitutes the entire understanding of the parties. No other understanding, collateral, verba or otherwise, shall be binding. Champion to remove and haul away all job related debris. All sales and discounts allotted. All charges included above. Form #: CW23-0116-DE © Champion®, 2016 Champion Window Company of Denver, LLC WINDOW CONTRACT CHAMPION0000 E. 45th Avenue • DenverCO80238 303-375-0745 - 0 F303-375-1065 nA �� GetChampion.com a D CARL4M t !! ,�, `` E -Mail C IL'I 1.P E S I`R C0M �S l 1+,,j4 -^� '. ,ddress to hQLLX-t �1� Home Phone _` (01j&_6-5 _6 Cell/Other' '.ity 2 State Zip 19 00J� factory Rep CMNC Estimate Date— C1111461131011111 ateCHA PION WINDOW COMPANY OF DENVER, LLC (CHAMPION) AGREES TO MEASURE, MANUFACTURE OR FURNISH AND INSTALL THE FOLLOWING CUSTOM MADE PRODUCTS FOR THE AMOUNT STIPULATED BELOW: STANDARD INSULATED GLASS UNITS ARE ARGON FILLED IN A FOAM ENHANCED FRAME. WITH FUSION WELDED CORNERS WINDOW DOLOR ❑ Yes o ColorBondO (exterior only) O Tan LIWhite ❑ Adobe ❑ Bronze LlPebble ❑ Colonial Blue RITE LiYes I o TimberBond® (interior only) O Cherrywood ❑English Oak ❑ Dark Oak Location: ❑ All Windows ❑ Specified Location ❑ TAN 11jecirinfort 365® glass Qty: ❑ Glass Option 1 Qty: ❑ Glass Option 2 Oty: QUANTITY - QUANTITY _ QUANTITY, vm+otn WI WITHOUT W" wmiour wrrR GRIDS GRIDS GRIDS GRIDS - GRIDS GRIDS DOUBLE HUNG ❑ Half Screen Qty CASEMENT MLeft Hand: Qty: t GARDEN WINDOW WITH CASEMENT END -VENTS LI Full Screen Qty: Elm Right Hand: Qty: Head and seat boards have a water resistant laminate finish color -matched to window I ❑ Single Egress Qty: (TWO FULL SCREENS) Gt Glass Only 2 LITE SLIDER DOUBLE CASEMENT BAY WINDOW EEI 111� El Half Screen City: Single Operator: Qty: ❑ Casement (Full screens) LI Full Screen Qty: Double Operator: Qty: El Double Hung (Har sc Bans) LISingle Egress Qty: �~ Offset Casement Egress: Oty:_ Yes No Box options: ❑ ❑ Unfinished Wood' ❑ ❑ Laminated: ❑ White ❑ Tan ORIEL (DBL HUNG) Top 315 Bottom 2/5 ❑ Non Std: MULTI -LITE ❑ 3 Lite ❑ 4 Lite ❑ 5 Lite ❑Half Screen Qty: ❑ ADD'L Operator Qty: The width of center picture window will vary based on P rY Less than 72" equal lites overall width of the bay window. ❑ Full Screen Qty: 72" to 90" end vents are 18" in width 3 LITE SLIDER 91" to 114" end vents are 22" in width End vents are standard; Screens are provided with BOW WINDOW ❑ Std 25/50/25: operators only ❑Casement (Full screens) Vic- a ' AWNING (FULL SCREEN) ❑ Non Std: T o Double Hung (Hall scmens) PICTURE WINDOW (NO SCREEN) Yes No Box options: ❑ ❑ Unfinished Wood' HOPPER TILT BASEMENT '' amu.. - WINDOW (FULL SCREEN) ❑ ❑ Laminated: ❑ White ❑ Tan KITES SHAPED WINDOWS (NOT FOAM ENHANCED) (CONTOUR GRIDS UNAVAILABLE) ❑ HALF ROUND ❑ EYEBROW ❑ TRAP ❑ OTHER (Draw In Space) � P�. bQty:- #OPERATORS 2 end vents are standard; Screens are rovided with '.:. /Qty: Qty. operators onlypQty: Glass Block Windows Location: Color: Total Number of Windows on Order ❑ Diamond ❑ Wavy ❑ Ice ❑ Vent Qty: ❑ Dryer Vent Qty: *Customer is responsible for paint or stain of all unfinished wood. Grids: ❑ Rectangle ❑ Colonial❑biamondI L3Contour* LJ PrairieI❑ Open Prairie y_ OCustom The undersigned understands that windows of certain styles and/ or larger than the maximum size tested may not be AAMA and/or '(Not available in TimberBond NFRC certified. Ask your factory representative for details. and Coloreond) Exterior PVC Coij Tempered Glass Ves ❑ No Obscure Glass ❑ Yes 24 Rain Glass ❑ Yes ❑ No HOA Approval Needed ❑ YES Buyer shall obtain all necessary Trim Color: �� mpitto j� 4 Location: Location: " poM 5 � j approvals, and authorizations from HOA local authorities. X BUYER'S INITIALS TWO YEARS FREE IN HOME SERVICE. There is a standard L�9.0t stomer agrees to allow Champion to display a yard sign until Was home built prior to 1978? 6RS El NO The undersigned agrees to the "Lead "Lead $99 service -trip charge (which may vary based on inflation 30 days after completion terms and conditions of the Champion Safe work Practices"and 1978. and distance) after two years following installation. X BUYER'S INITIALS Acknowledgment" if documentab'on dem trat he home was built prior to X_BUYER'S INITIALS Unless otherwise stated, customer is responsible for removing & replacing all window coverings, moving furniture, disconnecting & reconnecting alarm systems & sensors, and touching up paint or stain as needed. )THER: , i o ct ACL ij V v 1 BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, BUYER MAY USE THIS CONTRACT ASTHAT NOTICE BY WRITING "I HEREBY CANCEL AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. 'VOH..2j e. Total Investment $ / Down Payment (Method - - ) $ f Balance $ — j gq--J Substantial Payment $ CC FINAL Balance Due upon completed installation $ Cl { ` "!__,S' j K A..aM ....J. i]/C:�,,..,.,. 01—� n r�l, rl,o..0 .,r rl,—„o )THER: , I Q C.e. , (:t• t,1 K BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. ip&kv 4 - kow e Total Investment $ d (0Zb Down Payment (Method $ Balance $� Substantial Payment $ FINAL Balance Due upon completed installation $ Method: E <1t ance Plan #�" 1 ❑ Cash, Check or Charge II material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Customer agrees that Champion may terminate r rescind this contract, in whole or in part, with the return of any payments collected up to the start of installation. Champion shall not be held responsible for time and material elays, strikes, acts of God or any other matters beyond its control. Champion shall not be liable for any pre-existing conditions or damages, or hidden site conditions that are iscovered during installation. Owner agrees that the equity in this property is security for this contract. This contract calls for custom made to order goods. Customer may ancel this contract at any time following the three (3) day right of rescission period, subject to the customer's agreement and obligation to pay a cancellation fee. hampion will charge and Customer will pay five (5) percent of the total contract price (up to $1,000) as a cancellation fee if the Customer cancels prior to the project e -Measure Day. Customer will pay thirty (30) percent of the total contract price if the Customer cancels after the project Re -Measure Day but prior to the installation tart date. Once installation of the project begins, the full contract price shall be due and payable and any such amounts paid shall be nonrefundable. Re -Measure Day' the date on which a Champion technician performs all final project measurements. In the event of default payment causing Champion to pla a this matter in the hands of i attorney for collection, buyer agrees to pay all costs of collection, including a reasonable attorney's fee. Start installation approximately ': weeks from contract date the date on which Champion obtains all HOA permissions, permits, final change orders, and other contingencies necessary to complete.the project. Verbal promises can cause iisunderstandings, therefore this contract and the accompanying limited warranty constitutes the entire understanding of the parties. No other understanding, collateral, verbal otherwise, shall be binding. Champion to remove and haul away all job related debris. All sales and discounts allotted. All charges included above. xm #: CW04-0116-DE © Champion, 2016 UUUtiLt HUNU - ❑ Half Screen Qty (:AStMtN I Left Hand: Qty: UHHUCIV VVUVUUVV VVI I H CASEMENT END -VENTS El Full Screen Qty. Right Hand: Qty: Head and seat boards have a water resistant laminate finish color -matched to window ❑ Single Egress Qty: (TWO FULL SCREENS) G1 Glass Only 2 LITE SLIDER DOUBLE CASEMENT BAY WINDOW ❑ Half Screen Qty: Single Operator: Qty; ❑ Casement sonans) no EJ Full Screen Qty: Double Operator: Qty: ❑Double Hung (xaHscreens) ng ❑ Single Egress Qty: Offset Casement Egress: Oty:_ Yes No Box options: ❑ ❑ Laminated wood` ORIEL (DBL HUNG) Top 31s Bottom ys MULTI -LITE ❑ Non Std: ,: r ❑ 3 Lite ❑ 4 Lite ❑ 5 Lite ❑ ❑ Laminated: ❑ White Ll Tan ❑ Half Screen Qty: ❑ ADD'L Operator Qty: The width of center picture window will vary based on El Full Screen Qty: Less than 72" equal lites 72" to 90" end vents are 18" in width overall width of the bay window. 3 LITE SLIDER 91" to 114end vents are 22" in width End vents are standard; Screens are provided with operators only BOW WINDOW El 25/50/25: ❑ Casement (Full screens) ❑ Non Std: AWNING - (FULL SCREEN) i ❑ Double Hung (Hav Screens) 'k PICTURE WINDOW X (NO SCREEN) Yes No Box options: HOPPER TILT BASEMENT WINDOW (FULL SCREEN) ❑ C1Unfni Unfinished Wood* ❑ ❑ Laminated: O White ❑ Tan SHAPED WINDOWS (NOT FOAM ENHANCED) (CONTOUR GRIDS UNAVAILABLE) ❑ HALF ROUND ❑ EYEBROW ❑ TRAP ❑ OTHER #LITES (Draw In Space) r. DhQty:- h #OPERATORS _ 2 end vents are standard; Screens are with ..'. - - Qty: Qty: Qty: provided operators only Glass Block Windows Location: Color: Total Number of Windows on Order ❑ Diamond ❑ Wavy ❑ Ice ❑ Vent Qty: ❑ Dryer Vent Qty: *Customer is responsible for paint or stain of all unfinished wood. Grids: ❑ Rectangle ❑ ColonialLlDiamond Ll Contour" LlPrairie LJ Open Prairie , ,_ Ll Custom The undersigned understands that windows of certain styles and/s a larger than the maximum size tested may not be HAMA and/or `(Not available in TimberBond and ColorBond) NFRC certified. Ask your factory representative for details. ExteriorPVCCoii Tempered Glass es ❑ No Obscure Glass ❑ Yes o Rain Glass LI Yes ❑ No HOA Approval Needed Ll YES Buyer shall obtain all necessary Trim Color. t •,� 0,.%to Ira 1� Location: Location: 6 �A � approvals, and authorizations from HOA local authorities. oom 5 I AJ X BUYER'S INITIALS TWO YEARS FREE IN HOME SERVICE. There is a standard N.Wstomer agrees to allow Champion to display a yard sign until Was home built prior to 1978? G,M ❑ NO The undersigned agrees to the "Lead $99 service -trip charge (which may vary based on inflation 30 days after completion terms and conditions of the Champion "Lead Safe Work Practices" and and distance) after two years following installation. Acknowledgment" if documentation dem It at a home was built prior to 1978. !WK X BUYER'S INITIALS X INITIALS Unless otherwise stated, customer is responsible for removing & replacing all window coverings, moving furniture, disconnecting & reconnecting alarm systems & sensors, and touching up paint or stain as needed. )THER: , I Q C.e. , (:t• t,1 K BUYER'S RIGHT TO CANCEL BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE ADDRESS SHOWN ABOVE. ip&kv 4 - kow e Total Investment $ d (0Zb Down Payment (Method $ Balance $� Substantial Payment $ FINAL Balance Due upon completed installation $ Method: E <1t ance Plan #�" 1 ❑ Cash, Check or Charge II material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Customer agrees that Champion may terminate r rescind this contract, in whole or in part, with the return of any payments collected up to the start of installation. Champion shall not be held responsible for time and material elays, strikes, acts of God or any other matters beyond its control. Champion shall not be liable for any pre-existing conditions or damages, or hidden site conditions that are iscovered during installation. Owner agrees that the equity in this property is security for this contract. This contract calls for custom made to order goods. Customer may ancel this contract at any time following the three (3) day right of rescission period, subject to the customer's agreement and obligation to pay a cancellation fee. hampion will charge and Customer will pay five (5) percent of the total contract price (up to $1,000) as a cancellation fee if the Customer cancels prior to the project e -Measure Day. Customer will pay thirty (30) percent of the total contract price if the Customer cancels after the project Re -Measure Day but prior to the installation tart date. Once installation of the project begins, the full contract price shall be due and payable and any such amounts paid shall be nonrefundable. Re -Measure Day' the date on which a Champion technician performs all final project measurements. In the event of default payment causing Champion to pla a this matter in the hands of i attorney for collection, buyer agrees to pay all costs of collection, including a reasonable attorney's fee. Start installation approximately ': weeks from contract date the date on which Champion obtains all HOA permissions, permits, final change orders, and other contingencies necessary to complete.the project. Verbal promises can cause iisunderstandings, therefore this contract and the accompanying limited warranty constitutes the entire understanding of the parties. No other understanding, collateral, verbal otherwise, shall be binding. Champion to remove and haul away all job related debris. All sales and discounts allotted. All charges included above. xm #: CW04-0116-DE © Champion, 2016 st cry 2016 1_ i GENERAL INFORMATION as of Dec 31, 2016 PIN/Schedule: 300023389 AIN/Parcel ID: 39-272-10-003 Status: Active Property Type: Residential Property Address: 03655 HOLLAND CT Owner Name(s) WHEAT RIDGE CO 80033 5749 MAES CARL I Mailing Address: 05812 QUEEN ST MAES CELINA P ARVADA CO 80004 Neighborhood: 2406 - BEL AIRE,HILLCREST HEIGHTS, MELROSE MANOR AREA PROPERTY DESCRIPTION Subdivision Name: 838000 - WILLOW LANE flock Lot Key Isection ITownship lRange lQuartersection Land Sgft 0003J I I I 127 13 169 1 19760 Tota I 19760 PROPERTYINVENTORY Property Type RESID Year Built: 1955 Adjusted Year Built: 1955 Design: Ranch Item Quality No. FULL BATH Average 1 3FIX-3/4 BATH Average 1 MAIN FIREPLCE Average 1 MAIN BEDROOM 3 Areas Quality Construction Sqft FIRST FLOOR Average M 1744 COVERED PORCH Average 77 DETACH GARAGE Average F 495 ENCLOSD PORCH Low 438 Adjustment Code Adjustment SgFt HOT WTR HEAT 11744 SALE HISTORY Sale Date Sale Amount Deed Type Reception 06-03-1974 38,000 Other 26310232 01-20-1992 101,000 Warranty Deed 92007017 03-28-1996 0 Letter or Letters F0306894 09-19-1996 134,000 Personal Representative Deed - Joint Tenancy F0306895 05-15-2001 0 lQuit Claim Deed IF1237933 10-30-2002 226,500 lWarranty Deed - Joint Tenancy IF1599994 TAX INFORMATION 2016 Payable 2017 Actual Value Tota 1 296,260 Assessed Value Total 23,583 Mill Levy Information Tax District 3137 County 24.7090 School 45.9410 WEST METRO FIRE PROTECTION - G 12.4210 WESTRIDGE SAN DIST 8.0280 WHEATRIDGE WATER DIST 0.0000 REGIONAL TRANSPORTATION DIST 0.0000 URBAN DRAINAGE&FLOOD CONT DIST 0.5590 URBAN DRAINAGE&FLOOD C SO PLAT 0.0610 WHEAT RIDGE 1.8300 Total 93.5490 BankofAmerica �� PO Box 31785 Tampa, FL 33631-3785 CARL I & CELINA P MAES 5812 QUEEN ST ARVADA CO 80004-4263 Your Home Loan Account Statement date: August 15, 2017 Customer service information Customer service: 800.669.6607 TDD/TTY users only: 800.300.6407 En Espanol: 800.295.0025 R bankofamerica.com Account number 218172749 Payment due date 09/01/17 Total amount due $1,310.35 If payment is received after 09/18/17, $50.24 late fee will be charged.' Bet you've got great ideas. We want to hear them. Join the Bank of America® Advisory Panel. Members of the Bank of America Advisory Panel help us learn what we're doing right and what we need to do better. Go to bankofamerica.com/advisorypanel and enter code CAHL to get started. Account information Property address 3655 HOLLAND CT Loan type 30 Yr Conventional Contractual remaining term 22 Years, 05 Months Principal balance $150,803.27 Escrow balance -$281.30 Interest rate 5.500% Prepayment penalty No Explanation of total amount due Principal $313.81 Interest $691.18 Escrow (taxes and insurance) $305.36 Regular monthly payment $1,310.35 Current period fees and charges $0.00 Total amount due $1,310.35 `Please see the 'Other important information' section of the statement. Past payments breakdown Principal Interest Escrow (taxes and insurance) Paid since last statement Paid year to date' $312.38 $2,902.32 $692.61 $5,587.36 $305.36 $2,354.13 Fees, charges, and advances $0.00 $50.24 Total $1,310.35 $10,894.05 Z J E F F E P S N COUNTY COLORADO REAL PROPERTY NOTICE OF VALUATION THIS IS NOT A TAX BILL *************AUTO**5-DIGIT 80002 300023389 MAES CARL I MAES CELINA P 5812 QUEEN ST ARVADA CO 80004-4263 RON SANDSTROM Assessor 100 Jefferson County Pkwy Golden, CO 80419-2500 303- 271-8600 - Information 303- 271-8616 - Fax Regular Office Hours: Monday through Friday 7:30 AM - 5:30 PM TAX YEAR TAX AREA PIN/SCHEDULE CONTROL # DATE Units 2017 3137 300-00- 3801 39 272-10-003 77 HVAC SYSTEMS HOT WATER PROPERTY ADDRESS LEGAL DESCRIPTION DETACHED GARAGE 3655 HOLLAND CT SECTION 27 TOWNSHIP 03 RANGE 69 1.0 ENCLOSED PORCH SUBDIVISIONCD 838000 SUBDIVISIONNAME WILLOW LANE BLOCK LOT 0003 SIZE: 9760 TRACT VALUE .224 PROPERTY CURRENT YEAR 1744 PRIOR YEAR 1.0 CLASSIFICATION ACTUAL VALUE ACTUAL VALUE CHANGE IN VALUE AS OFJUNE 30, 2016 AS OFJUNE 30, 2014 RESIDENTIAL TOTAL: $368,392.00 $296,260.00 $72,132.00 PROPERTY CHARACTERISTICS ARE SHOWN BELOW Your property was valued as it existed on January 1 st of the current year. Your taxes will be calculated using a percentage of current year actual value. The assessment percentage for residential is 7.96% of the current year actual value. Generally, all other property, including vacant land, is assessed at 29.00'/,o, § 39-1-104(1) and (1. 5), C.R.S. A change in the residential assessment percentage is not grounds for appeal or abatement of taxes, § 39-5-121(1), C.R.S. Real property includes both land and improvements. Improvements are defined as all structures, buildings. fixtures, fences, and water rights erected upon or affixed to land, whether or not title to such land has been acquired, § 39-1-102(7), C.R.S. You may file your protest online at http://co-jefYerson.publicaccessnow.com. The Residential assessment percentage is 7.96'/o and is anticipated to decrease iollewing the :;nd of the legislative session. PLEASE REVIEW THE PROPERTY INVENTORY BELOW (if any), MAKE ANY NECESSARY CORRECTIONS, AND RETURN TO TFIE JEFFERSON COUNTY ASSESSOR'S OFFICE. Total # Buildings: 1 Total # Sections: 1 Inventory below is Building 1, Section 1 Type: SINGLE FAMILY Style: 1 STORY/RANCH Construction Class: BRICK Total Above Grade Square Footage: 1744 Year Built: 1955 Total # Units: 1 Area Description Square Feet Category Tvpe Percent Category Units COVERED PORCH 77 HVAC SYSTEMS HOT WATER 100 3/4 BATH (3 FIXTURE) 1.0 DETACHED GARAGE 495 BASE BATH (1 FULL, KITCHEN & LAUNDR 1.0 ENCLOSED PORCH 438 BEDROOM (ABOVE GRADE) 3.0 FIRST FLOOR 1744 FIREPLACE (ABOVE GRADE) 1.0 Neighborhood sales used to develop residential Current Year Actual Values may be viewed at Website: http://assessor.jeffco.us. APPEAL FORM IIII IIIIIIIIIII II I III II IIIIIIIIIIII II YOU MUST SUBMIT YOUR APPEAL BY JUNE 1, 2017 PIN #: 300023389 OWNER: MAES CARL I PROPERTY CLASS]FICATION: 1212 - 1212 SINGLE FAMILY RESIDENTIAL PROPERTY ADDRESS: 3655 HOLLAND CT APPRAISAL PERIOD: Your property has been valued as it existed on January 1, of the current year, based on sales and other information gathered from the 24 -month period beginning July 1, 2014 and ending June 30, 2016 (the base period). The current year value represents the market value of your property that is an estimate of what it would have sold for on the open market on June 30, 2016. If data is insufficient during the base period, assessors may use data going back in six-month increments from the five-year period ending June 30, 2016. Sales have been adjusted for inflation and deflation when there has been an identifiable trend during the base period, per Colorado Statute. You may file an appeal with the Assessor if you disagree with the current year value or the property classification determined for your property. What is your estimate of the value of your property as of June 30, 2016: $ Reason for filing an appeal: ALL PROPERTY TYPES (Market Approach) The market approach utilizes sales of similar properties from July 1, 2014 through June 30, 2016 (the base period) to develop an estimate of value. Colorado Law requires the assessor to exclusively use the market approach to value residential property. All sales must be adjusted to inflation or deflation to the end of the data -gathering period, June 30, 2016. If you believe that your property has been incorrectly valued, and are aware of sales of similar properties that occurred in your immediate neighborhood during the base period, please list them below. PIN # Property Address Date Sold Sale Price COMMERCIAL PROPERTY (does not include single-family homes, condominiums or apartments) Commercial and industrial properties are valued based on the cost, market and income approaches to value. Using the income approach, the net operating income is capitalized into an indication of value. If your commercial or industrial property was not leased from July 2014 through June 2016, please see the market approach section above. If your property was leased during the data gathering period, please attach an operating statement indicating your income and expense amounts. Also, please attach a rent roll indicating the square footage and rental rate for each tenant occupied space. If known, attach a list of rent comparables for competing properties. You may also submit any appraisals performed in the base period on the subject property, and any other information you wish the Assessor to consider in reviewing your property value. Please provide contact information if an on-site inspection is necessary: Print Name Daytime Telephone ATTESTATION: I, the undersigned owner/agent of this property, state that the information and facts contained herein and on any attachment constitute true and complete statements concerning the described property. I understand that the current year value of my property may increase, decrease, or remain unchanged, depending upon the Assessor's review of all available information pertinent to the property. ❑Owner ❑Agent Signature Date Owner Email Address OWNER AUTHORIZATION OF AGENT: Print Owner Name Owner signature Print Agent Name Agent Signature Date Agent Daytime Telephone Agent Address Agent Email Address If mailed - postmarked no later than June 1, 2017 - send to: Ron Sandstrom, Jefferson County Assessor, 100 Jefferson County Parkway, Golden, CO 80419-2500 RETAIN A COPY OF THE NOTICE OF VALUATION AND YOUR APPEAL FOR YOUR RECORDS a N O W W W ZZ, m `"N AC7Q W F0 � �`) Fw-w LA0 W W V > S. -0 � oF.FUa a a o 0— ,�j z W ro Q W O Z awU-1 u v� go Q�aaGUa0 > Enlotm z O V) O n. C U w F Z w U W W V2 W3 oF. � F W F. F zo U F a � wz F p O U 0 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 ooco00 0000 0000 0000 O 02 O O O O O O O O O O 0 0 0 0 O O O C In O o 0 In 0 0 0 In O C O .n Cl 0 o C� o< o o: o of oCr o o, o: o 0 0: 222 01 O Q, O, O O, Cl, U O 01 Cl O O O In o 0 0 .n o 0 0 .n o 0 Cl In O O O OC) O O O O Cl CQ O Cl O O O O O z A A A A A 0 A A 0000 4 A A A zzzzz z-zz z--zz -zzz a a F H H cGFw 4 A3xF�A OSA OX�AOcGA a a a O O O HF3 cn dmuC)w ¢ m u 0 ¢mud w V U q U a o e e o o e o 0 0 0 0 \ e e o n000In o000 CD 0000 �non � fV M O kA N M (V O M 0 m A F w w A z oz 8 z rc1 a ¢ a a 0 z cGFw 4 A3xF�A OSA OX�AOcGA cn 33H3FIQ-3HF3 HF3 A dmuC)w ¢ m u 0 ¢mud w q i Q � a O O O w F a w ! a O O z U En z m a G1 C7 W � ia� a x c6 a 0 i I A F w w A z oz 8 z 4 S•C•I•E•N-C•E LABORATORY, INC. 12421 W. 49th Avenue, Unit #6 Wheat Ridge, CO 80033 DCM Project No.: CMAES 1 Client Job No.: PD CC Bulk Sample Analysis Page"Z of BULK SAMPLE ANALYSIS PROCEDURES: DCM Science Laboratory, Inc. analyzes bulk asbestos samples following procedures developed by the McCrone Research Institute and in compliance with guidelines established by the Environmental Protection Agency (EPA -600/M4-82-020, 1982 and EPA -600/R-93/116, July, 1993). Bulk samples are prepared for analysis using a 1 OX -80X stereo microscope in a hepa filter hood which provides a contamination -free environment. The sample is then analyzed by polarized light microscopy (PLM) at 100X. When the sample consists of more than one layer, each layer is prepared and analyzed separately. Fiber and matrix materials are identified by the characterization of optical properties including color and pleochroism, form, cleavage, relief, birefringence, extinction, orientation, twinning, interference figure and other distinguishing features. Dispersion staining is also used to further aid in mineral identification. All percentages of asbestos, other fibers and non-fibrous constituents are calculated from the values obtained from analyses using the stereo and PLM microscopes. In-house and NIST standards as well as a chart prepared by R.D. Terry and G.V. Chilinger for "The Journal of Sedimentary Petrology", (Volume 24, pp. 229-234, 1955) provide a guide for estimating percentages. All samples are archived for six months unless other arrangements are made by the client. ACCREDITATION: DCMSL is accredited by NVLAP (since April 1, 1989). Our NVLAP Lab Code is 101258-0. DCMSL complies with NVLAP requirements unless otherwise noted. ENDORSEMENT: The results of this analysis must not be used by the client to claim endorsement by NVLAP or any agency of the U.S. Government. The analysis was performed by: John Silverman, Analyst Ron Schott, Analyst -I.._-1_ k—) Date Jason Barnes, Analyst Ron Schott LIV lSG"J� Laboratory Director NVLAP Lab Code 101258-0 PF"D 111IL1111in I IIIII Foam Enhanced Vinyl Frame Double Glaze * Low -E to Arg'On Gas U -Factor (U.S./I.P.) I 1 0 0 J-9 III Lei 9 rMill k )7i;7ible Transmittance Condensation Resistance Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specift product size, Consult manufacturer's literature for other product performance information. wwwnfrc.com City of Wheat Ridge Building Permit Department Plan Check No: 201706305 September 15, 2017 Page 2 Site: 3655 Holland Court Prepare/ Owner: Carl I Maes 3655 Holland Court Wheat Ridge, CO 80033 303-618-6346 Interior Remodel September 15, 2017 City of Wheat Ridge Building Permit Department Plan Check No: 201706305 Dan Schultz 7500 W 29th Ave. Wheat Ridge, CO 80033 RE: Correction List Plan Review Response Dear City of Wheat Ridge Building Permit Department Plan Check No: 201706305: Please find response to corrections requested, the architectural plan has been revised to correctly reflect the post and wall designs per the Structural plans. Changes to the architectural plan include, electrical service upgrade size and location, GFCI and AFCI locations, fire and carbon monoxide location, windows size and egress listed on window schedule. Plumbing fixture rates per 403 and 408 IPC, Electrical high efficiency fixtures and under cabinet separately switched from other lights, are all noted on the additional plan notes per correction review. r;anarni 2) Structural Plans are unchanged as submitted. 3) Revised architectural plan to coordinate post and wall locations and dimensions per the Engineering Structural Plans. (one post and one short wall to remain) 4) See attached Window Schedule and windows marked on architectural plans as W1 -W10. City of Wheat Ridge Building Permit Department Plan Check No: 201706305 September 15, 2017 Page 3 Construction and Misc. Details 5) Carbon monoxide and Fire alarms shown on revised plan dated 9/15/2017 Install a combo CO and Fire alarm in the hall within 10 feet from all sleeping areas, fire alarms in each bedroom. Electrical (2014 National Electrical Code NE) 6) All luminaries shall be high efficiency as noted on additional plan notes. 7) There will be upper cabinets with lighting under cabinets and will be separately switched from other lights, as noted on additional plan notes. 8) Listed on drawing for 3655 Holland Court -New receptacles at all counters within 24 inches of the face of the kitchen sink and maximum of 48 inches o.c., as noted on additional plan notes All 120 volt, 15 and 20 amp receptacles shall be G.F.C.I. and AFCI protected (NEC sec 210.12.), locations identified in the architectural plan. (NEC sec 210.12.) 9) See Plans for all AFCI protection on all 15 and 20 ampere branch circuits supplying outlets in the dwelling unit, Kitchen, dining, living, parlors, libraries, den bedrooms, sunrooms, recreation rooms, closets hallways and areas per (NEC sec 210.12.), locations identified in the architectural plan 10) Main Electrical Panel upgrade and size locations identified in the architectural plan. Plumbing 11. All new plumbing fixtures flow rates shall comply with sec 403 and 408 IPC. Respectfully Submitted Carl I Maes Owner of 3655 Holland Court. Additional Plan Notes - Per Correction Review - 9/11/2017 Dan Schultz Worksite 3655 Holland Court Wheat Ridge Colorado 80033 construction ana Fisc. uetans 5) Carbon monoxide and Fire alarms will be installled in the following locations. See plans dated 9/15/2017 for locations. Carbon Monoxide alarms shall be installed in the following loacations: Outside each separate dwelling unit sleeping area in the immediate vicinity of the bedroom(s). On every level of a dwelling unit including basements In the utility room Smoke Alarms shall be installed in the following loacations: (IRC R314) In each sleeping room Outside each separate sleeping are in the vicinity of the bedrooms. each sleeping room In the utility room National Electrical 6) All luminaries shall be high effica 7) There will be upper kitchen cabinets with lighting under cabinets and will be separately switched from other lights. 8) New receptacles at all counters within 24 inches of the face of the kitchen sink and maximum of 48 inches o.c. All 120 volt, 15 and 20 amp receptacles shall be G.F.C.I. and AFCI protected.(NEC sec 210.12.) 9) See Plans for all AFCI protection on all 15 and 20 ampere branch circuits supplying outlets in the dwelling unit: Kitchen, dining, living, parlors, libraries, den bedrooms, sunrooms, recreation rooms, closets hallways and areas per (NEC sec 210.12.) 110) Main Electrical Panel upgrade and size - listed on drawing for 3655 Holland Court 200 Amp Service Upgrade 2'x 3" Plumbing 11) All new plumbing fixtures flow rates shall comply with sec 403 and 408 IPC. a. Water Closets - 1.28 gal max b. Kitchen faucets - 1.8 gal max c. Lavetory faucets - 1.5 gal max d. Shower heads - 2.0 gal max Project Description: Project Address: Permit App. Date: Permit Valuation: Type of Use: Occ. Group: No. Stories: Design Professional Applicant Contact: 1RiII'I'>110NALIII:!I DINO KS1If: IYFi ,fIm if,V(1/it, l-ttA�TRI RG .Lia. [4i11:i CORRECTION LIST PLAN REVIEW COMMENTS Interior Residential Remodel, new windows, HVAC, MSP upgrade 3655 Holland Court Plan Check No.: 201706305 8/18/17 Plan Check. Expires: 9/18/18 $86,000 Adjusted Valuation: $0 Residential Type of Const.: VB R3 Fire Sprinklers: No Single Occ. Load: Carl Maes Phone: (303) 618-6346 Same Phone: Same Plan Check Engineer: Dan Schultz Phone: (303) 235-2853 Engineer's Email: dschultz(a7ci.wheatridge.co.us FX 1 stReview: 9/11/2017 ❑ 2nd Review: 3od Review: Italic comments Bold Comments By Appt. The project plans were reviewed for compliance with the following codes and standards: 2012 IRC; 2012 IBC; 2012 IPC; 2012 IEC; 2016 IMC; 2012 International Energy Conservation Code (IECC) The code section references are from the 2012 IRC, unless otherwise stated. • RESPONSE LETTER. To expedite project approval, Please provide a separate written response indicating the sheet number, note number & or detail number where each comment was addressed on the plans. • Cloud and delta all revisions and include in the title block of all pages. • Resubmit all previously reviewed plans, updated plans and supporting documents with each subsequent review. • AFTER 2"d PLAN REVIEW: Please call the plan check engineer listed above to schedule a plan review appointment, to expedite project approval. • For clarification of any plan review comment, please call the plan check engineer listed above. Note: Plan checks expire 180 days from date of submittal. CHAW.,Es ABBOTT ASSOCIATES, INC. 3901Nn:utrx KEN CRiis( GN'r, 3" rI..00R- BPO,Wri('.l.l.), CO NO'1 Tut t, Fut.: (S66) 530-.#980 L'.7vLAIL: WWW.CA UIROI',La:SSION:ALS.CO�T GENERAL Include the following on cover sheet: a. Site address b. Plan preparer's name, address and telephone number. c. Provide property owner's name, address and telephone number on cover sheet. Also provide project description. d. Complete scope of work. Structural drawings, which will be approved for permit issuance, shall be wet stamped and signed by the respective design professional. To be verified prior to permit issuance. �/- Coordinate the architectural plans with the Structural plans. The architectural shows one post and two short walls to remain while structural shows only one post and one short wall to remain. Provide a window schedule of all new windows being replaced. Key all windows on the plans with the window schedule. Windows in the bedrooms shall comply with the minimum egress requirements. In every sleeping room and basement greater than 200 sq. ft. or containing habitable space, provide one openable escape opening meeting all of the following: (IRC R310) A net clear opening area of not less than 5.7 sq. ft. (5.0 sq. ft. escape for grade — floor window). Minimum clear opening height of 24 inches. Minimum clear opening width of 20 inches. The bottom of window opening shall not be more than 44 inches from the floor. Window control opening device shall not reduce the required net clear opening area of the window R 312.2.2. CONSTRUCTION AND MISC DETAILS Provide and show new and existing smoke and carbon monoxide detectors in the following locations: Carbon monoxide alarms shall be installed in the following locations: i. Outside each separate dwelling unit sleeping area in the immediate vicinity of the bedroom(s). ii. On every level of a dwelling unit including basements. Smoke alarms shall be installed in the following locations: (IRC R314) iii. In each sleeping room. iv. Outside each separate sleeping area in the vicinity of the bedrooms. ELECTRICAL (2014 NATIONAL ELECTRICAL CODE NEC) Note on the plans: All luminaires shall be high efficacy. Will there be any upper cabinets? Lighting under cabinets shall be switched separately from other lighting systems. The removal of the wall at the kitchen will necessitate new receptacles at all counters within 24 inches of the face of the kitchen sink and a maximum of 48 inches o.c. A11120 volt, 15 and 20 amp receptacles shall be G.F.C.I. and AFCI protected. (NEC sec 210.12.) CI{ARI.rs ABBOTT ASSOCIATES, INC. 90 ie C+c,tiiri1.3'1i00R-I�Rxrari4[.n.CO,,0021 l Biu_ FRr C:; i 865) i 30_1?30 POAIL: VN AS'.( AAFR0FESS10Vk1.';-00M CAA Provide and show on plans A.F.C.I. protection for all 15 and 20 ampere branch circuits supplying outlets in dwelling unit kitchens, family, dining, living, parlors, libraries, dens, bedrooms, sunrooms, recreation rooms, closets, hallways, or similar rooms and areas per (NEC sec 210.12.) ;J__T0_. Show size and the location of the main service panel upgrade on the floor plan. Plumbing (2012 INTERNATIONAL PLUMBING CODE IPC) A -I Note on the plans: All new plumbing fixture flows rates shall comply with sec 403 and 408 IPC. a. Water closets — 1.28 gal maximum b. Kitchen faucets — 1.8 gal maximum c. Lavatory faucets — 1.5 gal maximum a. Shower heads — 2.0 gal maximum CHARLES ABBOTT ASSOC;{ATES, INC. viom- BROOW IELD. :0 80021 '1 r, t I, F 8(,6) 30-4430 FNIIAIL! %k WW.CA.APRO FEWO \ALS.CONI Additional Plan Notes - Per Correction Review - 9/11/2017 Dan Schultz Worksite 3655 Holland Court Wheat Ridge Colorado 80033 15) Carbon monoxide and Fire alarms will be installled in the following locations. See plans dated 9/15/2017 for locations. I Carbon Monoxide alarms shall be installed in the following loacations: Outside each separate dwelling unit sleeping area in the immediate vicinity of the bedroom(s). On every level of a dwelling unit including basements In the utility room Smoke Alarms shall be installed in the following loacations: (IRC R314) In each sleeping room Outside each separate sleeping are in the vicinity of the bedrooms. each sleeping room In the utility room Electrical (2014 National Electi 6) All luminaries shall be high e 7) There will be upper kitchen cabinets with lighting under cabinets and will be separately switched from other lights. 8) New receptacles at all counters within 24 inches of the face of the kitchen sink and maximum of 48 inches o.c. All 120 volt, 15 and 20 amp receptacles shall be G.F.C.I. and AFCI protected.(NEC sec 210.12.) 9) See Plans for all AFCI protection on all 15 and 20 ampere branch circuits supplying outlets in the dwelling unit: Kitchen, dining, living, parlors, libraries, den bedrooms, sunrooms, recreation rooms, closets hallways and areas per (NEC sec 210.12.) 10) Main Electrical Panel upgrade and size - listed on drawing for 3655 Holland Court 200 Amp Service Upgrade 2'x 3" 111) All new alumbine fixtures flow rates shall comply with sec 403 and 408 IPC. I a. Water Closets - 1.28 gal max b. Kitchen faucets - 1.8 gal max c. Lavetory faucets - 1.5 gal max d. Shower heads - 2.0 gal max Site: 3655 Holland Court Preparer / Owner: Carl I Maes 3655 Holland Court Wheat Ridge, CO 80033 303-618-6346 Project: Interior Remodel September 15, 2017 City of Wheat Ridge Building Permit Department Plan Check No: 201706305 Dan Schultz 7500 W 29th Ave. cof Wheat Ridge, CO 80033 wheat Ridge tQ d fC 0 2 Ln Ln w cmU U GJ 0 `a LS LI 0 oc o -o m c x 3 o m y o 0 0 Ln 0 0 0 Ln 00 m 0 Ln �D� 00 00 ti o c S v N c 3 0 Y U N w U N o. v VI O O � N 00 N 3 u ID c N CL x x x x E C7 U N 6 Z 00 W ~ v H C GJ 0 O c 3 0 r 0 Gl a � v v N U N .) T .O N .O Q1 41 d N N v N N a c x 3 0 d U VI VI VI V) V) N VI N V) O O O O O O O O O O 0-000000000 N N N N N N N N N E O 00 00 00 00 Co. 00 00 00 00 i ' Building Divison N £ N 7 O 3 C O C O C O C O 'a C O 'a C O 'a C O 'a C O 'a C O .Q N T 4 C @ 00 O a 'a 'a � c 3Lei E cc 3 E O > C7 @ 7 E E E E E E E E E C a0-. 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I I�,r P9 f ��O 3Q 56 LIVING ROOM �I BEDROOM ■ - — KITCHEN — ■ DINING ROOM UTILITY ROOM (BATHROOM BREAKFAST LAUNDRY NOOK ROOM Proposed Plan 3655 Holland Court it-lal( —� `( rI rr� i f �( I -- a 3a, BEDROOM BEDROOM KITCHEN UTILITY ROOM BREAKFAST NOOK i Existing Layout 3655 Holland Court DINING ROOM LAUNDRY ROOM BATHROOM 1 ,sr3r 16L—� ��Ot_ 0 3 Q l qV 32011 car �Q 1 21Lttai1 qr r� a( iii r�ri I 1 4— y i ?'A 3r N O O 3 a to CD 0 m c T m CL co IiV Wheat Ridge 32 ta" 3a/ IJ 0 I.c BEDROOM BATHROOM BEDROOM ' Existing Layout 3655 Holland Court r GA Oi ��eatFtid9e i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: I Job Address: Permit Number: O ! d. D U Ill1 DSPt641 00 %5►1)1)uc�ei) A10 PPK M', -t (� �ozN cry S; f L ❑ No one available for inspection: Time / -2-� "_ AM/PM Re -Inspection required No No �) When corrections have been made, call for re- Flspec " n at 303-234-5933 Date: _IJ � i * / `1 —inspector. DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE ��/ Building Inspection Division f" 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax 1 INSPECTION NOTICE Inspection Type -__ M Q ) S)4 IL Job Address: SS N0LCAr,0 e T Permit Number: /'10 2 _..) 2o ❑ No one available for inspection: Time A) AM,/ Nt4) 1 Re -Inspection requiredy Yes' No When corrections have been made, call for re -inspection at 303-234-5933 Date:/ ` { I Inspector:—, 'aA] t 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 y Inspection Type: l' th Job Address: .� S5 �51, Permit Number: /7® 5 Y ❑ No one available for inspection: TimeSAM/�11 Re -Inspection required: Yes 0V 2 When corrections have been made, call for re -inspection at 303-234-5933 Date:_ a • ;�� Z,7 Inspector: s DO NOT REMOVE THIS NOTICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201706119 PERMIT NO: 201706119 ISSUED: 08/15/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 08/15/2018 JOB DESCRIPTION: Permit to replace 10 vinyl windows, and 1 sliding glass patio door. same size, same location, no structural changes *** CONTACTS *** OWNER (303)618-6346 MAES CARL I SUB (303)375-0745 Paul Bonow 020146 Champion Windows of Denver *** 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: 9,290.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 195.09 ** TOTAL ** 245.09 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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 t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be p orme a d t tall work to be performed is disclosed in this document and/oris' accompanying approved plans and specifications. ZZ Signature of OWNER or CONTRACTOR (Circle one) Date I. 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 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 Offcial 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, an violation of any provision of any applicable code or any ordinance or regulation of this 'ction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat �ge COMMUNITY DEVEL0I MENi Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: _ 71 Plan/Permit # `y'o1�lOi�((� 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: 3655 Holland Ct Property Owner (please print): Carl Maes Phone: 303-618-6346 Property Owner Email: Mailing Address: (if different than property address) Address: 3655 Holland Ct City, State, Zip: Wheat Ridge, CO 80033 Architect/Engineer: Architect/Engineer E-mail: Contractor: Champion Windows Phone: Contractors City License #: �7,0 Wo Phone: 303-375-0745 Contractor E-mail Address: kparkman@getchampion.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form 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.) ❑ 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.) replacing 10 vinyl windows & 1 sliding glass patio door - same size & no structural changes Sq. FULF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 9290.00 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 (AUTHOD R ENT VE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): Kim Parkma k DATE: PTunderstand that checking this box, that I acknowledge that this constitutes a legal signature. ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Arl CHAMPION WINDOWS of DENVER HOUSE DIAGRAM 10000 East 45th Avenue (3; d DENVER, CO. 80238 303 375-0745 Measure Date: Measured By: Order Date:Verified By: LABEL r COLOR CODE LEGEND IW White T I Tan I ADB I Adobe I BR Brick Red I BRZ I Bronze I EG Emerald Green I CG I Cottage Gray I CB Colonial Blue I E01 English Oak I DO Dark Oak I CH Cherry I--- ORDER CODE LEGEND: DH Double Hung DH -0 Double Hung Oriel 2P 2 -Panel 12P-0 2 -Panel Oriel 3P 3 -Panel 3P -E 3 -Panel Equal Lite �Hp PW -F AW Hopper Pix Window Frame Only Awning �11LC.R ICL -L 2LC 1 -Lite Csmt w/ right Vent 1 -Lite Csmt w/ left Vent 2 -Lite Csmt XC 3 -Lite Casement 4LC 4 -Lite Casement 5LC 5 -Lite Casement GW Garden Window 2PE 2 Panel Egress SHE Sn I Hung Egress WINDOW SCREENS GLASS # LOC INSIDE MSRMT W X H OUTSIDE MSRMT W X H STYLE CLR ORDER SIZE W X H FULL Y/N GRIDS OBS TP COMMENTS STYLE LOC LOC LOC 1 / x x �%� Jf 4 7%jx (s�. 2 eA x� x .2J `� ��l ' y' x 3 3 x X P� x �l } t ` 5 /i1 x 1� � x2,3 LJEf fl3'lx s f3A x x,�31y ;� � I fix 3 xxy� 9 �? xx'3 x 10'7 �\ x 3//').x x 1 ,� 11 X X X 12 X X x 13 x x x 14 X X X 15 X X x zz SHOP INSTRUCTIONS ,41 /) i t /,/ L' -3 Champion Windows of Denver HOUSE DIAGRAM 10000 East 45th Avenue Denver, CO. 80238 303 375-0745 Contract Date: iMeasured By: Measure Date: Iverified By: LABEL BAYS BOWS SGPD SGPD SIDELITE PW LOCATION LOCATION LOCATION LOCATION ROUGH OPENING SIZE ROUGH OPENING SIZE ROUGH OPENING SIZE ROUGH OPENING SIZE x x - x ;f x ORDER SIZE ORDER SIZE ORDER SIZE ORDER SIZE x x7; �, x �, f/ �;;- x WALL THICKNESS WALL THICKNESS 2P OPERATION (ISLO) MULLED TO SGPD (ISLO) /" , DBL HUNG CASEMENT DBL HUNG CASEMENT O=OPER X=FIXED O=OPER X=FIXED M=MULL 3P OPERATION (ISLO) GRIDS COLOR COLOR STYLE LOCATION ROOF TYPE ROOF TYPE O=OPER X=FIXED WALL THICKNESS STORM DOOR PROJECTION # OF LITES LOCATION COLOR LpJ f!_7 r GRIDS PROJECTION STYLE LOCATION HARDWARE EXISTING DOOR SIZE GRIDS x STYLE LOCATION TRIM TIMBERBOND / COLORBOND ORDER SIZE INSIDE ;" ;NI OUTSIDE GRIDS x TIMBERBOND I COLORBOND STYLE LOCATION INSIDE OUTSIDE MODEL COMMENTS TIMBERBOND/COLORBOND COMMENTS INSIDE OUTSIDE COLOR IN SWING (Y N) g CHAMPION WINDOW MFG. 8200 Series �.r ,f.FRC F.F'aarn Enhanced Vinyl Frame Double Glaze • Low -E • Argon Gas National Fenestration CHW-A-7 Rating Council8 .7 Double Hung Window With Grids � lommfw�eg ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient ADDITIONAL. PERFORMANCE RATINGS u Visible Transmittance condensation ResistanceA 0.0'44 I 54 utanufac'urr,rstipulates that thesoratingsconform toapplicable N RC procedures for determir Ing wh le pr:iict perform ince, NFRC ratings an? deterrnipned for a fixed set of environmental conditions and a specific p oduc t size. N"RCr -rr mri recommend any product and does not warrant the suitability of any product for any s ,ecifiL use. Corsult manufacturer's literature for other product performance Information. www.iifrc.org CHAMPION WINDOW MFG. �a 8200 Series NFRC Foam Enhanced Vinyl Frame Double Glazer Low -E • Argon Gas National Fenestration Rating Council CHW-A-8 Slider Window With Grids ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.R) Solar Heat Gain Coefficient 0,28 0.19 ADDITIONAL PERFORMANCE 1111TINGS Visible Transmittance Condensation Resistance 0.43 57 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a speci c product size. NFRC does not recommend any product and does not warrant the suitability of any pndr;t for any specific use. Consult manufacturer's literature for other product performance information. wvw.nfrc.org g CHAMPION WINDOW MFG. 8200 Series �.r ,f.FRC F.F'aarn Enhanced Vinyl Frame Double Glaze • Low -E • Argon Gas National Fenestration CHW-A-7 Rating Council8 .7 Double Hung Window With Grids � lommfw�eg ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient ADDITIONAL. PERFORMANCE RATINGS u Visible Transmittance condensation ResistanceA 0.0'44 I 54 utanufac'urr,rstipulates that thesoratingsconform toapplicable N RC procedures for determir Ing wh le pr:iict perform ince, NFRC ratings an? deterrnipned for a fixed set of environmental conditions and a specific p oduc t size. N"RCr -rr mri recommend any product and does not warrant the suitability of any product for any s ,ecifiL use. Corsult manufacturer's literature for other product performance Information. www.iifrc.org CHAMPION WINDOW MFG. � Series RC8200 � jNational Foam Enhanced Vinyl Frame Double Glaze •Low -E •Argon Gas enestration Ccuncil® CHW-A-8 Slider Window ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.28 0.21 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.49 57 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance Information. www.nfrc.org CHAMPION WINDOW MFG. e%RC 8200 Series Foam Enhanced Vinyl Frame Double Glaze • Low -E • Argon Gas National Fenestration Rating Council® CHW-A-7 Double Hung Window ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.28 0.21 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.50 54 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. ; Consult manufacturer's literature for other product performance information.www.nfrc.org i eRC CHAMPION WINDOW MFG. 3100 Series Vinyl Frame NFRC � Double Glaze - Low -E •Argon Gas National Fenestration Rating Council® CHW-A-1 National Fenestration Rating Council® Patio Door With Grids ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.30 0.19 - ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.45 56 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information. www.nfrc.org �CHAMPION WINDOW MFG. 3100 Series NFRC � Vinyl Frame Double Glaze • Low -E • Argon Gas National Fenestration Rating Council® CHW-A-1 Patio Door ENERGY PERFORMANCE RATINGS U -Factor (U.S./I.P.) Solar Heat Gain Coefficient 0.30 0.22 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.51 56 ---------------- Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information. www.nfrc.org City of Wheat Ridge Residential Roofing PERMIT - 201705569 PERMIT NO: 201705569 ISSUED: 08/07/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 32 sq *** CONTACTS *** OWNER (303)618-6346 MAES CARL I SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing *** 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: 10,000.00 FEES Total Valuation 0.00 AN MR-Aw Ila Use Tax 210.00 T t Permit Fee 204.30 -- -------- --- - ** TOTAL ** 414.30 - .------ *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705569 PERMIT NO: 201705569 ISSUED: 08/07/2017 JOB ADDRESS: 3655 Holland CT EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 32 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 apgIible municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property anauthorized toobtainhisthisppermit.Ifurtherattest that Iamlyauthorized toincludealperformed and that all work to be peed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 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 granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any 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 Z0I 7056 1 From: no-reply@ci.wheatridge.co.us Sent: Monday, July 31, 2017 1:58 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 3655 holland ct DL carl Maes 3036186346 Field not completed. '11430 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 monarch construction Name Contractor's License 100243 j Number (for the City of ,J / !� Wheat Ridge) Contractor Phone 3039811265 Number Contractor Email Address permits@monarchroofs.com Retype Contractor Email permits@monarchroofs.com Address DESCRIPTION OF WORK Are you re -decking the No, roof? Description of Roofing gaf Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 32 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 32 / (pitched + flat) of all 2 roofing material for this proj ect Provide additional detail house here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 01000,0 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 brie lowrie Email not displaying correctly? View it in your browser. 3 13860 w. CROAROR. A�rrRIM Top 1% of roofing contractors ' LAkiweoO UO BOL26 Y80RE:ISU3}08U 126F FAX:(393NtbaWt ,�¢�, `" i_`._ �: �� ala ... BBB' ENAILaIONAN nU0¢M':6411L GOM � Customer Name Carl Maes �jQb 4 Address 3655 holland et Wheat ridge (11Q 80033 Phone 3036186348 Alt Phone Erma ccmaes0comcast.net Insurance Company Shelter Claim# L)w0000001836116 Ins.Policy# 05-73-4150803-1 Monarch Construction & Roofing, LLC will be referred to in this contract as Monarch. The scope of work and materials identified below are the scope of work recommended by Monarch Construction & Roofing; Monarch is not obligated to perform any park of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Shingle, lvlanufapjurer.Oaf voe: Tiryiberlin coiorIJieko , in X Tear off all existing layers (Mayers) 1 -1 Tear off one layer of wood shake shingles X Install Decking (7/16" OSB) _,_, sheets of OSB are included, each additional sheet will be $65 per sheet X Install New Underlayment _151b. M301b. X Synth,`` X Install Pre -Painted metals to code Drown Charcoal Tali Gray XWrlit Giher_y _ int.___-__ _ X Valley(s) will be closed with ice & water shield �) Valley(s) will be open X Ridge (s) to be color-coordinaled with shingle Ridges) to be High -Profile and color-cRordinaW with shingle Y Install new pipe jacks Replace vents as needed Re -flash chimney(s) and all well abutment as needed Install Ridge Vent ___L F Install lee & Water shield per code, as well as all vents and skylights X Install 4.6 nails per shingle as required by oily/county codesp, .< 1 Satellite! Dish Alignment (each customer will need to contact the provider to re,ailgn dish after roof installation) Int X Final Inspections will be completed as citylcounties allows, I have read the back of contract # 23 Intta"T� _ X 5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr. workmanship warranty Extended Warranty Per Sq. $,_ Circle: Owens Corning platinum GAF Other; X Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,0()0 general aggregate _X Perform magnetic sweep of driveway and yard for removal of any nails X Remove all trash and debris from work listed t ti X Gutters 250 _�__ _LF Size 5 -inch 4r 6 -inch Color:4Uhit8 _�., _, Int �_ Replace Gutter Screens Type:_ _ 12111-� X insurance funds include Mortgage Company V as .-_ No (If yes please complete the third party authorization form) Int,,r_ k_ Special Instructions The approximate cost of the services based on damages known at the time this contract is trtered is 14008.87 Shelter determined by insurance. Monarch will perform the scope of work approved by the insurance company. Monarch will supplement for items priced low, not included or items needed to pas: cifylcounh/ codes, which may increase initial dollar amount that insurance is paying out: Supplemental claims trilled by Monarch that are approved by the insurance company for additional work or increases in costs become a part of this coniract. The final scope and price agreed on between the Insurance company and Monarch shall become the final contract price for the insurance approved scope. Customer will be responsible to pay for any upgrades; deductible, non-recoverable deprecation or additional work authorized by the customer that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Approximate Dates of service: Tbd _ __ _ these dates of service are subject to change due to unusual delays in transportation of materials, payment delays, insurance approval, ordinary weather delays, orby any other causes beyond reaspnabt s control of Monarch. Monarch will provide communication to customer to show tentative dates. Notice: lithe property owner plans to use proceeds of a property and casualty insurance policy issued pursuant to pan 1 of article 4:10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive. rebate, or promise to pay, waive, or tehate all or part of any insurance deductible applicable to the insurance claim for payment on the covered residential property. I(we) hereby authorize & instruct the insurance company & lion holders to include the name of Mcilaroh G nWeugt on & Roofing LLC as co -payee on any subsequent loss draft or cha;�k,5 after todays date as indicated above. 1(we) authorize any legal representative and/or agent of Monarch Construction to obtain informatiun necessaryto complete any funding process relative to the claim number referenced above. I (we) further authorize Monarch to pick up in person any irE drafts or checks on my/our behalf and behalf of Monarch. Deposit Amount $ First check t : Rev Initial Monarch Connuntiat &Routing LLC shall held in (rust any payment tr9m the property owner utibi N101010.GeT�struCpan & Ronfing LLC tics dalivarad roofing materials at the residential property sn,e a has pariornmNd a majority of the roofing writ on ihe. property. I (we) agree, by signing below, to all the contract conditions, both front and back of this agreement.. Gate ofAcceptance:6/16/2017 12:400 47 Customer Signature(s):�' Monarch Representative: n� Q Nichtals Customer Signature: 01/26/2010 TUE 12:16 FAX 303 237 8929 303 Best Way metro construction [M002/004 INSPECTION RECORD Occupancv/Tv ' INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Cal! by 3:00 P to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS jOB O N TION INSPECTIONS DATE /Caissons l / (CEG) Concrete Ground g or Monolithic roof/ French Drain rvice Lines ice Lines CONCRETE SLAB FLOOR R Electrical (Undereround) ROUGHS Sheathing Lath I Wall ti Mid -Roof Electrical Service COMMENTS: IETE UNTIL ABOVE HAS BEEN SIGNED )OR UNTIL ABOVE HAS BEEN SIGNED Rough Plumbing .. __._ .. .......................... :.. Gas Piping **NOTE:, ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDINGDIVISIONDOES NOTCONSTITUTEAUTHOR/ZAT10N OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY OCCUPANCY N0T P1= P11DIrrGn I IAITII Rough Mechanical _ ..... _ ......... . _ ............... __... .; ABOVE INSPECTIONS TO BE SIGNED PRIOR T' Framing CITY OF WHEAT RIDGE 01726/10` " "10:04 AN eft Insulation Drywall Screw - -- .. .. .. .... - , ...__... deroll W Raisch _ _ RECEIPT NO:CDB003818 -;- - AMOUNT FINALS BPSP Reroof 34 sqs with 3 659.80 Electrical ..— ,.. 100240......... ._._ .. Permit Fee .. . 363.10 Plumbing Use Tax. 296.70.. .. Mechanical PAYMENT RECEIVED AMOUNT Roof S>•® US 2691 Auth Code: _ _ 659.80 Budding Final :..04%12 _... __ _..._ " ........ . TOTAL 659.80 Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD SE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ♦ 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- lyf�LT F Job Address: _ AaSS ley r lr7 j1Vr c7' Permit Number: 1f / /y/ t� Y ir��( /N 1 /Y�V l_✓ ❑ No one available for inspection: Time � A P Re- Inspection required: Yes "When corrections have been made, call for re Inspection at 303 - 234 - 5933 Date: S' e� Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD OccuDancy/Ty INSPECTION LINE: (303) 234-5933 F 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 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Lath /Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw TO BE SIGNED PRIOR T CITY OF NEAT RIDGE 01/26/10 10:04 AM cdbb Jerod N Raisch RECEIPT NO•CDB003818 - AMOUNT FINALS DPGP Reroof 34 sqs with 3 659.80 100240 Electrical _ , Permit Fee 363.10 Plumbing - Use Tax 296.70 Mechanical PAYMENT RECEIVED AMOUNT - VS 2691 659.80 Roof Auth Code: Building Final -040612 - TOTAL 659.80 Fire Department R.O.W & Drainage ` INSPECTIONS FOR PLANNING S. ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING BUILDING AND PUBLIC WORKS BEF , ORE A CERTIFICATE OF OCCUPANCY IS ISSUED- FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT Pr=PivIITTCn I IK1T1I ~rll T~rrl+nrr ~r /ll.n••n w 01/26/2010 10:17 3039352606 METRO CONSTRUCTION I PAGE 02/03 ♦~A41 City of 'W heat d~e MUNiTXDEvnoPA ENT Permif#; Building Division 7500 W. 29t" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855'" Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Buildinq Permit Property Address: 1 Property Owner (please Mailing Address: (ILt dil>'E Address; :1 Contractor: Phone: D Sub Contractors: Company Name^ License # Exairation DaW Trade/Professlon^ ADDroval^ Use of space (description): 7 4 Description ofwor*, F Ly[[- ~4 "r i-WIV vJ~ V~j an Review (dire at time of sUbmittal):S " tJ I , Sq. i LM.Ft~ cares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cenify that the setback distances proposed by this permit application are accurate, and do net vlolale applieabls ordinances, rulea or regulatlons of the Olty of wheat Ridge or covenants, easements or restrictions of record; that ell measurements showh, and allegations made are accurate; that I have read and agree to abide byy all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge inkling Code (LB.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. subiact to field Inspection. CIRLCE O (OWN ) (CONfT~RACTO,,R)) ~or PERSONAL. REPRE A/T~IVE~of/(p (PONTRATOR) PRINT NAM CVi)~ M1 C1/_r 3IONATURE: /I i ~C/'! ~r!~~^Qttte: 2- ZONING COMMENTS: Zoning: Reviewer PUBLIC WORKS COMMENTS: Reviewer DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer. FIRE DEPARTMENT" ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ Credit Card Payment: Use credit card listed on file. Date: I -z 1- - r J Printname: 5'r,-fi-o6 (L-Ars (4- Signature: / I .PEPARTMENT 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: 14718 Date: 1 0/28/02 Property Owner: BRUCE RICHTER Property Address: 3655 HOLLAND CT Contractor License No,: 19397 Company: D & M Construction, Inc, Phone: 303-949-5111 Phone: 934 8454 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SIGNE DATVt7 -2& -e, Total: $5,724,00 $125,25 $0,00 $68,69 $193,94 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 e t Rid ordinances, r work under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: RE-ROOF HOUSE AND GARAG W/3-TAB SHINGLES BUILDING DEPARTMENT USE ONLY zllBm_otlll Approval: Zoning: J3l/1Ili!fg;\~~rltllll Approval: OKlMLC Pll~q-.mQ1lB1 Approval: SIC: Sq, Ft: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Stale of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances oftha City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall noti the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with cc. S~iV pha of the job. The issuanc p roval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of din 0 sr. ance, law, rule or regulation. , ' (4) (5) (6) Chief Building Inspector ~' ~H<~r 1>/ ". " - c> v ~ CO( OR p...'iP 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) APPLICATION \3..l-~CC A;~~#y ::s 0S;-~ ,h"oCL#Jtd COT )q39'~ Company: '0"b-A (hI, ~CO-aK Building Permit Number: Date: Property Owner: Property Address: Contractor License No,: I-h-A Phone3,os - '7'7'7>-5"//1 Phone~", ~ _ 9'.5 $-- - <is-Y -s?' OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value:$ ::;; > Z-r Permit Fee:$ Plan Review Fee:$ Use Tax:$ 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 or covenants, easements or restrictions ofr~ord; 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)(CONTRAcrOR),SIGNE _~_ ;;g,rrvv?!f Y72 DESCRIPTION: T cJ CC) lSSE- HooF E", (/yE M-~SF i- rJ-14y. 'OF \A//1/z. :s; -7/?b ::::ht'~Ccs 0'# -n BUILDING DEPARTMENT USE ONLY SIC: Sq,Ft: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in 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 nOnhallyrequired, 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 ex.ceeds 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) ho'urs in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance ofa 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. Chief Building Inspector