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Home My WebLink About3695 Quay Streeti CITY OF WHEAT RIDGE . , . . Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:"t Job Address: x Permit Number: f -to ❑ No one available for inspection: Tirn�7 - ` M/PM Re -Inspection required: Yes NU When corrections have been made, C re -inspection at 303-234-5933 City of Wheat Ridge E -Res. Electrical Service PERMIT - 201901570 PERMIT NO: 201901570 ISSUED: 07/31/2019 JOB ADDRESS: 3695 Quay St EXPIRES: 07/30/2020 JOB DESCRIPTION: Service upgrade - 100 amps; repair due to tree branch damage; Replacing the meter can and the service riser only. **REVISION: Replaced the existing panel and sub panel with new 150 AMP main panel. Installed AFCI and AFCI/GFCI breakers and added grounding to cold water shut-off and drove 2 ground rods. Added valuation $500 *** CONTACTS *** OWNER (720)231-7792 SIMPSON CHRISTOPHER SUB (303)661-3999 PETER S MATTHEWS 190210 LIGHTSCAPE ELECTRIC INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / EARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,750.00 FEES Total Valuation 0.00 Use Tax 36.75 Permit Fee 70.70 ** TOTAL ** 107.45 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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. City of Wheat Ridge 4#1 0-'10 E -Res. Electrical Service PERMIT - 201901570 PERMIT NO: 201901570 ISSUED: 07/31/2019 JOB ADDRESS: 3695 Quay St EXPIRES: 07/30/2020 JOB DESCRIPTION: Service upgrade - 100 amps; repair due to tree branch damage; Replacing the meter can and the service riser only. **REVISION: Replaced the existing panel and sub panel with new 150 AMP main panel. Installed AFCI and AFCI/GFCI breakers and added grounding to cold water shut-off and drove 2 ground rods. Added valuation $500 1, 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 o ner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I urther attest t at I am legally authorized to include all entities named within this document as parties to the work to be performed a all wo to be performed is disclosed in this document and/orit 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 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 aicable code orp7y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofthief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of "Wheat I jdge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: F1q/ 9 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: Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: ContactPerson: Contractor: I �G Z 1� c-, 1;7e - Phone: r L_ Phone: Contractors City License #: % C 0 / Phone: ��1 - Contractor E-mail Address: gyp, �, r� /r �' 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:) N CGt f� ,,� � ca /'IJP-� •1 ��DG 1�'�✓�! C�Gf/'�� K �� G�- �' /�'"r �� G 0,VJ CCU- vva�-� 0�4 J Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) I S (:;� 0. 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 OHNE: (OWNER) (CONTRACTOR) or (AUTHORIZED PRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME:C� �//1''S SIGNATURE: DATE: DEPARTMENT USE ONLY 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 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ v. City of Wheat Ridge E -Res. Electrical Service PERMIT - 201901570 a PERMIT NO: 201901570 ISSUED: 07/31/2019 JOB ADDRESS: 3695 Quay St EXPIRES: 07/30/2020 JOB DESCRIPTION: Service upgrade - 100 amps; repair due to tree branch damage; Replacing the meter can and the service riser only *** CONTACTS *** OWNER (720)231-7792 SIMPSON CHRISTOPHER SUB (303)661-3999 PETER S MATTHEWS 190210 LIGHTSCAPE ELECTRIC INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,250.00 FEES Total Valuation 0.00 Use Tax 26.25 Permit Fee 53.70 ** TOTAL ** 79.95 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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 accompanyingg approved plans and specifications; applicable building codes, and all applicable munici�a'code'p0'i ,bythe leal ownerofthe propertyand amauthorztoobtainthsthis permit.IfutherattesthatIamlegallyauthorizd toinclude alperformed and that allwork to be performed is disclsed 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, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermrt 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 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 codg,erany ordmancg or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildidg Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, July 30, 2019 10:26 PM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Categories: Kim Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). 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 Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS" * 3695 Quay St Chris Simpson 720-231-7792 City of Wheat Ridge CC auth.pdf CONTRACTOR INFORMATION Contractor Business Lightscape Electric Inc Name 1 Contractor's License 190210 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-318-8394 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address peter.Iightscape@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Is this an electrical service upgrade or change? Number of Amps Location of upgrade/change (garage, house, etc) peter.lightscape@gmail.com Upgrade 100 house Provide additional details, Service riser and meter hub were broken by falling tree branch, if needed. Replacing the meter can and the service riser only Project Value (contract 800 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes PJ I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Peter Matthews Permit Email not displaying correctly? View it in your browser. 2-D17 0 y� 4/1� �UwY �- INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Wall Sheathing Concrete Encased Ground (CEG) Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Aaproval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof' Final Window/Doors Final Building ' NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupa.7cy 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 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IMI Job Address: � Permit Number - 4 �2 v 4 f_ }�. U ❑ No one available for inspection: Time AM/PM e nl spection required: Ee) No When corrections have been made, call for re -inspection at 303-234-5933 Date: -7/ /f Inspector: (t DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704244 PERMIT NO: 201704244 ISSUED: 07/17/2017 JOB ADDRESS: 3695 Quay ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge asphalt shingles with 25 sq. *** CONTACTS *** OWNER (720)231-7792 SIMPSON CHRIS SUB (303)940-7238 Jeff Hillyer 090042 Citywide Roofing and Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,930.79 FEES Total Valuation 0.00 Use Tax 187.55 Permit Fee 188.45 ** TOTAL ** 376.00 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704244 201704244 ISSUED: 07/17/2017 3695 Quay ST EXPIRES: 07/17/2018 Residential Re—roof to install Owens Corning Oakridge asphalt shingles with 25 sq. I, by my signature, do hereby at that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all apgIicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property anm authorized toobtain thisthisrmitfurtherattesthatIamllyauthorized toinclude alperormed andthat�ll work to be pemed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER of CONTRACT (Circle one) Date 1. This permit was issued base on t e information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gra tinaaf 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 an ordi rice 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. Dane Lovett From: no-reply@ci.wheat ridge.co.us Sent: Friday, July 7, 2017 2:33 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny ^d 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 3695 Quay St Chris Simpson 720-231-7792 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Citywide Roofing and Exteriors 090042 303-940-7238 Contractor Email Address permits@citywideroofingandexteriors.com Retype Contractor Email permits@citywideroofingandexteriors.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Oakridge Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 17 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 of all 25 roofing material for this project 2 Provide additional detail We will tear off the existing roof and replace it with OC here on the description of shingles. It is a single family home, 1700 square ft, with a pitch work. (Is this for a house of 2/12. or garage? What is the roof pitch? Etc) Project Value (contract8930.79 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 Robert Crossen Email not displaying correctly? View it in your browser. Citywide Roofing & Exteriors 7808 Cherry Creek South Drive, Unit 202 • Denver, Colorado 80231 Ct IUFTUU iiUl�flh.: TSiU41TTIU Tel: 303-940-7238; Fax: 720-638-9478; e-mail: cre@citywideroofingandexteriors.com Property Owner: t 1� Email: �` l �' \ °j f� �3� 4 in, Date:f p .� ' r Phone 1: 7,210 Phone 2: l� Street: City: �1 "i��-� State: r Zip:" We propose to furnish all materials and labor completed in accordance with the specifications below for the sum of� "QQt � T 45% insurance claims. With your approval. CityWide Roofing & Exteriors, LLC (hereafter the "Company") will perform the repairs or replacements specified by (A) you: or (B) by your insurance company for insurance approved proceeds only and with no additional costs to you except for your deductible and any upgrades or additional work authorized by you that are not a part of your insurance claim. Supplemental claims billed by Company on behalf of the Property Owner (hereafter "Owner"), and are approved by your insurance company for additional work or increases in costs, in addition to this contract, are a part of this contract as if contained herein. . n BBB Teas PREiERAEQ �CetGfted 11 ® COMM Citywide Roofing & Exteriors 7808 Cherry Creek South Drive, Unit 202 • Denver, Colorado 80231 Ct IUFTUU iiUl�flh.: TSiU41TTIU Tel: 303-940-7238; Fax: 720-638-9478; e-mail: cre@citywideroofingandexteriors.com Property Owner: t 1� Email: �` l �' \ °j f� �3� 4 in, Date:f p .� ' r Phone 1: 7,210 Phone 2: l� Street: City: �1 "i��-� State: r Zip:" We propose to furnish all materials and labor completed in accordance with the specifications below for the sum of� "QQt � T 45% insurance claims. With your approval. CityWide Roofing & Exteriors, LLC (hereafter the "Company") will perform the repairs or replacements specified by (A) you: or (B) by your insurance company for insurance approved proceeds only and with no additional costs to you except for your deductible and any upgrades or additional work authorized by you that are not a part of your insurance claim. Supplemental claims billed by Company on behalf of the Property Owner (hereafter "Owner"), and are approved by your insurance company for additional work or increases in costs, in addition to this contract, are a part of this contract as if contained herein. . n Insurance Company ill e_S t Claim # Z ,7v "I -7 Policy # SLV;�> 00 rue THE SCOPE OF ROOFING SERVICES AND MATERIALS TO BE PROVIDED: Approximate Dates of Service: Q &I\. ` (Subject to change with possible shortages siinr materials and weather delays) The approximate costs of services based on damages known at this time are entered as: $ The Company, however, will perform the scope of the woi* approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you other than your deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PRO TPERTY OWNER UNTIL THE COMPANY HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTAIL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. AMOUNT: StCO Date: Senior Project Manager Initials: I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to complete any funding process relative to claim number and referred above. I (We) further authorize The Company to pick up in person any loss drafts or checks on both my�gur)/bfhalf of T ompany. Date of Acceptance: -2—U e ' Owner's Signature(s): Representative: � A ROOFINGC PANY THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A PROPERTY CASUALTY INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT ADVERTISE OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY O'V-<`� ( Initials Shingle Manufacturer Year , Color l f Remove _�layers of asphalt shingles and/or _ wood shingles ❑ 11 Install new Felt/ Synthetic Install pre painted Drip Edge to code _ White _ Beige _ Brown _ Light Gray _ Charcoal _ Forrest Green _Initials ' ❑ Install New Deckin sl/ Valley(s) will be Closed or _ Open ❑ Ridge(s) to be color coordinated Ridge(s) will be "High Profile Ridge" color coordinated shingles ay sledge i hal,In i rca�a: acknowledges havini rea'' ire N/ Install new Pipe Jacks entire contract including iha ❑ ❑ Replace vents as needed iICEon tli +��sico. Re -flash chimneys and wall abutment as needed and if possible (stucco or siding may be a deterrent) nifiials � frriiais 12' Install linear feet of series ridge vent s✓ Install linear feet of Ice & Water Shield to code Install �. nails per shingle �j Install Ice and Water Shield around all penetrations and in valleys tr� Cl/ Clean out gutters 5 -year Warranty on Workmanship only The Company will provide general liability insurance coverage of at least 51,000,000.00 Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above d Special instructions: �y-�tJri1> �,�tL1 l�� to C, 3c Insurance Company ill e_S t Claim # Z ,7v "I -7 Policy # SLV;�> 00 rue THE SCOPE OF ROOFING SERVICES AND MATERIALS TO BE PROVIDED: Approximate Dates of Service: Q &I\. ` (Subject to change with possible shortages siinr materials and weather delays) The approximate costs of services based on damages known at this time are entered as: $ The Company, however, will perform the scope of the woi* approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you other than your deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PRO TPERTY OWNER UNTIL THE COMPANY HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTAIL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. AMOUNT: StCO Date: Senior Project Manager Initials: I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to complete any funding process relative to claim number and referred above. I (We) further authorize The Company to pick up in person any loss drafts or checks on both my�gur)/bfhalf of T ompany. Date of Acceptance: -2—U e ' Owner's Signature(s): Representative: � A ROOFINGC PANY THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A PROPERTY CASUALTY INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT ADVERTISE OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IMI Job Address: � Permit Number - 4 �2 v 4 f_ }�. U ❑ No one available for inspection: Time AM/PM e nl spection required: Ee) No When corrections have been made, call for re -inspection at 303-234-5933 Date: -7/ /f Inspector: (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 Inspection Type: %2v � Job Address: 3 iT Permit Number: Z 617, ❑ No one available for inspection: Time A- M/PM Re -Inspection required: Yes 'N When corrections have been made, call for re -inspection at 303-234-5933 Date: l z�17 Inspector: DO NOT REMOVE THIS NOTICE • + • 9 1 Complete all information on BOTH sides of this form S . FULF Attu °e Gallons Amps Squares Other r