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Home My WebLink About3920-3922 Harlan StreetCity of Wheat Ridge ,A Residential Sewer Repair PERMIT - 202001326 PERMIT NO: 202001326 ISSUED: 07/16/2020 JOB ADDRESS: 3920 Harlan St EXPIRES: 07/16/2021 JOB DESCRIPTION: Sewer repair on water line and sewer in the yard with a inside repair laundry stand pipe, utility sink rough in and remove rotted under ground 8ft. *** CONTACTS *** OWNER (303)981-4236 BERUMEN GARY ALLEN PATTY SUB (303)981-0079 CARLO SAIS 110007 PAYLESS ROOTER/MATO PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,450.00 FEES Total Valuation 0.00 Use Tax 93.45 Permit Fee 125.05 ** TOTAL ** 218.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheot Ridge .^./ .231785Htd00;j 07/16/2020 09:38 C0BB Bear rephr an We C88023213 AMOUNT BPSP 3920 Har1on St 218.50 APPL/PERMIT NW 202001326 PAYME-iff RECEIVED M` / 0364 AUTH CODE: 78147836 TOTAL __________ AMOUNT 210.50 218.50 ---------------- City of Wheat Ridge Residential Sewer Repair PERMIT - 202001326 PERMIT NO: 202001326 ISSUED: 07/16/2020 JOB ADDRESS: 3920 Harlan St EXPIRES: 07/16/2021 JOB DESCRIPTION: Sewer repair on water line and sewer in the yard with a inside repair laundry stand pipe, utility sink rough in and remove rotted under ground 8ft. 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 al I 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 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 maybe subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building 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. Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 15, 2020 4:56 PM To: CommDev Permits Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Property Address Property Owner Name 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** 3920 N harlan st Gary berumen / patty allen 303-981-4236 N/A Electronic Payment Form 3920 harlan st.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) PAYLESS ROOTER & DRAIN CLEANING 110007 1 Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Is this a sewer line or water line repair? Length of repair Location of repair (backyard, frontyard, etc) 303-981-0079 luis@paylessrooterdenver.com luis@paylessrooterdenver.com Sewer Line, Water Line 45 water ft sewer 35ft front yard Provide additional details repair water,sewer in the yard with a inside repair laundery including installation of stand pipe with utility sink rough in and remove rotted under clean -outs. ground 8ft. Project Value (contract 4450.00 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. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. Yes Yes Yes i 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 Luis sais Permit Email not displaying correctly? View it in your browser. City of - he -at j ge F VI I OPM U NT SUBCONTRACTOR AUTHORIZATION FORM Mvehanical Subcontractor I hk fonn tTvu%t he conirkled & sopiwd bN the N91 If AN WA I *,%I H( ON IN U-1014 p,-It.4nung Imvhavival 'A,4 on tic '%tdX 4-1`11WIllf'-, l"%,4Jf.ArKV Jnd lttcnw muk, ix- ear to datv ritiq to f%mw 1%%Wnt v I'mied Addrvw 33 J In I!, & I - iL I IQ�-! Data43C tr \% heal Ridge Com1raclor Ukraw T, e -f cltdl frequired firkl) , Printed Name o(Awthtprord %p -al Joel zarlin President JZ Construction inc 3035904744 2 Dina Kemp From: Joel <jbzarlin@comcast.net> Sent: Wednesday, July 15, 2020 4:39 PM To: CommDev Permits Subject: Re: Payment form Here is my Hvac suns form. CITY OF WHEAT RIDGE Building Inspection Division , (303) 235-2855 Office INSPECTION NOTICE inspection Type: Pe -1 G/ V11 G � Job Address: 3 % Z Dam /A� S f Permit Number: / Q d r' r9 00,4' r ❑ No one available for inspection: Time /Z ,3? AM/ Re -Inspection required: Yes 4"o When corrections have been made, schedule for re -inspection online at.- httpz,lAvww.ci.wheatridge.co.uslinspection Date: 7 / 1?02fO Inspector: ":; DO NOT REMOVE THIS NOTICE r' i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _1�9� INSPECTION NOTICE Inspection Type: ��`-' C 1 Job Address: �� 1 r f 1 n �!- Permit Number: csa C t`, Oct r -l* , L �- ❑ No one available for inspection: Time q AM/PM Re -Inspection required: yes No When corrections have been made, schedule for re -inspection online at: http✓rwww.ci. wheatridge.co. us/Inspection Date: `' ' �` `'°y`'� 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: )2� Job Address: 620 1-JA2 (/aN ST Permit Number: Zo)-) o 2S ❑ No one available for inspection: Time ,, ; ,- ASI/PM Re -Inspection required: Yes *When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 t 1 1L Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: A41 P Job Address: 372 u lar 7 - Permit Permit Number: ? `` -fo 3 a"Il IJNo one available for inspection: Timed AM/ Pty Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: vf� DO NOT REMOVE THIS NOTICE .' ' s City of Wheat Ridge Residential Roofing PERMIT - 201703841 PERMIT NO: 201703841 ISSUED: 07/12/2017 JOB ADDRESS: 3920 Harlan ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning'Duration IR 30 year desert tan asphalt shingles -26 sq *** CONTACTS *** OWNER (303)875-3340 BOSSE TINA M DELISA SUB (720)870-1718 Sergia Sarabia 140169 S&S Construction Services, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 L- Permit Fee 156.75 ** TOTAL ** 297.07 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703841 PERMIT NO: 201703841 ISSUED: 07/12/2017 JOB ADDRESS: 3920 Harlan ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration IR 30 year desert tan asphalt shingles -26 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this perm rt. 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 andthat all work ormed is disclosed in this document and/qr its' aycompanying approved plans and specifications. Signature of OWNER or COZgTR7VibR (Circle one) Date6 v 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 Budding Official and maybe subject to a fee equal to one-half of the originalpermitfee. 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 applic e�o�rNany ,,orddi-n-annc'°e or regulation of this jurisdiction. Approval of work is subject to field inspection.7ftJ;k ,6au"��" A Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:54PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 7G3y From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 4:40 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application fora Yes f`(,6 1/1- 1 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3920 Property Owner Name Bosse, Tina & John Property Owner Phone 303-875-3340 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number S & S Construction Services, LLC. 140169 7208701718 Contractor Email Address ssconstructionservices@live.com Retype Contractor Email ssconstructionservices@live.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No 26 SQ of OWENS CORNING Duration I.R. 30 YR Desert Tan Asphalt Field not completed. 26 No Field not completed TOTAL SQUARES of all 26 roofing material for this project Provide additional detail 1 Layer, 1 story, Pitch 4/12 here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 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 Vanessa Email not displaying correctly? View it in your browser. 3 S&S Construction Services, LLC • RESIDENTIAL - COMMERCIAL - INDUSTRIAL • LARGE LOSS INSURANCE RESTORATION • INSPECTIONS AND REPORTS • REPAIRS AND MAINTENANCE CONTRACTS INSURANCE RESTORATION CONTRACT Insured Name: __Fl iJ A. _D If I i.s A 0 SSE Billing Address: 31,10 04 13 g,11 i}Axksn1 S'i; City, ST, Zip: 1�1 c eT i arm �, . SOOS3 Phone :310 .3 — (Q 7-5' 79<<- Email: 303- 1- l"? 3 R TOL-.1 ' Project address: 34 a,o l 39A;L 6, 1 A,,J 64, City, ST, Zip: �� s oc) 33 15 6- F_ S -i *' C-44"', W1o,rKI Lie Scope of work: Your insurance company has provided an estimate known as the cope of Loss (SOL). This SOL will serve as the interim scope of work and line items to be performed on the property, until such time as amended and/or supplemented by us. Any line items we do not perform will be credited back to you at the ACV value and not billed to the insurance company at completion. We are not obligated to perform any work not approved by the carrier unless you authorize the work through a change order and pay for the upgrade or additional work. Your representative will discuss this in detail with you line by line. Roofing quality control: We install total "Roof Systems" that your rep will discuss. Remove existing layers of roofing to the decking and dispose, inspect for damage and repair any damages at time and material. Felt paper will be applied to the decking as specified. Ice and water shield installed (if Applicable) as specified on eaves, valleys and around penetrations. Flashings, drip edge and counter flashings installed as specified. Pipe jack boots will be installed using galvanized no -caulk collars and IWS. Roof ventilation will coincide with our roof system recommendations. (5,A)( JS <7,00e /;%,7+��-i4-i'�oa � _44 � 4_r 'r! RCV- Total of insurance estimate at time of contract: Depreciation not recoverable but part of the cost: Credits to insured for work not completed at ACV value: Authorized upgrades or extra work: Total amount of contract: ACV check - first check from insurance and your deposit: L U Deductible - your portion of the total contract: 0 1 15,a "Balance due at completion at time of contract: 19, 0-29R ,Z ** As part of our service to you, we inspect your property thoroughly and add items that were missed or not allowed by the field adjuster. We then submit these changes to the carrier for payment so that your repairs are completed per code and at the highest level of quality the carrier will allow. These "supplements" will add to the total contract and be due to us as your contractor. By signing below, I agree that I am the insured and responsible party to pay the contract amount including any and all supplements and contractor's overhead and profit when funded by the carrier. na responsible pa Signature of S&S C.S. representative S�k —1 7 - t6�_ A-� Z, 7 S&S Construction Services, LLC 741 Toledo St. Aurora, CO 80011 Office 720.870.2718 / Fax 303.317.2465 I . If the property owner plans to use the proceeds of a property and casualty insurance policy to pay for the roofing work, pursuant to §6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on the covered residential property. You may cancel the contract and obtain a full refund of any deposit within seventy-two hours after entering the contract. In addition, you may rescind a roofing contract pursuant to C.R.S. § 6-22-104. 2. If this contract is cancelled by the customer later than seventy-two hours from receipt of the written notice identified in § 6-22-104 or if the customer cancels the contract for a reason other than the receipt of written notice identified in § 6-22-104, the customer shall pay to S&S C.S. (20%) of the contract price as liquidated damages, not as a penalty, and the S&S C.S. agrees to accept this amount as a reasonable and just compensation for cancellation and the efforts that S&S C.S. expended in relation to the subject of this contract. 3. If material has to be reordered or restocked because of a cancellation by the customer other than permitted by §6-22-104, you will be responsible for any restocking fee charged to S&S C.S. All excess materials belong to the Company. 4. S&S C.S.'s liability insurer is The Cincinnati Insurance Companies, 6200 S. Gilmore Road, Fairfield, OH 45014-5141 Mailing address: P.O. Box 145496, Cincinnati, OH 45250-5496. 5. Company shall not be liable for the failure of performance due to labor controversies, strikes, fire, weather, inability to obtain material from usual sources, acts of God, or circumstances beyond the control of the Company. 6. If Customer defaults in payment of this contract, charges shall be added from the date of the default at a rate of (18% per annum) with a minimum charge of $20.00 per month. If placed in the hands of an attorney for collection, Company shall be entitled to collect all attorney's fees, legal filing fees, and costs expended in enforcing the collection of any charges payable under the contract. 7. Unless included in the contract and insurance scope, the contract does not include the replacement of deteriorated decking, roof jacks, ventilators, flashing, or other materials and will be charged on a time and material basis if needed. 8. Company's warranty does not cover damage to roofs caused by lighting, gale (50 MPH), hurricane, tornado, hailstorm, foreign objects, or damage to roofs due to the settlement, distortion, failure or cracking of the roof deck, walls, or the foundation of a building. 9. Company is not responsible for any damage below the roof due to leaks caused by excessive wind, ice, or hail during the period of the warranty. The Company's warranty covers roof only. This contract and labor warranty shall not be assigned and are nontransferable unless specified in writing. 10. Company will not be held liable for any structural movement of the foundation or walls, settling, cracks in dry -wall, cracking or breaking of the driveway during the roofing or loading processes, or minor scratching or denting of rain gutters. 11. All pictures, wall hangings, lights, and collectables, both indoors and out MUST be secured by homeowner. Any damage to personal items during installation will not be the responsibility of the Company. 12. Customer will not receive a labor, material, or manufacturer warranty if the contract is not paid in full. Any discounts, sign allowance, referral fees, or the like will be revoked if account is past due. 13. Customer has the sole responsibility to provide safe -keeping areas for all pets. Company shall not be responsible for gates left open during or after Company's work 14. Homeowner is solely responsible for Homeowners Association (Covenant approval) of roofing products and color. 15. Company is not responsible for damage to stucco, siding, or wall abutment due to re -flashing. Company is not responsible for satellite dish realignment. 16. The waiver of a breach of a provision of this contract shall not operate as a waiver of any subsequent breach by any party. This agreement is the entire agreement by the parties. Any representation, statements, or other communications not written in this contract are agreed to be immaterial, and not relied on by either party, and do not survive the execution of s contract. Property owner Initials: S&S Construction Services, LLC 741 Toledo St. Aurora, CO 80011 Office 720.870.2718 / Fax 303.317.2465 RCV Coverage: A replacement cost value policy applies the value to replace the property with other property of comparable quality and used for the same purpose. In contrast, if you have an actual cost value policy or roof surface coverage that deducts an amount from the replacement cost value based upon the age of the roof or property, you will be responsible for the difference between the replacement cost value and the insurance company's deduction for actual cash value or the roof service coverage. The final scope agreed between the insurance company and S&S C.S. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not within the scope of coverage provided by your policy. Supplemental claims billed by S&S C.S. that are approved by the insurance company for additional work or increases in costs become a part of this contract. Warranty: S&S C.S., expressly warranties its installation hereunder to be free from defects in workmanship for a period of 5 (FIVE) years. Our obligation under this warranty shall be limited to any necessary labor if, within the warranty period, any portion of our work shall be demonstrated to have been improperly completed. If Owner shall make or permit, without prior written consent from S&S C.S., repairs, alterations or additions to the roof which affect the Work, this Warranty shall become null and void and of no further effect effective as of the date of commencement of any such unauthorized repairs, alterations or additions. S&S Construction Services, LLC will respond promptly and reasonably to any written request for consent for alterations or additions. This warranty specifically excludes damage caused by third parties, damage from ice damming, condensation, acts of God, or damage caused by other trades during or after the completion of our work. Owner hereby acknowledges receipt of the ice damming information package and is aware that this warranty shall be void in the event roof repair, maintenance or snow removal is not performed by S&S C.S. This warranty is in addition to the manufacturer's warranty for materials and is expressly in lieu of all other warranties express or implied. Correction in the manner provided above shall constitute a fulfillment of all liabilities of S&S C.S. with respect to the installation. S&S Construction Services, LLC Warranty is expressly conditional upon receipt of payment in full for the Work. (No Warranty for any repair work) EXCLUSIONS: Snow removal, interior flashing, interior downspouts or drains at flat roof and any decks, door and window flashings or any non -related roof flashing to terminate immediate roof replacement. Homeowner or owner's representative should have protection of interior of residence from any fallen dust and/or debris caused by the roof replacement. Mold and asbestos removal or mitigation, or patina. Saw cutting, mock ups, shop drawings ice damage or liquid damages, bonds, permits and fees for such. Unless specifically noted above, there are no additional terms presumed to be included in this proposal ALL CHECKS FOR PAYMENT MUST BE MADE PAYABLE TO S&S CONSTRUCTION SERVICES, LLC ("COMPANY"). HOMEOWNER WILL BE LIABLE TO S&S C.S. FOR PAYMENT OF THIS CONTRACT IF CHECK IS MADE OUT TO ANY OTHER ENTITY OR PERSON. S&S CONSTRUCTION SERVICES, LLC WILL ADVISE YOU IN THE PROCESS OF SUBMITTING INSURANCE CHECKS TO BANKS OR MORTGAGE COMPANIES WHEN REQUIRED. AT TIMES THESE ENTITIES WIAREQUIRE DOCUMENTS FROM US AS YOUR CONTRACTOR IN ORDER TO RELEASE PAYMENT. S&S CONSTRUCTION SERVICES, LLC SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING MATERIALS HAVE BEEN DELIVERED TO THE PROPERTY. Approximate Date of Service: T Q,� The dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor. S&S Construction Services, LLC 741 Toledo St. Aurora, CO 80011 Office 720.870.2718 / Fax 303.317.2465 INSPECTION RECORD OCCUpancv/TYDe INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (EEG) Concrete Encased Ground o- Reinforcing or Monolithic 6 Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof o- Electrical Service 6 Rough Electric Rough Plumbing Gas Piping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. 1 V rRVI.CCV11Yla Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof 6 Building FinalFire.Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 1 t,41 V 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 Permit Number K ♦ 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: 'E z'a Permit Number: io Z %9t Fe-_ ( - x ❑ No one available for inspection: Time 12 2_� AM/@ Re- Inspection required: �Eeb No "When corrections have been made, oaff for re inspection at 303 Date: Inspector DO NOT REMOVE THIS NOTICE r City of Wheat Ridge Residential Roofing PERMIT - 102691 PERMIT NO: 102691 ISSUED: 12/06/2010 JOB ADDRESS: 3920 -22 Harlan St EXPIRES: 12/06/2011 DESCRIPTION: Reroof 27 sqs with 50 yr shingles * ** CONTACTS * ** owner 303/561 -1739 Tina Delisa sub 720/381 -0550 John Needham 09 -0463 Needham Restoration & Roofing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0429 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 11,032.35 FEES Permit Fee 236.00 Total Valuation .00 `�1�•( -"' // Use Tax 198.58 ** TOTAL ** 434.58 s Conditions: 6. nails per shingle is required. Ice dam membrane is required from eave edge to 2'.:inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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,.acitRin this document as parties to the work to be performed and that all work to be performed is disclosed in this doc / umehE r d /or its' acco ng appro ed plans and specifications. {{ Sigaatu of OWNER or CONTRACTOR (Circle one) Date l his 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 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field— inA eC166A. building unreal Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY City of w,l W h6at fk �OMMUNITy DEVELOPMENT jge 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 Property Adtlress^ Property Owner (jlea Mailing Address: (if different than property address) Address: �26- a /Fb' Date: Plan # Permit # t A-j l City, State, Zip: r �Z3 Contractor: _�Ll��eo / %7ll /wn�,r>�2�i�r Contractors City Lice nse #: 69D 1211 Phone: �, ao ciecmcai: Plumbing: Mechanical: City License # City License # City License # Descrlptlori:ofivork Contract Va ue• � 3s Review Fee (due at time of submittal): Squares a X BTU's Gallons Sq Ft. 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 PRINT (CONTRACTOR) DATE: Bldg Valuation: Building Permit Application