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7000 W. 33rd Avenue
DocuSign Envelope ID: 48236F95-BF67-4728-B5BF-008AEDEBF232 101 PLATTE RIVER ROOFING ..,•,. 720.254.1462 4047 S, Wisteria Way, Denver, CO 80237 / Fax: 303.597.4122 www.plafteriverroofing.com / platteriverroofing@gmail.com CUSTOMER----�� ��..,,�? r f `� i ADDRESS _700 C) J 3-0 7 Q ' ✓ ' �t CITY, STATE, ZIP THE APPROXIMATE DATE(S) OF SERVICE: T & -ter iQ BBB, RATING ,,,.... INNOVATIONS FOR UFA* cararsrroaas coarunnnort TAMKO CertainTeed1l DDD?fRID PBOHDC78 DATE PHONE T" f _ 7 -- -7 U C/ > +✓ CELL _j D 6 EMAIL .._ C C Gq C kA,(t-+T` . N 0+ PLATTE RIVER ROOFING INTENDS TO COMMENCE WORK PURSUANT TO THIS CONTRACT AS FOLLOWS: If the property owner plans 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 the roofing work, pursuant to C.R.S. § 6-22-105, Platte River Roofing 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. Platte River Roofing shall hold in trust any payment from the property owner until delivery of the roofing materials at the residential property site or until Platte River Roofing has performed a majority of the roofing work on the residential property. Weather Permitting: Should the weather, at the sole discretion of Platte River Roofing, be unsuitable to perfQq the work described above, Platte River Roofing shall notify Customer in writing when said work shall commence, but in no case will said work commence later than 5 days after the weather is no longer a factor and has been deemed suitable for the performance of the agreement. INSURANCE INFORMATION INSURANCE COMPANY -5)(* - fiN?-4N& PHONE et - $6 b 4- I POLICY NUMBER 9 6 ` (p -J —4 � 4- -L CLAIM i L 91 Q( SCOPE OF WORD MANUFACTURER f QUANTITY L/(144" 1 Its 4 0 ©OF TYPE (l �(COLOR PROTECT LANDSCAPING REPLACE PLUMBING BOOTS h REMOVE ALL LAYERS TO DECKING REPLACE AND PAINT VENTS REPLACE ROTTEN / NON CODE COMPLIANT DECKING `c 6 NAILS PER SHINGLE 1r @PER SHEET 'K INSTALL RIDGE SHINGLE 1' INSTALL DRIP EDGE 0 ''`~-- REPLACE METAL FLASHING INSTALL NEW FELT 54 #30 — #15 ICE AND WATER SHIELD ON EVES/PER CODE HOA approvals are the responsibility of the Customer LS fp. P -00-f s; 3/16/2018 RIDGE TYPE{ HAUL AWAY ALL DEBRIS (NO ROLL OFF DUMPSTER MANUFACTURERS' WARRANTY PLATTE RIVER ROOFING 1 YEAR LABOR WARRANTY PLATTE RIVER ROOFING WILL PULL ALL APPROPRIATE PERMITS AND FILE FOR FINAL INSPECTIONS Satellite Dish realignment is the responsibility of the Customer TOTAL PRICE $ 251 6 e CHECK $ .-pt3)tt CHECK $ CHECK $ ECK $ '4Zip 4,301q HDMEO`74FWS199NA1fURE DATE / TIME COM NY REP DA 1 TIME This agreement includes and is subject to the Terms and Conditions found on the back side of this page. City of Wheat Ridge Residential Roofing PERMIT - 201800763 PERMIT NO: 201800763 ISSUED: 03/19/2018 JOB ADDRESS: 7000 W 33rd AVE EXPIRES: 03/19/2019 JOB DESCRIPTION: Residential reroofing permit remove and install Certainty Residential Shake Asphalt Shingles with redecking 38 squares. Pitch 6/12. *Duplex 7000-7020 W 33rd Ave* *** CONTACTS *** OWNER (775)348-0650 WALKER JEROME P TRUSTEE SUB (720)254-1462 Matthew Kempton 120061 Platte River Roofing Company *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,768.57 FEES Total Valuation 0.00 Use Tax 541.14 Permit Fee 453.55 ** TOTAL ** 994.69 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. ® City of Wheat Ridge Residential Roofing PERMIT - 201800763 PERMIT NO: 201800763 ISSUED: 03/19/2018 JOB ADDRESS: 7000 W 33rd AVE EXPIRES: 03/19/2019 JOB DESCRIPTION: Residential reroofing permit remove and install Certainty Residential Shake Asphalt Shingles with redecking 38 squares. Pitch 6/12. *Duplex 7000-7020 W 33rd Ave* I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I , 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 wor be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 3ho i e Signat re 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 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 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 o a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicab a or any or nce 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. LaQenia Reimer ),-) (V 0 0 From: no-reply@ci.wheatridge.co.us Sent: Friday, March 16, 2018 4:22 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing 0o g 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 a. 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 7000 w 33rd ave Jerome Walker Property Owner Phone 775-348-0650 Number (enter WITH dashes, eg 303-123-4567) T �l' Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract jerry_reno@charter.net No Please DocuSign Jerry Walker Contract.pdf CONTRACTOR INFORMATION Contractor Business Platte River Roofing Name Contractor's License 17482 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-254-1462 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 1912 Mt Zion DR (Primary address of your business) Contractor Email Address mrkempto@gmail.com Retype Contractor Email mrkempto@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) 25768.57 Are you re -decking the Yeses` roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pitch 612, of the PITCHED roof? How many squares are 38 part of the PITCHED roof? Describe the roofing Certainty Residential Shake materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional house detail here on the description of work. (Is this for a house or garage? Etc) 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 3 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. Name of Applicant Matt Kempton Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE _1�9�Building -inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 a G- 141/1 1 j Job Address: -7 ° r, fl w Permit Number: -& fl/ S 0 U -7 3 r-0 v epi ❑,No one available for inspection: Time = �N Re -Inspection required: Yes CNo When corrections have been made, call for re -inspection at 303-234- Date:--3 03-234-Date:3 9 /lig Inspector: ► ,i DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building -inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 a G- 141/1 1 j Job Address: -7 ° r, fl w Permit Number: -& fl/ S 0 U -7 3 r-0 v epi ❑,No one available for inspection: Time = �N Re -Inspection required: Yes CNo When corrections have been made, call for re -inspection at 303-234- Date:--3 03-234-Date:3 9 /lig Inspector: ► ,i DO NOT REMOVE THIS NOTICE INSPECTION RECORD OccuaancvlTvpe ° '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 L `� $ crete hic TION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Caissons / (CEG) Concrete Ground ng or Monolithic Drain roof / French rvice Lines rvice Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Pioino Mechanical Framing HBOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Insulation Drywall Screw M. Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W &Drainage INSPECTIONS FOR PLANNING & 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 W ORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. PROTECT THIS CARD FROM THE We O OCCUPANCY IS ISSUED CITY OF WHEAT RIDGE � Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Jj Job Address 'f( Permit Number /00 CO f 0 r,. r r ❑ No one available for inspection: Ti me ! A '� P ' Re-Inspection required: Yes No 1 r' 0 VE THIS NOTICE .. r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 64aZ ke"F Job Address , Permit Number /!5>.;?357 .'� zd�i f f`r�' ✓F ! "J�t's' ' ! I <^. .} -a).f� /.G'J�l� n .' ,C! i> A,4C - )e7 - M-- 1 $'Ae ", 1 776 . ✓` luired: No " V, 41 City of Wheat Ridge r 4 0 0 0 r - Residential Roofing PERMIT - 102357 PERMIT NO: 102357 ISSUED: 10/12/2010 JOB ADDRESS: 7000 W 33RD AVE EXPIRES: 10/12/2011 DESCRIPTION: Remove and replace 20.5 sqs ofasphalt shingles * ** CONTACTS * ** owner 775/348 -0650 Jerome Walker gc 303/425 -7531 John Borfitz 01 -9983 J & K Roofing Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,268.50 FEES Permit Fee 140.90 Total Valuation .00 Use Tax 94.83��Z� ** TOTAL ** 235.73 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 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 (I.B.C) and all other applicable Wh� Ridge Ordinances, for work under this permit. Plans subject to field inspection. Jf 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 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any vi at of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review i o field inspections. Signature of Chief ldiA4 'Official 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 Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 °otoRnoo Inspection Line: 303 - 234 -5933 s 16 — Building Permit Application Date: 10112,1 Plan #: PP ,ermit M 10 3 it //� Property Owner (please print): Mailing Address: (if different than property address) Phone: '1°yar 3�8 -1050 Address: A(-6 City, State, Zip: )QLy . Lam— X9505 fi _ Contractor License Phone: ? i-425`_1 1 Ji j Electrical City License #: Company: Plumbing City License #: Mechanical City License #: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of s ace ddscri tion): 1 ka � Construction Value: $ 11456 -� ,, OX W ��� (as calculated per the Building valuation Data sheet) &L� to (A4L 4w� Y'2 -- /2 Plan Review (due at time of submittal): $ Sq. Ft. /L.Ft added: Squares -4L BTU's Gallons Amps 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 measurement$- shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and thatfassume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEONE::�.(OWNER� � ONT,RA�CTOR) pCpERSO ATUREPR�JT o ( R n (+CO Yf AT Date: PRINT NAME: — ( � ( ?,SIGNATUR E: I h Nj f / V