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Home My WebLink About3864 Parfet StreetINSPECTION RECORD Inspection online form: http://www.ci-wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business d PERMIT:, ADDRESS:,_ JOB CODE: , Foundation Inspections 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls Date Inspector Initials 106 Foundation wall Insulation I I T_ Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. DateI Inspector Initials Comments Comments 206 Water Underground I I Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing o307 C� 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS i PERMIT:, -/Z 2- "- A - Rough Inspection (continued) Date Inspector CommentsInitials 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 405 Final Mechanical Residential 319 Hot water tank 407 Final Plumbing Residential 320 Drywall screw and Nail 321 Moisture board / shower walls / 3 410 Final Window/Door 322 Rough Grading Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 A ***For fire inspections please contact the Fire Protection District for your project. 323 Miscellaneous 413 Flood plain Inspection** Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof / 3 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 A ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works* 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 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: 3e(- Permit eCPermit Number: ❑ No one available for inspection: Time 1 AM Re -Inspection required: Yes No When correctio s have been made, call for re -inspection at 303-234-5933 Date: Inspector: r 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: 17 P Job Address: Permit Number: %n' �2 ❑ No one available for inspection: Time �� AM/7 Re -Inspection required: Yes 'No *When corrections/ have been made, call for re -inspection at 303-234-5933 Date:)//" /Inspector: DO NOT REMOVE THIS NOTICE ® ' City of Wheat Ridge A Residential Roofing PERMIT - 201708922 PERMIT NO: 201708922 ISSUED: 11/07/2017 JOB ADDRESS: 3864 Parfet ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Permit for reroof: Install 34 squares 4/12 pitch Certainteed landmark shingles As halt "this permit is for a duplex** *** CONTACTS *** OWNER (303)668-4029 MARSHALL SUSAN C SUB (800)255-1204 Braden Banes 170660 Axe Roofing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,466.48 FEES Total Valuation 0.00 Use Tax 282.80 Permit Fee 267.70 ** TOTAL ** 550.50 *** 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 - 201708922 PERMIT N0: 201708922 ISSUED: JOB ADDRESS: 3864 Parfet ST EXPIRES: JOB DESCRIPTION: Permit for reroof: Install 34 squares 4/12 pitch shingles Asphalt **this permit is for a duplex** 11/07/2017 11/07/2018 Certainteed landmark I, by my signature, do hereby attest that the work to be performed shall comply withal I 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 "ith thispermrt. I further attest that Vam le ally authorized to include all entities named within this document ocuent as parties to the work to be perto ed and that all work erbe performed is disclosed in this document and/or its' accompanying approved plans and specifications. G ff/v Signature - f � R Oor CONTRACTOCircle 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. Thts.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. 4e 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 i accordance with established policy of all required inspections and shall not proceed or conceal work without written approdal' uch 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 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. Antoinette Kulick Z n1--7 obCiz� From: no-reply@ci.wheatridge.co.us Sent: Tuesday, November 7, 2017 11:28 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 Duplex 5a V - are on the property? PROPERTY INFORMATION l C, Property Address 3864 Parfet St. Wheat Ridge CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Susan Marshall 303-668-4029 Field not completed. 9 4-7 n/30/�7,,4- 5 so. 5o Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Axe Roofing 9864 Parfet Roof Agreement Signed.pdf Contract CONTRACTOR INFORMATION Contractor Business Axe Roofing, LLC Name Contractor's License 170660 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-483-4429 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 7100 Broadway 6F Denver CO 80221 (Primary address of your business) Contractor Email Address Gsimmons@axeroofing.com Retype Contractor Email gsimmons@axeroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) 34 13466.48 M Pitched roof (2:12 pitch or greater) 10 What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4/12 32.73 Certainteed Landmark shingles Asphalt Duplex re -roof and gutters 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 this 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 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 Yes Yes Yes Yes 11 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 Gary Simmons Email not displaying correctly? View it in your browser. 12 Roofing Proposal This is proposal is valid for 30 days and may be extended at the discretion of Axe Roofing Customer Susan Marshall Project Name / Number Property Address 3864 Parfet Street, Wheat Ridge, CO 80033 Insurance Carrier Allstate Claim Number 0472199172 Date of Loss 05/08/2017 Company Representative Gary Simmons Customer Phone (303)668-4029 Customer Email sc:m6331@gmail.com Adjusters Name Gary Young Adjuster Phone 8005478676 Adjuster Email r 800.255.1204 www.axeroofing.com The property owner is ✓ / is not intending to make payment from the proceeds of a property and casualty insurance policy. Pursuant to C.R.S. Section 6-22-105, Axe Roofing, LLC (general 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 to work on the covered property. Axe Roofing, LLC shall hold in trust any payment received until the delivery or until Axe Roofing has performed a majority of the work. ✓ Tear off 1 layer(s) of Asphalt roofing Install new turtle vents(s) ✓ Inspect all decking, replace as needed ✓ Install new pipe jack flashing Install _.. to entire roof deck ✓ Install new furnace caps ✓ Replace step flashing on sidewalls, chimney and skylight ✓ Paint jacks / stacks to match roofing color Remove and replace skylight(s) / qty: Detach and reset: ✓ Install drip edge (size) 2x4 (finish) Painted Remove and cover: ✓ Install ice and water shield: Detach and reset satellite Install # felt Remove satellite ✓ Install synthetic underlayment ✓ Clean up and remove all trash and debris ✓ Install starter course of shingles on entire perimeter ✓ Sweep with magnetic roller, clean out gutters Install open valleys ✓ Register manufacturer warranty 30 Install closed valleys ✓ Five year contractors guarantee Build crickets at: ✓ Replace gutters (size): 5., (color) "°�' White j ✓ Roofing product: certalnteed Landmark 1 Replace inside corner(s) / qty: ✓ Roofing color: Silver Birch (or best match to existing) Replace outside corner(s) / qty: ✓ Ridge shingles: e«a.meeu ✓ Replace elbow(s) / qty: 24 Install roofing at areas less than 3/12 ✓ Replace tilt up extension(s) / qty: 6 ✓ Install ridge vent ✓ Replace downspouts (size): 2x3 year(s) Customer initials Axe; Roofing_ LLC 7100 Broadway Unit aF Denver CO 80221 AXE Axe Roofing will complete entire insurance scope. Axe roofing to install ridge vent and delete turtles. Axe Roofing to test gutters after completion for leaks and proper drainage. Photo record to be provided to owner of testing and proper drainage slope. Axe Roofing to pay for and obtain the building permit. Axe Roofing to provide photo record to owner for the following: *Model Verification of Shingles 'Tear off `Inspection of Plywood underlay 'Felt install 'Shingle install and other roof construction progress including gutter install and clean up. Lack of delivery of the scope of work or above items / photos upon completion of the roof will result in a 10% reduction in the fee for this project. Owner or owner's representative to inspect and approve work prior to final payment. Axe Roofing to inspect and provide a price to the owner for the repair of the dip on the NW comer of the duplex prior to commencing work. Approximate Service Date: 10/30/2017 Payment Terms: Upon Completion Work to be completed as described above for the final amount. $ For insurance proceeds + deductable General Project Terms • Axe Roofing will carry $1,000,000 / $2,000,000 General Liability Insurance • Axe Roofing will carry $1,000,000 Workers Compensation Insurance • Axe Roofing will carry $3,000,000 Commercial Umbrella Insurance • Moody Insurance is the contractors broker and may be contacted at 303-824-6600 • Consecutive workdays during normal business hours (weather permitting) • Customer to notify company of project approval at least 10 days prior to scheduling work • No structural work / corrections are included in roofing / re -roofing unless specifically noted • Any roofing repairs or work completed by others may void warranty (snow removal included) • Process may be loud, noisy and dusty. Customer to remove any interior items from walls that may vibrate off • Customer will release funds from insurance carrier to Axe Roofing immediately upon receipt (when applicable) • Customer will" hold payment from company upon waiting for final city inspection 10 % • Customer is responsible for obtaining any Homeowners Association or Historical Society approval • Customer, may cancel this transaction at any time prior to midnight on the 3rd business day after the date of this agreement • Customer agrees to all scope of work items including color and product selections, terms and exclusions • Payment to be made in the form of check or money order, no payments to be made in cash, credit card fees may apply • Applicable sales tax of materials is included in proposal • Axe Roofing to follow all OSHA Standards and Guidelines • Axe Roofing will register the manufacturers product warranty and submit to owner upon completion • Additional project terms may be noted in scope of work section of proposal General Exclusions • Proposal excludes any payment / performance bond ■ Proposal excludes any snow removal, carpentry, wood blocking, waterproofing or sheet metal unless noted ■ Proposal excludes repairing damage caused to completed roof by other trades • Proposal excludes any certified wages or payroll unless specifically noted ■ Additional exclusions may be noted in scope of work section of proposal This proposal and contract (hereinafter also referred to as "Agreement") between Axe Roofing, LLC (the "Company') and the property owner(s) (the "Customer") supersedes any understanding, written or oral agreement between the parties and will be subject to applicable laws in the State where work is performed, with the following conditions: 1.Company shall assist Customer in submitting, processing, negotiating and settling claims with its property insurance coverage for damage to Customers property. If Customer chooses not to have Company perform work, after claim has been settled, Customer shall pay Company 15% of the total amount approved by the insurance company for payment of the repairs and the deductible, including any supplemental claims, overhead and profit as consideration for Company's assistance with the claim. 2. All Agreements subject to review and approval by Company management. Any prices quoted will remain valid for thirty (30) days from the date offered. The Customer will indemnify and hold the Company harmless for any proposed or understood changes to the Agreement not written on both signed copies of the Agreement. The Customer is responsible for obtaining any and all applicable product and related color approval(s) from any relevant Homeowners Association(s) (HOA) and Historical Society. 3. Customer hereby agrees: (i) to fully cooperate with Company in Company's efforts to negotiate with Homeowner's insurance company; (ii) to provide complete and accurate information in order to assist Company in its efforts; (iii) to continually provide information should additional information become known to Customer; and (iv) to allow Company to file supplemental insurance claims. 4. The Company is acknowledged to be a general contractor and is entitled to receive all overhead and profit charges applicable to an insurance claim. All payments should be made payable to Axe Roofing, LLC. with no payments to be made in cash. The Company's insurance is produced by Moody Insurance and can be contacted at 303-824-6600. Customer Initfats: X* Axe oofi.oq, 11, C 7100 13 z/adway Unll 6F Denver, GO 80229 pa,q2 of 3 AXE 5. Customer and Company agree that Customer is not assigning to Company any interest in a legal claim, but instead agrees to pay Company the full amount allowed by the Customers insurance company scope of loss/estimate, any agreed to upgrades and the Customers deductible. 6. This Agreement shall survive the death, incapacity, and/or bankruptcy of Customer and shall be binding on Customers heirs, administrators, estate, successors or assigns. Customer agrees not to contract with any other company, to process and/or submit any claims unilaterally, to cause others to submit claims on Customers behalf or in any manner attempt to bypass or circumvent this agreement during the time period as identified above. This Agreement may only be modified by written agreement signed by both parties. 7. Customer agrees Company may enter into such contracts with other companies or individuals as it deems necessary to complete the Scope of Work. Any materials not used in the completion of the Scope of Work shall be the property of Company. 8. This Agreement shall be governed by the laws of the State of Colorado. This Agreement comprises the entire agreement between Company and Customer. No oral or prior written agreements shall have any binding effect and this agreement shall supersede all prior writings, statements or representations, whether written or oral. 9. If Customer breaches this agreement or if Company engages an attorney to enforce the agreement or collect the amounts due under this agreement, Customer shall pay to Company Company's reasonable attorneys fees and all costs of collection or enforcement. Should default be made in payment of this Agreement, the Company reserves the right to place a mechanic's lien upon the property and pursue collection of funds from the Customer. Default is defined as having thirty (30) days passed from completion of stated work by the Company. The Customer agrees to pay interest of eighteen percent (18%) per annum applied to all unpaid amounts due to the Company until the Agreement is paid in full. The Customer also agrees to pay all costs incurred by the Company for the collection of the Agreement or insurance settlement amount including reasonable attorney fees. 10. The Customer acknowledges that work processes can be noisy, messy and can cause vibrations/shifting of the property's structure and its contents. The Customer will indemnify and hold the Company harmless for pre-existing damage or deterioration, improperly installed concrete and/or soils, minor interior damage (i.e. nail pops, cracks in plaster, drywall or paint) and minor exterior damage (i.e. slight scratching/denting of gutters or paint, minor landscaping damage, hairline fractures or minor chipping in concrete). Rotten, brittle or improperly maintained or installed siding/trim/stucco may be damaged during installation of wall flashings (when applicable) for which the Company shall be indemnified and held harmless. The Company may repair such damage with additional labor and materials costs charged to the Customer if requested by the Customer, and the Customer agrees to not withhold any payment to the Company for appearance or resolution of any aforementioned issues. The Customer shall indemnify and hold the Company harmless for the proper functioning of any evaporative coolers, HVAC units, solar systems, skylights and ventilators installed prior to work being performed by the Company. The Company agrees to inspect and pay for time and materials necessary to repair substantial damage (if caused and inspected by the Company) to Customer's property during the repair/replacement process as long as such items are not already excluded above. 11. The Company shall be indemnified and held harmless for failure to perform due to: A) the Customer and/or their insurance company's or mortgage company's delays, omissions or errors B) weather C) inability to acquire material from normal sources D) labor strike or controversies E) lack of access or additional damage to the property for which stated work is to take place, and F) any other circumstance beyond the control of the Company whether of similar or dissimilar nature. If any provisions of this Agreement should be held invalid or unenforceable, the validity and enforceability of the remaining provisions of this Agreement shall not be affected. 12. Company shall not assume or be held liable for any damages to personal property or physical injury as a result of vibrations caused during the execution of the work described in this Agreement. 13. Company will make all reasonable efforts to protect the property from any further damages. However Company shall not be held liable for wear and tear to driveways, parking lots, walkways, lawns, shrubs, or other floral or vegetation caused by truck, equipment, materials, work force or debris. 14. ANY WARRANTIES ON THE PRODUCTS USED ARE THOSE MADE BY THE MANUFACTURER. COMPANY DISCLAIMS ALL WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. COMPANY DOES NOT ASSUME NOR AUTHORIZE ANY OTHER TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE OR USE OF ANY PRODUCTS. CUSTOMER SHALL NOT BE ENTITLED TO RECOVER FROM COMPANY ANY CONSEQUENTIAL DAMAGES, DAMAGES TO PERSON OR PROPERTY, DAMAGES FOR LOSS OF USE, LOSS OF TIME, LOSS OF PROJECTS OR INCOME, OR ANY OTHER INCIDENTAL DAMAGES. 15. Company and its insurers shall be held harmless for alleged or actual damages/claims as a result of mold, algae or fungus. Company and its insurers shall exclude all coverage, including defense, damages related to bodily injury, property damage and clean-up directly or indirectly in whole or in partfor any action brought by mold, including fungus and mildew, regardless of the cost, event, material, product or workmanship that may have contributed concurrently or in any sequence to the injury or damage that occurs. 16. Company's performance under this Agreement shall be excused in the event of fire, explosion, flood, severe weather, accident, strike, governmental act, embargo, shortages of materials, computer system failure, war or military action, riot, civil disturbance or any other event beyond the control of Company or which materially affects the economic basis of the bargain ("force majeure"). Company's performance in the event of a force majeure shall be excused for as long as the cause continues, without liability. If the force majeure continues unabated for ninety (90) consecutive days, Company may, at its option, cancel this Agreement without liability. 17. Customer agrees that Company's performance under this Agreement shall not commence until the Homeowner pays the insurance proceeds and deductible to Company for the Scope of Work. Customer agrees to limit any and all damages to the Company to the amount of the contract. 18. Customer, may cancel this transaction at any time prior to midnight on the 3rd business day after the date of this agreement. 19. 1 (We), the Customer(s), have read and fully understand this Agreement. I have been provided with a copy of this Agreement. I have also been notified that I may cancel the Agreement within three (3) days from the date hereof. 11/3/2017 Custome Date of Axe Roof rized representative Date A ,i Ro o og, ...%. r:ifi i ruad a ,,, b, 0,_Inver: { o� ':,t,_ . x Page 3 of National Catastrophe Team All P.O. Box 672041 Dallas, Texas 75267 Yovre in good hands. phone: (800) 547-8676 Fax: (877) 292-9527 Insured: SUSAN MARSHALL Property: 3864 Parfet Wheatridge, CO 80033-3914 Home: 3171 E 10000 S Sandy, UT 84092 Claim Rep.: Gary Young Estimator: Gary Young Claim Number: 0472199172 Date Contacted: 9/3/2017 5:25 PM Date of Loss: 5/8/2017 3:00 PM Date Inspected: 9/4/2017 5:25 PM Date Est. Completed: 9/5/2017 1:54 PM Policy Number: 000920434064 Price List: CODE8X_AUG17 Restoration/Service/Remodel Estimate: SUSAN MARSHALLI Cell: (303) 668-4029 E-mail: scm6331@gmail.com Business: (800) 547-8676 Business: (800) 547-8676 Type of Loss: Windstorm and Hail Date Received: 8/28/2017 1:14 PM Date Entered: 9/1/2017 5:12 PM Allstate is dedicated to providing you with outstanding service throughout the claim -handling process. If you have any questions regarding this estimate, or if there are differences with the estimate provided by your repair person of choice, or if additional damage is found during the repair process, please contact us at (800) 547-8676. Thank you, Gary Young SUSAN_MARSHALLI 9/12/2017 Page:I Allstate You're in good hands. National Catastrophe Team P.O. Box 672041 Dallas, Texas 75267 Phone: (800) 547-8676 Fax: (877)292-9527 SUSAN_MARSHALL1 Source - Eagle View Source - Eagle View Dwelling Roof 3272.77 Surface Area 32.73 Number of Squares 352.54 Total Perimeter Length 89.22 Total Ridge Length FI (A) P3 � a, DESCRIPTION QUANTITY UNIT RCV AGE/LIFE COND. DEP % DEPREC. ACV 1. Remove Laminated - comp. shingle rfg. - w/ 32.73 SQ 51.30 1,679.05 0/30 yrs Avg. NA (0.00) 1,679.05 felt 2. Laminated - comp. shingle rfg. - w/out felt 34.00 SQ 210.57 7,159.38 5/30 yrs Avg. 16.67% (1,193.23) 5,966.15 Auto Calculated Waste: 3.9%, 1.27SQ Options: Valleys: Open, Include eave starter course: Yes, Include rake starter course: No, Exposure: 5 5/8", Bundle Rounding: 0.1%, 0.03SQ - (included in waste calculation above) 3. Ridge cap - composition shingles 90.00 LF 3.89 350.10 5/25 yrs Avg. 20% (70.02) 280.08 4. Roofing felt - 15 lb. 32.73 SQ 30.30 991.72 5/20 yrs Avg. 25% (247.93) 743.79 -i. Paint trim - one coat 337.00 LF 0.72 242.64 5/15 yrs Avg. 33.33% (80.88) 161.76 6. R&R Drip edge 337.00 LF 2.37 798.69 5/35 yrs Avg. 14.29% (100.62) 698.07 7. Flashing - pipe jack 1.00 EA 37.41 37.41 5/35 yrs Avg. 14.29% (5.34) 32.07 8. Exhaust cap - through roof - 6" to 8" 2.00 EA 78.36 156.72 5/35 yrs Avg. 14.29% (22.39) 134.33 9. Roof vent - turtle type - Metal 1.00 EA 53.89 53.89 5/35 yrs Avg. 14.29% (7.70) 46.19 10. Prime & paint roof vent 1.00 EA 27.33 27.33 5/15 yrs Avg. 33.33% (9.11) 18.22 Turtle vent painted 11. Digital satellite system - Detach & reset 1.00 EA 36.28 36.28 0/NA Avg. 0% (0.00) 36.28 Totals: Dwelling Roof u 11,533.21 Front Elevation 219.67 SF Walls 258.67 SF Long Wall 32.33 LF Ceil. Perimeter Missing Wall - Goes to neither Floor/Ceiling 4' X 7' 6" Missing Wall -Goes to neither Floor/Ceiling 3' X 3' 1,737.22 9,795.99 Formula Elevation 32'4" x 8'x 0" 32.33 LF Floor Perimeter 258.67 SF Short Wall Opens into Exterior Opens into Exterior SUSAN_MARSHALLI 9/12/2017 Page:2 DESCRIPTION QUANTITY UNIT RCV AGE/LIFE COND. DEP % DEPREC. ACV 12. R&R Window screen, 1 - 9 SF National Catastrophe Team ��ta}� ftate' P.O. Box 672041 You're In good hands. Dallas, Texas 75267 phone: (800) 547-8676 (8.67) Fax: (877) 292-9527 DESCRIPTION QUANTITY UNIT RCV AGE/LIFE COND. DEP % DEPREC. ACV 12. R&R Window screen, 1 - 9 SF 1.00 EA 40.42 40.42 7/30 yrs Avg. 23.33% (8.67) 31.75 `13. Clean the surface area 219.67 SF 0.35 76.88 0/NA Avg. 0% (0.00) 76.88 Seal & paint wood siding 219.67 SF 1.05 230.65 5/15 yrs Avg. 33.33% (76.88) 153.77 '*'M. Paint overhead door - 1 coat (per side) 2.00 EA 61.81 123.62 5/15 yrs Avg. 33.33% (41.21) 82.41 16. R&R Vinyl window, horizontal sliding, 12- 1.00 EA 270.44 270.44 5/30 yrs Avg. 16.67% (41.84) 228.60 23 sf 17. R&R Gutter / downspout - aluminum - up to 78.50 LF 5.79 454.52 5/25 yrs Avg. 20% (84.15) 370.37 5" 621f of gutter damage 15.50 If downspout damage 18. Prime & paint gutter / downspout 78.50 LF 1.26 98.91 5/15 yrs Avg. 33.33% (32.97) 65.94 19. Haul debris - per pickup truck load - 0.50 EA 132.19 66.10 0/NA Avg. NA (0.00) 66.10 including dump fees 20. Comb and straighten a/c condenser fins - 1.00 EA 210.33 210.V 0/NA Avg. 0% (0.00) 210.33 with trip charge Totals: Front Elevation 1,571.87 285.72 1,286.15 Mailbox DESCRIPTION QUANTITY UNIT RCV AGE/LIFE COND. DEP % DEPREC. ACV 21. R&R Rural mailbox 1.00 EA 55.55 55.55 5/20 yrs Avg. 25% (12.28) 43.27 Totals: Mailbox 55.55 12.28 43.27 Total: Source - Eagle View 13,160.63 2,035.22 11,125.41 Total: Source - Eagle View 13,160.63 2,035.22 11,125.41 Line Item Totals: SUSAN_MARSHALLI 13,160.63 2,035.22 11,125.41 [%] - Indicates that depreciate by percent was used for this item [M] - Indicates that the depreciation percentage was limited by the maximum allowable depreciation for this item Grand Total Areas: 219.67 SF Walls 0.00 SF Floor 258.67 SF Long Wall 0.00 Floor Area 937.92 Exterior Wall Area 3,272.77 Surface Area 89.22 Total Ridge Length 0.00 SF Ceiling 0.00 SY Flooring 258.67 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 32.73 Number of Squares 0.00 Total Hip Length 219.67 SF Walls and Ceiling 32.33 LF Floor Perimeter 32.33 LF Ceil. Perimeter 0.00 Interior Wall Area 705.07 Total Perimeter Length SUSAN_MARSHALLI 9/12/2017 Page:3 Coverage Item Total % ACV Total % AA -Dwelling National Catastrophe Team 99.58% 11,379.11 y te P.O. Box 672041 0.00 Dallas, Texas 75267 1'ou`r'e in 8000 hands Phone: (800) 547-8676 BB -Other Structures Fax: (877) 292-9527 Coverage Item Total % ACV Total % AA -Dwelling 13,105.08 99.58% 11,379.11 99.61% A9 -Dwelling - Mold 0.00 0.00% 0.00 0.00% BB -Other Structures 55.55 0.42% 45.04 0.39% B9 -Other Structures - Mold 0.00 0.00% 0.00 0.00% CC -Personal Property 0.00 0.00% 0.00 0.00% C9 -Unscheduled Personal Property - Mold 0.00 0.00% 0.00 0.00% DD -Fair Rental Value 0.00 0.00% 0.00 0.00% 139 -Additional Living Expense - Mold 0.00 0.00% 0.00 0.00% FF -Fire Department Service Charge 0.00 0.00% 0.00 0.00% RP -Replacement Provision 0.00 0.00% 0.00 0.00% XX -Liability 0.00 0.00% 0.00 0.00% X9 -Liability - Mold 0.00 0.00% 0.00 0.00% YY -Guest Medical 0.00 0.00% 0.00 0.00% Y9 -Guest Medical - Mold 0.00 0.00% 0.00 0.00% Total 13,160.63 100.00% 11,424.15 100.00% SUSAN_MARSHALLI 9/12/2017 Page:4 Line Item Total Material Sales Tax Replacement Cost Value Less Depreciation Actual Cash Value Less Deductible Net Claim Total Recoverable Depreciation Net Claim if Depreciation is Recovered Gary Young Summary for AA -Dwelling Summary for All Items 13,105.08 361.40 $13,466.48 (2,087.37) $11,379.11 (1,000.00) $10,379.11 2,087.37 $12,466.48 SUSAN_MARSHALLI 9/12/2017 Page:5 National Catastrophe Team P.O. Box 672041 ' Dallas, Texas 75267 You're m good hands. Phone: (800) 547-8676 Fax: (877) 292-9527 Line Item Total Material Sales Tax Replacement Cost Value Less Depreciation Actual Cash Value Less Deductible Net Claim Total Recoverable Depreciation Net Claim if Depreciation is Recovered Gary Young Summary for AA -Dwelling Summary for All Items 13,105.08 361.40 $13,466.48 (2,087.37) $11,379.11 (1,000.00) $10,379.11 2,087.37 $12,466.48 SUSAN_MARSHALLI 9/12/2017 Page:5 National Catastrophe Team P.O. Box 672041 You're in good hand,. Dallas, Texas 75267 Phone: (800) 547-8676 Fax: (877) 292-9527 Line Item Total Material Sales Tax Replacement Cost Value Less Depreciation Actual Cash Value Net Claim Total Recoverable Depreciation Net Claim if Depreciation is Recovered Cary Young Summary for BB -Other Structures Summary for All Items 55.55 2.36 $57.91 (12.87) $45.04 $45.04 12.87 $57.91 Depending upon the circumstances of your loss, our estimate may or may not include an amount for general contractor's overhead and profit. If you have questions regarding general contractor's overhead and profit and whether the services of a general contractor are appropriate for your loss, please contact your claim representative before proceeding with repairs. It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies. Specialized skill, licensing or certification may be needed of any contractor(s) that you retain, for instance, to identify the presence and nature of any potential contaminants, toxins, pollutants, or other hazards that may be encountered during the course of the work, or to utilize appropriate work practices and procedures during the course of the work. Check with your local or State public health or environmental agency regarding potential hazards, including contractor qualifications and other requirements. For your safety, it is prudent to avoid areas where damaged structures, materials or unknown substances may be present, and to not disturb such structures, material, or unknown substances until your contractors have inspected the work site. The suggestions above are provided only for your consideration. They in no way supplement, alter or modify your existing coverage. Your insurance policy is the legal contract that contains the terms and limitations of your coverage. If you have any concerns about the grade of flooring on your estimate, you may take advantage of a free service that will provide you with a more specific analysis. To use this option, please keep a 12" x 12" sample of your damaged flooring, and notify your Allstate adjuster that you would like the additional analysis. SUSAN_MARSHALLI 9/12/2017 Page:6 ♦ 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: rw>y Vii= Job Address: _ 38 'Y-7Y /��tRFfr S7 Permit Number: 117�2 f�G�nul1? P ❑ No one available for inspection: Time o; Vp A /PM Re- Inspection required: Yes C * When corrections have been made, call for re-inspection at 303 - 2345933 Date: Yl'& //a Inspector DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE / Building Inspection Division � (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 3SGY -7Y R4klc -te7 sr Permit Number: 166),g�o2 ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No `When corrections have been made, cal( for re / - inspection at 303 - 234 - 5933 Date: ? 3 1d Inspector DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: /O U f 11 6' a G_,~v' Cam . 6-11 =177 f ❑ No one available for inspection: Time AM/PM Re-Inspection required`Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: l c Inspector: DO NOT REMOVE THIS NOTICE e " City pf Wheat RidgE 6ulIdfirg D/vision m 7500 YV. 29g AVE.,1rVheaf F2idger C,C3 $00'33 'F Office: 303-235-'2855 " Fax: 303-235 2857 inspection Line-.303234-533 R Property Address: Property Owner (p(e mailing Address: (!f different than property addMSS) City, State, Zip: 9ontractor, Date: PC4 PennltA. J DOC I 303 Sul) Contractors: Electrical City License Company: P(urnping C:W License 9- Company Mechanical City License#. Company: Exp. Data: Exp. Date: Approval: A prae Up. Date: Approval: Use of space (description):Gansrttfttibn Vahle: 3 ✓."O Deseriptionofwork- ~t-fie je3-`. (as GwailateMper'has"70..M deaYionDatasA¢e4 C~ Z 1nSlar,JY P(drfReWbw(daaattineofSuWrM&):S Sq., FLJL.Ft added: Gallons Amps fold ar regufetfans nt the CIIY of uemnr appaeaaan 01eE6Gnrata,'and do not Volae applicable: ortgrrpnws. h7[ l dge or 4ovenanto, easemedts or reWt iR hs of rerard; that as meastuamend shown, and ons made ale us Ri read . reapduadatnaibdgy for s S wmplianw ie; w1111 Mat mIe have Wneat an dge and j36jdin aaaatage.lo0 o0de bi .(lb G hy' n). a and ccnd agitm pdnfad'to this appgcanan and that I p'scthne Wa urtder gda permit Plans. ub)ect [b, Wald taspedaon. ) w"appllcaWe Wrieat Ridge Otdlnanrae, for work C)RLOE ONl7: (OWNER) (CONTRACTOR) or PERSONAL REP,.R@S ..YI@ p { DER) (CONMATORO RI NAMEEQMK1,0T i1INfti BjlN1 SIONATtI#RE:. Pate: 3• dI' )!7 aowNGCOmNef S . DEPAR7NtW USE ONI y Zo*g: Reviewer. [K)6UcVKAM coAM9Nrs . Reviewer. al11tD1NOLKpAti[MENT COMMEM,~ Revkwar. OCCUPANCY FIRE OEPARTNENt~papproved w/t~mmards of dfsappkoved ❑no mvlew mQojnW 191d9 Vaiuattop:g Building Permit Appliostidn CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 080535 Issued: 06/30/08 Stipulations: This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. Al1 other licensing requirements for the City must be met. Site Address: 3864 PARFET ST Parcel Number: 39-213-06-039 Owner: Susan C Marshall Contractor: Corp. Beaver Builders and Excavation 4436 Delaware Denver, CO 80216 For the Following Purpose: Residential Addition Cod4 Editions NO change shall be made in the USE of ✓ 2003 ICC/2005 NEC this building without prior notice 2003 ICC/2002 NEC and a new Certificate of Completion 1997 UBC/2002 NEC from the City of Wheat Ridge. Sprinkler y m C B ilding Inspector Z Administrator CERTIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 06/30/08 09:0353 City of whea[ Rid9e Page 1 bp701-15 PERMIT INFORMATION - 080535 mmackey PERMIT INFORMATION: Permick: 000535 Permi[ Type: ResidenCial Addition Permit O[: 05/28/2008 Expires: 06/27/2008 Address: 3064 PARFET ST Parcel Cd: 39-213-06-039 OWNER: Susan C Maishall Address: City/SC/Zip: LAND PARCEL INFORMATION: Zone Cd: Unassigned DU: 1 Set9acks-Fron[: 0.0 Funcc Ose: []nassigned Last Zone Dt: LeEt: 0.0 Subdivision: HAAS Annex Dc: Righ[: 0.0 Cont Type: Miscellaneous Loc: Block No: 0 eack: 0.0 Legal: SOH DESCRIPTION: Adding mew bedroom, family room & ba[hroom FEES QTY DUE PAID: PermiC Fee 10,000.00 235.70 235.90 Plan Review Fee .00 153.23 153.21 TOCal ValvaCiOn 10,000.00 .00 .00 use Tax 10,000.00 180.00 180.00 568.91 568.91 CONTACTS: owner Susan C Marshall 3036689029 gc CL1 0eaver Builders and Excavation Corp. 4936 Delaware Denver, CO 80216 3034585771 PPRCEL INFORMATION: 10 Structure Type 0I-L 20 Year Buil[ 1970 30 Proper[y Type MllLTI PERMIT WNOITIONS: Appxoved wi[h red line noCes svbjec[ to field inspection/approval - SS APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 05/20/08 CREATEO FROM APPL# 08-0196 05/28/08 Reviewed by .l5 INSPECTION INFORMATION: p TypE WNTRM CALLED CNCL WHO REQ OT INS DT STATOS 1 fra:Framing Inspection 06/OS/08 m cci 06/06/08 2 ins:2nsula[ion 06/05/08 no kc 06/09/08 06/09/00 COMPLETE 3 pri:Plumbing Rough Insp. 06/06/08 no kc 06/09/08 06/09/08 COMPLETE 4 DWS:Deywall sciew/nail OB-0110 06/13/08 mo kc 06/16/09 06/16/08 COMPLETE 5 bfi:BUilding Final Insp OB-0118 06/25/OB no kc 06/26/08 06/26/08 INCOMPLETE 6 bfi:0uilding Final Insp 08-0118 06/26/08 no kc 06/27/08 06/27/OB INCOMPLETE 7 bfi:BUilding Final Insp 06/27/08 no kc 06/27/08 06/29/00 COMPLETE N ~ W O C ~ ~ y C N O ~ ~ m ~ 0 V N t W v C = a M c~i ~j tll M z E ~ U. ~ o ma~ ~ s N N F4,1L6 M V'~ oa m M- o m W U O Z Z U W a N Z ~ L G ~ ~ E o z E a ~ N c a N ayi v` 10 Q .0 0 ~ ~ M Ot N Q ~ + N Q jp O . ~ N C E E_ = u c ~ (D ~ } E m C ~ C ` o 9 ~ L > C m o u ~ o p_ u N Z C = ~ ~ 3 ro ~ aC . o t: ~ ~ . , City of Wheat Ridge ]r, Residential Plumbing PERMIT - 080506 PERMIT NO: 080506 ISSUED: 05/21/2008 JOB ADDRESS: 3864 PARFET ST EXPIRES: 11/17/2008 DESCRIPTZON: Replace damaged waste & vent underground piping. CONTACTS owner 303/668-4029 Jericho Properties sub 303/233-7007 Torrey Cosgrove 01-7885 Lakewood Plumbing LLC PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0190 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,200.00 FEES Permit. Fee 126.50 Total Valuation .00 Use Tax 57.60 TOTAL 184.10 Conditions: Subject. to field inspection. I hereby certify that the setback 3istances proposed by this permit applica[ion are accurate, and do not violate applicable ordi.nances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allega[ions 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 (z.s.C) and all other applicable Wheat Ridge Ordinances, for work under this permiC. Plans subjec[ to field inspection. of contractoz/owner date 1. This permit was issued in accor3ance with the provisions set Eorth in your application and is subject to the lawe of the Stace of Colorado and to the Zoning Regulations and Building Codes of Wheat Aidge, Colorado or any other applicable ordinances of the City. 2. This pexmit ahall expire 180 days from the issue date. Reyuests for an extensioa must be received prior to expiration date. An exteneion may be granted at the discretion of the Building Official. 3. If thia permit expires, a new permit may be acquired for a fee of one-half [he amoun[ normally required, provided no changea 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, Yu11 feea shall be paid for a new permit. a. No woek of any manner shall be done that wi11 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 iseuanc of ermit or the approval of drawings and specifications shall noC be construed to be a permit for, nor an appr any violation of the prwisions of the building codes or any other ordinance, law, rule or regulation. A11 plav is subject to field inspections. Signature of Chief Building Official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2655 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ; ' ! City of Wheat Ridge Residential Electric PERMIT - 080474 % PERMIT D70: 080474 ISSUED: 05/15/2008 JOB ADDRESS: 3864 PARFET ST EXPIRES: 11/11/2008 DESCRIPTION: New electrical & wired smoke detectors for basement CONTACTS owner 303/263-4050 Susan Marshall gc 720/971-0319 Radoslav Velimirovic 08-0095 Little Tesla, LLC PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0190 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,200.00 FEES Permit Fee 58.34 Total Valuation .00 Use Tax 21.60 TOTAL 79.94 : hereny certS:y that the setback distances proposed by this permiC application are accurate, and do no[ violate applicable ordinances, rules or regulations of U:e City of wheat Ridge or covznants, easements or iesCricrions ef record; [hae a'_1 measuremen[5 snown, and allegations inade are accurate; that I have read and agree to abide by all covtlit:ons printed on this application and that I assume fu11 responsibility for compliance with the Whea[ Ridge Huilding Code iI.B.C) and all other applicabie wneat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signatiire of c.ontractor/owner date 1. This permit was issued in acwrdance with the provisions set forth in your application and is subject to the laws of tLe State of Coloratlo and to the Zonin9 Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit sha11 expire 180 days from the issue date. Requests for an extension must be received prior Co expira[ion 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 cY.ange.s have been or will be made in Che original plans and specifica[ions and any suspension or abandoamsnt has not exceeded one ;1) near. If changes have been or if suspension or abandonment exceeds one (l) year, full fees sha11 be paid for a new permit. 4. No work of any manner shall be done [hat will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Huilding Inspec[or Cmenty-four (29) hours in advance for all inspections ar,d shall reccive written apprwal on inspection card before proceeding with successive phases of the job. 6. Tlie issuance of a permiC or the approval of drawings and specifications shall not be construed Co be a permit .or, nor an approval of, any vio ation oY the provisions of the buildin9 mdes or any other ordinance, law, rwe or regulation. All plan review~is/~u t to field inspections. Signature of Chiw BUi~lding Official aace INSPECTION i(EQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. k N 0 C ~ Vl W C N ~ O N Q ~ r Q y Y m w ~ LL C 1~ O LO O M = ra V 0 N m ~o ~ ♦ 4 W U O Z Z O U W a N Z a 9 FT ~ o Z V y d E a ~ c a N N ~ ~ Q a 0 li 2 a ~ Q a) E t, Z o a .c o -o ~ ~ a d > c co o a) U C ~ O p. O N Z C ❑ ~ Q ~ ~ ~ N R M N M M ~ O .U R G v m a a ~ t e 0 ~ u C W 3 . 0 ~ n y c \N\ N m 0 ~ ~ 4 V, x LT W 0 zz ~ ~ y C N 0 > O co ~ 0 V N c d ~ a°h° w O c M ~ F- '6 ^ L~'n V'9oN m 1- U ''~V O Z 0 C~ ~ W F>' £ fA O Z Z a £ c a N N d v` a Q a 0 ~ ~y r\~ y ~ w . ~ • ~ w ~ ~ ~ G a Q HI ~ ~ a~ E c 0 o Z n } c o -o a) E m m u m o ~ U C ~ o n o N z ~ ❑ ¢ o p U n W c ~ Z 0o OQ 4 ~ ai m 0 L~L w O , V N ~ C ~ M x ~ y M ~ Ly C ~ O 0 mh F~^ V'M oN ~ w U H O Z Z O N U W a N Z a M F £ o z' a ~ c a N N d V v a .0 0 'i PN W \ w w ~ ~ ~ ~ ~ ~ a N o v E r ~ ~ U 0 Z- CL a ° O c m D ~ m o o o m \ Y 0 a u o ~ cb cc: 3 . 0 ~ ~ W O C ~ ~ y C N ~ z ~ 0 V N C d Q 0 N ~ w =aM~ 3y~~ LL c y O C M m F- a ^ iN'n 0 ~ ~ T~{. W U F- , Z o U C, °1 W M ~ E cn o z Z V Y Q E c a N N d L D a a 0 li ~ ~ ~ a N a ~ i ~ C1 a G ~ E ~ - o Z U . . \ ~ Q ~ a ° O n, a~'i E n W C y C ~ ~ ~ a i° ~ ~ m > C - N O C 'U d O p. c~i r, _ z o C N e ~ r L 76 , c 3 0 k GI ~ W o ~ > O v~ ~ G v N c d ~ Q O y ~ W V ~ + ~ y M U LL 0 U'~ oN m `M 0 W U p Z Z Q U W a N Z N ~ fI. ~ F E c ~ o Z a ~ N ~ c a N N N v` v Q n O ~ ~ ~ ~ ~ a ~ N a ~ i E ~ `.0 C ~ F O C ~ a o -a ~ ~ cr t ~ H O > C ~ N O Ti m C O a V 0 ~ G Z - d N 3 F- Q O 0 U ~ n ~ C F~ Z \ O N ~ O F rr gk`' to~~ 4 f 080 W , . MJ MIE . I 1•) j . rsxia~T )90': ; aao5a's xsscrsv: ostae12c'rbS JOS` AI?170.t8$S 3$68'110P$T 92', EXPIRES : DESCRIP~'IQ83a ~aetY~'detn, ~~IiIy ' ro~Otn ~ bat~s~dom a;. ~ q , . , r , , . + u . . . . . , ~.p ri'*` n . : . owner 3~p~166 Q0~29 sizean C Marshall > , . . •+r PAR Z~ : ' : ZONE C06$ : USE ( A7s a 3iJBDS~IST4~}~? l?'15D BLOCV LOT#: --°I?~ > . . r in; i. , . ~Y. ESTIMFiTED'PROJBCT VALUATION;10,0011..6lS. ' . E"EES „ , . . . . Berm~+t 235.70 14 . - PI;d~`t Raa+likWFe~ 153.21 TcataJ, Ctaiu4t36ic . 00 U,ee Tapc . 180.00 x, «w TGfTAL 568.91 r , , ~ ~j C6 ticls~.i.~6; npprov~tl wath red; 3.ine nbCes sub,ject to field inspection/approval. - JS i Ci614 ' I hktk6y C4xC-YT~ t$kY¢6~00 sCC6dck dietahcee piooeed bythie pezmit application are nccuratlS, aEjX 40 Rot viWaktl *ppl y OLd1~93E1}21~{{ '$ln*8 A'..K 5~616LiOI18 b.~" Z.FIG C~.Cy tlI H}ltl8t R1d$R OY COVO'f~dOCB, !A{E819TLt9 OL Y8H£Xr~4~~.f~ yi~,f ZEO~i C7ab q+l"', . ~bBitYqllq'@*~1tWM4~„ dksd dllayqCi6np diade ere aCOUrate; that 3 hp~va read and agree to ab3tle bY al'} YCpmd1Clone }~rkFited on rT1~'7pF app31C7~3tfiR in4L' Y11at T $;i~um,~ full -rsspbniioY3iey £or corapllai,ce with the Whc~at Ridge SuilCtaq G'~ttq^rF.e.C) qnd }ly, •o£i~4k , ~*diAaMicea, ifar woYk'uhQ67: ti71e,PfrmdQ. Plane sUbjecb io fiela fnmQs4j~ioaf npplie"jU1{6qi SigSiEt~4 ~ Cka~tk~~Cbi/16c~naz date . . . T 1. T{xii pkY~ifi prs+I~WStqtr~ 4n4CaOS4aiaca with Wa prwipions eet.fPrth 1n ypur, applicntian aqd 4diatiWjett to the te.ys oR'.s,W~ 'r+ $EaK+e.AOI C01diaoo 8pd.io the $on4cg Ragu{aCiqtas andBUil6ing Cbdea of Nheat Riflqe, Colorado or atry olcher•appi$,CqbY)e ` . OYC4Sr.4=68; O~ kha-644i ' _ : . . . . t ' . . ~5 illC dd[t R99UB6G@ ~L6T dR !%GlRM30n IYItaC 13! IEa9~~-'~.y~.'~Oi CQ. ~12lC1Q~ 2. :1'~1i6 (kAitMl'~ q1~}S'~7rQ 186 1~dY~tB £iM11 tkY! . y b~ $rinEld &t Chi.diacrttiort of the 8uilding off>cial. . dtlte~ A(f efct.~im#n , ~ , . a#ew ppzinie mey be a;yulredfor a feeof orie-halferie amoynt. aosmaliy requined,~pto~QaA aa~ 3. :IC thts'parmit aqt CAaisgio hitver Eik~i`W irfll ba " an Cbe Ozlglna3 plane and epec}fications and any euspeaoipa~ dY a4ando[dneat haY not ' fdYl t4es ahd11 n or abandonment exeftil8e-ote (1) ~$r if i , , a euepens .¢xbeeQRd qf+a, C13 y~qYt,Sf,e4ang9e twve Ee¢n Ot y bt Pa14 top a . a. Nn wwskot':a7fY'6 91uit~r: tlAa32 Ct 4ma CtxaC wiLi chenge.the ~natural flow of water cauan¢4 A tlz311's~~ g='oblom~:.: . 5..fonCraCtoY~shall YWE;ty the euilding Ipe0eecps twenty-Rotr (YS)noure in.advance for a11 ffn6pileCd9lw axu3 aha71 teesiye . . ~7pfibval oh 1bg'ffeeCiwY cazd 48fan8...proceeding with eucceaaive pltaaee af the job. . + wr;t~tdui a , 61 ,T$p S fouanpp bf a pyFyjhIE mr tiit'iappraval of dYavynge and apeCif#Catione aiiall mt be Conativ4C1 tts be a pem3t ~oz, xto~! , ili pppY'8481 flf: ~tli}y.. ~:L'Q On"OE 'EtiPJ PYP~P181DG8OL the bUi1d1i1g :COABe OZ RItY othet oSdil~inC9,.1itW. FL16 QC. zd,gE11pC1oYi. A3Y p16,n rerie k to fir18 inspoctione.. . • eigei}tySFS !of C!i},# gtaj OPtdcial date . . . . (303)2S4-S033 HLiXLDSNG oFSICE: (303)235-~6$S. 7r#1~Itz . , RF;QU$~,"I~~ MiIS'E"$ HY 3`FM ANY EYTSINESS DAY FOR iNSPBCTZON THS FfkL3+*131e $UBSR=S' UAY. i ^ m Y' S rf . . a: . h . ~3 ~ City of Wheat Ridge Building Division Dare: 7500 W. 291" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan#: o Inspection Line: 303-234-5933 ° oRpo Permit Building Permit Application ~ Rrapenraaa.eSS: 34y Palct Sf WAeafld~e 900-~?3 Property Owner (please print): SUS f}nI Phone: ~Ga - yOzy Mailing Address: (ifditferent than properly address) Address: / 77Y-/ L / neOIh S'f- City,State,Zip: LON<,~n.a/T Sub Cantraccors: Electrical City License Company: kiff jt -reg I a, L C-C° Exp. Date: Plumbing City License Mechanical Ciry License Company takxi„ed~P/p",'~S Company: ~ Exp. Date: Exp. Use of space (description), aS, wE'ti Construction v : t__f0/ 0 PU DESCfi~lti011 Ort WOPIt:: (as calculafed peYthe 'Itling aluation Da heet) Qa/~//Ky /-eo-,w Plan Review (due at tlme olsubmittap: b_ ~e -F ba 7% Sq. FL/L.Ft added: yko Squares BTU's Gallons Amps ~ i OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cert"rfy [hat Ihe setback disfancas proposetl by Ihis pertntt application are accura[e, antl do not violate applica6le ortlinances, rules or regulations of the City oi Wheat Ritlge or covenants, easemenis or restrictions of record; that all measurements shown, and allegations made are accurate; that I have reatl antl agree to abide hy all contlRions prin[etl on Ihis application and [ha[ I assume full responsihility for compliance with the Wheaf Ridge Builtling Cotle (I.B.C) and all other applirable Wheat Ridge Ordinances, for work untler this permit Plans subject to fielA inspectfon. C/RLCE ONE(OWNER) ' CONTRACTOR) or PERSONAL REPRES VE of (OWNER) (CONTRATOR) SIGNATURE: Date ~ PRINT NAME: m ~ u'G DEPARTMENT USE OMLY ZONINGCbMMENTS . . . . . . -.~ZOning: : . . ~ ~ ~ . . . . . . . . . ~ Reviewer. PUBLIG WORK3 COMMENTS'. . . . . ~ ~ . . . . . . Revierrer, . ~ . BUILDiNGDEPARTMENTGOM Mn ~ OCCUPANC~ ~✓`~~J~E.'C-~V Tlop'~~GT~/d'~ . . . . FlREDEPARTMENT: I ap vetlwfcomments ❑~disapprovetl ❑noteviewrequireA BldgVeluetiOn:$___. _ Contractor License Phone: rl~ w 3864 Parfet Objective: Remove the paneling in the exi[ing lower level bedroom and family room. Re-model the SW lower level room into a Family Room and SE lower level room into a bedroom with a closet. Finish and complete a bathroom using the existing plumbing rough in. 1. Heating Duct work already finished 2. Electric outlets already exist. Add at least 1 additional electric outlet unless more are required by code. Add other electrical outlets as required by code. Add on/off switch for over head lighting needs to be installed at each room entrance ( presently pull switch.) Provide light fixtures. Permit required. 3. Replace doors with new hollow core doors. 4. Drywall rooms floor to ceiling, with R-13 insulation between dry wall and exterior wall. 5. Put in a drop ceiling 2'x4' sections (or similar) 6. Frame and drywall a close[ in second bedroom with sliding doors. Closet should have one top shelf and hanging rod. 7. Pull permit for work if necessary 8. Exclude flooring 9. Complete bathroom including fixtures including shower stall, toilet, 1 sink, vaniry, towel rack, mirror, lighting and small set of shelves. 10. Re-Finish walls in hall area. JaNoayo ueid :aleo: 1dad 6uipprfg atfplb suoiioadsul plaij ol loafqng a3A021ddV -o O1 7 ? n A ~ a v ~ N CD W c a ~ ~ c a; CD ~D o p ~T m ~ n' < =m ~o T c cn ~ o ~ m 3 1D ~ O 0 3 T O O V 9 N ~ W N T ov N3 a • x'z A O 0 3 N N 4l Z' N = o ~ n ~ = x x j n 0 cn (D ~ C ~ s A a O O 3 / J W cn y~ N f1 n S O ~ 0 3 N W o~ ~ n' O x O 3 (D (D N N v ~ - O - ~ W W v 00 CD A 3 -p (D v =3 ~ T rt V ~ ~ ~ ~ (D 3 0 Q (D L ~ L ~ c~- ~ ~ ~ x i ~ ~ ~ 5 -1~ , ~ w I ~a n r ~ ~ o~ ~ ~ ~ ~l 0 ~ ~ ~ ~ ~ . m El m m ~ O ~ y -op ( z O 0 aF + ~ m SD ~ -0 n Q ~ N -o (D ~ ~ d j N o 7 N -0 n = z O n O ~ 3 m N a ~ ~ ~ ~ ~ O f ~ W w A ~ ~ ~ ~ W W V\ a ~ ~ ~ ~ ~ I C- 0 v a a m N U) 7 V A 3 ~ c o N m ~ (D ~ ~ O Z Z ~ . O ~ n -h I m -1 1/41 \ ~ W a 0 y T . m S • ~ m N~ ~3 ym V > > N ~ k 1. . 4' City of Wheat Ridge -r~ Residential Plumbing PERMIT - 080506 PERMIT N0: 080506 ISSUED: 05/21/2008 JOB ADDRESS: 3864 PARFET ST EXPIRES: 11/17/2008 DESCRIPTION: Replace damaged waste & vent underground piping. CONTACTS owner 303/668-4029 Sericho Properties sub 303/233-7007 Torrey Cosgrove 01-7885 Lakewood Plumbing LLC PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0190 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,200.00 FEES Permit Fee 126.50 Total Valuation .00 Use Tax 57.60 TOTAL 184.10 . ~ '{D v)7f4 /0 - Conditions: Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinancea, rules or regulations of the City of wheat Ridge or covenants, easements or restrictions of record; [hat all meaeuremente shown, and allegations made are accurate; that I have read and agree to abide by a11 conditions printed on this application and that I assume fu11 responsibility for compliance with the wheat Ridge auildivg Code (i.e.C) and all other a pliC le Wheat Ridge Ordinances, Eor work under this permit. Plans subject to field inspection. =Z/-Cl j Signature of contractor/owner date 1. This permit was isaued in accordance with the prwisions set forth in your application and is subject to the laws of the State of Colorado and to [he Zoning Regulations and Building Codes oE Wheat Ridge, Colorado or any other applicabte ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension mvst be received prior to expiration date. An extension may be granted at the discretion of the Huildin9 Official. 3. If this permiC expiree, a new permit may be acquired for a fee of one-half the amount normally required, prwided no changes have been or wi11 be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If char.ges have been or iE suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner ahall be done that will change the natural flow of water causing a drainagz problem. 5. Contractor shall notify the Huilding Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before pmceeding 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 io ~on of the provisions of the building codes or.any other ortlinance, law, rule or regula[ion. All plan review c[ to field inspections. Signature of Chie uii ng Official date INSPECTION R QUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS NNST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. BUILDING INSPECTION DIViSION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Date : 5/alD D Property Owner : :1ey~~,cJwp 'f /77A-'~ ,e 5 Property Address : Jjj~7 TG1~G"F ~ • Phone: 3Ap(oY -qo Z9 Contractor License No. : Company: (d.kit,vUo G( to J1'(r•bInC1 C. Phone_ .31,233-9002 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND ConstrucGon Value i hereby certify that the setback distances proposed by this pertnft application are accurate, and do not violate appliwble oWinances, rules or regulations of the Ciry of Wheat Ridge or wvenants, easements or restridions 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 responsibili r compliance with the Wheal Ridge Building Code (U.B.C.) and all olher appliwble e ' ge ordinances r~rk under this p il. C/ (OWNER)(CONTRACTOR) SIGNED ~ DATE ✓ 2' 0 U Use: ~rc~L~,~ Description : 94?piwadlG 4 UyM~ a-n&C - ~`P~"c~ iS' G& ~Y4 ri - BUILDING DEPARTMENT USE ONLY Approval: Zoning : ~0]f81YftRCb ~~R Approval : SIC v' $0.00 Sq. Ft : Approval: Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiretion Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issued In acmdance with Ne pioNsions set forth in yopur aOWicabon anE Is subjea to Ne laws of the Slate ol CobraCO and lo Ihe Zonirg Regula6ons anG BuilEirg Code of Wheat Ridye, CobraEO a any otner applioble or0iiunces of Ne Ciry. (2) Thia pertrvl s1uU exqre il (A) Ne work auNOnzeC is nol commencM wMin sizty (60) Cays trom issue Cale u(8) Ne WiWinp a WioiizeC b suspeiWed or aDanGOneG fa a peAOO o(120 days. II Nis pemvt e:ptres, a new pertM may Ee atquircd /or a lee ol one4uN Na artaunt namally repuircd. proviEed no Uangea have Deen or vrill be made in Ihe wiginal 0Um and speafira0ws and any suspension a aEanCaiment has not exceetleA one (1) year. II changes are made a i! wspension w aEanEOnmenl exceeds one (1) year, (ull fees Shall Ge paiC lor a new petmlL (a) No work of atry rtunner shall be dOne Ihat will Uange UM naW21 fl0w ol water nusing a E2inage proWem. (5) Contractw shall ra6ty Ne BuilCirp Inspcclur twenry•lour (24) tqurs in aEvance fa all inspections ana shall receive written apyowl on inspection nrd Delae proceeEiiig wilh suCCessNe phtxs of Uiep' b. (6) The issuance ol a pemdl or ihe approvel of Erawings aM spedficaUons shall rol 0e consWM to De a permit IM, rqr an approral o( aity vblatlon ol Ne proWSbna . of Ihe WilOirp m0es or any oNer adinance. Ww, ivle a requW4on. - Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Permit Fee : Use Tax: Total : ~ ~ City of Wheat Ridge / Residential Electric PERMIT - 080474 PERMIT~NO:~. ~.080474~~ ISSUED: 05/15/2008 ~ ~ . JOB ADDRESS:~.3864 PARFET ST~ EXPIRES: ~11/11/2008 DESCRIPTSON:~New~electrical~ & wired smoke detectors for basement CONTACTS ~ . . . ~ . owner 303/263-40~50 ~ Suean Marshall gc 720/971-0319 Radoslav Velimirovic . 08-0095 Little Teala, LLC ~ ~PARCELINFO ZONE. COpE : . UA ~ . USE : UA . . ~ . ~ SUBDZVI$ION: 0f 190 ~ BLOCK/LOT#: 0/ P'EE ~SUMMARY ESTIMATED PROJECT VALUATION: 1,200.00 ~ . ~ FEES Permit Fee 58.34 No . ~ Total Valuation .00 Use Tax ~ ~21.60 ~ w ~.TOTAL ~ * * . . . ~ 99 . 94 . ~ . ~ I.hezeby certify-.that the eetback dietancee propoeed by thie permlt application are accurate, and do not violate.applicable or&inances, rulesor regulatione~ afthe City of P'heat Ridge'or covenante, eaeemente or reetrictions of Tewrd; that all. meaeuYemente ehown,and allegations made are accurate; that I have read and agree to abide by allcondition9 printed on thie appliqation and 0hat I aseumefull reeponeibility for compliance with the Wheat Ridge HulldingCOde (I.H.C).and all other appliyqle Wheat Ridge Ozdinance8, for work under thispermit. Plane eubject to field inepection. date i Se peYmit wae ieeued in accordance with the provieione eet forth in your application.and ia eubject to Che lawe of the 6tate of Colorado andto~the.2oning Regulatiane and auilding Codee of wheat Ridge, Colorado or any other applicable osdinartcee of theCity. 2. Ttiie permitehallexpire 186 daye from the iseue date. Requeete for an exteneion muet be received prior to expiration date.:An exteneion may be granted at the diecretion of the Huilding Official. . 3. II this petmitexpisea, a mew pexmit may be acquired for a fee of one-half the amount nomwlly required, prwided no changee havaPxen br. will be madein the original plane and epecificationa and any euepenaion ox.abandonmeaE.hae not exceeded one (1). year. If changee have been or if euepeneion or abandonment exceede one (1) year, full . Peee ehall tiepaidfor a new permit. . . 4. Nowork of any.mannerehall be done that will change the natural flow of water caueing a drainage problem_. 5. ContzactoreHa31 notify the Building Inapectoi twenty-four (24) houre 1n advancefor all inapectiona and ehall receive writtenappzovab om inapection card before proceedin9 wlth eucceseive phasee of the job. 6. The~ieeuance of a permit or Che approval oL drawinge and apecificationa ehall not be conetrued to be a pecmlt.for, nor an.approvalof,any,violation of the provieione of the building codes or any other ordinance, law, rule or regulation. ~All plan review.~.eubl.ect Ko field inepectione. . /f1 Signature of CSygE3'. i~~ date tTLINBs (303)234-5933 BUILDING OFFICE: (303)235-2655 MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSIN$SS DAY. City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-235-2857 o Inspection Line: 303-234-5933 ~GORPD Building Permit Application Property Address: 3 Q7(p I /9ar-W, Property Owner (please print): Mailing Address: (if different than property address) Address: CityState Zip ~0 Contractor: ~ T11 {SIot Contractor License C"OLWone: 7 Zd Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: 8 ~ DeBCription of Wol'k' ..1 !as calculated per the Building Valuation Data sheet) Plan Review (due a[ time o( submittaQ: $ J-,1A ok( 4e tc Sq. Ft./L.Ft added: Squares BTU's Gallons Amps Date: Plan Permit 004 Pnone: 03 - Z J23 - YO-Q OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify ihat 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 Wheat Ridge Ordinances, for work under this pertnit ns ' ct to fleld inspection. CIRLCE ONE:I PRINT NAME: PERSONAL SIGNATURE: (CONTRATOR) Date: ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPAR7MENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY: FIRE DEPARTMEN7:: ❑ approvetl w/ Comments ❑ disapproved ❑ no Bview required I Bldg V31U2tiOn: $ ~ + ❑ CD Z o o ~ j m i 1,~ 2 o 0 w CD C. ~ O n O I ~ ~ N ~ m i ~ ~n t o m ~J ~ O . I m o 0 d Z I 1 (D I ~ ^ ~ m I I D w I ~ A b ~ W W b ~ L O Q D a a m (A N N 3 ~ :i .0+ c 3 v .o m ~ 'A _1/~ Z Cl) m w ° n o c ,-'n ~ ~ a N N 3 ~ O ~ A ic p Z 0 T O N 2 ~ •g°.,m a m N~ ym > m ~ k