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Home My WebLink About3490 Pierce Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:f�� r �1 Job Address:4:'' Permit Number: >1 t a t j ❑ No one available for inspection: Time i ° / M Re -Inspection required: YeO�No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us4nspection Date:—/ Q,`~- ag.��Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Window Replacement PERMIT - 201902319 PERMIT NO: 201902319 ISSUED: 11/04/2019 JOB ADDRESS: 3490 Pierce St EXPIRES: 11/03/2020 JOB DESCRIPTION: Replacing 2 windows in family room, U -factor .30. *** CONTACTS *** OWNER (720)462-2385 HORN NOREEN L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,835.00 FEES Window Replacement 195.05 Total Valuation 0.00 Use Tax 101.54 ** TOTAL ** 296.59 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all app�am cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property anauthorized to obtain this permit and perform the work described and approved in conjunction with this ermitIfurther attest that I am layauthorized toinclude all entities named within this document as parties to the work to be perormed and that allworktobeperrmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or #y 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. City of Wheat Ridge 11/04/201? 10-00 CDBB Kenlocinp 2 windows C08021999 AMOUNT ESP 300 Pierce St 296.59 APPL!PERMIT NO, 201902319 PAYMENT RECEIVED AMOUNT PP/J381 296.59 AUTH CODE: 66436582 TOTAL 296.59 _______________________ Dina Kemp (�16V 1�0 -3 -5 From: no-reply@ci.wheatridge.co.us Sent: Monday, November 4, 2019 9:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 3490 Pierce St Property Owner Name Noreen Horn Property Owner Phone 303-462-2385 Number (enter WITH dashes, eg 303-123-4567) $ C�b �3-� Property Owner Email Field not completed. Address **REQUIRED** Attach horn cc auth.pdf Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS" * CONTRACTOR INFORMATION Contractor Business Seiler Construction Name 1 Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-945-1519 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address mbeaudoin@renewalcolorado.com Retype Contractor Email mbeaudoin@renewalcolorado.com Address DESCRIPTION OF WORK Number of window 2 windows and/or doors being replaced Location of family window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the a -value of the .30 or better window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of horn perm app.pdf window/door cut sheets showing sizes and a -value Project Value (contract 4835 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 2 issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. iµ CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:M Job Address: o Permit Number: ❑ No one available for inspection: Time 1 Al iI Re -Inspection required: Yes ,i No When corrections have been made, call for re -inspection at 303-234-5933 Date: V c;?6 Inspector: )&4cl, &,")o— DO NOT REMOVE THIS NOTICE k" City of Wheat Ridge Residential Roofing PERMIT - 201702031 PERMIT NO: 201702031 ISSUED: 06/15/2017 JOB ADDRESS: 3490 Pierce ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Revision: Adding redecking 23 squares Remove 2 layers and replace with comp shingles on main house, detached shed and well house 4/12 *** CONTACTS *** OWNER (720)261-8122 HORN NOREEN L GC (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,292.80 FEES Total Valuation 0.00 Use Tax 174.15 Permit Fee 188.45 ** TOTAL ** 362.60 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding Al/2-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€T"s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702031 PERMIT NO: 201702031 ISSUED: 06/15/2017 JOB ADDRESS: 3490 Pierce ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Revision: Adding redecking 23 squares Remove 2 layers and replace with comp shingles on main house, detached shed and well house 4/12 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, o'' raid approval of—,iolai ft o any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of ct to Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of WheatLd C COMMUNIi'Y DEVEtop� ENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: 2 7 17 Add to Permit ## aO17 0 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 ` o (R Property Owner (please print): '] 6f Phone:"-Qo aC¢ -Z� Property Owner Mailing Address: (if different than property address) Address City, State, Zip: Submitting) Company: C,COf Q-- Contact Person: Phone:- Contractor: \ U ( e- Ccq\-�c Contractors City License #: \1 dQS'-:� Phone:._-� F� '--) qe; --Z Q 0 Contractor E-mail Address:( CU(� Please Mote: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: Sq. FULF Amps Btu's Squares t � r Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) �,G 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) k (AUTHORIZED REPRESENTA PRINT NAME: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: SIGNA' DEPARTMENT USE ONLY PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required (OWNER) (CONTRACTOR) DATE. OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 30110N SIH13AOIIV gt1 ION 00 �,y � Jo}oadsul 1- :a}aa ££69-b£Z-£o£ je ugijoadsui-aa io{ ileo `spew uaaq aneq suoijoaaaoo uagM, ON saA :paainbaa uoi}oodsul-aH WJjINd quail:uoiloodsui aol aIgaliena quo ON n (� % Q e :aagwnN }ivaaad O :ssaappd qor TT- :ads l uoi}3adsul 331ION N01103dSNI XeJ 6068-200 (00£) • eo/jjo 55gz-5sa (Cos) au►j uoijoadsul 909110 (£OE) uoisin,a,uoil3odsul Guipl!na 3Jaw lV3HM :J0 A113 City of Wheat Ridge Residential Roofing PERMIT - 201702031 PERMIT NO: 201702031 ISSUED: 06/15/2017 JOB ADDRESS: 3490 Pierce ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Remove 2 layers and replace with comp shingles on main house, detached shed and well house 4/12 *** CONTACTS *** OWNER (720)261-8122 HORN NOREEN L GC (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,600.00 FEES Total Valuation 0.00 Use Tax 138.60 Permit Fee 156.75 ** TOTAL ** 295.35 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702031 PERMIT NO: 201702031 ISSUED: 06/15/2017 JOB ADDRESS: 3490 Pierce ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Remove 2 layers and replace with comp shingles on main house, detached shed and well house 4/12 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 authorizes to obtain this permit and perform the work described and approved in conjunction with this etmrt. I further attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be per andtlkierformed is disclosed in this document and/or its' accompapying approved plans and specifications. Signature of OWNER orTRACTOR (Circle one) Date ° I . This permit was issue&% ased 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 originalermit 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of Official Chief Building Ocial 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 {j it shall tto-�t>;e co ru to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordtfin� rulatioir. diction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook CDd1 7 p a a,-?, From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 12:21 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Due By: Monday, June 19, 2017 4:00 PM Flag Status: Flagged Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. PROPERTY INFORMATION Property Address 3490 Pierce St Property Owner Name Noreen Horn Property Owner Phone 720-261-8122 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION - Contractor Name Core Contractors Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 110052 303-295-2220 Contractor Email Address docs@coredoes.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material How many squares of material? Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes No Owens Corning Duration 22 Remove 2 layers and replace with comp shingles on main house, detached shed and well house. 4/12 pitch. Project Value (contract $6,600.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit 0) issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tomas Wolfram Email not displaying correctly? View it in your browser. 01-4% CORE ORated BBB . CONTRACTURE CORE CONTRACTORS, Inc. BBB A+ Colorado Owned General Contracting and Insurance Restoration - -1 Licensed and Insured And Operated 4501 Logan Street, Denver, Colorado 80216 Westfiteld)rrsuromm Since 2001 Phone: 303-295-2220 / Fax: 303 477-5557 cormMoy "Doing it right matters" .AGREEMENT Property Owner: V Effective Date - Property Address: '7144U City/st, zip: E -Haft: Home Phone: izz AI�e; - I i -z:i- Work Ceti Phone: TERMS: By signing this agreement, the Property Owner authorizes CORE CONTRACTORS, INC j"CORE") to perform the work and supply the materials as agreed upon by Property Owner's insurance carrier. Homeowner agrees to use CORE exclusively, and. authorizes CORE to obtain Labor and materials in accordance with the scope agreed to by the insurance cornpany and the specifications set out in this Agreement to accomplish the replacement or repairs. 'The initial proposed scope of services is attached to this agreement- This agreement does not obligate the homeowner or CORE in any'w'ay, Unless the damage is approved by homeowner's insurance carrier, Roofing Scope: The roofing system replacement includes all shingles, underlayment, valley Linings and miscettaneous flashings, per local applicable municipal code. This also includes full clean-up of the property. A 5 year Roof `Workmanship Warranty included on full roof replacement only. A one year workmanship warranty included all non -roof replacements. Roof repairs are excluded. Due to the nature of rr) I s r 4ZVp insurance claims, this contract inctudes an estimated repair price of the roof If _ system, approximately A_L_.,&.,� Because the final scope has not been agreed upon with the insurer, this repair price might change. The a tint of this contract is for 100%. of the =tag went cost approved by the insurance jj�n � for work to be completed by CORE, Reaching agreement on the futt scope of repairs Involves considerabte time on CORE's part: we Witt not proceed with that Phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you authorize CORE to reach agreement on the scope of repairs on your behalf, CORE agrees to bid the work using the Primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recogniie CORE CONTRACTORS, Inc. as a general contractor, and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate tine items:). Any substantial additions or deductions to the scope of work will be handled on the Customer Verification Form, Property Owner agrees that if a scope of work and project cost is agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy- Any further changes, in addition to the insurance work, must be requested in writing, by Proper ty Owner, If, you, the Property Owner, plan to use the proceeds, of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE OR PROMISE TO PAY, WAIVE OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. Property Owner's Initiols _44* PAYMENTS ARE TO BE MADE- 16 (OR FIRST INSURANCE CHECK RECEIVED - ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND BALANCE UPON COMPLETION OF WORK, WORK TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. RIGHT TO CANCEL You, the homeowner, have the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours after entering the Agreement. If you plan to use the proceeds of a property and casualty insurance poticy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your claim has been denied in whole or in part. Property Owner 614� -Date., Insurance Company: __T I . Core Representative:Dateclaim Dater 7 ?7 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: o" / P'rCif Permit Number: 0/70 C3 j ❑ No one available for inspection: Time IC./ A /PM' Re -Inspection required: Yes 26fre-inspection When corrections have been made, cat 303-234-5933 Date: (U ,-> f Inspector: 30-;v "i iq!-� DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 3q?® l e rc Q S� Permit Number: C;�C/7!,5ao3 11 ❑ No one available for inspection: Time-::, , /I ; AM/PM, Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303-234-5933 Date: // Inspector: W (g /Jla �— DO NOT REMOVE THIS NOTICE INSPECTION TICKET JOB ADDRESS 7'~//O P/ DATE: ;L / 5" 49,1 BLDG. PERMIT# PERMIT# BIDG. CONTR. ~ ~ 14 SUBCONTRACTOR DATE INSP. REQ. 1 6~ i,/ TYPE OF INSP. /C00~ LT CJr}-4. GU rq4 ~y INSPECTION MADE REMARKS INSPECTION TICKET Jos 3 ADDRESS DATE: 7-"~ / BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. -7 -"r 5~ TYPE OF 11 INSPECTIO REMARKS W.R. FOFM &19 DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AvErtUE BUILDING INSPECTION DIVISION PERMIT N0. M911117075 237-6944 ExT. 255 P.O. BOX sse CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHVEF BUILDING INSPEGTOR AND RECEIPTED OEIOW. C9.TI0N OR MISCELLANEOUS PE T )BADDRESS OWNER D P G ADDRESS - ONTRACTOR PHONE - ZIP CODE DDRESS ~ CONTRACT PRICE $ ;ITY - ZIP CODE S 'L-LICENSE NO . ~ TE _ HONE I. TYPE GrounE ❑ Woll❑ Proiectina❑ Orher S w D Faee 2. MATERIAL Total SQume Faat SIGNS 3. ILLUMINATION Yas❑ No❑ TYDe Eleet. Permil No. 4 SET BACK FROM PROPERTY LINE N S__ E - W Zo^e- Apprmed, Zwe i"saot0r (Specify wnicn is front) ❑ ❑ ❑ ❑ DifaDDroved 1. TYPE SolidO More Than BO% ODanO Less TAan BO% Open ERIAL Hoiyhf FENCES MAT 3 SET BACK FROM PROPERTY LINE N _ S_ E _ W Zme_ ApDrwed,Zo^o I^sDecta ❑ ved Di (SPedfy whieh ietront) ❑ ❑ ❑ aapOro 1. ~ OTHER Z 3. P r DRAW SKETCH OFt SHOW W,THE FENCE,SIGN,OR OTHER STRUCTU , GIVING . (SETBACKS OR PROJECTIONS INCLUDED) ~ SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TOA.DJOINING MOUSES, STREETS, AND PROPERiY LINES;ON IRREGIKAR IATS,SHOW LEAST DISTANCE TO PROPERTY LINES,NOT MAl(IMUM OR AVERAGE DISTANCE. qpPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDINfi INSPECTION DIVISION. ocor.Air um i FYOIRF 1M DAYS FROM THE DATE OF ISSUANCE IF WORK I$ NOT STARTED WITHIN THAT TIME. _ MECHANICAL PERMIT ELECTRICAL PERMIT PLU MBING PER MIT TATE LICENSE N0 STATE LICENS E NO S . M IST 2ND 3RD 4TH N0. FUEI;CRCISO1%1G011a1IA'opor» lCoadEleclSolorl ER512E81LLEGAL FLOOR BS ALUM INUMNAREUND T BTU FORCEO AIR ~ WATER CLASE = BTU MOT WATER TEMPORARY METER WASH 80WL _ STEAM BTU NEW SERViCE - AMPS BATH TUB AIR CONDITIONING-BN CHANGE SERVICE - AMPS SHOWER OTHER LIGHTING SINK SP REFRIGERATION SYSTEM GARBAGE DI HEATING HEA7ER ~ouD Refri e.ant G ER SUB-CIFCUITS WA7ER ppW pounds Chor e UTILI7Y(RANGE,DISPOSER,ETC.) AUTO.WASHER HER AUTOMATICSPRINKLERSYSTEM FIXTURES DISH WAS ELEVATOR RING MOTORS fi CONTROlS WI FI.DOR DRAIN SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMARKS I hareby ocknowlsdqe thot ihis aDDlico- tion is correct ond understond fhat I pannpf Horf this Drojtlct uniil this opDli- eotion is opOroveO. I shall comply with the low, of the State oi Colorodo and to the Zoninp ReQulations ond Buiidinp Code of the City o! Wt+eat Ridqe. Any viololion ol 1he above terma will cause immadiate revocafion of s Der -t 4{~I(eenb 9i0namr• PERMIT FEE USE TAX TOTAL FEE CHIEF BUILDIN/G/ASPECTOR,City of Wheat Ridge V ~ Dote Issued NOT VALID UNLE~SS~RECElPL€[ a , CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS 7500 WEST 29th AVENUE 237-6944 EXT. 255 P.O. BOX 638 THIS PERMIT VALID ONLY WHEN JOB ADDRESS CONTRACTOR ADDRESS~ 6/ CITY ! a A rSIGE ~ NS Mor~ TAan 90% ODenC~ L~~s Than 80% ~M^ I, TYPE SolidO H~iQM MATERIAL W Z~~__ ApDrwW.Zon~ Intp~eta FENCES 3 SET BACK FROM PROPERTY LINE N-- S- E--" ❑ ~ ~ DieaDD~oved (Soetifv whith i8 }ront) . ❑ ~ , r.r„ / 1. OTHER Z 3. ~us ~ NTHE CLUD D)E, SIGN,OR OTHER STRUCTURE,GIVII~o DISTANCES FROM PROPERTY LINES. DRAW (SETBACKS SKETCH OR OR PNO~ SNOW BE ~ SPECIFY NORTM STREET N4ME SHOW DISTANCES FROM THE M41N BUILDING TQADJOINING HOUSES,STREETS, AND 7ROPERTV I.INES;ON IRREGULAR lATS, SHOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. pppLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT PERFORM THE INDtCATE THIS APPLICATION ERMIT WIOLMEXPIRE M80 DAYS FPOM THE DATE OF WORKUANCEOIF WORK S NOT STARTED WITHIN TIHAT TIME PECTION DIVISION. M T MECHANICAL PERMIT DEPARTMENT OF GOMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. OWNER D I'~ / o i ADDRESS PHONE ZIP CODE CONTRACT PRICE $ neTc ANC RECEIPTED BEL9w. ZIP CODE % ~ ~ ~ 5 Lll:trvac rvv. _ _ , Q❑ 01her SorDFate 1. TYPE GrounE❑ Woll❑ Proiectin Tolal Squme Faet 2. MATERIAL ElW. Permit No. - 3. ILLVMINATION Yn❑ No❑ 7yps Zone_ Apprwod,2onQ lnapeofor 4. SET BACK FROM PROPERTY LINE N a 5 a E~ W❑ DisaDDrovad (5vecity wnicn is iront ) STATE LICENSE N0. ELECTRICAL PERMIT METER _ C PLUMBING PER I STATE UCENSE N0. GARBAGE DISP 9 CONTROLS TRANSFORMERS d REG enni710N T REMARKS 1 hareby ocknowledqe that this oDDlico- tion it correct ond uederstand that I eannot stat thif prolbtt until this aDOli- cation ia oDVroved. I shall comDly with tha lows of the State of Colorado ond to the Zoninp Repulottona and Bwldinp Code of ihe City of Wl+eaf Ridqe. AnY violotion ol the above rorme will couse immediate revocotlon of tnls permlt DRAIN PERMIT FEE USE TAX TOTAL FEE PERMIT NO M914i17041 i oz-e/ APPROVED DISAPPROVED CHIEF BUILDING INSPECTOR,City of Wheat Ridqe +Dare l55ued ~ / /ti 7 CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS