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Home My WebLink About3710 Lewis StreetI* � 4 o CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 6 4- '080 Job Address: 3-71 W 1 S Permit Number: ❑ No one available for inspection: Time �Z_'jVO A Re -Inspection required: Yesvcaor When corrections have been made, e -Inspection at 303-234-5933 Date:_ 67 ZZ i Inspector: -- DO NOT REMOVE THIS NOTICE e CITY OF WHEAT RIDGE Building Inspection<Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Y Ug ` 1""a I �04 Job Address: 3 ? 10 C P L- s 31. Permit Number: ? UI X007 SZ ❑ No one available for inspection: Time Q - 5_0 /PM Re -Inspection required: 9 No When corrections have been made, call for re -inspection at 303-234-5933 Date: { 6/lo Inspector:�� r DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201800752 PERMIT NO: 201800752 ISSUED: 03/16/2018 JOB ADDRESS: 3710 Lewis ST EXPIRES: 03/16/2019 JOB DESCRIPTION: Residential Reroof Permit remove and install Owens Corning Asphalt Shingles with 12squares. Pitch=4/12. **REVISION: Adding redecking; Added valuation: $2,109.37 *** CONTACTS *** OWNER (303)937-7000 JOHNSON ROBERTA A/KENDRA SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,109.37 FEES Total Valuation 0.00 Use Tax 296.30 Permit Fee 283.55 ** TOTAL ** 579.85 *** 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 V Residential Roofing PERMIT - 201800752 PERMIT/ NO: 201800752 ISSUED: 03/16/2018 JOB ADDRESS: 3710 Lewis ST EXPIRES: 03/16/2019 JOB DESCRIPTION: Residential Reroof Permit remove and install Owens Corning Asphalt Shingles with 12squares. Pitch=4/12. **REVISION: Adding redecking; Added valuation: $2,109.37 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'th'e pr erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this erm�t: 1 further attest t t I am legally authorized to include all entities named within this document as parties to the work to be performed and that all A Ke performed is disclosed in this document and/or its' acc mpanying approved plans and specifications. _ e4 ? �1 Signature of OWNER or CONTRACTOR (6irc"'1`e-one) Date 1. This permit was issued based on the information provided in the permit application and accompanying )Tans 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or :ax ordinance orlrigulation 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 W heat dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # N Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: /eiy Property Owner (please print):n �?'► t-Fnh�(� Phone:--� Property Owner Email: ! Wry .c } Mailing Address: (if different than property address) Address: oma o,<--,, Ame, City, State, Zip: Submitting Company: ^ Contact Person: T 1G�1 `f7-��'' Phone: Contractor: Contractors City License #: I 2� X a Phone: 305 —22- 7600 Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). 1'") 0 Description of revised/amended work: Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: I (�N �s SIGNATURE: DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer- BUILDING eviewer BUILDING DEPARTMENT COMMENTS: �� ri n � � C? 0`. C, -10 `�� (4Reviewer: r( �! " I )t 00 PUBLIC WORKS COMMENTS' Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required �oq Sanitation District ElReceived ElNot Required Building Division Valuation: $ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Ti Re -Inspection required: Yes` No �!�! When corrections have been made, call for re -inspection at 303-234-5933 r-� Date: Inspector:�.`�C < 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: 3, ---, (� , M - R�� Job Address: 3 -7 1 Q .k+ 5 `4 Permit Number: 1 �; ❑ No one available for inspection: Time (�, 0wU AM,(PN� Re -Inspection required: Yes o �� When corrections have been made, ca or re -inspection at 303-234-5933 J Date: 3/_->�')/ /9� jnspecf� j. c,. , DO NOT REMOVE THIS NOTICE IN CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Ti Re -Inspection required: Yes` No �!�! When corrections have been made, call for re -inspection at 303-234-5933 r-� Date: Inspector:�.`�C < 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: 3, ---, (� , M - R�� Job Address: 3 -7 1 Q .k+ 5 `4 Permit Number: 1 �; ❑ No one available for inspection: Time (�, 0wU AM,(PN� Re -Inspection required: Yes o �� When corrections have been made, ca or re -inspection at 303-234-5933 J Date: 3/_->�')/ /9� jnspecf� j. c,. , DO NOT REMOVE THIS NOTICE IN w City of Wheat Ridge �ra Residential Roofing PERMIT - 201800752 PERMIT NO: 201800752 ISSUED: 03/16/2018 JOB ADDRESS: 3710 Lewis ST EXPIRES: 03/16/2019 JOB DESCRIPTION: Residential Reroof Permit remove and install Owens Corning Asphalt Shingles with 12squares. Pitch=4/12. *** CONTACTS *** OWNER (303)937-7000 JOHNSON ROBERTA A/KENDRA SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Use Tax 252.00 Permit Fee 236.00 ** TOTAL ** 488.00 *** 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 - 201800752 PERMIT NO: 201800752 ISSUED: 03/16/2018 JOB ADDRESS: 3710 Lewis ST EXPIRES: 03/16/2019 JOB DESCRIPTION: Residential Reroof Permit remove and install Owens Corning Asphalt Shingles with 12squares. Pitch=4/12. "by my signature, do hereby attest that the work to be performed shall comply with alf accompanying approved plans and specifications, ap" ca le uildi o es, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the le caner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this p rt. I further atte that I am le ally authorized to include all entities named within this document as parnes to the work to be perfrm ed and that�41 t Irl. be per�d is disclosed in this document and/or its' accompanying approved plans and specifications. J -�s1 i 9 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 originalpermit fee. 3 _ if this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4_ No work of any manner shall be performed that shall results in a 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 ofpermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any . m applicableor any ord�rpe 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. INSURANCE Colorado Superior Roofing &Construction, Inc INSURANCE 950 Wadsworth Blvd., Suite 306, Lakewood, CO 80214 OWNER ADDRESS HOME PHONE . G a2LLPHONE aaEMAIL CSR REP NAME PHONE t 7 Approx Start Date: — 1. SCOPE OF DAMAGE – INFORMATION IN BOX FOR INSURANrF PI IRancFc nnrr v SCOPE OF LOSS ADDITIONAL DESC IPTION (if necessary) QUANTITY Tear Off Shingles (include # of layers) Tear Off Shake Roofing Re -sheathing (OSB) _ Shingle Manufacturer T, elf4XI 41A Shingle Color Ice & Water Shield (if pre-existing) Drip Edge (color) Turtle Vents AA Broan Vents (4", 8") Pipe lacks Skylights (#, style, length, & width) Chimney Flashing (length & width) R&R Gutters (color, LF) R&R Downspouts (color, LF) , t Siding Type & Color _ Fascia Type (wood, metal) , Antenna/Satellite Paint (type and color) Windows t Window Screens Soffit Overhang (LF) Additiorjol Info Qr Instructions: l W t The price for work contemplated in this Agreement, based on the damage known as f the date of this Agreement, is estimated to be $ payments made by credit card will be subject to a 3% convenience charge. �/J�/ % �fj A,9 Regardlecc of tha wm—t—ritta., �k .,o.�_ ____.. ___ _ _, ,,,, ,C , --- yr nvvvnr,rvct FROCEtr6 tvR I Ht WORK ACTUALLY PERFORMED by C6bradJ%"r Roo r,r & Construction, Inc. (`CSR&C") and includes items related to such work like dump fees and material taxes. Neither you nor CSR&C is obligated hereunder unless your insurance company approves the work at a price acceptable to CSR&C. By signing this contract, you authorize CSR&C to pursue all repairs at a price agreeable to the insurance company and CSR&C at NO COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE (subject to the paragraph below). The final price agreed to by the insurance company (including any supplements and overhead andprofit related to work petformed by R&C) will become the final contract price. I— PLEASE NOTE: If you have an ACV policy or do not have code upgrade, then you may be responsible for paying out of pocket for certain items like replacement of decking, fascia boards, soffits, or other items. ALSO be aware that if you have non-recoverable depreciation in your insurance scope you will be responsible for paying that amount in addition to your deductible. Please talk to your insurance agent about your policy coverage. CSR&C�happy to assist with this- just ask. g� r Roof (and gutters if applicable) ACV +Deductible Deposit Due at Material Delivery: $� l Vim. InitiFor each of the other trades windows, sidin ( g painting stucco, etc.) a deposit equal to the ACV amount for that tradtX.- �isn that trade is scheduled. The balance of th total contract amount (plus any sL2pplemepts related to roof, gutters or any other trades performed) is due once all work is substantially complete. Date of Current Insurance Scope: Line items to be performeki: You have the right to rescind this Agree ent and receive a full refund of any deposit within 72 hours after the later of (i) entering into this Agreement or (ii) receiving writte notice from your insurance carrier that your claim has been denied in whole or in part Colorado SB 38 and CRS 18.13.119.5 prohibit CSR&C from paying, waiving or rebating any portion of your insurance deductible. If the roof does not pass inspection, CSR&C will promptly problems to ensure the roof does pass inspection. However payment is due at the time the work is complete and is NOT contingent on final inspection schedule. p' 1 You agree to provide CSR&C with all information related to this im, including any updated insurance scopes or approvals. You hereby gra R&C ana ;ts agents authorization to speak with your insurance company and mortgage company about this claim and authori r ins nce company to s all documen�ation with CSRK related to this claim. These terms and ose on mhe verse side hh�of a acce ted_ All payments by for r erformed are o a6 >ty to R&C. ACCEPTANCE BY HOMEOWNER/BU R i�i'tlZJ�7^�r�d{�1 M 1. Alf contracts are subject to approval of CSR&C credit department and management and this contract is not valid until such approval is granted. 2. Any amounts not paid by you within (10) days of completion shall accrue interest charges at a rate of one and one half percent per month (18% per annum) 3. CSR&C reserves the right to supplement your insurance scope for any increases of labor or material and CSR&C shall be entitled to all such supplement amounts. 4. You agree that CSR&C and its subcontractors and agents are not responsible for damages from fire, water intrusion, wind storms, hail, tornadoes, hurricanes, or other hazards to work in progress or to completed work. You agree to maintain in force a policy of property owners insurance covering casualty to your property from such conditions. Our limited warranty does not apply to damage or repairs resulting from any of the foregoing events and CSR&C and its subcontractors and agents shall have no obligation to repair or replace components damaged by such events. S. This contract and warranty shall not be assigned and is non -transferable by you. CSR&C may assign this contract or any of its rights hereunder. 6. If this contract is canceled by you later than three (3) days from execution, you shall pay CSR&C twenty-five percent (25%) of the contract price as liquidated damages, not as a penalty, and CSR&C agrees to accept such as a reasonable and just compensation for said cancellations. In addition, if material has to be re- ordered or re -stocked because of cancellation or changes by you, there will be a re -stocking fee equal to fifteen percent (15%) of the returned materials. 7. Construction work involves demolition and can result in falling debris. You agree not to enter or permit guests or invitees to enter the work area during construction. CSR&C AND ITS SUBCONTRACTORS ARE NOT RESPONSIBLE FOR INJURIES TO YOU OR YOUR GUESTS OR INVITEES WHO ENTER THE WORK AREA. YOU AGREE TO INDEMNIFY, HOLD HARMLESS AND DEFEND CSR&C & ITS SUBCONTRAC°�TORS FROM AND AGAINST ALL DAMAGES CSR&C OR ITS SUBCONTRACTORS MAY BECOME OBLIGATED TO PAY TO ANY PERSON (NOT AN EMPLOYEE OR AGENT OF CSR&C) INJURED AT THE PREMISES REGARDLESS OF ANY NEGLIGENCE ON BEHALF OF CSR&C. 8. You acknowledge that CSR&C shall not be responsible for inconveniences to you or damages to your property resulting from CSR&C's performance of the work, including but not limited to gutter scratches, stains on driveway, cracks in concrete, landscaping damage, scratched or dented fascia, siding or flashing, damaged molding, stucco or plaster, damage to vehicles or other items left in the driveway, any roof related debris in attic, or any interior damage resulting from the work. 9. You agree to provide CSR&C and its subcontractors and agents, unobstructed access to your driveway while work is in progress. The equipment and materials used in replacing a roof are heavy and CSR&C and its subcontractors and agents are not responsible for driveway or curb cracking/damage that results from settling, compression, or inadequate support of your driveway and or curbs. 10. Replacing a roof frequently exposes preexisting structural problems. You agree that repairing preexisting structural problems is not a part of this contract and CSR&C and its subcontractors and agents are not obligated to make such repairs. The appearance of pre-existing reflections from sagging rafters or trusses may be accentuated by a new roof system and you agree that CSR&C is not responsible if this occurs. 11. Building codes and good building practices require that nails penetrate through roofing materials and a minimum of N" into the sheathing. If the sheathing is less than Y.." thick, nails will penetrate through the sheathing- Building codes also require that air-conditioning, water, electrical lines, and pipes be located a safe distance below roof decking. You agree that CSR&C and its subcontractors and agents are not responsible for nail penetrations or other occurrences to air conditioning, water, electrical line or pipes that are located below the bottom -of the roof deck or any resulting damages thereof. 12. Properly installing a new roof may, and frequently does, require the removal and replacement of existing flashing. During installation, wood siding, vinyl siding, stucco siding, and other exterior wall surfaces adjacent to the flashing may break, crack, or tear. You agree that CSR&C and its subcontractors and agents are not responsible for any damages to siding as a result of replacing flashing. 13. Removing & replacing a roof creates vibrations that may be transmitted throughout the house. You agree to remove items hanging from inside & outside walls, soffits & ceilings prior to construction beginning. CSR&C and its subcontractors and agents are not responsible for damages caused to or by falling objects. 14. It may be necessary to remove roof mounted equipment (e.g. satellite dishes, antennas, solar panels, weather stations etc.) You agree to remove and reinstall/adjust such equipment at your cost. CSR&C or its subcontractors and agents may remove such equipment if you fail to do so, but will have no obligation to reinstall or align the equipment and no liability for any damage caused. 15. The work will be deemed accepted by you unless you provide us with written notification within 10 days after completion of the work, specifying any and all alleged deficiencies in the work. Any alleged damages or deficiencies not reported within that time frame shall be deemed forever waived and released by you. 16. IN NO EVENT WILL CSR&C OR ITS AGENTS OR SUBCONTRACTORS BE LIABLE TO YOU FOR ANY CONSEQUENTIAL, EXEMPLARY, INDIRECT, SPECIAL OR INCIDENTAL DAMAGES ARISING OUT OF THIS CONTRACT, REGARDLESS OF THE LEGAL OR EQUITABLE THEORY (CONTRACT, TORT OR OTHERWISE) UPON WHICH THE CLAIM IS BASED. CSR&C'S ENTIRE LIABILITY TO YOU IN ANY WAY RELATED TO THE SUBJECT MATTER OF THIS CONTRACT AND REGARDLESS OF WHETHER A CLAIM IS BASED IN CONTRACT, NEGLIGENCE OR TORT, WILL NOT EXCEED THE TOTAL CONTRACT PRICE. 17. Roofing materials are separately warranted and CSR&C and its subcontractors are not responsible for manufacturer's warranties. You agree to notify CSR&C within 24 hours of discovering a leak and agree to take reasonable affirmative action to prevent further damages. CSR&C will send an authorized representative to investigate any reported leak. Yowagree to cooperate with such inspection(s) by providing CSR&C and its subcontractors, access to the interior and exterior of the property at reasonable times. All work other than roofing, such as gutters, painting, windows, siding, or drywall shall carry a warranty against defects in workmanship for a period of one (1) year. For any warranties to be valid, the contract, must be paid in full. Except as specifically set forth herein, CSR&C and its subcontractors and agents make no warranties, expressed or implied, including warranties of fitness or merchantability, appricable to this contract. 18. You hereby authorize your insurance company and or mortgage company to make any checks related to the work payable jointly to CSR&C and you. You hereby agree to assign to CSR&C all amounts due from your insurance company and/or mortgage company relating to the work performed (including ay supplements , overhead and profit related to such work). 19. This contract constitutes the entire agreement between the parties. It may be changed only by written instrument signed by both parties. Any representation, statements, or other communications not in this contract are agreed to be immaterial, and not relied on by either party, unless written and fully stated, and do not survive the execution of this contract. 20. Any dispute arising hereunder shall be subject to the exclusive jurisdiction of the federal and state courts located in Jefferson Coun' --ado ind you hereby expressly consent to the jurisdiction of such courts. The prevailing party shall be entitled to reimbursement of its attorneys' fees and costs-trom the other party. 21. Our Insurance Liability Carrier is APCO Insurance, 400 Inverness Pkwy, Suite 180, Englewood, CO. Cheryl Baier 303-300-2726. 3/16/2018 COLORADO SUPERIOR ROOFING & CONSTRUCTION Bill To: Kendra Johnson 3710 Lewis Street Wheat Ridge, CO 80033 Insurance Claim Print Contract Worksheet Invoice Invoice Date Invoice March 16, 2018 2018-1044 Due Date Sales Rep Upon Receipt allysont Description Amount Dwelling Lines 1-14 $12,412.37 Modified Bitumen Lines 15-17 $886.26 Gutters/Downspouts Lines 18-20 $982.49 Doors Lines 22-30 $3,220.66 Total Initial Claim: $17,501.78 I . . 1yorK Itlot Doing Description Amount Minus $500 for Non High Profile Line Item 14 $500.00 Customer Credit Per Allyson $25.00 Remit Payment to: CSR Headquarters: 950 Wadsworth Blvd #306 Lakewood, CO 80214 E:Mail: info@ColoradoSuperiorRoofing.com Office: (303) 937-7000 Fax: (303) 937-7001 Total "Work Not Doing": -$525.00 Invoiced Total: $16,976.78 Payments/Credits: $0.00 Balance Due: $16,976.78 https:l/my.aGculynx.com/UserControls/FlexSupporttPrintBalanceSheet.aspx?BalanceSheetlD=82611 ab9-5608-45f0-abb6-a4152a2e9df0 i/1 Lagenia Reimer` G 75-Y-, From: no-reply@ci.wheat ridge.co.us Sent: Friday, March 16, 2018 10:42 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 1 Categories: Gina 1 t� Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in .� the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? :100 :10 Z4 rd 1041•VAMA00 Property Address Property Owner Name 3710 Lewis Street , Kendra Johnson Property Owner Phone 3039377000 Number (enter WITH dashes, eg 303-123-4567) -Property Owner- Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract jessicat@coloradosuperiorroofing.com Yes Scan.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City • �' of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Colorado Superior Roofing 160142 3039377000 950 WADSWORTH BLVD UNIT 306 Contractor Email Address jessicat@coloradosuperiorroofing.com Retype Contractor Email jessicat@coloradosuperiorroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 12 the entire scope of wo Project Value (contract 12000 value or cost of ALL materials and labor) Are you re -decking the LNo roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 ♦ � � i CITY OF WHEAT RIDGE r Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: n Job Address: i / G Permit Number: 1 AC ✓'c `?Z n - I ❑ No one available for inspection: Time /,? 1 4' AM�M Re- Inspection required: Yeo No When corrections have been made, call for re- inspection at 303-234-5933 -i Date: J i -11 i Inspector: ,r DO NOT REMOVE THIS NOTICE ♦ 6 A i CITY OF WHEAT RIDGE f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Azlgf-! / Job Address: Permit Number: 0/ 52 0"p- jn�v. sFrrrFT� '0_r` 1,� s/ i l/> 7 .� I)46 ee o #f iZL11 ❑ No one available for inspection: Time 3 </ AMi(2C�1_ Re- inspection required: 6PI.No When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: f45:Mro Inspecto DO NOT REMOVE THIS NOTICE City of Wheat Ridge IIT NO: ADDRESS: 3e Tax r TOTAL iditions: .s City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303- 237 -8929 c -- o Inspection Line: 303 -234 -5933 �ORA� Building Permit Application Date: Plan #. Permit #: I Q�g Property Address: 3 1 I p L ew -,s L \\ Property Owner (please print): P o�v✓tC � UOt ,SokA Phone: �D3 ' '71 Mailing Address: (If different than property address) Address: City, State, Zip: c Contractor: 1n�i rt t t t �eS �oC w�i ca n Contractor License #: 0 901 977 Phone: 303 81(0 - 10 30 Sub Contracto 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): SFD Construction Value: $ 1(9, 0 Description of work: G �y� A V-e- ' Lvv r, � (as celoulated per Me Building Valuation. Data sheet) El Plan - 1 Review (due at6meofsubmittaq:S Sq. Ft. /L.Ft added: Squares 31 BTU's Gallons Amps. OWNEWCONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans subject to fie ion. ClRLCE ON ON E:: (OWNER) (CTRACTOR r PERSONAL REPRES NT TIVE pf ( NER CONTRATOR) NAME: PRINT r SIGNATURE: ,l / J � - Date: , . . . ; . I.I. 11, . . . . . . 11 ' DEPARTMENT OF PLANNING A DEI FELOPMENT Building Permit Number : 11761 BUILDING INSPECTION LINE 303- 34-5933 CITY OF WHEAT RI GE ' Date : 2/6/2001 7500 WEST 29TH AV NUE WHEAT RIDGE, CO 80215 03-23 $-2855) Property Owner : I Property Address : 3710 LEWIS TREE' ~j Phone : 30334233710 Contractor License No. : 18057 l Company : Modelco Elec ic, InCJ ' Phone : 451 6236 ' WNER/CONTRACTOR SIGNATURE OF UNDERS NDIM1I ,AND AGREEMENT O Construction Value : $150.00 iereby certify that the setback distances proposed by this rmit ap lication are accurete, Pefmlt Fee : $23.50 id do not violate applicable ordinances, rules or regulation of the C ty of Wheat Ridge or wenants, easements or restrictions of record; that all a remen Shown, and allegations Plan Review Fee : $0.00 ade are acwrate; that I have read and agree to bi b canditi i h 3 m6 printed on this Wh Ri B i $2 25 U T pplication, and that I assume full responstbili r i w t d eat dge u lding . se ax : ode (U.B.C.) and all other applicable Wheat id n s, for ~ o1k under this permit. 24 ' Total $25.75 >WNER)(CONTRACTOR) SIGNED DATE Use: Description : Wall fumance hookup III II BUILD G DE ARTMENT USE ONLY r ; ~ ~ SIC : Sq. Ft. : rov al: APP I I Zoning Approvai : ~ I Approval: • ' I Occupancy : Walls : ' i I Roof i Stories : Residential Units : ?lectrical License No : Plumbin l Licen §e No : Mechanical License No : :ompany : Compa , y : li Company : ~ ' _xpiration Date : Expirati n Date I Expiration Date : : \pproval: Approv : Approval: (1) This permit was issued in accordance with the provisions forth iny 'dur applica4on and is sub1ecl to fhe laws of the Slale of Coloredo and lo Ne Zoning Re9ulations antl Builtling Cotle ot Wheat Ridge, Colorado (2) This permit shall expire if (A) the work auMOrizetl is not co arry otFle nced'~ pplicable orUinances Mthe Ciry. i-Ain sizty (80) days from issue tlate or (6) the building authonzed is suspentletl or abantloned tor a penod of 120 tlays. (3) If this permil ezpires, a new permil may be acquired for a ' of one-ti ' i the amount nortnalty requiretl, provitletl no changes have been or will be matle in the I original plans and speafications and any suapension or ab donment ~ h s not "ceeded one (t) year. If changes are matle or 6 suspension or abantlonment exceeds one (1) year, full fees shall be pald Tor a new pe (4) No work of any manner shall be done ihat will change ihe (5) Contrector shall no' the Buildin Inspector twenry-four (2 turel Bojv hours ih p~ water causing a dreinage proDlem. vance for all inspectlons antl shall receive wntten approval on inspection card before proceediin9 with ssiv h s of ihe 1ob. (6) The issuan p proval of tlrewings and s 'ficati o d shall not be consW ed to be a pertntt for, nor an appmval of, any violation of the provisions of the buildin o I rule or re ulation I Chief Building Inspector I i DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: 3V ~ Property Address : 5 ~ Phone Z~7- 3 7~ ~ Contrector License No. : / - Company : _27~1CrPhone : OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 1 SD 7 I hereby certi(y that the setback distances proposed by this pertnit appliwtion are accurate, Pgfrtllf F2E : and Eo not violate applicable oMinances, rules or regulations of the Ciry of VJheat Ridge or wvenants, easements or reslrictions ot record; that all measurements shown, and allegations made are accurate; that I have read and agree to ab' by all conditions printed on this Use T8X : application, and that I assume full responsibility ' ce with the Wheal Ridge Building Code (U.B.C J and all other applitable Whea ' ances, for work under this pertniL TOtal : $0.00 . (OWNER)(CONTRACTOR) SIGNED DATE <'V-i!:5)/ Use: Description BUILDING DEPARTMENT USE ON ; 4; z~_ ~ s. IC i Sq. Ft : Approval: Zoning SIIlftlfts~t'•b~C~~1~ ( ~ Approval: .Qts1C~a~1K~€fi~~9 , -.y Approval Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Oate : Expiration Date : Approval: Approval: Approvai: (1) This permil was iuuetl in aaorCance wiUM the p`vWsions sel forN In yoWr application and is suqecl lo Ne laws ol the SUIe of Cob2GO aiM to the Zoning Regulations anA Builtlioy Code of Wheat Ridge, CobraEO or any oNer applicaGe ortlinances al the Ciy. (2) Thu pert'ut slwll expire d(A) the work auNOrized Is fwl wmmenced wiNin sizty (60) Cays trom Issue tlate or (8) the builtlinp aulhorized is auzpenEed u aGaManeC for a perloO af 720 days. (3) u tnis perrrm e:pires, a new permrt may be acqutred la a tee o1 mcnan tne amount nomnaiy rcyuired. vmvided no cnanges nava eem a win be made in the oryinal plans aM speafKaGons and eny auspension w a0andonmenl fws not exceeded one (1) yeac It Uanges are maAe w i( wspension a aDarWOnment exceeds one (1) year, full (ees shall be paid fM a new pertnit. (4) No work o( arry manner shall be dme ihat vrill change the natural tbw ol water wusing a E2inage problem. (S) Cantracta shall noGy Ne Builtlinq Insuedot twenry•four (24) houro in aOvance for all inspeclions aM shall receive wririen approval on inspection oN be(wa proceeOiing wilh successive p~axs of Me'ob. (6) The issuance of a pemut a Me approval o~Erawinqs anE speafra6ons shall no1 De consweA Io be a pemut fa, nw an approval o( airy Nolatlon o( the provislons . 01 the buildinp t AKI o r arry oUier inance, law, ~ule or re9ula4on. l Chief Buil g Inspect For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11724 - BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 1/26/2001 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 3710 Lewis St Phone : 30342233710 Contractor License No. : 18111 Company : Cooper Heating & Cooling Phone : 466 4209 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setbadc 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 a9ree to abide by all conditions printed on this application, and that I assume full responsibiliN for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Kiidge ordinances, for work under this permft. (OWNER)(CONTRACTOR) SIGNED DATE Description : Install direct vent furnace Construction Value : $2,000.00 Permit Fee : $69.25 Plan Review Fee : $0.00 Use Tax : $30.00 Total: $99.25 Use: Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approvai: Approval: Approval: (7) This pertnit was issued in accordance with the provisions set forth in yopur applicaUon and is sub1'ect to the laws of ihe Slate of Colorado and lo the Zonin9 Regulations and Building Cotle of Wheal Ritlge, Colorado or any oMer applicable ordinances W the City. (2) This pertnit shall expire if (A) the woAc authorized is not commenced within sbcty (60) days from issue date or (B) the building authorized is suspended or abandoned for a perlOtl of 120 tlays. (3) I/ this pertnk axpires, a new pertnil may be acquired for a fee of one-half the amount normalty required, providetl no changes have been or will be made in the original plans and speciflcadona and arry suspension or abantlonment hes not exceeded one (1) year. If changes are made or d suspension or abantlonment exceetls one (1) year, Full fees ahall ba paltl for a new permH. (4) No work of eny menner shall be tlone that will chan9e ihe naNrel How of water causing a drainage problem. (5) ConVactor shall notiry the BuilGing Inspec[or lwenry-four (24) hours in atlvance for all inspecdons and shall receive written approval on inspection card before proceediing with successive phases of Ne 1ob. (6) The issuance of apsnnit or the approval of drawings and specifications shall not be construetl to be a permit for, nor an approval of, arry violation of the provisions of the builtling Codesior arW 9tbeCordinance, law, rule or regulatlon. Chief DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: A IJr«d..- boc~,ley' Property Address : 3~1 C) Lewi S S~- Phone: 423 -3710 Contrector License No. : il 8( I ~ Company:CooPer NCooI I n Phone: 4b(~,-24 Zo`? OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify lhal the setback distances proposetl Dy lhis permit appliwtion are accurate, and do not violate applicable ordinances, rules or rcgulations o( the CRy of Wheat Ridge or eovenants, easements or restrictions ot record; tAat all measurements shown, ana allegations made are accurate; that I have read and agree to abide by all conditions printed on this appliwtion, and tha! I assume tull responsi0ility for compliance with the Wheat Ridge Building Cotle (U.B.C.) antl all other apP~icable Woeat Ridge ordinances, for work under this pertn@. (OWNER)(CONTRACTOR) SIGNED CR Ci`l DATE i I2a~oi Description : 9m~;{aQQ Us2,nj kwz,r,c_c~ Construetion Value : Z Oc~o - Permit Fee : v (09 Plan Review Fee : UseTax: 30 Total: Q ?5 " BUILOING DEPARTMENT USE ONLY Zoning"CommenTs; SIC : Sq. Ft. : - - a Approval : ~ Zoning : v Bui~dingComments~ ' ~ ~~'r - Approvai Public' Worlis'Com "ments:i Lz~ Approval : Occupancy : Walls : Roof Stories,z''°,% Residential Units : Electricat License No : Company: Plumbing License No : Company: Mechanicai License No : Company : ExDiration Date : Approval : Expiration Date' Approval: Expiration Date : Approval : ~ Plans"Required►'J" rPlans Requiredw n. =Plans'Requiied~ (i) TTis pertnit was issuetl m accoraanu wiih the Drovisions sel foM in yo0ur aDDlivtion anC is su0lect to the Wws ol Ne State ol Coiora0o an0 to ine 2oniny Re9Wations antl Builtliny LoEe ol NTeat Ritlye. Coloratlo or any mner apd;CaDle orEinances of the City. (2) TTis pertnit shall expire A(A) the work auNOnietl is not commencetl within sixty (60) Cays hom issue Eate or (B) Ne DuilEinq authonieC is suSpenCeE or atantlonetl for a perioC of 120 tlays. (7) If mis perm:t ezp~res, a new pernit may De scquireC /w a tee o1 one-hali ine amount rortnaiy requireC, provi0e0 no cnanges have Deen or wiu oe maEe in tne odginai plans antl speciGOtions antl any suspension or aEantlonment Iws rqt exceeEeC one (1) year. 11 Uanyes are rtu0e or il suspension or anan0onmenl e:ceetls one (1) year. lull lees shall be paiE lor a new permit. (a) No work o/ any manner shail De Eone Nat wilt Uange ine natunl flow of wakr dusing a Erainage Dmblem. (5) Lontraqor snau noliy Ne BuilOinp Inspector iwenry-lour (24) hours in aEvance tor all inspecbons anE snau rtteive wntlen apPmval on inspepion rar0 DNOrc DromeOiinq wiN ssrve DhaseS of Ne7ob (6) The issuance a glemit or pproval o( Erawings an0 speoGwtions shall not Ee mnstnxE to De a permit 7or, nor an approvai of, any rioiabon ol the provisions of tne buil r orCinance. law. rule or re9ulation. Iffrl-coolls Chief Building Insp tor For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING A BUILDING INSPECTION DIVI ; - CITY OF WHEAT F 7500 WEST 29TH A' WHEAT RIDGE, CO iI, DEVELOPMENT N - 235-2855 3E JUE 215 Building Permit Number Date 7485 7/21 /98 Property Owner : Property Address : 3710 Lewis ' Phone : 423-3710 Contractor License No. : 17187 Company : Conner Cons Cuction Co. Phone : 744-1096 C WNER/CONTRACTOR SIGNATURE OF UNDERS ANDWG AND AGREEMENT Construction Value : $4,640.00 iereby certify that the setback distances proposed by this ermit application are accurate, P2ffillt F2E : $100.50 id do not violate applicable ordinances, mles or regulation of the City of Wheat Ridge or rvenants, easements or restrictions of record; that all mea urements shown, and allegations Plan ReView Fee : $0.00 ade are acwrete; that I have read and agree to abide by II conditions printed on this )plication, and that I assume full responsibihty f r complia ce wi the Wheat Ridge Building Use Tax : $69.60 ode (U.B.C.) and all other applicable Wh t ge ord' an r work under this permit. ~ Total: $170.10 >WNER)(CONTRACTOR) SI DATE ' Use: Description : Reroof / remove 3 layers ins all 28 sq. 3 tab roof 5/12 pitch BUILD NG DEPARTMENT USE ONLY F099M" SIC : Sq. Ft. : Approval : Zoning : RH~~~ Approval: ~ . . . qp P rov a I : . . Occupancy : Walls : Roof : Stories : Residential Units : II ai ci rc al C Electrical License No : Company : Expiration Date : Expiratii Approval : Approve (1) This permit was issued in accortlance with the provisions s Regulations antl Building Code of Wheat Ridge, Cobrado, (2) This permit shall expire if (A) the work authorized is not wr abandoned for a penod of 120 tlays. (3) If this permit expires, a new permit may be acquired for a h original plans and specifications and any suspension or abezceetls one (1) year, PoII fees shall be paid for a new pern (4) No work of any manner shall be done that will change the i (5) Contrador shall notiry the Building Inspeclor Rvenry-four (2 proceediing with successrve phases of Ne ob. (6) The issuance of a permit or the approval o~drawings and s „of the building cotles or any other ordmance, law, rule or re THIS PERMIT VALID ONLY WHEN CALL: 234-: License No : Mechanical License No : . Company : Date : Expiration Date : Approval : forih in yopur applitalion and is subject to the laws of the SWte of Coloratlo antl lo the Zoning 3ny other applicable ordinances of the Ciry. ienced wdhin sinty (60) days from issue date or (B) ihe buildinq authorized is suspended or of one•half ihe amount normally requiretl, provided no changes have been or will be matle in the ionment has not exceeded one (1) year. If changes are matle or if suspension or abandonment ural flow of water causing a tlrainage problem. hours in advance for all inspections and shall receive written approval on inspection wrU before dfications shall not be wnstrued to be a pertnit for, nor an approval of, any violation of the provisions NED BY THE CHIEF BUILDING INSPECTOR AND MAYOR 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: .9LFQ~'Y~ Daoc..E/~l PropertyAddress: 371o 1-Fcd1S e~74.z-46E~ Phone: ~{a3-3710 ConVactor License No. : 1.71'" Company: Phone: 7,14z_IGP~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : )~6f4p, o a I hereby certify that the setback distances proposed by Nis pertnit application are awurate, and do not vialate appliWble oMinances, rules or regulations of the City of Wheat Ridge or Pefrtlit F2e : _Z' /00' covenants, easements or restriclions of record: that all measurements shown, and allegations ll di i i d bid b d hi U T con ons pr nte made are accurate; that I have read an ayree to a e y a t on l s se ax : application, and that I assume full responsibi6t. or wmphance wdh the Wheat Ridge Building Code (U.B.C.) and all other appliwhle Whe idge ordinance orwork under this p 7 TOtal : $0.00 (OWNER)(CONTRACTOR) SIGNED DATE Z~ USO: D25Cripfl0n: ~g R~,o~ / ~Erto✓F - %vY c~c.r ~NSY~9l~ a8 S$ ( 3 -T.q.ld 4 1,7,1c BUILDING DEPARTM NT USE ONLY SIC : Sq. FL : Approval : Zoning : 6Qlftl ttfy9bmCm Approval: g4u1C~►akRMo_mmefit~J Approval : Occupancy : Wails : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No: Company : Expiration Date : Approval : Expiration Date : Approval: Expiration Oate : Approval: (1) This pertnit was Issued N accadance wiN IM pmvisions set foM In yopur appliration anE Is suDjecl lo Me laws o! Ne State ol CobraOO anO lo Ne Zoninq Regulatlons and Buildi~ Cade ol Wheat RiGye, ColonOO v any other applica0le ordinances of Ne City. (2) This pertrYl slwll expire A(A) Uu woAC auWfaeO b nol mmrnenceA wMm sixty (60) Aays from bsue Oata a(8) the build'up auNMZeC u iuspenOeE a aDarMOned lor a perlod M 120 days. (J) If inis pemvl expifes, anew permrt may be ecqWre0lor e lee ol one-natl Uie amount nomwly requiied, pioviEed rq Wrqes haw Ceen w will De maCe in the original plaru and apecifrations and arry suspension or aEanOOnment nas nal excee0ed one (1) year. If Wipes are maCe a H suspension or aEanCOnment exceeds one (1) year, lull feef Shall he pald lof a new pertnit. No woAC of any manner ahall be Cafe Nat will Chanye VM nalural flow ol waler W using a C2inaqe pro0lem. (5) Convxlu shall notiy the BuilCiny Inscedor Iwenry-four (24) houn in advance fa all inspections anC shail receive wntten aDOrovaI on Inspeclian nM Delore procecEiinq wilh successive phaxa al Neq6 (e) The issuance of a pemul a tha approval o! Enwlnqs and spedGCations shall rwt Oe cons WeC to be a pemvl la, nor an approval of, arry vblation d the provisbns . ol Ne buildirq codes a aM oMer ortlinance. Ww, lule a repuWtion. . Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY TME CHIEF BUIIDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION