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HomeMy WebLinkAbout4745 Carr Street. City of Wheat Ridge Residential Roofing PERMIT - 201703656 PERMIT NO: 201703656 ISSUED: 07/10/'2017 JOB ADDRESS: 4745 Carr ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace shingle with new tamko heritage Glacier White23.25 sq. this is for House Roof only *** CONTACTS *** OWNER (720)936-3809 LINDE DARRELL SUB (720)504-7571 Ken Medina 150198 Prestige Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,900.00 FEES Total Valuation 0.00 Use Tax 144.90 Permit Fee 156.75 ** TOTAL ** 301.65 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 474 CAa,(L INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type C., � Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pert' t s roj� t Inspector Foundation Inspections Date Initials Electrical Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Plumbing Rough Electric Final Mechanical Rough Plumbing/Gas Line Roof Rough Mechanical Final Building Rough Framing 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. Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building 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 from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather I 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: Permit Number: ❑ No one available for inspection: Time -' LAM/&, Re -Inspection required: Yes No� When corrections have been made, call for re -inspection at 303-234-5933 Date: q,. �0 ' % 7 Inspector: -- DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703656 PERMIT NO: 201703656 ISSUED: 07/10/2017 JOB ADDRESS: 4745 Carr ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace shingle with new tamko heritage Glacier White23.25 sq. this is for House Roof only *** CONTACTS *** OWNER (720)936-3809 LINDE DARRELL SUB (720)504-7571 Ken Medina 150198 Prestige Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,900.00 FEES Total Valuation 0.00 Use Tax 144.90 Permit Fee 156.75 ** TOTAL ** 301.65 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703656 PERMIT NO: 201703656 ISSUED: 07/10/2017 JOB ADDRESS: 4745 Carr ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace shingle with new tamko heritage Glacier White23.25 sq. this is for House Roof only 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 ermrt. I further attest that I am legally authorized to include al[ entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2• This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding 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. 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-grantmg 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` ny ordinance egul tion of this jurisdiction. Approval of work is subject to field inspection. ,amu Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspec4 jme requests will be accepted by�' �� se email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning o the inspection. Please put the address of the inspection in the subject line. Dane Lovett DO I z Y.(. From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 8:47 AM To: Permits CommDev' Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 l documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4745 Carr St Darrell Linde 720-936-3809 i 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 Prestige Roofing, LLC Contractor's License 150198 Number (for the City of Wheat Ridge) Contractor Phone 7505047571 Number Contractor Email Address melissa@myprestigeroofing.com Retype Contractor Email melissa@myprestigeroofing.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing Remove and replace shingles with new tamko heritage Glacier Material White Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23.25 material selected above? Does any portion of the No property include a flat C� roof? If yes, how many squares Field not completed. c% on the flat roof? z TOTAL SQUARES of alI 3.25 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) This is for House Roof only 6900.00 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant melissa salas Email not displaying correctly? View it in your browser. 3 2P``oNAt Roofitie a o2149cTOs 600 YS' At 0 IBEB Fully Insured Licensed Carrier: PCIC Limit: $2,000,000.00 Customer: PRESTIGE , CONTRACTING Address: "Your Insurance Specialists" RASSO`Pti Roofing - Siding - 4Vindows - Gutters City: Prestige Roofing LLC State: Zip: 1412 W 1041h Ave, Suite 101 Northglenn, CO 80234 Phone #: Office: 720-504-7571 Fax: 303-362-7271 Policy #: PC102233-02 Expires: 07/14/2017 600 YS' At 0 IBEB Fully Insured Licensed Carrier: PCIC Limit: $2,000,000.00 Customer: ter , Insurance Provider: Address: Phone M City: State: Zip: Claim M (J Phone #: _ 3 GCell: _ Project Manager: Date: /' ` �} Loss Date: Phone q: Email: Lead Source: WE PROPOSE pp Tooyfurnismaterial and labor - complete in accordance with specifications bele t A �� l'✓(`'k^ Deductible ($) / C ll Approximate Dollars ($) `lJnSi/f 'f �Cryt�rl--Syal cY�� Approximate Date of Roof Completion: Materials present on roof: Asphalt XITLar off existing layers on House Tear off existing �_ layers on Garage/Shed [ ] Re- deck using 7/16" OSB Plywood From Submitting File Start: layers Cedar Shak [ ] Replace Water Damaged Decking at $ per piece nstall Standard Ridge Shingles [ ] Install High Profile Ridge Shingles [ ] Install ft. of Ridge Vent Install —21 Turtle Vents, Color to match roof [ ] Install metal valleys [ I Install 901b valleys [ j Install Ice and water shield per code or $ per sq t ymstatl Drip Edge to ali�ves�kes ! nstall-lbfeltor [ ] $ 1` for feltex Notes _ - �t� S GIa � P W,., r "e From Submitting Fi e layers Cedar Shingles layers Flat layers nstall New Roofing Material Type Colo c,%�,4-r J n tyle L Tom ; e �. II Permit fees and Taxes Included aul off all trash including Magnetic Sweep of Property ��Year LLa_boor Warranty,{ j-41 Year Manufacturer Warranty ] Install t L Pipe Jack Flashing(s) [ LF 55" Gutter/ Downspouts Color [ ] SQ Siding Type Color Additional Work to be done IER INITIAL. HEREIF SUBJECT TO INSURANCE' ALLOWANCE AGREEMENT. .If initialed, the following additional prwisions apply: A. This agreement is valid only if customer has full replacement cost insurance coverage (less deductible) B Companies workwill be completed with no cost to customer other than -customer's :insurance deductible. Unless customer chooses upgrades or additional work that.is not approved by customer's insurer. Customer hereby assigns all amounts due from customer's insurers and mortgagees for companies work to company. C. Customer. will provide all documents and Information necessary (i) for submission of claims to customer's Insurer, :and(11) .for payments to be made by customer's insurer and'mortgagee(s): Customer authorizes company to discuss scope of workand-pricing with-customet's.imurers and adjusters. Customer appoints company as the, customer's power of attorneyto inspect andadjustthe loss, and to collect and receive all insurance payments related to company's work. D All direct costs, overhead and profitallowed by customer's insurer, and.any supplements approved by customer's insurerfor additional work,upgrades; optionsor cost increases are to be paid to company: Company reserves the right to request and receive additional payments from customer's insurer due to material or `labor increases, storm environment, or ifmeasurements and/or other informationprovidedby customer's insurer are incorrect. E. Company may cancel this: agreement if company and customer's insurer are unable to agree owthe scope of work and price for work covered under customer' Wese nslf th agreement, including all terms and conditions on the reverse side. -us_ D�a!te Customer Signature re Date Date City of Wheat Ridge Residential Roofing PERMIT - 201703656 PERMIT NO: 201703656 ISSUED: 07/10/2017 JOB ADDRESS: 4745 Carr ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace shingle with new tamko heritage Glacier White23.25 sq. this is for House Roof only *** CONTACTS *** OWNER (720)936-3809 LINDE DARRELL SUB (720)504-7571 Ken Medina 150198 Prestige Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,900.00 FEES Total Valuation 0.00 Use Tax 144.90 Permit Fee 156.75 ** TOTAL ** 301.65 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703656 PERMIT NO: 201703656 ISSUED: 07/10/2017 JOB ADDRESS: 4745 Carr ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace shingle with new tamko heritage Glacier White23.25 sq. this is for House Roof only 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 ermrt. I further attest that I am legally authorized to include al[ entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2• This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding 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. 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-grantmg 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` ny ordinance egul tion of this jurisdiction. Approval of work is subject to field inspection. ,amu Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspec4 jme requests will be accepted by�' �� se email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning o the inspection. Please put the address of the inspection in the subject line. Dane Lovett DO I z Y.(. From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 8:47 AM To: Permits CommDev' Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 l documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4745 Carr St Darrell Linde 720-936-3809 i 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 Prestige Roofing, LLC Contractor's License 150198 Number (for the City of Wheat Ridge) Contractor Phone 7505047571 Number Contractor Email Address melissa@myprestigeroofing.com Retype Contractor Email melissa@myprestigeroofing.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing Remove and replace shingles with new tamko heritage Glacier Material White Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23.25 material selected above? Does any portion of the No property include a flat C� roof? If yes, how many squares Field not completed. c% on the flat roof? z TOTAL SQUARES of alI 3.25 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) This is for House Roof only 6900.00 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant melissa salas Email not displaying correctly? View it in your browser. 3 2P``oNAt Roofitie a o2149cTOs 600 YS' At 0 IBEB Fully Insured Licensed Carrier: PCIC Limit: $2,000,000.00 Customer: PRESTIGE , CONTRACTING Address: "Your Insurance Specialists" RASSO`Pti Roofing - Siding - 4Vindows - Gutters City: Prestige Roofing LLC State: Zip: 1412 W 1041h Ave, Suite 101 Northglenn, CO 80234 Phone #: Office: 720-504-7571 Fax: 303-362-7271 Policy #: PC102233-02 Expires: 07/14/2017 600 YS' At 0 IBEB Fully Insured Licensed Carrier: PCIC Limit: $2,000,000.00 Customer: ter , Insurance Provider: Address: Phone M City: State: Zip: Claim M (J Phone #: _ 3 GCell: _ Project Manager: Date: /' ` �} Loss Date: Phone q: Email: Lead Source: WE PROPOSE pp Tooyfurnismaterial and labor - complete in accordance with specifications bele t A �� l'✓(`'k^ Deductible ($) / C ll Approximate Dollars ($) `lJnSi/f 'f �Cryt�rl--Syal cY�� Approximate Date of Roof Completion: Materials present on roof: Asphalt XITLar off existing layers on House Tear off existing �_ layers on Garage/Shed [ ] Re- deck using 7/16" OSB Plywood From Submitting File Start: layers Cedar Shak [ ] Replace Water Damaged Decking at $ per piece nstall Standard Ridge Shingles [ ] Install High Profile Ridge Shingles [ ] Install ft. of Ridge Vent Install —21 Turtle Vents, Color to match roof [ ] Install metal valleys [ I Install 901b valleys [ j Install Ice and water shield per code or $ per sq t ymstatl Drip Edge to ali�ves�kes ! nstall-lbfeltor [ ] $ 1` for feltex Notes _ - �t� S GIa � P W,., r "e From Submitting Fi e layers Cedar Shingles layers Flat layers nstall New Roofing Material Type Colo c,%�,4-r J n tyle L Tom ; e �. II Permit fees and Taxes Included aul off all trash including Magnetic Sweep of Property ��Year LLa_boor Warranty,{ j-41 Year Manufacturer Warranty ] Install t L Pipe Jack Flashing(s) [ LF 55" Gutter/ Downspouts Color [ ] SQ Siding Type Color Additional Work to be done IER INITIAL. HEREIF SUBJECT TO INSURANCE' ALLOWANCE AGREEMENT. .If initialed, the following additional prwisions apply: A. This agreement is valid only if customer has full replacement cost insurance coverage (less deductible) B Companies workwill be completed with no cost to customer other than -customer's :insurance deductible. Unless customer chooses upgrades or additional work that.is not approved by customer's insurer. Customer hereby assigns all amounts due from customer's insurers and mortgagees for companies work to company. C. Customer. will provide all documents and Information necessary (i) for submission of claims to customer's Insurer, :and(11) .for payments to be made by customer's insurer and'mortgagee(s): Customer authorizes company to discuss scope of workand-pricing with-customet's.imurers and adjusters. Customer appoints company as the, customer's power of attorneyto inspect andadjustthe loss, and to collect and receive all insurance payments related to company's work. D All direct costs, overhead and profitallowed by customer's insurer, and.any supplements approved by customer's insurerfor additional work,upgrades; optionsor cost increases are to be paid to company: Company reserves the right to request and receive additional payments from customer's insurer due to material or `labor increases, storm environment, or ifmeasurements and/or other informationprovidedby customer's insurer are incorrect. E. Company may cancel this: agreement if company and customer's insurer are unable to agree owthe scope of work and price for work covered under customer' Wese nslf th agreement, including all terms and conditions on the reverse side. -us_ D�a!te Customer Signature re Date Date CITY OF WHEAT RIDGE 18/28/86 18:33 A" rdb Darre 11 Li nde RECEIPT NO:C822485 BPSP 861886 Penit Fee Use Tax PAYIlENT RECEIVED CK 2892 TOTAL AllOtMr 97.25 78.25 27.88 AIlOUNT 97.25 97.25 ---------------------------------------- City of Wheat Ridge Residential Plumbing PERMIT - 061006 PERMIT NO: JOB ADDRESS: DESCRIPTION: 061006 4745 CARR ST sprinkler system installation ISSUED: EXPIRES: 10/19/2006 *** CONTACTS *** owner 303/696-1846 gc Darrell W. Linde ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED FEES 70.25 .00 27.00 97.25 PROJECT VALUATION: 1,500.00 ** FEE SUMMARY ** Ik~mJ Comments: 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 (l.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (I) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Signature of Chief Building Offical date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. o l.o I Qc)lQ Property Owner: Property Address: Contractor License No.: Company: City of Wheat Ridge Community Development Department MINOR BUILDINq PEPMIT APPLICATION ()/i rrc. / / \,1/ f-.... I V?cf~ .~.Jf7'fS- cPtrv 5'C Phone:3J3~'76- /6% Phone: Building Permit Number: Date: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildina Dept. Valuation Figure: $ I J 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 an 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 U~hiS pe;mit. Pla",ns su,~ tf'field lnSPl.eCtion. (OWNER)(CONTRACTOR) SIGNE~.t--t/ f;J t/f ~ATE /0-1 (OWNER)(CONTRACTOR);PRINTED DATE Value:$ Pennit Fee:$ Plan Review Fee:$ Use Tax:$ ~ Tota1:$ Use of Space (description): Description of work: :; f/ VI' '"1 k I e... yo Sq. Ft added 5-n d4/ kif '(Ifrl ~ONING COMMENTS: Approval: Zoning: BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: BUILDING COMMENTS: Approval: PUBUC WORKS COMMENTS: Approval: ~tRE DEPARTMENT COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Eiectrical License No: Company: Plumbing License No: Company: Mechanicai License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance wi!h the provisions set forth in your application and is subject to the laws of the State of Colorado 3:1d to the Zoning R.egulations and 8uilding Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permi~ expires. a new permIt may be acquired for a fee of one-half the amount normally required, prOVIded no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have bE::en or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contrador shall notify the 8uilding Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with succeSSIve phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, r~le or regulation. All plan review Is subject to field Inspections. Chief BUlldino Official