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HomeMy WebLinkAbout4685 Dover StreetCity of Wheat Ridge ROW Electrical Permit PERMIT - 201702332 PERMIT NO: 201702332 ISSUED: 06/22/2017 JOB ADDRESS: 4685 Dover ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Install 150 amp service (upgrade) with main grounding and hook up for furnace and a/c replacement *** CONTACTS *** OWNER (303)909-6447 MONTOYA REBECCA A SUB (303)458-5988 Josh Ward 018236 Applewood Plmb, Heat, & Elec. *** 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: 11,865.00 FEES Total Valuation 0.00 Use Tax 249.17 Permit Fee 236.00 ** TOTAL ** 485.17 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do her attest that the work to be' erfor me d 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 bye, performed is disclosed in this document and/or its'. accompanying approved plans and specifications. Signature of OWNER or iCONTRACTOR (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 Off-cial and is not guaranteed. 4. No work of an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subj spe d 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. Building & Inspection Services Division 7500 W. 29'h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: ptrmits a)ci.wheatridge.co.us FOR FOR OFFICE FSE ONLY Date: � C ,% PlanlPermlt Plan Review Fee: ."d1111111,•U I F� M*e 1��* *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "* Property Address: Y5— � 0 V (f /Z Property Owner (please print): (Z- 6 6 C., C C 4 M <31-V .7- a / 9 Phone: 3-- '19 0 Y— � y�7 Property Owner Email: Mailing Address- (if different than property address) City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: I Contractor: Contractors City License #: Phone: -7-jIfc? L _ ' 0 Contractor E-mail Address: 1,9 /z- /, C_4-1 e7 /0 _6C, >e . , / ;; C _o Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Q COMMERCIAL -PRESIDENTIAL Description of work; (Check all that apply) Q NEW COMMERCIAL STRUCTURE .ELECTRICAL SERVICE UPGRADE Q NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING Q COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING Q RESDENTIAL ADDITION © WINDOW REPLACEMENT Q COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMPING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe} (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc} SE,LV(C 0 ls0 ,1/">' .5'�/-2-V/c E vPC, AA1)e (Ex/s�/,,,/C dvE,Z1716/9-eq t�,) /7-14 M .A , ,J C e> X Y f0 v (e,-' L/ P F' If P I -C C ,4711 o /t r/C /19, E_ Pl- .0 ,M Et,J 7 - Sq, Ft.ILF Btu's Amps%5 l7 Squares Gallons Ct•Iii7�1 Project Value: (/Contract value or the cost of all materials and labor included in the entire project) $ OWNER/CONTRACTOR SIGNATURE: OF UNDERSTANDING t'1,ND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, nile<s 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 perfonn the described work and am also authorized by the legal owner of any entity included on this application to list that eptity on this application. CIRCLE ONE: ((JHINrER) { NTRACTOR) 4!L AJTII0RIZEDREPRESEI'T9TIiIL) of (OWNER) (CONTRACTOR) PAIN 3 NAME. T" ��t/t' u L"-- SIGNATURE: v� DATE: 61, A / X7 ZONING COMMMENTS. Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer. PUBLIC WORKS COMMENTS: Reviewer. ~rr s - • +r - Fire Department Q Received [I Not Required ReceivedWater District 0 Not Required Sanitation District n Received NotRequired DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATIOW TYPE OF CONSTRUCTION. SPRINKLERED; City of Wheat Ridge Residential Mechanic PERMIT - 201702334 PERMIT NO: 201702334 ISSUED: 06/22/2017 JOB ADDRESS: 4685 Dover ST EXPIRES: 06/22/2018 JOB DESCRIPTION: Permit to replace furnace with 80 % AFUE, 60K BTU unit, also replacing A/C unit with 2.5 ton 13 seer *** CONTACTS *** OWNER (303)909-6447 MONTOYA REBECCA A SUB (303)458-5988 Josh Ward 018236 Applewood Plmh, Heat, & Elec. *** 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: 15,695.00 FEES Total Valuation 0.00 Use Tax 329.60 Permit Fee 299.40 ** TOTAL ** 629.00 *** COMMENTS *** *** CONDITIONS *** 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 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. f Signature of OWN) Z or CONTRACTOR (Circle one) Date I , This permit was issued based on the information provided in thepermit 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 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 an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subj field 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. Building & Inspection Services Division 7500 W. 29'h Ave,, Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permit sgci_wheatridae.co.us FOR OFFICE USE ONLY D a Ito: � C Z PianlPermit # q'-0 t -I Plan Review Fee: ' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ' Property Address: (ey 5 b 0 V Property Owner (please print): /\ E- /3 E 0 C,9 -;-o y .,9 Phone. 7- >0 � - f -/7 Iroperty Owner Email: NINNY= City, State, Zip: Architect/Enginger: Architect/Engineer E-mail, Phone: Contractor: '64P c E _0 '0 6 P / 4 � e Contractors City License - 0192-3(, Phone: 3 -579 3 9 .X Contractor E-mail Address: P &_ tZ_ P -A 1 'rS Ld / J-fj� L L:7- IJ 0 :D /_9 L-"-1 X / 'T, C -C, /11 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub! City License # Plumbing: W.R. City License # Other City Licensed Sub; City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Q COMMERCIAL RESIDENTIAL W= -� . s . -alt -ss El NEIN COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE Q COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION Q RESIDENTIAL ROOFING Q RESDENTIAL ADDITION Q WINDOW REPLACEMENT Q COMMERCIAL ACCESSORY STRUCTURE {Garage, shed, deck, etc.} RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) PECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT LUMBING SYSTEMIAPPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT Q OTHER (Describe} (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc,) Sq. Ft./LF Btu's t2 0 C) D 0 Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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, rulf°s or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all ntcasumments shown and allegations made are accurate: that l have react 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 perinit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perforin 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. CIRCLEONTE: (t 9,7 ER)(4UTIIORIZEDREPRESEi'YT.9T[ E) of (GiYY'_-E`ER) (CONTRACTOR) 7 PRINT NAME: SIGNATURE: C� c. ��.1�✓''- i�--__....._ DATE: �! Z �! /% ZONING COMMMENTS. Reviewer. BUILDING DEPARTMENT COMMENT& Reviewer: PUBLIC WORKS COMMENTS: Revie+ver° Fire Department ❑ Received t_I Not Required Water District ❑ Received ® Not Required Sanitation District ❑ Received Not Required OCCUPANCY CLASSIFICATIOM TYPE OF CONSTRUCTION, SPRINKtERED; OCCUPANT LOAD: Building Division Valuation: $ 13'T- a v/•i / T Btu's t2 0 C) D 0 Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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, rulf°s or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all ntcasumments shown and allegations made are accurate: that l have react 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 perinit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perforin 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. CIRCLEONTE: (t 9,7 ER)(4UTIIORIZEDREPRESEi'YT.9T[ E) of (GiYY'_-E`ER) (CONTRACTOR) 7 PRINT NAME: SIGNATURE: C� c. ��.1�✓''- i�--__....._ DATE: �! Z �! /% ZONING COMMMENTS. Reviewer. BUILDING DEPARTMENT COMMENT& Reviewer: PUBLIC WORKS COMMENTS: Revie+ver° Fire Department ❑ Received t_I Not Required Water District ❑ Received ® Not Required Sanitation District ❑ Received Not Required OCCUPANCY CLASSIFICATIOM TYPE OF CONSTRUCTION, SPRINKtERED; OCCUPANT LOAD: Building Division Valuation: $ ► ' , City of Wheat Ridge Residential Roofing PERMIT - 201707277 PERMIT NO: 201707277 ISSUED: 09/14/2017 JOB ADDRESS: 4685 Dover ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING - 15 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)909-6447 MONTOYA REBECCA A SUB (303)995-7909 John E. Hopper 090140 lst Choice Roofing & Exteriors *** 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: 8,500.00 FEES Total Valuation 0.00 Use Tax 178.50 Permit Fee 188.45 ** TOTAL ** 366.95 *** 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) 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201707277 201707277 ISSUED: 09/14/2017 4685 Dover ST EXPIRES: 09/14/2018 Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING - 15 sq Pitch = 4/12 I, by my signature, do hereby attest that the work to be oode erformed shall comply with all accompanying approved plans and specification s2 applicable building codes, and all applicable municipal s,policrized byhelegalowner ofthe propertyand am authorizedtoobtain thiswith themrt.IfurtherattestthatIamle allyauthored include all entities named within this document as partes to the work to be pe fo d and tha,� all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. r iv Signature of OWNER or CON CTOR (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 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 Offcial and is not guaranteed. 4, No work of an 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 any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 70IZZZ7 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, September 12, 2017 10:57 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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? PROPERTY INFORMATION Property Address 4685 Dover St Wheat Ridge CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Rebecca Montoya 303-909-6447 49 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Montoya contract.pdf Contract CONTRACTOR INFORMATION Contractor Business 1 st Choice Roofing and Exteriors Name ii Contractor's License 090140 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) 303-995-7909 1235 York st Denver CO 80206 Contractor Email Address johnehopper@gmail.com Retype Contractor Email johnehopper@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 15 the entire scope of work: Project Value (contract 8500 / value or cost of ALL materials and labor) Are you re -decking the Yes roof? 50 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes r 4:12 15 tamko heritage Tile/Clay/Concrete House SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 51 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. Name of Applicant David Millard Email not displaying correctly? View it in your browser. 52 Over est Choice Roofin '. 5r000 PREFERRED CONTRACTOR Roofs & Exteriors Inc. Installed Inspector Name Inspector Number 7-59-35";_0 III -el Certified Since 1998 ® Weather Stopper Roofing ountractor Owner Date �� -- � Email % /'IGH rYi Y9 Street Cell Phone Work Phone 3o3 -F& 9 -64'(/ city State Zip Home Phone Preliminary scone (subiect to insurance approval): &-Tear Off 3 (syr• 04ecover Roof with tu,r71<0, 1(0";Z±3Q ❑ Belem 2:12 ❑ Above 6:12 ❑ Above 12:12 rhe 'lation ❑ Box ❑ Ridge ❑ Other e &Water Shield to localcods� ❑ Shingle/Color h&,S '7 ❑ Hip and Ridge ❑ Standard ❑ High Profile 4-t'ecking ❑ OSB ❑ CDX ❑ Other ❑ Underlayment ❑ 15 Ib ❑ 30 Ib ❑ Other ❑ "al Edge Color (W'6-0 6t/aa Y ❑ Closed ❑ Open 4, j flashings ❑ 3/1 ❑Lead ails ❑ Open Eaves ❑ Chimneys ❑ Size ❑ TV Dish ❑ Solar Panels ❑ Swamp Cooler ❑ A/C Unit ❑ Tempered Skylights ❑ Dome Skylights ear Workmanship Warranty agnet Through Yard o-Eraf er Specs- Linear Feet Gutter Size: 5" 6" Color: Downspout Size: 2x3" 3x4" Color: ❑ Gutter Screen or Helmet Style ❑Additional Details �^� pa"";i -I-A /-e/�IaCP %Cts/' tt Oi✓c ?1� c��l� P/H Cif ,/ /% C ✓ip C. 5, h Terms: By signing this Agreement, the Customer retains the Company 11st Choke Roofing and Exteriors Inc. ) as It's General Contractor, and Exclusive Representative, to negotiate and attempt to settle their insurance claim in the manner the company deems most approporate. This agreement does not obligate the Customer or Company In any way until Customer's Insurance company admowiedges damage, at which time customer will delivery to the company, within 3 business days, their deductible. Customer understands that the interests of the company are aligned with their own, and agrees to act In a cooperative and supportive manner In advocacy of the negotiations by the Company, with their insurance company, and to provide copies of all correspondence, written and verbal, and to provide other various forms of support If requested by the Company. Once settled and accepted by the Company, all proceeds are hereby assigned to the Company. Customers signature below also signifies acceptance of all terms and conditions, on the front and back of this Agreement. The Company, at it's sole option, will perfom any or all work approved by the Insurance Company In any workman like manner they deem most appropriate. Customees out of pocket expense not to exceed deductible, plus upgrades, or additional nondnsurance related hems. Customer Inidalsr Estimated Date of Roof Completion Estimated Cost of Repairs r � ),, l is�y.rr m ara..�a dam.r.h a.e.r ur am rowa.dtiwm eu.rey Customer Signature i`� h� Receipt of Payments Received: ❑ Customer Signature 1l` Choice Rep Signature ► I�✓� +��2� The Company shall hold In trust any payment received from you until delivery of roofing material to the site. AS OF 6/6/22, ROOFING CONTRACTORS IN COLORADO ARE PROHIBITED FROM WAIVING, DISCOUNTING, REBATING, OR IN ANY WAYREDUCING THEAMOUNT THE CUSTOMER IS REQUIRED TO PAYFOR THEIR DEDUCTIBLE AND ANY VIOLATION IS PUNISH48LEAS A CLASS 2 MISDEMEANOR. (303) 733 -ROOF 1235 York Street, Denver, CO 80206 (877) 477 -ROOF CI'iY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-59331nspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIPE Inspection Type:Mrj_�� Job Address: ❑ No one available for inspection: Time V AM/PM Re -Inspection required: Yes �' \ When corrections have been made, call for re -inspection at 303-234-5933 i Date: '� (� Inspector/b DexOnline.com Internet White and Yellow Pages Page 1 of 1 LOGOUT GO TO D!RE.a:~ ~ Official Directory 'f'Owest-t2 ~III~ Welcome, Kristy Send A Message to A Able Heating & Cooling > basic search I advanced search I mv last ten searches Your EmaillkristYS@ci.wheatridge.co.us Address: Subject: INO permit Please let this be notification that 4 you must come into our office within Enter the next couple days to pull a permit your for Jeff Montoya, 4685 Dover St., Wheat message: Ridge, CO B0033. A furnace was installed as well as electrical work done this past summer without a per~t. ~ \ (~~S7 C6"'\,,:;;'(c.-c~-+ 6l~_r- C{~('::_L-> ,i,.' 303-Z3-5".2S";i.5' SU8M1l., rJ.J ..c. ,'" ,,\, ''1.. '\ l..{,'\ ,j,; "'l .-' .'J' ,- -, ' /2 lii,;;......' 'L,;,',"~-'" "~,t, 1.' ,',,'.cJ""j <~.~",~"~!.,, '~~;t(lL...,._"';}'/I..).,-')I,-j -r-, 00-' ,L_/. l; ,11 ',.', /LJl...c-.:_ T.. ~ .:-<-A..l (,,, \) ~, 0"1 ~~ '"~ \. ....f ...J---. v ...; w . \.," -" .. I Tools for Register IEl!IB!D MaDS Drjying nDin':c Last.1Q_S~J Site MaD EZlmIm A(lYe_r:tis~ wi Join 9!JL~ffiJ Reauest-n-!:; Helo I About Us I About Qwest I Our Press Room I Advertise with Dex Media I Join our Affiliate Proaram I Site MaD I Contact Us I Order Dire< Directorv Recvclina I Area Codes I Zio Codes I Privacy Policv I Leaa! Notices I Homeland Security I Coovriaht@2004 Dex Media Inc. AUJ3,jghts ~~ . 3/9/0-1 ~RL.' 3/Cf/O<{- A-jJ~-U ~ /ue~~<-~f-. FOR OATE M OF ~i-bg'9/ DFAX PHONE 0 MOBILE AREA CUOE SIGN 0 http://www.dexonline.comlservletl ActionServlet?pid=bemail&from=&name=A + Able+He... 3/10/2004 DexOnline.com Internet White and Yellow Pages D..sf.......\.......... < ..... . . ." . ../ Offi~iel Director; I Qwest-2. ......,I.In\In.. New Search> Colorado> DENVER Metro Area Business Name Results for: "able heating cooling" in Arvada, CO and surrounding areas (3) Sort Results By: Distance Find businesses offering able healing cQoling? OABCDEFGHIJKLMNOPQRSTUVWXYZ ALPHABETICAL LISTINGS A Able Heatina &. Coolina CO 80260 (303) 657-1437 add to address book >>Heating Contractors <TO <i't -" "" ""'" '0/ web fast email site facts >>Air Conditioning-Contractors $J~ fast emaiJ facts Page 1 of2 LOGOUT -- Location Within 10 Miles of... 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