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Home My WebLink About11849 W. 36th PlaceINSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type 0-F 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 pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing nn Nnt Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing 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 a -'5-- 1-7 -� 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 eiectncai iow voiiaye by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �► City of Wheat Ridge d s ~ r' Residential Roofing PERMIT - 201706165 C�Q� PERMIT NO: 201706165 ISSUED: 08/15/2017 JOB ADDRESS: 11849 W 36th PL EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles - 31 sq (28 sq pitched / 3 sq flat) *** CONTACTS *** OWNER (303)425-3208 IRENE M EGGERS TRUST SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,609.00 FEES Total Valuation 0.00 Use Tax 243.79 Permit Fee 236.00 ** TOTAL ** 479.79 *** 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. 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. A i CITY OF WHEAT RIDGE Building Inspection, Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LI C -� - �z . ,) / Job Address: /! a L/ 19 L/ 3 t- -` ' P I Permit Number: 2 o 1-7 c l 1, S f --a 1�- i f) oL � 10)(-n L -e rl ❑ No one available for inspection: Time` : 319" &PM Re -Inspection required: Yes Q When corrections have been made, call for re -inspection at 303-234-5933 Dater Inspector: T►J DO NOT REMOVE THIS NOTICE (71 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: 01��}(, ( ti ❑ No one available for inspection: Time ! '0 AM/Pt Re -Inspection required: Yes Nod When corrections have been made, call for re -inspection at 303-234-5933 Date: -:?,o Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3o, Job Address:11 W 3 Th L Permit Number: / p ❑ No one available for inspection: Time Zi��AM/PM Re -Inspection required:Yes No When corrections have been made, call for re -inspection at 303-2_ 34-5933 Date:4ql Inspector:67�L DO NOT REMOVE THIS NOTICE City of Wheat Ridge ®® Residential Roofing PERMIT - 201706165 PERMIT NO: 201706165 ISSUED: 08/15/2017 JOB ADDRESS: 11849 W 36th PL EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles - 31 sq (28 sq pitched / 3 sq flat) *** CONTACTS *** OWNER (303)425-3208 IRENE M EGGERS TRUST SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,609.00 FEES Total Valuation 0.00 Use Tax 243.79`" * " Permit Fee 236.00 -------- - - ** TOTAL ** 479.79 *** 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. 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. ' s City of Wheat Ridge Residential Roofing PERMIT - 201706165 PERMIT NO: 201706165 ISSUED: 08/15/2017 JOB ADDRESS: 11849 W 36th PL EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles - 31 sq (28 sq pitched / 3 sq flat) 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�ppermit. I further attes{ that I am legally authorized to include all entities named within this document as parties to the work to be pe ,e and that all work to performers disclosed in this document andlor its' accompanying approved plans and specifications. Signature of OWNER' or—CONTRA OR (Circle one) Date/ 1. This permit was issued based on t 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 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 anting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c e or npy�ordma�gul 'on f 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. Dan Schultz v1, OW From: no-reply@ci.wheatridge.co.us Sent: Monday, August 14, 2017 8:54 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application ___,_ Follow Up Flag: Flag Status: Follow up Completed C Categories: Dane L�a 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 Property Owner Name Y_ 11849 W. 36th PI Irene Eggers 37 Property Owner Phone 303-425-3208 Number (enter WITH dashes, eg 303-123-4567) 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 Eggers Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name p� Contractor's License 019983 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) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work Project Value (contract value or cost of ALL materials and labor) kathyv@jkroofing.com 38 Are you re -decking the No roof? Does the scope of the Yes project include a flat roof (less than 2:12 pitch)? How many squares are 3 part of the flat roof? Describe the roofing Modified Bituman material for the flat roof: Type of material for the Other (specify below) flat roof: If "Other" is selected Modified Bituman above, describe here: Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 28 part of the pitched roof? Describe the roofing Malarkey Highlander materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional House - Pitch 4/12 detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 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 39 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. 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 Kathy Vendegna Email not displaying correctly? View it in your browser. 40 04 CONTRACT J&K Roofing BBB $RNIVERSAIt 13000 W. 43rd Drive • Golden, CO 80403 1994 -'o�x / Phone: 303-425-7531 • Fax: 303-425-1562 www.ikroofing.com Representative 1:50k Yc, Contact q:j 0 ,3 _-1 . C9L4 3 Z Date �a - ` _ 20 Name 6- "Eq i -S Phone 363 - 4 Z X. 3Z U `t', email SJ -lir' citi� 6 S^,G lec—, Address tw) 3 V" City zip Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS, TERMS, AND CONDITIONS. PLEASE READ CAREFULLY: Recover roof with Mr, 1" 14%5% zQn aer" Color of shingles Manufacturer's Warranty r, c, Tear off l layer Cow• 42 ns It S Install Underlayment Double all Eaves Vj St=, -1{17 Aj? Re -Flash himn and/or Skylights La x - New Valleys lite f L).Y4L Replace Ridge. u Ventilation 6 ", Galvanized Fasteners GA,-,,L<_- Replace A,-,,L _- Replace &II Plumbing Jacks i Paint roof stacks to match Install e 7Y'4 Metal Edging LJt,►k— atio or Flat roof Year Warranty on labor ❑ J & K Roofin furnish all material and labor ElPermit: Included NOT Included El Clean-up debris and haul off all trash from roof ❑ Roll yard with magnetic roller Gutters cleaned of roofing debris ❑ Decking Repairs $ per ❑ Hidden Layers (tear off) $ C.t per layer (G � (Policy Number) I out- 4 5133 (Claim #) (Ad)ustor) Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CS00061742 Extra work 4tzHL rS rG5.e / C-61or Y, W ��k The property owner is" is not using proceeds from property and casualty insurance policy. 9 �^ 11 P tis c�Q $ So(01A� Mc. o Deductible if applicable $ it ow, DO Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date ASA? TOTAL ESTIMATE $12_1 Zg),o3 Pts Goran Syarilt.�..,nt-s by 042C ALL PROPOSALS ARE Yl/S'UBJECT TO MANAGEMENT APPROVAL Ob' In�o�c< -ef,ly/J i,'r%A( % t -V, For fLoaF_ and fd iNS J & K Representative Date `?—// _ L --?- Homeowner Zo a ,,V� Date 6- T r Homeowner (Mortgage Co.) (Mortgage Loan Number) Expiration Date Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION City of Wheat Ridge ®® Residential Roofing PERMIT - 201706165 PERMIT NO: 201706165 ISSUED: 08/15/2017 JOB ADDRESS: 11849 W 36th PL EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles - 31 sq (28 sq pitched / 3 sq flat) *** CONTACTS *** OWNER (303)425-3208 IRENE M EGGERS TRUST SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,609.00 FEES Total Valuation 0.00 Use Tax 243.79`" * " Permit Fee 236.00 -------- - - ** TOTAL ** 479.79 *** 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. 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. ' s City of Wheat Ridge Residential Roofing PERMIT - 201706165 PERMIT NO: 201706165 ISSUED: 08/15/2017 JOB ADDRESS: 11849 W 36th PL EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles - 31 sq (28 sq pitched / 3 sq flat) 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�ppermit. I further attes{ that I am legally authorized to include all entities named within this document as parties to the work to be pe ,e and that all work to performers disclosed in this document andlor its' accompanying approved plans and specifications. Signature of OWNER' or—CONTRA OR (Circle one) Date/ 1. This permit was issued based on t 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 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 anting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c e or npy�ordma�gul 'on f 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. Dan Schultz v1, OW From: no-reply@ci.wheatridge.co.us Sent: Monday, August 14, 2017 8:54 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application ___,_ Follow Up Flag: Flag Status: Follow up Completed C Categories: Dane L�a 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 Property Owner Name Y_ 11849 W. 36th PI Irene Eggers 37 Property Owner Phone 303-425-3208 Number (enter WITH dashes, eg 303-123-4567) 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 Eggers Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name p� Contractor's License 019983 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) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work Project Value (contract value or cost of ALL materials and labor) kathyv@jkroofing.com 38 Are you re -decking the No roof? Does the scope of the Yes project include a flat roof (less than 2:12 pitch)? How many squares are 3 part of the flat roof? Describe the roofing Modified Bituman material for the flat roof: Type of material for the Other (specify below) flat roof: If "Other" is selected Modified Bituman above, describe here: Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 28 part of the pitched roof? Describe the roofing Malarkey Highlander materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional House - Pitch 4/12 detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 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 39 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. 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 Kathy Vendegna Email not displaying correctly? View it in your browser. 40 04 CONTRACT J&K Roofing BBB $RNIVERSAIt 13000 W. 43rd Drive • Golden, CO 80403 1994 -'o�x / Phone: 303-425-7531 • Fax: 303-425-1562 www.ikroofing.com Representative 1:50k Yc, Contact q:j 0 ,3 _-1 . C9L4 3 Z Date �a - ` _ 20 Name 6- "Eq i -S Phone 363 - 4 Z X. 3Z U `t', email SJ -lir' citi� 6 S^,G lec—, Address tw) 3 V" City zip Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS, TERMS, AND CONDITIONS. PLEASE READ CAREFULLY: Recover roof with Mr, 1" 14%5% zQn aer" Color of shingles Manufacturer's Warranty r, c, Tear off l layer Cow• 42 ns It S Install Underlayment Double all Eaves Vj St=, -1{17 Aj? Re -Flash himn and/or Skylights La x - New Valleys lite f L).Y4L Replace Ridge. u Ventilation 6 ", Galvanized Fasteners GA,-,,L<_- Replace A,-,,L _- Replace &II Plumbing Jacks i Paint roof stacks to match Install e 7Y'4 Metal Edging LJt,►k— atio or Flat roof Year Warranty on labor ❑ J & K Roofin furnish all material and labor ElPermit: Included NOT Included El Clean-up debris and haul off all trash from roof ❑ Roll yard with magnetic roller Gutters cleaned of roofing debris ❑ Decking Repairs $ per ❑ Hidden Layers (tear off) $ C.t per layer (G � (Policy Number) I out- 4 5133 (Claim #) (Ad)ustor) Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CS00061742 Extra work 4tzHL rS rG5.e / C-61or Y, W ��k The property owner is" is not using proceeds from property and casualty insurance policy. 9 �^ 11 P tis c�Q $ So(01A� Mc. o Deductible if applicable $ it ow, DO Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date ASA? TOTAL ESTIMATE $12_1 Zg),o3 Pts Goran Syarilt.�..,nt-s by 042C ALL PROPOSALS ARE Yl/S'UBJECT TO MANAGEMENT APPROVAL Ob' In�o�c< -ef,ly/J i,'r%A( % t -V, For fLoaF_ and fd iNS J & K Representative Date `?—// _ L --?- Homeowner Zo a ,,V� Date 6- T r Homeowner (Mortgage Co.) (Mortgage Loan Number) Expiration Date Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION t syyyyt�tqFYi+wxnwww,.xowwwriwwv.+��x. 'Px Ity of. W h 6a, t '� �I , t: tic ct"Imo r" Building& Inspection Services Division 7500 W. 29"' Ave., Wheat midge, CO 80033 Plan Review Fee: Lj Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Application Property Address: 1 rop erty Owner {'please prin � C Phonw " Property Owner Emal1 Mailing Address: (If different than property address) Address: City, Mete; i t ArchitectlEnnineec Arch tecttE neer E-mail: Phone - Contractor: mid Contractors City License : Pine. 't= � Contractor -mail Address: Snub Contractors: Electrical: Plumbing. Mechanical: W.R.€pity License # W.k City License # W.R. City License # Other City Licensed Sub. Other City Licensed Sub: City License # City License Complete .all information on BOTH sides of this farm ■ COMMERCIAL A r w ELECTRICAL , SERVICE M . A yfY�ANEW Ay AA��•COMMERCIAL ROOFING RESIDENTIAL DE COMMERCIAL AN RESIDENTIAL ROOFING 1 RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ACCESSORY • iF Ak PLUMBINGE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT SYSTEM/APPLIANCE P:AM AY # # AA !L REPAIR K • A CMENT ELECTRICAL lA # SYSTEM/APPLIANCE M M y M', AY AMyNl REPAIR A or CEMENT ! W 4 i . y w A � . s �4R t�� kS.B ii 3j W 4✓ '*-i ( i.� 47 "' � � tiO. � �✓ Sq. FULF Btu's Gallons Amps Squares Other 04/14/2015 12:09 7202495121 JOSH—WARD PAGE 01 Building • 7500 W. +! Ave., Wheat Pidge, CO, 80033 • 1r 29 inspection, • PrOPOKY Owner (P)aase « Mailing .d..ress, (itdiftrantr ««. :s♦ :.... d Applewood Plumbing v « r « rid N + e « « t t i ! Overhead ,.. "- « supporting • teaadd1..♦ servicea • sump pump r # MeK :1 -........ _„ t « t , ♦ s ; 'w. ° s • rf# OIRIXE ONE:: (OWNER) (CONTRACTOR) Ot P9140NAL REPRESENTATIVE of (Owt4ER) (co PR MTP $10NATURZ: Date:y e "0004 ANOVY"' ` d nri c arttr ra rsa w o Side Valuation: $ Credit .: • creditr listed on Print name: i < rSignature: » r ♦ i CITY OF WHEAT RIDGE Building Inspection Division f (303) 234 -5933 Inspection line r __I� ((303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: AJ, Job Address: I/c Permit Number: fit. 0 1 ❑ No one available for inspection: Time cP,_D 5 AMtM1 Re- Inspection required: Ye / s / ' No f * When corrections have beep made, call for re inspection at 303 - 234 Date: a //G Inspector: C DO NOT REMOVE THIS NOTICE 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: f U CJ 9 z/ ❑ No one available for inspection: Time l AM /PM Re- Inspection required: Yes No * When corrections have been made, call for re-inspection at 303 - 2345933 Date: _ Inspector: lnr,s,✓_- DO NOT REMOVE THIS NOTICE " City of Wheat Ridge 1T- 1UUZSL4 00824 1849 W 36TH PL I sroof25 sqs with 30,yr :dimension i.. 25-3208 Irene 23-7386 Marvin °berg D 04/02/2010 ES: 09/29/2010 hingles 1006 Marvin Achterberg " SUBDIVISION: 069.0 BLOCK/LOT#: FEE SUMMARY ESTIMATED PROJECT VALUP FEES Permit Fee 181.10 Total Valuation .00 Use Tax 122.40 iP l TOTAL 303.50 M R s' Conditions: to n,.~,-,a 'ewe to inclement weather m section or a re inspect :reby certify that the setback d. =_`180 c _on fee of $61.00 will be assessed 0/ PION: ,:.5,800.00. g thing spaced more roof. Ice and Ls. ***Contractor lnpsections. It Lion to insure not be performed on the day of stances; proposed by this permit application : are accurate, and donot violate applicable the City of Wheat Ridge or covenants, easements or restrictions' of record; that all made are accurate; that I have read and agree to abide by all conditions printed on this esponsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other or work under this permit. Plans subject to field inspection. to nce with the. provisions set forth in your application and is subject to the, laws of the ng Regulations and Building Codes of Wheat 'Ridge, Colorado or any other applicable from the issue date. Requests for an extension must be received prior to expiration d at the discretion of the Building Official:. a for all inspections and shall receive the job'. t be construed to be a permit for, nor aer ordinance law. rule or reaulation I e P3,r,Signature of ief uildmg Official date INSPECTIG(A REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 ~e,REQUESTS MUST, BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.`. s k:; Cit of Y y y i left ~ c Date: COMMUNITY DEVELOPMENT Plan # Building & Inspection Services Division Permit# 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit, Application PropertyAddressi %oe Property Owner (please print)`. rhz cam, S Phone: 3&3-<P2-S- 3ZoP Mailing Address: (if different than property address) Address: City, State, Zip: AA 9ontract%: h1'/ry,K ,ykxlencC Contractors City License b 2-1 00 6 Phone: 7 z.e - 2-3 q-2- 7 r? Sub Cantractors Electrical: Plumbing: Mechanical: City License # City License # City License # Descl';Iptlon'of work rest P' sh~ 5~ Contra pt !h ff~ PQ G{°irtfim~ ValO Jb $ '-L Review Fee (due at time of submittal): Squares Z5~ BTU's Gallons Amps Sq Ft. $ 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) PRINTNAME: F `~?Y0K. &e SIGNATURE:. /~'~/tM1w~r" DATE: '//z-/ `i .✓y ;-~~:~~".j/L rsS l ,r' ~ 4J' :viz r-?~ ~ `./r ~ ~ f-;.~ gamma g' r i y- c f r s r J S" FiREDEaA1x7M6~Hr o~pprovedw/ayrnments ddisapproved~~3~'gorevieyvregutr~d BldgValuatton $