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4775 Otis Street
i CITY OF WHEAT RIDGE Building Inspection Diiision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'a fl 3 - Ise►ler 011d_ ex� Job Address: '-/ '7 7 S I? Permit Number: -3 © J �_, Q ❑ No one available for inspection: Time /D = P 3 &M PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 I Date:-) c aS l8 Inspector: DO NOT REMOVE THIS NOTICE to City of Wheat Ridge : Residential Sewer Repair PERMIT - 201802838 PERMIT NO: 201802838 ISSUED: 10/24/2018 JOB ADDRESS: 4775 Otis St EXPIRES: 10/24/2019 JOB DESCRIPTION: Residential sewer repair -excavate and repair up to 10 feet of sewer service line to include dual sweep clean outs. *** CONTACTS *** OWNER (303)731-8255 WALE, THEODORE SUB (720)312-9102 Manuel Guerrero 120127 Pipeline Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,200.00 FEES Total Valuation 0.00 Use Tax 25.20 Permit Fee 50.30 ** TOTAL ** 75.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201802838 PERMIT NO: 201802838 ISSUED: 10/24/2018 JOB ADDRESS: 4775 Otis St EXPIRES: 10/24/2019 JOB DESCRIPTION: Residential sewer repair -excavate and repair up to 10 feet of sewer service line to include dual sweep clean outs. 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 theproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that in legally authorized to include all entities named within this document as parties to the work to be perto ed d that all work a ertormed is disclosed in this document and/or its' accompanying approved plans and specifications. ure of R o ONTRACTOR (Circl one) Date I. This permit was issueeased on the info rovided 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 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 roceed or conceal work without written approval of such work from the Building and Inspection Services Divisio . 6. The is a e o grantin . a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appli eco o any n or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �Wheat�i ge MUN[Ty DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(@ci.wheatridAe.co.us FOR OFFICE USE ONLY Date: Plan/Pe�r%mitJ# ,-7 C-3, ��� Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 117- X 0 [).`i S� Property Owner lease print): J p Y (p p ) ` (j.e�Cl-�n(n Phone: Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: , State, Zi Arch itect/Engineer: Architect/Engineer E-mail: Phone: Contractor Name: City of Wheat Ridge License #: Phone: Contractor E-mail Address: I� For Plan Review Questions & Comments (please print): CONTACT NAME (please print): NI rn,14 raZaL(1 Phone: Io,�- J'I L AYE CONTACT EMAI L(p/ease print): int / Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, 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 BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ <<Goo-- 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CC Signature (first and last name): ` C Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: v DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax NSQP E CTf(1^�+O, N ,N�l//T�).TI C E , Inspection Type: y 07 ent Job Address: 11-77S! D -?Lrs S4 - Permit Number: --a p ),E) C: ! D S— e r I � ❑ No one available for inspection: Time'-7.:S_S_ &/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: 10 & 1113 inspector:--T--L> DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division ]!�� (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L103 Fe Job,Address: -_076- 5�r Permit Number: e9VI a ?-/O 5-- ❑ No one available for inspection: Time WC)O Re -Inspection required: Yes (No) When corrections have been made, call for re -inspection at 303-234-5933 Date: 10 // Inspector: fl/ 7 f DO NOT REMOVE THIS NOTICE September 25, 2018 SIRKQ ANNUCIATES, Mr. STRUCTURAL ENGINEERING SPECIALISTS Chris Tigchelaar tigchelaarbills @ gmail.com (303)895-0437 RE: Floor Construction Observations 4775 Otis Street Wheat Ridge, Colorado 80033 Good Day! I visited the referenced property on September 12, 2018 and observed structural conditions at the floor construction of the home. The impetus for my visit was to address conditions at the main floor where contractor modifications have been made to the existing floor construction as part of a major remodel of the home. 12130 Pennsylvania Street Suite 102 Denver, CO 80241 303/428-0901 Fax 303/428-4425 www.sirko.com E-mail: Sirko@Sirkoxom 901 © 3,/o S - The home was built in 1947 and is a one-story frame home over a crawl space in a neighborhood of similar homes in Wheat Ridge, Colorado. Of interest, are two areas of the floor framing: 1. At the laundry room/mudroom at the back of the home, I noted that the contractor installed a 2 foot square footing that is supporting a short adjustable steel column which in turn supports an existing 2x8 beam about 6 feet from the exterior wall of the home. 2. At the front of the home, I accessed the crawlspace through a hatch in the floor near the entrance door. There I noted new 2 x 8 joist framing supported by a new triple 2 x 8 beam supported on adjustable steel jack , columns and (2) 12 inch diameter concrete caissons embedded 2 feet into the earth below the crawlspace floor. In both cases, the work done by the contractor will serve to strengthen the existing floors and will reduce deflections over the long term. Since additional beams and supports were installed, the expected load to the original foundations under the home will be reduced in these areas. It is my opinion that the work done by the contractor will serve to improve the structural performance of the home and should be accepted by the building inspector. If there are further questions about the construction in these two areas of the home, please contact me directly via phone or email address shown in the heading of this letter. Sincerel} S]RKO J F Jares M Sirko, P.E. M i CITY OF WHEAT RIDGE ���l"(303)235-28550ffic--!(303)237-y9F,ax Bui§ Inspection Division (303) 234-5933 Inspection line / q0-7- ' fIle% Vn�Ur�1c1 INSPEL; I .Lm NyTIC c% 5 = f s ►1cacc_ )) Inspection Type: L� J C - Gln a 1 �1ui ,'„ c+�c� ct"r. Job Address: g 7 7 S 04('s S� Permit Number: do JS O a J 0 1- it et I A 1 e c A J� Pp rra v e d P)C-A C/L ❑ No one available for inspection: Time /i = ti J �/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: ! tq Inspector: E+, DO NOT REMOVE THIS NOTICE ns i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTI N NOIC 310 - 1,c J'd°1 e �,� i e ),, ce Inspection Type: 9 C3 - E-711 L I E l e Job Address: 9 7 7 S- C) 4-, s' 6-� Permit Number: a 0 ! 13 0 �q ) 0 ,S�- t Q>r_t &,�- � Re -Inspection required: a No When corrections have been made,, mil-for-te-inspection at 303-234-5933 Dat Insp6ctq : DO NOT REMOVE THIS NOTICE !+ i CITY OF WHEAT RIDGE Building Inspection DIVision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICF 3a0- bry wet ll cre Inspection Type: ` 0L GGs L Job Address: '47'7-S- 0 'S S 4 - Permit Number: -'P a l$ o a) o -s-- ❑ No one available for inspection: Time? (6 epm Re -Inspection required: Yes 6%' When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 I li . IJS Inspector: —T—t DO NOT REMOVE THIS NOTICE M i CITY OF WHEAT RIDGE Building Inspectidfr Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax L) No one available for inspection: Time /Q-- �7- S_ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ct /19 4 IR Inspector: Tz DO NOT REMOVE THIS NOTICE (1�0�? �S 10TIC� INSPECTON 313- , oV9 Inspection Type: Job Address: `-17-75-` C) �,'s 54 - Permit Number: 2 c I, 0 2 1 0 T__ L) No one available for inspection: Time /Q-- �7- S_ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ct /19 4 IR Inspector: Tz DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION OTICE Inspection Type: 3A R 4 3 0 IFIN Job Address: g77S ' S 15t Permit Number: 20/9 d 01'!G ❑ No one available for inspection: Timecid AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date:— Inspector: W-4 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 O,�fice • (303) 237-8929 Fax l3- i�VV.94 'P)VIV) NSPECTIOIl NOTICE q 01 - G a s t "rte Inspection Type: Job Address: �-;i -7'7 S— 04-,'s S� Permit Number: c! w o i 0� ❑ No one available for inspection: Time 16 --!S73 AM�%PM Re -Inspection required: (9e No When corrections have been made, call for re -inspection at 303-234-5933 Date: /// //S Inspector: i .b DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 5 )1,- t� o vql, mer I Inspection Type: _L3- (' - v v Job Address: 9-7-7-S- S 5 Permit Number: 'R p / 9 p 9 ) r, R 0 U C4AC,e I)t-0/ ❑ No one available for inspection: Time 47 = ate)I( V PM Re -Inspection required: es ' No When corrections have been made, call for re -inspection at 303-234-5933 Date: 11 //o Inspector: ®O NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:Q Job Address:7�7 Permit Number: JVAYatOo 5__ Nrj+- 40,00W ,00W ❑ No one available for inspection: Time %� AM/PM Re -Inspection required: 6 No When corions hake-ve been made, call for at 303-234-5933 Date: 0171,6Inspector: # DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201802105 PERMIT NO: 201802105 ISSUED: 07/26/2018 JOB ADDRESS: 4775 Otis St EXPIRES: 07/26/2019 JOB DESCRIPTION: Replace 12 vinyl windows and 2 exterior door slabs. Window U -factor is .31. Re -stucco exterior. Replace toilet, sink, faucet, flooring, replace all for the same size and location. **REVISION: Remodel kitchen including cabinets, counters, sink; replace sewer and water lines; replace/repair plumbing, new plumbing in bathroom; install new water heater 50 gallon; install new furnace 100K BTUs; install new wiring for kitchen and bath to bring up to code; 280 sq ft total; Added valuation: $25,000.00 ***Revision 2: Remove and replace tub, shower valve, tile. Install exhaust ceiling fan in bathroom. Install smoke detectors and CO2 monitors. Upgrade service panel to 200 amps. *** CONTACTS *** OWNER (720)434-8576 TIGCHELAAR JOSHUA SUB (720)434-8576 Joshua Tigchelaar 100203 Classic Home Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 40,700.00 FEES Total Valuation 0.00 Use Tax 854.70 Permit Fee 626.05 ** TOTAL ** 1,480.75 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. a A 1� City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201802105 PERMIT NO: 201802105 ISSUED: 07/26/2018 JOB ADDRESS: 4775 Otis St EXPIRES: 07/26/2019 JOB DESCRIPTION: Replace 12 vinyl windows and 2 exterior door slabs. Window U -factor is .31. Re -stucco exterior. Replace toilet, sink, faucet, flooring, replace all for the same size and location. "REVISION: Remodel kitchen including cabinets, counters, sink; replace sewer and water lines; replace/repair plumbing, new plumbing in bathroom; install new water heater 50 gallon; install new furnace 100K BTUs; install new wiring for kitchen and bath to bring up to code; 280 sq ft total; Added valuation: $25,000.00 'Revision 2: Remove and replace tub, shower valve, tile. Install exhaust ceiling fan in bathroom. Install smoke detectors and CO2 monitors. Upgrade service panel to 200 amps. 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 ermit. 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 performeds�disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTO11 (Circle one) Date I . This permit was issued based on the infor ation 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or an 9rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. .►� Signature of Chilf Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY City of Date: R'W heat fd�e NIT MUY DEVELOPMENT Add to Permit # Building & Inspection Services Division 7500 W. 29t1 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 ` Email: perm itsaci.wheatridge.co.us Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: x/M OT13 Si Property Owner (please print): J_p Sup ,�q1� rl� iL Phone: % � f 3 Y 5 5 7 �, Property Owner Email: Mailing Address: (if different than property address) Address: -7910 W 5 Z A VLn : Uav : T- A 2_e5 City, State, Zip: Z v p, �1 �-) Lx=j.,D-Z Submitting Comg_any: P(j we_OLV_'k 'l Contact Person: Phone: Contractor: Contractors City License #: Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: ��vuovc g geptALE -09 St46tA[6r VALUt� 7 lt,J5F A -U- P-XuA-)5T- FA1/ iA( t5A T7Y lzow Sq. Ft./LF S✓nor-E po-7-6-7To4s g Low -sef- �) I' C6 PAWEL Btu's Amps (it'' G Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ �oDJ 0 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 (O R) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) . PRINT NAME: GL{ CZ,&1GNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required USE ONLY DATE: L? ZfZ2 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201802105 PERMIT NO: 201802105 ISSUED: 07/26/2018 JOB ADDRESS: 4775 Otis St EXPIRES: 07/26/2019 JOB DESCRIPTION: Replace 12 vinyl windows and 2 exterior door slabs. Window U -factor is .31. Re -stucco exterior. Replace toilet, sink, faucet, flooring, replace all for the same size and location. **REVISION: Remodel kitchen including cabinets, counters, sink; replace sewer and water lines; replace/repair plumbing, new plumbing in bathroom; install new water heater 50 gallon; install new furnace 100K BTUs; install new wiring for kitchen and bath to bring up to code; 280 sq ft total; Added valuation: $25,000.00 *** CONTACTS *** OWNER (720)434-8576 TIGCHELAAR JOSHUA SUB (720)434-8576 Joshua Tigchelaar 100203 Classic Home Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 37,700.00 FEES Total Valuation 0.00 Use Tax 791.70 Permit Fee 591.55 ** TOTAL ** 1,383.25 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. I, by in 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 le al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�Ppenn t. further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertorme at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature oto OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying pFlans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a perm' shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code o� ordinance oINgulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201802105 PERMIT NO: 201802105 ISSUED: 07/26/2018 JOB ADDRESS: 4775 Otis St EXPIRES: 07/26/2019 JOB DESCRIPTION: Replace 12 vinyl windows and 2 exterior door slabs. Window U -factor is .31. Re -stucco exterior. Replace toilet, sink, faucet, flooring, replace all for the same size and location. **REVISION: Remodel kitchen including cabinets, counters, sink; replace sewer and water lines; replace/repair plumbing, new plumbing in bathroom; install new water heater 50 gallon; install new furnace 100K BTUs; install new wiring for kitchen and bath to bring up to code; 280 sq ft total; Added valuation: $25,000.00 I, by in 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 le al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�Ppenn t. further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertorme at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature oto OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying pFlans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a perm' shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code o� ordinance oINgulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �?9r W heat �e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: gl Plan/Permit # �o ( a I Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: g775- (w 7S 5 Property Owner (please print): J�6HU q TG A Phone: 71_0 Property Owner Email: . 6�o 4tl Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Eng1neer E-mail: Contractor Name: City of Wheat Ridge License #: Contractor E-mail Address: Phone: Phone: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): J �s� '7—/ 6CK &'LAAO Phone: -72-0 �l 3y S 7 CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # ❑ COMMERCIAL 0 RESIDENTIAL Description of work: For ALL projects, 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. 8.- &V4 -Te 2 �'/'A�S Al S 7-41 L M� & iwll ivy r�z K1,7ze �4 7I(� Sq. FULF Amps BTUs /0e '4 ee Squares 2 0 Gallons 5Q Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 25;,,1av 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNED) (CONtrl(ACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): I DATE: Z Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of R Wheat i e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): 3075004 :Tac_, Aef Project Property: `i775- 0-75 57 j,Jy % p/ , t=7 � � Project Type: ._Fg Notarized slignature of Applicant State of Colorado } County o 4ffoys"�J } ss The foregoing instrument was acknowledged by me this ��' day of ALAw'� , 20 by Notary Public LINDA K KNUTSEN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20074040694 MY COMMISSION EXPIRES OCTOBER 30, 2019 My Commission Expires /0 /20LIc" STATEMENT OF AUTHORITY (§38-30-172, C.R.S) 1. This Statement of Authority relates the entity: Otis Property Investments, LLC. 2. This entity is a Colorado Limited Liability Company. 3. The entity is formed under the laws of Colorado. 4. The mailing address for the entity is; 7310 W 52nd Ave Unit A285 Arvada, CO 80002 5. The name of the person authorized to execute instruments conveying, encumbering or otherwise affecting title to real property on behalf of the entity is: Joshua Tigchelaar 6. The authority of the foregoing person to bind the entity is not limited. 7. This Statement of Authority is executed on behalf of the entity pursuant to the provisions of §38-30-172, C.R.S. 8. This Statement of Authority amends and supersedes in all respects any and all prior dated Statements of Authority executed on behalf of the entity. IN WITNESS WHEREOF the Grantor has executed this Statement of Authority on the 20th day of August, 2018. Date State of L) o YG d o County of yS W Otis erty Investmetnts, LLC, Grantor The foregoing instrument was acknowledged before me this the aj qday of 20 ) 7 - by Otis Property Investmetnts, LLC. ll Notary's official signature D 13' I- t i Commission expiration date LINDA K KNUTSEN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20074040694 MY COMMISSION EXPIRES OCTOBER 30, 2019 Statement of Authority QUITCLAIM DEED KNOW ALL MEN BY THESE PRESENTS THAT: THIS QUITCLAIM DEED, made and entered into on the 20th day of August, 2018, between Otis Property Investmetnts, LLC, a Colorado Limited Liability Company, whose address is 7310 W 52nd Ave, Unit A-285, Arvada, Colorado 80002 ("Grantor"), and Joshua Tigchelaar, whose address is 7310 W 52nd Ave, Unit A-285, ARVADA, Colorado 80002 ("Grantee"). For and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby Remises, Releases, AND FOREVER Quitclaims to Grantee, the property located in Jefferson County, Colorado, described as: SECTION 24 TOWNSHIP 03 RANGE 69 SUBDIVISION CD 336800 SUBDIVISION NAME HENSGENS BLOCK 001 LOT 0013 SIZE: 11014 TRACT VALUE: .25 Known as: 4775 Otis St. Wheat Ridge, CO 80033 Tax/Parcel ID Number: 3924204006 SUBJECT TO all, if any, valid easements, rights of way, covenants, conditions, reservations and restrictions of record. Grantor grants all of the Grantor's rights, title and interest in and to all of the above described property and premises to the Grantee, and to the Grantee's heirs and assigns forever in fee simple, so that neither Grantor nor Grantor's heirs legal representatives or assigns shall have, claim, or demand any right or title to the property, premises, or appurtenances, or any part thereof. IN WITNESS WHEREOF the Grantor has executed this deed on the 20th day of August, 2018. Date State of Co oY c� cl o County of -4- Otis P erty Investmetnts, LLC, Grantor The foregoing instrument was acknowledged before me this the o`—day of 20_ by Otis Property Investmetnts, LLC. Notary's official signature TSTATE A K KNUTSEN ARY PUBLIC Commission expiration date OF COLORADO Y ID 20074040694 MY comWISION EXPIHE9 OCTCXW 30, 9918 Quitclaim Deed OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Otis Property Investments LLC is a Limited Liability Company formed or registered on 06/21/2018 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20181486138 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 08/16/2018 that have been posted, and by documents delivered to this office electronically through 08/20/2018 @ 10:35:32 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 08/20/2018 @ 10:35:32 in accordance with applicable law. This certificate is assigned Confirmation Number 11071529 Secretary of State of the State of Colorado **a ***** c** c***m*s***s*** r****x**s*** eEnd of Notice: A certificate issued electronically from the Colorado Secretary or State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http:/iwww.,sos.stateCo. ats�bi=/C'ertifCal cSearchC-iteriado entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed_ Con trminrg the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, hitp- uuia.sos.statc.co.us, click "Businesses, trademarks, trade names "and select "Frequently Asked Questions." rk,ocpv--�?LjpL" 141 v- o h le-)ITCAAl Z-E,*r,)CeA- -7-7 City of Wheat Ridge :s Residential Remodel PERMIT - 201802105 ERMIT NO: 201802105 ISSUED: 07/26/2018 )B ADDRESS: 4775 Otis St EXPIRES: 07/26/2019 )B DESCRIPTION: Replace 12 vinyl windows and 2 exterior door slabs. Window U -factor is .31. Re -stucco exterior. Replace toilet, sink, faucet, flooring, replace all for the same size and location. t* CONTACTS *** JNER (720)434-8576 TIGCHELAAR JOSHUA JB (720)434-8576 Joshua Tigchelaar 100203 Classic Home Services '* PARCEL INFO *** )NE CODE: UA / Unassigned USE: UA / Unassigned JBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / * FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,700.00 FEES )tal Valuation 0.00 ,e Tax 266.70 =it Fee 251.85 TOTAL ** 518.55 * COMMENTS *** * CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. �yy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; plicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with s permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be donned ai that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. ;nature o%�rwaos ER or CONTRACTOR (Circle one) late This perm'ssued based on the information provided in the permit application and accompanying ptans and specifications and is subject to tmpliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 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 original permit fee. If this permit expires, a new permit may be required to be obtained. Isuance 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. 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. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall of proceed or conceal work without written approval of such work from the Building and Inspection Services Div T is an or gra of a ermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any a cable a or a or regulation of this jurisdiction. Approval of work is subject to field inspection. ;nature of Chief Building Official Date ZUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Idge COMMUNITY DEVELOPMCNT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: ql�_Ull /+�lan/Permit # C� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: y775- OTI S S7- Property T Property Owner (please print): T 5K v tt c�.,�, Phone: 1W q; c 85'7 �o Property Owner Email: 6o ig,�- re-fe io54 a 10 a i 1. `,�'w 1V V Tenant (Commercial Projects Only) 911 Property Owner Mailing Address: (if different than property address) Address: '?3lo w 1s71_'=' P.vC__- U,"n- IA"_57 City, State, Zip: AV_y0,p p, 60 9 ovv 7 Arch itect/Eng0neer: �J/A Architect/Engineer E-mail: is / n. Phone: Contractor Name: Gt.a551� kormc- , LLC- City LLCity of Wheat Ridge License #: (007-o3 Phone: 7zo e43V'657G Contractor E-mail Address: (D 5-, mc, , I . co ,, For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: ?Za 4f 4 ts7 C CONTACT EMAIL(please print): gonc-rreAe osk Q a (,G0 U c�.,n Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL ® RESIDENTIAL Description of work: For ALL projects, 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. rep6c-e-IZ vlr\31 w;,c c:)ws & Z eAer-or � slwb s re -s{ uc4 D en4Pc i c>c /89® S. f"'. 6,J4,rovr►\ : replace- fo Ie+15t;(zi-raoC-e--� IA� - re,o14e-e- Of 5 /7,G a,,d /o ca l ;L2,. IV Ad0*J G' -O/ .3I Sq. FULF Amps BTUs Squares Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ '12, 700 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)(CONT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: 7 Z Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS. Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: CUSTOMER COPY 111I)XIM-NIT 7/20/2018 7/20/2018 VOW QUOTATION #315201 Julio Burciaga SIMONTON' SOLD TO: SHIP TO: W I N D () W Sunbelt Program Sunbelt Program Phone: Fax: OJOTE NAINVE Josh ProFinish Builder End Vent Slider 72" X 50.25" RO: Sash Split = 1/4 - 1/2 - 1/4, Operation = End Vent 72.5 x 50.75 (XOX), Frame = Fin Frame, Frame Modification Fin Removed, Ext. Color= White, Int. Color = Room ID: White, Glass Package = Standard Glass Options, N\A ProSolar Low E, Argon, Intercept, 3/4"IGU, Glass Thickness = 3/32 in - 3/32 out SS, Annealed, Left Annealed. Right = Annealed, Locks = 2, White, Cam., Rollers = Corrosion Resistant Roller/Glide, Sill Extender, Screen. Coverage = Half, Fiberglass, Rol I-Fori-ned, U -Factor = 0.311, SHGC = 0.28, VT Slj%AC)NT0N 0.54, STC = 0, Meets Energy Star Zones = None, DP =20, AAMA, Phone: Fax P#04ECT NAME Classic Home Services U= U= $264.15 $264.15 Initials: Em=- M i umm I ProFinish Builder Single Slider 53.875" X 50.75" $184.02 $184.02 RO: Operation = Left Opening WCO, Frame = Fin Frame, 54.375 x 51.25 Frame Modification = Fin Removed, Ext. Color = Room ID: N\A White, Int. Color = White, Glass Package = StandStandardanara Z:) Glass Options. ProSolar Low E, Argon, Intercept, 3M luu, Glass Thickness =31-12 in - 3V32 out SS, Left = Annealed, Right = Annealed, Locks = 2, White, Cam, Rollers = Corrosion Resistant Roller/Glide, Sill Extender, Screen Coverage = Half, 5.; Fiberglass, Roll -Formed, U -Factor = 0.3 1, SHGC 0.28, VT = 0.54, STC = 0, Meets Energy Star Zones -KT np WA r A I pproval Code one, tA r a 5179 Initials: Page 1 Of 6 Quote #: 315201 PO NUMBER QUOTE NAME PROJECT NAME l I ProFinish Builder Single Slider 53.875" X 50.75" $2.96.73 $296.73 RO; Operation = Right Opening (OX), Frame = Fin 541375 x 51 25 Frame; Frame Modification = Fin Removed, Ext. Color = White, Int. Color = White, Glass Package = Room ID: Standard Glass Options, ProSolar Low E, Amon, N`;A intercept, 3/ "I U, Glass Thickness= 1/8 in 1/8 s out DS, Lett = Tempered, Right = Tempered, Locks = 2. White, Cain; Rollers = Corrosion Resistant Roller/Glide, Sill Extender. Screen Coverage = Halt. Fiberglass, Roll -Formed, U -Factor = 0.3 1, SHGC 0.28, VT = 0.53, STC = 0, Meets Energy Star Zones S1si. Tri, = None. DP = 30, AAMA, TDI = WIN -904, Florida ,.j Approval Code = 5179 Initials: RQ; 418.125 x 48 Room ID: N1A SINIONTON operation = Lseff upeningkAU), rratTte rin rrauie, Frame Modification = Fin Removed, Ext. Color = White, Int. Color = White, Glass Packa;e = Standard Glass Options, ProSolar Low E. Argon, Inntercept, 3/4"IGU, Glass Thickness = 3/32 in - 3/32 out SS, Left = Annealed, Right = Annealed, Locks = 2, White, Cans, Rollers = Corrosion Resistant Roller/Glide, Sill Extender, Screen Coverage = Half, Fiberglass, Roll -Formed, U -Factor = 0.3 1. SHGC = 0.28, VT = 0.54, STC = 0, Meets Energy Star Zones = None, DP = 35, AAMA. TDI = WIN -904, Florida Approval Code = 5179 G[.- .- Keep re m Initials: Page 2 Of 6 Quote #: 315201 f6NUMBER Qll.�OTE NAME Josh Classic Horne Services l ProFinish Builder Single Slider 35.5" X 35.5" $201.79 5201.79 RO; Operation = Left Opening (XO), Frame = Fiji Frame, 36 x 36 Frame Modification = Fin Removed, Ext. Color = White, Int. Color = White, Glass Package = Standard Room [D: Glass Options, ProSolar Low E. Argon. Intercept. N\A 3/4"1GU. Glass Thickness = 1/8 in - 1/8 out DS. Lett = Tempered, Right = Tempered, Locks White, Cam, Rollers= Corrosion Resistant I Roller/Glide. Sill Extender, Screen Coverage = Half, Fiberglass. Roll -Formed, U -Factor = 0.3 1, SHGC = 1� 0.28, VT = 0.53. STC = 0, Meets Energy Star Zones SI mll\=None, DP = 35, AATvTA, TDI =WIN -901, Florida Approval Code = 5179 Initials: M MOR M. am= I ProFinish Builder Single Slider 35.5" X 35.5" $2104,79 $2704 .79 RO: Operation = Left Opening (XO), Frame = Fin Frame, 36 ` 36 Frame Modification = Fin Removed, Ext. Color= White, Int. Color= White, Glass Package= Standard Room ID: Glass Options, ProSolar Low E, Argon, Intercept, MA 3/4"IGU, Glass Thickness = 1/8 in - 1/8 out DS, Q m Left = Tempered, Right ='Tempered, Locks = 2, White, Cam, Rollers = Corrosion Resistant 1 t:<c Roller/Glide, Sill Extender, Screen Coverage = Half,. Fiberglass, Roll -Formed, U -Factor = 0.3 1, SHGC }v_ 0.28, VT = 0.53, STC = 0, Meets Energy Star Zones Sh',A �o luck^ =None, DP = 35, AAMA, TDI = WIl`tt-904, Florida , Approval Code = 5179 R&A,5 Initials: 6f Page 3 Of 6 Quote #: 315201 NAME PROJECT Josh Classic Horne Services t t 1 ProFinish Builder End Vent Slider 54" X25" Sash $174.24 $174.24 Ro: Split = 1/4 - 1/2 1/4, Operation =. Operation = End Vent (XOX); Frame = Fin Frame, Fraine 54"} 2''� Modification = Fin Removed, Est. Color= White, Room ID: Int. Color = White, Glass Package =Standard Glass N,A Options, ProSolar Love E, Argon, Intercept, 3/4"IGU, Glass Thickness = 3/32 in - 3/32 out SS, Annealed, Left = Annealed, Right = Annealed, Lacks = 1, White, Cam, Rollers = Corrosion — } Resistant Roller/Glide, Sill Extender, Screen k. / rPly Ge- Coverage = Half, Fiberglass, Roll -Formed, U -Factor ? `f INN 7N I ON 0.3 1, SHGC = 0.28, VT = 0.54, STC = 0, Meets s Energy Star Zones = None. DP = 30, AAMA, TDI = WIN -904, Florida Approval Code = 5179 RU: 48 x 48 Room ID NW My Initials: -' .S a„* ;,r Ota.--�N> ° �t-1 4 "RF4 "ir4 't i,i e� r:y ��°e. ..� f .s` I ProFinish Builder Single Slider 47.5” X 47.5" $269.69 $269.69 Operation = Operation = Right Opening (OX), Frame = Fin Frame, Frame Modification = Fin Removed, Ext. Color = White, int. Color= White, Glass Package = Standard Glass Options, ProSolar I.o�v E, Argon, Intercept, 3/4"IG11, Glass Thickness = 1/8 in - 1/8 out DS, Left= Tempered, Right = Tempered, Locks = 2, White, Cam, Coastal Hardware, Rollers = Corrosion Resistant stir Roller/Glide, Silt Extender, Screen Coverage = Half, FI>?er ,lass, Rolf -Formed, U -Factor = 0.3 1, SHGC 0.28 VT = 0.53 STC = 0 Meets Energv Star Zones x , , 3� 5 None, DP = 35, AAMA, TDI = WIN -904, Florida Approval Code = 5179 Initials: J� Page 4 Of 6 Quote #: 315201 Initials: t t tXM 2 ProFinish Builder Single Slider 71.5" X 47.5" $206.85 $413.70 RO• Operation = Left Opening (XO), Frame = Fin Frame, Frame Modification = Fin Removed, Ext. Color 72 x 48 White. Int. Color = White. Glass Packable = Standard Room t>3: Glass Options, ProSolar Low E, Argon, Intercept, N1A 3/4"IGU, Glass Thickness = 3/32 in - 3/32 out SS, Left = Annealed, Right = Annealed, Locks = 2. White, Cam, Coastal Hardware, Rollers = Corrosion P Resistant Roller/Glide, Sill Extender, Screen =; / Coverage= Half, Fiberglass, Roll -Formed, U -Factor 0.3 1, SHGC = 0.28, VT = 0.54, STC = 0, Meets S :,1 , q'_!UN Energy Mar Zones = None, DP = 35, AAMt1, TDI = eco s,< WiN-904. Florida Approval Code = 5179 Initials; _31— Page 5 Of 6 Quote #: 315201 w -sQUOTE NAME f ► O.jrtcT NAME Josh Classic Home Services M0113 I ProFinish Builder Sinale Slider 59.5" X 17.5" X187.29 $187.29 RO: Operation = Right Opening (OX), Fume = Fin 60 x8 Frame, Frame Modification = Fin Removed, Ext. Color = White; lilt. Color = White, Glass Package = Room [D' Standard Glass Options, ProSolar Low E; Argon, N\A Intercept, 3/4"1GU, Glass Thickness = 3/32 in - 3/32 out SS, Left = Annealed, Right = Annealed, Locks = a 2, White, Cam, Coastal Hardware. Rollers Corrosion Resistant Roller/Glide, Sill Extender, Screen Coverage = Half, Fiberglass, Roll -Formed, U -Factor = 0.31, SHGC = 0.28, VT = 0.54, STC = 0, S1,11W t,1 TO N_ Meets Energy Star Zones = None, DP = 35, AAMA, y --- - r: TDI = WIN -904, Florida Approval Code = 5179 Initials: t t tXM 2 ProFinish Builder Single Slider 71.5" X 47.5" $206.85 $413.70 RO• Operation = Left Opening (XO), Frame = Fin Frame, Frame Modification = Fin Removed, Ext. Color 72 x 48 White. Int. Color = White. Glass Packable = Standard Room t>3: Glass Options, ProSolar Low E, Argon, Intercept, N1A 3/4"IGU, Glass Thickness = 3/32 in - 3/32 out SS, Left = Annealed, Right = Annealed, Locks = 2. White, Cam, Coastal Hardware, Rollers = Corrosion P Resistant Roller/Glide, Sill Extender, Screen =; / Coverage= Half, Fiberglass, Roll -Formed, U -Factor 0.3 1, SHGC = 0.28, VT = 0.54, STC = 0, Meets S :,1 , q'_!UN Energy Mar Zones = None, DP = 35, AAMt1, TDI = eco s,< WiN-904. Florida Approval Code = 5179 Initials; _31— Page 5 Of 6 Quote #: 315201 114 x 60.25 Room ID: N;A PO NUMBER QUOTE NAME PROJECT ;NAME Josh Classic Home Services I ProFinish Builder Single Hung Picture Single Hung 846.319 $846.39 113,5" X 59.75" Operation = Operating / Fixed / Operating, Unit 1, 3: Operation = Operating, Unit 2: Operation = Fixed, Frame = Fin Frame, Frame 3 t Modification = Fin Removed, Ext. Color = White, r14 — `1z lilt. Color = White; Glass Package = Standard Glass Ij Options, ProSolar Low E, Argon, Intercept; 3)/4"IGU, Glass Thickness = 1/8 in - 1/8 out DS, Tempered, Upper = Tempered, Lower = Tempered, !' Locks = 2, White, Cam, Full Length Wood Blocks, t 301 Extender, Head Expander, Unit 1, 3: Screen ' s 1'00N ON Coverage = Half, Unit 2: Screen Coverage = None, Fiberglass, Rall -Formed, Unit 1.3: U -Factor = 0.3, Unit-'): U -Factor = 0.29, S14GC = 0.3, Unit 1, 3: VT `t = 0,54, Unit 2: VT = 0,57, STC = 0, Meets Energy Star Zones = North Central, Unit 1, 3: DP = 50, Unit 2: DP = 30, AAMA, Unit 1, 3: TDI = WIN -832, Unit 2: TDI = WIN -831, Unit 1, 3: Florida Approval Code = 5414 Unit 2: Florida Approval Code = 5177, Factory, 1/2 in H -Mullion (Vertical) Initials: 12 Total Qty units ! $3,215.1.3 Comment: FAMILVa $0.00 1 QI r1L 11B+D12: 1 s I TOTAL I it>'.IHT: I r MIST/i)1.1SC r 1 r 7 CffYrAL ' DEI OSIT PAID r 1 i A1ViE)Di'T 1) F, Submitted by: Accepted by: _ Date Page 6 Of 6 Quote #: 315201 30" 5 N q6 11 �FLooP- 'P(,k�j 2-�5" ?.�A CLAS-slL mom E sEW-ucl--s f;Aq A�IKO0EC. �77; oris City of Wheat Ridge Residential Roofing PERMIT - 201702447 PERMIT NO: 201702447 ISSUED: 06/23/2017 JOB ADDRESS: 4775 Otis ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with modified bitumen rolled roofing and RE -DECKING 25.5 sq. (21 sq. pitched, 4.5 sq. flat) *** CONTACTS *** OWNER (303)264-9267 JUNGHAENE BETTY LOU SUB (720)862-3928 Lorin Jackman/Thomas H 170140 Storm Guard of S. Metro Denver *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,545.69 FEES Total Valuation 0.00 Use Tax 179.46 Permit Fee 188.45 „;y r' ** TOTAL ** 367.91 *** 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 AIA -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 manufacturers€"s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702447 PERMIT NO: 201702447 ISSUED: 06/23/2017 JOB ADDRESS: 4775 Otis ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with modified bitumen rolled roofing and RE -DECKING 25.5 sq. (21 sq. pitched, 4.5 sq. flat) I, by In 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 thisermmm rt. I further attest that I am legally authorized to include all entities naed within this docuent 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. G tv,o Signature of OWNER or CONTRACTOR (Circle one) Date I, Thispermit was issued based on the information provided in the permit application and accompanying flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of y provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval oPwork s subject to mspe .8n aD 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. Antoinette Kulick D d( 7 0 a q q7 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 13, 2017 2:45 PM , n , To: Permits CommDev V Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. 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 Property Owner Email Address 4775 Otis St Betty Junghaene 303-264-9267 aperow@comcast.net 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Storm Guard of South Metro Denver 170140 720-862-3861 Contractor Email Address cbiggers@stormguardrestoration.com (permit pick-up instructions will be sent to this email) Retype Contractor Email cbiggers@stormguardrestoration.com Address DESCRIPTION OF WORK Are you re -decking the 'We—��V�^k l , d V FC{ roof? & Description of Roofing Installing OC Duration asphalt shingle and modified bitumen Material Select Type of Material: Asphalt, Rolled If "Other" is selected Field not completed. above, describe here: How many squares of the 21 sq of asphalt shingle and 4.5 sq of modified bit material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? i TOTAL SQUARES of all roofing material for this proj ect 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) 25.5 House - 12.27 sq asphalt shingle, 4.5 modified bit. Detached Garage 7 sq, Shed 1.75 sq 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 Casey Biggers Email not displaying correctly? View it in your browser. C Storm Guard of South Metro Denver Protecting the Value of Your Property 56 Inverness Drive East, Suite 10A�e i j' Family Owned and Locally Operated with the benefits Englewood, Colorado 80112 tdc , and backing of the Storm Guard National Franchise Office/Fax:720-862-3928 EXTERIOR RESTORATION stormguard-southmetrodenver.com Licensed Insured Contingency Contract (This Contract is Contingent Upon Your Insurance Company's Approval of your Claim) Property Address: �It -'] } r� City, State, Zip X;� f k04V4r �� Property Owner 1: Home # 0 Email Address: ,%{ Work # Fax # Property Owner 2: Home # Cell # Email Address: Work # Fax # Insurance Company:",' Home # Celt # Email Address: Work # Fax # Adjuster Name: Home # Cell # Email Address: 'rArk �, � j ,ef�y' , � Work # x"'2.$!2 � Fax # Mortgage Company: Home # Cell # Email Address: Work # Fax # Claim Number: t,Ul 23 70-72 Job Number: Adjuster Meeting Day and Time: Date of Loss: '516117 Mortgage Loan Number: Lead Source: Manufacturer Warranty: Referral: Workmanship Warranty: Inspection Date: Extended Warranty: Date of Contract: 1;' ACCEPTANCE OF AGREEMENT By signing this Contingency Contract, you agree to authorize Storm Guard to assist you in your pursuit of a claim under your insurance policy and your efforts to reach agreement with your insurer on project scope and price. You may cancel this contract with no penalty before midnight on the third business day after the date of your signature below, or any time before your insurer approves your claim, whichever is later. You have no obligation to Storm Guard_ under this, Contract unless your insurer approves your claim and Storm Guard approves the scope and -price identified-onthe loss statement you receive from your insurer. If your insurer approves your claim, and if Storm Guard approves the scope and price identified on the loss statement you receive from your insurer, then, by signing below, you authorize Storm Guard to complete the replacement of damaged property identified on the loss statement with no additional cost to you except for your insurance deductible subject to the terms and conditions on the reverse side of this Contract. Payments must be made as outlined above. If this proposal is not accepted within thirty (30) days, it shall be automatically withdrawn. PAYMENT SCHEDULE Amougnt Due Date Status Date Paid Check # RCV Amount '?"i r-7 ry Deductible p Depreciation Remaining Supplement Amount Upgrades or Retail Final Payment Page 1 / "Customer Initial Storm Guard of South Metro Denver 56 Inverness Drive East, Suite 104 Englewood, Colorado got 12 Office/Fax: 720-862-3928 stormguard-southmetrodenver.com Terms and Conditions I 6XTER/OR RESTQR�ITIOiid Protecting the Value ofYour Property Family Owned and Locally Operated with the benefits and backing of the Storm Guard National Franchise Licensed• Insured 1. Contineendes. This Contract is contingent upon: 1. your insurance companys approval of your claim; and 2. our approval of the scope and price identified on the loss statement you receive from your insurer. We may cancel this Contract any time prior to the start of Work. If your insurer denies your claim, then this contract is not effective. 2. Contract Documents and Changes. This Contract consists of this Contingency Contract and any addenda, change orders, drawings, plans, or specifications. Any work resulting from alteration or deviation from this Contract, including the replacement of deteriorated materials (e.g., decking, fascia boards, roof jackets, ventilators, flashing, etc.), hidden damage, or any other materials not specified for replacement in this Contract, as well as any additional work required by government inspectors to make the existing structure code compliant, requires a written change order signed by all parties and may result in extra charges beyond the Contract price, which shall be your responsibility. This Contract embodies the entire agreement of the parties and supersedes all prior agreements and understandings. Any promises or representations not included in this Contract are expressly denied. 3. MECHANIC'S LIEN RIGHTS. (A) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. (B) YOU HAVE THE RIGHT TO PAY PERSONS WHO SUPPLIED LABOR OR MATERIALS FOR THIS IMPROVEMENT DIRECTLY AND DEDUCT THIS AMOUNT FROM OUR CONTRACT PRICE, OR WITHHOLD THE AMOUNTS DUE THEM FROM US UNTIL 120 DAYS AFTER COMPLETION OF THE IMPROVEMENT, UNLESS WE GIVE YOU A LIEN WAIVER SIGNED BY PERSONS WHO SUPPLIED ANY LABOR OR MATERIAL FOR THE IMPROVEMENT AND WHO GAVE YOU TIMELY NOTICE. 4. Warranties. Upon our receipt of full payment for the Work, we provide the following warranties: (a) during the one-year period from and after completion of the Work, the Work shall be free from defects caused by faulty workmanship or defective materials due to noncompliance with building standards; (b) during the five-year period from and after completion of the Work, all products sold in connection with the Work shall be applied according to the manufacturer's written specifications. Notwithstanding any of the above, we expressly disclaim any and all liability for loss or damage of any kind that is not reported to us in writing within six (6) months after you discover or should have discovered the loss or damage. These warranties are given in lieu of all other warranties, express or implied. in no event shall we be liable for consequential or incidental damages of any kind, including any damage to the building, its contents, or any persons therein. S. Ownees Obligations and Commitments. You shall: (a) grant free access to work areas for workers and vehicles; (b) allow storage of materials and rubbish on your property; (c) keep driveways clear and available for movement and parking of vehicles during normal working hours, including removal of ice and snow; (d) supply, electric, water, and other utilities, including toilet facilities, or compensate us for the cost of providing them; (e) arrange for identification of underground utilities before we perform any digging; (f) remove, protect, or secure all satellite dishes, solar panels, sky lights, and other exterior and interior personal property (e.g., shrubs, flowers, wall hangings, etc,) before the Work begins. You shall hold us harmless from any and all damage to your personal property, including but not limited to interior fixtures, drywall, plaster wall construction, and decorations, unless caused by our negligence. We shall not be responsible for realigning satellite dishes or solar panels. The Work may require the use of dumpsters, heavy equipment vehicles, and construction equipment on your property. You hold us harmless from any damage to your property caused by weight or movement of such dumpsters, vehicles, or equipment. Dumpsters are for construction debris only. You may be charged additional fees for disposing other items in our dumpsters. we shall take reasonable efforts to remove construction debris. However, you shall hold us harmless from any damage or injury caused by debris remaining on your property after completion of the Work. We shall not be expected to keep gates and doors closed, and you shall hold us harmless from claims arising therefrom. Excess construction material shall remain our property. 6. Collection Costs. Unless otherwise limited by applicable law, we shall add a 1.5% monthly service fee to any outstanding balance not paid within thirty (30) days the due date. You agree to pay all reasonable costs we may incur in order to collect amounts owing under this Contract, including reasonable attorneys' fees, cost, and disbursements. You shall not delay final payment while waiting for final government inspection of the Work. 7. Events beyond Our Control and Exclusions. You shall hold us harmless from pre-existing conditions on the property discovered during completion of the Work. Existing out of square and plumb conditions may require similar conditions in the Work. Some variation may occur in color, texture and planes of materials. We may substitute similar materials if specified materials are unavailable. We do not evaluate venting and circulation systems. Performance under this Contract is contingent upon strikes, accidents, or other delays beyond our control. The Contract price may be adjusted due to material or labor price increases caused by unforeseen problems arising after the Work has begun, market supply shortages, or unusual spikes in market demand. The Contract price does not include any governmental permit, service, or access charge. We are not responsible for removing hazardous material (e.g., lead paint or asbestos) from your property and may stop Work until it is removed. 8. Advertising. You authorize us to place advertising yard signs on your property for promotion and identification purposes for workers and material suppliers. You grant us an unlimited license to record images of the Work in any form and to reproduce those images for advertising and promotional use. 9. Insurance. To the extent required by law, we maintain current insurance policies covering our general liability and workers compensation obligations. Prior to commencement of the Work, you shall have Insurance to cover the finished cost of improvements. 10. Performance Guidelines. We agree to complete the Work set forth in this Contract in accordance all applicable construction codes and the manufacturers' specifications for Installation of all materials. 11. Cancellation. You may cancel this contract with no penalty before midnight on the third business day after the date of your signature on the first page of this Contract, or any time before your insurer approves your claim, whichever is later. If you cancel this Contract after your insurer approves your claim but before commencement of the Work without legal right to do so, we shall be entitled to the actual costs we incurred in connection with the Work (including any restocking charges) plus 2S% of the Contract price, which you agree is a fair and reasonable amount to compensate us for our reliance on the Work, and not a penalty. After commencement of the Work you are responsible for the entire Contract price. 12. Insurance Coverage Storm Guard is fully insured by the following: General Liability Berkley Assurance Company VUMB01093ZO Workers Compensation Technology insurance Company TWC3583447 Automobile Liability Westfield Insurance CWP 4915365 13. Licenses Storm Guard is fully licensed in the state of Colorado. State of Colorado Douglas County General Contractors 16-1061 General Contractors C160179 PREFERRED CONTRACTOR . -customer Initial Storm Guard of South Metro Denver 56 Inverness Drive East, Suite 104 Englewood, Colorado 80112 O Rice/Fax: 720-862-3928 stormgu ard-southm etrode n ve r. cam Acknowledgement EXTERIOR RESTORATION Protecting the Value of Your Property Family Owned and Locally Operated with the benefits and backing of the Storm Guard National Franchise Licensed• Insured By signature below, Homeowner agrees to pay Storm Guard the RCV/ACV amount specified in the statement of loss for exterior restoration services (roofing, gutters, windows, siding, painting) as a materials deposit prior to construction. Homeowner agrees Storm Guard is entitled to contractors' "Overhead & Profit", material tax and base service charge that is paid by the insurance company. Customer Initial Your warranty rights are contingent upon our receipt of full payment for the Work. See Terms and Conditions, Section 3, on the reverse side of this contract. Client Signature Contractor Signature.-'` Date Client Name Y t,, Y ( �y 'V Date 5` t Con reactor Name` - ;0'V -�6gov-9 Page 3 Storm Guard of South Metro Denver Protecting the Value of Your Property li Inverness Colorado East, Suite 104 d Family Owned and Locally Operated with the benefits Englewood, Colorado 80112 si and backing of the Storm Guard National Franchise storm Fax: -south etrod EXTERIOR RESTORATION stormguard-southmetrodenver.com Licensed - Insured Exhibit A - Statement Of Work ^ e-,- --` Ctomer Initial PREFERRED '° " CONTRACTOR M i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4 T_ V I � Job Address: 7-7,5- v 1 Permit Number: 2 v( 7- y 2 qq "4P�'k o ti ❑ No one available for inspection: Time U �M/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: KIL DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �/E Job Address: 'IPCZ C U/1 S J"- Permit Number: � t, 2 yy y (l 0 (/- li ❑ No one available for inspection: Time /PM Re -Inspection required: Yes I When corrections have been made, call for re -inspection at 303-234-5933 Date: G/ Inspector: K k DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occupancy /Type ( 0- INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. "c A —If- I nn J Intl INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons f # Stemwall / (CEG) Concrete Encased Ground - Reinforcing or Monolithic lectric Weatherproof/ French Drain umbing Sewer Service Lines - Gas Piping Water Service Lines Rough Mechanical INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Unde Heating (Underground) ROUGHS g Electrical all tie Plumbing f # Mechanical l Service Roof lectric Building Final umbing Fire Department - Gas Piping R.O.W & Drainage Rough Mechanical INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping ** NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A - CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION SY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER s o CITY OF WHEAT RIDGE Building Inspection Division ( (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NO E Inspection Type: e_ , , Job Address: _ 5/~) ~2 )F l 'ri S Permit Number: tJ CI o? c/ ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When correctio s have been made, call for re-Inspection at 303-234-5933 ,r Date: % Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE fj Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: S f~rsdi b lwlz7 6ee)., - Job Address: V775" r<s 5r` Permit Number: / X67 ,N0il'eP ❑ No one available for inspection: Time o.'AJ A J PM Re-Inspection required: Yes Noj *When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: j ~ DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE' Inspection Type: 1;11,9 Ze 1f Job Address: %77.~ 3-7- Permit Number: /pD fAF U No one available for inspection: Time <-A-,WPM Re-Inspection required: es ..-No When corrections have been made, call for /re-inspection at 303-234-5933 Date: Inspector: Z..Lc DO NOT REMOVE THIS NOTICE OF WHEgT City of Wheat Ridge Building Division R m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 c o Inspection Line: 303-234-5933 OLORP~ Date: Plan Permit 1a~1 Property Address: Property owner (please print): Mailing Address: (if different than property address) - Phone: Contractor License 1q. Building Permit Application Phone: Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ loo < Q~ Description of work: i-e M O V-Z O r, & ~ y~P~^ (as calculated per the Building Valuation Data sheet) GS Plan Review (due at time of submittal): $ 1 a~ r cF Y', o~R dl~el~IS -t /c° zi ve~u S ea ( y Sq. Ft./L.Ft added: Squares ( BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEONB: (OWNER) (CONTRACTOR) or PERSONAL REPRESE ATIVE Ot ER) NTKAIUK) PRINT NAME: APO?e ele'nze4.- /b!r SIGNATURE: / Date:~I~T'_"_