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Home My WebLink About3460 Jellison CourtINSPECTION 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 Occupancv/Tvne _] 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 uu 1Yu11 your i.nncrPrp rrinr in cinnrnxmi i it i nn nhn..e i.,-...,..+:...... Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing LJV IYVL l•VVCI VIIUCI Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail IVunu Vr Delownn-flap vvorK Prior i o Date Inspector Initials roval Ut The Above Ins Comments [Final Inspections Date Inspector Comments Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building 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. NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �. A ` Ridge 01705932 PERMIT NO: 201705932 ISSUED: 08/11/2017 JOB ADDRESS: 3460 Jellison CT EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 20 sq *** CONTACTS *** OWNER (303)233-3062 MEEK RICHARD R SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,814.00 FEES otal Valuation 0.00 :e Tax 122.09 3rmit Fee 140.90 * TOTAL ** 262.99 k* 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. i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y0,7 AOF Job Address: 3q6o ,T(' /,S cit Permit Number: ol70 232- ❑ No one available for inspection: Time /000AM/PM Re -Inspection required: Yes /No When corrections have been made, call for re --inspection at 303-234- fo5933 Date: 1 Inspector: M / inY 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: // 12- Job Address: e Permit Number: ❑ No one available for inspection: Time t AM/ M) Re -Inspection required: Yes t No When corrections have been made, call for re -inspection at 303-234-5933 Date:y/- " Inspector: DO NOT NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705932 PERMIT NO: 201705932 ISSUED: 08/11/2017 JOB ADDRESS: 3460 Jellison CT EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 20 sq *** CONTACTS *** OWNER (303)233-3062 MEEK RICHARD R SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,814.00 FEES Total Valuation 0.00 Use Tax 122.09 Permit Fee 140.90 ** TOTAL ** 262.99 *** 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. 4' City of Wheat Ridge Residential Roofing PERMIT - 201705932 PERMIT NO: 201705932 ISSUED: 08/11/2017 JOB ADDRESS: 3460 Jellison CT EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 20 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further ttest that -L am legally authorized to include all entities named within this document as parties to the work to be perfountVand w rk pertormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER NTRACTOR (Circle one) Date I . This permit was i sued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not.. roceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grant' ` ' sTiall o be c t ed to be a permit for, or an approval of, an violation of any provision of any applicable code or anuljrisdiction. 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 �N TION THE FOLLOWING BUSINESS DAY. Dan Schultz Zo1?bSa32 From: no-reply@ci.wheatridge.co.us Sent: Monday, August 7, 2017 9:01 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 3460 Jellison Court Wheat Ridge CO 80033 Property Owner Name Karen Meek Property Owner Phone 303-233-3062 Number Property Owner Email docs@coredoes.com Address kul A". Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Core Contractors Name Contractor's License 110052 Number (for the City of Wheat Ridge) Contractor Phone 3032952220 Number Contractor Email Address docs@coredoes.com Retype Contractor Email docs@coredoes.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 20 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? TOTAL SQUARES 20 (pitched + flat) of all 2 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) House Predominate pitch is 4/12 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 Karen Tobin Email not displaying correctly? View it in your browser. 3 ROOFING SYSTEMS Property Owner Rick Meek Property Address 3460 Jellison Ct City/State Zip CO 80033 Primary Phone number 3039444258 Email Address rickm@tmsalesinc.com Terms: Agreement "Doing it right matters" Effective Date 07/19/2017 4501 Logan St, Denver, CO 80216 303.997.1559 Secondary Phone Number By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier. Roofing Scope: The roofing system replacement includes all shingles, underlayment, valley linings, and miscellaneous flashing, per local applicable municipal code. This also includes full clean-up of the property and a 5 year Roof Workmanship Warranty (on full roof replacement only). A one year workmanship warranty is included on all non -roof work Additional Roofing Scope Notes Customer purchasing IR shingle. Wants skylight to remain if we can replace flashing. performed by CORE. Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system. 9690 Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by the property owner. If, you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. All estimates or contract amounts include a 3.5% discount for cash or check transactions. Property Owner's Initials Right to Cancel You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your claim has been denied in whole or in part. Property Owner RM Property Owner Signature Date 07/19/2017 Insurance Company State Farm POWFRMFv —canvas wlvth-. rCrncas.00111 CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that: (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. 1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this contract to be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 ''/i) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made therefore prior to commencement of the work. 4. Should legal action be necessary, because of any act that might arise during the course of this agreement, CORE shall be entitled to all costs incurred in connection with such action, including a reasonable attorney's fee. 5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of Colorado. 6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or other materials) not covered by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT. 7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE Contractors, Ins. whether of a similar or dissimilar nature. 8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner, the owner shall be financially responsible for all work performed based on the following milestones (percentages are additive). a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid. b. Substantial agreement or scope confirmation with insurer — 5% of total bid. c. Ordering and scheduling of work — 2% of total bid. d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor overhead and profit. 9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid E3Y Com, canvas a bv)% ism OM by the owner within 30 days of invoice date. 10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee assessed to CORE by the supplier. 11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforce -ability of the remaining provisions of this contract shall not be affected thereby. 12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do not survive the execution of this contract. 13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE Contractors, Inc. herein. 14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof and siding during the repair of the roof. 15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. If pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems on a time and material basis. 16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES. PC: w RF;; ry ». carwas 1i'LV1h' 764 1%lvcTs.0t1;79 11 City of Wheat Ridge Residential Roofing PERMIT - 201705932 PERMIT NO: 201705932 ISSUED: 08/11/2017 JOB ADDRESS: 3460 Jellison CT EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 20 sq *** CONTACTS *** OWNER (303)233-3062 MEEK RICHARD R SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,814.00 FEES Total Valuation 0.00 Use Tax 122.09 Permit Fee 140.90 ** TOTAL ** 262.99 *** 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. 4' City of Wheat Ridge Residential Roofing PERMIT - 201705932 PERMIT NO: 201705932 ISSUED: 08/11/2017 JOB ADDRESS: 3460 Jellison CT EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 20 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further ttest that -L am legally authorized to include all entities named within this document as parties to the work to be perfountVand w rk pertormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER NTRACTOR (Circle one) Date I . This permit was i sued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not.. roceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grant' ` ' sTiall o be c t ed to be a permit for, or an approval of, an violation of any provision of any applicable code or anuljrisdiction. 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 �N TION THE FOLLOWING BUSINESS DAY. Dan Schultz Zo1?bSa32 From: no-reply@ci.wheatridge.co.us Sent: Monday, August 7, 2017 9:01 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 3460 Jellison Court Wheat Ridge CO 80033 Property Owner Name Karen Meek Property Owner Phone 303-233-3062 Number Property Owner Email docs@coredoes.com Address kul A". Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Core Contractors Name Contractor's License 110052 Number (for the City of Wheat Ridge) Contractor Phone 3032952220 Number Contractor Email Address docs@coredoes.com Retype Contractor Email docs@coredoes.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 20 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? TOTAL SQUARES 20 (pitched + flat) of all 2 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) House Predominate pitch is 4/12 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 Karen Tobin Email not displaying correctly? View it in your browser. 3 ROOFING SYSTEMS Property Owner Rick Meek Property Address 3460 Jellison Ct City/State Zip CO 80033 Primary Phone number 3039444258 Email Address rickm@tmsalesinc.com Terms: Agreement "Doing it right matters" Effective Date 07/19/2017 4501 Logan St, Denver, CO 80216 303.997.1559 Secondary Phone Number By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier. Roofing Scope: The roofing system replacement includes all shingles, underlayment, valley linings, and miscellaneous flashing, per local applicable municipal code. This also includes full clean-up of the property and a 5 year Roof Workmanship Warranty (on full roof replacement only). A one year workmanship warranty is included on all non -roof work Additional Roofing Scope Notes Customer purchasing IR shingle. Wants skylight to remain if we can replace flashing. performed by CORE. Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system. 9690 Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by the property owner. If, you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. All estimates or contract amounts include a 3.5% discount for cash or check transactions. Property Owner's Initials Right to Cancel You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your claim has been denied in whole or in part. Property Owner RM Property Owner Signature Date 07/19/2017 Insurance Company State Farm POWFRMFv —canvas wlvth-. rCrncas.00111 CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that: (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. 1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this contract to be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 ''/i) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made therefore prior to commencement of the work. 4. Should legal action be necessary, because of any act that might arise during the course of this agreement, CORE shall be entitled to all costs incurred in connection with such action, including a reasonable attorney's fee. 5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of Colorado. 6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or other materials) not covered by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT. 7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE Contractors, Ins. whether of a similar or dissimilar nature. 8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner, the owner shall be financially responsible for all work performed based on the following milestones (percentages are additive). a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid. b. Substantial agreement or scope confirmation with insurer — 5% of total bid. c. Ordering and scheduling of work — 2% of total bid. d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor overhead and profit. 9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid E3Y Com, canvas a bv)% ism OM by the owner within 30 days of invoice date. 10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee assessed to CORE by the supplier. 11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforce -ability of the remaining provisions of this contract shall not be affected thereby. 12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do not survive the execution of this contract. 13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE Contractors, Inc. herein. 14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof and siding during the repair of the roof. 15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. If pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems on a time and material basis. 16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES. PC: w RF;; ry ». carwas 1i'LV1h' 764 1%lvcTs.0t1;79 11 Permit#:201401068 Issued: 09/29/2014 Stipulations: Kitchen Remodel. This certificate verifies that the building constructed and/ the use proposed of the building and/or premises, under t above permit number and on property described below, does comp with the Wheat Ridge Building Code and development standards the zone district in which it is located and may be occupie All other licensing requirements for the City must be met. I L - �z • Ina lm #wner: MEEKS KAREN 3460 JELLISON CT WHEAT RIDGE CO 80033-5723 Contractor: Albert Gibson 3615 W 90TH PL WESTMINSTER CO 80031 For the Following Purpose: Residential Remodel IFICATE MUST BE POSTED BY FRONT DOOR 01 COMMERCIAL OCCUPANCIES I I )n Mailing Address: (if different than property address) Address: Complete all information on BOTH sides of this form I ? Property Owner Email.* mount of materials to be used, etc.) i 4" , ?/ Sq. FULF Btu's Gallons I Q r Amps e In Squares Other "i"111MAiwa I'M" Proporty Address: k S �*w eN ��mpmm M� SE Ell amount of materials to be used, etc.) CPb t ; Sq. FULF Stu's Gallons Amps Squares Other RICK MEEK K ITCHEN M CH: " APPROVED Subject to Field Inspections All dimensions site designations Th is an original design wid toast _. Designed:_ 10/16/2013 liven are subjt ct to verification can , not be released or r s a.�asa�aaxfi�z' opted unless Printed 4f16t201 t job site and adjustment to fit job applicable l'ee has been paid or job conditions. order placed. 1 tntelt kitchen design 4-I 1 lctl 1 �?rxw I MR ' Cy WjAa .3014 2,40 :. 88 %4 2-2 ROLLOUTS s a� s 32" m t t u� z 3" {° APPROVED Subject to Field Inspections All dimensions site designations Th is an original design wid toast _. Designed:_ 10/16/2013 liven are subjt ct to verification can , not be released or r s a.�asa�aaxfi�z' opted unless Printed 4f16t201 t job site and adjustment to fit job applicable l'ee has been paid or job conditions. order placed. 1 tntelt kitchen design 4-I 1 lctl 1 �?rxw I MR ' Cy WjAa .3014 2,40 :. 88 %4 2-2 ROLLOUTS s Front view of the kitchen high wall with flat paneling to finish all non door areas. Deco doors on cabinet ends at end of peninsula and end of sink run on1g, APPROVED Subject to Field lnspecticns Wheat Ridge Bung Dept, Date- Siqned, ------ --- Plan checker I Sri 91 � I�II E 30" uppers - light rail and scribe for ceiling Sink located under window Cabinet on right of sink has towel bar Deco doors on and of run only Shelf on Microwave cabinet to be trimmed on site to accommodate depth of microwave. APPROVED Subjed to Field Inspedions Wheat Ridge Buildin Dept, Date Signed, Plan checker , 'g ral an sc De r ceilim,; Trc ompactor located on this wall Lazy susan in left hand corner only. 24" & 30" Uppers - light rail and scribe for ceiling Two rollout trays located in base cabinet left of range C- arv* �rltevf*ns Deco doors on exposed end of pennisula 18" Wine cubbies located ob PlOn Ch*Pker Work shall comply with the following codes: 2006 IRC, 2006 IECC & 2011 NEC. Carbon monoxide detector(s) required within 15 ft of all sleeping areas. Sm6ke alarms shall be required m — each sleeping room and outside each sleeping area per 2006 IRC, Section 313. Direct connect smoke alarms are required. Outlet type, location and spacing shall comply with 2006 IRC and 2011 NEC. Water hammer arrestors are required at quick- closing valves R2903.5. A - BRIDGEWOOD CABINETS CHERRY WOOD, CHERRY MAHOGANY FINISH DOOR: D0410 DRAWER: D05410 FOL, BEADED INSIDE PROFIL OUTSIDE EDGE A, FURN. FINI OCTOBER 16, 2013 Revised 4/11/14 - BJM *(4) BB1 (1/4 PANELING) *(6) LM1 (LIGHT RAIL) *(3) TK (TOE KICK) *(2) BASE (FURNITURE BASE) *(10) NSM (SCRIBE MOLDINGO *(1) TUK (TOUCH -UP KIT) *(1) BM (BATTEN MOLDING) *(1) OCM (OUTSIDE CORNER) 0 oC �(n �0 79 DD < 'ni J w 0 \J �m oM v� m� 0 Z N= i I m y wa r C OI OR pO YYheat Rid uil ng Deparh"OW BUILDI OF ICIAL IpY Y apenait; The issuance of a permit or approsai of plans, specifications std OOMPUL*M shag not be a permit for, or an spprarst of, MW vi llsess to ✓a%Mthe Provisions of the building code or of any city ordinances. Pat Phsumirg to give authority to violate or cancel the provisions a t ft Building codes or other ordinances of the City shall not n. o lid APPROVED Subject to Field Inspections Wheat Ridge Building Dept. IY�rr i r � Plan checker All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. TECHNOLOGIES This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 10/16/2013 Printed: 4/16/2014 meek kitchen design 4-11 -kit All Drawi #: 1 *WALL WILL NEED TO BE BUILT TO PUT *PULL CABINETS 7" FROM RANGE AGAINST, VERIFY DEPTH OF WALL WALL AND BLOCK BEHIND *PANELING WILL BE INSTALLED ON SIDE *REFRIGERATOR WILL STAY OF B3D18TO HIDE WALL 32" DEEP 3211 Inspection Type - dl �arE €sr, csS Job Address _F5°/�r f ,5111_rOw e7- Permit Number _ /0 12 54 ❑ No one available;for inspection: Time ,'10 t A PM action required: Yes C '' _ °�` Inspector: FEES it Fee 308.50 1 Valuation .00 r fv Tax 236.20 OTAL ** 544.70 " ' City of Wheat Ridge Res. Miscellaneous PERMIT - 101256 " PERMIT NO: 101256'. ! ISSUED: 05/17/2010 JOB ADDRESS: 3460 JELLISON -CT - .'.EXPIRES: 11/13/2010 ?� DESCRIPTION: Replace 11 windows like for .'like S CONTACTS * ** owner 303/944 4257 Rick Meek ' sub <. 303/773-1515 Dustin Warren 09 -0445 Crown Construction., Inc. FEES it Fee 308.50 1 Valuation .00 r fv Tax 236.20 OTAL ** 544.70 From:Renewal by Andersen 3037731530 City of MMUNITY I EVEI.DPNiENT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 05117/2010 09:59 #176 P.002/009 Date. Plan # Permit# Building Permit Application Property Addees"s.. 3y 0® l! e) l i 5o✓I CA, �� o Property Owner (please print) m ee K Phone: 3 03 .9grg. e/ Mailing Address: (if different than property address) Address: City, State, Zip: Contractors City License #: t / q /) 4V c.f 57 Phone: �03 , 77?. 15 Plumbing: City License # Description 'of work: Repeaw ! 1 WiVndaws Squares BTU's Gallons City License # Sq Ft. Mechanical: City License # Contract Value: $ (9. ( 22 •®D Review Fee (due at time of submittal): $ 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 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 (0WNER) p i (CONTRACTOR) or AUT ORIZED REPRESENTA of (OWNER) CONnUCTO PRINT NAME: ®- y yty EYns SIGNATURE: (�A DATE: 1�I[ &0 From:Renewal by Andersen 3037731530 05/17/2010 09:59 vvcs .s vl vi vv.u.N""w WUn1 3-U = #176 P.003/009 Page _L of '> I Customer Name i Note: Review thisworkshee uglily. Once it is signed and accepted a becomes part of yourpurchase agreement. Any changes may result in an hrrrease in price. Diagram Fell Screen f_I Half Screen p MULL with tf g - Hardware 1' e U FF Brickmold'1'ype IJ� � e ,� DB on[ 4„�� p De.ription �f3 q jC,IU{ j _ LgYFiberglass (standard) Cow ❑ Traditional i v Standard ❑Picture Frame nsert U Fu rarne Q Tru5cene Metro (CW` & AW) ❑None ❑ Aluminum ❑ Location tl C! Tempered Compact (CW & AW) ❑ Siding Cut Back QT- Handle (CW &AW) Q Bump Out RA LL L L U Bottom sash only Qzilro Lift/Pull Q Remove Mullion Q Cut New Ope Q Glass Pattern Options (] Casement Window ning Color Ext�_ Tnt �� ❑ Obscure Q Fern ��tt ((�� yy�� C1 Cascade Q Reed OSLI I -Cage . . ❑ � Decrease Opening Size W B H \ A! t`T SASH RATIO ❑Decrease Opening ❑ Grilles Double Hung Window U New Sill and Apron Glass Type: CIA Low-E4 Sun Smart Glass Pattern Q Equal Sash Type 'Tech Measurement Type ❑ Oriel Style r❑ New Interim Trim Color: Ext lilt ❑ Casing 3:2 ❑ 4:2 Type Q Lites ❑ Cottage Style ❑ Stop Sl /53 W H Q 2:3 Q 2:4 Type Notes S2 -W H GPW or CPW/ ❑ New [at. Returns 0 1:1:1 12:1 Q Drywall Wood U. Bay /Bow Q New Exterior Trim Q Finish to Soffit Insert Brickmold Type Type U Build Roof U Picture Frame Only L) Coil. Wrap Existing rIBALL QBottom Support Q Overft Trim ExteriorT'rim LLED with# Diagram Full Screen L! HalfScreen Hardwar Type ❑ FF Briclmrold Type ,r- ME only Color W at t P i n1 *" `' °.,� s ( ) standard t ) U.14tandard ❑ Plc�u e Frame dyer t ional O Full F e U Truscene Q Metro (CW & AW) ❑None ' n % (\ Q Aluminum ❑Compact (C W & AW) ❑ Sidin g Cut Back Q Tempered 1] T-Handle (CIX/ & AW) U Bump Out ML L ❑Bottom sash only UNo Lift /Pull U Remove Mullion y Q Glass Pattern Options Cut NewO eniu j_ lot 5 CI Obscure ❑ Fern d Casement Window Opening ❑.Cascade ❑Reed OSLI Hinge Q Increase Opening tttt Q Decrease Size W � H W if SASHRATIO � OP eniu, Glass Type: CLR Low -E4 Sun ❑ Grilles Double Hung Window New Sill and Apron Smart Glas Pattern ❑Equal Sash Type Tech Measurement Type U Oriel Style t 7 New Interior Trim Colon fr1 InC_ 0 3:2 ❑4 El Casing :2 - Type_ - Q Lites Q Cottage Style ❑ Wood Stop - Sl /S3 W H 3 2.3 ❑ 2:4 Type Notes 52 W_ H GPWor CPW Q New int. Rettmrs — U ld:l Q 1:2:1 Q Drywall Q Wood Q Bay/Bow Q New Exterior Trim ❑Finish to Soffit hisert&riclunold Type Type - U Build Roof U Picbmq Frame Only U Coil Wrap Existing Cl Bottom Support U.Overfit Trim Exterior Trim ED with# Diagram Full Screen Q Half Screen @61[ardwar Type Q FF Brickmold Type G � CDB only) I Color ❑Traditional I ft Vf `N U' berglass (standard) U Standard ❑ Picture Frame F U U TruScime ❑ Metro (CW & AW) ❑ None C] Aluminum ❑ Compact (CW & AW) Q Siding Curt Back Location L V1f1 OOD'1 Q Tempered UT- Handle (CW &AW) Q Bump Out BA . LL UL Q Bottom sash only QNo Lift(Puil ❑ Remove Mullion 1 U Glass Pattern Options ❑ Casement Window Q Cut New Opening Color Eat C -6 lilt O S n ❑ Obscure ❑ Fern QQ p rr,� yt1 OSLI Hinged_ Q Increase Opening Size W D I H ❑Cascade ❑Reed J' SASURATIO Q I,lecrease Opening Q Grilles _Double Hung Window New ,SSiilltt,�d Apron Glass Type CLR Low -E4 Sun Smart Glass Pattern Q Equal Sash --�-V— Tech Measurement Type Q Oret Style N�e}} r ��++r� y Interior Trim 9 U3:2 ❑4:2 — _ a ,{ Color. Ext_ Int — S i l - - Q Lites Q Cottage Style Lrl - od Stop 51jS3 W_ H ❑ 2:3 U 2:4 e _ Notes S2 W H — GPW or CP��W�� Jf New Int. Re�ttuip9s�. — Q 1:1:1 1 1:2:1. U Drywall U6'Vood ❑ Say /Bow ❑ New Exterior Trim U Finish to Soffit Insert Brickmoki Type Type Q Build Roof Q Picture Frame Only Q Coil Wrap Existing - ❑Bottom Support 0Overflt Trim Exterior Trim lheabovespecificatio arec r o erw m tedals will be prwided.I authorize Renewal By Andersen topracesss this order. RBA_FRM103_Vi 20091013 Signed: - Date Signed Date Customer Customer Froc Renewal by Andersen 3037731530 05117/2010 09:59 #176 P.004/009 I rcenewatoyanaersen - `l,UJI Wi1V-L)()W WORKSHEET Page Of -5 Customer Name' Note: Review this worksheet roughly. Once it is signed and accepted it becomes • I Ii G� ME e part of your purchase agreement. Any changes may result in an increase in price. Diagram Fu en D Half Screen Hardwaie Types F MULLED R1th $ l uu ,� FF Brickmold Type Cf I (DB only) Color `?1nfS(' ❑Tradifionai I'e�cription 11 r Hass (standard) �d ;standard ❑ Picture Frame L6 Insert G Full F e 0 TruScene 0 Metro (CW & AW), 0 None Location � V ` \OOYY) � U Tempered D Aluminum 0 Compact (CW & AW) ❑Siding Cut Back BA LL L U T- Handle (CW & AW) U Bump Out UL D Bottom sash only U No Lift /Pull D Remove Mullion (� 11,,.. 0 Glass Pattern Options D Color Est C V Int 0 U Obscure 0 Fern ❑ Casemmu: Vrmmdow Cu[New O P enin g 0 Cascade 0 Reed OSLI Hinged_ U Increase Opening Size W �� H 53 SASH RATIO ; U ease Opening C..1 Grilles DoubJtllIung Window '-'1,"ee Sill pd Apron mart Glass Glass Type: CLR Low -E4 .Sun , Pattern l Hqual Sash ; y yp —�-- Tech Measurement Type CI Oriel Style 1 ° rvP (;asin. e`��' Interlor Trim Ty Lr' Color: Ext_ !nt _ 03:2. D 4.2 �� _ 0 Lites (]Cottage Style ilrlWood top Sl /S3 W " H 02:3 Q 14 pe Notes S2 W_ H— GPWor CPW �'L#'New Int. Returns . ❑ 1.1:I D 1:2:1 D Drywall 1U'Wood - Cl . Bay/Bow D New Exterior Trim. D Finish to Soffit insert Brickmold Type Type D Build Roof _ C1 Picture Frame Only D Coil Wrap Existing D Bottom Support O Overfit Trim Exterior Trim F Dia raD1 Full Screen D Half Screen Hardwet'e yPe 0 FFBrickmold Type MULL D with g (DB only) Colo w � 1 ' C io7t T �i�I V\ ��iberglass (standard) �y 12aditional UJ"dard D Picture Frame D £nll me D- TruSarte :1 Metro (CW &.AW) D None - D Aluminum ❑ Com act CW & AW D Sidin Cut Back Dnratlo i s ate be 0 Tempered P ( g BA LL ML UL DT- H YS. A andle \xr) U Bump Out ❑ Bottom, sash only D Glass Pattern Options D No Lifupult . D Remove Mullion I� ❑ Casementlwadow, D Cut New Opening Color Ext CV Int \"j_ D Obscure D Fern ❑ Cascade U Reed OSLI Hinged Q increase Opening Size W 52. H 31 SASH RATIO U Decrease Opening' C1 Grilles Double Hung Window D New Sill and Apron - -Glass Type: CLR .Low -E4 Sun 'mart Glas pattern DEqual Sash Type Tech Measurement Type ❑oriel Style U New Interior Trim Color Ext_ fut _ D 3:2 CI 4:2 Lites l_f D using - - D Cottage'Style _ Type - D W � ' -Sl /53 W _ H 02:3 D2:4 Type ood Stop Notes GPWcr CPW ❑ New Int. Returns - - Si W _ H_ 41:1:1 L) 1x2:1 DDrywall DWood D Bay /Bow D New Exterior Trim - ❑Finish to Soffit. Insert Brickmold Type Type D Build Roof D Picture Frame Only 0 Coil Wrap Existing Bottom Support D Overfit Trim Exterior Trim ,0 Dia ram Full Screen - MULLED11with\,B.' g D nlffScreur Hardw T D FF Bricko mld Type Description 04, `+Vt - Ud'Fibergba (standard) C�oI w e OTradi[ional / M s V tandard ❑Picture Frame Insert ❑ Fall me OTruminu ❑Metro (C\Xr &AW) ONone LL D Aluminum Location U Tempered ❑Compact (CW & AW) Q Siding Cut Back BA LL M UL ❑ Bottom sash only D T- Handle (CW & AW) D Bump Out D No Lift /Pull U Remove Mullion 3 O ❑ G1 Options CJ Casement Window U Cut New Opening Color Ext Int Obscure D Obscure ❑Fern I� t y ❑Cascade D Reed OSLI Binged_ D Increase Opening Size W �CJ H v i 1, SASH RATIO D Decrease Opening ❑- Grilles - Double HungWuulow 0 New Sill and Apron Glass Type: CLR Law -E4 Sun mazt Glass Pattern ❑Equal Sash Type Tech Measurement - . Type D Oriel Style 0 New Interior Trim - Color: Ext_ . Int _ U 3:2 Q 4:2 D Casing Type O Lites 0 Cottage Style O Wood Stop Sl /53 W 1{ 12:3 D2:4 Type Notes S2 W H— CPWr or CPW D New Int. Returns — D 1:1:1 D 1:2:1 D Drywall 0 Wood :1 D New Exterior Trim U Fnish n So fit Insert Brickmold'rype Type 0 Build Roof' D Picture Frame Only D Coil Wrap Existing ❑ Rattom Suppon: ❑ Overlit Trim Exterior'Trim - Iheabov spedfi on e r o ork or materials will be prov� authorize Renewal By Andersen to processs this order- RBA._FRM103_Vf 2w91p13 Signed: Date" igned Dale .. Cus er Customer From:Renewal by Andersen 3037731530 05/17/2010 10:00 , #176 P.0051009 ) «enewaabyAnaerscrt' k W11V1143W WOKti MEE Page of CuS$ ®mePNalzle' 1 \tC Mee 1 Note: Review thisworksliceC rughly, Once itissigned and acceptsditbecomes part of your purchase agreement. Any changes may result in an increase in price. # MULLED with Y ` ---��--- `Ni!1SJW Dia _rare g Full Screen FlalfScreen _ - (DB only Hardw��".t ie ) Col r e iTU FF Briclabold Type ❑Traditional n°�5�ciption L��(Y`P Fiberglass (standard) Cl N'Insert 0 Full UTruSrene' . QMetro (CW &AW) Picture Frame 1J None Location Vv \4 e 0Aluminum ❑ Tempered UCompact (CW &AMY/) USiding Cut Bark BA LL M UL Q Bottom sash only & AW) 0 To Lift/ Pull ll ❑ No Gift /Pull Q Rump Out ❑Remove Mullion Q Color Ext 51 lot Il ❑Glass Pattern Options ❑ Obscure 0 Fern p Casement Window 0 Cut New Opening Size W C� H U Cascade 11 Reed OSLI Hinged_ 0 Increase Opening 0 Decrease0 enin g p Glass'fype Grilles SASH RATIO Double Hung Window U Tee Sill and Apron Tech Measu Pattern Type ❑ Equal Sash ❑Oriel Style U New Interior Trim Collor Ext Iht Q3:2 04 :2 — C1 Casing Type Type Lites 0 Cottage Style Q Wood Stop 77 Sl /S3 W H U 2:3 (3 2:4 Type_ Notes S2 W H GPW or CPW . Q 1:1:1 101:2:1 U New Int. Returns 0 Drywall ❑ Wood Bay (Bow 0 New ExteriorTrim 0 Finish to Soffit L) Build Roof Insert Brickmold Type Cl Picture Frame Only Type U Coil W4ap Existing Q Bottom Support Q Overfit Trim Exterior Trim MULLED with ;7 Dia ram g - Full Screen 0 Half Screen �Hazdw e - e ❑ FF Brickmold Type WA ',n t7oV (DB only) iberglass(standard) Cl ��o99�r W - �lStandard B Traditional ❑Picture Frame ll3'.lnsert 0 Pull FAme U TruScene 0 Aluminum - 0 Metro (CW & AW) 0 None 1 Q 7 Location M If( F�t.Q L E - 0 Tempered Q Compact (CW & AW) 0 Siding Cut Back - S BA LL ' M UL - Q Bottom sash only "dT- Handk: (CW &AW} U Rump Out Color Ext C5 Int � 0 Glass Pattern Options Q Obscure Q fern Cl No Lift/pull ❑ Casement�Vindow " 0 Remove Main, U Cut New Opening ��77 q� �� 0 Cascade 0 Reed OSLI Hinged U Increase Opening U Decrease Opening Size W H L 1 - ❑ Grilles SASH RATIO Double Hung Window 0 New Sil Apron Glass Type: CLR Low - E4 Smt Sntar[Gla , Pattern Type ❑ Equal Sash ❑Oriel Style a nd Q New Interior True TechMeasurement - Color. Eta_ lnt ❑ 3:2 Q 4.2 0 Casing Type " Q Lites � - 0 Cottage 'S le ty QtXrbodStop -- Sl /S3 W— H _ S2 W H O 2:3 Q 2.4 GPI \V or CPW Type ❑ New lnt, Returns Notes - — ❑ Bay /Bow ❑ 1:1:1 ❑ 1--2:1 ❑Drywall ❑Woad Q New Exterior Trim - " - - 0 Finish to Soffit U Build Roof [nsenctBrlekmald Type Q Picture Frame Only 'type U Coil Wrap Existing Q Bottom Support Q Overfit Trim Exterior Trim MUL{ with\# Diagram � F I Q HaIE Screen (y Hard an Type 0 FF Brickmold Type De ription G 11 f�l W 1+l Fiberglass ( smndard) C a Traditional Standard ❑ Picture Frame ))insert ❑ Full ne ❑TruScene ❑ Metro (CW &AW) BNoae M ly��j ❑Aluminum Q Compact (CW & AW) Q Siding CutBack Location M 5 ( Bq Q Tempered Q T- Handle (CW & AW) U Bump Out BA LL UL 0 Bottom sash only Q No Lik /Pull ❑ Remove Mullion 0 Glass Pattern Options 0 Cut New O eni Color Ext �. Casement Window P lot �_ 0 Obscure 0 Fern CI Increase O ❑ Cascade Q Reed OSLI Hinged_ peeing Size W 0 Decrease Opening .3 H SASH RATn0 O New Sill and Apron GlassT e: CLR Low- - 0 Grilles Double Hung Window P yy E4 Sun Smar[Glass Pattern ❑Equal Sasb TYPe Tech Measurement Type 0 Oriel Style 0 New Interior Trim 0 Casing Color: Ext— let _ 0 3:2 0 4:2 Type Q Lites 0 Cottage Style Q Wood Stop Sl /S3 W H U23 02:4 Type Notes S2 W H GPWm CPW Q New Int. Returns — ❑ 1:1:1 ❑ 1:11 ❑ DrywalFU Wood ❑ Bat' /Box' 0 New Exterior Trim 0 Finish to Soffit Insert Brickmold Type Type — 1 Build Roof Q Picture Frame Only ❑ Coil Wrap Existing Q Bottom Support Q Overfit Trim Exterior Trim 7heabovespedfications ar or t or materials will be provided. I authorize Renewal By Andetsentoprousssthisorder. RBA_FRM10_VY 20091013 Signed: / �gned Customer Dat - Castomcc Date From:Renewal by Andersen 3037731530 05/17/2010 10:00 #176 P.006/009 1 ° "Y'ar <WOrarrr i V iJ i Vivl W I11 "kj W W "j - 4JL7:d1P, d Page D of ) CustomerNalne: Note: Review this,o,kshce Mee oughly, Once it is signed and accepted it becomes part ofyour purchase agreemeu Any changes may result in an increase inprlce. 1 # 10 1 MULLED with a, D 1 Lain g - Qa Full Screen Q Half Screen H dwa eT e (DB only) Color Cl FF Brickmold Type ❑ Tr ai De � :p;io. ^. C- i O' �.N' ::: Fiberg(ass (s ±ardzrd) OTruScene- L Siandazd - Sta ndard - ❑Picture Frame Insert Q Full ame ❑ Aluminum Q Metro (CW &AW) ❑None ❑Sid' Back Q Compact (CW & AW) m6 LQCation U IT tCe BA LL C1 Tempered Q Bottom sash only Q T-Hand & A1X� Q Bump Out t ll ❑ No Lift/Pull 0 Remove Mullion t� Color Ext Cg Iat W t E) Glass Pattern Options ❑ Obscure Q Fern U Casement Window Cl Cut New Opening I ❑ Cascade Q Reed Hinged ❑ Increase Opening P g ? p Size h7 5 2. H 3 o ❑ Grilles Pattern T Type SASH RATIO H R Double Hung Window ❑Equal Sash Q Oriel Style ❑Decrease Opening ❑ New Sill and Apron Type - Q New Interior Trim Q Casing Glass Type: CLR Low -E4 Sun Smart Glass Tech Measurement Color: Ext Int _ (332 Q 4+.2 Type Q Lites Q Cottage Style Q Wood Stop SI /S3 W H S2 w/ H CJ 23 Q 2:4 GPW or CPW Type ❑ New Int. Returns Notes . Q 1:1:1 Q 1:21 - Q Drywall Q Wood Q Bay /Bow Q New Exterior Trim Q Finish to Soffit Insert Briclanold Type Type - Q Build Roof Q Picture frame Only Q Coil Wrap Existing - ❑Bottom Support lJOverfxt Trim Exterior Trim tvfUU�LLLEII with k Diag ram ram Full Screen Q Half Screen Hardwa�'e ❑ FF Brielanold Type rDe3i;alption __�� (UB only) ly'lberglass(standard? Color ❑ Traditional W Iitseet ❑ Full F Q TruScene Q�_�Siarlard QPicture Frame ❑None e ,( Location 1 \i -4ch en Q ❑Aluminum ❑ Tempered BdMetxo (CW &� Q Compact (CW & AW) UT- Handle(CW &.AW) Q Siding Cut Back U Bump Oat BA LL ML UL Q Bottom sash only Q No Lift/Pull U Remove Mullion Color Ezt � Int �� Q Glass Pattern Options Cl Obscure 0 Fem Q CasementWandow OSLI Hinged Q Cut Necv Opening ❑ Increase Opening �( 2Q W ✓ I) ❑ Cascade Q Reed SASH RATIO Q Decrease Opening Size 12 H ❑ Grilles Double Hung Window El New Sill and Apron _ Glass Type; CLR Low -E4 Sun Smut Glass Pattern Type Q Equal Sash ❑Oriel Style TYPe Q New Interior Trim Q Casing Tech Measurement Color. Ext_ .hat _ Q 3:2 Q 4:2 Type Q Cites Q Cottage Style _ Q Waod: Stop SIM W H - 52 W_ H Q 2:3 Q 2:4 GPW or CPW Type - Q New Int. Returns Notes _ Q 1:1:1 Q 1--2:1 Q Drywall Cl Wood Q Bay /Bow Q New Exterior Trim - Q Finish to Soffit Insert Brickmold Type Type ❑ Build. Roof Q Picture Frame Only Q Coil Wrap Existing Q Bottom Support - ❑ Overfit Trim Exterior Trim Diagram Q Full Screen Q' Q Hardware Type Q FFBrickmold Type Description Q Fiberglass (standard) ❑ Standard Q Traditional Picture Frame ❑ Insert CJ Full Frame - 0Aluranur ❑ Aluminum ��Metro {CW &AW) QNone Location Q Tempered ❑ Compact (CW & AW) Q To & AW) G Siding Cut Back Q Bump Out BA LL ML UL ❑ Bottom sash only Lift/ pull ll Cl No Lift /PuR ❑Remove Mullion ❑ Glass Pattern Options CI Obscure Q Fern ❑ Casement Window Q Cut New Opening' Color Ext Int Q Cascade Q Reed OSIJ Hinged_ Q Increase Opening Site W H Q Grilles Pattern Type SASH RATIO Doable Hung Window ❑Equal sash Q Oriel Style Q Decrease Opening Q New Silland Apron y Pe Q New Interior Trim Glass Type: CLR Low -E4 Sun Smart Gla ss Tech Measurement - - Color: Ext_ Int _ ❑ 3:2 Q 4: Q C Q Casing Type- Q Lites Q Cottage Style Q Wood Stop SI /S3 W H — S2 W _ H Q 2:3 Q 2:4 GPIw or CPW Type Q New Int. Returns Notes _ _ ❑ 1:1:1 Q 1:2:1 - Q Drywall Q Wood ❑ Bay /Row ❑ New Exterior Trim Q Finish to Soffit Insert Brickmold Type Type FQ Build Roof Q Picture Frame Only Q Coil Wrap Existing Q Bottom Support Q Overfit Trim Exterior Trim The above specifics' r ark ormaxeNals witl be provided. By Andersen ro processs this order. RBA_fRM193_W _20091013 Signed: Da les, -" n ncd Date Customer Customer From:Renewal by Andersen 3037731530 05/17/2010 10:00 #176 P.007/009 Vnbw� ( L4 r S (0, 00 cm cm Riv cc { �� R1 ®3� CY H-L i a eiFj `� � �.6 C�c�Z t6 I °¢ES€ i �i.r �� LI Cf, � .�T3 Ni 10 LO �� ^, a L E� KE WI M ca i R�g ■ I E c1f) 29 Ira In D Vnbw� ( L4 r S (0, 00 Froc Renewal by Andersen 3037731530 05/17/201010:01 #176 P.008/009 Renewal bvAndersen. WIN-OW RCPt/CtNErcT nn.L:daa;uCngipyy uizzw; a�sc� M W00WInYt Cumpasite IF Dual Argon Low E4 Sntartelm Pi . 700 - 00461177 -q61 ENERGY PERFORMANCE RATINGS U- Farcto (U.S) /I -P Solar Neat Gain Coefficient 0 m 2 ■ ADDITIONAL PERFORMANCE RATINGS IA7 Transmittance 41 � a OESnN PRESSURE (PSF) F -050 ,. PV/ = Pi +fie vVivx e v�J From:Renewal by Andersen 3037731530 05/17/2010 10:01 #176 P.0091009 WMDtevPaiSMEC- CE_C, 81'EFC. M NWhatlm Rlpwen W AHallm t[/' YappnPmgam- : sao 387 -za6o ener8ys[argc.ia I ( - h.- C� p� � F� i 4 868 782 -1837 '"' er+em3YS[a Aov k_:a= 0ua6fied/Admissibls c Renewal .. byAndersen. :r WINDOW REPlACERENT an Aa§xmCsmy [q Wood /Vary! Dompo a FF k5x •£SXa"".`+. Dual ArpoO Low -E4 S nS. Av dw ENERGY PERFORMANCE RATINGS U- Factor (U.S)/1 -P Solar Heat Gain Coefficient 0. 29 4.19 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Oo43 MMNazhBC alW�'ad'a Lv[ mrse [& mNC+m m a,�F tfr'aC pomumas ra ItlPimbm9 wmk P2Da[[ IMwmarR'. FFRC [aIXg3 are QSamd•e6(ara re¢Rte[IX aMl pYllm� tcpnp4m5abarspedA4D*Da'X< f3riC EOr+4tRV�an'¢m3 aM W0EUf anaExr. mtaart:RRM WEWO[YW myPan+RmrmH'cvecs�cux. COn manammeers Temuaa mr avvr o•oau ammamse�rormabo¢ . YMNIY•UIIIP ' we. wa° wweswnamw RBA Awning WindoW FF kferadactruers6P�ascon(annaPCe 6i the RaAwring steMerds Standard Rating TesRtlbFIPF$f2areM1nta �6A tOtAi]lAdd6.D,v- 0ESr3NPRESSjPSF} AP -L s SC A< ,r SMS�aDmatmeehdeeD .rp £ searse.mmmnema� 9azgartls BU+nNnB T� _ emtle kY. Ma.Ymaashi ° awrtameam sasnmNma�. , eeuca�amawnam. �� '@'¢"4� 100.D0475537 -0Ot WMDtevPaiSMEC- CE_C, 81'EFC. M NWhatlm Rlpwen W AHallm t[/' YappnPmgam-