HomeMy WebLinkAbout3720 Allison StreetSPECT ON�RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occu c /Type
KW
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)
Mid -Roof
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Above Inspection -e.
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
/—
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
-
Job Address: 37 L� i o N
Permit Number:
U ✓
<-7- -1) .. ) S: ` lin ,, /f 'r ',
❑ No one available for inspection: Time �y AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspects n at 303-234-5933
Date: 4 _ "�� Inspector:
DO NOT REMOVE THIS NOTICE
r "
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: % It 19
Job Address: _V7 a 0 A MJ 60 A't
Permit Number: c b/ 7 6 S a g/
op/ ---7/% uv :( �9
❑ No one available for inspection: Time/,//") AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re-inspe' rtion at 303-234-5933
Datel ' 3 / % Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702806
PERMIT NO: 201702806 ISSUED: 06/28/2017
JOB ADDRESS: 3720 Allison ST EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential reroof: INstall ice and water with new drop edge pick 67/12
Asphalt 61 squares
*** CONTACTS ***
OWNER (720)312-5349 NICHOLL PATRICIA S
SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing
*** 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: 40,000.00
FEES
Total Valuation 0.00
Use Tax 840.00
Permit Fee 614.55
** TOTAL ** 1,454.55
*** 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 k/2 -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 manufacturera€ms 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 - 201702806
PERMIT NO: 201702806 ISSUED: 06/28/2017
JOB ADDRESS: 3720 Allison ST EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential reroof: INstall ice and water with new drop edge pick 67/12
Asphalt 61 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7�e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as pat -ties to the work to be
perforin and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
r77
---
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval for,
Js subject to- i spe on.
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@ei.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
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 3:40 PM
To: Permits CommDev
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
3720 Allison St
Tyson Frank
720-312-5349
Field not completed.
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 Formula Roofing
Contractor's License 110274
Number (for the City of
Wheat Ridge)
Contractor Phone 3036008696
Number
Contractor Email Address form ularoofing1 @gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email formularoofing1@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Install ice and water w new drip edge. Pitch 6/12
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 61
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat root?
m
Field not completed.
F1
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
61
6/12 Pitch tear off and replace roof
40000
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 Dominick Orrino
Email not displaying correctly? View it in your browser.
C
tORMULA
FING a REMODELING
AGREEMENT
4560 Columbine 5t.
Denver, CO 80216
303.600.8696
FAX 303.600.8654
Building Solutions for Colorado
Customer Name:`�v"L
Address: %`t," 5 S
Customer Phone: ? ,c_.- i' a - ; Ph#2
Email: <<r` 1 -
Insurance: Y f=ir, s Claim.
Adjuster Name:
Adjuster Phone:_
customer
Initials
Shingle Manufacturer:
Style of Shingles: _t t
'141
Color of Shingles:
Number of Squares:
Tear o ff# of layers:
-77
Install Felt: .,�
Replace Plumbing Jack:
"
Replace Roof Vents:' °
Ice and Water Shield:- -
Nailing Pattern:
Drip Edge:
Appropriate County,'City Code Requirements
Clean-up and haul o ffall trash from roof,z
Roll yard and driveway with magnetic roller
Clean gutters of roofing debris
Formula R & R will furnish all material & labor
Permit pulled by Formula R & R
V/,J
All new roofs guaranteed for 5 years
Rr
All repairs guaranteed for 90 days.„t
'
Additipnal Warranty:
Homeowner U
Total Cost: S Ili y
Excluding permit and c requirements
i M `aster . to
Rep:
Phone: " —2 1 — k -vu M
Email:
Pitch: Trailer
Access: afss.
Stories:
--
Adjuster Email:
Formula Roofing & Remodeling will perform all repairs as outlined and approved
by the Homeowner's insurance company, including supplements.
CluttersA,
Windows �-:
Screens/Glazing Bead
Paint,
Fence/Deck;
Siding
_.
Additional Comments:
rl i.4 t. � w' `yt�$ i.. y.i :✓3✓ �d� YB.+w.�+{.. �✓ . h ,.
`�:
Customer By signing this contract I, the property owner, agree to the above listed work being completed
Initials as outlined.
HInsurance Claim: By signing this contract I do hereby give Limited Power ofAuorney to Formula
Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing
& Remodeling on my behalf with any and all dealings regarding the current claim luted in this contract.
Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full.
Formula Roofing & Remodeling will bill my insurance company for all work, including code required
work necessary, which, in most cases, is payable by my insurance company. I, the insured, will not be
responsible for any monies not paid by the insurance company except for the deductible and optional
upgrades listed on contract, unless notification is made prior to work being completed. or in
cases of "No Code Coverage- or "Non -Recoverable Depreciation" on my insurance policy. Code items are
required to comply with city,`county code and are not optional. Formula Roofing & Remodeling will request
the final inspection with the appropriate CityCounty Authority. Formula Roofing & Remodeling will perform
any and all supplemental work approved by the property owncr's insurance company. Any additional hinds
Customer allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling
Initials once the work has been completed and funds have been released.
y... THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF
$ d9 THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AG REEMENT.
Contractor shall hold in trust any payment received from Owner until Contractor has delivered
roofing materials to the site or has performed a majority of the roofing work on the property,
whichever occurs first.
Deposit Received: $ *.
Approximate date of service commencement
Insurance claims proceeds: Owner to remit ACV insurance payment no later than d. of
service commencement.
Final payment due upon completion of scope of work as agreed upon, receipt of insurance
proceeds (if applicable) and/or approval of building department final inspection.
Upon signing of the contract the owner reserves the right to a three day rescission period. If the
contract is canceled - at ree day period, customer will pay 25% of contract price.
Customer Signature: : '4 Date: '
Customer Signature: Date:
i
Formula Representative: %" Date:'
r P
City of Wheat Ridge
Residential Roofing PERMIT - 201703281
PERMIT NO: 201703281 ISSUED: 07/05/2017
JOB ADDRESS: 3720 Allison ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 32 sq.
*** CONTACTS ***
OWNER (303)431-9747 NICHOLL PATRICIA S
SUB (303)922-7663 Chuck Cooper 022034 Kape Roofing
*** 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: 11,200.00
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
FEES
Total Valuation
0.00
PAID
Use Tax
235.20
Permit Fee
236.00
�-
** TOTAL **
471.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201703281
PERMIT NO: 201703281 ISSUED: 07/05/2017
JOB ADDRESS: 3720 Allison ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration Storm asphalt
shingles with 32 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and tft tall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardlessof 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 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 is or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
apple bl de or any e or egu ation 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.
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.
Kimberly Cook C; �0 (_Z632V
From: no-reply@c i.wheatridge.co.us
Sent: Thursday, June 22, 2017 3:14 PM
To: Permits CommDev
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 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
3720 Allison St
Patricia Nicholl
3034319747
Field not completed.
t �7 (.-Zb
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
Kape Roofing
Contractor's License
022034
Number (for the City of
Wheat Ridge)
Contractor Phone
3039227663
Number
Contractor Email Address
mail@kaperoofing.com
Retype Contractor Email
mail@kaperoofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Owens Corning Duration Storm
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
32
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 of all
32
roofing material for this
project
2
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)
Tear off to deck, re -roof house with asphalt shingles
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 Isela Brown
Email not displaying correctly? View it in your browser.
3
C
Contract
Home Office 12096 W 50th Place, Wheat Ridge, CO 80033
Ph 303-922-7663+866-925-5273, Fax 303-762-9006
Colorado Springs, CO 719-475-7663
Salina, KS - 315 W Pacific Ave
Ph 785-826-2577, Fax 785-826-2523
Wichita, KS 316-686-7663
Omaha, NE 402-573-7663
Oklahoma 405-340-2727
Customer vwTi /L)/ e> I / Date 4Z9, l
Addresses i,�s �, �- Billing Address
City Zf City
State --1- Zip }�� State Zip
Home Phone 32,_ t{( �� 774i� Cell Work Phone
❑
Roof
Cover/type/style.riq
❑
Color
❑
Remove
❑
Base Felt
❑
Valleys-Ijr
❑
Ridge
❑
Decking
❑
Metal Edge
Color
❑
Pipe Flashings
❑
Vents
❑
Stack Caps
❑ Clean up and haul off roof debris
❑ Nail Magnet used around house
❑ Protect Landscaping
❑ Driveway Inspection
❑ Manuf. Ltd. Warran �-qft.
❑ KAPE workmanship warranty:/yrs
Make Checks Payable to: Kape Roofing & Gutters
$ T� upon commencement of work
(Any payments made prior to commencement will be hold in trust until
the materialsa e de�liivvered and the work begins)
$/l +moi (Balance) Upon Completion of Work"
INSURANCE ALLOWANCE AGREEMENT
Customer authorizes Carrier to pay KAPE directly for all agreed upon work. — (Initials)
Missouri 913-287-7663
Job insured by APE
a� Permit add cost $ 4
20" Contractor 10% O&P
(Warranty terms apply)
Approximate Date of Se ice: TOTAL $,v,/1i1`m"�'
Price of goods & services �— ��•T�—�
'KAPE Roofing & Gutters Inc reserves the right to file for supplemental insurance claims
when necessary, which shall become a part of this agreement. KAPE Roofing & Gutters
Inc, as the contractor, is entitled to the full O&P provided by the insurance company.
Building Owner (s) (Customer) hereby retains Kape Roofing & Gutters, Inc. (KAPE) to repair/replace the roof and/or gutters upon the above stated property, contingent upon
KAPE' s receipt of Customer's insurance company (Carrier) approval and payment of said work. Customer understands and agrees that KAPE Roofing & Gutters, Inc. will
review said work proposal with Carrier's representative. Work will commence only after KAPE and carrier agree upon the extent of damages and the cost of repairs and
replacements. This agreement is for full scope of insurance proceeds not excluding deductible, depreciation, overhead, and profit, therefore CUSTOMER'S OUT OF
POCKET EXPENSE WILL BE CUSTOMER'S INSURANCE POLICY DEDUCTIBLE AND ANY NON RECOVERABLE DEPRECIATION for work agreed upon
between Carrier and KAPE. AS PER CO LAW S1338, KAPE CANNOT PAY WAIVE OR REBATE THE DEDUCTIBLE IN PART OR IN WHOLE. Customer agrees to
provide all necessary documentation for the claim, and any documentation necessary to facilitate payment from the Carrier or Mortgage Company.
Carrier only pays for installed materials. All surplus material is property of KAPE. Replacement of deteriorated siding, decking, fascia board, ventilators, flashing, or other
materials is not included and will be charged as extra unless otherwise stated above.
Customer may be required to supply all electricity necessary for the work. Lien waiver submitted upon final payments. KAPE is not responsible for interior personal items .
All work is to be completed in a workmanlike manner according to standard practices. The Customer hereby acknowledges that KAPE may be subject to delays due to
inclement weather or material shortages, which are each beyond the control of KAPE and therefore accepts any delays that may occur by one or all of these circumstances
upon completion of said work. Customer grants access to the property as is necessary for the setup and execution of work. Any changes from the above specifications
involving extra costs will be executed only upon written order and will become and extra charge over and above the estimate.
WARRANTY TERMS: KAPE Roofing & Gutters, Inc., agrees to repair any defect in workmanship for a period of two (2) years following work completion. KAPE' s
liability is limited to its cost to affect any warranty repairs. Warranty does not cover damage to roofs caused by lightning, gale (>50mph), hurricane, tornado, hailstorm, or
other violent storm, impact of foreign objects or damage to roofs due to settlement, distortion, failure or cracking of the roof deck, walls, or foundation of building. This
WARRANTY is null and void if payment, or any other terms of the contract have not been met. THIS WARRANTYIS NON -TRANSFERABLE. All statements on reverse
side apply to contract.
Accepted b Insured: ✓6-`�2¢ Date:- Q'!
P Y X fJ
Date:
Insurance CO.:
Kape Rep:
Claim #:
i�..1- Date: .-, 1 `,
INSPECTION RECOR Occupancv/TVpe
'�P°1NSPECTION 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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
TION INSPECTIONS DATE
"
INSPECTOR
INITIALS
COMMENTS
Caissons
nical -
/ (CEG) Concrete Ground
Final
ng or Monolithic
IFP
partment
roof / French Drain
INSPE CTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
rvice Lines
rvice Lines
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
W RoUGHS l tie ervicetric bing
Gas Piping -
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS-
. ABOVE HA:
'RIOR TO PROCEEDING
-_ --
al
ng
nical -
id) '
PFire
Final
partment
R.O.W & Drainage
INSPE CTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
- "IvvIE: HLL I[EMS MUST BE COMPLETED. AND APPROVED BY PLANNING. AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
1. CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY 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
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: _ X372® �i2 sow se
Permit Number:
❑ No one available for inspection: Time PM
Re- inspection required: Yes
* When corrections have been made, call for re inspection at 303 234 - 5933
Date: ? _ a Inspector e
i
;: DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
x
Permit Fee
199.30
PERMIT NO: .`101638
ISSUED:'.
0.6/28/.:
E JOB ADDRESS: 3720 ALLISON ST
EXPIRES:
12/25/:
DESCRIPTION:' Reroof 29 sqs with 50 yr
:.Malarkey Legacy
shingles
Use Tax
131.72
-
** CONTACTS * * *:
* *2TOTAL * *'
- 331.02
sub 303/42S-7531 John Borfitz
01-9983 J & K Roc
f' FEES
Permit Fee
199.30
Total Valuation
.00
Use Tax
131.72
-
* *2TOTAL * *'
- 331.02
L
Conditions:
06- 25 -'10 16:25 FROM- T -054 P0002/0006 F-320
-- ---- ---•-a _..._._.. care:
7500 W, 29 Ave„ Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303- 235 -2857 Plan #:
Inspection Line: 303 -23 •5933 f .:
aA
Building Permit Application
Property Owner (please print): Q -h Phone:
Malligg Address: (if different than property address)
Address: �? Jl2Dn�,�..'_�fL,�t D!E§_ I ��
City, State, Zip: wr lrX.l,l v l dl/ tq t\ b U� ✓�>
Cantractor License #: GtG($ Phone• 2a ,
Electrical City License #:
Company:
Exp,
Plumbing City License #:
Company
Exp. bate:
Mechanical City License #:
Company:
Exp. Date:
Use of s lace dscrl tion):
� -� c
ow to
Sq, FtIL.Ft addeB: Squares d 7 l BTU's
Construction Vblue: s_
(as calculated 511
Plan Review (due at time or
Gallons Amps
OWNERlcoNM ToI SIGNATURE 06 UNDERSTANDING AND AGREEMENT I hereby cerlify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
al egations made are accurate; that I have t mad and aggree to abide all all co ditons printed this s application and that�fass me tul
responsibilit for oomprance nfth the Wheat Ridge 9ullding Code (1, C) and all other applicable wheat Ridge Ordinances, for work
under th e permit. rmit. Plana subject to field inspection.
CtRLCl: ONE::IOWN E - 10V -n� p REPRE T o R �O( /BATOR) �f /�
PRINT NARIE: /l .�'C^i�.�� tt' /--f►„)VR7U:5 4X1 2A 2A
_ - Date:
0