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HomeMy WebLinkAbout4005 Independence CourtCity of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002336 PERMIT NO: 202002336 ISSUED: 11/12/2020 JOB ADDRESS: 4005 Independence Ct EXPIRES: 11/12/2021 JOB DESCRIPTION: Replace 50 gallon, 40K BTU gas water heater in basement *** CONTACTS *** OWNER ( 7 2 0) 341-2323 DOWELL PATRICIA M SUB (303)280-5765 LARRY BENAVIDEZ 100318 SQUEAKS SERVICES *** 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: 11600.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 33.60 ** TOTAL ** 73.60 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � � i City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002336 PERMIT NO: 202002336 ISSUED: 11/12/2020 JOB ADDRESS: 4005 Independence Ct EXPIRES: 11/12/2021 JOB DESCRIPTION: Replace 50 gallon, 40K BTU gas water heater in basement 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 permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 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 regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building 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 requ�ired 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Water Heater Replacement Permit Application Date: Wednesday, November 11, 2020 2:26:26 PM Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address (Leave blank if not known) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 4005 Independance Ct I=i�1TOMW I 720-341-2323 patmd52@yahoo.com CONTRACTOR INFORMATION Contractor Business Squeaks Name Contractor's License 100318 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons workorder@squeaksservices.com workorder@squeaksservices.com 1.9181 Is the water heater Gas GAS or ELECTRIC? If GAS, enter # of 40,000 BTUs. If electric, enter n/a Where is the water basement heater located (for example, basement, crawlspace, etc)? Project Value (contract 1600.00 value or cost of ALL materials and labor) 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Permit Leah Benavidez Email not displaying correctly? View it in your browser. 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: n : 1 t �' �✓ JG Job Address: ` f Clf_ "> Vii'; t ,e{ _� r ✓x C Permit Number: 10 ❑ No one available for inspection: Time �� AM/PM Re -Inspection required: Yes LN When corrections have been made, call for re -inspection at 303-234-5933 �i Date: Inspector: i DO NOT REMOVE THIS NOTICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201801962 PERMIT NO: 201801962 ISSUED: JOB ADDRESS: 4005 Independence CT EXPIRES: JOB DESCRIPTION: Replacing 8 windows, like for like, u -value = .28 *** CONTACTS *** OWNER (720)341-2323 DOWELL PATRICIA M SUB (303)237-1687 John McDade 07/10/2018 07/10/2019 021066 Conservation Construction *** 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: 6,258.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 131.42 ** TOTAL ** 181.42 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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 ermrt. I further attest that I am legally authorized to include al I entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document andlor 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 regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of 4 permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordnlce or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of1CiiefBuilling Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. k: -Ar 45, �_ '1 ♦"�I_ :LIC I''_S�:L2 ._..-rte iL iJ1•�ry •J�a _.JJJv l.ii.�'� City of � Wheat I�dge COMMUNi-ry DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits&?ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/permit # au Plan Review Fee: Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner 4005 Independence Court, Wheat Ridge, CO Patricia Dowell Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property Address: SAME City State Zip: IM -11f M ._1 7 Architect/Engineer E-mail: Phone: Contractor: Conservation Construction City of Wheat Ridge License #: # 021066 Phone: 303.237.1687 Contractor E-mail Address: kkimbercc@gmail.com For Plan Review Questions & CONTACT NAME (please CONTACT EMAIL(please (please print): Katherine Kimber kkimbercc@gmaii.com Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: W. R. City License # W. R. City License # 720. 341. 2323 ne: 303. 237. 1687 Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # ❑ COMMERCIAL 0 RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new ^"Ai+i^^ S^r%lii2nr-c size and efficirinru WnP and amount of materials to be used, etc. Nv11V U%05I YY nw„vv J s y P Replacing 8 windows with no changes to the structure. U Values on glass are 0.28 Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF Amps _ 'BTUs SquI�res _ Gallons Project value: (Contract value or the cost of all materials and labor included in the entire project) $ 6258.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1. the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) (AUTHORIZED REPR ), of (OWNER) (CON RAC 7/10/18 Signature (first and last name): Printed Name: ARTMENT ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. ONLY DATE: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: onservation 8101 W. Colfax Ave., Lakewood, CO 80214 Phone: 303-237-1687 Fax: 303-237-1580 onstruetion conservationco@gwestoffice.net conservationconstruction. com Name: Y— 00'0 C..2 e- l/ Email: Address 700S CZ� Ga. Zip:'6 Primary 7,?o—.3 i4/ #2: —!j / y— -7 Jr `I #4: HOA Approval Needed? YES N9 Window Brand: �j�t�dUri mom- Window Color: 4,,% r A Quantity � Qnty. Location Model Type Glass Grids Vert. Horz. Screens Width Height Ulf 1 I II r f [_ f 1r if 1 —i I Z� 10 L55 C_r f I if if i fvj kr �"''� v-2�f a 1000— [— U[ if if 1 L,LJI 4,d J1 11-1-0- Le t 11 1 1 1 1 if if 1 L/-Jl 464 1L Son if _�I I f if 1[ i LLJf /,f6 1 I f r: 1(_ I I f I if if 1 L I-il AV -1 �' 1L 11 5 C 11 1 J U��3 1[ �vUf��UUUUL_]�Ur lr lr 1 jf lr 1[ 1 I 1[ if 1 UU[—�U—]UUf if if 1 UI if C --1[_ I f f I if if 1 Uf 11 r [—UI f I I if 1f 1 Clean up all job related debris. No painting, staining, or disconnection/reconnection of alarm systems to be done. To have a 2 year warranty on installation and warranty from the manufacturer. Conservation 5 windows to have welded comers, night vent latches, and steel reinforcement in all meeting rails Glass to be double pane, double strength, gas filled "neat' glass system with white super spacer seal. C5 windows to have push button steel cam lock and BetterVue screen (unless otherwise specified). Inside removable slider track with metal reinforcement. Price includes accidental glass breakage and screen repair — see warranty for exclusions. DIAGRAMS: �n , . i. ! - - — ------ - a ,< Contract Price: o '``' Down Payment: Z� 5 `" Payment Due Upon Completion: Amount Financed: Finance Terms: Min. Mo. Pymt. (Approx.) S (Subject to the approval of the Credit Sales Department) Company Approval: Any alteration or deviation from above specifications must be made in writing. All surplus materials belong to Conservation Construction Corp. Notice To Buyers In the event that the Purchaser defaults on any of the terms stated herein, Conservation Construction Corp. shall be entitled to recover all expenses incurred; including but not limited to the following: retail cost ot'custom built products, supplier restocking charges, and job acquisition / loss of revenue. Purchaser understands that Conservation Construction Corp. has and/or will expend considerable time and expense in connection with the activities mentioned in the prior sentence. Should legal action be taken for any reason associated with this contract, parties agree that such action will be taken in Jefferson County, CO; which shall be the exclusive venue for any legal action. Failure of Conservation Construction Corp. to enforce any condition or term of this agreement shall not negate our right to enforce any other terms or conditions of this agreement. Conservation Construction Corp, shall not be responsible for delays caused by strikes, weather conditions, delays in obtaining materials, HOA or permitting delays, or other causes beyond its control. You have received a "notice of right to cancel" if this agreement was solicited at your residence. If you no longer wish to purchase the goods or services, you may cancel this agreement by mailing the "notice of right to cancel' that was given to you with this contract to the above address. The notice must be mailed before midnight on the 3rd business day after the agreement is signed. Any alteration or deviation from the specifications stated herein must be made in writing; and must be signed by both the Purchaser and a representative of Conservation Construction Corp. I have read and agree to be bound by the termsofthis contract: Q� Purchaser/Homeowner C.��Xit �zt-� . ' )�J� Date D Purchaser/Homeowner Date If needed, a digital copy win suffice in place of the original document. 7/3/2018 1:03 PM FROM: Fax Server TO: +17177352840 P. 1 SENt en ax, WINDOWS & DOORS A Division of Euramax International, Inc. ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1707460 107/03/18 CUSTOMER P.O. PRICE CLASS DOWELU062218 604 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN www.AmerimaxWindows.com PAYMENTTERMS TAX CO NET 30 CO CON101 CON103 CONSERVATION CONSTRUCTION CORP CONSERVATION CONSTRUCTION SOLD 8101 WEST COLFAX AVE SKIP 5360 WASHINGTON ST ATTN: ACCOUNTS PAYABLE DENVER, CO 80216 TO LAKEWOOD, CO 80214 TO USA Ph:(303) 237-1687 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE ( PRODUCT / DESCRIPTION I QTY. REQUESTED I UNIT PRICE I EXT'D. PRICE ORDERED DELIVERY DATE 001 VW38002L 1 07/16/18 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 71-3/&'x 47-5/8" Oriel:50.000% of Op.Sash 119 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 002 VW38002L 1 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 34-7/8" x 35' Oriel:50.000% of Op.Sash 70 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 003 VW38002L 1 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 71-1/4" x 35-3/4" Oriel:50.000% of Op.Sash 107 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 004 VW38002L 1 Please respond IMMEDIATELY with any corrections. DO NOT re- seed original Order Form. Thank you. Page 1 of 3 07/16/18 07/16/18 07/16/18 SUBTOTAL TAX TOTAL: CONTINUED 7/3/2018 1:03 PM FROM: Fax Server TO: +17177352840 P. 2 SENt 8 en ax, WINDOWS & DOORS A Division of Euramax International, Inc. 3950 MEDFORD DRIVE Phone: 800-827-4369 LOVELAND, CO 80538 Fax: 800-601-3227 www.Am erimax Windo ws. com CON 101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE I PRODUCT/ DESCRIPTION ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1707460 07/03/18 CUSTOMER P.O. PRICE CLASS DOWELL1062218 CONTACT SLS REP CODE 604 SHIPPED VIA FOB POINT DENVER WAREHOUSE ORIGIN PAYMENT TERMS TAX CODE NET 30 CO CON103 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 QTY. REQUESTED UNIT PRICE ExT'D. PRICE ORDERED DELIVERY DATE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 59-1/4" x 35-5/8" Oriel:50.000% of Op.Sash 95 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 005 VW38002L 1 07/16/18 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 59-3/8" x 35-3/4" Oriel:50.000% of Op.Sash 96 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 006 VW38002L 1 07/16/18 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 71-3/8" x 35-3/8" Oriel:50.000% of Op.Sash 107 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4%13ouble 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 007 VW38002L 1 07/16/18 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 47-1/4" x 35-3/4" Oriel:50.000% of OD.Sash 83 -UI Please respond IMMEDIATELY with any corrections. DO NOT re- seed original Order Form. Thank you. Page 2of3 SUBTOTAL TAX TOTAL: CONTINUED 7/3/2018 1:03 PM FROM: Fax Server TO: +17177352840 P. 3 SENt 8 men ax - WINDOWS & DOORS A Division of Euramax International, Inc. ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1707460 07/03/18 CUSTOMER P.O. PRICE CLASS DOWELU062218 604 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN www.AmerimaxW!ndows.com PAYMENTTERMS TAX CODE NET 30 CO CON101 CON103 CONSERVATION CONSTRUCTION CORP CONSERVATION CONSTRUCTION SOLD 8101 WEST COLFAX AVE SHIP 5360 WASHINGTON ST ATTN: ACCOUNTS PAYABLE DENVER, CO 80216 TO LAKEWOOD, CO 80214 TO USA Ph:(303) 237-1687 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE PRODUCT I DESCRIPTION QTY. ORDERED I REQUESTED IDELIVERYDATE (SNIT PRICE EXT D. PRICE Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 008 VW38002L 1 07/16/18 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 35-3/8" x 23-5/8" Oriel:50.000% of Op.Sash 59 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT TEMP & 5/32 NARROW REED TEMP Rgt. Glass: 3/4' -Double 1/8 LOWE 366 NEAT TEMP & 5/32 NARROW REED TEMP Mixed Gas WHITE Spacers Screen: Extruded HALF BE17ERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** 009 VW610101 8 07/16/18 CAULK NOVA SLCN CW 010 VW620021 4 07/16/18 FoamTape 3/4x1 -1/2x50' Black SUPPLEMENTAL GLASS WARRANTY CHARGE Please respond IMMEDIATELY with any corrections. DO NOT re- seed original Order Form. Thank you. Page 3of3 SUBTOTAL TAX TOTAL: City of Wheat Ridge Residential Roofing PERMIT - 201703690 PERMIT NO: 201703690 ISSUED: 07/11/2017 JOB ADDRESS: 4005 Independence CT EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 23 sq. *** CONTACTS *** OWNER (720)341-2323 DOWELL PATRICIA M SUB (303)942-1539 Phil Theriault 130200 Top That 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: 5,911.00 FEES Total Valuation Use Tax 0.00 124.13 PAID Permit Fee 140.90 ** TOTAL ** 265.03 I *** 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. 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. City of Wheat Ridge Residential Roofing PERMIT - 201703690 PERMIT NO: 201703690 ISSUED: 07/11/2017 JOB ADDRESS: 4005 Independence CT EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge.asphalt shingles - 23 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 attest that I am le ally authorized to include all entities. named within this document as parties to the work to be peiforr%t d aid that iso if to be performed is disclosed in this document *d/or hs' accompanying approved plans and specifications. nature of OWNER or CONTRACTOR (Circle one) Date 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. 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. 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. 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. 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 10 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 2:38 PM To: Permits CommDev 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 4005 Independence Ct Patricia Dowell 720.341.2323 jackieroofing@gmail.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Top That Roofing 130200 3039421539 Contractor Email Address jackieroofing@gmail.com Retype Contractor Email jackieroofing@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing IKO Cambridge Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23 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 23 roofing material for this proj ect Provide additional detail house roof here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 4-a p value or cost of ALL materials and labor 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 Phil Theriault Email not displaying correctly? View it in your browser. 3 '40 �_W TOP THAT ROOFING TOP THAT 9940 E. Costilla Ave., Suite N • Centennial, CO 80112 nn Q C I N Ir_ T. 303-927-6585 • F: 303-997-2109 �' t :CCRECR'C BUSH: E55 ro spa--su mi a tp: `moi op t of g . stima or , i ate r v -/ =l'f Street Job Location/Community j J I171�3urance Adjuster City/State/Zip E Ins u "ce Company / Policy } ,' �'-�,•'-, . 1.�.,1s;(rt� "✓�' e',) �J, ;. LC , f�? r' ' i` _� t ✓r�,-- ( f t' ! i S f .v% / � j i... Home Phone2 j / Work Phone Claim # j Off: j a Roof Color: ❑ NewValleys!w1,90# Reinforcement. ❑ W -Valley: aRidge: ❑ NaiL ❑ 1 Y• Ell 1h ❑ 13l+ aReplace Roof Stacks: ❑ 1.5" ❑ 2" ❑ 3" ❑ 4" 05" ❑ Paint Roof Stacks: O Ridoe Vents: ❑ Cleanup & Haul Off Trast ❑Cleanup Around Bushes: ❑ Low Profile Vents: (( !�-Exti�W_Qrk: ❑ Counterflash: f t !--: ` i • J__ ❑•Roll Yard with Magnetic Roller ❑ Protect Landscaping: a,Clean Out Gutters: ®`/Bad Decking to be Replaced at an Additional: > sq. ft. O 5 Year Workmanship Warranty from Top That Roofing, Inc. ❑Permit Furnished by Top That Roofing, Inc. We propose hereby to furnish material*d labor and complete in accordance with the above r Payment to be made as follows: ("Delivery Instructions:- ) for tate sum of $ ,.This estimate does not obligate the homeowner or Top That Roofing, Inc. in any way unless it is approved by the Insurance Company and accepted by Top That Roofing, Inc. By signing this agreement the homeowner authorizes Top That Roofing, Inc. to pursue homeowners best interest for a roof replacement or repair at a price agreeable to the insurance company and ! to Top That Roofing, Inc. with no additional cost to the homeowner except for the deductible. When the insurance company and Top That Roofing, Inc. agree upon a price, that price will become the final contract price and Top That Roofing, Inc. will receive all insurance proceeds for the work completed by Tap That Roofing, Inc. (Initiaq 'Ale propose to complete in accordance with the above specifications and subject to conditions found above on this proposal. Payment to be made as follows: Pro_ pi rtyLner / ❑ is not intending to make payment from the proceeds of a property and casualty insurance policy. Check to be mail payable to Homeowners and Top That Roofing, Inc. -"N Alai) GENERAL CONTRACTOR: Homeowner acknowledges Top That Roofing, Inc. as a General Contractor and as such will be entitled to a l O% profit and 10% overhead, as allowed by insurance industry standards. Top That Roofing, Inc. shall hold in trust any payment received from you until Top That Roofing, Inc. has delivered roofing materials at the site or has performed a majority of the roofing work on your property. Top That Roofing, Inc. carries workers' compensation, automobile and commercial general liability (bodily injury and property damage) insurance. A Certificate of Insurance identifying our insurance carrier and the types and amounts of coverage and our insurance contact information is attached or will be provided to Customer and is incorporated herein by reference and should be considered as part of this contract. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract 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 property and casualty insurer that your claim has been denied in whole or in part. However, Top That Roofing, Inc. is entitled to retain payments or deposits to compensate Top That Roofing, Inc. for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Top That Roofing, Inc. 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 your property. ACCEPTANCE OF PROPOSAL: This proposal becomes the legal and binding contract 72 hours from date of acceptance.1 lh%per month interest will be added to all accounts 30 days past due. In addition, costs and reasonable attorney's fees for collection may be charged on any account past due over 30 days. Payment is to be made at time of completion. Warranty will be void if payment is not made in full within 30 days. Failure to pay can constitute a mechanical lien filed against the property. All material is guaranteed to be as specified. All work to be completed in a workman like manner to standard practices. All interior damages to buildings are excluded 9D days after completion date and the owner is notified that any damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner is to carry fire, tornado, and other necessary insurances. Top That Roofing, Inc. is not responsible for broken driveways. Scheduling will be done based upon date signed but limited by availability for material, crews, and weather conditions. Re -roofing does not include decking. „ Purchaser signature: Top That Roofing Inc. Date: S ` Date: f' City of Wheat Ridge Residential Roofing PERMIT - 201703690 PERMIT NO: 201703690 ISSUED: 07/11/2017 JOB ADDRESS: 4005 Independence CT EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 23 sq. *** CONTACTS *** OWNER (720)341-2323 DOWELL PATRICIA M SUB (303)942-1539 Phil Theriault 130200 Top That 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: 5,911.00 FEES Total Valuation Use Tax 0.00 124.13 PAID Permit Fee 140.90 ** TOTAL ** 265.03 I *** 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. 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. City of Wheat Ridge Residential Roofing PERMIT - 201703690 PERMIT NO: 201703690 ISSUED: 07/11/2017 JOB ADDRESS: 4005 Independence CT EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge.asphalt shingles - 23 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 attest that I am le ally authorized to include all entities. named within this document as parties to the work to be peiforr%t d aid that iso if to be performed is disclosed in this document *d/or hs' accompanying approved plans and specifications. nature of OWNER or CONTRACTOR (Circle one) Date 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. 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. 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. 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. 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 10 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 2:38 PM To: Permits CommDev 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 4005 Independence Ct Patricia Dowell 720.341.2323 jackieroofing@gmail.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Top That Roofing 130200 3039421539 Contractor Email Address jackieroofing@gmail.com Retype Contractor Email jackieroofing@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing IKO Cambridge Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23 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 23 roofing material for this proj ect Provide additional detail house roof here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 4-a p value or cost of ALL materials and labor 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 Phil Theriault Email not displaying correctly? View it in your browser. 3 '40 �_W TOP THAT ROOFING TOP THAT 9940 E. Costilla Ave., Suite N • Centennial, CO 80112 nn Q C I N Ir_ T. 303-927-6585 • F: 303-997-2109 �' t :CCRECR'C BUSH: E55 ro spa--su mi a tp: `moi op t of g . stima or , i ate r v -/ =l'f Street Job Location/Community j J I171�3urance Adjuster City/State/Zip E Ins u "ce Company / Policy } ,' �'-�,•'-, . 1.�.,1s;(rt� "✓�' e',) �J, ;. LC , f�? r' ' i` _� t ✓r�,-- ( f t' ! i S f .v% / � j i... Home Phone2 j / Work Phone Claim # j Off: j a Roof Color: ❑ NewValleys!w1,90# Reinforcement. ❑ W -Valley: aRidge: ❑ NaiL ❑ 1 Y• Ell 1h ❑ 13l+ aReplace Roof Stacks: ❑ 1.5" ❑ 2" ❑ 3" ❑ 4" 05" ❑ Paint Roof Stacks: O Ridoe Vents: ❑ Cleanup & Haul Off Trast ❑Cleanup Around Bushes: ❑ Low Profile Vents: (( !�-Exti�W_Qrk: ❑ Counterflash: f t !--: ` i • J__ ❑•Roll Yard with Magnetic Roller ❑ Protect Landscaping: a,Clean Out Gutters: ®`/Bad Decking to be Replaced at an Additional: > sq. ft. O 5 Year Workmanship Warranty from Top That Roofing, Inc. ❑Permit Furnished by Top That Roofing, Inc. We propose hereby to furnish material*d labor and complete in accordance with the above r Payment to be made as follows: ("Delivery Instructions:- ) for tate sum of $ ,.This estimate does not obligate the homeowner or Top That Roofing, Inc. in any way unless it is approved by the Insurance Company and accepted by Top That Roofing, Inc. By signing this agreement the homeowner authorizes Top That Roofing, Inc. to pursue homeowners best interest for a roof replacement or repair at a price agreeable to the insurance company and ! to Top That Roofing, Inc. with no additional cost to the homeowner except for the deductible. When the insurance company and Top That Roofing, Inc. agree upon a price, that price will become the final contract price and Top That Roofing, Inc. will receive all insurance proceeds for the work completed by Tap That Roofing, Inc. (Initiaq 'Ale propose to complete in accordance with the above specifications and subject to conditions found above on this proposal. Payment to be made as follows: Pro_ pi rtyLner / ❑ is not intending to make payment from the proceeds of a property and casualty insurance policy. Check to be mail payable to Homeowners and Top That Roofing, Inc. -"N Alai) GENERAL CONTRACTOR: Homeowner acknowledges Top That Roofing, Inc. as a General Contractor and as such will be entitled to a l O% profit and 10% overhead, as allowed by insurance industry standards. Top That Roofing, Inc. shall hold in trust any payment received from you until Top That Roofing, Inc. has delivered roofing materials at the site or has performed a majority of the roofing work on your property. Top That Roofing, Inc. carries workers' compensation, automobile and commercial general liability (bodily injury and property damage) insurance. A Certificate of Insurance identifying our insurance carrier and the types and amounts of coverage and our insurance contact information is attached or will be provided to Customer and is incorporated herein by reference and should be considered as part of this contract. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract 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 property and casualty insurer that your claim has been denied in whole or in part. However, Top That Roofing, Inc. is entitled to retain payments or deposits to compensate Top That Roofing, Inc. for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Top That Roofing, Inc. 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 your property. ACCEPTANCE OF PROPOSAL: This proposal becomes the legal and binding contract 72 hours from date of acceptance.1 lh%per month interest will be added to all accounts 30 days past due. In addition, costs and reasonable attorney's fees for collection may be charged on any account past due over 30 days. Payment is to be made at time of completion. Warranty will be void if payment is not made in full within 30 days. Failure to pay can constitute a mechanical lien filed against the property. All material is guaranteed to be as specified. All work to be completed in a workman like manner to standard practices. All interior damages to buildings are excluded 9D days after completion date and the owner is notified that any damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner is to carry fire, tornado, and other necessary insurances. Top That Roofing, Inc. is not responsible for broken driveways. Scheduling will be done based upon date signed but limited by availability for material, crews, and weather conditions. Re -roofing does not include decking. „ Purchaser signature: Top That Roofing Inc. Date: S ` Date: f' CITY OF WHEAT RIDGE 06/29/12 10:81 AN cdha Timothy Bartels RECEIPT NO:CDA@87410 AMOUNT PSP Install a aaa cooler 81.40 20120786 Permit Faye Use Tax 41.40 P¢A ` 1 ,RECEIVED ANDUNT E 7281 81.48 Rath Code 062891( TOTAL 1 . m:Nikki (13032378929) 11:18 06/29112 EST Pg 2-2 City (A iUNT 1 9r, " Squares _ BTU's _ Gallons _ Amps _ Sq Ft, Date.* Plan # Pe it # IIIIIIIMI N "'��� +�► * a ," jpficaflon Electrical" Pl b Mechanical: uming: City License # City Ucense # City License # ♦ A s CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i~ <7 Job Address: Permit Number: /Old i 7 t ti ❑ No one available for inspection: Time /f L - AM! M Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 r Date: /0 Inspector ' DO NOT REMOVE THIS, NOTICE 01/19/2010 15:28 1-303-231-9655 KDBRANCH30 ~okWSar City of Wheat Ridge Building Division 3'.;° 7500 W. 29 h Ave., Wheat Ridge, CO 80033 Office: 303-2352855 * Fax: 303-235-2857 a; o Inspection Line: 303-234-5933 p LO ap Property Address: QQ~ Property Owner (p/ease print): Building Permit Application Mailing Address: (ifdltfefent than property address) PAGE 02102 Dat®: Plan Permit#: Exp. Date: Exp. Date: Exp. Date: Use of space (description): Construction Value. S 019 7 • (Oy Dam/ scriptf'on of work. (as calculated perthe Building Valuation Data shoot) J/ ~ &F~.uT lC l e n a~s...,,,~/~. r . frN~... \ • Plan Review (due at time of submittal): 3 Sq. Ft./L.r/Ftt WC added: 7 Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, and allegations made are accurate; that I have read and agree to abide byy all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans sub)setto field inspection. CIRLC47 ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTA (OWNER CONTRATOR) PRINT NAME: SIGNATURE: Date: ZONING COMMENTS: Zoning; Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY; Reviewer: FIRE DEPARTMENT:: 0 epproVed w/ comments 0 disapproved ❑ no review required Sub Contractors: Electrical City License plumbing City License Mechanical City License Company: Company Company: ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line J (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE 'Inspection Type: H JobAddress- Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes (N `When corrections have been made, call for r - nape ion ` at 303-234-5933 Ci Date: ~ 4 fnspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: / I ?� kC` op Job Address: _ lP�f� �� t 1 L C r Permit Number: Oq A I ;q ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When ( corrections have been made, call or re- Inspection at 303 -234 -5933 Date: - I -1 -n 0 I Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: .092154. JOB ADDRESS:: 4005 2ND DESCRIPTION: Remove 'a y of Wheat Ridge I idential Roofing PERMIT - 092154 ISSUED: 09/09/2009 PENDENCE CT 1. EXPIRES: 03/08/2010 d replace 26,sgs. of ; asphalt shingles 16-3977 Mike Essary 09- .0139. Shield Const. &- Exteriors ** UA ':..USE: UA 0263 BLOCK /LOT #: 0/ VJC * * TO JMMARY ** ESTIMATED :PROJECT .VALUATION: - 4,602.0.0 FEES Fee 144.70 aluation .00 82.84 * *. %227.54 shield required fr( ct to field inspect. IS: Istallation & mid roof inspection required. Board sheathing spaced more oy certify that the setback aces, rules or regulations: =ments shown, and allegatic ation and that I assume -ful )n ignature of contractor /owner work under this perm I . Plans Tsubject 't to . Ice and 5 t'Ridge Building Code i(I.B.C) an, o. field inspection. icable 11 >n this Cher?