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Home My WebLink About4745 Reed Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: /, { PE ❑ No one available for inspection: Time AM/PM Re -Inspection required: Y No__ When corrections have been ma schedule for re -inspection online at: http://www.ci.wheatridge.co.us�,hs ec "on- -- Dates q lq,spec r: ' ` � t e CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: "f Job Address: Permit Number: s ❑ No one available for inspection: Re -Inspection require Yes No When corrections have been made, sc httpYlwww. ci. wheatridge.co. us4inspecti Dat'. , ns ec Time for re -inspection online at: is {} CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ,.S Permit Number: 7-4!59 2'® Q / �*—// ❑ No one available for inspection: Time i r� z An) Re -Inspection required:!YYes No When corrections have been made, schedule for re -inspection online at: hnp://www.ci.wheatridge.co.us inspection Date: I&Ifid,4Q Inspector: DO NOT REMOVE THIS NOTICE ► City of Wheat Ridge Residential Mechanical PERMIT - 202001541 PERMIT NO: 202001541 ISSUED: 08/10/2020 JOB ADDRESS: 4745 Reed St EXPIRES: 08/10/2021 JOB DESCRIPTION: Replace 80K BTUs, 80% eff furnace; install new 2.5 ton AC, install 220v circuit with GFCI outlet *** CONTACTS *** OWNER (303)523-4649 CEDILLO CHRISTOPHER R SUB (303)421-3572 WILLIAM BURAS 017865 LAKESIDE HEATING & A/C SUB (303)885-8555 MIKE VINCENT 202103 PERFECTION ELECTRIC LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00 FEES Total Valuation 0.00 Use Tax 178.50 Permit Fee 188.45 ** TOTAL ** 366.95 *** COMMENTS *** *** CONDITIONS *** 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. City of Wheat Ridge Residential Mechanical PERMIT - 202001541 PERMIT NO: 202001541 ISSUED: 08/10/2020 JOB ADDRESS: 4745 Reed St EXPIRES: 08/10/2021 JOB DESCRIPTION: Replace 80K BTUs, 80% eff furnace; install new 2.5 ton AC, install 220v circuit with GFCI outlet 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 pennit and perforin the work described and approved in conjunction with this ennit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 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, po icies 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 madele granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation 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. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Monday, August 10, 2020 7:59 AM To: CommDev Permits Subject: Online Form Submittal: General Permit Application Categories: Need more info, Need Insurance, Kim General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTACT INFORMATION Submitting General Contractor or Architect Contractor's License Number (This is a 5 or 6 Residential 4745 Reed St. Chris Cedillo 303-523-4649 Field not completed. Credit Card Authorization Form Lakeside Heating & A/C 017865 1 digit number for the City of Wheat Ridge) Contract Phone Number 303-421-3572 (enter WITH dashes, eg 303-123-4567) Contact Email Address becky.b@lakesideheating.com Retype Contact Email becky.b@lakesideheating.com Address DESCRIPTION OF WORK Detailed Scope of Work - Replace existing furnace w/new 80,000 BTU, 80% efficient. Provide a detailed Install New 2.5 ton AC description of work Elec: New 220V circuit for AC w/gfi outlet including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of scope 10 of work Location of work backyard (backyard, on roof, etc) Project Value (contract 8500 value or cost of ALL materials and labor) Upload Engineer letter, Field not completed. other documents on 8 1/2" x 11 " Upload Asbestos Report Field not completed. if triggler level is met per CDPHE regulation. Upload Drawings 11" x Field not completed. 17" or larger SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and z 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 been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Rebecca Buras Permit Email not displaying correctly? View it in your browser. 4�,:3 4-7' �.aPECTION RECORD � TJOH ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occuna c /T e Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this- roject Foundation Inspections Date Inspector Initials Comments Pier r. Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspec s `_, Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical - Roof a (% 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: /,R42e F/Ala Job Address: ZINSeS Permit Number: p�D/7��L�� ❑ No one available for inspection: Time -1 WIVI Re -Inspection required: Yes/'No'..: When corrections have been made, call for re -inspection at 303-234-5933 Date: I �' , �6' / 7 Inspector: ft% DO NOT REMOVE THIS NOTICE i 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: Job Address: �� 5 Permit Number: 7 ❑ No one available for inspection: Time% 3C AM/ Re -Inspection required: if Yes�,) No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspectorjr� /�9✓� " DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line i (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L`6 -c— Job Address: S �e Sf-- Permit Number: 20/70 ❑ No one available for inspection: Time 5-q) AM/PM) Re -Inspection required: ,Yes ,:No When corrections have been made, call for re -inspection at 303-234-5933 Date: 16 '17 Inspector: _)a (-- I te DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT -201702463 PERMIT NO: 201702463 ISSUED: 06/23/2017 JOB ADDRESS: 4745 Reed ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge asphalt shingles rolled roofing with 34.32 Sq. (30.66 sq. pitched, 3.66 sq. flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perforin the work described and approved in conjunction with tl1is ennrt. I her attest that m Bgally authorized to include alt entities named within this document as partes to the work to be performed a d t t all work tope formed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatu b,fOWNER-or COWRACT�R(Circle one) Date 1. This permit was issued based on the in m ion provided in the permit application and accompanying plans and specifications and is subject to the compliance with those docu ents, 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 pen -nit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 a pen -nit shall not be construed to be a pen -nit for or an vaI of, an violation of aid ovision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of we"rk i 'b'ect to fyeltl� ctio ,... 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. City of Wheat Ridge r Residential Roofing PERMIT - 201702463 PERMIT NO: 201702463 ISSUED: 06/23/2017 JOB ADDRESS: 4745 Reed ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge asphalt shingles & rolled roofing with 34.32 Sq. (30.66 sq. pitched, 3.66 sq. flat) *** CONTACTS *** OWNER (303)523-4649 CEDILLO CHRISTOPHER R SUB (630)353-1900 Mike Gray 130198 American Drbam Home Improv. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,590.25 FEES Total Valuation 0.00 Use Tax 306.40 Permit Fee 283.55 ** TOTAL ** 589.95 *** 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 A3�-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€'"°s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Antoinette Kulick t7 0:;2-4- 65 From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, June 13, 2017 4:03 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 4745 Reed St. Chris Cedillo (303) 523-4649 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number American Dream Home Improvement, Inc. 130198 (720) 398-6672 Contractor Email Address cncoprod.adhi@gmail.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: cncoprod.adhi@gmail.com No V IZ Owens Corning Oakridge Shingles Asphalt, Rolled Field not completed. How many squares of the 30.66 Sq. material selected above? Does any portion of the Yes 1Z property include a flat roof? If yes, how many squares 3.66 on the flat roof? i 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) Re -roof 30.66 Sq. w/ Owens Corning Oakridge shingles, 3.66 Sq. w/ Mulehide Mod Bit, single story, single family, single layer removal, 4:12 & 1:12 pitch, house and shed structures only. 31 Sq. for house, 2.33 Sq. and 1 Sq. for shed structures. 14,590.25 :) 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 Rachel Colbert Email not displaying correctly? View it in your browser. 3 * Home * PLATINUM yy , , =m flow mehl 0..CONTRACTOR iWivcza.,<d * Inc (5 �'' � FING * SIDING • GUTTERS .`� � �• i��,,. int At�l`a- 4`ri 4� lr'"� � f' i) 6746 South Revere Parkway Suite B-150 Centennial, CO 80112 * Phone 720-398-6672 • Fax 303-951-8447 Name: _C k ri � C .C'Ji f I �i Address: Ll ' 4-1 C 9'.i Billing Address: Best Phone: —kc;3 0 Insurance Co: <Q I; CC) ROOFING SPECIFICATIONS aMfr Shingle Style M/Color of Shingle: Q/rearoff: ❑ Layers: ❑ 2 -Story E;�Atch: ❑ Felt O Ice & Water Shield Q Vents ❑ 750's� [A idge []Turbines D Drlp Edge &3 Iumbing Jacks ❑ Skylights VFremium Extended Warranty �emove debris from roof, gutters and yard Roil yard with magnetic roller [)"Protect landscaping Furnish Permit SIDING / GUTTER SPECIFICATIONS ❑ Mfr. Siding ❑ Style of Siding: ❑ D 11 Fanfold Insulation Color: 4 ❑ Dutchlap ❑ Housewrap VS, ❑Fascia Gutters OMownspouts _❑ OS Downspouts_ ❑ Window Wraps - ❑ Doorwraps ❑ Trim Colors: ❑ Remove debris from yard ❑ Protect landscaping ❑ Furnish Permit SPECIAL INSTRUCTIONS WE DO NOT ACCEPT CASH Date: -� City/State: �( City/State: Email: Claim Number. Time: s.'_.�O ZIP: j lICSg'GSHe PAYMENT SCHEDULE First Payment Due upon Delivery of Material Paid Date: 1 I CK# @ g Paid Date: / / CK# @ g Balance Due On Completion DISCOUNTS OR CREDITS WILL BE HONORED UPON FINAL PAYMENT. *PRICE AGREEMENT NOTE: Pricing is separated by trade and subject to insurance Co. approval on an individual basis. The deductible is the homeowner's responsibility. Homeowner is not obligated to any trades that are not approved by the insurance ce. INSURANCEIMORTGAGE NOTE: I Hereby authorize any insurance company, mortgage company or lender involved with the property address listed above to issue all payments jointly and release all documentation to American Dream Home Improvement, Inc. to assist in expediting the claim process. TERMS: This agreement does not obligate the homeowner orADHI, Inc. in any way unless it is approved by the insurance company and accepted by ADHI, Inc. By signing this agreement the homeowner authorizes ADHI, Inc. to pursue the homeowner's best interests for a roof / siding replacement or repair at a "price agreeable" to the insurance Co. and ADHI, Inc. with no additional out of pocket cost to the homeowner except for the deductible_ Upon approval or confirmation by my insurance company on the scope of damages and/or agreed price as listed on this agreement, I authorize ADHI, Inc. to obtain labor and material in accordance with this "price agreement" and the specifications set out herein and on the reverse side hereof to accomplish the replacement or repair. ADHI, Inc. shall hold in trust any payment from the property owner until the roofing contractor has delivered roofing materials at theresidential property site or has performed a majority of the roofing work on the residential property. r • �jDHI, Inc. Representative Date /i Acdeoted by Hna,"� 1YLf /I %r,.,.,,,, Printed Name of ADHI, Inc. Representative Ftd (f.4` 5 h LA M, VL-/ `/ rr V �10V� , i VV�t��M DAMAGE REPORT Ind "ail ❑Type: 3/Roof iding 8ind Q"Hail ❑ rsIlownspouts ind 4-Asail Type: ❑ Type: UySoffit/Fascia 04ind ❑hail ❑ Type: ❑ Other ❑ Wind ❑ Hail ❑ Type: DAMAGE NOTESii'C:I�C` ❑ Soffit SF. $/SF. Total$ ❑ Fascia LF. $/LF. PAYMENT SCHEDULE First Payment Due upon Delivery of Material Paid Date: 1 I CK# @ g Paid Date: / / CK# @ g Balance Due On Completion DISCOUNTS OR CREDITS WILL BE HONORED UPON FINAL PAYMENT. *PRICE AGREEMENT NOTE: Pricing is separated by trade and subject to insurance Co. approval on an individual basis. The deductible is the homeowner's responsibility. Homeowner is not obligated to any trades that are not approved by the insurance ce. INSURANCEIMORTGAGE NOTE: I Hereby authorize any insurance company, mortgage company or lender involved with the property address listed above to issue all payments jointly and release all documentation to American Dream Home Improvement, Inc. to assist in expediting the claim process. TERMS: This agreement does not obligate the homeowner orADHI, Inc. in any way unless it is approved by the insurance company and accepted by ADHI, Inc. By signing this agreement the homeowner authorizes ADHI, Inc. to pursue the homeowner's best interests for a roof / siding replacement or repair at a "price agreeable" to the insurance Co. and ADHI, Inc. with no additional out of pocket cost to the homeowner except for the deductible_ Upon approval or confirmation by my insurance company on the scope of damages and/or agreed price as listed on this agreement, I authorize ADHI, Inc. to obtain labor and material in accordance with this "price agreement" and the specifications set out herein and on the reverse side hereof to accomplish the replacement or repair. ADHI, Inc. shall hold in trust any payment from the property owner until the roofing contractor has delivered roofing materials at theresidential property site or has performed a majority of the roofing work on the residential property. r • �jDHI, Inc. Representative Date /i Acdeoted by Hna,"� 1YLf /I %r,.,.,,,, Printed Name of ADHI, Inc. Representative Ftd (f.4` 5 h LA M, VL-/ `/ rr V �10V� , i VV�t��M PRICE AGREEMENT* ❑ Roofing SQ. $/SQ. t-tJV� Total$ ❑ Siding SQ. $/SQ. Total$ ❑ Gutters LF. $/LF. Total$ ❑ Downsp LF. $/LF. Total$ ❑ Soffit SF. $/SF. Total$ ❑ Fascia LF. $/LF. Total$ ❑ Wraps QTY. $/Ea. Total$ ❑ — $/_ Total$ ❑ Total$ ❑ $/_ Total$ DEDUCTIBLE $f PAYMENT SCHEDULE First Payment Due upon Delivery of Material Paid Date: 1 I CK# @ g Paid Date: / / CK# @ g Balance Due On Completion DISCOUNTS OR CREDITS WILL BE HONORED UPON FINAL PAYMENT. *PRICE AGREEMENT NOTE: Pricing is separated by trade and subject to insurance Co. approval on an individual basis. The deductible is the homeowner's responsibility. Homeowner is not obligated to any trades that are not approved by the insurance ce. INSURANCEIMORTGAGE NOTE: I Hereby authorize any insurance company, mortgage company or lender involved with the property address listed above to issue all payments jointly and release all documentation to American Dream Home Improvement, Inc. to assist in expediting the claim process. TERMS: This agreement does not obligate the homeowner orADHI, Inc. in any way unless it is approved by the insurance company and accepted by ADHI, Inc. By signing this agreement the homeowner authorizes ADHI, Inc. to pursue the homeowner's best interests for a roof / siding replacement or repair at a "price agreeable" to the insurance Co. and ADHI, Inc. with no additional out of pocket cost to the homeowner except for the deductible_ Upon approval or confirmation by my insurance company on the scope of damages and/or agreed price as listed on this agreement, I authorize ADHI, Inc. to obtain labor and material in accordance with this "price agreement" and the specifications set out herein and on the reverse side hereof to accomplish the replacement or repair. ADHI, Inc. shall hold in trust any payment from the property owner until the roofing contractor has delivered roofing materials at theresidential property site or has performed a majority of the roofing work on the residential property. r • �jDHI, Inc. Representative Date /i Acdeoted by Hna,"� 1YLf /I %r,.,.,,,, Printed Name of ADHI, Inc. Representative Ftd (f.4` 5 h LA M, VL-/ `/ rr V �10V� , i VV�t��M t ~ 1 R O O F I N G Bear Brothers Roofing 7172 N. Washington St. Denver, CO 80229 303-288-1600 City of Wheat Ridge, r. Bear Brothers Roofing is requesting refund for the following list of permits. Contracts were cancelled. BB 50197 4125 Carr St 91217 $379.50 BB 50412 10360 W 34"' PI 92389 $408.50 0TAT n"O BB 50469 6209 26' 92807 $524.30 S I11 P U15 l J Z BB 50512 4745 Reed St 93031 $451.90 TOTAL $1764.20 Thank you for your assistance, James London 720-363-2830 t "`I'1~1 l ~ "Jih1r e~ r/Z 71 City of Wheat Ridge _roooo Residential Roofing PERMIT - 093031 PERMIT NO: .093031ISSUED:.. 10/06/2009 JOB ADDRESS: 4745.. REED ST EXPIRES: 04/04/2010 DESCRIPTION: T/o: Install 31 sqs GAP 30 yr shingle. ***`CONTACTS Dwner 303/422-7955 Chris Cedillo 3c 303./422-2725 Gary Theriaque 02-1170 Bear Brothers Roofing **PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:) 0009 .':BLOCK/LOT#: 0./ **.FEE SUMMARY ESTIMATED PROJECT VALUATION: 11,000.00 FEES Permit Fee 253.90 Total Valuation .00 Use Tax 198.00 TOTAL 451.90 onditions: - 5 nail installation& mid roof inspection required. Board sheathing spaced more :halla 1/2 of an inch apart requires plywood overlay on entire roof. Ice and eatershield required from-eave edge to 2' inside exterior walls. r**Contractor/Property owner shall provide ladder(s) secured in place for Lnpsections.. Subject to field inspection. I hereby certify. that the setback distances proposed by this permit application are accurate, and do not violate.` applicable. ordinances, rules or regulations of. the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and :allegations. made: are accurate;. that I have read and agree to abide by all.. conditions.' printed on this application and that I`assume full responsibility for :compliance with the Wheat Ridge. Building Code (I.B.C) and. all other.' a licable Wheat Ridg Ordinances for work under this permit. Plans subject to ..field inspection. )o-co-0'j S' Nature 8ontractor/owner date it was issued in accordance with the provisions set forth in your application and is subject to the laws of the. State of Colorado and to the Zoning Regulations and 'Building Codes of Wheat. Ridge,: Colorado or any other applicable ordinances of the City. This permit :shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. If this permit. expires, a new permit may be acquired fora fee of one-half the amount normally required, provided no changes have.. been or will be made in the original plans and specifications and any suspension or abandonmenthas not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, ; full fees shall be'. paid for a. new permit. No. work of any manner shall be done that will change the natural flow of water: causing a. drainage problem. Contractor shall notify. the Building Inspector. twenty-four (24) hours in advance for all'. inspections and shall receive written approval on inspection card before proceeding with successive phases of the job:. The issuance of a permit or the approval of drawings and.. specifications shall not be construed to be a permit for, nor an approval of, any ation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan rev• ject to field inspections. ignature of ef' E6AIding official .:'date NSPECTIO REQUEST LINE: (303)234-59.33 BUILDING.-0FFICE:. (303)235-2855 '.EQUESTS MUST': BE MADE BY 3PM`ANY BUSINESS:: DAY FOR ]INSPECTION THE.:'.FOLLOWING . BUSINESS DAY. City of 1rJ Wheat 1Clge Date: COMMUNITY DEVELOPMENT Permit#: Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building'Permit Application Property Address: T af& S-, Property Owner (please print): C M h Ce j I I 'I ® Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractor License Sub Contractors: Company Name: License Expiration Date: Trade/Profession: Approval: Use of space (description): e/ Description of work: S f~~o~~ ~►C~-F If~ Sq. Ft./L. Ft added: Squares 1 ran Review (due at time of submlHal): $ ~ ~ BTU's Gallons OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subjec cc~o?on. CIRLCE ONE, (OWNER) (C ON`TR_A~CT(ORR)) 97 PERSONAL REPRESENTATIVE of (OWNE CONTRATOR) PRINT NAME: -SIGNATURE: Date: Ih a ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY PUiLDING DEPARTMENT COMMENTS: OCCUPANCY: _ Reviewer. FIRE DEPARTMENT:: p approved w/ comments ❑ disapproved p no review required Bldg Valuation: $ Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: