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4770 Otis Street
A City of Wheat Ridge Residential Roofing PERMIT - 201704994 ,00 PERMIT NO: 201704994 ISSUED: 07/27/2017 JOB ADDRESS: 4770 Otis ST EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install oc oakridge 30 year asphalt shingles with 25sq remove all layers and reroof house and garage *** CONTACTS *** OWNER (970)389-4786 SMITH ROBERT MILTON SUB (303)997-8012 Aaron Anders 100039 Acclaimed Roofing of Colorado *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALf�ATION:- 14,287.00 FEES Total Valuation 0.00 Use Tax 300.03 Permit Fee 283.55 ** TOTAL ** 583.58 *** COMMENTS *** ** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. A City of Wheat Ridge ` Residential Roofing PERMIT - 201704994 PERMIT NO: 201704994 ISSUED: 07/27/2017 JOB ADDRESS: 4770 Otis ST EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install oc oakridge 30 year asphalt shingles with 25sq remove all layers and reroof house and garage 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 all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner o p and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I furt att th am le y thorized to include all entities named within this document as parties to the work to be performed and at all wor o be p o is disclosed in this document and/or its' accompanying approved plans and specifications. Signatu of R or CON CTOR (Circle one) Date 1. Thi it was issued based on a information provided in the permit application and accompanying pFlans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 maybe 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applic ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 01 qnw' ! Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz ?_000 (M -/ From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 19, 2017 12:14 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 4770 otis st tb___ bob smith 970 389 4786 Property Owner Email Field not completed. Address g �, 5RU J 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 Acclaimed roofing Contractor's License 100039 Number (for the City of Wheat Ridge) Contractor Phone 3039978012 Number Contractor Email Address acclaimedroofing@yahoo.com Retype Contractor Email acclaimedroofing@yahoo.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing oc oakridge 30 year Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 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 25 roofing material for this project Provide additional detail remove all layers reroof house and garage here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 14287 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 omar mijares Email not displaying correctly? View it in your browser. �ccL�.�n�Eo F2 O C3 F 1 N G Office Location: 878 S. Lipan St, Unit B, Denver, CO 80223 Sales: 303 -592 -ROOF (76631 SELECTION OF MATERIALS AND CONTRACT FOR CONSTRUCTION Acclaimed Roofing of Colorado has its general liability through Mesa Underwriters Specialty Insurance Co. and may be contacted through our agent, Orcutt Insurance Group, LLC at 965 S Kipling Pkwy #B, Lakewood, CO 80226. Acclaimed Roofing of Colomdo shall hold any payment received from you until Acclaimed Roofing of Colorado has delivered roofing materials at the site or has performed a majority of the roofing work on your property. This contract may be rescinded or canceled if the insurance has denied coverage of the claim and you may receive a full refund of any deposits made. Itis further understood that it is illegal and a criminal act forany contractor to waive or pay for the deductible portion of the claim compliant with Colorado law SB38. Acclaimed Roofing of Colorado agrees to install the following materials selected by the customer. The customer selects the following materials and directs Acclaimed Roofing of Colomdo to furnish this material and its labor in a good and workmanlike manner according to standard practices in the industry. Any modifications, changes or additions must be in writing and agreed to between the parties as evidence by theirsignatures. Acclaimed Roofing of Colorado will not bill any additional money to customer and agrees to bill the insurance company directly for any additional work performed due to hidden site conditions If there is any work performed on the property during construction that is not in the original scope of loss provided by the insurance company, Acclaimed Roofing of Colomdo retains the right to bill the insurance company for any additional work performed 1/We agree to pay Acclaimed Roofing of Colorado any additional funds received from the insurance company regardingthis loss and work performed Acclaimed Roofing of Colorado will not hold the customer responsible for payinganyadditional funds notagreed to in this contract ifthe insurance refuses to payfor the additional workperformed. Proper installation of the roof system may require replacement of existing flashing During such replacement, siding adjacent this Flashing which has deteriorated may crack break, or tear. Acclaimed Roofing of Colorado will make every reasonable effort to avoid damage, but will not be responsible for any consequential damage to siding During the application of the roof system, vibration from the roof maybe transmitted throughout the building Acclaimed Roofing of Colorado is not responsible for rotted siding paint and sheetrock damages due to vibration. The customer further assumes responsibility for all objects hung from exterior and interior walls and from ceiling and soffits. These have been known to fall during installation and Acclaimed Roofing ofColorado will not be responsible for these occurrences It is further understood that vent and gas pipes penetrating through the roof mayshift during construction Acclaimed Roofing of Colorado recommends that these pipes be inspected by a licensed plumber due to leaking gases but will not pay the expense of such an inspection All material warranties are provided expressly and solely through the material manufacturer. Acclaimed Roofing of Colomdo and its agents or affiliates are not liable for defects or performance of materials used. By signing this agreement I/We hereby agree to have a licensed plumber inspectall pipes and penetrations after construction has been completed on the property. Insurance Compay: American Family CLAIM # 00225195311 O Brand Owens Corning Type Oakridge Color Shasta white O Remove Existing Roof And Inspect Decking O Deck Roof No O Gutter Work Yes Scope of Gutter Work On main dwelling only O Paint Work NO Scope of Paint Work n/a O Install 2" Inch Edge Metal /Color Match O ApplyA Syntheti C LB Underlayment System Install I&W Shi el c1LB Valley System O Standard Nails, Starter Course Shingle, Sidewall Flashing where needed, chimney Flashing, caulking O Install ALL Covers For PVC Pipe jacks And Vents O Install 3 Turtle Type Ventilation O Run Magnet For Nails, Clean up construction site and haul away debris PREFERRED CONTRACTOR Insurance Claim Specialists 5 -Year Workmanship Warranty O SPECIAL INSTRUCTIONS/ NOTES/ UPGRADES *I&w Shield Eaves *Roof garage install metal roofing *Install metal awnings *Reset and align sat dish *Replace north window GRAND TOTAL: = (RCV)$ 14278.60 PAYMENT TO BE MADE AS FOLLOWS FIRST Payment of $ 9644.44 + All Supplements/Permits Approved By Insurance. due upon completion of this contract + DEDUCTIBLE OF $ 1000.00 will be due upon delivery of materials. FINAL Payment of $ 3, 634. 16 + all supplements approved by the insurance company/including permit fee will be due after work has been completed by Acclaimed Roofing of Colorado. Address: 4770 Otis St City/State/Zip: Wheat Ridge, CO 80033 Home Phone: 000000 Cell/Work: 970-389-4786 EMAIL: robe rtm.smith@state. co. us 1 Robert smith have read the following contract and agree with The Terms and Conditions. By the acceptance of this Contract, the Owner os agrees to pay for the work and/or materials at the prices set forth. �S Initials: I/We specify that Acclaimed Roofing of Colorado is to be included on any and all the &issued to the customer. ISS Initials. Acclaimed Roofing does guarantee that all work performed will pass applica e governing inspection, however I/We acknowledge we do not to have the right to withhold funds from the company due to pepdei� city or county inspections. Customer Signature `r, gg�„�jgpla�$ Date: 6/20/2017 Acclaimed Roofine Of Colorado Renresentative: t:lo 9crniaoaFa nate: 6/20/2017 i CITY OF WHEAT RIDGE �t Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ©Ells ❑ No one available for inspection: Time 1(, ` AMIs Re -Inspection required: Yes 6�5 When corrections have been made, call for re -inspection at 303-234- Date:- 03-234-Date:A�_lnspector:�� DO NOT REMOVE THIS NOTICE INSPECTI "V INSPECTION l Inspections will not be made unle: Call by 3:00 PM to receive in: ON RECORD Occupancy/Type .INE: (303) 234 -5933 is this card is posted on the building site pection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Plumbing Stemwall / (CEG) Concrete Encased Ground Mechanical Reinforcing or Monolithic Rough Electric Weatherproof/ French Drain - - Sewer Service Lines Building Final Gas Piping Water Service Lines Fire Department Rough Mechanical CONCRETE SLAB FLOOR Electrical (Underground) ROUGHS Sheathing Electrical Lath / Wall tie . Plumbing Mid -Roof Mechanical Electrical Service Rough Electric Roof Rough Plumbing Building Final Gas Piping Fire Department Rough Mechanical R.O.W & Drainage INSPECTIONS FOR PLANNING H. ZONING, FIRE AND PUBLICE WORKS Parking & Landsca` ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Scre FINALS Electrical Plumbing Mechanical Roof Y! Building Final f ' Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING H. ZONING, FIRE AND PUBLICE WORKS Parking & Landsca` SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE: ALL' '.OMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFIC^ " ; : IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. r NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE f/► Building Inspection Division (// (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 15;w -L obi= - Job Address: 4 V770 ©7 b 7 Permit Number: t�23 ®Id ❑ No one available for inspection: Time 4! aX AM) M Re- Inspection required: Yes No When corrections have been made, caff for re inspection at 303 - 234 -5933 Date: v 1D Inspector: �21_ 1 DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division I r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSP ( E F TI N N OTI E Inspection Type: Job Address: of S Permit Number: <L�G �C? -) i r vj No one available for inspection: Time - aPM Re- Inspection required: Xe No When corrections have been made, call for re Inspection at 303 Date: Inspector: M DO NOT REMOVE THIS NO 'lCE b� ♦ 4' CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C f Job Address: 1/770 C, CD f / 5 Permit Number ❑ No one available for inspection: Time JAM PM' Re-Inspection required es. No When corrections have been mae, call for re-inspection at 303-234-5933 Date: 1f1:f~ Inspector: r,d I DO NOT REMOVE THIS NOTICE I ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIONNOTICE Inspection Type: r\U Ali Job Address: 4--)-),D l~/S Z Permit Number: Ci d l ❑ No one available for inspection: Time (Ha AM Re-Inspection required: Yes \6-0--\ corrections have been made, cafi for re-inspection at 303-234-5933 Date: /-;„Cr_J © Inspector: t~ .t DO NOT REMOVE THIS N TICE ♦ 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: v~ Job Address: 1-4 ) ? D Permit Number: s 301 a c ❑ No one available for inspection: Time a A /,PM~ Re-Inspection required: Yes J[Vo\ When corrections have been made, call for;re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge _r- Residential Roofing PERMIT - 093018 PERMIT NO: 093018 .ISSUED:- 10/06/2009 JOB ADDRESS: 4770 OTIS ST EXPIRES: 04/04/2010 DESCRIPTION:. Reroof and redeck sqs CONTACTS OWNER 303/422-0995 Midred Swartz sub 303/825-5273 PARCELINFO ZONE CODE: UA SUBDIVISION:'. 0369: FEE SUMMARY ESTIMATED ? FEES Permit Fee 181.10 Total Valuation .00 Use Tax 126.00 TOTAL .307.10 Conditions: ect to field inspection, ,of PROJECa Cure contr- cto owner ed. Boaz rlay on e exteri -0138 Colorado. Roofing Exteriors UA /LOT#: 0/ VALUATION: 7,000.00 I sheathing spaced more entire roof. Ice and :)rwalls. ` on are accurate, and do not violate applicable ements or restrictions of record; that all 3ree to abide by all conditions printed on this at Ridge Building Code (I.B.C) and all other to :.field inspection. cation and is subject to the': laws of the ~oF W"E^rp City of Wheat Ridge Building Division Date: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-237-8929 Plan °~<oRaoo Inspection Line: 303-234-5933 ~iCgl, f ~r Permit 4 I Building Permit Application Property Adiiress Property Owner (please print): Phone: 3-03-- Lai - 0% Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Ga~~tj t 1r { 1 r' rc, ~a Contractor License Phone: X73- / - / lil Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: ® - Description of work' ~~floc C k / FiDD (as calculated per the Buildinp'Valuation Data sheet) 1i ~C Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares 20 BTU's Gallons Amps 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 a Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject o fie ection. C)RLCE ONE:: (OWNER) ~(CONTRACTOR) ' r PERSONAL REPRESENTATI of ( ER (CONTRATOR) PRINT NAME: SIGNATURE: Date: Bldg Valuation: $