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Home My WebLink About7340 W. 34th AvenueFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Tuesday, May 31, 2022 11:20:58 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT 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. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Is this Residential or Commercial? Replacement of Existing Unit Residential Property Address 7340 W 34th Ave Property Owner Name Cameron Kieffer Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 303-587-8973 Property Owner Email cameronkieff34@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business AppleAire Heating and Cooling Name Contractor's License 022239 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-733-2813 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@appleaireinc.com Address Retype Contractor info@appleaireinc.com Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 2.5 unit? For AC - what is the 16 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit backyard located (for example, rooftop, backyard on ground etc)? Is electrical needed for No re -hook? Project Value (contract 15202 value or cost of ALL materials and labor) Yes 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. 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 Noelle Hardin Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Thursday, April 21, 2022 2:22:36 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Furnace/Boiler Replacement This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 7340 W 34th Ave Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Cameron Kieffer 303-587-8973 Property Owner Email cameronkieff34@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" WR Authorization form.odf CONTRACTOR INFORMATION Contractor Business Appleaire Name Contractor's License 022239 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-733-2813 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@appleaireinc.com Address Retype Contractor info@appleaireinc.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 70000 What is the efficiency 96 (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or crawlspace boiler located (for example, basement, crawlspace, etc)? Project Value (contract 6315.00 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 Noelle Hardin Pe rm it Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 17F 1 Job Address: 73LIo k/ Permit Number: 2 0 G 7-0 2 S ve'0 71 L► k- if rt l" d vi ❑ No one available for inspe tion: Time 12 -Uc, AM/6 Re -Inspection required: a No When corrections have been made, call for re -inspection at 303-234- Date:- 61/11-' Inspector: �;< DO NOT REMOVE THIS NOTICE r City of Wheat Ridge Residential Plumbing PERMIT - 201702024 PERMIT NO: 201702024 ISSUED: 06/15/2017 JOB ADDRESS: 7340 W 34th AVE EXPIRES: 06/15/2018 JOB DESCRIPTION: Install outside backflow device - Febco 765 and sprinkler system *** CONTACTS *** OWNER (303)601-6730 KARSEN GAYLE SUB (303)455-4307 Greg Barbero 017178 Good Plumbing Service Co., Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by in 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. 1 further attest that I am legally authorized to include all entities named within this document as parties to the work to be perforr Wd and that all work to be perrmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNS `or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 1 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 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. pr.,, - 'ate Signature of Chief Building'' fAficial 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 j�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-)_ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # 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: 7 -3' -Io U 5 Y Propertv Owner Property Owner Email: Likl (( 'r)_j1 )""1 Mailing Address: (if different than property address) Address:I,y�o� S n City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Phone: Phone: Y- 1 Contractors City License #: �� I z7 / 7 Phone: 1_Rh .3 -qS 5 q 3O% Contractor E-mail Address: Q -l,�[�a „n ,,,,o, v�ti`�o Sh Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License #01-71-16 W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL X RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) syn 3i -o-" c + -Sid e Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 02 5(Dr) - o 0 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 I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) ofOORIZED REPRESENTA V f (OWNER) (CONTRACTOR) Electronic SiEnature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ �COLORADO Department of Regulatory Agencies Division of Professions and Occupations Congratulations! Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_registrations@state.co.us. lorado Department of Regulatory Agenc Division of Professions and Occupations Plumbing GregoryJ Barbero Master Plumber MP.00179763 03/01/2017 Number Issue Date Active 02/28/2019 Credential Status Expire Date Verify this credential at: www.colorado.gov/dora/dpo Hines lorado Department of Regulatory Agencies Division of Professions and Occupations Plumbing Gregory 1 Barbero Master Plumber MP.00179763 03/01/2017 Number Issue Date Active 02/28/2019 Credential Status Expire Date Verify this credential at: www.colorado.gov/dora/dpo 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 www.colorado.gov/dora/dpo i CITY OF WHEAT RIDGE �9 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 20 1 %0 41 2� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 1 Date: Inspector �///O f DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge F Residential Roofing PERMIT - 201704122 PERMIT NO: 201704122 ISSUED: 07/15/2017 JOB ADDRESS: 7340 W 34th AVE EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline ArmorShield II asphalt shingles with 28 sq. *** CONTACTS *** OWNER (303)601-6730 ROSHONG GLADYS SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,328.00 Total Valuation FEES 0.00 PAID Use Tax 174.89 Permit Fee 188.45 _ ** TOTAL ** 363.34 *** 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. t r City of Wheat Ridge Residential Roofing PERMIT - 201704122 PERMIT NO: 201704122 ISSUED: 07/15/2017 JOB ADDRESS: 7340 W 34th AVE EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline ArmorShield II asphalt shingles with 28 sq. do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with x attest that I am legally authorized to include all entities named within this document as parties to the work to be alxar�c to be performed is disclosed in this document and/or its' Pccompinying approved plans and specifications. Signature of OWNE or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, anew 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, an 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 V 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: Thursday, July 6, 2017 10:05 AM 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 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 7340 W 34th Ave Wheat Ridge CO 80033 Property Owner Name Gladys Roshong Property Owner Phone 303-601-6730 Number Property Owner Email Field not completed. Address t{L X63. 34- 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 Core Contractors Contractor's License 110052 Number (for the City of Wheat Ridge) Contractor Phone 303-295-2220 Number Contractor Email Address docs@coredoes.com Retype Contractor Email docs@coredoes.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline ArmorShield II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 28 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3.7 squares on the flat roof? TOTAL SQUARES of all 28 roofing material for this project Provide additional detail predominate pitch 4/12, 1 story tall here on the description of oil 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) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Karen Tobin Email not displaying correctly? View it in your browser. FK L - CONTRACTORS ROOFING SYSTEMS Property Owner Agreement "Doing it right matters" Effective Date Gladys Roshong 06/15/2017 Property Address 7340 W 34th Ave 4501 Logan St, Denver, CO 80216 303.997.1559 City/State Zip Wheat Ridge, CO 80033 Primary Phone number Secondary Phone Number 3036016730 Email Address gai lkrusen@msn. coin Terms: By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier. Roofing Scope: The roofing system replacement includes all shingles, underlayment, valley linings, and miscellaneous flashing, per local applicable municipal code. This also includes full clean-up of the property and a 5 year Roof Workmanship Warranty (on full roof replacement only). A one year workmanship warranty is included on all non -roof work Additional Roofing Scope Notes performed by CORE. Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system. 13880 Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, �. .. x a a� must -be requested in writing, by the property owner. I , you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. All estimates or contract amounts include a 3.5% discount for cash or check transactions. Property Owner's Initials q" Right to Cancel You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your claim has been denied in whole or in part. Property Owner Gladys Roshong Property Owner Signature Date 06/15/2017 Insurance Company State Farm r;t34V[RE: BYC-! •r Cx?nVczS a CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that: (a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. 1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this contract to be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 ''/z) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made therefore prior to commencement of the work. 4. Should legal action be necessary, because of any act that might arise during the course of this agreement, CORE shall be entitled to all costs incurred in connection with such action, including a reasonable attorney's fee. 5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of Colorado. 6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or other materials) not covered by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT. 7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE Contractors, Ins. whether of a similar or dissimilar nature. 8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner, the owner shall be financially responsible for all work performed based on the following milestones (percentages are additive). a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid. b. Substantial agreement or scope confirmation with insurer — 5% of total bid. c. Ordering and scheduling of work — 2% of total bid. d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor overhead and profit. 9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid by the owner within 30 days of invoice date. 10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee assessed to CORE by the supplier. 11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforce -ability of the remaining provisions of this contract shall not be affected thereby. 12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do not survive the execution of this contract. 13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE Contractors, Inc. herein. 14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof and siding during the repair of the roof. 15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. if pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems on a time and material basis. 16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES. ...•, �.r.r U;.S! iY: �:_ t1it` fit <ili t ! t�?i INSPECTION RECORD Occupancy/Type 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB s' FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic r, Weatherproof / French Drain i° Sewer Service Lines Mechanical Water Service Lines Building Final POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED —� CONCRETE SLAB FLOOR INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS .SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping " - Electrical.(Underground) '- Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED .` u, :.Sheathing Lath / Wall tie Mid- Roof - E Electrical Service " r. - Rough. Electric ' Rough.. Plumbing Gas Piping Rough Mechanical -y ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING - "" " framing Insulation Drywall Screw '— tr t. ...FINALS _. Electrical Plumbing Mechanical Building Final Fire Department —� R.O W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS .SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping " - "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING,.: BUILDING AND PUBLIC WORKS BEFORE A'. .. CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION SY THE BUILDING DIVISION. DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY vUUUVANUY r4OT NERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSP NOTICE Inspection Type: QC 0 Job Address: ? 3 4 C? t nl 1 � Permit Number: / 0CSi- -i-R,. No one available for inspection: Time I RQ AM e- Inspection required: Yes No When corrections have been made, cal! for - inspection at 303 234 - 5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE ~j- Building Inspection Division ~ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /73 Job Address: Permit Number: ~r 1 ❑ No one available for inspeeti n: Time /~S_AM/I{'M J Re-Inspection required: Yes o When corrections have been made, call for re-inspection at 303-234-5933 Date: lf% Inspector: liJ~;, t DO NOT REMOVE THIS NOTICE a t CITY OF WHEAT RIDGE / Building Inspection Division l (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: l f~ , FYI ! n Job Address: ~i 7(~ f it) ,~i 41a~ Permit Number: ❑ No one available for inspection: Time /:,3b AM/PM Re-Inspection required: Yes No When corrections have 'been made, call for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE e A s CITY OF WHEAT RIDGE ° Building Inspection Division (303) 234-5933 Inspection fine (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: s~61cLr- Job Address: 2.FV4 Permit Number: lz~5VYa 2 5'?°ir! Ti~,2iri~ ,ter _ r/lQr°✓2f/t-r. ~ 'flare l ~ 4>elf Ale,4,e 79> `t,~lTisz/S1~FGa7~ozl ❑ No one available for inspection: Time O, 3~ A PM Re-inspection required: es_ No When corrections have been made, call for re-inspection at 303-234-5933 Date: ~23>Ab inspector DO NOT REMOVE THIS NOTICE 0; (7 Ito3 5- 36 #0029 P.001 /002 rte' o~~ -Phone: - Date: -T-J~ - Re: CC. rgerrt ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: e~ l.3 ZY'\ a l. -9- r 1 r. S n.o c, l i a f7 r cT M 1 1-S v~C' z a3- ~~i'~ - CJ r ~zrv,~f /oo4~g~ -7 40 \ "1~ p INSPECTION RECORD OccDpancy/l INSPECTION LINE: (303) 234-5933 F Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPPIRM SIGN ALL SPACES PERTAINING TO THIS JOB INITIALS Caissons oererv,,ee TION INSPECTIONS INSPECTOR COMMENTS: / (CEG) Concrete Ground g or Monolithic roof / French Drain vice Lines vice Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGN ED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie - Mid-Roof - Electrical Service Rough Electric - Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw SIGNED PRIOR 82/22/10 CITY OF WHEAT RIDGE Jon A Wacker RECEIPT NO:CDA003858 AMOUNT DPSP Reroof 30 sqs 378.50 100482 Permit Fee 217.50 Use Tax 153.08 FINALS Electrical AhMlechanical PAYMENT RECEIVED AMOUNT VS 0616 370.50 Auth Code: Final 496001 TOTAL 370.58 artment Drainage =INSPELCTIS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Landscaping LLED AT LEASTONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND. ZONING, BUILDING AND PUBLIC WORKS BEFORE, CERTIFICATE OF OCCUPANCY IS ISSUED- FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TIOP OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. 02/22/2010 03:23 7635453040 Nom. a, o City of Wheat Ridge Building Division 7500 W_ 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 040►t3!' d Property Owner (plea #7379 P.002 /003 Date: Plan A Permit se prim: r Phon : 51 Mailing Address: (If different than property address) Address: City, State, Zip: Gui7tiracfgr.: 6 Contractor License 5 ?i PAY&" Electrical City license Plumbing City License 4k. Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): 6,&a t' Construction Value: $ (as calculated per the 6dildinrr Valtratron Data sheet) del, 'fC Plan Review (due at time of submittaO. $ bRSFruP BYe~ ~^O'~r Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pennH application are accurate, and do not violate appllcable ordinances, nHes 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 nave read and agree to abide by all conditions printed on this application and that 1 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 subject to field Inspection- CIRLCE ONE:: (OWNER) (CONTRACTOR) or bNAL SENTA WNE C, :(C PRIN NAME Lar- I NATURE Date Building Permit Application 02/24/2010 03:06 7635453040 07400 P.001 /001 .a~ i ' s t r r im; Sc r ry 1 st~ - , -b k 'O Vl f7Zr n I' O TOL 7 Phone: pate: Ir Far Review ❑ please Comment ❑ Please RePly o Please Recycle lop 0- City of Wheat Ridge NO: 100482 ISSUED:. `02/22/2010 )RESS:7340 W34TH AVE EXPIRES,: 0.8/21/2010 =ON:'. Reroof ?30 sqs and redeck CONTACTS 303/238-4298 Gladys Roshong 303/877-5736 Steve Anderson 09-0277 Nationwide Roofing LLC 303./877-5736 Steve Anderson 09-0277 Nationwide Roofing LLC :EL INFO )DE: UA '.USE: UA SION:;. 0548 BLOCK/LOT#: 0/ SUMMARY ESTIMATED 'PROJECT VALUATION: 10,843.75. FEES Fee 217.50 = )ection fee additiona 150.49' c.Fee 61.00 Valuation .00 1x 153.00 'AT. **:7 k A'1 44 5 CITY OF WHEAT RIDGE 02/24/10 2:06 PM cdha Jon A Wacker RECEIPT NO:CDA003877 AMOUNT BPSP Reroof 30 sqs and re 150.49 100482 Permit fee additiona 150.49 PAYMENT RECEIVED AMOUNT VS 0616 150.49 Auth Code: 506546 TOTAL 150.49 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number Date 7237 6/5/98 Property Owner : Property Address : 7340 W 34th Avenue Contractor License No. : 18232 Phone: 238-4298 Company : Aaark Heating & AIC, Inc. Phone : 431 8015 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit application are accurzte, and do not violate applicable ordinances, rules or regulations of the Ciry 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Replace water heater Construction Value : $450.00 Permit Fee : $22.00 Pian Review Fee : $0.00 Use Tax : $6.75 Total: $28.75 Use: Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: (7) This pemit was issued in acwrdance wiih the provisions setforth in yopur application and is subjec[ to the laws of the State of Coloredo and to the Zoning Regulalions and Building Code of Wheat Ritlge, Coloratlo or any other applicable ordinances of the City. (2) This pemit shall expire if (A) the work authorized is not commenced within siaty (60) days from issue daie or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If fhis pertnit expires, a new permit may be acquired for a fee of onc halF the amount nortnally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment exceeds one (i) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change ihe naturel Flow ofwater causing a drdinage problem. (5) Contractor shall notify the Builtling Inspector hventy-four (24) hours in atlvance for all inspections antl shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a pemit or the approval of drewings and specificafions shall not be cons[rued [o be a permif for, nor an approval of, any violation of the provisions of the building codes or any o her ordinance, law, rule or regulation. /'~i~ 1C0 Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPAk i tL,C,dT OF PLAPiNI14U ANU LiEVtLUPIV~ENI tiwlding Permrt IVumber : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 3 S--7 c? 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : / -,--,,sA p r< <j Property Address : 73-9Q i✓ , 3L/~ Phone : 2_3a~-^ Con[rector License No. : / a 3 7- Company : ,41YI~ Phone : 4f3% iS OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that lhe setback distances proposed by this pertnit 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 fur compliance witn the Wheat Ridge Buiiding Code (U.B.C.) and all other applicable Whe Ritlge or inances, for wo under this permit. (OWNER)(CONTRACTOR) SIGNED ~ DATE J ^S-G~ Description : A e G✓~~✓ Construction Value : t/S u Permit Fee : Use Tax : ,49( ~-5~.~ Total: ~5 = ~0i !-5 BUILDING DEPARTMENT USE ONLY ME= Approval Zoning : ~~tT~AStffl Approval E~p1iE 1({fozlc3:.Gb~~gents; Approval : Occupancy : Walis r Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company:. Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : Pfans.Requ.ired ."F';J ~ Plilfns:Required j ~ g[LIre41~;r~ (1) This permn was Issued in accortlance wnh the provisions set fodh in yopur appucation antl is subject to the laws of ihe State ot Coloratlo and lo the Zoning Regulations antl 8uilding Code ot Wheat Ritlge, Coloratlo or any other aOPlica6le ortlinances of ihe City. (2) This permit shall expire iF (A) the work authonzetl is not commence0 wiihin siary (60) days trom issue tlate or (B) the building authonzetl Is suspentletl or abandoned for a penotl of 120 days. (J) If lhis permrt expires, a new permrt may be acquired for a fee of one-half the amount normally required, provitled no changes have been or will 6e matle in the original plans antl speci(wtions antl any suspension or abandonment has not exceedetl one (1) year. If changes are matle or rt suspension or abantlonmenl exceetls one (1) yeaL lull fees shall be paitl for a new permit. (4) Na work of any manner shall be tlone that wiil change the naWral flow of water causin9 a tlrainage problem. (5) Contractor shall notity the BuilOing Inspector Iwenty-four (24) hours in atlvance for all inspections antl shall recerve wntten appraval on inspection cartl betore procee0iing with 5uccessive phases of the lob. .(6) The issuance ot a permit or the approval ot drawings antl specifications shall. not be constmetl to be a permit tor, nor an approval of. any violation of Ihe provisions 'of the bmltling cotles orBny olher or0inance, law. Nle or regulation. i Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION