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HomeMy WebLinkAbout4165 Pierce StreetCity of Wheat Ridge K Residential Mechanical PERMIT - 201901812 PERMIT NO: 201901812 ISSUED: 08/28/2019 JOB ADDRESS: 4165 Pierce St EXPIRES: 10/03/2020 JOB DESCRIPTION: Replace 2.5 ton, 13 SEER AC in backyard; Replace 80K BTUs, 80% efficiency gas furnace in basement *** CONTACTS *** OWNER (303)564-5917 KRUSE JAMES & BRITTA SUB (303)313-3333 MICHAEL ENRIGHT 017953 AAA SERVICE PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 j *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,440.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 240.24 ** TOTAL ** 340.24 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 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 my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am 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, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and� �pprocedures 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 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. ` �► City of -: f,., - WheatR e COMMUNTiY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29'h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at �e� rmitsr."u:,ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Permit # �1� Ole 1 2 Property Address: Phone #M 6b c -6 l � Email Address girl ids aao— +uI,t • &Im Reason for extension request: 41�' rzv� Gr Number of days requested: U ' Printed Name: �Uflel' �rk Signature: Date: For office use only This request has been: XApproved ❑ Denied Extended until: 10/3/2020 Approved by: _ Date: 9/3/2020 www.d.wheatridge.co.us i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: X" Ff Job Address: Permit Number: ❑ No one available for inspection: Time la Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at. h ttp✓/www. ci. wheatridge. co. uslinspection Date: ! Inspector: --Sy" DO NOT REMOVE THIS NOTICE ► City of Wheat Ridge E -Res. Window Replacement PERMIT - 201901756 PERMIT NO: 201901756 ISSUED: 08/21/2019 JOB ADDRESS: 4165 Pierce St EXPIRES: 09/26/2020 JOB DESCRIPTION: Replace 1 door, living room, like for like, u-calue = .30 or better *** CONTACTS *** OWNER (303)564-5917 KRUSE JAMES & BRITTA SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,423.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 92.88 ** TOTAL ** 142.88 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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 my signature, do heattest 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 bye legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include al I entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document 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 Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Re nests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of 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 Date REQUESTS MUST BE MADS BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of /V`%heat g COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitsL&ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Renewal by Andersen / Seiler Construction / Carrie McKellip Permit # 201901756 Phone # 970-535-6078 Property Address: 4165 Pierce St Email Address: cmckellip@renewalcolorado.com Reason for extension request: The customer had a baby right after we did the first phase and we needed to return to the customers home to do some repairs. Due to the new baby and COVID we were unable to return to the customers home until we did the second phase. The first phase has expired on 8/20/20. The customer would like to close both permits at one time and are now ready to -do -so Number of days requested: 30 Printed Name: Carrie McKellip Signature: r ?;kXam0-Date.8/26/20 For office use only This request has been: kpprovcd D Denied Extended until: 9/26/2020 Approved by: �aaq� Date: 8/26/2020 www.ci.wheatridge.co.us i CITY OF WHEAT RIDGE / Building Inspection Division f (303) 235-2855 Office INSPECTION NOTICE Inspection Type: F Z�) . Job Address: Permit Number: ❑ No one available for inspection: Time /AMJ>M Re -Inspection required: Yes eW When corrections have been made, schedule for re -inspection online at: h ttp ✓/www. ci, whea fridge, co, uMnspe ction Date: _ _inspector:_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: F t1v Job Address: 41, /, 6�>` P rr P -. Permit Number: Z.0_ -'O s - illp ❑ .No one available for inspection: Time 0 NwM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at. http J/www. cl. wheatridge. co. usVinspection Date: o Inspector: DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge �� E -Res. Window Replacement PERMIT - 201901756 PERMIT NO: 201901756 ISSUED: 08/21/2019 JOB ADDRESS: 4165 Pierce St EXPIRES: 09/26/2020 JOB DESCRIPTION: Replace 1 door, living room, like for like, u-calue = .30 or better *** CONTACTS *** OWNER (303) 564-5917 KRUSE JAMES & BRITTA SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41423.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 92.88 ** TOTAL ** 142.88 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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 o f the structure. 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 thispermit and perform the work described and approved in conjunction with this�permrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat f�dgc� COMMUNITY DEVELOPMENT City of wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Reguest Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitskci.wheatridge.co.us or fax to 303-237-8929. : v Party requesting permit extension: Permit # 201901756 Phone # 970-535-6078 Renewal by Andersen / Seiler Construction / Carrie McKellip Property Address: 4165 Pierce St Email Address: cmckellip@renewalcolorado.com Reason for extension request: The customer had a baby right after we did the first phase and we needed to return to the customers home to do some repairs. Due to the new baby and COVID we were unable to return to the customers home until we did the second phase. The first phase has expired on 8/20/20. The customer would like to close both permits at one time and are now rPadvtr) d o s.1 r) Number of days requested: 30 Printed Name: Carrie McKellip Signature: C'-a� Date:8/26/20 of For office use only This request has been: approved ❑ Denied Extended until: 9/26/2020 Approved : Date: 8/26/2020 pp b Y www.ci.wheatridge.co.us City of Wheat Ridge Resid. Windows/Doors PERMIT - 202000059 PERMIT NO: 202000059 ISSUED: 01/09/2020 JOB ADDRESS: 4165 Pierce St EXPIRES: 01/08/2021 JOB DESCRIPTION: Replacing 4 windows in dining, kitchen, and two bedrooms. U -value is .30 *** CONTACTS *** OWNER (303)564-5917 KRUSE JAMES SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,604.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 138.68 ** TOTAL ** 188.68 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the iegal owner of the ropertyand am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit 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 apgK*le code or ariyprdmance or regulation of this jurisdiction. Approval of work is subject to Held inspection. Signature of C&f Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp t___ 0�9_ O 6 0 0 ( From: no-reply@ci.wheatridge.co.us Sent: Wednesday, January 8, 2020 1:23 PM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4165 Pierce St Property Owner Name James Kruse Property Owner Phone 303-564-5917 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address **REQUIRED** Attach cc auth kruse.pdf Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS CONTRACTOR INFORMATION Contractor Business seiler construction Name 1 Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-945-1519 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address mbeaudoin@renewalcolorado.com Retype Contractor Email mbeaudoin@renewalcolorado.com Address DESCRIPTION OF WORK Number of window 4 windows and/or doors being replaced Location of 1 dining, 1 kitchen, 2 baby room window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the a -value of the .30 or better window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of kruse measure and photos.pdf window/door cut sheets showing sizes and u -value Project Value (contract 6604 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 PJ 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Mechanical PERMIT - 201901812 PERMIT NO: 201901812 ISSUED: 08/28/2019 JOB ADDRESS: 4165 Pierce St EXPIRES: 08/27/2020 JOB DESCRIPTION: Replace 2.5 ton, 13 SEER AC in backyard; Replace 80K BTUs, 80% efficiency gas furnace in basement *** CONTACTS *** OWNER (303)564-5917 KRUSE JAMES & BRITTA SUB (303)313-3333 MICHAEL ENRIGHT 017953 AAA SERVICE PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,440.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 240.24 ** TOTAL ** 340.24 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 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 my signature, do hereby attest that the work to be per shall comply with al] 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 thispperm►t. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be perfonned and that all work to be perf"ormed 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, 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 maybe 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 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 pe it shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable codeprapy ordinance Vregulation 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 0 1q01 I )-", From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 28, 2019 1:35 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Kim Residential Furnace/Boiler Replacement Permit Application 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 Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 4165 Pierce Street James Kruse 303-564-5917 jameskruse@hotmail.com Wheatridge cc auth.pdf CONTRACTOR INFORMATION Contractor Business aaa service plumbing Name Contractor's License 017953 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-313-3333 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@aaatoday.com Retype Contractor Email permits@aaatoday.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 80 What is the efficiency 80 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 4617 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 z 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 carrie Permit Email not displaying correctly? View it in your browser. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 28, 2019 8:42 AM To: CommDev Permits Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler Permit Application Categories: REJECTED, Kim Residential Replacement Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT AIR CONDITIONER OR EVAPORATIVE COOLER - 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 residential replacement AC or Evaporative Cooler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 4165 pierce St jame Kruse 3035645917 jameskruse@hotmail.com Wheatridge cc auth.pdf CONTRACTOR INFORMATION 4 Contractor Business aaa Service plumbing Name Contractor's License 017953 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-313-3333 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@aaatoday.com Retype Contractor Email permits@aaatoday.com Address DESCRIPTION OF WORK What type of replacement Replacement Air Conditioner unit are you installing? How many tons is the 2.5 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located back yard (for example, rooftop, backyard on ground etc)? Is electrical needed for re- Yes hook? If electrical work is being standard reconnect also installed 80% 2 stage 80k furnace performed, you must provide electrical contractor's Wheat Ridge license no. and scope of work. Project Value (contract 11440 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 5 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 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 carrie Permit Email not displaying correctly? View it in your browser. i CITY{OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection. line (303) 235-2855 Office • (303) 2371_8929 Fax INSPECTION NOTICE Inspection Type: ti�1� Job Address: Permit Number: ❑ No one available for inspection: Time LO -, /PM Re -Inspection required: Yes No When corrections have been made, a for re -inspection at 303-234-5933 Dat Inspect DO NOT REM E THIS NOTICE City of Wheat Ridge 4. t~ E -Res. Window Replacement PERMIT - 201901756 PERMIT NO: 201901756 ISSUED: 08/21/2019 JOB ADDRESS: 4165 Pierce St EXPIRES: 08/20/2020 JOB DESCRIPTION: Replace 1 door, living room, like for like, u-calue = .30 or better *** CONTACTS *** OWNER (303)564-5917 KRUSE JAMES & BRITTA SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** - ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,423.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 92.88 ** TOTAL ** 142.88 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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 my signature, do hereby at 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 thispermrt. 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 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and 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 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, inance or regplation of this jurisdiction. Approval of work is subject to f any 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 O IqOO�R"�7 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 20, 2019 10:13 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Kim Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address **REQUIRED** Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 4165 Pierce St Britta Kruse 303-564-5917 Field not completed. kruse cc auth.pdf CONTRACTOR INFORMATION 1 Contractor Business Seiler Construction Name Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-483-8984 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address mbeaudoin@renewalcolorado.com Retype Contractor Email mbeaudoin@renewalcolorado.com Address DESCRIPTION OF WORK Number of window 1 door and/or doors being replaced Location of Living room window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the a -value of the .30 or better window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of KRUSE, BRITTA MEASURE.pd window/door cut sheets showing sizes and u -value Project Value (contract 4423 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 z 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Electrical Service PERMIT - 201901600 PERMIT NO: 201901600 ISSUED: 08/05/2019 JOB ADDRESS: 4165 Pierce St EXPIRES: 08/04/2020 JOB DESCRIPTION: Electrical service change, 200 AMPS. *** CONTACTS *** OWNER (303)564-5917 KRUSE JAMES SUB (303)422-9219 J. David Doherty 018046 Piper Electric Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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. 'b y 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 properly and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 an 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 anyluidinance 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. Dina Kerns) % From: no-reply@ci.wheatridge.co.us Sent: Monday, August 5, 2019 7:24 AM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Categories: Dina Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). 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 Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 4165 Pierce Street James Kruse 303-564-5917 Wheat Ridge Piper Electric Credit Card form 1.pdf CONTRACTOR INFORMATION Contractor Business Piper Electric Name 1 Contractor's License 18046 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-422-9219 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address cpilcher@piperelectric.com Retype Contractor Email Address DESCRIPTION OF WORK Is this an electrical service upgrade or change? Number of Amps Location of upgrade/change (garage, house, etc) cpilcher@piperelectric.com Change 200 house Provide additional details, residential service change if needed. Project Value (contract 20��` value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes z 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 Carrie Pilcher Permit Email not displaying correctly? View it in your browser. INSPECTION RECOfib INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occu ancy/ 1 ypc Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter I�••�►•.•��.n��w.•■•r■����rrai�.�•.-.�.�.r.���.i��ca�zT�.�Ttrr_�r_r_r_r_rer��. Underground/Slab Inspections Date Inspector Comments Inspector (nit' I Initials Electrical Sewer Service Plumbing IIIIIII 1-1\'lVl<VIU'1ZJMyl1[0Ia■SINS] 9IAIII INS] M.T1Jf•lE,l/I I aT7--1 B7 W1g1/-.T77U"JT.T'a r7•RTT7--TWL7 WA[ irT�.\T17T_� _ Rough Inspections Date Inspector (nit' I -r' - vvuv•..� Comments 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 m Z� 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. - -- - - -- -_.-_1_ 1_........ — .,. 1.—,guy„ u 10 CITU I.VIIIPICleU IIUIII lllu flue UlStnct ana electrical low Voltage Dy the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/rvnc Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections Rough Inspections Date Inspector Initi I Comments dSheathing 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 eR Vt k 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 City of Wheat Ridge Residential Roofing PERMIT - 201703492 ?ERMIT NO: 201703492 ISSUED: 07/07/2017 70B ADDRESS: 4165 Pierce ST EXPIRES: 07/07/2018 30B DESCRIPTION: Residential Re -roof to install LIFETIME LAMINATED CERTAINTEED BLACK asphalt shingles with 24 sq / HOUSE: 5/12 PITCH J***revision add full redeck *** CONTACTS *** JWNER (303)546-5917 KRUSE JAMES SUB (303)663-5615 Joel/Channa Speckman 080141 All In One Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,179.00 FEES Total Valuation 0.00 Jse Tax 192.76 Permit Fee 204.30 ** TOTAL ** 397.06 *** 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 tc f rna'. approval. Installation of roof sheathing (new or overlay) requires an approved inspecti_:.n prior to installation of ANY roof coverings and is require on the entire roof when spa_ -,',a 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. a' d City of Wheat Ridge Resid. Windows/Doors PERMIT - 201702183 PERMIT N0: 201702183 ISSUED: 06/20/2017 JOB ADDRESS: 4165 Pierce ST EXPIRES: 06/20/2018 JOB DESCRIPTION: Replace 1 bedroom window; 2 master bedroom windows; 1 living room window; 1 dining room window; u factor .30 or better - 5 windows total *** CONTACTS *** OWNER (303)546-5917 KRUSE JAMES SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,169.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 276.55 ** TOTAL ** 326.55 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and a"applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit 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. 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. INSPECTIOA_ RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 ���►VINSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is O sfed,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 Spapes pertinent to this project Foundation Inspections Date Inspector .__ _ ments Initials Pier �r Concrete Encased Ground (CEG) Foundation / P.E. Letter 4 Do Not Pour Concrete Prior To Approval Of The Above In e Underground/Slab Inspections Date Inspector Comments Initials Electrical 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 Final Window/Doors 3 Final Building (MOTE: Ali 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 City of Wheat Ridge Resid. Windows/Doors PERMIT - 201702183 PERMIT NO: 201702183 ISSUED: 06/20/2017 JOB ADDRESS: 4165 Pierce ST EXPIRES: 06/20/2018 JOB DESCRIPTION: Replace 1 bedroom window; 2 master bedroom windows; 1 living room window; 1 dining room window; u factor .30 or better - 5 windows total *** CONTACTS *** OWNER (303)546-5917 KRUSE JAMES SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,169.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 276.55 ** TOTAL ** 326.55 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby at that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and al] applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of 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 thi+s jurisdiction. Approval of work is subject to fyeld inspection. a l Signature of Chief Building Official Date REQUESTS 14UST 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 insptimerequestgci.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 at W heat j jdge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 1 FOR OFFICE USE ONLY Date: Plan/Permit # g f 0a i/ �4 �j 1 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: 4165 Pierce St. Wheatridge, 80033 Property Owner (please print): Britta Kruse Phone: 303/546-5917 Property Owner Email: Mailing Address: (if different than property address) Address: Same as above City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: rnseiler@renewalcolorado.com Sub Contractors: Electrical: Plumbing: W.R. City License # W.R. City License # Other City Licensed Sub: City License # Pho Phone: 303-945-1519 Mechanical: W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION [3 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) 1 -bedroom window, 2- Master bedroom window, 1 -Living room Window, annd 1 Dinning r000m window. U factor will be .30 or better (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.) Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 13.169.00 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 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) PRINT NAME: _ Matthew Seiler ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS' Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) _ SIGNATURE: C1�' ' fW DATE: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ D s O 0 3 O o O ZE � z � gs _ o 0 0 0 0 0 O O O ZZ PN N Nopenin W P N AWidth\ w P Openin D 79 N N N aOo D _ O� M1 W W W WJA.- WidthAdi Q P P P m A O O O tQ � p W ` W ` W W P W N M/MOrder Z D Width 3 z Z n M/M s DB Style c 3 � 0 C Check w O Rail � fJ iy % F FCLR Exiz yx wz pp pp V d O z 4 O m m x D p n m ao D t D v v IWI.LF n O o F z F s F F F shDAv a` ie m m a S>=reen a z Daft= O Profile f f N i N i t� 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: q7& _ Permit Number: 7.' 7o Z -/)Z ❑ No one available for inspection: Time i M/PM Re -Inspection required: Yes 69) When corrections have been made, call for re -inspection at 303-234-5933 Date: Yl<" ! i� Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703492 PERMIT NO: 201703492 ISSUED: 07/07/2017 JOB ADDRESS: 4165 Pierce ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install LIFETIME LAMINATED CERTAINTEED BLACK asphalt shingles with 24 sq HOUSE: 5/12 PITCH ***revision add full redeck *** CONTACTS *** OWNER (303)546-5917 KRUSE JAMES SUB (303)663-5615 Joel/Channa Speckman 080141 All In One Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,179.00 FEES Total Valuation 0.00 Use Tax 192.76 Permit Fee 204.30 ** TOTAL ** 397.06 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703492 PERMIT NO: 201703492 ISSUED: 07/07/2017 JOB ADDRESS: 4165 Pierce ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install LIFETIME LAMINATED CERTAINTEED shingles with 24 sq HOUSE: 5/12 PITCH ***revision add full redeck BLACK asphalt I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. S//V 17 Signature of OWNER or ONTRACTOR ircle one) Date I. This permit was issued base ation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of 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 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. ACCREDITED BUSINESS 13111313 �� —cry _ SO �_1 PRO J E C T S P E C IF I CA T-1 ON 9830 W 59th Place Arvada, CO 800041 Office: (720) 442-90091 www.AllinOneRoofer.com Customer Narni Jobsite Address: James and Britta Kruse 4165 Pierce St. ,mail: Cell Phone: Additional Phone: J.kruse5280@gmail.com 303.564.5917, 303.564.5592 Insurance Company: Claim #. Agent Name. Safeco 196979656002 Lisa Blocker Is this a rental property? If so, address of owner: How did you hear about us? Project Manager: Brandon Rolan ONE STORY ACCESS ® Yes [] No PITCH 5/12 0 TEAR OFF and haul away Several layers of existing shingles. ❑ DECKING - Remove and replace decking, as needed, for $50 per sheet extra. ❑ RE -DECK - Remove and replace all decking UNDERLAYMENT - We will install Synthetic SHINGLES - Certainteed landmark (Brand & Style) ❑ INSTALL (yr) 3 -Tab (color) INSTALL LT (yr) Dimensional Black walnut (color) RIDGE - F -13 -Tab Ridge ❑ Matching Hip & Ridge ❑ High Profile Ridge With ❑ Detached Garage ❑ Shed ❑ Patio Covering ❑ Other ❑Install squares of ALUM SEAMLESS GUTTER -See Gutter Diagram Notes ANY CURRENT LEAKS? ❑ Yes fw] No If so please explain below ANY INTERIOR DAMAGE? ® Yes ®No If so please explain below (Please provide photos of leaks & Interior damage) ANY AREAS EXCLUDED FROM WARRANTY? ❑ Yes ®No ❑✓ FLASHING - We will replace flashing as needed. Please describe: 0 VALLEYS & PENETRATIONS - Install ice & water shield. 0✓ PIPES - Install & paint 2 1 1/2" 2 2" 1 3" 4" lead stacks ❑■ Clean roof, gutters, and jobsite ❑■ 25 Point Inspection P1 METAL EDGE ❑ Keep or 1;� Replace all Almond (color). ❑■ Collect Payment ❑■ Haul off excess material N Sweep site with magnet ❑✓ VENTILATION O Install 1 Cardinal Solar Power Vents 20 Watt Black ISSUANCE OF WARII UPON FINAL PAVVIENT _ wind turbines _ low profiles _ power vents _ LF Ridgevent Q 2 Year Workmanship ❑ Other WORK WE ARE ROOFING: Remove and replace entire roof, add attic breeze cardinal solar vent GUTTERS: Replaces all gutters MISCELLANEOUS: 14 inch base for wood stove UPGRADES: Certainteed 50 UPGRADE AMT: 150.00 0 WILL DO JOB FOR INSURANCE PROCEEDS OR F1 CASH CONTRACT AMOUNT $ Original RCV Amount $ 16284.35 * `This may not be final contract price and does not include upgrades or any supplements paid by insurance company. ✓ Does the first insurance check need to be signed by the mortgage company? DYES ❑ NO ® Already Signed ✓ Homeowner has read and understands the "What to Expect" insert and all pages and terms of this contract? V1YES ❑ NO Material Placement: Right side Special Instructions: Landscape protection Company's Surety and Liability Insurer Information Insurer: Gemini Insurance Company Address: 7233 East Butherus Drive City, State, Zip Code: Scottsdale, AZ 85260-240 Phone Number: (480) 951-0905 ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement 6/23/17 91�1 6/23/17 Customer Signature Date Project Manager Signature Date Page 1 CUSTOMER NAME: James and Botta KruseGUTTER DIAGRAM JOBADDRESS: 4165 Pierce St. Rear Left 22 21.5 25 Right Front GUTTERS ® 5" [7 6" DOWNSPOUTS ® 2X3 ®3X4 COLOR Tbd INSURANCE PAID FOR: FULL REPLACEMENT PARTIAL REPLACEMENT GUARDS Yesn No® GUTTERS & DOWNSPOUTS (TOTAL LF INS. PAID) 273 GUTTERS & DOWNSPOUTS (ACTUAL LF - FULL HOUSE) 270 GUTTER LF TO BE SUPPLEMENTED -3 TOTAL # OF DOWNSPOUTS 1 STORY 6 2STORY INSURANCE PAID PARTIAL, BUT OWNER WANTS FULL & AGREES TO PAY DIFFERENCE IF INSURANCE WILL NOT 11Yes ®No NOTES: Customer Initials Page 2 CUSTOMER: James and Britta Kruse 'r ADDRESS: 4165 Pierce St. C o" t r a c 't o r s All in One noted the following items that were not included in vour insurer's repair estimata With Permits, additional layers, decking BALANCE DETAIL 1sT INSURANCE CHECK (ACV Less Deductible) 10,387.13 2. INITIAL RECOVERABLE DEPRECIATION 4,397.22 WORK NOT COMPLETING INSURANCE DESCRIPTION OF WORK NOT COMPLETING SECTION ITNOT's ACV NOT DEP NOT Right Elevation R and R garage door, R and R window screens 14-15 1,340.8= Rear Elevation R and R window screens and well cover, reglaze window unit 16-18 456 56 Contents Camper top, bird bath, bird feeder, flower pot, path lights, patio table, garden hose, lawn mower 24-31 5f_" Satellite 12 ( ) 8. WORK NOT COMPLETING (Depreciation) ( ) 9. TOTAL OWED TO ALL IN ONE... $ 12,731.69 Contract start date: 6/23/17 "Estimated Job Completion Date" shall be on or before 180 days after the "Contract Start Date" Line 7 Line 8 1. BALANCE DETAIL 1sT INSURANCE CHECK (ACV Less Deductible) 10,387.13 2. INITIAL RECOVERABLE DEPRECIATION 4,397.22 3. NON-RECOVERABLE DEPRECIATION — NOT COMPLETING 4. NON-RECOVERABLE DEPRECIATION — ARE COMPLETING 5. PROPERTY OWNER DEDUCTIBLE 1,500.00 6. UPGRADES 1 ADDITIONAL WORK 150.00 7. WORK NOT COMPLETING (ACV Value) ( ) 8. WORK NOT COMPLETING (Depreciation) ( ) 9. TOTAL OWED TO ALL IN ONE... $ 12,731.69 EwrAYMENT SCHEDULE 1sT PAYMENT is due upon roof completion. Amount of 15t PAYMENT $ 9,642.31 $ "Out of Pocket Expense" included in 1st PAYMENT FINAL PAYMENT is due upon receipt from insurance or 30 days after job completion, whichever is sooner. Amount of FINAL PAYMENT*** $ 3,089.38 **"I understand all applicable supplements and/or general contractor overhead & profit paid by insurance company will be owed in addition to this amount. Additional payments sent by insurance for depreciation/supplements will also be due upon receipt. B% Customer Initials RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. By signing this Agreement you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement. 0, 6/23/17 (/�/ 6/23/17 Customer Signature Date Project Manager Signature Date Page 3 ADDITIONAL TERMS AND CONDITIONS This agreement, including the additional terms and conditions on the reverse side and any agreement executed in writing pursuant thereto (this "Agreement"), is entered into between Storm Operations of America LLC ("Company"), and the property owner(s) or property owner's representative(s) set forth on the opposite side of this Agreement ("Customer"), for the purpose of replacing or repairing Customer's property that was damaged. I. Approval / General Contractor. Customer hereby certifies that Customer is the owner of the property described herein and authorizes Company to obtain labor and materials to accomplish the replacement or repair in accordance with the Agreement. This Agreement is subject to the credit and pricing approval of Company. Customer acknowledges that Company is a general contractor and as such will be entitled to 10% overhead and 10% profit, as allowed by Customer's insurance company and state standards. 2. Agreed Price. The full amount of all monies as specified by the agreed upon price ("Agreed Price") does not include any extras such as carpentry repairs or other repairs not specified in this Agreement that may be necessary to complete the repair or replacement process as required by local building codes or to cosmetically satisfy Customer. 3. Materials. All materials provided by Company will be standard stock materials, unless otherwise specified, and will match existing materials within reasonable tolerance as to color, texture, design, etc. Notwithstanding the foregoing, other products and materials may be substituted for equivalent products due to availability. Customer understands that there is a 2 -day minimum charge for all drying, water extraction and dehumidification equipment provided by Company. All excess materials remain the property of Company. 4. Access to Property. The prices and terms of Company's estimate and this Agreement are based upon completion of the work during normal working hours, and Customer agrees to provide Company access to Customer's property as required for completion of the work. Customer will be responsible if any interruption of Company's work results from Customer's failure to provide reasonable access or due to the acts or negligence of others not under Company's direction. Company shall not be responsible for damages arising from delay due to inclement weather, strikes, fires, accidents, delays in shipments or delivery of materials, or any causes beyond Company's reasonable control. Customer agrees that Customer's telephone, electricity and water will be made available to Company's personnel during the course of the work. Customer will also furnish at its expense, single phase, 220 -volt, 50 -amp electrical service. Company shall not be responsible for protection of Customer's property, except to provide that protection which is specifically called for under the specifications provided by this Agreement. Customer also agrees to remove, store and/or protect personal property during Company's work. Customer will manage and be responsible for protection of vehicles and property exposed to damage by Company's work. 5. Job Completion / Past Due Amounts. Job completion shall be the date on which Company's work is substantially finished (as distinguished from the date of Customer's acceptance thereof) or the date of Company's last item of work at the property, whichever is earlier. Customer's failure to make prompt payment shall entitle Company, on forty-eight hours (48) hours' written notice, to stop work. The Agreed Price shall be increased by Company's reasonable costs to stop the project and/or resume work. In the event Customer chooses not to pay for a part of the work, an individual line item, or a trade, Customer releases Company of its obligations for the performance of that component with regard to the integrity of the building system as a whole. Customer agrees to pay a service charge of 8% per annum or the maximum amount allowed by law, whichever is less, on all balances 30 days or more past due. Customer also agrees to pay for all collection costs, including employee time and expense and all attorneys' fees and costs Company incurs in either collection of and/or protection of its interests in Customer's past due account or performance of this Agreement. 6. Insurance / Mortgage Company. Customer hereby authorizes its insurance and/or mortgage company listed on the front of this Agreement to pay Company directly for all work and materials provided by Company to accomplish Customer's replacement or repair. Customer further directs its insurer and/or mortgagee to include Company as a payee on all checks or drafts now or hereafter payable for such loss. Company reserves the right to supplement Customer's insurance and/or mortgage company price for increases in the scope of work and/or documented price increases. Customer agrees to allow these supplements to be paid directly to Company. Company makes no representations or warranties regarding Customer's insurance coverage or if Customer's insurer will pay for all or any of the work to be performed by Company under this Agreement. Customer agrees to pay Company in full for all work performed by Company under this Agreement, regardless of Customer's insurance coverage. Customer also agrees to pay Company directly for all amounts, despite depreciation or deductibles, and to also pay for additional work not covered by Customer's insurer and that said amounts must be paid before job completion. In the event Customer breaches this Agreement, Customer agrees to pay Company: a) in full, on a time and materials basis, for all work and materials provided by Company as of the date of such breach; and b) a consulting fee equal to 20% of the total cost of work and materials provided by Company as of the date of such breach, which fee represents the industry standard for reasonable profit and overhead and is not a penalty. Company and its authorized representatives are NOT acting as public adjusters. 7. Limited Warranty. A written limited warranty may be offered on workmanship and materials provided pursuant to this Agreement on the terms and conditions reflected in any written limited warranty materials provided at the time of sale. If Company is not paid in full in accordance with this Agreement, all such warranties are null and void. 8. Hazardous Materials / Mold. Nothing contained in this Agreement shall be construed to require Company to determine the presence or absence of any hazardous materials or asbestos -containing materials affecting the property or to require Company to remove or protect such materials. In the event that Company learns of the presence of such materials on Customer's property, Company reserves the right to immediately stop work and negotiate a change order for such additional work as may be required. In addition, this Agreement does not include, unless expressly specified, any mold abatement, removal or cleaning. If mold is found existing on the Customer's property, any cost to abate, remove or clean shall be paid by Customer as an additional cost. Any warranty provided herein excludes the cost to abate, remove or clean any mold on Customer's property. 9. Liability. Company is not responsible for damage or loss caused in whole or in part by: the acts or omissions of other parties, trades or contractors; lightning, gale force winds (+50 m.p.h.), hailstorms, ice damage, ice damns (caused by thawing and freezing of ice, water or snow) hurricanes, tornados, floods, earthquakes or other unusual phenomena of the elements; structural settlement; failure, movement, cracking or excess deflection of the roof deck; defects or failure of materials used as a roof substrate over which Company's roofing material is applied; faulty condition of parapet walls, copings, chimneys, skylights, vents, supports or other parts of the building; vapor condensation beneath the roof, penetrations for pitch boxes, erosion, cracking and porosity of mortar and brick; dry rot; stoppage of roof drains and gutters; penetration of the roof from beneath by rising fasteners of any type; inadequate drainage, slope or other conditions beyond the control of Company which cause ponding or standing water; termites or other insects; rodents or other animals; fire; or harmful chemicals, oils, acids and the like that come into contact with Customer's roof and cause a leak or otherwise damage Customer's roof. If Customer's roof fails to maintain a watertight condition because of damage by reason of any of the foregoing, any applicable written limited warranty shall immediately become null and void for the balance of its term. Company accepts no liability to indemnify or hold Customer harmless for claims or damages to persons or property, except to the extent that such damage occurs during performance of Company's work and are the direct result of Company's error or omission. Notwithstanding the foregoing, Company shall not be responsible for damages to any area of the property upon which Company's work has not been completed nor is Company responsible for slight scratching or denting of gutters, oil droplets in driveways, hairline fractures in concrete, damage to flowers or landscaping, or minor broken branches on trees, plants or shrubbery. In no event shall Company be responsible for any type of damage resulting from vibrations, including, but not limited to, interior drywall damage, nail pops or .disconnection of chimneys, flues, air ducts, ventilation shafts, exhaust vents, furnace vents or sewer vents. Company is not responsible for damaged electrical, cable, A/C, or plumbing lines installed within 6 inches of the roofline. Customer understands and agrees that Company shall have no responsibility for damages of any kind to persons or property occurring after job completion. 10. Hold Harmless. Customer agrees to hold Company harmless in connection with the work described herein and that Customer's maximum recourse shall be, and Company's maximum liability under this Agreement shall be limited to, the amount Company billed to Customer. Customer understands and acknowledges that Company does not warrant or guarantee previous workmanship or pre-existing materials, nor any materials or labor not originally provided by Company. Company shall not be responsible for latent defects in materials and accessories supplied. Company shall not be responsible for rework required as a result of the acts or errors of others. 11. PRE -LIEN NOTICE: COMPANY HEREBY PROVIDES NOTIFICATION THAT ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIAL FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. Upon default in payment, a lien will be placed on the property and charges will be added from the date of substantial completion at the maximum rate allowed by law. 12. Insurance Deductible. If Customer plans to use the proceeds of an insurance policy to pay for any of the work under this Agreement, Company shall not 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 the work under this Agreement. 13. Miscellaneous. This Agreement constitutes the entire agreement and understanding of Company and Customer relating to all of the subject matter hereof, and supersedes all prior agreements, arrangements and understandings, written or oral between the parties concerning such subject matter. ANY REPRESENTATION, STATEMENTS, OR OTHER COMMUNICATIONS NOT WRITTEN IN THIS AGREEMENT, OR MADE IN WRITING PURSUANT THERETO, ARE AGREED TO BE INVALID AND NOT RELIED ON BY EITHER PARTY AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. This Agreement is subject to the laws of the state in which it has been signed and executed. Customer shall not assign this Agreement without the prior written consent of the Company. Other than as permitted herein or as permitted by applicable law, this Agreement cannot be canceled or amended without written mutual agreement of both parties. Company and Customer intend and agree that if a court of competent jurisdiction determines that the scope of any provision of this Agreement is too broad to be enforced as written, the court should reform such provision(s) to such narrower scope as it determines to be enforceable. Company and Customer further agree that if any provision of this Agreement is determined to be unenforceable for any reason, and such provision cannot be reformed by the court as anticipated above, such provision shall be deemed separate and severable and the unenforceability of any such provision shall not invalidate or render unenforceable any of the remaining provisions hereof. THE TERMS IN THIS AGREEMENT ARE SPECIFICALLY AGREED TO AND INCORPORATED HEREIN. Toll Free: 888.794.5226 1 Fax: 888.255.6732 1 www.stormoperations.com CLAIM #:196979656002 INSURANCE CO: Safeco INSURED: James and Britta Kruse ADDRESS: 4165 Pierce St. CITY/STATE/ZIP: Wheat Ridge, CO 80033 INSURANCE WAIVER AUTHORIZATION AND WAIVER OF CONFIDENTIALITY If insurance is involved in the funding of this Contract in any amount the Customer authorizes and expressly agrees to direct Safeco Insurance Company in writing to pay Storm Operations of America LLC solely and directly for any Services Storm Operations of America LLC furnishes to the Project under this Contract that are covered and funded by Customer's Insurance Company, including any and all supplements and/or supplemental Services additionally covered and funded by Customer's Insurance Company. Therefore, Customer hereby appoints Storm Operations of America LLC as attorney-in-fact, authorizing Storm Operations of America LLC to communicate directly with Customer's Insurance Company to discuss Storm Operations of America LLC's scope of work/ costs for the Services, including, any and all estimates and/or supplements to Storm Operations of America LLC's scope of work/costs for the Services before, during, or after the Project. Customer further appoints Storm Operations of America LLC as attorney-in-fact, authorizing Storm Operations of America LLC to endorse Customer's name on and deposit any and all checks or drafts issued by its Insurance Company to Customer, whether solely or jointly as payment for Storm Operations of America LLC's Services. ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement qW—, 6/23/17 Customer Signature Date Page 9 NO VERBAL AGREEMENTS All work we are completing must be on the contract. CHANGE ORDERS Any changes in scope after a contract is signed must be filled out on a change order. SUPPLEMENTS Sometimes we bill the insurance company for additional money called a supplement. This money will be due to us in addition to the regular contract amount. READ OUR TERMS In circumstances that are beyond our control and not the result of negligence, we will not be held responsible. Drywall nail pops from vibrations and damage to utility lines placed too close to the roof deck are just a few of these types of examples. 6/23/17 Customer Signature Date Page 10 9z'1v 6/23/17 Project Manager Signature Date Date: 6/23/17 Attn: Claims Department RE: Selection of Contractor Insured: James and Britta Kruse Claim Number: 196979656002 Address: 4165 Pierce St. To whom it may concern: Wheat Ridge, CO 80033 This letter is to inform you I selected Storm Operations of America LLC as my general contractor of choice to complete repairs to my residence. I have selected Storm Operations of America LLC because they provide an additional layer of supervision over the work instead of relying on the word of a roofing company. In addition, they have agreed to coordinate the work between the various trades to minimize my inconvenience throughout the restoration process. By using a general contractor I am able to avoid wasted time and effort, on my part, in getting prices from several different specialty contractors; and then getting contractors to show up when they are scheduled to bid or do the work. Working with them also saves me the worry of having different specialty contractors taking my deposits without doing the work (a real concern for me), also in determining what to do if I cannot find someone to do the work items for the offered settlement prices. Storm Operations has agreed to bid the work using their subcontractors, including 20% for overhead & profit since they are a General Contractor. Sincerely, 4 E J L N d t L O L y� O V_ (n O -_a Q% L L A• V 0 CL O a L C N � F- U Q N ro C H 0 U) ro L OJ O co E 8 0 a oN « «No w ~ z w ¢ o O z z i O n o a 3 $ 3 a wo i o z a o x m to O Iliz < _ oa a17 _ E a ¢ J " o o u p a a z E O a o o - z W iin>> F m = o o N E - o a oz _� E o" ° v 3 o ¢ w z 3 i a w E c a z a E a L v o cx xmwo a 3 ¢ F mo z a z o d r c o Z, Q ¢ z z z w o 0 3 n v E m w r N O E za io o F xw z z z - - Q J w Z_ Z Z m - i ¢ O arm a6 O m z O Z¢ m 0 z ¢ w x 3 F w O 9 x 0 O x o Owoo = _ 3 v o = w - u'oa =prz `w m j o E o i LLo c w < N o x o a o w o z dz� t a 5. ° O x -a' a £ o z Q w ti A m o s o z s E - E F 6¢ q 3 E v G W'^ 3 or O w 0- p H W Z Z O w 0 3 o z a o o m o s v r a « z mz _ ° 3E oQiou 3 _ p i E v�� i'o"<; E xg7'3o¢ -E - ` - m ` 10 z z w a a . 3 Zgo E - w p. 00 01 „A E o f z an, o z m c o„ ou 3 n c z o i Q c o 3 O f E oz a 'a „ o 3= N w$ g _ a o w 3 E"' mE 90 w a o o Q¢ E= m 3 c v v s ma "E Ac3omm z- oop?--o 3 z gv v mE A o`o Eo W�-cE Ev_ mzaFo3 v E o p p W¢ Z, E- _ E v v x ofc a ¢ u _ E0E _ „ Q 3o O ?vc =E 0 i r 0 Z 'c° E o : 3 >i E t r 2 v u E o- .n g p W< Q O r c u a . . . . . . . . . . . . . . . . . . . . O E " c o i 3 w vv o x .00 0 o O NOTICE OF CANCELLATION 6/23/17 You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any property delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the property at the seller's expense and risk. If you do make the property available to the seller and the seller does not pick up such property within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the property without further obligation. If you fail to make the property available to the seller, or if you agree to return the property to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to Storm Operations of America LLC at 9830 W. 59th Place Arvada, CO 80004 NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE ABOVE DATE. I HEREBY CANCEL THIS TRANSACTION. BUYER'S SIGNATURE James and Britta Kruse BUYER'S PRINTED NAME 6/23/17 DATE NOTICE OF CANCELLATION 6/23/17 You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any property delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the property at the seller's expense and risk. If you do make the property available to the seller and the seller does not pick up such property within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the property without further obligation. If you fail to make the property available to the seller, or if you agree to return the property to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to Storm Operations of America LLC at 9830 W. 59th Place Arvada, CO 80004 NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE ABOVE DATE. I HEREBY CANCEL THIS TRANSACTION. BUYER'S SIGNATURE James and Britta Kruse BUYER'S PRINTED NAME 6/23/17 DATE NOTICE OF CANCELLATION If you are notified by your insurer that all or any part of the claim or Agreement is not a covered loss under the insurance policy, you may cancel the Agreement by mailing, emailing or delivering a signed and dated copy of this cancellation notice or any other written notice to Storm Operations of America LLC at 9830 W. 59th Place Arvada, CO 80004 any time within 72 hours after you have received such notice from your insurer. Even if you timely deliver this Notice of Cancellation, the contractor may still retain all payments or deposits made by you to compensate contractor for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices, to an extent necessary to compensate the contractor for the actual work performed. If you cancel, any payments made by you under the Agreement, other than those excepted in the prior sentence, will be returned to you within 10 days following receipt by the contractor of your cancellation notice. 1 HEREBY CANCEL THIS TRANSACTION. 6/23/17 Date Insured's Signature James and Britta Kruse Insured's Printed Name NOTICE OF CANCELLATION If you are notified by your insurer that all or any part of the claim or Agreement is not a covered loss under the insurance policy, you may cancel the Agreement by mailing, emailing or delivering a signed and dated copy of this cancellation notice or any other written notice to Storm Operations of America LLC at 9830 W. 59'" Place Arvada, CO 80004 any time within 72 hours after you have received such notice from your insurer. Even if you timely deliver this Notice of Cancellation, the contractor may still retain all payments or deposits made by you to compensate contractor for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices, to an extent necessary to compensate the contractor for the actual work performed. If you cancel, any payments made by you under the Agreement, other than those excepted in the prior sentence, will be returned to you within 10 days following receipt by the contractor of your cancellation notice. I HEREBY CANCEL THIS TRANSACTION. 6/23/17 Date Insured's Signature James and Britta Kruse Insured's Printed Name .rte► Report i 4165 Pierce St, Wheat Ridge, CO 80033-4945 Report: 18896214 Total Line Lengths: Valleys = 42 ft Flashing = 0 ft Ridges = 33 f: Rakes = 42 ft Step flashing = 12 ft Hips = 144 ft Eaves = 209 ft Parapets = 0 ft N O `4=1 Note: This diagram contains segment lengths (rounded to the nearest whole number) over 5.0 Feet In some cases segment labels have been removed for readability. Plus signs preface some numbers to avoid confusion when rotated (e.g. +6 and +9). e', 2008-2017 Eagle V- Technologies, Inc. and Pictometry International Corp. - All Rights Reserved - Covered by one or more of U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125; 8,825,454; 9,135,737; 8,670,961; 9,514,568; 8,818,770; 8,542,880; 9,244,589; 9,329,749. Other Patents Pending. - am= Premium Report 6/26/2017 PITCH DIAGRAM Pitch values are shown in inches per foot, and arrows indicate slope direction. The predominant pitch on this roof is 5/12 T F 5 - —a 5- F 1 -5 .-5 T cn 5- - 2- 2--> N W � E S Note: This diagram contains labeled pitches for facet areas larger than 20.0 square feet In some cases pitch labels have been removed for readability. Blue shading indicates a pitch of 3/12 and greater. Gray shading indicates flat, 1/12 or 2/12 pitches. <� 2008-2017 Eagle View Techoologies, Inc. and Pictornetry International Corp. - All Rights Reserved - Covered by one or more of U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125; 8,825,454; 9,135,737; 8,670,961; 9,514,568; 8,818,770; 8,542,880; 9,244,589; 9,329,749. Other Patents Pending. Total Area = 2,504 sq ft, with 12 facets. 135 480 109 167 153 419 223 Premium Report 6/26/2017 333 177 TN W 4- E W S Note: This diagram shows the square feet of each roof facet (rounded to the nearest Foot) The total area in square feet at the tOD of this page, is based on the non -rounded values of each roof facet (rounded to the nearest square foot after being totaled) 2� 2008-2017 Eagle View Technologies, Inc. and Pictometry International Corp. - All Rights Reserved - Covered by one or more of U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125; 8,825,454; 9,135,737; 8,670,961; 9,514,568; 8,818,770; 8,542,880; 9,244,589; 9,329,749. Other Patents Pealing. AGLE IEE` Premium Report 6/zs/zoic • � ' A Roof facets are labeled from smallest to largest (A to Z) for easy reference. G J '?, 20082017 Eagle View+ Technologies, Lx. and Pictome" ➢iternational Corp. - All Rights Reserved - Covered by one or more of U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125; 8,825,454; 9,135,737; 8,670,961; 9,514,568; 8,818,770; 8,542,880; 9,244,589; 9,329,749. Other Patents Pending. FI- F D E C L K G J '?, 20082017 Eagle View+ Technologies, Lx. and Pictome" ➢iternational Corp. - All Rights Reserved - Covered by one or more of U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125; 8,825,454; 9,135,737; 8,670,961; 9,514,568; 8,818,770; 8,542,880; 9,244,589; 9,329,749. Other Patents Pending. FI- Premium Report 6/26/2017 Roof Pitches 1/12 2/12 512 Area (sq ft)___._ 480.0 177.3 1847.2 % of Roof 19.2% 7.1% __. 73.8% The table above lists each pitch on this roof and the total area and percent (both rounded) of the roof with that pitch. Waste Callcullat Waste % 0% 10% 12% 15% 17% 20% 220/. Area (sq ft 2,504 12 754 2,804 2,880 2,930 13,005 3,055 Squares 25.0 1 27.5 28.0 28.8 29.3 30.0 30.5 WUJt �rlwva IIIA LVLCH Iwl dtcct CUM �)yudres kruunaeo up to ine nearest aecimaiq based upon different waste percentages. The waste factor is subject to the complexity of the roof, individual roofing techniques and your experience. Please consider this when calculating appropriate waste percentages. Note that only roof area is included in these waste calculations. Additional materials needed for ridge, hip, valley, and starter lengths are not included. Lengths, Areas and Pitches Ridges = 31 ft (4 Ridges) Hips = 144 ft (10 Hips). Valleys = 42 ft (5 Valleys) Rakes* = 42 ft (4 Rakes) Eaves/Starter*' = 209 ft (10 Eaves) Drip Edge (Eaves + Rakes) = 251 ft (14 Lengths) Parapet Walls = 0 (0 Lengths). Flashing = 0 ft (0 Lengths) Step flashing = 12 ft (5 Lengths) Total Area = 2,504 sq ft Total Roof Facets = 12 Predominant Pitch = 5/12 Property Location Longitude = -105.0723702 Latitude = 39.7742804 Notes This was ordered as a residential property. There were no changes to the structure in the past four years. Online Maps Online map of property http://mal)s.qoogle.com/maps?f=q&source=s q&hl=en&geocode=&q-4165+Pierce+St Wheat+Ridge CO 80033-4945 Directions from ROOF DEPOT MOUNTAIN - CENTENNIAL to this property http://maps.google.com/maps?f=d&source=s d&saddr= 6978+SOUTH +CLINTON +STREETCENTENNIAL CO 80112&daddy 4165+Pierc e+St, W heat+Ridge,C0,80033-4945 * Rakes are defined as roof edges that are sloped (not level). ** Eaves are defined as roof edges that are not sloped and level. lc, 2008-2017 Eagle View 7ahrwlogies, Inc. and PMrnetry International Corp. - All Rights Reserved - Covered by one or more of U.S. Patent Nos. 8,078,436; 8,145,578; 8,170,840; 8,209,152; 8,515,125; 8,825,454; 9,135,737; 8,670,961; 9,514,568; 8,818,770; 8,542,880; 9,244,589; 9,329,749. Other Patents Pending. City of W heat Midge COMMUNi7Y DEVELOPMENT I FOR OFFICE USE ONLY I Date: V`' I /—/ Add to Permit # vAu 13 619 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 aki.wheatridae.co.us Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **" Property Address: q1v15 pie,G� Property Owner (please print): JAS GIrK Sc Phone: Property Owner Email: 161 SWrusc P,,6mail. eon's Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: All 14 O'hC 0!�Onfr-aCfy/S. Contact Person: -�bv; n Ae rGyl Phone: Contractor: All in Dior COyiffa- cfo s 72C) 9/37 la lq Contractors City License #: ogolgl Phone: 7ZO N11 Z q00 % Contractor E-mail Address: Or'dff5 gfAWr'CO elMail.cafif Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Vail Ke, -dry - 25--1- Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 1,1600-00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assn ne 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. CIRCLE ONE: j��A(OWNER)(COONTRACTOR) or (AUTHORIZ D REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: i w f7 Arlm SIGNATURE: ! DATE: g -11q/ 17 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ i "CITY OF WHEAT RIDGE ' _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �v Job Address:�� S Permit Number: /70PIF3 ❑ No one available for inspection: Time AN/P r Re -Inspection required: �eo When corrections have been made, call for re -inspection at 303-234-5933 Date: (J 7'j? Inspector:_`�i� �+�- DO NOT REMOVE THIS NOTICE 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: l elC� Permit Number: 0/70 L ❑ No one available for inspection: Time IPM w Re -Inspection required: Yes ,'"'No..t" When corrections have been made, call for re -inspection at 303-234-5933 • Date:v ',7 Inspector: V �� DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE _:�9�Building Inspection Division,} (303) 234-5933 Inspection lin"i (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: m i0%sof Job Address: ( US Pi 1-&r Permit Number: rA I 'KASSfD O A t LA C-' �ro `Z J f tial 41 1 ❑ No one available for inspection: Time '2,_ A PM Re -Inspection required Yes No When corrections have been made, call for re% -ill pection at 3-234-5933 Date: 1 (� Inspector: DO NOT REMOVE THIS NOTICE 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: Permit Number: ❑ No one available for inspection: Time A Re -Inspection required: Yes (Q When corrections, have been made, call Xtion at 303T234-5933 Date: O Inspector: DO NOT REMOVE THIS NOTICE im �� CITY or BUi/din whEq T �3 (303% 239 /nsp�Cti RI AGE 3) 235 28 4 O�?� /,7Sp c�a�n ia (393 23 j dine I n oection Type II VSPFCT/oN 99,-g "a -"Perri t �U dress; N�TICS mbar; � �� 2or�U 3 yP�c` 5,� 'enc pr fe9Uired. r ct ons yes N \ A ave been made ca// M pM 6 fpr re'�ns 'pectip nspector, n at3p3234 s933 E Ty�s NpT� CF City of Wheat Ridge w �- ��'� Residential Roofing PERMIT - 201703492 PERMIT NO: 201703492 ISSUED: 07/07/2017 JOB ADDRESS: 4165 Pierce ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install LIFETIME LAMINATED CERTAINTEFD BLACK asphalt shingles with 24 sq HOUSE: 5/12 PITCH *** CONTACTS *** OWNER (303)546-5917 KRUSE JAMES SUB (303)663-5615 Joel/Channa Speckman 080141 All In One Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,579.00 FEES Total Valuation 0.00 Use Tax 159.16 Permit Fee 172.60__ ** TOTAL ** 331.76 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703492 PERMIT NO: 201703492 ISSUED: 07/07/2017 JOB ADDRESS: 4165 Pierce ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install LIFETIME LAMINATED CERTAINTEED BLACK asphalt shingles with 24 sq HOUSE: 5/12 PITCH I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am fhe legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfbril e'd andiltat�all work to be erforme-Itd is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of WNER or CONTRACTOR (Circle one) Date 1. This permit was issued b ed on the info ation provided in the permit application and accompanying plans and specifications and is subject to the compliance w uments, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be regmired 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 an 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 issuanc 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 applica co eorta�►�yor or r ula ion of this jurisdiction. Approval of work is subject to field inspection. ice' T 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 insptimerequestgci.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. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, June 26, 2017 9:48 AM To: Permits CommDev 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. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4165 Pierce Street Wheat Ridge, CO James Kruse 3035645917 1. � .�� Property Owner Email Field not completed. Address 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 All In One Contractor's License 080141 Number (for the City of Wheat Ridge) Contractor Phone 8175659922 Number Contractor Email Address verticalorders@gmail.com Retype Contractor Email verticalorders@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No ` roof? Description of Roofing Lifetime Laminated Certainteed Back Walnut / Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 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? N TOTAL SQUARES of all 24 roofing material for this project Provide additional detail House, 5/12 Pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7579 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 Brandon Pask Email not displaying correctly? View it in your browser. 3 Customer Name: - Jobsite Address: Cdy, State, Zip James and Britta Kruse 4165 Pierce St. Wheat Ridge, CO 80033 Email: Cell Phone: Additional Phone: J.kruse5280@gmai1.com 303.564.5917, 303.564.5592 Insurance Company: Claim# Agent Name: Safeco 196979656002 Lisa Blocker Is this a rental property? It so, address of owner. How did you hearabout us? Project Manager Brandon Rolan ONE STORY ACCESS ® Yes ® No PITCH 5/12 R] TEAR OFF and haul away Several layers of existing shingles. ❑ DECKING — Remove and replace decking, as needed, for $50 per sheet extra. ❑ RE -DECK - Remove and replace all decking P1 UNDERLAYMENT -We will install Synthetic Ja SHINGLES — Certainteed landmark (Brand & Style) ❑ INSTALL (yr) 3 -Tab (color) P1 INSTALL LT (yr) Dimensional Black walnut (color) P1 RIDGE - 03 -Tab Ridge ❑ Matching Hip & Ridge ❑ High Profile Ridge ❑ Detached Garage ❑ Shed ❑ Patio Covering ❑ Other ❑Install squares of ALUM SEAMLESS GUTTER -See Gutter Diagram & Notes ANY CURRENT LEAKS? ❑ Yes O No If so please explain below ANY INTERIOR DAMAGE?[] Yes ON, If so please explain below (Please provide photos of leaks & Interior damage) ANY AREAS EXCLUDED FROM WARRANTY? ©Yes �No 0 FLASHING - We will replace flashing as needed. Please describe: 0 VALLEYS & PENETRATIONS — Install ice & water shield. POST - CONSTRUCTION ✓❑ PIPES - Install & paint 2 1 112' 2 2" 1 3' _4" lead stacks Mclean roof, gutters, and jobsite ❑■ 25 Point Inspection e METAL EDGE ❑ Keep or ® Replace all Almond (color). re] Collect Payment 0 Haul off excess material ©Sweep site with magnet VENTILATION P1 Install 1 Cardinal Solar Power Vents 20 Watt Black • wind turbines _ low profiles _ power vents _ LF Ridgevent 0 2 Year workmanship Other WORK WE . COMPLETING ROOFING: Remove and replace entire roof, add attic breeze cardinal solar vent Replaces all gutters MISCELLANEOUS: 14 inch base for wood stove UPGRADES: Certainteed 50 UPGRADE AMT: 150.00 ® WILL DO JOB FOR INSURANCE PROCEEDS OR ❑ CASH CONTRACT AMOUNT $ Original RCV Amount $ 16284.35 * 'This may not be final contract price and does not include upgrades or any supplements paid by insurance company. ✓ Does the first insurance check need to be signed by the mortgage company? DYES []NO ® Already Signed ✓ Homeowner has read and understands the "What to Expect' insert and all pages and terms of this contract? ®YES ❑ NO Material Placement: Right side Special Instructions: Landscape protection Company's Surety and Liability Insurer Information Insurer: Gemini Insurance Company Address: 7233 East Butherus Drive City, State, Zip Code: Scottsdale, AZ 85260-240 Phone Number: (480) 951-0905 ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement 6/23/17 gz4e, 6/23/17 Customer Signature Date Project Manager Signature Date Page 1 CUSTOMER NAME: James and Bflita Kruse GUTTER DIAGRAM JOBADDRESS: 4165 Pierce St. Rear Left Now 231 -1 .5 Front 25 Right GUTTERS 0/ 5" [j6" DOWNSPOUTS ®2X3 ®3X4 COLOR Tbd INSURANCE PAID FOR: ®FULL REPLACEMENT ®PARTIAL REPLACEMENT GUARDS Yes® No® GUTTERS & DOWNSPOUTS (TOTAL LF INS. PAID) 273 GUTTERS & DOWNSPOUTS (ACTUAL LF - FULL HOUSE) 270 GUTTER LF TO BE SUPPLEMENTED -3 TOTAL # OF DOWNSPOUTS 7STORY 6 2STORY INSURANCE PAID PARTIAL, BUT OWNER WANTS FULL & AGREES TO PAY DIFFERENCE IF INSURANCE WILL NOT Des PINo NOTES: 5k O*Owr F4 -k Page 2 s All in One noted the following items that were not included in your insurer's repair estimate. Permits, additional layers, decking RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the Work on the property. By signing this Agreement you agree that you have also been provided notice of this light to cancel orally in addition to the writing contained herein. ACCEPTANCE OF TERMS Customer's below signifies acceptance of all terms and conditions set forth in this Agreement. P,e _ 6/23/17 _ 6/23/17_ Customer Signature Date Project Manager Signature Date Page 3 WORK NOTCOMPLETING INSURANCE DESCRIPTION OF WORK NOT COMPLETING SECTION ITEM #'s ACV NOT DEP NOT NOT Right Elevation R and R garage door, R and R window screens 14-15 1. 54u.rd { 365.% Rear Elevation R and R window screens and well cover, reglaze window unit 16-18 456.56 144.41 Contents Camper top, bird bath, bird feeder, flower pot, path lights, patio table, garden hose, lawn mower 24-31 561 16 797.5? Satellite 12 (: ) ,';:: ) Contract start date: 6/23/17 'Estimated Job Completion Date' shall be on or before 180 days after the 'Contract Start Date' Line 7 Line 8 BALANCE DETAIL PAYMENT SCHEDULE 1. 1sT INSURANCE CHECK (ACV Less Deductible) 10,387.13 1TLPAYMENT is due upon roof completion. Amount of 15' PAYMENT $9,642.31 g "Out of Pocket Expense" included in 1st PAYMENT FINAL PAYMENT is due upon receipt from insurance or 30 days after job completion, whichever is sooner. Amount of FINAL PAYMENT*** $ 3,089.38 *""1 understand all applicable supplements and/or general contractor overhead & profit paid by insurance company will be owed in addition to this amount. Additional payments sent by insurance for depreciation/supplements will also be due upon receipt. In'lis 2. INITIAL RECOVERABLE DEPRECIATION 4,397.22 3. NON-RECOVERABLE DEPRECIATION — NOT COMPLETING 4. NON-RECOVERABLE DEPRECIATION — ARE COMPLETING 5. PROPERTY OWNER DEDUCTIBLE 1,500.00 6. UPGRADES I ADDITIONAL WORK 150.00 7. WORK NOT COMPLETING (ACV Value) (::',394.82) 8. WORK NOT COMPLETING (Depreciation) (' 37.8? } 9. TOTAL OWED TO ALL IN ONE... $12,731.69 RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the Work on the property. By signing this Agreement you agree that you have also been provided notice of this light to cancel orally in addition to the writing contained herein. ACCEPTANCE OF TERMS Customer's below signifies acceptance of all terms and conditions set forth in this Agreement. P,e _ 6/23/17 _ 6/23/17_ Customer Signature Date Project Manager Signature Date Page 3 ADDITIONAL TERMS AND CONDITIONS This agreement, including the additional terms and conditions on the reverse side and any agreement executed in writing pursuant thereto (this "Agreement"), is entered into between Storm Operations of America LLC ("Company"), and the property owner(s) or property owner's representative(s) set forth on the opposite side of this Agreement ("Customer"), for the purpose of replacing or repairing Customer's property that was damaged. 1. Approval / General Contractor. Customer hereby certifies that Customer is the owner of the property described herein and authorizes Company to obtain labor and materials to accomplish the replacement or repair in accordance with the Agreement. This Agreement is subject to the credit and pricing approval of Company. Customer acknowledges that Company is a general contractor and as such will be entitled to 10% overhead and 10% profit, as allowed by Customer's insurance company and state standards. 2. Agreed Price. The full amount of all monies as specified by the agreed upon price ("Agreed Price') does not include any extras such as carpentry repairs or other repairs not specified in this Agreement that may be necessary to complete the repair or replacement process as required by local building codes or to cosmetically satisfy Customer. 3. Materials. All materials provided by Company will be standard stock materials, unless otherwise specified, and will match existing materials within reasonable tolerance as to color, texture, design, etc. Notwithstanding the foregoing, other products and materials may be substituted for equivalent products due to availability. Customer understands that there is a 2 -day minimum charge for all drying, water extraction and dehumidification equipment provided by Company. All excess materials remain the property of Company. 4. Access to Property. The prices and terms of Company's estimate and this Agreement are based upon completion of the work during normal working hours, and Customer agrees to provide Company access to Customer's property as required for completion of the work. Customer will be responsible if any interruption of Company's work results from Customer's failure to provide reasonable access or due to the acts or negligence of others not under Company's direction. Company shall not be responsible for damages arising from delay due to inclement weather, strikes, fires, accidents, delays in shipments or delivery of materials, or any causes beyond Company's reasonable control. Customer agrees that Customer's telephone, electricity and water will be made available to Company's personnel during the course of the work Customer will also funiish at its expense, single phase, 220 -volt, 50 -amp electrical service. Company shall not be responsible for protection of Customer's property, except to provide that protection which is specifically called for under the specifications provided by this Agreement Customer also agrees to remove, store and/or protect personal property during Company's work. Customer will manage and be responsible for protection of vehicles and property exposed to damage by Company's work 5. Job Completion / Past Due Amounts. Job completion shall be the date on which Company's work is substantially finished (as distinguished from the date of Customer's acceptance thereof) or the date of Company's last item of work at the property, whichever is earlier. Customer's failure to make prompt payment shall entitle Company, on forty-eight hours (48) hours' written notice, to stop work The Agreed Price shall be increased by Company's reasonable costs to stop the project and/or resume work In the event Customer chooses not to pay for a part of the work, an individual line item, or a trade, Customer releases Company of its obligations for the performance of that component with regard to the integrity of the building system as a whole. Customer agrees to pay a service charge of 8% per annum or the maximum amount allowed by law, whichever is less, on all balances 30 days or more past due. Customer also agrees to pay for all collection costs, including employee time and expense and all attorneys' fees and costs Company incurs in either collection of and/or protection of its interests in Customer's past due account or performance of this Agreement. 6. Insurance / Mortgage Company. Customer hereby authorizes its insurance and/or mortgage company listed on the front of this Agreement to pay Company directly for all work and materials provided by Company to accomplish Customer's replacement or repair. Customer further directs its insurer and/or mortgagee to include Company as a payee on all checks or drafts now or hereafter payable for such loss. Company reserves the right to supplement Customer's insurance and/or mortgage company price for increases in the scope of work and/or documented price increases. Customer agrees to allow these supplements to be paid directly to Company. Company makes no representations or warranties regarding Customer's insurance coverage or if Customer's insurer will pay for all or any of the work to be performed by Company under this Agreement. Customer agrees to pay Company in full for all work performed by Company under this Agreement, regardless of Customer's insurance coverage. Customer also agrees to pay Company directly for all amounts, despite depreciation or deductibles, and to also pay for additional work not covered by Customer's insurer and that said amounts must be paid before job completion. In the event Customer breaches this Agreement, Customer agrees to pay Company: a) in full, on a time and materials basis, for all work and materials provided by Company as of the date of such breach; and b) a consulting fee equal to 20% of the total cost of work and materials provided by Company as of the date of such breach, which fee represents the industry standard for reasonable profit and overhead and is not a penalty. Company and its authorized representatives are NOT acting as public adjusters. 7. Limited Waranty. A written limited warranty may be offered on workmanship and materials provided pursuant to this Agreement on the terms and conditions reflected in any written limited warranty materials provided at the time of sale. If Company is not paid in full in accordance with this Agreement, all such warranties are null and void. 8. Hazardous Materials / Mold. Nothing contained in this Agreement shall be construed to require Company to determine the presence or absence of any hazardous materials or asbestos -containing materials affecting the property or to require Company to remove or protect such materials. In the event that Company learns of the presence of such materials on Customer's property, Company reserves the right to immediately stop work and negotiate a change order for such additional work as may be required. In addition, this Agreement does not include, unless expressly specified, any mold abatement, removal or cleaning. If mold is found existing on the Customer's property, any cost to abate, remove or clean shall be paid by Customer as an additional cost Any warranty provided herein excludes the cost to abate, remove or clean any mold on Customer's property. 9. Liability Company is not responsible for damage or loss caused in whole or in part by: the acts or omissions of other parties, trades or contractors; lightning, gale force winds (+50 m.p.h.), hailstorms, ice damage, ice damns (caused by thawing and freezing of ice, water or snow) hurricanes, tornados, floods, earthquakes or other unusual phenomena of the elements; structural settlement; failure, movement, cracking or excess deflection of the roof deck; defects or failure of materials used as a roof substrate over which Company's roofing material is applied; faulty condition of parapet walls, copings, chimneys, skylights, vents, supports or other parts of the building; vapor condensation beneath the roof; penetrations for pitch boxes; erosion, cracking and porosity of mortar and brick; dry rot; stoppage of roof drains and gutters; penetration of the roof from beneath by rising fasteners of any type; inadequate drainage, slope or other conditions beyond the control of Company which cause ponding or standing water, termites or other insects; rodents or other animals; fire; or harmful chemicals, oils, acids and the like that come into contact with Customer's roof and cause a leak or otherwise damage Customer's roof. If Customer's roof fails to maintain a watertight condition because of damage by reason of any of the foregoing, any applicable written limited warranty shall immediately become null and void for the balance of its term. Company accepts no liability to indemnify or hold Customer harmless for claims or damages to persons or property, except to the extent that such damage occurs during performance of Company's work and are the direct result of Company's error or omission. Notwithstanding the foregoing, Company shall not be responsible for damages to any area of the property upon which Company's work has not been completed nor is Company responsible for slight scratching or denting of gutters, oil droplets in driveways, hairline fractures in concrete, damage to flowers or landscaping, or minor broken branches on trees, plants or shrubbery. In no event shall Company be responsible for any type of damage resulting from vibrations, including, but not limited to, interior drywall damage, nail pops or disconnection of chimneys, flues, air ducts, ventilation shafts, exhaust vents, furnace vents or sewer vents. Company is not responsible for damaged electrical, cable, A/C, or plumbing lines installed within 6 inches of the roofline. Customer understands and agrees that Company shall have no responsibility for damages of any kind to persons or property occurring after job completion. 10. Hold Harmless. Customer agrees to hold Company harmless in connection with the work described herein and that Customer's maximum recourse shall be, and Company's maximum liability under this Agreement shall be limited to, the amount Company billed to Customer. Customer understands and acknowledges that Company does not warrant or guarantee previous workmanship or pre-existing materials, nor any materials or labor not originally provided by Company. Company shall not be responsible for latent defects in materials and accessories supplied. Company shall not be responsible for rework required as a result of the acts or errors of others. 11. PRE -LIEN NOTICE: COMPANY HEREBY PROVIDES NOTIFICATION THAT ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIAL FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. Upon default in payment, a lien will he placed on the property and charges will be added from the date of substantial completion at the maximum rate allowed by law. 12. Insurance Deductible. If Customer plans to use the proceeds of an insurance policy to pay for any of the work under this Agreement, Company shall not 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 the work under this Agreement 13. Miscellaneous. This Agreement constitutes the entire agreement and understanding of Company and Customer relating to all of the subject matter hereof, and supersedes all prior agreements, arrangements and understandings, written or oral between the parties concerning such subject matter. ANY REPRESENTATION, STATEMENTS, OR OTHER COMMUNICATIONS NOT WRITTEN IN THIS AGREEMENT, OR MADE IN WRITING PURSUANT THERETO, ARE AGREED TO BE INVALID AND NOT RELIED ON BY EITHER PARTY AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. This Agreement is subject to the laws of the state in which it has been signed and executed. Customer shall not assign this Agreement without the prior written consent of the Company. Other than as permitted herein or as permitted by applicable law, this Agreement cannot be canceled or amended without written mutual agreement of both parties. Company and Customer intend and agree that if a court of competent jurisdiction determines that the scope of any provision of this Agreement is too broad to be enforced as written, the court should reform such provision(s) to such narrower scope as it determines to be enforceable. Company and Customer further agree that if any provision of this Agreement is determined to be unenforceable for any reason, and such provision cannot be reformed by the court as anticipated above, such provision shall be deemed separate and severable and the unenforceability of any such provision shall not invalidate or render unenforceable any of the remaining provisions hereof. THE TERMS IN THIS AGREEMENT ARE SPECIFICALLY AGREED TO AND INCORPORATED HEREIN. Toll Free: 888.794.5226 1 Fax: 888.255.6732 1 www.stormoperations.com CLAIM #:196979656002 INSURANCE CO: Safeco INSURED: James and Britta Kruse ADDRESS: 4165 Pierce St. CITY/STATE/ZIP: Wheat Ridge, CO 80033 INSURANCE WAIVER AUTHORIZATION AND WAIVER OF CONFIDENTIALITY If insurance is involved in the funding of this Contract in any amount the Customer authorizes and expressly agrees to direct Safeco Insurance Company in writing to pay Storm Operations of America LLC solely and directly for any Services Storm Operations of America LLC furnishes to the Project under this Contract that are covered and funded by Customer's Insurance Company, including any and all supplements and/or supplemental Services additionally covered and funded by Customer's Insurance Company. Therefore, Customer hereby appoints Storm Operations of America LLC as attorney-in-fact, authorizing Storm Operations of America LLC to communicate directly with Customer's Insurance Company to discuss Storm Operations of America LLC's scope of work/ costs for the Services, including, any and all estimates and/or supplements to Storm Operations of America LLC's scope of work/costs for the Services before, during, or after the Project. Customer further appoints Storm Operations of America LLC as attorney-in-fact, authorizing Storm Operations of America LLC to endorse Customer's name on and deposit any and all checks or drafts issued by its Insurance Company to Customer, whether solely or jointly as payment for Storm Operations of America LLC's Services. ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement 1 " � w—'— 6/23/17 Customer Signature Date Page 9 NO VERBAL AGREEMENTS All work we are completing must be IN WRITING on the contract. CHANGE ORDERS Any changes in scope after a contract is signed must be filled out on a change order. SUPPLEMENTS Sometimes we bill the insurance company for additional money called a supplement. This money will be due to us in addition to the regular contract amount. READ OUR TERMS In circumstances that are beyond our control and not the result of negligence, we will not be held responsible. Drywall nail pops from vibrations and damage to utility lines placed too close to the roof deck are just a few of these types of examples. W�"- 6/23/17 Customer Signature Date Page 10 aZ5�1� 6/23/17 Project Manager Signature Date Datc: 6/23/17 Attn: Claims Department RE: Selection of Contractor Insured: James and Britta Kruse Claim Number: 196979656002 Address: 4165 Pierce St. Wheat Ridge, CO 80033 To whom it may concern: This letter is to inform you I selected Storm Operations of America LLC as my general contractor of choice to complete repairs to my residence. I have selected Storm Operations of America LLC because they provide an additional layer of supervision over the work instead of relying on the word of a roofing company. In addition, they have agreed to coordinate the work between the various trades to minimize my inconvenience throughout the restoration process. By using a general contractor I am able to avoid wasted time and effort, on my part, in getting prices from several different specialty contractors; and then getting contractors to show up when they are scheduled to bid or do the work. Working with them also saves me the worry of having different specialty contractors taking my deposits without doing the work (a real concern for me), also in determining what to do if I cannot find someone to do the work items for the offered settlement prices. Storm Operations has agreed to bid the work using their subcontractors, including 20% for overhead & profit since they are a General Contractor. Sincerely, L In (3) N a) T L U E„9E- o 0 o z z 3 - a ° s 0 3 3 ti W m z o o :6 m L c S o; r o; E 3 3 o m x`02 '`-E �x a =oo i 3- E' ` E 3 u c n c o? 3 0 i e _ A No Q a a _ r .3 0 .19 o i o 3 0 $ o tod - � z d- a o o n E cna 3 m3"z nymo - ¢FO d ' 3 . 1. ami _ - - - a oma z do 5`0 3 T - mE 2 c i Z - 3 E n sm E _ . i yLLpj o f o tg E a o z E L 3 0 - Je a p.� E og3 E _ ac= _ a L t A « z N o z a« co c: o `u E 9 a _ m �E oo W zd0N mo aEn o f 02.o nw z a E m p _ s o ¢ Z '- 0 - e o` D o s m E E E E o oEr ms E$« `t°� Eo co v `o xz i�`•o0 o 31 Q d.a c ,.`o «C ° @ citoa cm o 'E v E=m mE„o pa6 rm ao s°� y c o_ os sz aP 3 E.. E - cm C E E oa a� 9i a� L`o F3 c N °O„z "o - `�3” ai ate"� `- t o a 0 = w 3 c a m E v O t n d u E O E 3 o L ° m G L o' -Oamp �r¢ E E `�; c o a_= m E C a=- a E= C i $ p o 3 W z f W ;o m 3 9 30 a cE° N 1•'” mE E2L mc'° mW¢Fo3 aOm = ¢oAEn E > v d 3 `o .�' ,t° _ wQ E li E c > m = u °onWo t g 2 o g o y"= L E - E .c t a o o v °` `m - m i a- m m o E d c° m o m W i c o r F= 3 a` 3 a E `a ° o,``. Sa' E o E� _ -' e' li E _ ` E 3 33 W °o ?z 3' E z- 9 3 =� �o o c 3 E m m -° - E `o � unxi z �" o¢ _¢ o E m Q E 3 .E r= 3 E z 3 z ° t s ;" u A e ? o u o ` _ G~ i e m z o e 3 a 3 E 3 o= p o` o - C as „it u '.' W < W 8esa"e _E 8 2=E nom4nauz3o u d t= N o 3 E _ °o ova 33 o;t o z .. E i ¢ .. - a „= a Moa E,. > z r3 u�ao r� S 0 E Q o 3 c ?� .. tir Ec Sg aa ._ 3 3 E - p . . . . . . . . . . . . . . . . . . . . n n a o E p a = 3 : 0 °.n' m 3 0 o x 0 0 = r 3 m n NOTICE OF CANCELLATION 6/23/17 You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any property delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the property at the seller's expense and risk. If you do make the property available to the seller and the seller does not pick up such property within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the property without further obligation. If you fail to make the property available to the seller, or if you agree to return the property to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to Storm Operations of America LLC at 9830 W. 591h Place Arvada, CO 80004 NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE ABOVE DATE. I HEREBY CANCEL THIS TRANSACTION. BUYER'S SIGNATURE James and Britta Kruse BUYER'S PRINTED NAME 6/23/17 DATE NOTICE OF CANCELLATION 6/23/17 You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any property delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the property at the seller's expense and risk. If you do make the property available to the seller and the seller does not pick up such property within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the property without further obligation. If you fail to make the property available to the seller, or if you agree to return the property to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to Storm Operations of America LLC at 9830 W. 59"' Place Arvada, CO 80004 NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE ABOVE DATE. I HEREBY CANCEL THIS TRANSACTION. 6/23/17 BUYER'S SIGNATURE DATE James and Britta Kruse BUYER'S PRINTED NAME NOTICE OF CANCELLATION If you are notified by your insurer that all or any part of the claim or Agreement is not a covered loss under the insurance policy, you may cancel the Agreement by mailing, emailing or delivering a signed and dated copy of this cancellation notice or any other written notice to Storm Operations of America LLC at 9830 W. 59th Place Arvada, CO 80004 any time within 72 hours after you have received such notice from your insurer. Even if you timely deliver this Notice of Cancellation, the contractor may still retain all payments or deposits made by you to compensate contractor for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices, to an extent necessary to compensate the contractor for the actual work performed. If you cancel, any payments made by you under the Agreement, other than those excepted in the prior sentence, will be returned to you within 10 days following receipt by the contractor of your cancellation notice. I HEREBY CANCEL THIS TRANSACTION. 6/23/17 Date Insured's Signature James and Britta Kruse Insured's Printed Name NOTICE OF CANCELLATION If you are notified by your insurer that all or any part of the claim or Agreement is not a covered loss under the insurance policy, you may cancel the Agreement by mailing, emailing or delivering a signed and dated copy of this cancellation notice or any other written notice to Storm Operations of America LLC at 9830 W. 591h Place Arvada, CO 80004 any time within 72 hours after you have received such notice from your insurer. Even if you timely deliver this Notice of Cancellation, the contractor may still retain all payments or deposits made by you to compensate contractor for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices, to an extent necessary to compensate the contractor for the actual work performed. If you cancel, any payments made by you under the Agreement, other than those excepted in the prior sentence, will be returned to you within 10 days following receipt by the contractor of your cancellation notice. I HEREBY CANCEL THIS TRANSACTION. 6/23/17 Date Insured's Signature James and Britta Kruse Insured's Printed Name K)&'1x 1151V I,j% Aspic+►. ('A Y(NAI V" ("N1 2(A -MM Fax lrAwW BRI1`TA kRt:. ., )AWS IGIkt1lr11 Naaw (M") $604."W2 PAVerty 4 1 M PIF.Wj. S"r &VAM M"-ftKAI1l1 *Q*AAJt, Ct*4 WHEAT Rlllt3P fX) tMpiti_1..tW HMV, 4165 KERC b S WHEAT Rff , CO IW33 4 13 CII&M Rep. Chile Tae Extimatru- Lisa Bkxbat Notion, CAT Sr. Claim Spheral E -matt; hm.bkxkcrla &wo_cwn C leim Number- 196979636 lFi2 Date Cxxttacted: 5/5"M17 Date of Lona: 518 W17 122 AM Date Inspected: SAM017 P ice last: CODUX_MAY17 Palk? Number- 02(4479337 Restoradon/SenuWRemodel Estimate: BRMA_KRLTSE—JAMES_ RarWOM (M 33.3=36 Ems. aww1aE16t#► C,46AW- (M) 253-"" E-01AA, bar biseltar**@ftM ro Type at Lwt Had Date Received: 5/8/2017 12:00 AM Date Enteral: 5!4/2017 5:46 PM In the following pages, you will find the estimated cost of covered repairs to your property The estimated cosy of covered repairs to your home is calculated using current local prices dat are u uw and cwAommry. This estimate is based on the replacement cost of the damaged property, less your policy deductible and any applicable depreciation. Your curreni mortgage company may be listed as the payee on payment(b) for the coveted repairs to your home. If so, you will :teed to contact your mortgage company to determine their prrxedures for processing claims payments. The mortgage company will not be listed on payments for your personal property. Ne encourage you to work with a contractor of your choice in completing the repairs to your home. if you or your contractor has ny questions or concerns about this estimate, please contact your "Claim Rep" or "Estimator" listed above. It is im t to all us with questions prier to beginning repairs, as any changes in the scope of damages or pricing must be txe—avuro--vim eco insurance. you have any questions about this estimate, please do not hesitate to contact us at the members provided above. sank you for insuring with Safeco Insurance. We appreciate your business. Safeco InSUMM COMID2y -11 PO Box 515097 Los Angcles, CA 90051-5()97 (888)268-8840 Fax Root ORBITA_ KRUSE__,JAMFS_ Source - lF,agle View House 2126.60 Surface Area 236.41 Total Perimeter Length 146.56 Total Blip Length 21.27 Number of Squares 31 Al Total Ridge Length DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 1. Remove Tear off, haul and dispose of comp. shingles - 21.27 SQ 49.03 0.00 1,042 87 (0.00) 1.042.87 3 tab 45.43 1,626.10 (482.79) 1,143.31 Includes: Dump fees, hauling, disposal, and labor to remove composition shingles and felt. 2. Remove Additional layer of comp. shingles, remove 42.53 SQ 20.14 0.00 856.55 (0.00) 856.55 (no !taut off) 2nd and 3rd layer 3. Laminated - comp_ shingle rfg. - w/out felt 24.00 SQ 194.26 178.08 4,840.32 (1,290.75) 3,549.57 This line item includes a shingle material allowance of 588.52 per square, which reflects current market prices in your area Market prices were venfied by MRP's Managed Materiat Program. The MRP Managed Material Program allows you or your contractor of choice to have materials delivered directly to your home for installation. For more information on MRP contact them at: deHvegNOW OMRPprogram.eom or 877-9419-2444. - TWC was�tich includes starter strip and ridge cap. 4. Drip edge 236.41 LF 1.98 12.10 480.19 (109.76) 370.43 5. Roofing felt -15 Ib. 15.64 SQ 27.99 8.35 446.11 (178.44) 267.67 The payment for this item has not yet been incurred. 7. Flashing - pipe jack 2.00 EA 34.13 1.17 69.43 (15.87) 53.56 8. R&R Rain cap - 4" to 5" 4.00 EA 33.69 4.64 139.40 (27.96) 111.44 9. Prime & paint roof jack 6.00 EA 27.33 3.36 167.34 (89.25) 78.09 10. Exhaust cap - through roof - 6" to 8" 2.00 EA 73.89 4.96 152.74 (34.91) 117.83 11. Roof vent - turde type - Metal 4.00 EA 50.17 4.61 205.29 (46.92) 158.37 12. Digital satellite system - Detach & reset 1.00 EA 36.26 0.00 36.26 (0.00) 36.26 Tam Ras[ 217.27 8,436.50 1,793.86 6,642.64 CAdftM DESCR"ON QUANTITY UNIT MCE TAX RCV DEPREC. ACV 13, RAR Gt ar / dwr"out - aluninum - up to 5" 273.00 LF 5.79 45.43 1,626.10 (482.79) 1,143.31 8MTA-KRVSE-JAWS_ 5/17/2017 Page:2 (888)268-8840 Fax DESCRIPTION Front- Gutter 48 Downspout 14 Right- Gutter 67 Downspout 18 Rear- Gutter 65 Downspout 32 Totals: Gstttcrs CON'T'INUED • Gutters ACV TAX RCV [>4=P QUANTITY UNIT pR�t"� 482 79 1,143.31 45.43 1,62A.19 Right >aevation TAX RCV DEPRFC• ACV QUANTITY UNTT PRICE 1.651.51 (352.03) 1,299.48 DESCRIPTION 2.00RA 786.60 78 31 (13.87) 41.36 14. R&R Overhead door & hardware g' x T - High 51.67 3.56 55.23 grade Window screen, [0 16 5F 1.00 EA 81.87 1,706.74 365,90 1,340.84 15. R&R Totals: Riht Elevation Rear ETeva�OD TAR RCV DEPREC ACV V UNIT' PRIG QVJCV 51.67 7.12 110.46 (27.73) 82.73 DESCRIPTION 2.00 EA 7.60 140.29 (62.35) 77.94 I0 16 SF 16. R&R Window screen' 1 _9 sf inti 132.69 1.00 327.55 22.67 350.22 (54.33) 295.89 double- thermal window 17. Reglan don P� Poly , y}• wide by 36" - 1.00 EA 600.97 144.41 456.56 18. R&R Window we11 cover 3739 Tom; Rau gkv*OW 381.% 12,370.31 2,786.% 9,583.35 Tow: Howe mod bit =' ss a 51 Rtwf Sao TA_KR USE.....1A14lES_ 479.99 Surface Area 90.40 Total Perimeter Length 4.80 Number of Squares 5/17/2017 Page:3 M tp Safeco Insurance Company PO Bax 515097 Los Angeles, CA 90051 5097 (8n) 268-8840 Fax t>4=SCRCP ON QUANTITY UNIT PRICE TAX RCV DEPREC. ACV ly. R&R Modified bitumen roof 4.80 SQ 384.61 36.84 1,882.96 (667.88) 1,215.08 Totak: Raaf 3684 1,882.96 "UN 1,215.08 Tatai: marl bk 36 84 1,882.96 667.88 1,215.06 jj IS ��r Roo j 1 147.57 Surface Area 1.48 Number of Squares l_ 49.08 Total Perimeter Length 14.00 Total Ridge Length DFSCRUgTON QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 20. Remove Teat off, haul and dispose of comp. shingles 1.48 SQ 49.03 0.00 72.56 (0.00) 72.56 - 3 tab inrhades: bump fees, hauling, disposal, and labor to remove composition shingles and felt. 21 3 tab - 25 yr. - composition shingle roofing - incl. felt 1.67 SQ 206.44 11.63 356.38 (114.04) 242.34 This Brae teem includes a shingle material allowance of $77.61 per square, which reflects current market prices in your area. Market prices were verified by MRP's Managed Material Program. Time MRP Managed Material Program allows you or your contractor of choice to have materials delivered directly to your home for installation, For more information on MRP contact them at: deliveryNOW®14f d'1W raan.com or rn-%li-24" 10%w° ! w ch mchtbes starter strip and ridge cap. 22 Dnp edge 49.08 LF 1.98 2.51 99.69 (22.78) 76.91 23. Flasking - rain diverter 1.00EA 34.39 0.76 35.15 (8.03) 27.12 Tabdr. Raaf 149A 563.78 144.85 418.93 Tatar: Axed 14.90 563.78 144.85 418.93 DSI IMM 24. cWWer step for t Uck laul 25. Hmad Oasis Bird Bath. FS I WWaar • 4/27'/2017 26. Opae Platterm Bird PGOdw. BaDmDotmW Wsyta r - AC712017 V P4arx w / Flom pas 211. 8 PACK SOLAR PATi1 LIGHTS, UMBRA P111A,hM)M, RS92MR AXBU #RMA_KRUS> -JAll Bf QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 1.00 EA 639.99 0.00 639.99 (479 99) 160.00 1.00 EA 64.99 5.20 70.19 (14.04) 56.15 1.00EA 47.94 3.84 51.53 (5.18) 46,65 3.00 EA i SAD 3.60 48.60 (4.86) 43.74 11)0E<A 17,89 1.44 19.43 (1.94) 17.49 5117/2017 Pap:4 insurance. ► • Al Safeco Insurance Company PO Boz 515097 LA* Angeles. CA 90051-5097 (888) 268-8840 Fax CONTINUED - Contents QUANTITY UNIT PRICE TAX RCV DErREC. ACV Sears - 3/1312017 Last known price 29. Smith & Hawken Premium Edgewood Metal Patio 1.00 EA 84.49 6.76 9115 (26.07) 65.18 Side Tabic Target - 5/1 1 120 1 7 30. Garden bone 3.00 EA 35.00 8.40 113.40 (34.02) 79.38 31. Lawn mower - Gas 1.00 EA 300.00 24.00 324.00 (231.43) 92.57 Totals: Contents 53.24 1,358.69 79753 56116 Camper DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV pop up camper has policy Limit of $3000 homeowner to provide estimate Totals: Camper 0.00 0.00 0.00 0.00 Total: Source - Eagle View 486.94 16,175.74 4,397.22 11,778.52 Labor Minimums Applied T s 14 -14 / QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 32. Window labor minimum' 1.00 EA 108.61 0.00 108.61 (0.00) 108.61 Took: Labor h1thdimuss Applied 0.00 108.61 0.00 IOii I Line Item Totals: tl NMA_KRUSE-._,JAMBS 486.94 16,1,84.35 4,397.22 11,887.13 lTTA_KRUSE_,,.)Al►IES._ 5/17/2017 Par.5 Safeco Insurame Company AW NI�r3tlCt? Kynot 515()97 r4tir . .. , IA* Angeles. CA 90051-Stfi7 (988) 268-89Q Fax Grand Total Areas: 0.00 SF Walk 0.00 SF Floor 0.00 SF LA)ng Wall 0.00 Floor Area 1,138.61 Exterior Wall Area 2,754.17 Surface Arcs 45.01 Tota) Ridge Length Coverage Dwelling Other Structures Contents A-KRUSE-JAW- 0.00 SF Ceiliag 000 SY Fkxwnn$ 0.00 SF 5txrn Wall 0.00 Total Area 0.00 F.xtaior Paimew of Walls 27.54 Number of Squares 146.56 Total Hip Length 0.00 SF Watts and Ceding 0 00 IF Flom Penmeta 0.(10 LF Cerl. Peen %%" 0.01 InSCrXff Wall Arca 0A0 Toad Penmear Length Item Total % ACV Total % 14.361.88 88.19% 10,907.04 91.76% 563.78 3.46% 418.93 352% 1,358.69 8.34% 561.16 4.72% 16,284.35 100.0096 11,887.13 100.00% 5/17/2017 Page:6 Safeco Insurance COMMY flSU�nCe Pp Bax St5515N7 .. � .. LAX Mgeles. CA `0051-5097 (888)268-g 268-89410 rax Line Item TOW Valenti Sales Tax Repirrement Cult Value L.es Depreciation Actual Cash Value I..ess Deductible Net Claim Total Recoverable Depreciation Tout Paid When Incurred *Net Claim if Additional Amoamts are Recovered Summary for Dwelling 13.943.08 418.80 $14,361.88 (3,454.84) $10,907.04 (1,500.00) $9,407.04 3,454.84 1,404.81 $14,266.69 Addtuonal Amounts include depreciation that has been recovered and Paid When Incurred (PWI) items. Paid When Incurred (PWI) Items refer to items, which may not be necessary in the repair of your property damaged by a covered loss. If incurred, or completed, rcimbwwrnent of reasonable costs will be made up to the maximum amounts identified as eligible for PWI in the estimate. Dwelling Paid When Incurred L" item Taxi 1,379.40 Material Sales Tax Total Paid W W I.nrurned Lisa Blocker CAT Sr. Claitrts Specialist 25.41 $1,404.81 ------------ 51,404.81 rf A. KK...,jam- 5/17M 17 Page: 7 Safeco Insurance Company insurance PO Box 515097 Los Angeles, CA 90051-5097 (888)268-8840 Fax Line Item Total Material Sales Tax Replacement Cost Value Less Depreciation Actual Cash Valve Net Ciaim Total Recoverable Depreciation Net CWm it Dgwedtdon is R mm -ed Summary for Other Structures Lisa Blocker CAT Sr. Claims Specialist 548.88 14.90 $563.78 (144.85) $418.93 $418.93 144.85 $563.78 POwSafeco insurance Company - Box 515097 L.os Angeles, CA 90051-5097 ««' ( 888) 268.8840 Fax Line Item Total Material Sales Tax Replacenneet Cost Value Lest, Depreciation Actual Cash Value Net Claim Total Recoverable Depreciation Net Claim K Depredation is RecoverW Stamm m for Cowin b Lisa Blocker CAT Sr. Claims Speaalist 1.305.45 53.24 $1,338.69 (797.53) $561.16 $661.16 797.53 x1,368.69 M174M F*K 9 M 0 ~ s ~ 0 Q m < m i ~ v ~ v M ~ ~ ~ a 5 ~ S ~ ~ :r ~ C e o d ~ CD C)~ N Q N M A 6 (D a z 3 0 a0 ~ O d » o~ .w 0 O (D~ ,n,t O 7 IQ 0 m ~ O z N ~ a, - 4 m 0 ~ a =a m~ o~ N tG f~D .C a o ? N 0~ y C M C o~ ~a Q_~ S A O ~ N ~p 1° 3 m f ~ m w O 7 < a ~ ~ ~ {0 ~ m r- 0 Q 0 ~ M a ~ ~ ♦ ♦ r1 ~~j ~ ~ ~ r•J 1- , coi = m n 0, =w D t~J1 W ~ v m C ~ r v ~ Y/ v 'm0 ~ 3 ~ ~ DEPARTMENT OF PLANNING AND DEVELOPMENT " BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number : 12327 Date : 6/13/2001 Property Owner : Property Address : 4165 PIERCE ST Contractor License No. : 17696 Company : Cory Heating & A/C Phone : 716-3645 Phone: 237 1011 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : REPLACING FURNACE Construction Value : $1,700.00 Permit Fee : $60.10 Plan Review Fee : $0.00 Use Tax : $25.50 Total: $85.60 Use: DO BUILDING DEPARTMENT USE ONLY '~.;~~~a.~_~a; SIC: Sq.Ft.: Approval: Zoning : WIR".:M Approval: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : 17696 Company : Company : Company : CoryHeating & A/C Expiration Date : 12/18/2001 Expiration Date : Expiration Date : Approval : OK/KS Approval : Approval : (1) This permit was issuetl in accortlance with the provisions set forth in yopur application antl is suDject io the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Coloratlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced wdhin sixry (60) days trom issue tlate or (B) the builtling authorized is suspendetl or abandoned !or a periotl of 120 tlays. (3) If this permit expires, a new permd may be acquiretl for a fee of one-halF the amount normalry required, provided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceetletl one (1) year. If changes are made or if suspension or abandonment exceetls one (1) year, (ull fees shall be paid for a new permif. (4) No work of any manner shall be done thal will change the naNral flow of water causing a drainage problem. (5) Contrector shall notiry the Building Inspector lwenty-four (24) hours in atlvance for all inspeclions antl shall receive written approval on inspection cartl before proceetliing wilh successive phases of the job. (6) The issn~nce ot a permit or the approval of drawings and specifica[ions shall not be construed to be a permit for, nor an approval of, any violation of the provisions ' oF the'b~ ding o r any other ordinance, law, mie or regulafion. Chief Buildin nspector 6EPARTYIENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 ClTY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Propertl Owner : qb j,~elirc Building Permit Number : Date : Property Address y~6,S p/oe< , c ri z '216 -jo G y~' Ccntractcr Licensa No. ComPan Y hPhone : ;237 /°Ir OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I here6y certify that the setback distances proposed by ,his oermit aooiica[ion are accurete, and do not viola[e aoplicable ordinances, rules cr regulations ot the C,ty or Wheat Ridge or covenants, aasements or restrictions.of record; that ali measurements shown, anC allegations made ar= accurete; Ihat I have reatl and agree to ahitle by ali conditions printed on this applica[ion, antl !hat I assume full responsibility ior compliancz with the Wheat Ridge Building Cotle (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTR4CTOR)SIGNED'OATc .-13-~~ . Description ~j,QNq ~ Constructicn Value /7-,a I P0rf^If F°Q : Use Tax : Total : US2 : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: • ~ Zoning : I BEP[Cd~i~f_s~_ Approval : gQ~~m- I Approval : Occupancy : ',"alls : Root : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : Plumbing License Na : Company : Expiration Date : Aooroval : Mechanical License No : Company : ~v+--y /f~ Expiratiort Date : Aperoval : (1) This pertnit was issuetl in accorpance wiN the provisions set forth in yopur applicatlon and is subjxt to the laws of the State of Colo2do anC to the Zoning Regulations antl BuilCing Code o! Wheat Ridge, ColoraCO or any oNer ap0licahle orainances of the Ciry. (2) This permit shalf expire d(A) the work auNonz°d is not cammenceG wiNin sixry (60) Gays from issue Cate or (g) the buiiding authonzeC is suspenCeO or abandoneC for a penotl of 120 days. (3) If this oertnit expires, a new permit may be acquired far a fee of one-half the amount normally reqwretl, provitled no c7anges have been or wdl Se matle in the original plans and specifiratlons antl any susoension or aOanEonment has not exceedeG one (1) year. If changes are maoe or if suspension cr aoanCOnment exceetls one (t) year, (ull fees Shall be paitl (or a n¢w pertnil. (4) No work of any manner shall be Cone Ihat will change the naNrel flow o( water causing a drainage prohlem. (5) Cantra<tor shall notity the 9uiltling Inspector hvenry-four (Za) hours in atlvance tor all inspections anG shall receive wntten approval on inspection rartl before proceediing wiN successive pnases of the job. (fi) The issuance of a permit or the apOroval of d2wings and speafratlons shall not Ce construed to be a permitlor, nor an appraval o( any violanan of tMe provisions of the building codes or amy other ortlinance, law, mfe or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ProperryOwner:(~~lltLi,in~- Property Address :~l la5 atc✓~~~ Phone : L{do - 7Ll Q-7 Contractor License No. : 1755 ~ Company: TedS Sh OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances pmposed by this permit application are accurate, and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: thal all measurements shown, and allegations made are aecurate; that 1 have read and agree t0 abide by all conditions pnnted on this application, and that I assume (ull rasponsibiliry tor compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work untler this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : 1 'i- tLq S j-hc a BUILDING DEPARTMENT USE ONLY ~ q3/aa Approval :Arlairz"AA- "F 1'21varr, ii"v'vyiA&G Sil 4'tLea,.6T Zonin9 : ¢2 'YJ1 1l`VL4w% ttiDE pl.- /+tNip r, 1 prr.yv►L WaAyc f?., Approval : P,0 bli~;W~tkB~C~ilfneitts:! Approval : Occupancy : Walls : Roof : Stories : Residential Units : qr~ 1-dc 34 Phone: Construction Value : i Permit Fee : Use Tax: Total: ' Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: ~ ~Plans Re`qulred,r;~ j Expiration Date : Approval: ',M , Rld"ns,Required Expiration Date : Approval: (1) This permit was issuetl in atcortlance with the provisions sel lorth in yopur applitafion anC is suoject to the laws o( the SWIe of ColoreEO and lo Ne 2oning Regulations antl BuilCing Cotle of Wheat RiEge, Coloratlo or any other appliwble ordinances ot the Ciry. (2) This Dermtl shall expire if (A) the work aulhonzed Is not commenceE within sixry (60) days (mm issue tlate or (B) the OuilEing authonze0 is suspentled or abandoneq tor a period of 120 days. (3) ❑ ttlis pertnrt ezpiBS, a new permit may Oe aCpuireE for a fee of one-half the amount nortnally repuire4 provitletl no tlianges have been or will De ma0e in the original plans and specificatians and any suspensian or aDanEOnment has not exceede0 ane (11 yeac If changes are maEe or if suspension or aCanOOnment exceeES one (7) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone lhal will change the natural flow ot water causing a Crainage pmElem. (5) Conlractor shall noti(y the BuilEing Inspector Rveny-lour (24) hours in atlvance Por all inspecuons antl shall receive written approval on inspection cartl belore proceetliing with successive phases of the joD. (fi) The issuance of a permit or the appraval 01 tlrawings antl specifications shall not be construea to be a permn for. nor an apProval ol. any violaboo of the Orovisions of the Ouilaing codes or any other ordinance, law, rule or regulation. 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 ; LL' ~ r I ~ \ ~ . Phone: 421-2022 5040 Ward Road, llnit C Wheat Ridge, CO 80033 Z ~u ~ ~ ~---L-. 1 ~ ~ ~ ~ 1,) I r\l . _ , ~D II ' . _ . ~ L'~- Quality Wood Storage Buildings ~ ct~ ~ Placed On Your Lot ~ T R4~ = ` - ~ ~ ~ a ~ ~ ~ . . , . ~ ,.w , ~ ,a ANp DEVELOi~iAENT Building Remzit Nurnbet : 95-1757 lft 13IYISiON - 236w28~i6 arY CF T RiDGE Date :8131/95 7 ~`~M_ AYENUE ' 4i149AT CO 80215 Prop" t7umer : AfifBt1CKLE VNLLIAM L Prop" Adtlren: 4186 PtERCE ST phqte : 4204427 Gor+tracterLk.rte Mo. : 17795 ' Company : Perfottnance Roofing, L.L.C. Phone : 940 8453 OWMERfC4NFHiAG'COA SIGNATtNtE bF UNDERStANDtNG RWD AGREEMENT ConsbucWn Yokie; ;2,700.00 ' !a*011,dHd~ncw ~apa~atbY tdis pemrp ~bn aro axunds, P@R11iE F86 : $54.00 andd¢qlrt qMNNI9qM0., ~r►eW~bnsoTtho 4tVNieatRitlgew . . ~priirt~r p1P~ [1~+~meaauromaiu alwnvn, ane ai~+oetwne Plan ReviErvv Fee : $0.00 rts~d9lx~r ~ 1 lu~riid at~d iR++~ttls ~i~C~ an thb ~ ~d. 1 rwurr~ i~ne r »~t iddye USa Tax : 340.50 ~t .B.C.1 aNotC+e~a#fp~bY~ rd noea, tudermie . (oNR1ffR~(CqMitAGTaR) ~tED DATE-1~.s Total: $84.50 " pescriptian : REt24C?F ` BUILDING DEPARTNtENT U3E ONLY rovel~ 2onuig c Appro+$► : ' Aporoval . 000UPancy : WaNs : Roof : Stories : Residentiat Units : E*ttic811.imme NC Plumbing License No : Mechanicai License No : ComPar+Y . ' Company : Comparry : . EzpirAEkm Qete : i Expkatian Date : Expiration Date : Appmwa1; R+ppravai : Approval : Mi "4'~i.■ rrtr~:~~wa~r~~ ~ ' ~r V 'uY~fiilri~ i li iGi~rvr$rrr.r..r~. (T) 4WMdi1! OMp(aihiOtutMNMMy9pa~nintlbw~6NetLDMSNwsofCNSi~tl/8t£WMiaCeMlSObiOToNl~p.. . CoiaadoaruryolMr ortlhwass6flMCNy. T~ ~ M0r~aica4Ad Mnotcomnierwyd wpMn ~b ~Y+aan heue dsM x(B~ 1M buX6~+Ww~f~q 4 awpalAaa or . aMMtMemourk nameMYi+QWrod,~rpW~tW nnd%rqKlwwl'MMa6'wlMhsaeM~lnthe l~ ~ ~~.}~I~ ~ ~Y ~opuMqdfora hs d a ~ aRdslkl~~IpM~B uaErMornw~th~snamcoeoOeAOns(l)Y~'. b~enpa~arertpwNaM+uOprmbn'orSbuitlalrtient . . A M+~i+o eKwpe~. l0iM dMM, Midk4~qe Urs wiwdtrm now otWder a droine~s P'oONm. . (u) nou~s m amA.mx r« aa . «ia an.~ ieodve,wNMn appovY an NepNuon e0a edore . soahM nawcanln,eamem.pamnror, narmppwNor.any wdpbnameprwrinns a Bll~d~ Nt~bCtAr TH18 PERMIIIT YAiIi C?N1.Y WHEN SK3NE4 BY TFiE CtifEF BUIGOING IN16F'EC'i'OR CqLL,: 271446833 24 HOtlR8 PMOR TO 1N9fW11aN vEPARTMENT 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 0///~.S Properly Owner Property Address Contractor License No. Company ~/D•~e/i✓~ /~,~3UC/~~~ h~/G S ~ E2C~ ST. /779-s ~~iPy~o.ei~~i✓l~ /~v~/~ Pnone : - 7,,4a 7 Phone : 3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by this permit application are accurate, and do not violata applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restnctions of rewrd; 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 co pliance wi e Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Fjitl~yences o ork under this perm)t. (OWNER)(CONTRACTOR) SIGNED DATE Description : f~ J ~E~ • 2:✓.Sr~9->/ %/~'i~d 3- % /~'-5 Construction Value : 7pp DO Permit Fee : Use Tax : ~ Total: BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval : Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company Expiration Date : Approval: ~ onew Company: Expiration Date : Approval: "A Company : Expiration Date : Approval: a, G`~~ (1) 7his permrt was issuea in accordance wrth the provisions set torth in yopur appiiwtion and is subject ro the iaws of the Stare of Coiorado and to tne zoning Regula6ons and BuilAing Cotle of Wheat Ridge, Coloratlo or any other applicable ordinances of the Cily. (2) This permit shall expire if (A) the work authonzetl is no[ commenced wlthin sixty (60) days from issue Gale or (B) Ihe building authorized is suspentled or abanEOned for a penod of 120 tlays. (3) If this permit expires, a new permR may be acquired for a fee of one-half the artrount normalry require4 provitled no changes have bcen or will be made in ihe onginal plans and specifications and any suspension or abantlonment has no[ exceetled one (1) year. It changes are matle or if suspensian or abandonment exceeds one (i) year, tull fees shall be paid br a new permit (4) No work of any manner shall be tlone that will change ihe naNral flow of water causing a Orainage problem. (5) ConVatlor shall rroGry the Building Inspector iwenry-four (24) hours in atlvance for all inspections and sha0 receive wntlen approval on inspeclion car0 before proceetliing wiM successive phases of the job. (6) The issuance of a permit or the approval of Arawings and specifiwtions shall nol be constmetl to be a permit (or, nor an appmval of, any violation of lhe provisions of the Duilding codes or any other ortlinance, law, mle or regulation. 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