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HomeMy WebLinkAbout4521 Upham Streeti. 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: Job Address: Permit Number: C0750--� ❑ No one available for inspection: Time AM/LM Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 30$-234-5933 Date: /L07//4 Inspector: DO NOT REMOVE THIS NOTICE PERMIT: �'� ?r �'�;3' ADDRESS: - JOB CODE: INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspect6r Initials --1 Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. ► A , City of Wheat Ridge �s Residential Roofing PERMIT - 201707303 PERMIT NO: 201707303 ISSUED: 09/15/2017 JOB ADDRESS: 4521 Upham ST EXPIRES: 09/15/2018 JOB DESCRIPTION: Residential Re -roof to install IKO asphalt shingles - 20 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)403-9663 WITT KEVIN D SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,400.00 FEES Total Valuation 0.00 Use Tax 113.40 Permit Fee 140.90 ** TOTAL ** 254.30 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201707303 PERMIT NO: 201707303 ISSUED: 09/15/2017 JOB ADDRESS: 4521 Upham ST EXPIRES: 09/15/2018 JOB DESCRIPTION: Residential Re -roof to install IKO asphalt shingles - 20 sq Pitch = 4/12 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per rmed 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 pe it 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 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 pen -nits 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 g 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 an rpdi�n�ance or re tlion�of�th 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. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, September 12, 2017 1:14 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4521 Upham St Property Owner Name kevin Witt Property Owner Phone 303-403-9663 Number (enter WITH dashes, eg 303-123-4567) 97 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract 4521 Upham St. Yes permit for 4521 upham st.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Thackbarth Roofing 020443 3034336762 9751 W. 44th Ave., Ste. 103 Contractor Email Address thackbarth@comcast.net Retype Contractor Email Address DESCRIPTION OF WORK thackbarth@comcast.net TOTAL SQUARES of 20 f the entire scope of work: Project Value (contract 5400 value or cost of ALL materials and labor) Are you re -decking the No roof? 98 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof. Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes 4/12 20 iko dimensional shingles Asphalt house 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 this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 99 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. Name of Applicant Todd Hackbarth Email not displaying correctly? View it in your browser. 100 B 'ACCREDITED BUSINESS 9751 W 44th Avenue #103 Wheatridge, CO 80033 T. Hackbarth Roofing Residential & Commercial Since 1990 Office: 303.433.67E Fax: 303.679.30; ThackbarthRoofing.co Customer Name: �'v 4X ( Date: Contact Info: Phone #: Cell #: E-mail: Property Address: Stree#'Lt1'yy La City:oak .I r 67 tate: -C Zip La Insurance Company: Claim #: Date of Loss: 56 L Type of Loss: ` i� Company Rep: Phone #: I authorize T. Hackbarth Roofing to work directly with my insurance company on my behalf and to furnish all material and labor as listed beloi Total Amount of Estimate $ ky y I _� reed upon price wit the Insurance Co The owners out of pocket expenses will not exceed their insurance deductible in the amount of (Unless upgrades are added) Process payments of Contract pr, i h ill die made as follows: Policy Specifications: Non -Recoverable Depreciation Recoverable Depreciation Initial Code Up -Grade Covera Initial Your project will begin once T. Hackbarth Roofing receives the initial down payment check. Final payment is due to T. Hackbarth Roofirn once received from Insurance Company. All insurance supplement payments invoiced to insurance company to correct shortages ii Original estimate will be paid to T. Hackbarth Roofing. ,,f We will furnish the following materials and labor as listed below: �3 �`!"� 1 Tear off all layers of existing roof material: (layers) Fascia; color: 5wn S�:_Initial _�'dP,rotect all landsca m ools, a/c units Initial VI/Paint vents to match roofing material Install felt paper to match existing: 151b 301b Haul off trash/debris and magnetic sweep Install Pipe Jacks 3/1 4/1 Other Install Furnace Vents 30x50 5000 70x90 Special Instructions: �1� Terms and Conditions: If deductible is more than stated above, customer agrees to pay the difference. In the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract. Customer agrees to provide a copy of Insurance Claim Report to T. Hackbarth Roofing upon receipt. A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof. ** IF FOR ANY REASON THIS CLAIM IS DENIED THIS AGREEMENT SHALL BE VOID** By signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as specified, and payments will be mads as outlineAJ above. PleaseAgd the r verse for ti I T ms. 1 7A4/7 1 JA- k - Prop Own ized Rep. Signature Date T. Hackbarth Roofing Rep. Signature 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: QO F Job Address: `���'% V Permit Number: ?0/70'7 03 ❑ No one available for inspection: Time0d AM/PM Re -Inspection required: Yes (.N When corrections have been made, call for re -inspection at 303-234-5933 Date: 1-/) % 7 Inspector: '' / T / DO NOT REMOVE THIS NOTICE , ❑ No one available for inspection: Time0d AM/PM Re -Inspection required: Yes (.N When corrections have been made, call for re -inspection at 303-234-5933 Date: 1-/) % 7 Inspector: '' / T / DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: ��`J"��'�� <¢ Permit Number: LlNo one available for inspection: Time /-, %? %'I I/PM Re -Inspection required: \Yes, No When corrections have been made, call for re -inspection at 303-234-5933 Date:/ // �'� Inspector: f DO NOT REMOVE THIS NOTICE 30/ION SIHI 3AOIN3tl ION OO :aoloadsul a}ad £E65 -b 0£ a uo►joadslq-aa ao{ ❑eo &pew uaaq aney suoi;oaaaoo uauM.. oN spA :paainbaa uoiloodsul-aU W iwy PS� . 7-1 auaii :uO!Ioadsui aol apapna Guo ON r KV7 1 In t Ln U o(f :aaquanN MLuJ9d �S-� :ssaippd qof 1 � :ads .L uoiloadsul 331ION N01133dSNI xeJ 6068-20Z (EOE) • ao!]Jo 55sa-ssz (COE) Gull uoljoadsul ££6S-tce (£oe) uoisinia uoiloodsul fuiplin8 ........ ....... 3Jam 1d3HM iO Ain Building Permit ** w»«*» \ §� / 4 ly ^ « Date.- .. . .. . . . ! P + \��. S�4 �� _� E �U/ b» «+ Plumbing City Lice #* Mechanical CityQcns#+ Company: company Company-, i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: �n Job Address: /aO ( ObAtum Permit Number: orj ;::i gr/ ❑ No one available for inspection: Time iL _ AM PM Re- Inspection required: es No When corrections have been made, call for re-inspection at 303- 234 -5933 Date: E-;'�(14 ) Inspector: e' /fin r n i i DO NOT REMOVE THIS NOTICE " 1 City of ' Wheat Ridge r4oooor Residential Roofing PERMIT - 092917 PERMIT NO: 092917,' . ISSUED:.`- 10/01/2009 JOB ADDRESS:. 4521 UPHAM ST -EXPIRES: 03/30/2010 DESCRIPTION; Flat roof foam. 26 sqs. CONTACTS owner 303/403-9663 Kevin Witt 'I Sc 303/763-9114 Lorin Hanson 01-.9938 Interstate Roofing , Incorporate PARCEL. -INFO ZONE'.. CODE: UA -USE: UA SUBDIVISION: 0304 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 14,000.00 FEES Permit Fee 308.50 Total Valuation 00 Use :Tax 252.00 **..TOTAL ...560.50 ~ Conditions: Subject to field inspection. Install per manufacturer specifications. I hereby certify, that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of.`Wheat 'Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide: by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code. ((I.B.C). and. all other ap a Wheat: Ridg din ces for work under this permit. Plans subject to field inspection. mature of.contractor/owner '.date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the state of Colorado and. to. the Zoning Regulations and Building Codes: of Wheat Ridge, :Colorado or any other applicable ordinances of the City.!:. 2 This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An :extension may be granted at the discretion of the Building Official. 3 If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made: in the original plans and specifications and any suspension or abandonment.` has not exceeded one (1) year. If changes have been or if suspension or : abandonment :exceeds one (1) year, full fees shall be paid for anew permit. 9 No work of any manner shall be done that will change the natural flow of water causing a drainage !problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phasesof the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is aub' of to field inspections. i Signature of Chie ng'.. Official .(date of W"~?r9 City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan M, - - o Inspection Line: 303-234-5933 Permit Building Permit Application Property Address; '452L Upin am SA,, Property Owner (please print): n \At 4 PhonOo j0 1-10 -ef (n(D.3 Mailing Address: (if different than property address) Address City, State, Zip: Contractor: 6~~~~~~~ Contractor License Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval:] Approval: Approval Use of space (description): d , F c Construction Value: S_ N,x 0, co Description of work: -©~.A~- t. (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ E.. Sq. Ft./L.Ft added: squares- L-- BTU's Gallons Amps OWNER/CONTRAC FOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setpack distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or, egulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. C/RLCEONE::((OOW~NER)u y(CON ACTOR) or PERSONAL ES TATIVE f)R) (CONTRATOR) ~!t PRINT`=EfC ('tr, dr .-5 SIGN UR~~7~ p Dated` ' Bldg Valuation: ROOFING SYSTEMS OF COLORADO W.O. Box 260549 - Lakewood, Co. $0226 _ 303-816-0174 / fax 303-816-0326 September 24th, 2009 To: Interstate Roofing Inc. ' 2000 S. Osage St Denver, Co. 802223 303-763-9114 f 303-789-3790 4521 Upham St. Wheatridge, Co. $0033 Claimf 06 k259-462 We hereby propose to furnish the materials and perform the tabor necessary for the completion of approximately 2,600 square feet of roof system. Apply urethane at a nominal 1 inch depth overall and spray with elastomerics. Note: All edge metal, pipe jacks, overspray, and coverings by Interstate Roofing. All material guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work, and completed in a workmanlike manner for the sum of :SEVEN THOUSAND EIGHT HUNDRED DOLLARS 1 $ 7,800.00 With payments to be made as follows: One half down on acceptance. Balance on completion. 10 year - non prorated warranty / labor and materials issued on receipt of final payment. Permits by contractor. Permit fees by owner. ANY ALtFNAi once zmrR01ie moveniECIF flms WILLNN~EK[ffA00.9'ISNRLEE F]IECYlE00NLYYPONMNfiFH piYEl{~NN WILL6ECCME 1W EXSSU CIMPOEOVEE /ITIDRE WE 'ME Ee191A1E. aLLIWPQFI@ltn COntINYFMYPON9ii®Cei. ACCb@,Ie.YRaEUY9 nE1'ONn OUI[CONT{tOL My,e,naRMllae a.,,eamwn,saW eonimgoraow..+rwt rotbaep,.sporu;+erm ~„wmrnunn.m IN~lora[LWkMy.ao Wtl mY~.ar1an10'Mion Gfib. Respectfully submitted: Louis E. Burt ( Gene) rn,iE: 1NE P"V ~r ea.,nnm...a a, u.n nx aaepaa,.:nar,m mya. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the wo9kas specified. Payments will be made as outlined above. Z'd 9Z£0-M-£0£ line 3 smog eZS Ol 60 gZ d?S g, ki CONTRACT SUBMITTED TO fR INTERSTATE ESTIMATOR (PLEASE PRINT) DATE STREET .t fl~.~./{ } ) % ' ~ HOME OWNER'S E-MAIL / r ESTIMATOR'S CELLp r C ~✓'6` s s.,...- f / I1 sl,'4r> ~ : M1i u~'/l')t - P;1- f _ CI(T,IY/STA/T ZI/P INSSURRAANCE COMPANY r CIAIM# HOME PHONE WORK PHONE f A"TI 'JUSTER ADJUSTER'S PHONE Tear off layer(s) of composition shingles layer(s) of cg" (3 Install Decking (7116" OSB) ❑ Install ice & water shield to code tl r ❑ Instal 252" Metal Drip Edge ❑ Color To Match Shingle Color._r ,^F ❑ Install New Felt RecoverRoofwith_ ❑ Year Manufacturer Warranty Col ❑ Closed Valleys ❑ Standard Ridge ❑,,,p ❑ Install ft. of series Rid i ' ❑ Pipe Jacks 3 in 1 4 11 6" Lead Jacks ❑ Paint Roof Stacks to match shingles ❑ LowProfiileVents # ❑Slantback# ❑PaintVentsToMatch ❑ Irdetstab Roofing, lnc. Five Year craftsmanship warranty. (guaranteed against leaks) ❑ Re-flash chimneys and all wall abutment as needed and if possible ❑ Special savings and/or promotional discounts (item) (discount) ❑ Interstate Roofing, Inc. will provide General Liability Insurance of at least $2,000,000 ❑ Clean up and haul off all trash ❑ Clean around bushes and shrubs ❑ Roll yard with magnetic roller ❑ Protect landscaping ❑ Clean out gutters ❑ Remove & replace gutters per ❑ Remove & replace siding per! i ❑ Miscelanious per insuranw sc and The ylnterstate Roofing, Inc. and conditions are satisfactory insurance company and all lien holders to include as Co-Payee on any subsequent loss drafts or checks 2e any legal representative and or agent of Interstate Roofing, Inc. to necessary to complete any funding process relative to claim number as byistgntng this agreement the homeowner authorizes Interstate - Roofing` Inc. to represent the homeowner's best interest in ,W,-'1`pursuit of storm damage. This contract does not obligate the hbhegwner or Interstate Roofing, Inc. until the claim is approved / by the Insurance Company and accepted by Interstate Roofing, `V Inc. Upon approval of claim Interstate Roofing, Inc. will complete specified work at a price agreeable to the insurance company and to Interstate Roofing, Inc. with no additional cost to the homeowner except for the deductible. Agreed upon price will become the final .,contract price and Interstate Roofing, Inc. will receive all insurance proceeds for the work completed by Interstate Roofing, Inc. We propose to complete in accordance with the above specification and subject to conditions found above on this proposal. Payment to be made as follows Insurance proceeds only: ❑ Homeowner acknowledges Interstate Roofing, Inc. as a General Contractor and as such will be entitled to 10% overhead and 10% int. profit, as allowed by insurance industry standards. ❑ SPECIAL INSTRUCTIONS: IS it _ ,f• r c ❑ EXTRA WORK: I (We) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or algnaTUre - -1- checks on both my (our) behalf and behalf of Interstate Roofing, Inc. 2000 S. Osage Street Denver, CO 80223 Denver 303-763-9114 Colorado Springs 719.471-9752 Toll Free 877.898.8144 www.interstaterooEoom Fax 303-7893790 Home Owner Interstate Roofing, Inc. Representative Fort Collins 970482-7722 6EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13613 BUILDING INSPECTION LINE - 303-234-5933 Date : 3129/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: KEVIN WITT Property Address : 4521 UPHAM ST Phone : 403-9663 Contractor License No. : Company : Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value $1,522,59 I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $57A5 do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or Plan ReVieW Fee : $0.00 covenants, easements or restridions 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 USB TBX $38 06 application, and that I assume full responsibili fcom 9 the Wheat Ridge Building Code (U.B.CJ and all other applicable Whe iqge ~ ~16r work under this pe it Total : $95.11 (OWNER)(CONTRACTOR) SIGNED DATIE/ se Description : ADD A/C TO EXISTING FURNACE BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : Approval : 9 4 ^ 4xa+n a~~- SAo-M.....v. Approval : Occupancy : Walls : Roof : Stories : Residential Units Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issued in accordance with the provisions sel forth in yopur application antl is subject to the laws of the State of Coloratlo and to ihe Zoning Regulations and Building Code of Wheat Ritlge, Cobrado or any other applicable ortlinances of ine Ciry. (2) This permit shall expire if (A) the work aulhorized is nol commenced within sixty (60) tlays from issue date or (B) the building authorizetl is suspended or abandoned for a periotl of 120 days. _(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be matle in the original plans antl specifcations and any suspension or abantlonment has not exceedetl one (1) year. If changes are made or if suspension or abantlonment exceeds one (1) year, (ull fees shall be paid for a new pertnit. (4) No work of any manner shall be done that will chan9e the naturel Flow otwater causing a tlreinage problem. (5) Conhactor shall notiry the Building Inspector lwenry-four (24) hours in advance for all inspections antl shall receive written approvai on inspection cartl before proceediing with su c phases of the job. (6) The issuance o( a r i r the a proval of tlrawings and speciFlCalions shall not be construetl to be a permit for, nor an approval of, any violation of the provisions of the~ui ir ordinance, law, rule or regulalion. Chief Building Inspector I DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: oF WHE"' q BUILDING INSPECTION LINE - 303-234-5933 Date: a CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (3~j03-235-285V5~)'~5 ~OL ORPO~ 4`~PPUp~e~ d~O]~~ /l ~ Pxoperty Owner: 11111 ~ q ProperiyAddress: ~fj~l9~ Phone"~~-lC L/ Contractor License No.: Cmmruanv- ~~1 1/~iQ~- .~✓/IA4~~~ h d1 Phone: OWNER/CONTRACTOR SIGNATURE OF ONDERSTANDING APID AGREEMENT ~f' I hereby ceRify thatthe setback distances pmposed by this permit application are accurate, COriSYSUCYlOri V31U0:$ -Y ~l~~ 1 ( and do not violate applicable ordinances, niles or regulalions ofthe Ciry of Wheat Ridge or Permlt F'ee:$ covenants,easementsorrestric[ionsofrecord;thatallmeuuremenisshowqandallega[ions made are accurate; that I have read and agree [o abide by all conditions prin[ed on this P1311 R8V10W Fe2:$ applica6on and that 1 assume fuli responsibility for compliance with the Whezt Rldze Use ~lax:$ Building Code (U.B.C) and all oUier applic e Wheat Vge rdinances, for work under this pemit. ~ Total:$ (OWNER)(COiJ1RACT0R): SIGNED A&I DATZ~ Descri tlon: ~ -~z BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONIN6 COMMENTS: Approval: Zoning BUILDING COMMENTS: ApprovaL PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Elecfrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) Thls pemit was issued in accordance with tlie pmvisions set forth in your applicatlon and is subject m the laws of the State of Colorado and to the Zoning Regilatiovs and Hiulding Codes of Wlieat Ridgq Cobrado or any otlmr applicable ordinances of Ne City. (2) 77iis pevnit sltall expire if (A) tlu work auNodzed is m[ commenced wiNin sixty (60) days from issue dzte or (B) tm buildivg an[honzed is suspended or abandoned for a period of 120 days. (3) If this pertnit expires, a¢ew permit may be acqnired for a fee of one-haif the mnount normzlly reqnired, proviAed no changes have bern or will be made in the oriAnal plans and.specifications and any snspension or abandonment has not exceeded om (1) year. If changes hxve Feen or if suspension nr nbanAnnmrm exceeds one (1) year, ftill fees shall be peid for a new permic. (4) No work of any mav¢er shall be done that will change the naNral flow of warer causing a drainage pro6lem. (5) CovhacrorshallnotlfytheBaiidivglnspecrornventy-fonr(24)honrsinadvanceforallinspecfionsandshallrecervewrinenapprovalanmspectiancardbetore praceeding witli snccessive phases of tlmjob. (6) The iswance of a permit or the approval of dravrings and speci5catiovs shall not be constrned to be a pemiit for, nor an approvzl of, any violation of tlm provisions of the buildiag codes or any other ordinauce, law, mle or regulation. ChiefBuilding Inspectar DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13591 BUILDING INSPECTION LINE - 303-234-5933 Date : 3/22/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: KEVIN WITT Property Address : 4521 UPHAM ST Contractor License No. : 21231 Phone: Company : Taylor Electrical Contracting Phone : 972-7816 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 Ritlge or covenants, easements or restrictions of record; that all measurements shown, and allegafions made are accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance wit the Wheat Ridge Building Code (U.B.C.) and all other applicable heat idcrdin ces, f 4 work under ihis permit. (OWNER)(CONTRACTOR) SIGNED ~ DATE Description : SERVICE TO 200 A& A/C CIRCUIT Construction Value : $1,500.00 Permit Fee : $54.00 Plan Review Fee : $0.00 Use Tax : $22.50 Total $76 50 Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : _ ~v% , Approval : Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 21231 Plumbing License No : Mechanical License No : Company :Taylor Electrical Company : Company : Contracting Expiration Date : 2/28/03 Expiration Date : Expiration Date : Approval OK/KS Approval : Approval : (1) This permit was issuetl in accordance with the provisions se[ forth in yopur applicalion and is subjecl to the laws of lhe State of Coloratlo antl to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue tlate or (B) ihe building authonzea is suspended cr abandonetl for a period of 120 days. (3) IF ihis permit expires, a new permit may be acquired For a fee of one-half the amount normally required, provitled no chan9es have been or will be made in the original plans and specifcations antl any suspension or abandonment has not exceetled one (1) year. If changes are made or it suspension or abandonment exceeds one (p year, full fees shall be paid Por a new permit. (4) No work of any manner shall be done thal will change the natural Flow of water causing a dreinage problem. (5) Contractor shall notify ihe Building Inspecror iwenty-four (24) hours in advance for all inspections antl shall receive wriHen approval on inspection card before proceediing with successive phases of the job. (6) The iss c of a ermi r the approval of drawings antl specifcations shall not be construed to be a permit For. nor an approval of, any vioiation oi the provi ' s t codes or any other ordinance, law, rule or regulation Chief Building I pector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: ~F WHE4T . q BUILDING INSPECTION LINE - 303-234-5933 Date: CTTY OF WHEAT RIDGE 7500 WEST 29TH AVENUE C~~ORAD~ WHEAT RIDGE, CO 80215 - (3,y0H3-2H35-2~~85v5,y) p &`li"i"••• 4~ ddON Property Owner: i 7- Property Address: jN Tt Phone : Comractor License No.: 1,23 1 3'~, j- Y ComPanY: Yv1YGC)6e )F/ 6C l`k(2Il„4? Phone: r•-GL 3r 3-dG_3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEhIE1VT I hereby ceRify thatthe setback distances proposed by this peanit application aze accuratc, md do not violate applicable ordinances, niles or regulations of the Ciry of Wheat Ridge or covenan4, eesements orrestrictions of record; tha[ all mcasumments shown, md allegations made aze accutate; that I have read md agree to abide by all conditions printed on this application md that I azsume fiill responsibility for compliance with [hc Wheat Ridoe Building Code (U.B.C) md alI other appiiWble Wheat Ridge Ordinances, for work under this permit. / p i (OWNER)(WNTRACLOR):SICNID J~ -"~~J.q DA7E3/al/Iil Constrtxction Va1ue:$ Permit Fee:$ Plan Review Fee:$ Use "lax:$ Total: $ negcriPt;on: Tz) c ? C, Z),~ ~F , AG c~;~e BUILDING DEPARTMENT USE ONLY SIQ Sq.Ft.: ZONINO COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: ApprnYal: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No ~ ~R 3 ' Plumbing License No: Mechanical License No: Company:.3~tLC< jd~CTICIC,~L Company: Company: C oN' (2ac ( /wG- Expiration Date: Expirarion Date: Expiration Date: ApprovaL Approval: Approval: (l) 11ils pemit was issued in accordauce with the provisions set foeth in your application md is subject to the laws of Uie State of Colorado md to the Zoning Regula4ous mdBuilding Codu of WheatRidgy Colorado or any other applicable ordinances ofthe City. (2) Tltis pcrmit sliall expire if (A) tlm work avtliorized is not comme¢ced within sixty (60) days from isme date or (B) tlm bnilding authonzed is suspended or abandoned for a period of 120 deys. (3) If Utis pe`mit ex➢ues, a new pemit may be acqnired for a fee oEonchalf the amount nomally xqnired, provided no changes have been or will be maAe in tlm originalplens md speciEcations md any snspension ar abandonmrnt has not exceeded one (1) year, ifchanges hxve Feen or if snspensimi nr nbnnAonment ezceeds one (1) yeu, full fees shall be paid for a new permic. (4) No wock of any manver shall be done that wili change the nanval flow of water caosing e draivage pmblem. (5) ConhactorsLallvotifytheBnildinginapectorRVenty-fonr(24)hoursinadvanceforall inspectionsandshallmceivewrittenappmvxloninspectioncardbefore proceeding wi1L successive pheses of thejob. (6) 17m issnance of a permit or the approval of drawings md specificafions shall not 6e wns¢ved to be a pemit for, nor an approvxl of, any violation of the pcovisiovs of the building codes or any other ordinaneq law, mle or regWafion. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT , BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 8159 Property Owner: Property Address : 4521 UPHAM ST Contractor License No. : 18675 Company : Quality Electric, Inc. Phone : 303-467-2378 Phone: 295 2221 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy 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 restric[ions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Replace meter, add disconnect Construction Value : Permit Fee : Plan Review Fee : Use Tax: Total Date : 11/19/98 $30.25 $0.00 $12.00 $42.25 Use: Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws otthe Stale of Colorado and lo the Zoning Regulations antl Builtling Code of Wheat Ridge, Coloredo or any other applicable ordinances o/ the Ciry. (2) This permit shall expire if (A) ihe work authorizetl is not commenced within sixry (60) days from issue date or (B) the building authonzed is suspended or abandoned tor a period of 720 days. (3) If this permk expires, a new permit may be acquiretl for a fee of one-half the amount normally requiretl, provitletl no changes have been or will be made in the original plans and specifications and any suspension or ahan0onment has not exceetletl one (1) year. If changes are matle or if suspension or a6andonment exceeds one (1) year, NII fees shall be paid for a new permit. (4) No work of any manner shall be Cone that will change the netural flow of water causing a drainage problem. (5) Contrector shall notify lhe Builtling Inspector Rventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of e pertnil or the approval of drawings and speciflcations shall not be consirued to be a permit for, nor an approval of, any violation of tha provisions otthe bulltling codes or any other ortlinance, law, rule or regulaSion. ~ Y CS~.P-E~ Il 4 ~Z Chief Building spector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 11 19 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: e Property Address : lfs;?_ Phone :4E 7' -23 78 Contractor License No. 3 ( )5 Company: L- lr~f"'C_ Phone: J05 -ZZZ/ OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certrfy that the se[back distances proposed hy this pertnit appliwtion are accurate, and do not violate applicable ordinances, rules or requlations of the City of Wheat Ridge or covenants. easements or restnctions of recortl: that all measurements shown. and allega[ions made are accurate: that I have reaa and agree to abide by all conddions pnnted on this application, and that 1 assume full responsi6iliN for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable eat Ridqep~r~\inan s f, r work untler this p rmit 4A(OWNER)(CONTRACTOR) SIGNED DATE Description: {Qe~~ ~r MzPe BUILDING DEPARTMENT USE ONLY ~ Approval : Zoning : Construction Value : Permit Fee Use Tax : Total : Approval : P.qbliclvb11_~ts; Approval : Occupancy : Walls Roof : Stories Residential Units : Electncal License~` 2 3 " j Plumoing License No Mechanical License No : Company ~,,;L'f << r~ ~ Company: Company Expiration Date : Expiration Date : Expiration Date : Approval Approval : Approval : J PlansRequired: _J Pians Required I -I: f?fa ns Requir~ (1) Tnis oermrt was issuea m accoraance wrth the pmvisions set forth in yopur aD~icaibon ana is subject to the laws of the State of Colora0o antl lo the Zoning Regulatwns antl Builtlino Cotle of Wheat Ridge, Ccloraao or any olher appuCable ortlinanCes of the City. This oermrt shali expue rf rAl the worK aumonzed is noi commenced withm sixry (60) days imm issue tlate or (B) the budding author¢ea is suspentleC or aoanoonea Sor a penoa Of 120 days . (7) If this Dertmt expires, a new permrt may De acquiretl br a tee of one-halt the amount normauv reQUired, providetl no changes have been or will be matle in the origmal plans antl speafiwtions ana any suspenson or aoantlonment has not exceetletl one i 1 ) year. If chan9es are matle or if suspension or abantlonment B%CEE45 OfIE (1) Y22L fIlll (ECS Sfldll OE Dditl fOf d t1CW P2lrtltl. i4l No work of any manner snall be aone tnat will change ine naW ral flow of water Causing a Orainage problem. (5) Contraqor Shall notify the BUiltling InsneCtar lwenty-four (24) hours in atlvance for all inspecVOns antl Sball reterve written appmval on mSpeCiion cdftl De(ore pfOCe2tlnnq With suCCESSrvE OhB5E5 Of IIlE l00. 151 The issuance of a petmrt or the aooroval of tlrawings an0 soeciLCations snall not be constmea Io be a permrt for. nor an appmvai of. any violation of the pmvisions af :oe owltlmg maes or any omer ommance, law. rule or regulation. Chief Bwlding Insoector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 5124 Washington Sfreet i, Denver, Colorado 80276 Q:Ua11rff'ELJyFF& ~ Proposal ; (303) 295-2221 ■v~rr■ ■r Fax:295-052G Page No. ~i of Page, PROPOSAL SUBMITTED TO: ' i ESTIMATE NQ NAME: FJ G•,1 w-~''`C II DATE: n ~ . j j ✓ ~ STREET: , PHONE: ~<G -7 Z3 JY I, CITV/STATE: W t1 t.;1; ZIP: y~ ~ I I I SCOPEOFWORK: /4-1i ~-C1 .~•'IS~~~~ /~Lw / IC~L/ i(NL~ f~,.Si:- f '~i'_ .~~~1 1~✓.l- 'f'~) ~ L~ . Pl'~),i'.;' t~S IG ry~( :VC C c..~ d .Z f .l'-C iyt'1'1, . ~ t/ r? Lt/ 1.h~ ~ ~ 5c R : e 4", . / .1 De l" I ~ /I/IYf /v ' ~1 U_ i yd ei ~ •~~~~~OC~fi f J%C= ~ i ~ ~ •,~.tv` ,^~e~ ahc4 ;,✓:,fiz,s^ 6~ n ~ L w.,lr r ~ ~ ~ i.1C r.~C. J.~YS 0.~ C•G/.c.Lf ~~V [tHC~ ~ . . ~ ~~t-~o j,.. •7 ~ r- , ,1'~ f"4~[ ~ n i ~ W 'Y-t . . ~ /7"~ ~ ~f."! L. (;.i-"y : ~ •T'~i ~ YY'.:.' . I _ I We hereby propose to furnish labor antl materials - complete in accordante with [he above specifications for ihe sum ot: dollars (3 ~f.VU I9C~%i..tr,Di7L ~✓.1(~/L~ F ' ~ with payment to be matle as follows: , mC~ J. l~ .4L The conditions and terms of this agreement are listed on the reverse side. Please read these conditions and terms thoroughly to avoid any misunderstandings. Please feel free to requesf an explanatio n if any questions arise. TI78flk YOtI fOf ShIS OPPOfSUf11tY SO 50rvE YOU. NOTE: This proposal may be withdrawn by us ii not acceptetl within_ days. - , ~ Prices subject to change afrer__tlays. Authorized Signature The above prices, specifications, terms and conditions (as listed on the reverse side) are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted by XJ -Li.c-vLu-~c~ Date~J~rj_~. Please return signed white copy. Thank you!