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Home My WebLink About4531 Upham Street1* ► � i City of Wheat Ridge '/� E -Res. Sewer/Waterline Repair PERMIT - 202101336 PERMIT NO: 202101336 ISSUED: 06/22/2021 JOB ADDRESS: 4531 Upham St EXPIRES: 06/22/2022 JOB DESCRIPTION: Repair 50' of sewer line in front lot of the property and install dual directional cleanout. *** CONTACTS *** OWNER (303)263-7081 STRINGER BRIAN K SUB (303)810-5321 JOSE GUERREO 120127 PIPELINE SOLUTIONS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 71500.00 FEES Total Valuation 0.00 Use Tax 157.50 Permit Fee 172.60 ** TOTAL ** 330.10 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 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. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 202101336 202101336 4531 Upham St ISSUED: 06/22/2021 EXPIRES: 06/22/2022 Repair 50' of sewer line in front lot of the property and install dual directional cleanout. 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�permrt. I further attest that I am leg ally 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 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/22/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Monday, June 21, 20214:48:45 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4531 Upham St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Michelle Stringer 1918192:11UWAYli Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Pipeline Solutions LLC ipillVil 6 digit number for the City of Wheat Ridge) Contractor Phone 303-810-5321 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email denpermits@gmail.com Address Retype Contractor denpermits@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 50' Location of repair front lot of the property. (backyard, frontyard, etc) Provide additional dual directional cleanout details including installation of clean- o uts. Project Value (contract 5280 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jose Guerrero Permit Email not displaying correctly? View it in your browser. UG,z rtO� INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Tyke Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Commeni.s Pier Mid -Roof Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter Final Plumbing Do Not Pour Concrete Prior To Approval Of The Above In:;pections Underground/Slab Inspections Date Inspector Commentr; Initials Electrical Comments Sewer Service 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. 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 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. _ Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Plumbing Rough Electric Final Mechanical Rough Plumbing/Gas Line Roof `1 Rough Mechanical Final Building Rough Framing 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. 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 `1 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. For notification of your assigned inspection time window please email insptimerequest(a)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201702133 20170;:133 4531 Upham ST Residential reroof *** CONTACTS *** OWNER (303)263-7081 STRLNGER BRIAN K SUB (303)881-1169 Vera Robinson ISSUED: 06/19/2017 EXPIRES: 06/19/2018 Install GAF Armor shield Asphalt shingles. 29 squares 021611 Robinson & Co. Inc. *** PARCEL INFO *** ZONE CODE: UA ,' Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 i *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,250.00 FEES Total Valuation 0.00 Use Tax 152.25 Permit Fee 172.60 ** TOTAL ** 324.85 *** 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 kh-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 manufacturers€ -s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. i CITY OF WHEAT RIDGE i Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M i D Job Address: Permit Number: IU I 0-r P'/20L_)-(n N0 _S(_7/'NG I -es w-erif 4:5- 'iNST11(l ro tt _L W -S ❑ No one available for inspection: Time 4 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -ins ectio 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE r0 CITY OF WHEAT RIDGE 1i6 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: } n Job Address: Permit Number: a O / % o D ( 3-3 Nyrn ovlo ❑ No one available for inspection: Time l v AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: L " r Inspector: ` DO NOT REMOVE THIS NOTICE . City of Wheat Ridge Residential Roofing PERMIT - 201702133 PERMIT NO: 201702133 ISSUED: 06/19/2017 JOB ADDRESS: 4531 Upham ST EXPIRES: 06/19/2018 JOB DESCRIPTION: Residential reroof: Install GAF Armor shield Asphalt shingles. 29 squares *** CONTACTS *** OWNER (303)263-7081 STRINGER BRIAN K SUB (303)881-1169 Vern Robinson 021611 Robinson & Co. Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,250.00 FEES Total Valuation 0.00 Use Tax 152.25 Permit Fee 172.60 ** TOTAL ** 324.85 *** 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 R1/2 -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&€''"s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge ,p Residential Roofing PERMIT - 201702133 PERMIT NO: 201702133 ISSUED: 06/19/2017 JOB ADDRESS: 4531 Upham ST EXPIRES: 06/19/2018 JOB DESCRIPTION: Residential reroof: Install GAF Armor shield Asphalt shingles. 29 squares 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 thisppermit. I furth r�attest that I am 1e ally authorized to include all entities named within this document as parties to the work to be performed , nd t 11 work tZberformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signa4ire c 'OWNER or CONTRACTOR (Circle one) Date J `i 4. This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and 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 Budding 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 wzrk is subject to f any inspection. _�,6 O&O'k 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. Antoinette Kulick:/ From: no-reply@ci.wheat ridge.co.us Sent: Friday, June 9, 2017 11:51 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be 1 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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 4531 Upham St Brian Stringer 303-940-6391 2stringerhouse@gmail.com Yes CONTRACTOR INFORMATION Contractor Name Robinson & Company Contractor's License 021611 Number (for the City of Wheat Ridge) Contractor Phone 720.254.5052 Number Contractor Email Address jell@eiscolorado.com (permit pick-up instructions will be sent to this email) Retype Contractor Email jell@eiscolorado.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Gaf Armor Shield Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 29 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 29 roofing material for this project 2 Provide additional detail GAF Armor shield, new under layment, Ice & Water on eves & here on the description of valley's, new drip, & flashings work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7250 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 Jeff Stakes Email not displaying correctly? View it in your browser. 3 91111 E_ 73RD AVE_ UNIT 1 DENVER. CO 90229 PHONE: 720.458 11 67 EMAIL: robinsonandeontpmlcbilling'n:g,uail.com PROJECT SPECIFICATIONS CUSTOMER INFORMATION Customer: Brian Stringer Co-Cuslomcr: Project Address: 4531 Upham St Cin- Mailing Address: City: Primary Phone- 303 940.6991 HJ�E Secondan Phone: Primary Email2stringerhotise@Rmaii.com Secondan Email: Wham Ridge INSURANCE INFORMATION Co.,".: Libcn, Mutual Clain, Nnmbe, 035499556-01 MORTGAGE COMPANY INFORMATION Company Account Number APPROXIMATE SERVICE DATES START END: Michelle Stringer Slalc: Co State 303.263.7091 Date of Loss Zip: 911133 Zip. HETEFf 5/9/21117 PRICE BREAKDOWN AND PAYMENT SCHEDULE ROOFING SPECIFICATIONS SHINGLE TYPE: GAF ARMOR SHIELD PRICE: TIME PAYMENT DUE SHINGLECOLOR. Bark wood RCV TOTAL: 5 19,226.59 Completion RIDGE CAP TYPE. SEAL -A -RIDGE PRICE DEPRECIATION: S 5329.12 Completion RIDGE CAP COLOR. BARKWOOD ACV TOTAL: S 12,999.47 Deposit FLAT ROOF TYPE N/A PRICE: DEDUCTIBLE: S 2.1111000 Included in ACV Total FLAT ROOF COLOR: N/A ACV CHECK: $ I0.998A7 Included in ACV Total DRIP EDGE COLOR: WHITE SUPPLEMENTS: TBD Completion FLASHINGCOLOR: BROWN UPGRADES: $ - 511% Deposit, 50 Completion ICE & WATER SHIELD: EVES.VALLEY'S PRICE: aF.RRms CReotrs wN•P $ 5.709.67 N/A UNDERLAYMENT: 15LB PRICE: TOTAL PRICE: S 12.517.92 +SUPPLEMENTS SHEATHING: I FREE SQUARE PRICE DEPOSIT: $ 7.199.90 Deposit RIDGE VENT. N/A PRICE: BALANCE DUE: S 5,329.12 -SUPPLEMENTS INTAKE VENTS: N/A PRICE: Thee,m—u.,-epo—mthe hreakdo—fyonrcurrem inaummme seulanenl. Supplavems TOTAL PRICE OF ROOFING UPGRADES: S ar'he nceessan'and will he settled with your in..nice-nip.-, h'you haat lull RCV and Lia—ad Ord, ....... —ge you will incur no out of pocket,.spense M:yond ynnr pplicaM1l, Je&uctiMc and arry upgrade costs. Under C(, law,... mml pay your deducible. Issunnc, of.", applicahIe av -ov, cenili--ad lien waivers will occur.der Dining.—opl,d-e-rool..11 layers "ll ill beremos.d.all dasacc dashing ill b—rdand a th„ nrnugh&king mspcchnn wall be perfurmeJ. Spni - II not have these actions I' J repmrs we- pn nrme /J� final pas eat has clear,&. Q•J CUSTOMER SIGNATURE 61 RCI 9IGNATURE GUTTER SPECIFICATIONS WINDOW SPECIFICATIONS Include Gmter and dmmspout tvpcs. sizes. and scopes, along with painting requirenrems. if necessan. naud, a indoaa n,anwaemrer, gmJe. xu& nwnher onaindmr,. Psnm windoaa spec. =boil& h, on an:maohe& Gutter Color 30 DEGREE WHITE Ad -dune-. Galla Scope FULL HOUSE Make Line Din%nspout Color: 30 DEGREE WHITE Material: Int/Ext Color: Doavnspout Scope: 42' Notes Notes GLAZING BEAD (2) SCREENS REAR ELEVATION TOTAL PRICE OF GUTTER UPGRADES: TOTAL PRICE OF WINDOW UPGRADES: CUSTOMER SIGNATURE RCI SIGNATURE CUSTOMER SIGNATURE RCI SIGNATURE SIDING/STUCCO/PAINT/STAIN SPECIFICATIONS INTERIOR/OTHER SPECIFICATIONS Incude inake.gmdc.stylc reveal. and tcslureol nll appliwblc,steno, aiding snmws painlatain. snllit en& lescia in this M.s. lJse appropriate aJdendum it nccessan_ lud.denll npplieahle Include ape ni.cork to be donc.localiml ofuorA. kinJ.and qualih_ IJsesepamtcaddendum ifncwss.n-. Notes Notes CREDIT BACK N/A SIDING.PAINT.STAIN. LATTICE. STORM DOOR.SHED TOTAL PRICE OF SIDING/STUCCO/PAINT UPGRADES: TOTAL PRICE OF INTERIOR/OTHER UPGRADES: CUSTOMER SIGNATURE RCI SIGNATURE ICUSTOMER SIGNATURE RCI SIGNATURE SPECIAL INSTRUCTIONS/ ADDITIONAL NOTES •Any items mm diner Ron, a -moose ncnpo must be espleo,d h— ROOF.GUTTERS.GLAZING BEAD.SCREENS,& FASCIA REPAIR This is a centmcl behscan Robinson & Companv.Ine. ("RCI")and the cualomcr idemifieJ above en& signing below ("You" or "Clunamcr'")_ 'Phis contmcl acknowle&gas that the Cuatomcr wishes for RCI to sullle Ihis Beim and asordinui, all ncuessary rcpu-d,arfi W o, Ih......cd insuranw wopo o(work. Customer will par RCI to, sen ices rende.ed under the emrs of Ihis contract .cmrding to the paymcm schcdulc outlined nbovc. RC1 agrees to communicate wish Custonser's insurance cumpnnv ("Insurer") to detemrine the acccptahlc pn,c In parfoml nu,ures.n'repnirs per the .cope olwurk vpprovcd by RCI and the Insurer. Cuda—mnh.n-, RCI to e. nun unical, ,oth the Insurerand i n —bly instructs the Insurer to coupemte with RCI on Ihisclaim. 11 therei.s.mongagc company—.ei.tcd wish Ihisclaim. Customer also hl—,hull. saidmongage company lu coopenn, wilh RCIin regards to claim payments. Cuslomcr un&eratan&s That RCI' obl igelion to coo,dinale repairs may be conlingenl on the Insurer approving the ne,ensnn services o. Inaternlls and authoniang sullicicm f unds m complete the project C,,t acknowledges Thal RCI is crmrdinating sll related repairs and awrrvrls Ih, industry standar& additiunnl'_II°° lac lur ()...head xnd Profit 'Ihis Ice will he collected lion the Insurer. Per Senate Rill 12-039 deposits paid to RCI will be held in trawl until man•rinls are delivered to the —,l site. Prepared and submitted bp: JEFF STAKES 720 2i4,5052 RCI REPRESENTATIVE PRINTED NAME RCI PRESENTATIVE SIGNATURE RCI REPRESENTATIVE PHONE# By signmgg be]., You ocknuav]edge and agree to be I and by all ,speeilicntions_ farm., and conditions contained in Ihi, contract and the "I low to Prepare" Doe—ent. and You agree to hire RC'1 Io.ordinate all ,,pair, 5/24/17 6 5/24/17 CUSTOMERSIGNATURE DATE CUSTOMER SIGNATURE DATE TERMS AND CONDITIONS L PAYMENT. You are personally obligated to pay the final price for all work and materials 6. PRE-EXISTING OR HIDDEN DEFICIENCIES. RCI is not responsible for inspecting the provided b% RCI. The final price will be determined b% calculating the Replacement Cost Value propertyfor stmctu ml deficiencies. or other pre-existing hazards, or those occurring as an (RC V) of the work performed. You will pay the RC amount calculated by RCL. or %our inevitable consequence of proper work, including but not limited to deflections. protrusions. insurance company'. whichever is greater. In addition to this, you also agree to pay the amount of damage to stucco or siding. problems with decking, fascia boards, buffets. jacks, ventilators, any insurance supplements and anv costs, including profit and overhead, related to necessary gutters. or flashing. You acknowledge that disco'— of any such deficiencies or hazards mac work not included in the insurance company estimate but undertaken by RCI at its sole alter the scope of the work. cause damage, increase the price of the work. or cause delay or discretion, including but not limited to destructive testing, repair and replacement of damaged additional testing, at RCTs sole option. property, improvements to the property, supplements requested by you or recommended by RCI.. or upgrades required be code, permit. or other law. You represent to RCI that the pnee will be 7. HANGING ITEMS AND ATTACHMENTS. Roofing work creates vibrations that mac paid by %our insurance company- except for your deductible. but you agree that you will be damage hanging items, so you agree to remove items hanging from inside and outside walls, personally liable for all amounts due to RCI under the terms of this Agreement. This total mac soffits, and ceilings. If it is necessan' or prudent to remove roofmounted equipment to perform not be known with certainty until the project is completed, and so RCI will inform you of its work. you will remove and reinstall the same at yourcost. RCI mac remove the equipment if best estimate of the final cost for purposes of computing amounts due. UNDER COLORADO you have not done so in order to complete work and. if it docs. will have no obligation to LAW, RCI CANNOT WAIVE. PAY. REBATE OR PROMISE TO PAY YOUR INSURANCE reinstall oralign the equipment. DEDUCTIBLE. X. WARRANTY AND LIMITATIONS. RCI warrants that its work will be performed in a good 2. DUE DATE. Pavement equal to the Actual Cost Value (ACV) of your insurance claim is due and workmanlike manner and that your roof, ill pass ane inspection required by law. You agree upon deliver, of materials. If you do not receive a check for vour ACV. then payment equal to to notifi RCI within 72 hours of discoyenng any problem with RCI s work and to immcdiatcl% the cost of RCTs materials is due at that time. Upon completion of work. defined as the date take reasonable action to prevent ane further damage and allow RCI to inspect and cure an% when the work is substantialtv complete. RCI shall present you with a final invoice, Work mac alleged defects. If you fail to do so. RCI shall have no liability for related damage and its be complete even if warrant. minor or trivial work remains to be done. This invoice is due upon warranty shall be void. Upon appropriate notice. RCI will send a representative to investigate receipt Payments with restrictive endorsements or conditions am prohibited and will not be any problem. Multiple investigations mac be necessary. If RCI determines that further work is accepted. If am' dispute arises related to this Agreement or the work, you must send all required, it will cooperate with you in ensuring that work is completed. You agree to cooperate payments. including those offered as settlement or payoff. to RCI's attome%s and not to RCI with such inspections or additional work by providing to RCI access to the interior and exterior directly. of our property at reasonable times. Roof repairs shall cam' a fully transferable, lifetime. non - prorated mmmnn. Sonne of tlnc material used on your project may be covered by manufacturers 3. LATE PAYMENT. Pawmcnts not received b% RCI within 5 calendar days of the due date are warranties, and if so. those warranties are unaffected b% this Agreement. EXCEPT AS in default, In that event. you will pa%a one-time 10% late fee and die total amount owing shall SPECIFICALLY WRITTEN HERE. RCI MAKES NO WARRANTIES. EXPRESS OR bear interest from the date due at the lesser of 18% per annum compounded annually or the IMPLIED. INCLUDING WARRANTIES OF FITNESS OR MERCHANTABILITY. ALL maximum rate permitted by law. You are solely responsible to pay for all of RCTs costs, WARRANTEES ARE VOID IF YOU BREACH THIS AGREEMENT OR IF YOU FAIL TO damages, and attorney fees for any dispute related to. this Agreement. RCI has a securit} interest MAKE FULL PAYMENT AS REQUIRED AND BY THE DEADLINES SET FORTH IN THIS in the property at which the work is performed for any amount due under the terms of this AGREEMENT. Agreement. This interest mac be enforced by tiling a mechanics lien. You agree to waive your homestead exemption with respect to ane lien, foreclosure, collection, orjudgment. The securitv 9. ACCIDENTS OR ACTS OF GOD. You agree that RCI is not responsible for damage from interest and lien arises under C. RS, 3841-212 and your homestead exemption is not applicable, fire, rain, windstorm, hail, tornadoes, terrorist attack, hurricanes, or other hazards to work in Nothing in this section limits RCI_s lien rights under Colorado law. All of RC I_s rights are all progress, completed work, or the property or your personal propertc. You agree to maintain in cumulative, force a policy of homeowner s insurance covering casualty to your propertc from such conditions. 4. INSURANCE. 4(a), Communication. You authorize RCI to contact and negotiate with wour insurance compare 10. CANCELLATION / RESCISSION. You mac cancel and rescind this Agreement b% to file a claim on your behalf and determine the scope of work. Replacement Cost Value, delivering written notice to RCI at 800 E. 73RD AVE. UNIT I DEN V ER. CO 80229, received Supplements. and all other issues related to the work. You instruct your insurance compare to on or before 72 hours after you sign it. You mac give notice by personal delivery or mail. If you cooperate with RCL and agree that you and your insurer shall cooperate fully and in good faith cancel the Agreement before RCI begins work on the property you agree to pa% to RCI the sum with RCI. of SiO0.00 as compensation for RCT s. time preparing to begin work aid as liquidated damages. and not a penalty. If— cancel this Agreement after work has begun, you will still pay to RCI 4(b). Scope of Work. Because the services rendered by RCI may. be intended to address an the pnee for an% work completed before the cancellation or such as is necessan_- after the emergency situation at your property, it may not be possible to determine the final scope of work cancellation to prevent damage or loss to an% property afterwards, and price until after RCI has begun or completed work. RCI will undertake reasonable efforts to agree on a scope of work and price with your insurance earner, but cannot guarantee your 1 I . AUTHORITY. RCI is not obligated under this Agreement until it is signed by an officer of insurance companv will agree to the scope and price or approve the work. In the event that RCI the company, an authorized agent. or upon commencement of the work_ and your insurance company agree on a scope of work, you agree that RCI will perform all work in that scope for the prices identified in that scope Unless you and RCI agree. in "ruing, 12. ASSIGNMENT, This Agreement. including the limited warrant, is nontransferable. and specifiealh' which items on the scope of work will not be undertaken, you mac not assign or delegate ane of your rights or obligations. There am no third -party beneficiaries. 4(c). Adequacy. RCTs obligation to perform the scope of work under this Agreement is contingent upon your insurance company authorizing sufficient funds to complete the protect. If, in RCI's sole discretion, RCI detcrnines that your insurance company cannot be made to pay funds commercially reasonable and sufficient to complete the project. RCI may cancel this Agreement without penalt to RCI. 4(d). Assignment You today assign to RCI the right to collect funds that ma% be owing to you or paid by your insurance company to you related to RChs scope ofwork. RCT will receive all funds paid b%y your insurance company, unless %ou and RCI reach a specific wnttem agreement. signed by both parties, specifying which portions of the insumnce scope of work will not be performed and the total amount of related insurance funds that will be released back to tour ownership. 4(e). Funds Held in Trust If you receive any money from an insurance company, to the extent you owe or will owe funds to RCL that monc_v is owned by RCI and you shall hold them in trust for RCI. The funds will not be subject to ata' claim or lien by any' other person, and you indemnifi RCI against anv damages or costs related to the same. You agree that you will be subject to liabilit, including habilin under C.R.S. §§ 184-401, et seq.. for breach of this paragraph. RCI is not your agent or fiduciary and you shall inderrnifi and hold RCI harmless 13. GOVERNING LAW. This Agreement shall be governed by the laws of Colorado. All lawsuits orother disputes related to orarising underthis Agreement shall bebrought onl% in Arapahoe County, Colorado, or in the County in which the property is situated, at RCTs sole option. Upon RCI's sole election, all such disputes shall be resolved by binding arbitration under the rules of the American Arbitration Association, with you and RCI each paying half of the costs of am arbitration, and RCI mac recover its costs to conduct arbitration from you in addition to ane othcramounts if it prevails. 14. MODIFICATION, This Agreement may only be modified in writing. signed by you and by RCI. The headers in this Agreement are for organizational purposes only and am not themselves terns of the Agreement. No failure b% RCI to enforce an% provision of this Agreement will be construed as a waiver. 15. INCORPORATION. You agree that this Agreement constitutes the full and complete agreement between the parties. and that you will not rel% upon and have not received any other representations by RCI or its agents except as specificaliv written in this Agreement, and that no additional promises or representations have been offered as an inducement to signing, from all costs or damages related to its negotiations with your insurance companc. 16. SEV ERA BILITY. If any provision of this Agreement is invalid under applicable law. it is to that extent deemed omitted. The remainder of this Agreement shall be valid and enforceable to 5. INJURIES. You agree not to enter or permit others to enter under the work area while work is the maximum extent possible, ongoing or to approach RC1' equipment or materials. RCI IS NOT RESPONSIBLE FOR INJURIES TO THOSE WHO ENTER THE WORK AREA. YOU SHALL INDEMNIFY. 17. COUNTERPARTS. This Agreement may be executed in airy number of counterparts and by DEFEND, AND HOLD HARMLESS RCI FROM ALL DAMAGES TO ANY PERSON NOT different parties on separate counterparts and all such counterparts shall together constitute the AN AGENT OF RCI INJURED AT THE PREMISES. same agreementsubject to liability, including liability under C.R.S. §§ 184401. et seq., for breach of this paragraph. RCI is not youragent orfiduciary and you shall indemnifi and hold RCI harmless from all costs or damages related to its negotiations with your insurance company. r ' i CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time ;,M/PM Re -Inspection required: Yes CNo When corrections have been made, call for re -inspection at 303-234-5933 Date:'/ =: %� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE IV7 Building Inspection Division ��(303) 234-5933 Inspection line (303) 235-2855 Office (303) 237-8929 Fax INSPECTION NOTICE 1r�%" Inspection Type: Job Address: �`� `� ( G/t?fit �r 5, Permit Number: .- r.- 9C,�? 1 �� ❑ No one available for inspection: Time : % T <' AM/PM Re -Inspection required: (Yes; No When corrections have been made, call for re -inspection at 303-234-5933 Date: fir/ �nspector: DO NOT REMOVE THIS NOTICE 11:59 P.M. "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: L� / t Job Address: q!931 01-)M410 Permit Number, Z o/ SO/ o Z y ❑ No one available for inspection: Time //- oG �jf A/PM Re -Inspection required: ,e ,s, No When corrections have bon -made, call for re-inspec ion at 303-234-5933 Date: f P Ins ector:L DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: 9 ;nspector: DO NOT REMOVE THIS NOTICE FWHEgT City of Wheat Ridge Building Division Date: L~ ' m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Permit U °LORAO 0gm13, Building Permit Application Property Address: 45-31 H p H)a m 5-(-,-eeA- \NVV ,-1- ~ Sao 33 Property owner (please print): BYICtYI M(y)(t, p~ Phone: 9 4c) ("3 ciI Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: ly o ►2T 4 wesT "O F I N C7 Contractor License O- 0055 Phone: '303 16C4630:j 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): re rooF Construction Value: $ Ig3069 Description of work: +eo.r oRf ct 11 layers (as calculated per the Building Valuation Data sheet) reptac.e wt{-ln ome. ,a7 er Q~ l Plan Review (due at time of submittal):$ &A- F1EIK 3o y( 7 Sq. Ft./L.Ft added: Squares -33 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that. all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I:B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of OWNER (CONTRATOR) PRINT NAME: Maaa IP- RM+k-,«t@ 1,d SIGNATURE: Date: CITY OF WHEAT RIDGE 00 Building Inspection Division (303) 234-5933 Inspection line (303)"235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: _7'~_ j e ,l 144 Job Address/Permit Number: yY-i „n X.v.... ❑ No one available for inspection: Time AM/PM Re-Inspection required: "Yes 9 When corrections have been made, call for re-inspection at 303-234-5933 Date: L~ Inspector: DO NOT REMOVE THIS NOTICE [!tv/TVpe ®°INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS - DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground - Reinforcing or Monolithic. - Weatherproof / French Drain - Sewer Service Lines Water Service Lines _ o...c,wa otcrv aontu CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) - LY.6VVt flg56GtN JIGNW ROUGHS Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical ,Z Get Roof Building Final - Fire Department R.O.W & Drainage Parking & Landscaping START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS. 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. l1000PANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER `►~4' ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line J (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: AXeW. ~x,AZ Job Address/Permit Number: vs.;./ ilPww 5r' ogwZS < ❑ No one available for inspection: Time 4oi,I5 AM/PM Re-Inspection required: Ye No When corrections have been made, call for re-inspection at 303-234-5933 Date: 1140,z?F Inspector: c DO NOT REMOVE THIS NOTICE 1~1 s.®f~>3 -.ff'ose~rt,tir- ~d'✓P ~fl A.c7~' s~u7-a ~>r' ~City af '~eat ~dge ~+~sid~e~ttial 1Vlechanic PERIVIIT - 0$1245 PEi2MIT NOz081245 . . ISSUED. 10J28/2008 . . . . JOB ADDRESS: 4531,,UPHRM ST~ - . ' EXPIRSS: 04/2612009 . nSSCRIPTION: Replace 9a,~pOd btu furnace . . ' : ~w• CQNTACTS x+~e owner 303/940-6391 Michelle.. Stringer gc 303/232-.4254 Severly Gorshern . 02-1981.CANDLELIGHT kEATING & AZR;INC . - , . . •r. Pb1RCEL INFR ZQNE COABs . UA . . : USE: . UA : . . . SUBDIVI3I6Nn 0394 BLOCK/LOT#: 0/ ggg SUMMAk2Y - ,.ESTIMAfiED-PROJECT.VALStATION: . 5,060:31.. . . . . . FEES , . . . , PeFmit Fee . 162:90 Tota3 Valuatlon . . . . DO . . . ~~g.7. L . . . Uae Tax 91.09 . re'TOTAL . . . 253.99. . . CondiEions: . . . . . . . Must comply w/ 2003 IRC~& 2005.NSC.. . . ~ . i p¢reby certiEy that tYre eethackdiakanceaptopoee9by tAis pes'mit application are accurate, and do not violete applic2D1e EE&E gtlulakiane ot tNe FWect covenants,eaeementa ox seetrictiortaof reCOZd;that alla1S~ O~~~ adeave read and agree to aYaide byall conditiona prin[ed onthle e. e 1~., epo ce witri the tiheat RidgeBuildixu~ Code(I.9.C) 8nd s11 etriar ~~di cee fox Plane subjectto field inepection.8 -~8 atuzeafcon traC ar/owner date 1..This De;m1.t wa@ ai4ued in accordance with the provieiona eet forthin your applicatiOn and ieaubject to'the 1dW otEhtState oEColpiAdo andtothe ZoningRegylatione. and Hui2ding -0odee of Wheat Ridge;~ Colorado orany other.applSCahle. ordinantee.of the Cikp. . . . 2. 'j'hie permlt.ehall E7{piqe 180_daye fTOm the isaue date. Requeete for an ezteneian muetbe received priortocrzpira[iondate. Anez;Mleionmay he gi'anted aKthe discietion o£ tHe'Building Official: 3.:;f, this permit exp;ree, a new pemit may.De acquitefl for a fee of one-halE the amount notmally.requlred, prowaded no'ctuSnges have been orwill be made in the original planaand apecificationsand any.suepeneion or atianConmenthas not . exceededone (iY year. I1 cimngea have.bee.n or if-suepenaion.or abandonment exceeds one(1) year, full feea ahallbe pandfor a stew pezmit. ' 9. No wozkofaay mennerahall De done that will change the'natural flowof watercaueing a drainage problem., 5.Coatractor~eh311 imti(y the Bui161ng Inepector twenty-four (24) houzs Sn advance for ail inepectione and ehall receive . wr3tCanapproval on ifisQec$1oncand befose pmceeding with eucceaeive phaeee..of the job. .`.b.. The.ieauance of a pesiplC qr the approval bf drawinge and apecificationeehall not becons[=uedto Le a pesmit for, noz an appsoval of, eny VSols ip theprovieionBof the building codee.or any.other ordinanCe, law, ruleos iegulatlonr. Ailplan review ieee fie3d inepectione.' . . . . SignptuEe of~Chief auiif/rig Elcial . . date . . IN39SCTTANSE8QII8 LINB:(303)234-5933. BUILDING OFFICE: (303)2352855 REQi2E$T6 MUST B$ MAL)E BY3PM ANY BUSINESS DAY FOR SNSPECTION THE FOLLOWZNG BUSINESS DAY. , 7500 W. 29'h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-235-2857 ~LORAO° Inspection Line: 303-234-5933 Property Owner (plea iNailing Address: (if different than property address) P/an Permit Address: City, State, Zip: 00040to7 ContrecCor License ~NW0~40*3' ElectricaF Ciry License Com pany: Phone: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: ExQ. Date: Approval: Approval: Approval: Use oi s ace (desctiption): Construcfion Value:S sO {oU• 3 • - re~'^ n~ K (as calcufafed per Lhe BulldlMJ Valuaeion Dafa sheef) b fv Plan Raview (due at tfine ofsubmltlsl): $ Sq. Ft.lL.Ft added: Squares BTU's qQK. Gallons Amps -OWNEWCONTRACTOR SIGNATURE OF UNDERSTANOING AND AGREEMENT - I herehy, cerdfy that Ihe setbak di5tances propased by iFds permit apptlcation are accurate, and do nol vblete applica6le ordinances, rules or.regulations of the City of Wheat Wdge or mvenanfs, easements or restrictiorts af record: tFiat aH meawrements shoNn, anA allegatiqns made are accurate; that I Mave read and agree W abide by a11 condlUons priMed on this appiication arM that I assume full responsibiliry for compliance with the Wheat Rldge Buildirg Code (I.B.C) and aff ofher applicable Wheat Rldge Ordnances, for work under tlrs pe'mit. Plaos su6~Ject to fl~-el~d inspection. , CIRLCE ONEc (OWNERJ (CO~ lJTRAG7 ) or PER50NAL REP(ZESEN IVE of (O C ATOR) PRINTNAME:` ASIGNATURE: T'd TLSTSE6EOE 1HJI131QNdo WH62:9 8002 BZ 400 Building Permit Appiication