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HomeMy WebLinkAbout3691 Teller StreetA 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: .'2tf��_53 zO 1-4-4 4:G?S-7' Job Address:�-- Permit Number: ;2V)T0z5z5> jGJ' ❑ No one available for inspection: Timee V- ,,. AM/F M Re -Inspection required: Yes`j No When corrections have been made, call for re -inspection at 303-234-5933 Date: le:�% l P l Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Sewer Repair PERMIT - 201902059 PERMIT NO: 201902059 ISSUED: 09/30/2019 JOB ADDRESS: 3691 Teller St EXPIRES: 09/29/2020 JOB DESCRIPTION: Sewer repair, 35 feet in back yard and installing clean outs. *** CONTACTS *** OWNER (303)917-1204 WOMBLE TERRY D SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,800.00 FEES Total Valuation 0.00 Use Tax 205.80 Permit Fee 204.30 ** TOTAL ** 410.10 *** 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.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201902059 PERMIT NO: 201902059 ISSUED: 09/30/2019 JOB ADDRESS: 3691 Teller St EXPIRES: 09/29/2020 JOB DESCRIPTION: Sewer repair, 35 feet in back yard and installing clean outs. 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 applicab nici des, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and a auth to btain this permit and perform the work described and approved in conjunction with this ermlt. I further atte at I am 1 ally oriz o include all entities named within this document as partes to the work to be performed and that all work to be'is osed in this document and/or its'pccompanying approved plans and specifications. Signature of O R o CO�WCTOR (Circle one) Date I. This permitvAv i 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gran 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 ora. rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ica�4 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of V Wheat �idge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: '501 / Plan/Permit # �nlz? 0, Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3(a i T�lle_c _5 -�- Property Owner (please print): C'C�� Woyv b le- Phone:3 A l 7 Jo I Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State Architect/Engineer E-mail: Phone: Contractor Name: �_i4 2 = A City of Wheat Ridge License #: l � aa- Phone: 3) I -9K7' -tCO Contractor E-mail Address: 6-k&V\ For Plan Review Questions & Co^mmments (please__ � 3 CONTACT NAME (please print): I Vic? ' In lel/ S Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL SIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. r Sq. FULF u BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: _ Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) A 0 o� - a OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONXQbR) or (AUTHORnW EPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and lagt name): DATE: �1 � Printed Name: \ U\NIQXV1' �l/IN�CG ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Page I of 2 The City of Wheat Ridge Third Party Form Check List Property Address 3b Permit NUmber Permit Issued Date owner Information ely—1 2,p — �ST property Owner information Property Owner Address lnmt2tr tor_Itits -- mspection GompanY Catry Manlo� inspector Name1"A1;--1tM9 A Inspector Contact intra. 2� E-;L'-"--�-u-' tris je,or Statement and Acknowledet t I nearby acknowledge the roof I arn inspecting is 612 or over. All ro-ofs, that are Linder b,"12 Must be Inspected by the City of Wheat Ridge lding Depl Ihearbyacknowledc go en e-cted the rooting system for the referenced building has boo insp and found to be in compliance with the minimum requi-rements of the 2012 IRC and 2012 -0 Acies and Pre an eduand MufacturerS MC as well as al� f wheat 131ioge Date'. I Pro e Owner tater en of now ed errserst I hearby acVnowiedge tnal I am the owner of the building referenced above and I give my consent for the listed third -par y inspectiOn, cos to peilomi my roof inspection t i ull '10 Ins ectio vtSion inspect,109 in lie ull I A,— 'V' ate: F�jopery owner/Agent.: This of Klinal dOctinlefit all permit cafd, as well as the, roofing Check ItSt, must besubmittedIrc the final ins ectio FV, the Chief Building Officiall Drop off in person Permit counter 2nd floor 7500 VV 29th Ave Wheat Ridge CO 80033 Draft DaW 7�203/17 The City of Wheat Ridge Inspection C AetUaLNotes MID -ROOF Page 2 of 2 The City of Wheat Ridge Inspectjon-C4ieckfi5t­-Nqjes F I N A L less than 2:12 slope: Exc4aVhor,, de-tafhed qaraqe,,;; patios,carports, open. oe. greesides -with mm. sloarye of 1,12 Moditied Bit r? en, EFDM, TPO min stope 1 12 slope Above roof Insulation R-25 8 Solow roof residential R-3 Belcm roof commercial R,-32 Modified Bitumen, EPOPA, TPO mm slope- I - .12 slope must be insta-fled in accordance vMji the Maf1L11,Br_1,Vfer5 5peicAfications- Must have rrtartufacgui-es. fetter or warraWhi wills the address on the lefter for final inspection !o Meiail roof shingles shaill not be installec ori skjp-e lees 3.!2 Metal valley flashing shail tete I'l arlai as, fool Metal" valley flashing shallextend a min of 3" frog the centerline F.vft a rnin. of 3,!4 'e high sptassfi dwsrter fib buift-jin at the ftw finevMn sections overtapong a a min. of 4" Tile. R, ol. Reututrements _--claYand idle shall hay o a, min, 1 2-,2: 1 Z siva e,pcon(_ rete h Slopes 4,12 and under require dou'.Ae underla,,trnent Company Name: J qbNSUL,,T,;N4# Company Name: JBA 1pONSULTI Inspector Signature: A inspector Signature: Date of MID -ROOF Inspec n: Date of FINAL Inspection: IR OV �AA res, vl<� Structural roof conn ponent's �,ferrfy that no more them 2 lajiens of sbingles e,".Jst Flashing for roof and walis If nevi sheaftnq is instaffe-d verify that. A Is fisted m the permit description "Ya4uaboar must be adjusted) Fal, Veirf-V sheathing naii pattern Y iso iicy & Procedures) Crickets and, saddles where neede-a Verify B vent muietinave boot same gauge as p!0 --A_ Ve vent caps Verity no fl s are damaged Of- rusted Step flashing be shab rapt n,of ,4,'.x4 piece per shingle Verify scur alw for pt aT drainage ppes- lo op% Ice and vent ,d 2'in heated, %gall spaces 2 Underlay-menis must folfavi, 2012 IRC ; 2012 la, - Verity roof slope, for proprer drajnage__-- Dripedge shall have nw Qf 2" averia Dfipi?idge st-t-ould extend down, min 2" past roof 69ck. €i Mtge shall 4� rne-;"nJcaVy fastened, 12 0C 90 LB roll raofing sha'R riot be appIced to 1,001 Slapes less than 2:12 slope: Exc4aVhor,, de-tafhed qaraqe,,;; patios,carports, open. oe. greesides -with mm. sloarye of 1,12 Moditied Bit r? en, EFDM, TPO min stope 1 12 slope Above roof Insulation R-25 8 Solow roof residential R-3 Belcm roof commercial R,-32 Modified Bitumen, EPOPA, TPO mm slope- I - .12 slope must be insta-fled in accordance vMji the Maf1L11,Br_1,Vfer5 5peicAfications- Must have rrtartufacgui-es. fetter or warraWhi wills the address on the lefter for final inspection !o Meiail roof shingles shaill not be installec ori skjp-e lees 3.!2 Metal valley flashing shail tete I'l arlai as, fool Metal" valley flashing shallextend a min of 3" frog the centerline F.vft a rnin. of 3,!4 'e high sptassfi dwsrter fib buift-jin at the ftw finevMn sections overtapong a a min. of 4" Tile. R, ol. Reututrements _--claYand idle shall hay o a, min, 1 2-,2: 1 Z siva e,pcon(_ rete h Slopes 4,12 and under require dou'.Ae underla,,trnent Company Name: J qbNSUL,,T,;N4# Company Name: JBA 1pONSULTI Inspector Signature: A inspector Signature: Date of MID -ROOF Inspec n: Date of FINAL Inspection: City of Wheat Ridge Commercial Roofing PERMIT - 201802413 PERMIT NO: 201802413 ISSUED: 08/31/2018 JOB ADDRESS: 3691 Teller St EXPIRES: 08/31/2019 JOB DESCRIPTION: Reroof with GAF Armorshield II asphalt shingles, 6/12 pitch; 84 squares *** CONTACTS *** OWNER (303)425-1559 BURGMAIER KARL SUB (303)789-1505 Jennifer Petersen 020371 Jenesis Roofing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 47,834.96 FEES Total Valuation 0.00 Use Tax 11004.53 Permit Fee 706.55 ** TOTAL ** 1,711.08 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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. City of Wheat Ridge r Commercial Roofing PERMIT - 201802413 PERMIT NO: 201802413 ISSUED: 08/31/2018 JOB ADDRESS: 3691 Teller St EXPIRES: 08/31/2019 JOB DESCRIPTION: Reroof with GAF Armorshield II asphalt shingles, 6/12 pitch; 84 squares I by my signat do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable bu' i g codes, and all applicabie municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal wer of t property and am uthorized to obtain this permit and perform the work described and approved in conjunction with this ermrt f rther est that I am le ally authorized to include all entities name within this document as parties to the work to be erforme d that work to be performed is disclosed in this document and/or ' s' accompanying approved plans and specifications. S i�JhVe of R or CONTRACTOR (Circle one) Date is permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is ubject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. his permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial 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 orgran ' of a permitshall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or y rdi nce or r lation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �/ W heat fkq9c C OMMUNI TY DEV[LOI'MGNT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(c-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # ao j r� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on bo�;tohA asides of this form. Incomplete applications } !1 "r* 3�c=�/ 1 --,.�(oq� /l LSC=C�y�n� ee p }c ssed. Property Address: Owner I Property Owner Email: Y Tenant (Commercial Projects Only) Phone: Property O��f Owner Mailing Address: (if different than property address) T Address: �`t t, i-(1 City, State, Zip: (� )f' 1 a_'kj 4 e C 6 F6 6) -S3 Architect/Engineer: Architect/Engineer E-mail: Contractor: 1 City of Wheat Ridge License #: Uz(15' 9_�_ i Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): CONTACT EMAIL(p/ease print): Sub Contractors (Must providE Electrical: W.R. City License # Phone: Phone: 7wl- - l S U� Plumbing: W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # �1 ❑COMMERCIAL RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Ilay-o' -�earvf� ��F�h-moQlc! -7-r ��l Sqs 6/12 Commercial Projects Only: Occupancy Type: Sq. FULF Amps BTUs Squares Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ a'` , , OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. _ CIRCLE ONE: (OWNER) (C TRAC O or AUTHORIZED REPRESENTATIVE)'' of (OWNER) (CONTRACTOR) tea' Signature (first and last name): yf1VVV)t(t/\/b Z;ti 'DATE: Printed Name: 4-o, - o E(,lan S ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 1125 S. Lipan Street Denver, CO 80223 en`e s z s 303-789-1505 • Fax 303-789-0830 X0o ink '"c• PROPOSAL/CONTRACT THIS AGREEMENT AND CONTRACT BETWEEN JENESIS ROOFING INC., HEREINAFTER CALLED CONTRACTOR AND: NAMEHOME Kckr' LN mer- PHONE DATE poi ; ADDRESS �7 o ► o w 3`1" ve WORK PHONE EMAIL CITY AND STATE ZI JOB LOCATION THE ABOVE, HEREINAFTER CALLED PURCHASER, PROVIDES FOR PERFORMANCE BY CONTRACTOR OF THE WORK STIPULATED BELOW BY THE TERMS AND CONDITIONS SET FORTH BELOW. CONTRACTOR AGREES TO PERFORM THE WORK DESCRIBED BELOW FOR THE CONSIDERATION INDICATED BELOW. PURCHASER AGREES TO ASSIGN AND BY SIGNATURE BELOW DOES HEREBY ASSIGN TO CONTRACTOR ALL RIGHTS PURCHASER HAS IN ANY INSURANCE SHOULD SOME BE AVAILABLE TOWARD THE PAYMENT OF WORK PERFORMED BY CONTRACTOR NOT TO EXCEED THE AMOUNT OF THIS CONTRACT PRICE. SAID ASSIGNMENT SHALL NOT RELIEVE PURCHASER OF HIS OBLIGATION TO PAY IN FULL PER THE TERMS AND CONDITIONS OF THE CONTRACT. RE -ROOFING ESTIMATE /� ( '✓) Remove layer(s) of existing roofing material. ( ) Nail over existing/remaining If any rotted decking found, add $65 per sheet to replace. ( )/ peck entire roof area with OSB decking. (:: stall ice and water shield at eaves valleys entire roof. ( In151b 301b Oth r underlayMn, t , �~ `J f A F 4�K, ( Install Cti J I^ E. (^ r f-'rk i Ni��G (�)hingle color selection U ' Install valleys new (open/closed /' ( � Install new )4c4% metal drip edge at (eaves / gables ) in color \1(4kr l / E'4 c" ( ) Check and replace if needed all flashings and attic vents. Cut additional attic vents. _ — ( ) Replace skylight (s): �yr_4 _V ( Paint all vents and stacks to match with anti -rust paint. 0A (A I ky JY e fr,.( e , ( Magnetic sweep of yard and complete clean-up of trash and debris included. ��fJ ( ) Any penetration of open soffit to be repaired by others at purchaser's expense. (� General Ilility and workman's comp certificates available upo request. highwind nail dump included. permit ( /) i Vz (5 ) year full work anshi guarantee. ' ( t') ADDIT NAL W RK: �- � <, - 3 (AV1 c' y (t� j V� f (3 e �1 s. 0( a Cd ,�yc,v C' Q•ne o W (tQ C� 1 E' j 5 . S M - qt I L .J �•.,- �/ THIS QUOTE GOOD FOR DAYS; SUBJECT TO MANAGEMENT AP ROVAL. Upon completion of work by contractor in accordance with the terms hereof; (�i Purchaser agrees to pay the sum of �P � �, �I �^ DAMAGE: Should purchaser become aware of damage to Purchaser's property by Contractor, his agents, or employees during the course of roofing work set forth above, said damage shall be brought to the attention of the Contractor in writing prior to the time of payment for the roof in question. If Purchaser fails to notify Contractor in writing of said damage, within 5 working days of occurrence then Purchaser shall waive all rights against Contractor, his agents, or employees concerning said damage. Not responsible for concrete damage. DELAYS: Purchaser hereby acknowledges that Contractor may be subject to delays occasioned by acts of God including but not limited to inclement weather, labor disputes, and material sup- ply shortages which are beyond the control of the Contractor and Purchaser hereby accepts any delays occasioned by one or all of these circumstances in the installation of his roof. Purchaser further agrees to pay to Contractor an amount equal to 10% of the total contract price as liquidated damages should Purchaser cancel his contract for any reason prior to Contractors initiation of work on Purchasers roof. THIRD PARTIES: It is agreed that Contractor shall not be responsible, nor shall any warranty extend to, any damages to the property subject of this agreement caused by third parties. INTEREST: Purchaser expressly agrees that Contractor shall be entitled to interest at the rate of ten (10%) percent per annum on any past due amounts owed by Purchaser to Contractor under terms of this contract. ATTORNEY FEES: In the event it becomes necessary for Contractor to hire an attorney to collect any amounts due under this agreement, Purchaser agrees to pay Contractor reasonable at- torney fees. ENTIRE AGREEMENT: This Agreement contains the entire agreement between the parties hereto with respect to the matters to which it pertains, and may be ammended only by written agreement signed by PurcPaser and Contractor and by reference made as part hereof. I THIS AGREEMENT, UNDERSTAND ITS TERMS, AND ACCEPT ITS RIGHTS AND OBLIGATIONS. PURCHASERS SIG A URE DATE AUTHORIZED SIGN TUR �Jenesi 1125 S. Lipan Street ✓ ✓� . Denver, CO 80223 5f PURCHASERS SIGNATURE DATE Zng 303-789-1505 • Fax 303-789-0830 `0 .JQ ,6 1125 S. Lipan Street Denver, CO 80223 �lZ.e•S1Zs 303-789-1505 • Fax 303-789-0830 Q® Zn '"c• PROPOSAL/ CONTRACT THIS AGREEMENT AND CONTRACT BETWEEN JENESIS ROOFING INC., HEREINAFTER CALLED CONTRACTOR AND: NAME Kck I i 1, f4 HOME PHONE'DATE 30,:: -- � �, .. e i ADDRESS, ^ oq o W ik" Aug- WORK PHONE EMAIL CITY AND STATE Zi�, �.,JOB LOCATION THE ABOVE, HEREINAFTER CALLED PURCHASER, PROVIDES FOR PERFORMANCE BY CONTRACTOR OF THE WORK STIPULATED BELOW BY THE TERMS AND CONDITIONS SET FORTH BELOW. CONTRACTOR AGREES TO PERFORM THE WORK DESCRIBED BELOW FOR THE CONSIDERATION INDICATED BELOW. PURCHASER AGREES TO ASSIGN AND BY SIGNATURE BELOW DOES HEREBY ASSIGN TO CONTRACTOR ALL RIGHTS PURCHASER HAS IN ANY INSURANCE SHOULD SOME BE AVAILABLE TOWARD THE PAYMENT OF WORK PERFORMED BY CONTRACTOR NOT TO EXCEED THE AMOUNT OF THIS CONTRACT PRICE. SAID ASSIGNMENT SHALL NOT RELIEVE PURCHASER OF HIS OBLIGATION TO PAY IN FULL PER THE TERMS AND CONDITIONS OF THE CONTRACT. RE-ROOFING ESTIMATE ( y') Remove layer(s) of existing roofing material. ( ) Nail over existing/remaining If any rotted decking found, add $65 per sheet to replace. ( ) Deck entire roof area with OSB decking. ( stall ice and water shield at eaves valleys entire roof. In151b 301b :5%) Other underlayryient. y ( Install (t)hingle color selection Wot2 ��� ` '► I Install new F� valleys (open/closed (� Install new � metal drip edge at (eaves / gables) in color ( ) Check and replace if needed all flashings and attic vents. Cut additional attic vents. < ( ) Replace skylight (s):�n ( �/Paint all vents and stacks to match with anti-rust paint. �>.-1 It I � t" t',rrt je , ( ✓'t Magnetic sweep of yard and complete clean-up of trash and debris included. ( ) Any penetration of open soffit to be repaired by others at purchaser's expense. (� General I lility and workman's comp certificates available up request. (� ) highwind nail dump permit included. ( )) ve- (�) year full work��j anshiR guarantee. `_ L + , (►') ADDITIONALW RK- -�-� Cz_VI �l�Pl} V -� 0J4 oh,rVL",,iVA�aiL",-� i() L) l�{�• V)o('� TC'> -� 'a r'lvu' A C',V CZI C 'v C, G-:_ 'kr -iu'�: �• t ti c �,."� *c'✓' - IJ., f a q, Qne.5 W 14 l e of e-rNi i re S iij 51 e1'^ oi THIS QUOTE GOOD FOR DAYS; SUBJECY TO MANAG MENT AP ROVAL. Upon completion of work by contractor in accordance with the terms hereof;1, n Purchaser agrees to pay the sum of, ^ DAMAGE: Should purchaser become aware of damage to Purchaser's property by Contractor, his agents, or employees during the course of roofing work set forth above, said damage shall be brought to the attention of the Contractor in writing prior to the time of payment for the roof in question. If Purchaser fails to notify Contractor in writing of said damage, within 5 working days of occurrence then Purchaser shall waive all rights against Contractor, his agents, or employees concerning said damage. Not responsible for concrete damage. DELAYS: Purchaser hereby acknowledges that Contractor may be subject to delays occasioned by acts of God including but not limited to inclement weather, labor disputes, and material sup- ply shortages which are beyond the control of the Contractor and Purchaser hereby accepts any delays occasioned by one or all of these circumstances in the installation of his roof. Purchaser further agrees to pay to Contractor an amount equal to 10% of the total contract price as liquidated damages should Purchaser cancel his contract for any reason prior to Contractors initiation of work on Purchasers roof. THIRD PARTIES: It is agreed that Contractor shall not be responsible, nor shall any warranty extend to, any damages to the property subject of this agreement caused by third parties. INTEREST: Purchaser expressly agrees that Contractor shall be entitled to interest at the rate of ten (10%) percent per annum on any past due amounts owed by Purchaser to Contractor under terms of this contract. ATTORNEY FEES: In the event it becomes necessary for Contractor to hire an attorney to collect any amounts due under this agreement, Purchaser agrees to pay Contractor reasonable at- torney fees. ENTIRE AGREEMENT: This Agreement contains the entire agreement between the parties hereto with respect to the matters to which it pertains, and may be ammended only by written agreement signed by Purc aser and Contractor and by reference made as part hereof. R�THIS AGREEMENT, UNDERSTAND ITS TERMS, AND ACCEPT ITS RIGHTS AND OBLIGATIONS. ZIHA PURCHASERS SIGN URE DATE AUTHORIZED SIGN TUR Me!nr,"psS 1125 S. Lipan Street Denver, CO 80223 5 PURCHASERS SIGNATURE DATE Zng 303-789-1505 - Fax 303-789-0830 .M �i a } Yl 6 x s f .A .., p r , r :'' NNWt //0 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Tvne: '2;� © 3 - Is e we r V nc! _ Job Address: 3 & cl r c He t- S -- Permit Number: - O I s© a a�;> 0 f f (., r t1 -E I� �J r-Oy e ❑ No one available for inspection: Time I4960 Re -Inspection required: Yes No When corrections ave been made, call for re -inspection at 303-234-5933 Date: S / o / g Inspector: "-7—b DO NOT REMOVE THIS NOTICE City of Wheat Ridge £${`t Residential Sewer Repair PERMIT - 201802222 PERMIT NO: 201802222 ISSUED: 08/09/2018 JOB ADDRESS: 3691 Teller St EXPIRES: 08/09/2019 JOB DESCRIPTION: 10 ft sewer repair in yard SDR pipe fittings strongback coupling squeegee. *** CONTACTS *** OWNER (303)917-1204 WOMBLE TERRY D SUB (303)287-9009 Brad Wakeham 130022 Trench Right LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** 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.** PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Sewer Repair PERMIT - 201802222 201802222 3691 Teller St ISSUED: 08/09/2018 EXPIRES: 08/09/2019 10 ft sewer repair in yard SDR pipe fittings strongback coupling squeegee. 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 enmt. I further attest that I am le��ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pertbrmed 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 accompanyingpplans 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 pennit fee. 3. If this permit expires, a new pennit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall no proceed or conceal work without written approval of such work from the Building and Inspection Services Divisi 6. The i u ce granti f a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any appl eco or an or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Ige COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: �& / ?b a y Plan/Permit # $J q11 ]( Plan Review Fee: _�'J �6 'I6 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Prooertv Owner Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Enaineer: Architect/Engineer E-mail: Phone: Contractor Name: 6 / ry� City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Com CONTACT NAME (please print): CONTACT EMAIL(p/ease print): s (please print): �Z Phone:3�? Phone: Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Sq. FULF Amps 517r'C 1�'7 BTUs Squares Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNEIdCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provid�fln-tl"plication. CIRCLE ONE: (OWNER) 6CONTRACT) or'(AUTHORIZEDREPRESENTATIVE) of (OWNER) (CONTRA TOR) Signature (first. and �last 'naame): ��? DATE: �/ Printed Name: l0� V DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 3O� ( INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge;co.us/inspection INSPECTION REQUEST LINE: (3 3) 234-5933 Inspections will not be performed unless this card o d on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection `fol o ing busl�iess day.** Inspector Must Sign ALL Spaces pertinent to this pr ject Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Mid -Roof Foundation / P.E. Letter Floodplain Inspection (if applicable) Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Comments Initials ii Wall Sheathing f Mid -Roof 1 Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Window/Doors Rough Grading 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. Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201703344 PERMIT NO: 201703344 ISSUED: 07/06/2017 JOB ADDRESS: 3691 Teller ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 sq. *** CONTACTS *** OWNER (303)917-1204 WOMBLE TERRY D SUB (720)833-8718 Patrick Knight 150157 Knight Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are ' required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating thiat "the application of the roof at (project address) has been applied in accordance with tF:e installation instruction for (roof material brand name) roof covering" is requires to be on site at the time of final inspection. d City of Wheat Ridge r Residential Roofing PERMIT - 201703344 PERMIT NO: 201703344 ISSUED: 07/06/2017 JOB ADDRESS: 3691 Teller ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 sq. *** CONTACTS *** OWNER (303)917-1204 WOMBLE TERRY D SUB (720)833-8718 Patrick Knight 150157 Knight Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 .„.'* Permit Fee 140.90 IM ** TOTAL ** 266.90 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering” is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703344 PERMIT NO: 201703344 ISSUED: 07/06/2017 JOB ADDRESS: 3691 Teller ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am lei>ally authorized to include all entities named within this document as parties to the work to be performed d that all work -t be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apphcabJde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook �26170 —5-j V y From: no-reply@ci.wheatridge.co.us Sent: Friday, June 23, 2017 7:21 PM r 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 C contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? *0/C W)PRU �A, How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3691 Teller St Terry Womble 303-917-1204 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Knight Exteriors Contractor's License 150157 Number (for the City of Wheat Ridge) Contractor Phone 720-833-8718 Number Contractor Email Address pat@knightexteriors.com Retype Contractor Email pat@knightexteriors.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: No V/ Owens Corning Duration Asphalt Field not completed. How many squares of the 20 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. TOTAL SQUARES of all 20 roofing material for this project F Provide additional detail house here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 6000 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 Patrick Knight Email not displaying correctly? View it in your browser. 3 Knight Exteriors Film Enhance your Home Property Owner N e IJr - insurance Company II -e #I sU a >1 611 Property Address �gf City, State, Zip f t in t af" P,' Home. Phone -7 7-t lc✓ Email Policy If Claim It lAdiuster Name aster Phone Protect all surroundings with tarps to protect from damage. Remove and dispose of all roofing material debris Inspect roof, soffit, valleys, peaks for water damage or deficiencies Remove all construction debris and magnetic sweep for nails Install new roofing felt as needed Install new decking as needed Open Valleys Co Closed Valleys Install new pipe jacks & vents as needed KNIGHT EXTERIORS, INC. 8795 Ralston Rd. Suite 234 Arvada, CO 80002 720.833.8718 kggC - <10,/ Wind/ Other i ing Hail / Wind / Other C`iutters. '<:MZU Wind f Other Fascia Hail / Wind/ Other Windows Hail / Wind/ Other Other Hail / Wind/ Other I Notes: + r Install new flash in the transitions between all wails & chimneys as needed +&° install __ linear feet of ridge cap Series / Color t 17 &'g Install squares of shingle Style / Color G}I Install Size / Color G~ - e ,1g7drip edge_T� st a•, r t.� n Install (�_Llinear feet of ice & water shield Special Instructions: Total Restoration U Additional Services: Total Additional Services Fees: Agreement: This restoration agreement (hereinafter "Agreement") is effective on the date stated below, by and between Knight Exteriors, Inc. (hereinafter), and the customer(s) named above (hereinafter "Customer"). Customer represents they are the only customer, or if Customer is more than one person, they have full right, power and authority to bind all of the customers when accepting this Agreement, and fully indemnifies Knight Exteriors, Inc. against any claims of any customer that are not bound by their signature and initials herein. Restoration Services: The checklist above outlines the scope of the restoration services to be performed on the Property. All Restoration Services estimated above is presented only as a good faith estimate and is subject to approval by your insurance company. Customer authorizes Knight Exteriors, Inc. to request additional payment to cover unforeseen items including but not limited to material cost increases, labor cost increases, adjustments due to inaccurate measurements, cover overhead & profit, additional work, or ordinance/code upgrades. If approved by your insurance company, Knight Exteriors, Inc. will receive all additional payments. Approximate Date of Services: -3,&, j_ _ LL' =L_�__ This date represents only a good faith estimate by Knight Exteriors, Inc. and may be changed. Customer acknowledges that Knight Exteriors, Inc. shall have no liability if unable to perform the Restoration Services or Additional Services due to severe weather, fire, supply chain issues, lack of availability of materials from the usual sources, labor disputes, issues with the health of subcontractors, timing of insurance company processes or other reasons beyond Knight Exteriors, int.'s control. No Waiver of Deductible: Customer acknowledges that, pursuant to C.R.S. 06-22-105, Knight Exteriors, Inc. cannot pay, waive, rebate or promise to pay all or part of any insurance deductible applicable to the insurance claim for payment of Restoration Services. Payments: Customer is responsible to pay for all services by (a) assigning all insurance company payments to Knight Exteriors, Inc. within 20 days of receipt; and (b) pay insurance deductible to Knight Exteriors, Inc.; and (c) pay Knight Exteriors, Inc. directly within 10 days after the completion of any applicable Additional Services. Customer does not pay any other "out of pocket` payments to Knight Exteriors, Inc. Insurance Authorization: Customer authorizes the insurance company named above to discuss any claim and release pertinent information to Knight Exteriors, Inc. that is associated to the agreed upon Restoration Services. Additional Provisions: Both sides of this document constitutes the full Agreement. By signing below you agree to all terms on both sides. , t c st6mer Effective Date Knight Representative f Date Customer may cancel this Agreement any time during the three days after the Agreement is signed by the Customer. i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M I D Job Address: S (. R/ _ /� / A A 9 Permit Number: ) Z7 / 7 0-3 3 14 k4 ❑ No one available for inspection: Time Z AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspe ion at 303-234-5933 Date: �` Inspector: Lj DO NOT REMOVE THIS NOTICE A 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: 12 o� Job Address: 36q, IT ��-- Permit Number: 20170 -.�3 Lf ❑ No one available for inspection: Time "7 AM/PM Re -Inspection required: Yes 'No When corrections have been made, call for re -inspection at rr_30 3-234%- DalJi Inspector:tn 1 j }�5933 � DO NOT REMOVE THIS NOTICE , \ \/\ ( . \ : 8 9 \| 8 j[ . j -ts \ \ \ . . f)\( ( (( � /c ! !» (\ ,§ ) [ §k a (� El ) ) \§ / ( ( §mo \ El \ tz, 8 aB FLOOR rground) rground) around) Jv j �-:J.7JJ I ; `I >ns will not be made unless this card is posted on the building site by 3:00 PM to receive inspection the following business day.' e DO PECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB i DATE INSPECTOR INITIALS COMMENTS: 1 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED DO NOT POUR FLOOR UNTIL'ASOVE HAS BEEN SIGNED ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING '.. _ .p J/ I S NN,ING- &- ZaNING FIRE - ANDY BLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. OMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A IS ISSUED. FINAL INSPECTION BY THE:BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 1 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: SKO. l -7~: lj Permit Number: ❑ No one available for inspection: Time / c i3(7 AM/1~M 1 Re-Inspection required: Yes No ` -J When corrections have been made, call for re-inspection at 303-234-5933 ,J Date:. S t i/) Inspector: / DO NOT REMOVE THIS NOTICE e , 1 CITY OF WHEAT RIDGE ° Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTI E (_\ � Inspection Type: O6� Job Address: 3 9 l Permit Number: ff) a. ?_'8 ❑ No one available for inspection: Time f' ';) AM/ Re- Inspection required: <:ZZ� No "When corrections have been made, calf for - inspection at 303 -234 -5933 Date: , i U Inspector DO NOT REMOVE THIS N TICE w ♦,!:4' CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line -.(303) 235-2855 Office • (303) 237-8929. Fax INSPECTION NOTICE Inspection Type: 'Ccivi c Job Address: _gd39/ %GC.F_R 54 Permit Number: J-72,~.6S 42 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, catt for re-inspection at 303-234-5933 Date: IU /a o Inspector. !r; DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: oyoRcor Job Address: .3691 Tr-7/s,P 51- Permit Number: 05d2 323 +°~~,R7 ~ ~birra~ fSP 4-- / f' ❑ No one available for inspection: Time 7f 13t AM/PM Re-Inspection required: es No "When corrections have been made, call for re-inspection at 303-234-5933 Date: 5z29,1,07Inspector p DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 1 N Job Address: 3er 91 :DELL 4 51"" Permit Number: C)~j S 3 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No fif r spection at 303-234-5933 Whenlcorrections have been made, call Date:/ Inspector: DO NOT REMOVE THIS NOTICE Melissa Macke From: office@theroofworks.com Sent: Wednesday, March 17, 2010 9:47 AM To: Melissa Mackey Subject: Re: Permit 092383 extension Permit # - 092383 Address - 3691 Teller St Reason - We need all the snow melted off the various roofs & warm enough temperatures to make the requested corrections from the original inspection. Length of extension - 60 days _ If you have any questions, please call The Roof Works at (720)234-4548. Thank you, Brenda t " City of Wheat Ridge _r- Residential Roofing PERMIT - 092383 t F. 4 PERMIT NO: 092383 ISSUED:: 09/15/2009 JOB ADDRESS: 3691 TELLER ST' EXPIRES.: 03/14/2010 DESCRIPTION Reroof 21.75 sqs CONTACTS owner 303/669-3077 Wombel sub 720/234-4548 Trevor Nelson 09-0219 The Roof Works, LLC **,PARCEL INFO ZONE CODE: UA FUSE: UA SUBDIVISION:. UA '.BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,561.00: FEES Permit Fee 144.70 Total Valuation Use Tax :TOTAL -.226.80 t% w Irv Conditions: 6 nail installation & mid roof inspection required.' Board sheathing spaced more than a 1/2 of an inch apart `requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exteriorwalls. ; Subject to field inspection.` zz: 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; thatI 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 Ordinance for work under this permit. Plans :subject to field inspection. Signature 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 ang.: other. applicable y`< ordinances of the City. i2. 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 a new permit. a,'4. No work of any. manner shall be done that will change the 'natural flow of water causing adrainage 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 phases of the job.' r 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 revi w ubj ect to field inspections. l Signature o _Building Official date `INSPECT N REQUEST LINE: (303)234-5933 BUILDING. OFFICE:. (303)235 2855 REQUESTS MUST. BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY. 8 City of Wheat Ridge Building Division Date: °m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan M °otoRAd° Inspection Line: 303-234-5933 Permit Building Permit Application Property address: fk09 / T-FLLf - sr. , WKA-r QriC,rr- , CO Boa 33 Property Owner (please print): W p .&A B cc-.t_ Phone: ?,o3-&1o1 Mailing Address: (if different than property address) Address: City, State, Zip: v ` Contractor. TtitE 90©F W @P-KS LLC X55' S. i [L~e ST #aoo , L4-1 s-c4oy b , co, 8oa26 Contractor LicenseM 0n -Da/9 Phone: a0-a3y-~/$ Y/6 Sub Contractors: Electrical City License Plumbing City License Mechanical City License* Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: n Approval: Approval: Use of space (description):Construction Value: $ Description of work: Rvo~ ) (_q j~ f la Q,rctf (as calculated per the Building alulan Hate sheeU 9). 7-5 SQ D,nM ant 30yR SioN A-(- Plan Review (due at time ofsubmiltal): $ Sq. Ft./L.Ft added: Squares r 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 t 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 REPRES TATIVE of ( NE (CONTRAOR) PRINT NAME: 0 (a,,, P-04/ SIGNATURE: Date: ZONING COMMENTS: Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: - OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ approved w/ Comments ❑ disapproved ❑ no review required Bldg Valuation: $ .^RA,.-n +i^"+< ,+:~YA'+.h"^ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18563 BUILDING INSPECTION LINE -(303-254-5953) Date : 2/15/2005 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: TERRY WOMBLE Property Address : 3691 TELLER ST Contractor License No. : 19312 Phone : 420-5335 Company : Deer Creek Plumbing, Inc. Phone : 697 5883 OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback diatances proposed by this permit application are accurale, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easaments a reatrlctions 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 appilcabte Wheat Ridge ordinances, tor work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Valuation : $300.00 Permit Fee : $30.55 Plan Review Fee : $0.00 Use Tax : $5.40 Total: $35.95 Use: Description : INSTALL 40 GALLON GAS WATER HEATER BUILDING DEPARTMEI Approval : Zoning : Approval : Approval : Occupancy: Walls Electrical License No : Company : Expiration Date : Approval : tl ~T6~AIYIOI7ER gA7~ ~ WOryjMUM OF.60 ENERGY Fq TpI BACK THE(~p~_ ~E~Id1Yf OF .93 ENERGY qCI R Z7 WiW,g ~ R~id CEIUN(;g ~ R tY CRAW~i ce:~~ 1~Eo ALL GAS WATER HEATER MUST MEET.60 ENERGY FACTOR PER CODES ADOPTED 1/3105 Roof Plumbing License No : Company : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval : (1) This pertnit was issued in accordance with the provisions set fodh in yopur application and is subject to the laws of the Sfate of Cdorado and lo the Zoning Regulations antl Building Code of Wheat Ritlge, Cobrado or any other applica0le ordinances of the Ciry. (2) This pertnk shall eupire if (A) the work authorized is not commenced within sixty (80) days trom issue date or (8) ihe builtlinp authonzed is suspended or aDantlonetl for a period M 180 tlays. (3) 1f this permit expires, a new permit may be acquired for a fee of one-halt the amount normally required, provitletl no changec have been or wilt be mede in tlie original plans and specifica6ons antl any suspension or abandonment has not exceeCed one (i) year. If changes are made or Hsuspension or abandonment exceeds one (1) year, (ull fees shall be Oaid for a new permit. (4) No vrork of any manner shall be done ihat will change ihe natural flow of water causing a drainage pro6lem. (5) CoMractor shall noti(y Me Buildin8 Inspector Rventy-four (24) hrours in advance for all inspedions and shall receive written approvel on inspeclion card before proceediing with suaesslve phases of the job. (e) The issuance M a permit or the approval of drewings and spacifcations shall not be conshued to be a pertnit for, nor an approval 04 any violadon of the provisions of t ' ding codes , 4C.@n y other ordinance, law, rule or regulation. ief B ' ing In f' Ploase sign Terms and Conditions on reverse side of page. Stories : Residential Units : I~-z L DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date C~ ,,,750A-11N€ST- TH AVENUE : WHEAT RIDGE, 80215 qppLICATIo N PropertyOwner: 'Qf~~ WC}1-T\b1 Property Address Phone : T)P-4,L*&S-S'~ S' Contrector License No. Company: 171 }x, Phone:~L~j - d. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setbaek distances proposed by this pertnit application are accurate, and do not violate appliwble ordinances, rules or reguWtions of the City of Wheat Ridge or eovenants, easements or restnctions of record; that all measurements shown, and allegations made are accurate: that t have read and agree to abide by all cond'Rions printed on this appliwtion, and that t assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and aIl other applicableXVheat Ridge 4rdirances. (or work under Mis pertnd. (ONRJER)(CONTR4CTOR) Description: w~ ~~1 construction value : 3C C: CC-' Permit Fee : Use Tax : Total: , use: BUILDING DEPARTMENT USE ONLY Approval : Zoning : SIC : Sq. Ft. : Approvai : Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (i ) This permtt was issuetl in aaaCaMe wiM the provisions set foM in yopur applirafion anC is subject lo tlu Wvrs W the Sfate W Coloratlo aM W the Zoning Regulations antl BuilAiig Catle W Wheat RiEqe, Colo2EO a atry oMer applifsWe ortlinancas M Me Ciy. (2) This parmit shan expire it (A) the work auttwraeC ia rwt commence0 wdlMin aixry (80) Oays hom iuue Eate or (e) the builairg authonzed is auapenOeE or abantloneG tor a perioE ot 120 tlays. (3) If Mis permit expires, a new permR mBy be eCquired for a 1ee of one-haM the amount nomielty tequ'vetl, ploviEetl Iro thiiqeg hgve peen M wiil be mHtle in the onginal plens anE specifrcatlom anO any wspensbn or aEantlonmeM has not exceeCeG one (1) year. If chanpes are maCe or if suspansion a ahaMOnment e:ceeES one (1) year. lull leea ahall be 0" for a new pemiit. (d) No work W any manner ehall he Eone Mat wlll change the naWral Ilow M wa[er causirq a tl2inage proDkm. (5) Comroctor shan notiy the Builtlinp Inspecror hvenry-four (24) nours in aOvance 1or all inspecuons aiW shall receiva wrilten app'wal on inepeclbn ard betore proteetliing with successive phases of Msp' b. (8) The issuexe W a permit or the approval M tl2winqs antl spedfitations stwll irot be consWeO to De a peimft for, nor an aOVroval W. arry violaUOn W the pmvisions W the builtlirg wtles or arry oUher ortlinance, law, iub or regulation. Chief Building Inspector