The URL can be used to link to this page

Home My WebLink About3470 Vivian Court1* � � i City of Wheat Ridge �� Residential Electric PERMIT - 202101180 PERMIT NO: 202101180 ISSUED: 06/04/2021 JOB ADDRESS: 3470 Vivian Ct EXPIRES: 06/04/2022 JOB DESCRIPTION: Electrical service upgrade, 200 AMP overhead, reconnect furnace *** CONTACTS *** OWNER (3 03) 745-2116 KREMER KAREN M SUB (303)766-7500 ROBERT LOGAN 021818 PLUMBLINE SERVICES LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41450.00 FEES Total Valuation 0.00 Use Tax 93.45 Permit Fee 125.05 ** TOTAL ** 218.50 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2018 IRC & 2020 NEC . Subject to field inspection. 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 alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/04/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: Carolyn Larson To: CommDev Permits Subject: Fw: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Thursday, June 3, 2021 11:31:25 AM COPY of what was submitted CcLrolyw LcLrsoty Permit Specialist/Plumbline Services 303.549.5054 mobile permits@plumblineserv*ices.com From: no-reply@ci.wheatridge.co.us <no -reply@ ci.wheatridge.co.us> Sent: Monday, May 24,20214:36 PM To: PL -Permits <Permits@plumblineservices.com> Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application CAUTION: This email originated from outside of our organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3470 VIVIAN CT Property Owner Name KAREN KREMER Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 303-745-2116 3470 Vivian Ct Electronic Pay. pdf CONTRACTOR INFORMATION Contractor Business PLUMBLINE SERVICES Name Contractor's License 021818 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-766-7500 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@plumblineservices.com Address Retype Contractor permits@plumblineservices.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of work HOUSE (garage, house, etc) Provide additional 200 AMP OVERHEAD, RECONNECT FURNACE details, if needed. Project Value (contract 4450.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for CAROLYN LARSON Permit City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202101181 PERMIT NO: 202101181 ISSUED: 06/04/2021 JOB ADDRESS: 3470 Vivian Ct EXPIRES: 06/04/2022 JOB DESCRIPTION: Replace AC unit, 3 ton, 16 SEER, on the ground in the backyard *** CONTACTS *** OWNER ( 3 03) 745-2116 KREMER KAREN M SUB (303)766-7500 ROBERT LOGAN 021818 PLUMBLINE SERVICES LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51386.00 FEES A/C Replacement 60.00 Total Valuation 0.00 Use Tax 113.11 ** TOTAL ** 173.11 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � � i City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202101181 PERMIT NO: 202101181 ISSUED: 06/04/2021 JOB ADDRESS: 3470 Vivian Ct EXPIRES: 06/04/2022 JOB DESCRIPTION: Replace AC unit, 3 ton, 16 SEER, on the ground in the backyard 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 al entities 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. 06/04/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: Carolyn Larson To: CommDev Permits Subject: Fw: Online Form Submittal: Air Condiboner/Evaporative Cooler Permit Application Date: Thursday, June 3, 2021 11:32:37 AM Copy of what was submitted Thanks CcLrolyw LcLrsoty Permit Specialist/Plumbline Services 303.549.5054 mobile permits@plumblineserv*ices.com From: no-reply@ci.wheatridge.co.us <no -reply@ ci.wheatridge.co.us> Sent: Monday, May 24,20214:30 PM To: PL -Permits <Permits@plumblineservices.com> Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application CAUTION: This email originated from outside of our organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or New Unit Installation replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 3470 VIVIAN CT Property Owner Name KAREN KREMER Property Owner Phone 303-745-2116 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email permits@plumblineservices.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 3470 Vivian Ct Electronic Pay. pdf CONTRACTOR INFORMATION Contractor Business PLUMBLIEN SERVICES Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) 021818 303-766-7500 Contractor Email permits@plumblineservices.com Address Retype Contractor Email Address DESCRIPTION OF WORK What type of replacement unit are you installing? How many tons is the unit? permits@plumblineservices.com /G11ZO=A •i GUM [c1 For AC - what is the 16 SEER SEER? For Evaporative Coolers, what is the CFMs? Where is the unit GROUND BACK located (for example, rooftop, backyard on ground etc)? Is electrical needed for Yes re -hook? Provide Electrical 021819 Contractor's Wheat Ridge License No. Project Value (contract 5386.00 value or cost of ALL materials and labor) Mlei it\lIJ:Mel ;91J0l 1:1M9rG1010110O I01.1GCe7:»:I�LTJIA01 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 CAROLYN LARSON Permit City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202101182 PERMIT NO: 202101182 ISSUED: 06/04/2021 JOB ADDRESS: 3470 Vivian Ct EXPIRES: 06/04/2022 JOB DESCRIPTION: Replace gas furnace, 9Ok BTUs, 80% efficiency, crawlspace *** CONTACTS *** OWNER ( 3 03) 745-2116 KREMER KAREN M SUB (303)766-7500 ROBERT LOGAN 021818 PLUMBLINE SERVICES LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51386.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 113.11 ** TOTAL ** 153.11 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202101182 202101182 3470 Vivian Ct Replace gas furnace, 90k BTUs, ISSUED: 06/04/2021 EXPIRES: 06/04/2022 80% efficiency, crawl space 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 pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/04/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: Carolyn Larson To: CommDev Permits Subject: Fw: Online Form Submittal: Fumace/Boiler Replacement Permit Application Date: Thursday, June 3, 2021 11:35:05 AM copy of what was submitted Thankyou CcLrolyw LcLrsoty Permit Specialist/Plumbline Services 303.549.5054 mobile permits@plumblineserv*ices.com From: no-reply@ci.wheatridge.co.us <no -reply@ ci.wheatridge.co.us> Sent: Monday, May 24,20214:22 PM To: PL -Permits <Permits@plumblineservices.com> Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application CAUTION: This email originated from outside of our organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Commercial? Property Address Residential Property Owner Name KAREN KREMER Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" permits@plumblineservices.com 3470 Vivian Ct Electronic Pay. pdf CONTRACTOR INFORMATION Contractor Business PLUMBLINE SERVICES Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) 021818 303-766-7500 Contractor Email permits@plumblineservices.com Address Retype Contractor Email Address DESCRIPTION OF WORK What type of unit is being installed? permits@plumblineservices.com Furnace Number of BTUs Sok What is the efficiency 80 (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or CRAWLSPACE boiler located (for example, basement, crawlspace, etc)? Project Value (contract 5386.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Carolyn Larson Permit 70i70 5l(0 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Floodplain Inspection (if applicable) Lath / Wall Tie Concrete Encased Ground (CEG) Rough Electric " Foundation / P.E. Letter Final Mechanical Roof Rough Plumbing/Gas Line 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 Initials Comments Yra+Sheathing Mid -Roof ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Lath / Wall Tie Final Electrical Rough Electric " Final Mechanical Roof Rough Plumbing/Gas Line Final Window/Doors Rough Mechanical 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 Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors 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 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 �,r Job Address: x'17 (, - it C Permit Number: Z _/-rc I IWy ❑ No one available for inspection: Time 7 /PM Re -Inspection required: Yes 60) When corrections have been made, call for re -inspection at 303-234-5933 Date: U J l 7' Inspector: L DO NOT REMOVE THIS NOTICE -° City of Wheat Ridge Residential Roofing PERMIT - 201705148 PERMIT NO: 201705148 ISSUED: 07/31/2017 JOB ADDRESS: 3470 Vivian CT EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 36 sq ****revision add redecking per inspector************************* *** CONTACTS *** OWNER (303)475-2116 KREMER KAREN M SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: I1 1 FEES 3i Total Valuation 0.00 Use Tax 233.35 Permit Fee 236.00 ** TOTAL ** 469.35 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201705148 201705148 ISSUED: 07/31/2017 3470 Vivian CT EXPIRES: 07/31/2018 Residential Re -roof to install GAF Timberline HD asphalt shingles - 36 sq ****revision add redecking per inspector************************* I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin�T 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 authorised 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 legally authorized to include all entities named within this document as parties to the work to be performedfand that all,w'0 be p�formed is disclosed in this document and�or its' accompanying approved plans and specifications. d Z Signature -16f 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 snore than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalppermit fee. 3. If this permit expires, a new permit may be required to be obtained. lssuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The iss anc r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicableAiafle or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Q,') ° i 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 heatj�iclge COMMUMT-y DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: M Add to Permit # ,. �Tx Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ;Li_10 Property Owner (please print): (,�� e,m�X Phone: -15 Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: el S>�Xl'_11 �l Contact Person: (%Y %S W(j�CafCi Phone: 1(90, "I0-6 , LA(a ID Contractor:i>''�� Contractors City License #: � 30 t 32� Phone: 100 ` lob ' `-T Q0 Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: We,nud-�b6Bck, Sq. Ft./LF Amps r& &4, �Cy W c,ns Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 1 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) PRINT NAME: PP.r (I L ZONING COMMMENTS. Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: SIGNATURE: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY of (OWNER) 'TRACTO 1— DATE:t OCCUPANCY CLASSIFICATION! Building Division Valuation: $ I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE /' � �lL Inspection Type: ✓ 0I Job Address: `-1 iy° Permit Number: Ti:�2G � L- ❑ No on8 available -for inspection: Time V ' lY�'�.I1�UPM Re -Inspection required: Yes NO When corrections have been made, call for re -inspection at 303 -234 - Date: 03-234-Date:.4////2�_Inspector:_ ! r� DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE �9Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fa* INSPECTION NOTICE Inspection Type: 'M� o Job Address: 3`' —70 Permit Number: - (-' 7t, 571 `(,k s /4-7 0i ❑ No one available for inspection: Time ,–� &IPM Re -Inspection required: Yeso When corrections have been made, call for re -inspection at 303-234-5933 Date: tr-! ! () (7 Inspector: r DO NOT REMOVE THIS NOTICE 41 City of Wheat Ridge V, Residential Roofing PERMIT - 201705148 PERMIT NO: 201705148 ISSUED: 07/31/2017 JOB ADDRESS: 3470 Vivian CT EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 36 sq *** CONTACTS *** OWNER (303)475-2116 KREMER KAREN M SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00 FEES Total Valuation 0.00 Use Tax 194.29 Permit Fee 204.30 ** TOTAL ** 398.59 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705148 PERMIT NO: 201705148 ISSUED: 07/31/2017 JOB ADDRESS: 3470 Vivian CT EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 36 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 wrier of theroperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this perms further attes ti� legally authorized to include alI entities named within this document as parties to the work to be per and that all w e per o ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatur-elof OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c de or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. !444 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz �}� 7i/� 7 From: no-reply@ci.wheatridge.co.us Sent: Friday, July 21, 2017 11:32 AM Q To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Ci Residential Roofing Permit Application V This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process c varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3470 Vivian Ct Karen Kremer 303-475-2116 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 Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Homeguard Roofing 130138 hL 720-708-4126 Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material No GAF Timberline HD Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 36 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 36 (pitched + flat) of all roofing material for this project 01 Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Replace roof on the house. Pitch 4/12 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 Fern Lytwyn Email not displaying correctly? View it in your browser. 3 114 HOMEGUARD ROOFING & RESTORATION SURETY AND LIABILITY INSURER INFORMATION Colony Insurance- Policy Number QTE21366 Contact CIA Risk Management, [30.31 423-0162, ext. 136 6850 W. 52nd Avenue Suite 106 Arvada, CO 80002 Office: 720.708.4126 Fax 720.921.8658 info@HomeGuardRoof.com HDmeGuardRoof.com Name: Karen Kremer City: Wheat Ridge, CO Project Address: (if different from above) Home ft. 303-475-2116 Cell#: 303-232-8257 Insurance Company Safeco Sales Representative: Name: Scott Barbich Project Manager: Name: Scott Barbich I i� M'eFE n8 CUSTOMER INFORMATION Address: 3470 VIVIAN CT Zip: 80033 Email karenkremer@grace-alone.org Claim No: 581031756052 Deductible: $1,000 Phone: 720-955-2730 ___ Phone: 720-955-2730 NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BE PROVIDED STRUCTURES INCLUDED ❑■ Main [:]Detached Garage ❑ Other • Manufacturer: GAF Type: Lifetime ❑■ Type: Timberline HD Color: TBD ❑■ Ridge Material: Seal -a -Ridge ❑ Undertayment: Synthetic Leak Barrier ❑■ Eaves■❑ Valley ❑■ Per Code ❑Q Penetrations Drip Edge ❑■ Eaves■❑ Rakes ❑ Color Flashing ❑■ Sidewall ❑■ Chimney Ventilation ❑■ Turtle ❑ Ridge ❑ Edge ❑ Other Plumbing Boots N ■❑ Paint All Roof Accessories ■❑ Remove trash from roof gutters & yard ❑■ Roll lawn & drive with magnetic sweeper ❑■ Furnish permit ❑ Miscellaneous: LOW SLOPE AREAS Material Manufacturer Type. Color SERVICE AGREEMENTS GAF ROOFING SYSTEMS Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED Alt additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT ❑■ Gutters [yd Paint/Stain ❑ Siding ❑ NPhndovvs ❑ Interior [� Skylight ❑ Other a . • r Notes: Per email with Scott on 6/9/17 ok'd to check boxes for stain and skylight Material -Manufacture Standard Workmanship Repair 1 yr Full Replacement 2 yrs `Scope of Restoration Services Provided shall include any additional supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED This Agreement does NOT obligate the Customer nor Company in any way unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of restoration services to be provided by Customer's insurance company and excepted by Company.. Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. AR work is installed per the manufacturer's installation instructions & the local building codes. Agreed Price: Per Insurance shall be the total amount due to Company under this Agreement, which is subject to any additions and/or deductions pursuant to authorized insurance supplements or as set forth on the reverse side hereof. Total estimated cost of any non -insurance upgrades shall be: $ 0 Approximate Dates of Service. Substantial commencement of work shall mean eilher the physical delivery of materials one, the premises or the performance of any taborand shall be subject to any permissible delays as per provision (4) on the reverse side. Approximate Start Date: OR/97/17 Approximate Completion Date:_ nR/R!1/17 By signing this Agreement you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company manan ement reviews&& approval. I accept the above terms of this contract and authorize Company to proceed. /1a4z.,lL /lam 6/19/17 Old 06/05/17 Approved and accepted [Customer] Date Approved and Accepted ( ompany] Da_e Approved and Accepted [Customerl Date I have received the "Things to Remember' document Initials RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. & 5-3-403• YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. Material - Material - 50 -year ma nu facturerwarranty 25 -year Service policy 50 -year manufacturer warranty 10 -year service policy 50 -yea, manufacturer warranty 5 -year service policy STANDARD to -year manufacturer warranty 2 -year Workmanship 2 yrs Non -Prorated iT4 Transferrable ;r',},9y Non -Prorated Transferrable Tran,te�ra6.e kmanship warranty l ROOFSYSTEM Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED Alt additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT ❑■ Gutters [yd Paint/Stain ❑ Siding ❑ NPhndovvs ❑ Interior [� Skylight ❑ Other a . • r Notes: Per email with Scott on 6/9/17 ok'd to check boxes for stain and skylight Material -Manufacture Standard Workmanship Repair 1 yr Full Replacement 2 yrs `Scope of Restoration Services Provided shall include any additional supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED This Agreement does NOT obligate the Customer nor Company in any way unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of restoration services to be provided by Customer's insurance company and excepted by Company.. Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. AR work is installed per the manufacturer's installation instructions & the local building codes. Agreed Price: Per Insurance shall be the total amount due to Company under this Agreement, which is subject to any additions and/or deductions pursuant to authorized insurance supplements or as set forth on the reverse side hereof. Total estimated cost of any non -insurance upgrades shall be: $ 0 Approximate Dates of Service. Substantial commencement of work shall mean eilher the physical delivery of materials one, the premises or the performance of any taborand shall be subject to any permissible delays as per provision (4) on the reverse side. Approximate Start Date: OR/97/17 Approximate Completion Date:_ nR/R!1/17 By signing this Agreement you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company manan ement reviews&& approval. I accept the above terms of this contract and authorize Company to proceed. /1a4z.,lL /lam 6/19/17 Old 06/05/17 Approved and accepted [Customer] Date Approved and Accepted ( ompany] Da_e Approved and Accepted [Customerl Date I have received the "Things to Remember' document Initials RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. & 5-3-403• YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. Material - Material - Manufacture Standard Manufacture Standard Workmanship 5 yrs Workmanship 2 yrs Out-of-pocket upgrade costs Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED Alt additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT ❑■ Gutters [yd Paint/Stain ❑ Siding ❑ NPhndovvs ❑ Interior [� Skylight ❑ Other a . • r Notes: Per email with Scott on 6/9/17 ok'd to check boxes for stain and skylight Material -Manufacture Standard Workmanship Repair 1 yr Full Replacement 2 yrs `Scope of Restoration Services Provided shall include any additional supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED This Agreement does NOT obligate the Customer nor Company in any way unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of restoration services to be provided by Customer's insurance company and excepted by Company.. Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. AR work is installed per the manufacturer's installation instructions & the local building codes. Agreed Price: Per Insurance shall be the total amount due to Company under this Agreement, which is subject to any additions and/or deductions pursuant to authorized insurance supplements or as set forth on the reverse side hereof. Total estimated cost of any non -insurance upgrades shall be: $ 0 Approximate Dates of Service. Substantial commencement of work shall mean eilher the physical delivery of materials one, the premises or the performance of any taborand shall be subject to any permissible delays as per provision (4) on the reverse side. Approximate Start Date: OR/97/17 Approximate Completion Date:_ nR/R!1/17 By signing this Agreement you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company manan ement reviews&& approval. I accept the above terms of this contract and authorize Company to proceed. /1a4z.,lL /lam 6/19/17 Old 06/05/17 Approved and accepted [Customer] Date Approved and Accepted ( ompany] Da_e Approved and Accepted [Customerl Date I have received the "Things to Remember' document Initials RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. & 5-3-403• YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. ADDITIONAL TERMS AND CONDITIONS This agreement including the additional terms and conditions on the reverse side and any agreement executed in writing pursuant thereto (this ''Agreement"), is entered into between HomeGuard Services, LLC a Colorado limited liability company, d/b/a HomeGuard Roofing & Restoration ("Company") and the property owner(s) or property owner's representative(s) set forth on the opposite side of this Agreement ("Customer") for the purpose of replacing or repairing Customer's property that was damaged. Customer hereby certifies that Customer is the owner of the property described in this Agreement. This Agreement is subject to the laws of the State in which it has been signed and executed and does not obligate the Customer or Company in any way unless it is approved by Customer's insurance company and accepted by Company. Company proposes to furnish all permits labor and materials to complete the above replacement or repair for the estimated sum stated on the opposite side of this Agreement as may be adjusted by mutual written agreement of the parties, or the price otherwise agreed upon between Customer and its insurance company (the "Agreed Price"). Customer authorizes Company to obtain labor and materials in accordance with the Agreed Price and the specifications set forth herein to accomptish the replacement or repair set forth on the reverse side hereof, which may be supplemented by any scope of damages approved by Customer's insurance company and accepted by Company. Customer understands that Company does not work for Customer's insurance company and/or the insurer for the property, and that Customer alone has the authority to authorize Company to perform the above replacement or repair. Customer's signature on the opposite side of this Agreement signifies acceptance of all terms and conditions of this Agreement. • Approval/ General Contractor. This Agreement is subiect to the credit and pricing approval of them a nagement of Company. Customer acknowledges that Company is a gene rat contractor and as such will be entitled to 10% overhead and 10% profit as allowed by Customer's insurance company and state standards • Agreed Price. The full amount of all monies as specified by the Agreed Price does not include any extras such as carpentry repairs or any other repairs not specified in this Agreement or not covered by the Agreed Price that are necessary to complete the repair or replacement process as required by Local building codes or to cosmetically satisfy Customer • Materials. All materials Provided by Company will be standard stock materials unless otherwise specified and wit[ match existing materials within reasonable tolerance as to color, texture design etc Notwithstanding the foregoing, other products and materials may be substituted for equivalent products due to availability. Customer understands that there is a 2 -day minimum charge for all drying water extraction and dehumidification equipment provided by Company. All excess materials remain the property of Company, • Access to Property; Advertising. The Prices and terms of Company's estimate and this Agreement are based upon completion of the work during normal working hours and Customer agrees to provide Company access to Customer's property as required for completion of the work Customer will be responsible if any interruption of Company's work results from Customer's failure to provide reasonable access or due to the acts or negligence of others not under Company s direction Company shall not be responsible for damages arising from delay due to inclement weather, strikes fires accidents delays in shipments or delivery of street address on a 'references" list coven to prospective customers • Job Completion. Job completion shall be the date on which Company's work is substantially finished (as distinguished from the date of Customer's acceptance thereof) or the date of Company's last item of work at the property, whichever is earlier. Customer's failure to make prompt payment shall entitle Company, on forty-eight hours 1481 hours' written notice to stop work The Agreed Price shall be increased by Company's reasonable costs to stop the proiect and/or resume work In the event Customer chooses not to pay for a part of the work an individual line item or a trade Customer releases Company of its obligations for the performance of that component with regard to the integrity of the building system as a whole • Insurance / Mortgage Company. As applicable. Customer hereby authorizes its insurance and/or mortgage company listed on the front of this Agreement to pay Company directly for all work and materials provided by Company to accomplish Customer's replacement or repair. Customer further directs its insurer and/or mortgagee to include Company as a payee on all checks or drafts now or hereafter payable for such loss Company reserves the right to supplement Customer's insurance and/or mortgage company price for increases in the scope of work and/or documented price increases Customer agrees to allow these supplements to be paid directly to Company. Company makes no representations or warranties regarding Customer's insurance coverage or if Customer's Insurer will pay for all or any of the work to be performed by Company • Limited Warra replace that portion of the work deemed defective in the Company's sole discretion If Company is not paid in full in accordance with this Agreement all such warranties are nut[ and void • Past Due Amounts. Customer agrees to pay a service charge of 18% per annum on a[[ balances 30 days or more oast due Customer also agrees to pay for all collection costs including employee time and expense and all attorneysfees and costs Company incurs in either collection of and/or protection of its interests in Customers oast due account or performance of this Agreement • Hazardous Materials; Mold. Nothing contained in this Agreement shall be construed to require Company to determine the presence or absence of any hazardous materials or asbestos containing materials affecting the Property or to require Company to remove or protect such materials In the event that Company learns of the presence of such materials on Customer's property, Company reserves the right to immediately stop work and negotiate a change order for such additional work as may be required In addition this Agreement does not include unless expressly specified any mold abatement removal or cleaning If motd Is found existing on the Customer's property, any cost to abate remove or clean shall be paid by Customer as an additional cost Any warranty Provided under this Agreement does not include the cost to abate remove or clean other parts of the building vapor condensation beneath the roof, penetrations for pitch boxes; erosion cracking and porosity of mortar and brick dry rot stoppage of roof drains and gutters Penetration of the roof from beneath by rising fasteners of any tvpe� inadequate drainage slope or other conditions beyond the control of Company which cause ponding or standing water termites or other insects rodents or otheranimals fire�or harmful chemicals oils acids and the like that come into contact with Customer's roof and cause a leak or otherwise damage Customer's roof. If Customer's roof fails to maintain a watertight condition because of damage by reason of any of the foregoing any applicable written limited warranty shall immediately become nut) and void for the balance of its term Company accepts no liability to indemnify or hold Customer harmtess for claims or damages to Persons or property, except to the extent that such damage occurs during performance of Company's work and are the direct result of Company's error or omission Notwithstanding the foregoing Company shall not be responsible for damages to any area of the property upon which Company's work has not been completed nor is Company responsible for slight scratching or denting of gutters oil droplets in driveways hairline fractures in concrete damage to flowers or landscaping or minor broken branches on trees plants or shrubbery. In no event shall Company be responsible for any type of damage resulting from vibrations, including, but not limited to, interior drywall damage nail pops or disconnection of chimneys flues air ducts venti[ation shafts exhaust vents furnace vents or sewer vents Customer understands and agrees that Company shall have no responsibltity for damages of any kind to persons or property occurring after lob completion • Hold Harmless. Customer agrees to hold Company harmless in connection with the work described herein and that Customer's maximum recourse shalt be and Company's maximum liability under this Agreement shall be limited to the amount Company billed to Customer. Customer understands and acknowledges that Company does not warrant or guarantee previous workmanship or pre-existing materials nor any materials or labor not originally provided by Company. Company shalt not be responsible for [atent defects in materials and accessories supplied Company shaft not be responsible for rework required as a result of the acts or errors of others. • PRE -LIEN NOTICE; COMPANY HEREBY PROVIDES NOTIFICATION THAT ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIAL FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS If placed in the hands of an attorney for collection Customer will pay al[ attorney and legal fees • Insurance Deductible. If Customer plans to use the proceeds of an insurance policy to pay for any of the work under this Agreement Company shall not pay, waive rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for Payment for the work under this Agreement • Entire Agreement This Agreement constitutes the entire agreement and understanding of Company and Customer relating to all of the subject matter hereof, and supersedes all prior agreements arrangements and understandings written or oral between the parties concerning such subject matter. ANY REPRESENTATION STATEMENTS OR OTHER COMMUNICATIONS NOT WRITTEN IN THIS AGREEMENT OR MADE IN WRITING PURSUANT THERETO ARE AGREED TO BE INVALID AND NOT RELIED ON BY EITHER PARTY AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. Customer shalt not assign this Agreement without the prior written consent of the Company. • Amendment. If this Agreement is not cancelled by Customer within three (3) business days after the date of this Agreement or within seventy-two (72) hours after Customer receives notice from his/her insurer that a claim for work under this Agreement has been denied in whole or in part if auphcable this Agreement cannot be canceled or amended without written mutual agreement of both parties • Reformation / Severability. Company and Customer intend and aqree that if a court of competent iurisdiction determines that the scone of anv nrovisinn of thl< Aoroamant i, t- hrnad fn ha anf.rrad a, —i ff n rho THE TERMS ON THE REVERSE SIDE HEREOF ARE SPECIFICALLY AGREED TO AND INCORPORATED HEREIN HomeGuard Roofing & Restoration 6850 W. 52nd Avenue, Suite 106, Arvada, CO 8002 (7201 708 4126 Building Permit Application (COMPNite Ag hig"fghtod areasl Propwty Addron: 3470 VIVIAN OT Daft.. Plan # Permit #fab OWNEWCOSTRACTOR StIGNATURE OF UNDERSTANDLNG AND AGREEMENT I herolk %:Aa-tit's iflat qlwwlhilck disfdlwe! pulp )sCd Iv, fill, peniiat application ar,t :wcurwe aiij do ma %wlatv applicabli: wifirwancc,, rtdo, Air wgulations +at IbA: Cio. All '%% livai Rtktgcor iMWillvrlts Air wStrivokols tit rvowit that all nwaxurvrricnvx IiAi%%n and J applivolrAl laid! 0 dial I wsulne full aflk:Llatlofis madc arc aoolraft�: that I hatc rcatl and Vrcc tar abide h} all votiditims prilacd arl this . for Comphanev as ith apl-Art;able Cit% tit' Whcat RiJeC votics and tittlinanA•s forkAorls urider am Nmik issued halux] on vhi Applik;at )it: that I a"I thc legal tmil r Air hav v bcv-1) awhorl✓AA bl, tbi: )A:gal t)t%nvr frt ifiv prop!, -ov to Ivirfomi the tks%xihtd Akork And Jill J)'(satiowtinxi fw 11relegal iflvkl&dw this application to li dial vntitymr this applicatioll CIRCLravE orojv U THORIZED REPRESFN rJ711 f"t rs (0$1 VL*R) 1CON'ro 4C1 S"ATVRE. I , I & From +1.720.223.6150 Wed 10 Jul 2013 03:20:17 AM EDT ID #2683957 Page 3 ofiM I I From +1.720.223.6150 Wed 10 Jul 2013 03:20:17 AM EDT ID #2683957 Page 4 of C v 4 1.4 E Gt 3dZ �t CC'w Cf 000 ♦ i CITY OF WHEAT RIDGE Bung Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Pj ~ , Job Address: :F~7o ~IIVIAl0 e7- Permit Number: a S .4 PPA-, Vr- 0 ❑ No one available for inspection: Time , sa AM/BPD Re-Inspection required: Yes When corrections have been made, call for re-inspection at 303-234-5933 Date: I{/ a/,2Cr Inspector: DO NOT REMOVE THIS NOTICE '.7,VG Ss3NISnH ONIMOggOa 3HI NOIS03dSNI HOd 7HG SS3NISnff 7.NK. ME l.H..:3QFiW. as ISM SIS3nOSE 'SS8Z S£Z.(E0£)'.:a3lia0-ONIQ`IIL13 ,££6s-6£Z(£0£)': 0aN2'I isan Sa8 tQ02I HaSNI Vgvp IVTOT;;O BUTPIInE ;a ;4ngpu6TS suo?goadsuT PIaT; of goa[gns ax.46x veld Ily v0lgeln69z is alnx 'met 'aOUeuipxo xaygo .Sue-zo eapoo 6uTpllnq aqq ;o suOTSTAozd aqq ;o. uoTgeLo?A Aue '3o,.:Ienoxddp us aou 'xo; gTwzad P aq oq panzgsvoo aq qou. Zlpgs suoigPOT;Toads pup s6uTmezp ;o. TPAoxddp aqq zo gTwaad p:;O 90usnssT aqy ...9. -.qoC :aqq ;o sasPgd aATSSaOOns ygxm 6uTPa9oozd a;o;aq Paso UOTg0adsuT: UO Ipno¢ddp uagglz aATaOax TIpgS :PUP SUOTgOadsUT TIP ao; aOuenpe uT sang :(b2) zno;-lguamg zogoadsuI But tTna agq:A;Tgou Ilegs.'. zogapxquOO .9 'waTgoxd a6eUTezp P 6Uisnpo zagpm.go mot; tpsn;pu aqq a6Upgo IITm:gpgg auop aq IIPgs aauuvw Aup go xxom oil ':b 'q Twzad mau P ao; pTpd aq. llegs saa; ITn; 'zpai (1) auo.,spaaoxa quamuopuege xo: uoTsuadsns ;T ao uaaq aAPq sa6uvgo ;I 'seal (I) Goo papaaaxa you seq quawuopuegp zo uoTsuadsns xue Pus su0TgeoT;Toads pup sueTd TeuT6120 aqq uT apew aq IITm ao uaaq aneq sa6ueTqo: ou papTAozd 'p@zTnbaa ATTp=ou junowp aqg ITPq Quo 3o.aa; a ao; paxTnboP. aq 6Pw gpwzad mau a 'saaTdxa gTwxad sTgq ;i -E 'Ie?aT330 6uTPITns aqg ;ouOTgaxOSTpaqq qe Pequez6 aq APw uOTsuagxa. vy -also uo?gezTdxa og zolzd PQATaOax aq jsnw uoTsuagza up zo; sjsanbag agPp anss?.ayq woa; s/.PP 081 aaTdxa TTPgsgpw ed sTLLL qAg TO agg ;o. aaoueuTpxo- algpOTTdds: zaggo /.Up ao oppxolo0 'a6PTx geaym ;o saPOD 6uTPITnH:Pup suoTjelnbau 6UTUOZ aqq og PUP ope20100. go agpgs aqq go smPT aqq 01 goaCons :sT Pup u0TIP0Tldde xnoA uT ggzo; gas SUCTSTAoxd aqq gg7A a0UPpz000P uT panssT spA ;g wzad sTgy •.I GIPp aaumo/zog3PxgUo0 :;o Gan;PUBTg.. •.uoTgoadsuT PTGT; oq gO9Cqus sueld 'q?wxad sTgg zapun Xaom zo; :.'saOueUTpzO GBPTU geagM aTgeoTlddP aaTVO TIP pup .(0'H'I) apo0 6UTPITna 96PTx gPayM aqq ggTm. GOueTldwoo x09 .'SgTlTglsuodsaz TTn; awnsse I gPgq Pus. UO;gPOTtddp sTyq: vo PaguTZd. suoTj TPUoo TIP Aq :apTgp og aax6e. pup Ppaz aneq I jPgq .ageznooe. asp spew suoTge6ally pup 'umogs squawaxnspaw: TIP gegq !pxooaz ;o suOTgo?xgsaz so squawasea 'sgueUeA00 .;o a6pTg geagM go. AgTO aqq go, suoxgelnS@a xo salnz:'saoueuTpzo.: algPoTldde ageloTA qou op pus 'a;psnooe axe. uolgeoTldde: qTw ad sTgj. Xq pasodozd saauPgsTP xOeggas aqg jpgq A;Tjzao Agaxay I 'suoTgoadsuipTaT; oq goaCgng: auolgTptloo 0.8'LST xa 'IVLol t 9y' } OS'61, + xeI asn 00' uoigeTITeA Tego.L s w° OE'80T. Gad gTwzad 5333 00':OSL'Z :NOIIKfl'IKA S03r02Id ;QHIHWIIS3 :MM xHvwWnS Had + /0 #IO'I/$00'IH 5690 ;NOISIAIQHIIS ern 3sn yin Saoa aNOZ , s OaNI 'IaDuya +s •auI 'saT.zgsnpuI(auTTad,.ld TZ66 LO meljaxeM anagS 6656.-969/EO£. qns zeuiazx axTW VE09-OSE/£0£ xaumo M M SIOKINOO auTT camas ;o OE a:Tedag NOIIdI2I0S3Q` OTOZ/TO/SO :SH'dIdXa 10 XVIAIA OLVE SSMIQQK HOP 60OZ/ZO/TT :O:anssl S8LE60 :.ON IIW2I3d- 98L£60 - ,LII gd utquinid IuIjuapTSaH ' a~P d IvauAA jo SI13` Ay I °F W NEgT a R% °o<oar*°° City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Property Address: :7117-0 Vr V, QC Date: Plan Permit Ow Property Owner (please print): ,/tJ jz 2 , P ~G Phone: 303-3 I 0-Zp-71jl Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: /~-~eyr p Z~r✓ Contractor License Phone: ~j0 6/~~~ 1599 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): Construction Value: $ 2 -75O-, Description of work: secvey ),A e ye'?G {y (as calculated per the Building Valuation Data sheet) Yn ~ya^.,L YQ-~,~ O~ V> Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: 0 Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 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:: (OyWNE (CONTRACTOR or PERSONAL REPRESENTATY E of (OWNER) (CONTRATOR) PRINT NAME: L-/J f~/, SIGNATURE: Date: /1-Z,-CD,? DEP) ZONING COMMENTS:. Zoning. Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapprove OCCUPANCY: Bldg Valuation: $ / 7 11MV®ICE ! L Ff IN JOB DATE 33487, m IN CISTRIES INC. CO 80137 P Box 370 • Watkins O DATE 10/16/09 PO # . , . 696-9599 ESTIMATOR Brandon CALL ORIGIN Jaime Fax(303)671-6871 SERVICEMAN JOB INFORMATION BILLING: INFORMATION NAME Mike Kremar NAME Applewood Plumbing ADDRESS 3470 Vivian Ct. ADDRESS 5000 W. 29th Ave CITY Wheat Ridge S ZIP 80033 CITY Denver STl6. ~VV ZIP 80212 PHONE 303-356-6034 PHONE 477-6571 F: 477-4310 ' DESCRIPTION OF SERVICES ESTIMATE. Excavate and replace 4" sewer service from front of house up to city side walk. $ 2,750.00 Approx. 30' long and 4' deep. Installing clean outs in front yard. *Includes: Saw Cut, Excavation, Plumbers, Laborers, Pipe & Fittings, C/O's, Bedding, Backfill, Concrete, Compaction, Clean up, Haul away, Permit and Inspection. All items included if necessary 1 WARRANTY Terms of Warranty: year- Iml a arran (excludes root intrusion, ground movement, acts of nature). APPROVA S SIG ATURE COMMENT : SUBTOTAL THANK TAX I PLEASE PAY YOU o THIS AMOUNT ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, $ decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other unforeseen complications. TERMS: Job cancellation fees will apply. Invoices are payable -1 /2 down and balance upon , C ACCEPTANCE OF INVOICE SIGNATURE completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law. r 7X / &-C iLs / ) L. ~d (`/T SIGNATURE ❑ VISA ❑ m1c ❑ AMEX CARD # EXP APPROVAL # ❑ CASH E.CHECK # CHARGE A/R ACCOUNT # uY /tu /LuuY THU 11:38 FAX 303 237 8929 303 Best way Call by 3 OQ RM to receive m spe 4- r 0028/032 : Occupanev/Type (303),234 -6933 .card is po the b utiding _site �n the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING 10 I - HIS J013 FOUNDATION INSPECTIONS DATE. MSPeCTOR INFTIAIs CoramHMrs: - Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underg Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Serv Z: Rough Electric �� Rough Plumbing §; Gas Piping. {:. Rough Mechanical CITY OF WHEAT RIDGE Wok:? 89/10/69 2:58 PH cdba Casey Calm RECEIPT NO:CDA882411 _ .. IPSP Reroof 28,6 sqs 092182 Persit Fee - -:war KeraaT e.1.0 sqs 092184 Pereit Fee Tax J , Remf 26,97 sqs 892188 Persit Fee Use Tax PAYMENT RECEIVED VS 5177 Auth Code: 863673 TOTAL AMOUNT 234.10 144.70 126.58 68,08 230.63 144.78 85.93 AMOUNT 951.92 951.92 ////i//mm//O. PREMIER ROOFING COMPANY 2570 W 8TH AVE. DENVER, CO 30204 OFF= (303) 233-7663 FAx (303) 292-3397 FAX COVER SHEET TO/TO 39Vd TO: i,~ 1 .01\1( . n _ FROM : t 7A 14 y j 0.4 " COMPANY: n 1 c, 1 r`,^ P p bate: FAX NUMBER : 6 ©s oa,5 a$,s~ Number of Pages: 1 PHONE NUMBER: J RE: URGENT ❑ FOR REVIEW ❑ PLEASE CON NOTES/COMMENTS: CITY OF WHEAT RIDGE 10/14/09 8:01 AN cdha Casey Calvin, ^ 2 1az% Ae i j J e~ RECEIPT NOnCDA062843- AMOUNT 9 bPSp Reroof 35 sqs 61.00 '~g ~~4[ ~ J\( 092183 , iF " Reiospeetioa Fee BPSP Reroof 49.61 sqs 61.00 61,00 - 092173. p ('on c~~ r VIt1~i Reinspection Fee BPSP Reroof 34 8 s 61.00 / . _ gs m181 Reinspection Fee - -122.00 2 BR5p Reroof 40.66 sqs 1 2.80 61.00 p ~i 092177 : Re insretich Fee - 61.00 ort~~ 3g~ q(1i BPSP0/a.Install 36.3sq 122.00 ( ss Reinsppea. In Fee BP5P t/o: Install 32.59 s 122.06 183 00 092473 i. . / ''pp Q ZY~J er Rep e Fee Re-insins f 2 61.00 o ~ e f ee 61.00... Q a~~~3 Re-insp fee 3 BP5P Reroof 26.33 sqs 61.00 61.00 / ✓ Q Q a 092353 - Reinspection fee BP P 3 61.00 S Reroof 6.23 sqs _ 61.00 - o 092176 / t Re-insp fee 2 61 00 ' It Ila 1 c q Q BPSP Reroof 28.08 sqs 092168 . 61.00 : a Reinspection Fee 61 BPSP R :00 eroof 34.1 sqs; red 092169 122.00 l (n COQ Reinspectiaa fee 122.08 PAYMENTRECEIVED AMOUNT VS 5177 Auth Code: ' 915.00 095021 TOTAL - 915.00 d131W3Nd LBEEZ6Z606 6Z:L0 60OZ/E[/Oti - ♦ I i CITY OF WHEAT RIDGE Building Inspection Division r40001", (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ~~1 1 Job Address: ~q1r'i1.Rat <.d: Permit Number: Dot S~? f ❑ No one available for inspection: Time AM/ Re-Inspection required: Yes 6 *When corrections have been made, call for re-ins action of 303-2345933 Date: 3-// -ft Inspector: P.M'-, , DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 inspection line J (303) 235-2855 Office • (303) 235-2857 Fax IN~~/Pf kCTION NOTICE k F, Inspection Type: z r I '.i 1 A 7- i ° C - Job Address: L, V . Permit Number: ' ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, calfl re-in e-tion at 303-234-5933 -0 7~~ , Date: Inspector. DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: /r;i xsF Job Address: o V70 t<~ xiz. t.v /fT. Permit Number: i~9 21533 rrf~f1`Gr, n~~`nFr trn } k t: ❑ No one available for inspection: Time ! AM& Re-Inspection required: es No *When corrections have been made, call for re-insp oon at 303-234,5933 f Date: Inspector ~o . DO NOT REMO E THIS NOTICE Permit Number BuildingPermit 18755 CITY OF VvHEATRIDGE 5/24/2005 7500 West 29TH Avenue wheetr;dBe, eo 80033 Inspect/on Line 303-235-2855 ~a'~lWo 303-234-5939 Residential Roofing PROPERTY 3470 V1V18II Ct UOIt: OVVNER: Mike Kemer Description Teaz off stfakes. Install new felt. Reroof w/ 30 yr. Tamko Dimensional shingles FEES Documenis fivm the manufacturer shall be onsite for final roof inspection which specify roofireg materials have been tnstalled to meet 110 MPH three,second wtnd gust- IBC (90 MPH wind load--i1BC). Units: Occupaucy: Walls: Root: Stodes: Sq Feet: I herebr anih tYU t!e xWoeY tl4tmvea ProPOxd bY thle Perandt &ppliratlov ue accunho utl Ao not vbbh aPPtlubk oNlnaem, ruW m MWtlou ofHe fJIY of What PWg er roveeuq e~smmh ar ratNelioo~ of rtcoN; lhnt agmeuommmd showq ~vE J4q.tbm mitle . ~aentr, btt 1 Wve md ud apee m OWe by A coed10omjuln4d an W6 ~pplkiatbq qpd N.t 1avume futl reepovNNry for comPftme xiW the Whevt Rid[e HuiWivt Cale (U.&C.) ud aB o0r appYembk S[qYmDATE I 'ILYpentll. ioeNioaaordaoa~khWeProWbe, uttorthWYOar.pptlwUOnaedbeubjectmNehNeofWeStdeofCebndoavdrot6eZenloe Repob,tlou anA BuOEin` Cade of Whnt RWCe. Cobndo or aoy other *pplk.bk ortlivnnm of the City. 1 1EY pemit,hJl espirc ff(A) Ne Mo'IC auNOrlstl ia ne[ rnmmeead within alxty (60) E.ye from leeue d.te or (B) We LWldlee muthorimd Y nqwdad w .n,mou.a for . Pe.ma onxo a.y.. J VIIILplrdft expil, lYtw perN[MJ'ECa[yYIfMWfIRlOfBYFYzIIWeaYIOYY[YOn1u0yRGYiflQpfOWEMMeVvM YaRLLmWnIl M1lioAlICNC aAgleal phm md speellintbw and aey vwpwWn or aluMOmwl4u oot ueadiN ove (1) year. Uehinea an mWe or Hwqedou ar ~budaement es¢ud, on<(I) yw, h9 @n fhatl be pW tor a new pemil. 4 N. warkofoymaoieo'ha116edweNatwNchaeeetheo.twdibwofmWnualeLadralte'epmblem. 5 Cwtraclor WYI no1Vy Ne BuWloe Iupeetor twmry-four (24) haun lo adva. fw .B Ivrye Ylow aod Na rtedve wrlpae aPpmvel sn Inqcelloo urJ 6efan proeWlne M0 suceMve phom of the )oti. 6 TYWOaeao/. permllorthe~ppmvWOfdnMepavAepesl9attlow" ootbemostruNtoEeapermltfor,normWmvad eSurvbYtbeofl6e provbbat otNe baWNe cotln or mv mti.LeedhaaoS hw, ruk or reea6fba Page 1 of 1 Blake Roofinq 21274 6549849 wHE COMMUNITY DEVELOPMENT DEPARTMENT Building Pertnit Number. o~ "q BUILDING INSPECTION UNE • 303-234-5933 Date: ` a CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION rrape,Yy ownm: K E K'R£~ F. R Propcrty Address: ~ 4/~ (3 V 1 U 1yv;~ ~ Phone: Contractor License No.: k4 ? dl d Company: LR1~'C- ROOf 1 N~j 4~O NS f PLonc:3d5•'(05 tf -9 84 `t OWNERiCONTRACTOR SIGNATURE OF UNDERST/WDING ANO AGREEMEHT I hereDy certiy tliat the setbadc Cisfances proposed by Mis permit application are acw2te, and do not violate aDWicabk adinances, rules or repuWtions M the Ciry of wneat Riape w covenana, easen,ena «r«tric6«is or reco.d: mat aN rneasurunenu shown, and alleyations made are accurate; that I nave read arM apree a abide by ae condiliona printed on this application and that I assume (ull responsibi6ry fw compliance with the W heai Ritlpe Building Cotle (1.8.C) and a11 oUierapplicaWe W heat Ridge ONinances, for work under Mis permit. PWns subjed to fieltl inspection. Value:$ 5,,160, Permit Fee:$ Plan Review Fee:$ ice T Y: Total:$ (OWNER)(CANTMCTOR):PiilflTED DA7E I I Use of Space (description): 1't-F-5. D.:g pcion of Work: T~{,,R o~ r- t~ i~X'~S T Sq. Ft. adGd ,C;~ qw tiIS~WLL j~~4' FEL7' Expiration Date: Expiration Date: Expiration Date: ApProval: Approval: ApProval: (1) This permfl waa iasued in accordance wiM the provisana set foM in your appliption arW is subjact W the tawa of the State of Cobratlo arM b the Zoninp RepWations and BuiWirq Codea M Wheat Ridpe, Cobrodo w arry oCW applicapb orCinances o/ the City. (2) This permd shaU expire if (A) the work autlwrized'u nol commenoed wiMin siby (90) Eays hom issue Cate a(8) the builGing aunwrizea is a,apeneed or abanaonea for a psriod or teo aan. (3) If Nis Pmmn expfros. a new Dsrtnit ^nY be ao0uired 1or a tee of one-iWf the artaunt normally require0. D~vkiaC no dianges have been orwip be ma0s in the oripinal plans and specifications and a^Y suspenaion or abandanment has rwI eaceedeC one (1) Year. M chanpes have been or M suapension or aWrWorrnent exceeda one (1) Year, fWl feas shall be Wid fa a new permit (4) No work M arry manrler sh81 De dane Cnl wM dhVps the naWra111ow of waW nuWfp a Ara{nape pippym_ (S) Conbxb aha! ndih ~BL"V kmpocbor bvwklkxr (24) fwurs h advanca for aM inspecBOns arW shaq receive writlen approval on Yropsctlon prd bsfi/s procesdkp witli wecesaivs Ohssss of tha job. (6) Ths iasuance of a pamR w Ihs appoval of drawinps and 30edfiwtions shaY rat be construeG b Oe a pertnit for. rror an aPpxxwW of. rY vidation d the pwisions ot IM buildinp codea a arry Whx orCinanoe. law.'vb a repuWtion. NI plan revlsw b subject to }NW Iropeetlons. Chief Building Official Buildina Dent Valuadon Figure: $ ElecVicat License No: Plumbing License No: Mechanical License No: Company. Company: Company. 7500 WEST zstn AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-e944 ExT. 255 P.O. BOx 638 BUILDING INSPECTION DIVISION PERMIT N0. ~ CITY OF WHEAT RIDGE, COLO. 92013244 TMIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEI:W. JOB ADDRESS APPLICATIOy FOR MISCELLANEOUS P RMIT OWNER CONTRACTOR ~__I ADDqESS ADDRESS PHONE 2 5~' exjL GTY- ZIP CODE ZIP CODE :ONTRACT PRICE $ PHONE LICENSE NO. 1. TYPE Ground❑ Woll❑ Proiecfinp❑ Othsr S a D Fao~ 2. MATERIAL Torl SIGNS a Squors Fsat 3. ILLUMINATION Yss❑ No❑ Type 4. SET BACK FROM pROPERTY LINE N__ S_ E_ yy E~°~~' Parmif No. ❑ Zons_ Approvad,ZOnalnspector (SDki~y wl+itA ii fron}) ❑ ❑ ❑ Disapprwed 1. TYPE Solid~ Mon Thon BO% Openl~ Lest Than 80% Op~n FENCES MATERIAL H~iphf 3. SET BACK FROM PROPERTY LINE N__ S_ E_ W Zp~e_ p VMOVW,Zon~lmpseta (Spatify whieh if }ront) ❑ . ❑ ❑ Dismernv.A OTHER IZ DRAW SKETCH OR SHOW BEI,OW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVihu DISTANCES FROM PRQpERTV LINES. (SETBACKS Oit PROJECTqNS INCIUDED) SPECIFY NORTH STREET NAME SMOW OISTANCES FROM THE MAIN BUILDING TUApJ01NING MOUSES, STREETS, AND PROPERTY LINESiON IRREGULAR LATS, SHOW lEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK qJLY UPON VALIDATION BY THE BUIl01NG INSPECTION DIVISION. PERMIT WILL EXPIRE 60 DAYS FROM DA"fE OF I$$UANCE !F WQRK IS NOT STARTF(1 wlTUiu rueT r.ue ELECTRICAI. PERMIT PLUM8ING PERMIT MECHANICAL PERMIT STATE UCENSE N0. STATE LICENSE N0. yC). ALU MINUMWIREUNDERSIZE8ILLEGAL FLOOR BSM IST 2ND 3RD 4TH NQ FUELCirGsOrwCwipl EleeSda WATER CIASET FORCED AIR BTU TEMPORARY METER WASH BOWL HOT WATER - 8TU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SMOWER AIR COND~T~ONING-BTU LIGHTING SINN OTHER HEATING GARBAGE DISF REFR~GERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Retri erant Group UTILITY(RANGE,DISPOSER,ETCJ AUTO.WASHER Pountlf CMr e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOR$ B CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES ~ REMARKS I Aereby ocknowledqe ihot this applica- tion it Correct ond undsratand thof I eonnot sfart tAis projeet until thia oppli- cation is opproved. I shall eomply witA ihe lows of the State of Colorodo and fo tha Zoninq Requtations ond Buildinq Code of fhe Cify ot Wheat Ridqe. Any violotion of the above ferms will couse immediate revocation of this permit. PERMIT FEE j ~ - USE TAX y, p~ y TOTAL FEE $ ~S- - CHIEF BUILDINGfNSPECTOR,Cityof Wheat Ridye NOT VALID UNLESS RECEIPTED oe,tt Y&S-i 7 6- ~ ~~~fff ✓ CAL1237-8944 EXT.255 24 HOURS IN ADVANCE Oafe Issued L~ FOR INSPECTIONS l~ ~ l ~ / DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT NO 237-6saa Ex7. 255 P.O. BOx s.3e CITY OF WHEAT RIDGE, COLO. M911117577 THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHiEF BUIIDiNG INSPECTOR AND RECEIPTEDBELOW. JOB ADDRESS CONTRACTOR ADDRESS _ CITY j0'_~._.,~, PHONE 'a,~_~. 9"P Z/ ~ yS ZIP CODE LICENSE NO_ OW N ER ADDRESS PHONE ZIP CODE p1-1fL~~: CONTRACT PRICE $ Fr' S ts7 t~ G(y !]ATF U 9---P 19-I. TVPE GrounO ❑ Wall❑proiectinp❑ OtMr 5 a D Foeo 2. MATERIAL 7otal SQume Fed SIGNS 3. ILLUMINATION Ya❑ No❑ Type ElW. Permit No. 4. SET BACK FROM PROPERTY LINE N (Spstify whieh is front) _ ❑ S_ E ❑ _ W ❑ ❑ Zone_ Apprwed,2ons Inapeetor Disapprovad 1. TYPE SolidD More TAOn 80% 00en❑ Lest Thon BO% Open MATERIAL Hei M FENCES 3. SET BACK FROM PROPERTY LINE N (Specify whieh is }ront) _ ❑ S_ E ❑ _ W ❑ ❑ p Zom_ AOOrwoi Impseta DisaDGrovad 1. OTHER 2 3. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIV{h3 DISTANCES FROM PROPERTV LINES. (SETBACKS OR PROJECTIONS INCLUDED) ~ SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUILDIN6 TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, S110W LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR qVERAGE D15T4NCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FHOM THE DATE Of ISSUANCE IF WOflK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE UCENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMIMIMWIREUNDERSIZEBILLEGAL FLOOR BSM IST 2ND 3RD 4TH NO. RJEI:CirclsOnsi fio{qlPlopons ElseSolor NO. WATER CIASET FORCED AIR - BTU TEMPoRARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIH CONDITIONING-8TU LIGHTING SINK OTMER HEATING GAFBAGE DISP REFRIGERATION SYSTEM POWER SU9-CIFCUITS WATER HEl+TER Rehi eronf Grpup UTILI7Y(RANGE, DISPOSER, ETC ) AUTO. WASHER Pounds Chcr e FIXTURES DiSH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS F1.00R DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTOR$ OVER I HP TOTAL FI%TURES I hsreby ocknowledQe thot this applica- fi0n i6 torrect and undersfand fhot I connor siarf tnis project until this oppli- cation if opproved. I sholl compty wifh ths lows of 1he Slate ot Colorado ond fo tha Zoninq Requlatipns and Buildinp Code ofthe City of Wheai Ridpe. Any viololion of the above terme will couse immediate revocahon of tnis vermit PERMIT FEE USE TAX TOTAL FEE APPROVED DISAPPROVED_ CHIEF BUILDING ~d-ej NOT VAUDUNLESS RECEIPTED ;Od~J $ A-ej 16 -19-9i ✓i7a City of Wheai Ridge ~ I Date Issued /C)~ J ~ cT f o~~eeni~ 9ipnmun ~ CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS