Loading...
HomeMy WebLinkAbout4645 Robb Street2.©I7�,? 2-S",7 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof ?j f • , Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing(�(_ /�f P 774 Final Mechanical JP Roof 2 I'1 , jf%, %f j(%' Final Window/Doors Final Building e 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 The City of Wheat Ridge Third Party Form Property Address y& q;--/vp I Ohh 5Y- ' Pev ,< Permit Number zo)-) U'S ZS-') Permit Issued Date �7 1 S I Zan Owner Information Property Owner Information A OC Iz Property Owner Address Ll 6 Ll S /Zagj s ']— Inspector Information Inspection Company Construction Support Services, inc Inspector Name Richard Boon Inspector Contact info. 303-221-1559 Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been insl and found to be in compliance with the minimum requirements of the 2012 IRC and IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and specificati Inspector: Richard A. Boor Date: *1 hearby acknowledge that I am the owner of the building referenced above and I g my consent for the listed third -party inspection company to perform my roof inspecti in lieu of the City of Wheat Ridge Building Division inspection. Propery Owner/ Agent: 4GS,.,,. Date: 8 V _—_ -_% C This original document as well as the roofing check list, must be submitted to the CI Building Offical within seven days of the final inspection. Drop off in person Submit via Email Permit counter 2nd floor Kcook6E�ci.wheatridge.co.us 7500 W. 29th Ave Wheat Ridge CO 80033 Drafted Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Property Address If � q' ' 40 5�- '0Cf1 e Permit Number Zo(!Jo37,D Permit Issued Date-715)Zo�'1 Roof Inspection Pass FAIL Date of Inspection: 8-2-17 Structural roof components x Verify that no more than 2 layers of shingles exist x Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify sheathing nail pattern ( See policy & Proceedures) x Crickets and saddles where needed x Verify B vent must have boot same gauge as pipe x Verify vent caps x Verify no flashings are damaged or rusted x Step flashing shall be min. of 8x8 piece per shingle Verify scuppers allow for proper drainage x Ice and water shield 2' in heated wall spaces x Underlayments must follow 2012 IRC / 2012 IBC x Verify roof slope for proper drainage x Dripedge shall have min of 2" overlap x Dripedge should extend down min 2" past roof deck x Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1/4:12 slope Above roof insulation R-25 NOTES Company Construction Support Inspector signature: 1 Property Address Permit Number Permit Issue Date Roof Inspection Pass Fail Company Name: Inspector signature: Date of Inspection: The City of Wheat Ridge Inspection Check List notes Final Roof A rfller Structural roof components Verify that no more than 2 layers of shingles exist Flashing for roof and walls If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Verify sheahing nail pattern ( See policy & Proceedures) Crickets and saddles where needed Verify B vent must have boot same gauge as pipe Verify vent caps Verify no flashings are damaged or rusted Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage Ice and water shield 2' in heated wall spaces Underlayments must follow 2012 IRC / 2012 IBC Verify roof slope for proper drainage Dripedge shall have min of 2" overlap Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 Modified Bitumen, EPDM, TPO min slope 1/4:12 slope Above roof insulation R-25 Below roof residential R-38 Below roof commercial R-32 Notes y-� 1 CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (c)'� Job Address: 1-16C15 St Permit Number: ,-JI -) U 3 J ❑ No one available for inspection: Time �� ! AM/PM Re -Inspection required: (YNo -, J,..r *When corrections have been made, call for re -inspection of 03-234-5933! f � Date:.7//�-OInspector: I t DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type, Job Address: 6H ©Rfi� Permit Number: Z7,---))70325`) LL 1)1j5'nr,_CnDAjS ray P427'`1 Co N S-ty2'j C7i LN✓,P/�r�2T Sp, le - IJ Itis, ❑ No one available for inspection: Time T U,OD /PM Re -Inspection required: Yeso When corrections have been made, call for r pection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE Citgo of Wheat Ridge �V Residential Roofing PERMIT - 201703257 PERMIT NO: 201703257 ISSUED: 07/05/2417 JOB ADDRESS: 4645 Robb ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Lifetime Laminated CertainTeed Moire Black asphalt shingles - 40 sq. *** CONTACTS *** OWNER (303)521-0889 DATEMA ALICE SUB (303)663-5615 Joel/Channa Speckman 080141 All In One Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA r' Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 r *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,604.94 FEES ARM Total Valuation 0.00 nip Use Tax 306.70 1 fas 1, D Permit Fee 283.55 ** TOTAL ** 590.25 *** 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 r Residential Roofing PERMIT - 201703257 PERMIT NO: 201703257 ISSUED: 07/05/2017 JOB ADDRESS: 4645 Robb ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Lifetime Laminated CertainTeed Moire Black asphalt shingles - 40 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 legally authorized to include all entities named within this document as parties to the work to be performed andrthaLlwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �`- '717117 Signature of OWNER or CONTRACTOR Circle one) Date I. This permit was issued base infer t> ation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. "44 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 insptimerequestgei.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 201703 252 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 22, 2017 10:26 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4645 Robb Street Alice Datema 3035210889 adate45@earthlink.net 13o125- —4 5 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name All In One Contractor's License 080141 Number (for the City of Wheat Ridge) Contractor Phone 8175659922 Number Contractor Email Address verticalorders@gmail.com Retype Contractor Email verticalorders@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material No Lifetime Laminated Certainteed Moire Black Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 40 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares 0 on the flat roof? TOTAL SQUARES of all 40 / roofing material for this project K Provide additional detail House, 4/12 Pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 14604.94 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Brandon Pask Email not displaying correctly? View it in your browser. 3 r- ?an Ant ' t'ricksbury p o^io, TX 782$8 USAA ALICE DATEMA 4645 ROBB ST May 18, 2Q17 WHEAT RIDGE CO 80033.2536 Reference: Your Claim Payment Dear Colonel Datema weave Issued payment separately for the following claim: Claim #: Date of loss: 001728618_635 Loss location: May 8, 2017 Wheat Ridge, Colorado Here's how we determined Your payment: Replacement cost Less recoverable depreciation $ 26,394.60 Less deductible $ -3,980.22 Actual cash value settlement $ -2,000.0_0 What Is Recoverable Depreciation? $ 20,414.38 A beneficial portion of your policy is the Loss Settlement Provision, which provides for covered property losses to be settled at the actual Incurred repair or replacement cost without deduction for depreciation. However, when the Dwelling claim exceeds $5,000, the policy will pay no more than the actual cash value until repair/replacement Is complete. After the repair/replacement is completed, we'll consider and calculate your recoverable depreciation as the lesser of the amount that was necessary to repair/replace the damaged property or the amount you actually spent, minus your deductible and any amount already paid for the damage to property. The maximum recoverable amount of depreciation is $3,980.22. We will not consider any repairs greater than our original estimate for the cost of repair/replacement costs unless you give us notice that your repair/replacement are greater than ours, and we approve your costs before you have the repair/replacement completed. Please review the enclosed breakdown of your settlement for more information. To receive any recoverable depreciation, you must complete the actual repair or replace the damaged property within one year after the date of loss, or by May 8, 2018. Required Documentation Please send us copies of the repair contract, invoice, repair bili and/or receipt. These documents should provide: • An itemized list of the work done and/or description of any item(s) replaced. • Documentation of all costs. 001728618 - DM -01771 - 635 - - ___.......e.ar..�.eas.tays.�cFeV�'1Te. s/. i?[f1JM12.PFfY:JJTi�771J7 _- 54582-1116 Page 1 of 2 ami: ma -r COL ALICE �- 4M5 ROBB ST 1411EAT RIDGE„ CO SN33 "Otrv: 4645 ROBB ST u7IEAT RIDGE. CO 80033 L�2�»"1 Rt`zi .� :��1;� Fon• l n-n-nar fav em her kamber: t1Q1 c,513 T1Tw of Less: liatl ♦Yor1e3 od er A t�SAA Service rn >PO BOX 3 8265 Sart AntOln * 722 800-5 5/132©1 Cep: (303)32 1.0889 E mail: adxtc4StOeattt►link•net t3usine (919) 801-8426 (919)801-842h f3us'nc�• UK tiumber: 635 Policy �nmbK: 001728618A0A policy Lim" Cause of Loss: Offset uctible 54Ucj �(N?.f><1 D� 5204.500.OU S` �•p0 $40,900.00 50, 00 SK 1.800.00 50.00 Co-. erage ____ D%,xq%-'g C. i.4M or Uw 5.9.20176:48 PNI Sr8':017 5130173.00P;11 5> 13.2017 1 i:04 I'M Pri=Lim: CODE8X-,%taY17 R tz Scnwz P, Wcl Line b= TOW Dam P: e kt-r S Tax R tctse t Cast %alar Attu l Cx1h %ilvv r. —7- Se .!►et Cbdw T4,!4! Xrt CFa'm if D1.-Prrcaatiga is Rrcoi trot! 15C3a333Gt5 3/9,70 j 7 M Dau Ra�rcd. 5�n0 17 3:51 P. Date Entcrcd" Summary for 1)",elling EC ---.mist 21.572.37 2,157.30 2,157.3() 507.63 $26,394.6() (3.980.22) $22,414-18 S20,414-18 3.980.22 x24,394.6() 0A I FMA, COL Al.lep Dateernaroroof f � t j fir e 0. aria•A 1 Q(T)`jf Worley DATES1A_C0L_ALICt% Source - Geomal Roof Source - Geomal Roof 3981.41 Sutfacc Arca 381.62 Total Perimeter Length 5/13/2017 39,81 Number of Squares 166.45 Total Ridge Length Page: 4 CAT CALC SEI, DESCRIPTION V KC DEPKEC• ACV 1. RFG QTY UNIT PRICE ARM V> SQ Remove Tear off, haul and dispose of comp- shingles -Laminated 1,042.25 (0.00) 2,042.25 2. RFG 39.81 S 5130 Q 300S Laminated - comp. shingle rfg. - w/out felt 8,800.00 (1,466.67) 7,333.33 3. RFG 44.00 SQ 200.00 FQb'LTiS SQ -11.43 Roofing felt - 15 lb. 794.36 198.59) 595.77 4. RFG 28.38 SQ 27.99 381*3 I1V$ ice & water shield 1,885.95 (31433) 1,571.62 S RFG 1,143.00SF 1.65 DRIP Drip edge 755.61 (107.94) 647.67 6. RFG P 381.62 LF 1.98 FLPIPE146.27 Flashing •pipe jack 170.65 (2438) 5 5.00 EA 34.13 7. RFG VENTEC8135.65 R&R Rain cap - 8" 156.11 (20.47) 3 3.00 EA 52.04 8. RFG DISHRS Digital satellite system - Detach & reset 36.26 (0.00) 36.26 1 1.00 EA 36.26 9. WDS DDF R&R Skylight - double dome fixed 6.6 - 9 sf 320.51 (100.41) 220.10 10. PLM 1 WHSOP< 1.00 EA 320.51 Detach & Reset Solar water heater panel - up to 24 SF (0.00) 1,498.96 4 4.00 EA 624.74 2,498.96 Totals: Datema roof 17,460.67 2,232.79 15,227.88 Front Elevation CAI' SEL DESCRIPTION CALC QTY UNIT PRICE RCV DEPREC. ACV 11. SFG GUTA R&R Gutter/ downspout - aluminon - up 179549 (33.23} 14626 31 31.00 LF 5.79 Gutter only, hand painted USM Cottfld tialttaln 9c9&9310b5 r mA, t'OI At 1(' •. 1` Worley CONTINUED - Front Elevation 5113/2017 Page: 5 CAT CA1,C SEL DESCRIPTION DEPREC. ACV QTY UNIT PRICE R� 12, PNT GUTG Prim & paint gutter / downspout (13.02) 26.04 31 3140 LF 1.26 39.06 Totals: IF, 46.25 17230nt Elevation 218.55 cl 1119c9&9310b5 Rear Elevati 226.00 SF Walls 226.00 SF Long Wall 22.33 LF Ceil. Perimeter Subroom 1: rialit end 226.00 SF Walls 226.00 SF Long Wall 22.33 LF Ccil. Perimeter Formula Elevation 18' 10" x 9' x 6' 18.83 LF Floor Perimeter 226.00 SF Short Wall Formula Elevation 18' 10" x 9' x 6' 18.83 LF Floor Perimeter 226.00 SF Short Wall I Right Elevation CAT SEL DESCRIPTION DEPREC. ACV CALC QTY UNIT PRICE RC\' 13. SFG LUTA R&R Gutter / downspout - aluminum - up to 5 (40.74) 179.28 38 38-00 LF 5.79 220.02 Gutter only, hand painted 14. PNT GUTG Prime & paint gutter / downspout (iS.%) 31.92 38 38.00 LF 116 47.88 Totals: Right Elevation 267.90 56.70 211.20 cl 1119c9&9310b5 Rear Elevati 226.00 SF Walls 226.00 SF Long Wall 22.33 LF Ceil. Perimeter Subroom 1: rialit end 226.00 SF Walls 226.00 SF Long Wall 22.33 LF Ccil. Perimeter Formula Elevation 18' 10" x 9' x 6' 18.83 LF Floor Perimeter 226.00 SF Short Wall Formula Elevation 18' 10" x 9' x 6' 18.83 LF Floor Perimeter 226.00 SF Short Wall I IICI CAT SYL (249.56) CALC 15, SI'G CAT GUTA Gutter only, hand 38.3 16, PNT Painted 10 R&R Metal 1, flashing! drip cap GUTG 17, SDC, 38.3 flashing over the garden windows 10.00 LF 2.91 S1 ITR 18, SDG 2 Totals: Rear Elevation MLAP> 19. PNT W 38.8 Gutter only, hand painted XI Worley Sub :i le%all 15 3.00 S F �---�----_- 153.0() SF tong Vial! 17.00 1.1' Ceil, Perimeter DESCRIPTION Q1Y UNIT PRICE RCV 38 30 &R Gutter / downspout - aluminum - up to 5' LF 5.79 221.76 Prime & paint gutter / downspout 38.30 LF 1.26 48.26 R&R Shutters - simulated wood (pol)styrene) 2.00 EA 112.03 224.06 R&R Siding - hardboard - lap pattern - 12" 605.00 Sr 3.71 2.244.55 g ! 31:017 Page. 6 Formula Elevation 17'x 9' x 0" 17.00 LF 1:100t f"tncter 153.(X) SF Shutt Wall DEPREC. ACV (123.17) 98.59 (36.20) 12.06 (106.69) 11737 (303.11) 1,941.44 `V l:xtenOr - paint one coat 20. W DR 605•oo SF 0.55 332.75 (249.56) 83.19 GBV R&R Glazi � bead - Vinyl 12 CAT 21. SDG 1.73 FL2 12.00 LF 20.76 (12.96) 7.80 10 R&R Metal 1, flashing! drip cap CALL flashing over the garden windows 10.00 LF 2.91 29.10 (10.29) 18.81 Totals: Rear Elevation R&R Gutter / downspout - aluminum - up to 5" 38.8 Gutter only, hand painted 38.80 LF 5.79 224.65 (41.59) 3,121.24 841.98 2,279.26 Left Elevation CAT SEL DESCRIPTION CALL QTY UNIT PRICE RCV DEPREC ACV 22. SFG GUTA R&R Gutter / downspout - aluminum - up to 5" 38.8 Gutter only, hand painted 38.80 LF 5.79 224.65 (41.59) 183.06 23. PNT GUTG Prime & paint gutter! downspout 38.8 38.80 LF 1.26 48.89 (16.30) 32.59 Totals: Left Elevation 27354 57.89 215.65 Total: Source - Geomni Roof 21,341.90 3,235.61 18,106.29 9 a9 310b5 usAu► conndonQ CAT Worley C.Rzebo Other structures 106.30 Surfacc Arca 40,62 Total Perimeter Length 29.17 Total Hip Length SEL CALL DESCRIPTION Roof is wo°d slat and QTY noted n UNIl' PRICE 'lbtals: cRzebo °storm t'elatcd da RCV �8e during inspection CAT Shed 272.26 Surface Area 65.28 Total Perimeter Length 37.21 Total Hip Length 0.00 CALL SEL DESCRIPTION Shed roof a QTY UNIT PRICE RCV PAeats to been Protected by tree and showed no hail impact damage Totals: Shed Total: Source - GeomnI Roof 0.00 5/13/2017 1,06 Number of Squares DEPREC. Page: 7 ACV 0.00 0.00 2.72 Number of Squares 7.31 Total Ridge Length DEPREC. ACV 0.00 0.00 0901119c9a9310bS usAA Confidential 21,341.90 3,235.61 18,106.29 Labor MInimums Applied CAT SEL DESCRIPTION CALC QTY UNIT PRICE RCV DEPREC. ACV 24. WDS MN -A Skylight labor minimum 1 25. WDW MN -A 1.00 EA 73.10 Window labor minimum 73.10 (0.00) 73.10 1 1.00 EA 157.37 157.37 (0.00) 157.37 Totals: Labor Minimums Applied 230.47 0.00 230.47 Line Item Totals: DATEMA_COL ALICE 21,57237 3,235.61 18,336.76 0901119c9a9310bS usAA Confidential -- F � • +r t COL ALICE Worley .l�z [4. (;rand Total Areas: �.' 605.00 SF Walls 0.00 SF Floor 0.00 SF Ceiling 0.00 SY Fluorin ?. 605.00 SF Long Wal! g n 605.00 SF Short Wall 0.00 Floor Area 0.00 Total Area 2.596.17 Exterior Wall Area 0.00 Exterior Perimeter of Walls 4,359.96 Surface Area 173.77 Total Ridge Length 43.60 Number of Squares 66.38 Total flip Length F 101119c9a9310b5 t USAA � 5/13/2017 605.00 SF Walls and Ceiling 54.67 LF Floor perimeter 61.66 LF Ceil. Perimeter 0.00 Interior Wall Area 763.23 Total Perimeter Length Page: 8 -OI, ALICE t:stimate: utiTEtitA`COL ALICE Area: Source - Geomni Roof Area: Source - Geomni Roof Datema roof Front Elevation Right Elevation Rear Elevation Left Elevation Area Subtotal: Source - Geomni Roof Area Subtotal: Source - Geomni Roof Labor Minimums Applied Subtotal of Areas Total 0g0113gC9a`9310b5 Worley Recap by Room 5!13/2017 Page: 9 17,460.67 80.94% 218.55 1.01% 267.90 1.24% 3,121.24 14.47% 273.54 1.27% 21,341.90 98.93% 21,341.90 98.93% 230A7 1.07% 21,57237 100.00% 21,572.37 100.00% p items l* pI1NBING p,,tItiTING KOoFING SIDING SOFFIT, FASCIA, & GUTTER WINDOW REGLALING & REPAIR WINDOWS- SKYLIGHTS WINDOWS -WOOD Worley 51131;2017 Pagc:10 Recap by Category with Depreciation RCV 2,498.% 516.84 14,641.20 2,497.71 845.92 10.76 393.61 157.37 Deprec. 331.04 2,132.38 420.09 238.73 12.96 100.41 O&P Items Subtotal 21,572.37 3,235.61 Overhead 2,157 30 323.57 r 71 2,157.30 +# Material Sales Tax 307.63 97'47 At IL ,. aq► ,,t p items l* pI1NBING p,,tItiTING KOoFING SIDING SOFFIT, FASCIA, & GUTTER WINDOW REGLALING & REPAIR WINDOWS- SKYLIGHTS WINDOWS -WOOD Worley 51131;2017 Pagc:10 Recap by Category with Depreciation RCV 2,498.% 516.84 14,641.20 2,497.71 845.92 10.76 393.61 157.37 Deprec. 331.04 2,132.38 420.09 238.73 12.96 100.41 O&P Items Subtotal 21,572.37 3,235.61 Overhead 2,157 30 323.57 Profit 2,157.30 323.57 Material Sales Tax 307.63 97'47 Total 26,394,60 3,980.22 FREQUENTLY ASKED QUESTIONS ACV 2,498.96 185.80 12,508.82 2,077.62 607.19 7.80 293.20 157.37 18,336.76 1,833.73 1,833.73 410.16 22,41438 The FAQs and answers below will be helpful in the claim process. If there is any conflict between these answers and the policy, your policy controls. Please read your policy. How is my initial Dwelling payment determined? Subject to the applicable deductible and policy conditions. Dwelling payments are generally based on the cost to repair or replace the damaged property with similar construction and for the same use on the same premises. When the cost to repair or replace the damaged dwelling exceeds $5000, USAA will pay a portion of the claim up front (the actual cash value of the loss), and the balance (recoverable depreciation) when the repairs are complete. How do 1 collect the recoverable depreciation? Where initial payment for Dwelling loss is in the amount of Actual Cash Value, to receive additional amounts (recoverable depreciation), you must complete the actual repair or replacement of the damaged part of the property. When repair or replacement is actually completed, the policy will pay the covered additional amount you actually and necessarily incurred to repair or replace the property, but not to exceed the approved replacement cost of your claim (our cost). In no case will USAA pay more than the total amount of the actual repairs less your policy deductible. Why is the check made out to me and someone else (or some other company)? If your check includes the name of your mortgage company it is because we are required to include their name on our payment to you, per the mortgage clause on your policy. The check must be presented to them for their endorsement prior to submitting it to our bank for payment. Incomplete endorsements will result in the check being returned without payment. Please contact us if the mortgagee information is incorrect so that we may update that information and issue a correct payment to you. What if I'm not going to repair or replace my damaged property using the same material? Please contact us if you choose to repair or replace the damaged building part with a different material or type of construction from what is on our estimate. Replacement or repair differing from the original estimate could affect any replacement cost claim you are otherwise eligible to collect. What if my contractor's estimate is different from USAA's estimate? Show the USAA estimate to your contractor. If your contractor's estimate is higher, please contact USAA prior to starting the repairs to your home as the additional charges may not be covered. 0901119c9&9310b5 ONE STORY ACCESS ® Yes ❑ No PITCH 4/12 0 TEAR OFF and haul away 1 layers of existing shingles. ® DECKING — Remove and replace decking, as needed, for $50 per sheet extra RE -DECK - Remove and replace all decking UNDERLAYMENT - We will install Synthetic SHINGLES — CertainTeed Landmark Laminate (Brand & Style) ❑ INSTALL (yr) 3 -Tab (color) INSTALL LT (yr) Dimensional Moire Black (color) RIDGE - M3 -Tab Ridge ❑ Matching Hip & Ridge ❑ High Profile Ridge FLASHING - We will replace flashing as needed. VALLEYS & PENETRATIONS — Install ice & water shield. ✓❑ PIPES - Install & paint 4 1 1/2' _2" 2 a, _4" lead stacks P1 METAL EDGE ® Keep or ® Replace all Black (color). M VENTILATION P1 Install _Cardinal Solar Power Vents 20 Watt Black wind turbines 4 low profiles _ power vents 36 LF Ridgevent []Detached Garage ❑ Shed ❑ Patio Covering ❑ Other [:]Install squares of ALUM SEAMLESS GUTTER - See Gutter Diagram & Notes ANY CURRENT LEAKS? [:]Yes ®No If so please explain below ANY INTERIOR DAMAGE?® Yes ®No If so please explain below (Please provide photos of leaks & Interior damage) ANY AREAS EXCLUDED FROM WARRANTY? ®Yes ®No Please describe: Spot on ceiling from previous storm by top beam in dining room CONSTRUCTIONPOST - ©Clean roof, gutters, and jobsite Q 25 Point Inspection Mm Collect Payment ■❑ Haul off excess material [j] Sweep site with magnet ISSUANCE OF • 0 2 Year Workmanship F1 Other ROOFING: All roof work including remove and install laminate shingles, underlayment, drip edge, flashings, ventilation, and Ice&Water shield MISCELLANEOUS: Sky light -double dome clear(25 1/4"x53 3/16") UPGRADE AMT: 0.00 ® WILL DO JOB FOR INSURANCE PROCEEDS OR ❑ CASH CONTRACT AMOUNT $ _ Original RCV Amounts 26394.60 * 'This may not be final contract price and does not include upgrades or any supplements paid by insurance company. ✓ Does the first insurance check need to be signed by the mortgage company? ®YES ®NO ❑ Already Signed ✓ Homeowner has read and understands the "What to Expect" insert and all pages and terms of this contract? ETES ® NO Material Placement: Where motorhome sits Special Instructions: Protect landscaping, special solar panel removal!I! Company's Surety and Liability Insurer Information Insurer: Gemini Insurance Company Address: 7233 East Butherus Drive City, State, Zip Code: Scottsdale, AZ 85260-240 Phone Number: (480) 951-0905 ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement 6/9/17 6/9/17 (;�L z4L Customer Signature Date Pro'ject Manager ature Date _ Page 1 CUSTOMER NAME: Alice Datema(Personal) GUTTER DIAGRAM JOB ADDRESS: 4645 Robb St Rear Left Right NONE Front GUTTERS 5" 6" DOWNSPOUTS M2X3 83X4 COLOR Black INSURANCE PAID FOR: FULL REPLACEMENT ePARTIAL REPLACEMENT GUARDS Yes Nov GUTTERS & DOWNSPOUTS (TOTAL LF INS. PAID) GUTTERS & DOWNSPOUTS (ACTUAL LF - FULL HOUSE) GUTTER LF TO BE SUPPLEMENTED 0 TOTAL # OF DOWNSPOUTS 1STORY O 2STORY 0 INSURANCE PAID PARTIAL, BUT OWNER WANTS FULL & AGREES TO PAY DIFFERENCE IF INSURANCE WILL NOT ❑Yes PIN. NOTES: Customr Initials Page 2 All in One noted the following items that were not included in your insurer's repair estimate. Permit 1. WORK NOTCOMPLETING 20,414.38 2. INITIAL RECOVERABLE DEPRECIATION INSURANCE SECTION DESCRIPTION OF WORK NOT COMPLETING ITEM #'s NOT ACV NOT DEP NOT Roof D&R solar water heater panels 10 2,498.96 0.00 Subroom 2: middle wall R&R shutters, R&R siding, ext paint, R&R glazing bead, R&R metal flashing for garden windows 17-21 2,168.61 682.61 O&P Overhead & Profit on work not completing N/A 1 ,075.47 0.00 Front Elevation R&R gutter/downspout, Prime&paint gutter/downspout 11&12 1 172.30 46.25 Right Elevation R&R gutter/downspout, prime&paint gutter/downspout 13&14 211.20 56.60 Subroom 2:middle wall R&R gutter/downspout, prime&paint gutter/downspout 15&16 110.65 154.37 Left Elevation R&R gutter/downspout, prime&paint gutter/downspout 22&23 215.65 Contract start date: 6/9/17 'Estimated Job Completion Date' shall be on or before 180 days after the 'Contract Start Date' ( 0.452.84) Line 7 ( ) Line 8 1. BALANCE 1 IST INSURANCE CHECK (ACV Less Deductible) 20,414.38 2. INITIAL RECOVERABLE DEPRECIATION 3,980,22 3. NON-RECOVERABLE DEPRECIATION - NOT COMPLETING 0.00 4. NON-RECOVERABLE DEPRECIATION - ARE COMPLETING 0.00 5. PROPERTY OWNER DEDUCTIBLE 2,000,00 6. UPGRADES / ADDITIONAL WORK 0.00 7. WORK NOT COMPLETING (ACV Value) (8;452.84) 8. WORK NOT COMPLETING (Depreciation) [1.002.72) s. TOTAL OWED TO ALL IN ONE... $ 18,939.04 11LPAYMENT is due upon roof completion. Amount of 15t PAYMENT $15,961.54 $_____ .___ "Out of Pocket Expense" included in 1st PAYMENT FINAL PAYMENT is due upon receipt from insurance or 30 days after job completion, whichever is sooner. Amount of FINAL PAYMENT" $ 2,977.50 * l understand all applicable supplements and/or general contractor overhead & profit paid by insurance company will be owed in addition to this amount. Additional payments sent by insurance for depreciation/sup a nts will also be due upon receipt. RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. By signing this Agreement you agree that you have also been provided notice of this light to cancel orally in addition to the writing contained herein. ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms an ditto forth in this Agreement. A" C, ``- 6/9/17 6/9/17 Customer Signature Date Project M ager Signature Date Page 3 ADDITIONAL TERMS AND CONDITIONS This agreement, including the additional terms and conditions on the reverse side and any agreement executed in writing pursuant thereto (this "Agreement"), is entered into between Storm Operations of America LLC ("Company"), and the property owner(s) or property owner's representative(s) set forth on the opposite side of this Agreement ("Customer'), for the purpose of replacing or repairing Customer's property that was damaged. 1. Approval / General Contractor. Customer hereby certifies that Customer is the owner of the property described herein and authorizes Company to obtain labor and materials to accomplish the replacement or repair in accordance with the Agreement. This Agreement is subject to the credit and pricing approval of Company. Customer acknowledges that Company is a general contractor and as such will be entitled to 10% overhead and 10% profit, as allowed by Customer's insurance company and state standards. 2. Agreed Price. The full amount of all monies as specified by the agreed upon price ("Agreed Price') does not include any extras such as carpentry repairs or other repairs not specified in this Agreement that may be necessary to complete the repair or replacement process as required by local building codes or to cosmetically satisfy Customer. 3. Materials. All materials provided by Company will be standard stock materials, unless otherwise specified, and will match existing materials within reasonable tolerance as to color, texture, design, etc. Notwithstanding the foregoing, other products and materials may be substituted for equivalent products due to availability. Customer understands that there is a 2 -day minimum charge for all drying, water extraction and dehumidification equipment provided by Company. All excess materials remain the property of Company. 4. Access to Property. The prices and terms of Company's estimate and this Agreement are based upon completion of the work during normal working hours, and Customer agrees to provide Company access to Customer's property as required for completion of the work. Customer will be responsible if any interruption of Company's work results from Customer's failure to provide reasonable access or due to the acts or negligence of others not under Company's direction. Company shall not be responsible for damages arising from delay due to inclement weather, strikes, fires, accidents, delays in shipments or delivery of materials, or any causes beyond Company's reasonable control. Customer agrees that Customer's telephone, electricity and water will be made available to Company's personnel during the course of the work Customer will also furnish at its expense, single phase, 220 -volt, 50 -amp electrical service. Company shall not be responsible for protection of Customer's property, except to provide that protection which is specifically called for under the specifications provided by this Agreement. Customer also agrees to remove, store and/or protect personal property during Company's work. Customer will manage and be responsible for protection of vehicles and property exposed to damage by Company's work 5. Job Completion / Past Due Amounts. Job completion shall be the date on which Company's work is substantially finished (as distinguished from the date of Customer's acceptance thereof) or the date of Company's last item of work at the property, whichever is earlier. Customer's failure to make prompt payment shall entitle Company, on forty-eight hours (48) hours' written notice, to stop work The Agreed Price shall be increased by Company's reasonable costs to stop the project and/or resume work In the event Customer chooses not to pay for a part of the work, an individual line item, or a trade, Customer releases Company of its obligations for the performance of that component with regard to the integrity of the building system as a whole. Customer agrees to pay a service charge of 8% per annum or the maximum amount allowed by law, whichever is less, on all balances 30 days or more past due. Customer also agrees to pay for all collection costs, including employee time and expense and all attorneys' fees and costs Company incurs in either collection of and/or protection of its interests in Customer's past due account or performance of this Agreement. 6. Insurance / Mortgage CompM Customer hereby authorizes its insurance and/or mortgage company listed on the front of this Agreement to pay Company directly for all work and materials provided by Company to accomplish Customer's replacement or repair. Customer further directs its insurer and/or mortgagee to include Company as a payee on all checks or drafts now or hereafter payable for such loss. Company reserves the right to supplement Customer's insurance and/or mortgage company price for increases in the scope of work and/or documented price increases. Customer agrees to allow these supplements to be paid directly to Company. Company makes no representations or warranties regarding Customer's insurance coverage or if Customer's insurer will pay for all or any of the work to be performed by Company under this Agreement Customer agrees to pay Company in full for all work performed by Company under this Agreement, regardless of Customer's insurance coverage. Customer also agrees to pay Company directly for all amounts, despite depreciation or deductibles, and to also pay for additional work not covered by Customer's insurer and that said amounts must be paid beforejob completion. In the event Customer breaches this Agreement, Customer agrees to pay Company: a) in full, on a time and materials basis, for all work and materials provided by Company as of the date of such breach; and b) a consulting fee equal to 20% of the total cost of work and materials provided by Company as of the date of such breach, which fee represents the industry standard for reasonable profit and overhead and is not a penalty. Company and its authorized representatives are NOT acting as public adjusters. 7. Limited Warranty. A written limited warranty may be offered on workmanship and materials provided pursuant to this Agreement on the terms and conditions reflected in any written limited warranty materials provided at the time of sale. If Company is not paid in full in accordance with this Agreement, all such warranties are null and void. 8. Hazardous Materials / Mold. Nothing contained in this Agreement shall be construed to require Company to determine the presence or absence of any hazardous materials or asbestos -containing materials affecting the property or to require Company to remove or protect such materials. In the event that Company learns of the presence of such materials on Customer's property, Company reserves the right to immediately stop work and negotiate a change order for such additional work as may be required. In addition, this Agreement does not include, unless expressly specified, any mold abatement, removal or cleaning. If mold is found existing on the Customer's property, any cost to abate, remove or clean shall be paid by Customer as an additional cost Any warranty provided herein excludes the cost to abate, remove or clean any mold on Customer's property. 9. Liabilfty Company is not responsible for damage or loss caused in whole or in part by: the acts or omissions of other parties, trades or contractors; lightning, gale force winds (+50 m.p.h.), hailstorms, ice damage, ice damns (caused by thawing and freezing of ice, water or snow) hurricanes, tornados, floods, earthquakes or other unusual phenomena of the elements; structural settlement; failure, movement, cracking or excess deflection of the roof deck; defects or failure of materials used as a roof substrate over which Company's roofing material is applied; faulty condition of parapet walls, copings, chimneys, skylights, vents, supports or other parts of the building; vapor condensation beneath the roof; penetrations for pitch boxes; erosion, cracking and porosity of mortar and brick; dry rot; stoppage of roof drains and gutters; penetration of the roof from beneath by rising fasteners of any type; inadequate drainage, slope or other conditions beyond the control of Company which cause ponding or standing water, termites or other insects; rodents or other animals; fire; or harmful chemicals, oils, acids and the like that come into contact with Customer's roof and cause a leak or otherwise damage Customer's roof. If Customer's roof fails to maintain a watertight condition because of damage by reason of any of the foregoing, any applicable written limited warranty shall immediately become null and void for the balance of its term. Company accepts no liability to indemnify or hold Customer harmless for claims or damages to persons or property, except to the extent that such damage occurs during performance of Company's work and are the direct result of Company's error or omission. Notwithstanding the foregoing, Company shall not be responsible for damages to any area of the property upon which Company's work has not been completed nor is Company responsible for slight scratching or denting of gutters, oil droplets in driveways, hairline fractures in concrete, damage to flowers or landscaping, or minor broken branches on trees, plants or shrubbery. In no event shall Company be responsible for any type of damage resulting from vibrations, including, but not limited to, interior drywall damage, nail pops or disconnection of chimneys, flues, air ducts, ventilation shafts, exhaust vents, furnace vents or sewer vents. Company is not responsible for damaged electrical, cable, A/C, or plumbing lines installed within 6 inches of the roofline. Customer understands and agrees that Company shall have no responsibility for damages of any kind to persons or property occurring after job completion. 10. Hold Hamiless. Customer agrees to hold Company harmless in connection with the work described herein and that Customer's maximum recourse shall be, and Company's maximum liability under this Agreement shall be limited to, the amount Company billed to Customer. Customer understands and acknowledges that Company does not warrant or guarantee previous workmanship or pre-existing materials, nor any materials or labor not originally provided by Company. Company shall not be responsible for latent defects in materials and accessories supplied. Company shall not be responsible for rework required as a result of the acts or errors of others. 11. PRE -LIEN NOTICE: COMPANY HEREBY PROVIDES NOTIFICATION THAT ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIAL FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. Upon default in payment, a lien will be placed on the property and charges will be added from the date of substantial completion at the maximum rate allowed by law. 12. Insurance Deductible. If Customer plans to use the proceeds of an insurance policy to pay for any of the work under this Agreement, Company shall not pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for the work under this Agreement 13. Miscellaneous. This Agreement constitutes the entire agreement and understanding of Company and Customer relating to all of the subject matter hereof, and supersedes all prior agreements, arrangements and understandings, written or oral between the parties concerning such subject matter. ANY REPRESENTATION, STATEMENTS, OR OTHER COMMUNICATIONS NOT WRITTEN IN THIS AGREEMENT, OR MADE IN WRITING PURSUANT THERETO, ARE AGREED TO BE INVALID AND NOT RELIED ON BY EITHER PARTY AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. This Agreement is subject to the laws of the state in which it has been signed and executed. Customer shall not assign this Agreement without the prior written consent of the Company. Other than as permitted herein or as permitted by applicable law, this Agreement cannot be canceled or amended without written mutual agreement of both parties. Company and Customer intend and agree that if a court of competent jurisdiction determines that the scope of any provision of this Agreement is too broad to be enforced as written, the court should reform such provision(s) to such narrower scope as it determines to be enforceable. Company and Customer further agree that if any provision of this Agreement is determined to be unenforceable for any reason, and such provision cannot be reformed by the court as anticipated above, such provision shall be deemed separate and severable and the unenforceability of any such provision shall not invalidate or render unenforceable any of the remaining provisions hereof. THE TERMS IN THIS AGREEMENT ARE SPECIFICALLY AGREED TO AND INCORPORATED HEREIN. Toll Free: 888.794.5226 1 Fax: 888.255.6732 1 www.stormoperations.com CLAIM #: 001728618 INSURANCE CO: USAA INSURED: Alice Datema(Personal) ADDRESS: 4645 Robb St CITY/STATE/ZIP: Wheat Ridge, CO 80033 INSURANCE WAIVER AUTHORIZATION AND WAIVER OF CONFIDENTIALITY If insurance is involved in the funding of this Contract in any amount the Customer authorizes and expressly agrees to direct USAA Insurance Company in writing to pay Storm Operations of America LLC solely and directly for any Services Storm Operations of America LLC furnishes to the Project under this Contract that are covered and funded by Customer's Insurance Company, including any and all supplements and/or supplemental Services additionally covered and funded by Customer's Insurance Company. Therefore, Customer hereby appoints Storm Operations of America LLC as attorney-in-fact, authorizing Storm Operations of America LLC to communicate directly with Customer's Insurance Company to discuss Storm Operations of America LLC's scope of work/ costs for the Services, including, any and all estimates and/or supplements to Storm Operations of America LLC's scope of work/costs for the Services before, during, or after the Project. Customer further appoints Storm Operations of America LLC as attorney-in-fact, authorizing Storm Operations of America LLC to endorse Customer's name on and deposit any and all checks or drafts issued by its Insurance Company to Customer, whether solely or jointly as payment for Storm Operations of America LLC's Services. ACCEPTANCE OF TERMS Customer's signature below signifies acceptance of all terms and conditions set forth in this Agreement Customer Signature 6/9/17 Date Page 9 ATTENTION NO VERBAL AGREEMENTS All work we are completing must be IN WRITING on the contract. CHANGE ORDERS Any changes in scope after a contract is signed must be filled out on a change order. SUPPLEMENTS Sometimes we bill the insurance company for additional money called a supplement. This money will be due to us in addition to the regular contract amount. READ OUR TERMS In circumstances that are beyond our control and not the result of negligence, we will not be held responsible. Drywall nail pops from vibrations and damage to utility lines placed too close to the roof deck are just a few of these types of examples. 6/9/17 Customer Signature Date Page 10 �4-L-ZI44- 6/9/17 Projelff Manager Signature Date Date: 6/9/17 Attn: Claims Department RE: Selection of Contractor Insured: Alice Datema(Personal) Claim Number: 001728618 Address: 4645 Robb St Wheat Ridge, CO 80033 To whom it may concern: This letter is to inform you I selected Storm Operations of America LLC as my general contractor of choice to complete repairs to my residence. I have selected Storm Operations of America LLC because they provide an additional layer of supervision over the work instead of relying on the word of a roofing company. In addition, they have agreed to coordinate the work between the various trades to minimize my inconvenience throughout the restoration process. By using a general contractor I am able to avoid wasted time and effort, on my part, in getting prices from several different specialty contractors; and then getting contractors to show up when they are scheduled to bid or do the work. Working with them also saves me the worry of having different specialty contractors taking my deposits without doing the work (a real concern for me), also in determining what to do if I cannot find someone to do the work items for the offered settlement prices. Stone Operations has agreed to bid the work using their subcontractors, including 20% for overhead & profit since they are a General Contractor. Sincerely. J c V L E Q 0 �r� A L N V) VI +� v O 3 O � Q C L CL a� o a L Cl - C: c v L U L 0 AW U) E 2 o �9 a Q � w ar a g o , - _ C ° a 51 E75 E 22 G = E r `o E L a S u G e E- mZQ E9- E 2 x 9 L 9 a a 9° ; E o E• n G C ow o E m 8 E E 3 x E E o E `o �m �La2iaE >d�„n_«-a_aa«a « A Z Z 0 g3.. .................. o 3 A a O t m = L � i � w z r z r z a0 0 'o 3 O = _ z z O ,>„ m i N� o � C a¢ � 3 0 ofa oo o z m D 5 0 o r o� 02 o 0 a am. z � a i z a i c oW z F o 5 ✓ o z ¢azo C! F -, 20 z zo yn o ¢ O Z i z z C O O o3a m c z z m i z 8 r O r x O W j w ¢ O ao 0 0 1.3 m � s a z w � 0 o x O � r �p Yz O o C Q N O � o z poo: N z � d F NOTICE OF CANCELLATION 6/9/17 You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any property delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the property at the seller's expense and risk. If you do make the property available to the seller and the seller does not pick up such property within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the property without further obligation. If you fail to make the property available to the seller, or if you agree to return the property to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to Storm Operations of America LLC at 9830 W. 59th Place Arvada, CO 80004 NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE ABOVE DATE. I HEREBY CANCEL THIS TRANSACTION. BUYER'S SIGNATURE Alice Datema(Personal) BUYER'S PRINTED NAME 6/9/17 DATE NOTICE OF CANCELLATION 6/9/ 17 You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within 10 BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any property delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the property at the seller's expense and risk. If you do make the property available to the seller and the seller does not pick up such property within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the property without further obligation. If you fail to make the property available to the seller, or if you agree to return the property to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to Storm Operations of America LLC at 9830 W. 59th Place Arvada, CO 80004 NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE ABOVE DATE. I HEREBY CANCEL THIS TRANSACTION. BUYER'S SIGNATURE Alice Date ma(Personal) BUYER'S PRINTED NAME 6/9/17 DATE NOTICE OF CANCELLATION If you are notified by your insurer that all or any part of the claim or Agreement is not a covered loss under the insurance policy, you may cancel the Agreement by mailing, emailing or delivering a signed and dated copy of this cancellation notice or any other written notice to Storm Operations of America LLC at 9830 W. 591h Place Arvada, CO 80004 any time within 72 hours after you have received such notice from your insurer. Even if you timely deliver this Notice of Cancellation, the contractor may still retain all payments or deposits made by you to compensate contractor for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices, to an extent necessary to compensate the contractor for the actual work performed. If you cancel, any payments made by you under the Agreement, other than those excepted in the prior sentence, will be returned to you within 10 days following receipt by the contractor of your cancellation notice. I HEREBY CANCEL THIS TRANSACTION. 6/9/17 Date Insured's Signature Alice Datema(Personal) Insured's Printed Name NOTICE OF CANCELLATION If you are notified by your insurer that all or any part of the claim or Agreement is not a covered loss under the insurance policy, you may cancel the Agreement by mailing, emailing or delivering a signed and dated copy of this cancellation notice or any other written notice to Storm Operations of America LLC at 9830 W. 59"' Place Arvada, CO 80004 any time within 72 hours after you have received such notice from your insurer. Even if you timely deliver this Notice of Cancellation, the contractor may still retain all payments or deposits made by you to compensate contractor for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices, to an extent necessary to compensate the contractor for the actual work performed. If you cancel, any payments made by you under the Agreement, other than those excepted in the prior sentence, will be returned to you within 10 days following receipt by the contractor of your cancellation notice. I HEREBY CANCEL THIS TRANSACTION. 6/9/17 Date Insured's Signature Alice Datema(Personal) Insured's Printed Name ♦ i CITY OF WHEAT RIDGE f j- Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTIC Inspection Type:��. Job Address: - Permit Number: [n ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: 9 d Inspector: 00 NOT REMOVE THIS NOTICE ♦��4 CITY OF WHEAT RIDGE Building Inspection Division _ (303) 234-5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type A ), vnn Job Address /Permit Number: ❑ No one available for inspection: Time J . 'CO AM Re- Inspection required: Yes fNo When corrections corrections have been made, call for re- inspection at 303 -234 -5933 b` 6 Date: •'�) Inspector: �, �•',A(. = DO NOT REMOVE THIS NOTICE oFw"Eqr~ City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 v m Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 OCORPO Date: D Plan Permit Of i4( Building Permit Application Property Address: 7 ~ V-3 V65S Property Owner (please print): b o :Z~ire e Phone: 303 5q I OR Mailing Address: (if different than property address) Address: Sub Contractors., Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Q Approval: Approval: Use of space (description): 6M614 Tb Construction Value: $ . Da Description of work: ~'aGA2 (as calculated per the Building Valuation Data sheet) .J-tl Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: • Squares VV 66 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRES TATIVEo (OWNER GONTRATOR) PRINT NAME: V1 Q-us lt (VI SIGNATURE: &I Date: Contractor License Q /So y Y Phone: 03 aF / SW 3 I COMMUNiTY DEVELOPMENT DEPARTMENT Building Permit Number : 16255 BUILDING INSPECTION LINE -(303-234-5933) Date : 9/23/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: ALICE DATEMA Property Address : 4645 ROBB ST Phone : 431-4178 Contractor License No. : 18464 Company : B& F Heating & A/C Phone : 431 8914 )WNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT hereby certify that the selback distances proposed by this permil application are accurale, and lo not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or ovenants, easements or restrictions of record; that all measurements shown, and allegations nade are accu2te; that I have read and agree to abide by all conditions printed on this ipplication, and that I assume full responsibility for compliance with the W heat Ridge Building :ode (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Description : INSTALL 100,000 BTU'S FURNACE Construction Value : $2,199.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $108.30 Use: ~ BUILDING DEPARTMENT USE ONLY g"G ~raments: SIC : Sq. Ft. : Approval : Zoning : 0-41~dEtY`g~~C4m me~ts:' Approval : ia ~:~ll►P,~ Comm~nts: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 17875 Plumbing License No : Mechanical License No : Company :Coffman Electric, Inc Company : Company : Expiration Date : 2128/2005 Approval : OKIKS Expiration Date : Expiration Date : Approval : Approval : (1) This permit was issued in accordance with the provisions set forih in yopur application and is su6ject to the laws of the Stale of Colorado and to the Zoning Regulations and Building Code of Wheal Ridge. Colorado or any other applicable ordinances of the City. (2) This permit shall ezpire if (A) the work authorized is not wmmenced within sinty (80) days from issue date or (B) the building aulhonzed is suspendetl or abandoned tor a period of 120 days. (3) If ihis pertnit expires, a new permit may be acquired for a fee of one-half the amount normally required, pmvided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. I( changes are made or if suspension or abandonment exceeds one (1) year, WII fees shall ba paid tor a new permit. (4) No worK of any manner shall be done that will change the natural Flow of water causing a drainage problem. (5) ConVaclor shall notify the Building Inspector twenry-four (24) houre in advanca for all inspections and shall receive written approval on inspection card before pmceediing with successive phases of the job. (6) The i ance of a p.rtnit or the approval of tlrawings and specifcations shall not be conslrued to be a permit for, nor an approval of, any violation of the p isi s of ~bing codes or any other ordinance, law, rule or regulatioa ~s ief Buildin nspector Please sign Terms and Conditions on reverse side of page. . ~vl IILI\ 1 BUILDING INSPECTION DIVISION.235-2855 CITY OF WHE/LT RIDGE 7500 WEST 29TH AVENUE ouuwiiy reiiiut ivu!71Def : Date : q/I~?/03 I WHEAT RIDGE, CO 80215 qppLICATIo N Property Owner: AII(' C T~atPma- Property Address :4(AJ Ro bbSf Phone Lf ,3 lzI/ 7C, Contractor License No. : IqLt~ L4 b Company :BJ r N L'CL-Fi n~ tI W>c1D# ULI I I D> Phone : 503 43 I "~L7 I y OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AGREEMENT 1 hereby certi(y that the setback distances proposeC by this pertnit appliwtion aro aeeunte, and do not violate applicable oMinances, rules or regulalions of the Ciry of Wheat RiCge or covenants, easements or restrictions of record; that all measurcments shown, and allegations made are accurete; that I have rea0 and agree to abide by all wnditions printad on this application, and that I assume full responsibili for comphance with the Wheat Ridge Building Cotle (U.B.C.) and all other appliwble Whea idge ordinances, for work under this partnit. (OWNER)(CONTRACTOR) SIGNE 2 ~ ~S/~miC~~ DATE v( g 3 Ln~fia I 1 l DC~, OC~6 ,~~'s n a~ Description : Construction Value : ~ / L/k/--0 Permit Fee : ~U G 'O 0 Use Tax : Total: C~ 30 use: BUILDING DEPARTMENT USE ONLY ZFifi~~7~ Approval: Zoning : itsulialogrogogulm Approval: Approvai SIC : Sq. Ft. : Occupancy : Walls : Roof : Stories : Residential Units : Electricai License No : I/~ /~D Plumbing License No : Company :CDIymQ,,n U-eC 4( -,°CCompany : Expiration Date : Approval : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval: (1) Thls permit was isaucd In aaordi with Ma proviabne xt PoM in yoWr applinibn and ia aubject M Me laws ol the Snte ol Cobndo and ro Ne Zoning Hegulations and Buibiny Code of Wheat RiEqe. CobraEO or arry oMer apqimEle onlinanees W the Cfry. (2) This permit sAall e:piro if (A) Me work authonzeC is rrot commenced wilhin siMy (80) Oays M1om issue tlate or (B) Ne Ouilding aWrori[ed is suspenOeO or aEanCOneE for a peno0 al 120 Wya. (7) If tMS permit expires, a new permit may be acquircd 1or a he of onMaif tho artqunt rrormalry requiieE. DroviaM no Uunpea have Deen or will De maAe in the onginal o es and speciM1radona and a'ry suapsnsbn a abanEOnmmt has rqt exceMeE one (t) year. 1/ Uanpes are maEe or if suspenebn w aban0onment Year. luq /xt elull 6e paitl lor a new permit (a) No vrork of any manner shall be Cone Mat wi11 Mmps Me naqnal Ilow ot water ousing e Erainage problem. (5) Cp«v'w~ W 1^nso6ry c~3 ~u~'r efn~ p Dtweny-lour (24) houn in atlvan~e lor all inapeetions and ahall receive written app'wal on impection rird befoie (6) The issuanm o/ a permil w tlha approval o/ /rswinps uM spetiM1O6ons ahall not be mnsbueA to Ce s pertrvl 1or, nor an approval of, arry vidation o1 the provisionS o! Itx buil0irp coEes a any aher ortlinance, law. Nla a rapulatwn. v Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13841 BUILDING INSPECTION LINE - 303-234-5933 Date : 5/9/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: ALICE DATEMA Property Address : 4645 ROBB ST Contractor License No. : Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, antl do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.Q) and all other applicable Wheat RidgG ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED I~ ~~~2mti9~ DATE 6 SU~ Description : NEW 6X10 STORAGE SHED "NO FEE UNDER 120 SQ FT" Use: Phone: 431-4178 Phone: . BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. ApprovalNDM OKAY Zoning : R-2 00#9400OKAY PER REDLINES Approval: DM "01* .,..a., Approval : Occupancy : Walls : Roof Stories Residential Units Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval : Mechanical License No Company : Expiration Date : Approval : (1) This permit was issued in accortlance with the provisions set forth in yopur application and is subject to the laws of ihe Slate of Colorado and lo the Zoning Regulations and Buildin9 Code oF Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorized is not commenced wi[hin sixry (60) days From issue tlate or (B) the building authorizetl is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provitletl no changes have been or will be made in the original plans and speci8cations antl any suspension or abandonment has not exceeded one (1) year. It changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permii. (4) No work of any manner shall be done thal will change the naNral Flow of water causing a tlrainage problem. (5) Contrador shall notify the Building Inspeclor txenly-four (24) hours in atlvance for all inspections and shall receive written approval on inspection rard before proceetliing with successive phases of the job. (6) The issuance of a pprt1% or the appr val of drawings and speciLCations shall not be constmetl to be a permit for, nor an approval of, any violation of the provisions of Aef idi (/~~y other ordinance, law, mle or re9ulation. Chief Building Inspecto May-07-02 02:15P DEVREVFAX 303 235 2857 P.01 Stora~~e ghed I'lacement Permit (for sto: age shed that DQ? T exceed 120sq fr in Eloor area) Departmont ot Plaiining and De ielopment ~y~601- CItY oi Wheat 81dge NO FEE PERMIT 1500 West28°Arenue Wbsat RldOe, CO 60216 - 808-235-28 i6 Property ownae ALlG F-,D tl "f EMA ProperryAddress: AllO4 S -R 0 J90 Sr w1nc4 It' JZidfe ~p slbv33 Phone: 3C38 - 4 Sl - `117v Con;racror: rLy F,c Phon : 363 -39-/-ig$'33 OWNER/CONT RACTOR 9I ONATURE OF UNDER iTANDING AND AGREEMENT I hereby certify thal the setback distences proposed ll this permit ap{ icztion are accurae, and do not violate app'icable ordinences, rules or regutations of the City of Wheat Ridge or covei ants, easements or restrictions of record; that zP measurements sbown, and ellegations made sre accurate; that! have sad and agree to abide by aq conditions printed or this appiication, and that 1 assuma fuil respor,sibiiity fur compliance wi h the Wheat Ridae Building Code (U.B.C.) and ali other appiicahle Wheat Ridye ordinances, for work under [hls permit. (OWNERlCONTRACTOB) Signaturo:' iasiU iT/Z~~~ Date:_ ~ Descriotion: b,X jD, !?YwGh, ~,.e- She-d Uso: Zoning: 8uilding Setbacks • Side: Rear: Fro'at: Sq, Ft.: Zoning Co.mments: Z 7Z40n f Approval: v 9uilding Comments:. Approval: ~ (1) No work of any manner shall be done that will cheinge the natural Hi w of storm water ceus',ng a dreinage probiem. i2J OwnaricontractorshallnolHythebuildingdepartrrienttwenty-four(2)hoursinsdvanceforallinspections,andshallraceive wrltten approval an Inspection. (3) The issuance of a parmit or epproval of drewings shall not be consti ied to oe e permit for, nor an approval oi, any violation of the provisions of the buildlng coCas or any oMl iance, law, rule o~ requlatlon. (4) Sheds must be propedy and cecurely anchored at all comero. PtEASEN9iE:Owner/contracnrtsrespensibleforloceqngproperpy llat sandconaWCtlngimprevementsaccoctlinltothe approueApleaandroaulroddeueloDmentstendards.llisCipflsnolresp nsibletorinaccuntetnformaUoosohmine6wlthin [he qlen set and en9 consirucqon ernrs nsulting ireir Inaocurfte Inl irnatlon. alloeL _ ode inistretor sa3NidlNOO Osoaa Ai3aD AB .7 eo~ ~ .f < Jy . U; . , Y i 1 a s t !D ~ irJfTA1~ E i i I i ' t~ r 3 1 ~ RI ~ - 31tlO L~' ~ oOi ~ ) 7r OW3W 33IdA0-d31N1 oi ----A ~ Ma.r-07-02 02:16P DEVREVrHx JVJ ~~/v : d • iGuide ICr. irli~~~li:~~ ~:iora;;~• °i+ti~~~l b nyta u~~ thf~ [ufdq At kast two completed documenb muat bo pro, ided to epDlY fore t tlldinQ pertaft. f.. Compbtethishulldln4guldo byllllinQMiheappllablo bltnke 2, provtdoefborplan(alteplen)showlnadimenalanaofyourproJc[andltsrelaUonshlptoexlstlngbulidingsor stvctures on the propaKy ond the dleta nci, to oclstl ng property Ines. (SoeaKedrodarsmp/s) 3. Fllloutapermltepplicetkn 5hedsunder140aqwrefeatlnslzrrapWre aNOFEE"Sh idPleoementPermiYOnty. Shad* aroatmNen 120 sauare toet niquire a"euliding PE mir elong wlth Ne above IMOimetlon. ' Roof eovar mrterlal ~ 2k~Rtl[Yf4~~0.C. A > raaapbr vicd, t ,.v ..........u.I \j b` ` I . 7x-1_audt@A 9-o.c, :uung. PL~w~eDel- ~ Ml nlmum 164s. metal ctrope wi 18/ 16d xlis andbWtedio{rowd+nchorw/1 2"bofl. ^ Mln. 1/2" Dfe.lmihorQ 6'0" o.o. .41 . &32"Iromeomen. . ~ ~ , ~ ~ . ~ 3-:/2' Mlnimum ConereteSlnh 2xA2-FlOO~}~I~t j ` st.pratle 36'Anehor/E"0I9,C31uon-Lncrto atgaypomer ---~Aoj~L 7500. W E5T 291h AVENUE 234-$933 P.O.BOX638 PER IT VALID ONLY WHEN JOB ADORESS CONTRACTOR ADDRESS 7 CITY IIP' PHONE -44 SIGN6 4w, 0 DEPARTMENT OF GOMMUNITY DEVELOPMENT pERM1T N0. BUILDING INSPECTION DIVISION M94#19152 CITY OF WHEAT RIDGE, COLO. BY 7HE CHIEF BUILDING INSPECTOR AND RECEIPTED BEIOW. APPUCATION FOR MISCELLANEOUS PERMI7K,n hQ ! --t• t OWNER L~ ~ PHONE ZIP CODE 1 D ZIP CODE CONTRACT PRICE $ ~ 7 C>~ DATE ~ LICENSE NO. Wall❑ ProiactinQ❑ Other SaDFeco TYPE GrounE ❑ 7ptul Squan Fod 2. MATERIAL Elnf. Pomit do. 3. ILLUMINATION YOB❑ NOCI TyP° Zom__. pDW~b~ Z~~ Insp~cta 4. SET BACK FROM PROPERTY LINE N_- 5 a E a W❑ Disapprw~d lcn.ei}v wnitn is 1rOnt 1 a H~ipM I. TVPE 7(FRPROPFRTY O Moro Than 80% ODan~ L~~s TAOn BO% ~W~ MATERIAL Zp~~_ ApDrw~d.ZOn~ In~p~etor FENQ~ES 3 SET BACK LINE N. whieh is ffont) ❑ I ~ OTHER Z' ~ DPoAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIViN"v DISL (SETBACKS OR PROJECTIONS INCLUDED)_.__--__ INSPECTION TICKET REA(i PR TY I.INE JOB ~~/L(--v~~ J t~ CS DDRESS ~cE /1Yt"./~IOEf` - FRON7 PRUrtni7 1-11~ STREET NAME ~...,....I~.eurcc cR(1M THE M41N BUILDIN6 TQADJOINING HOUSES, STREEc S, AND PROP ~4t( DATE: 3 BLDG. PERMITB Ls°L PERMITk BLDG. CONTR. ANk SUBCONTRACTOR DATE INSP. RE~. 3 ~ ~ 31/4// P LY. 4 d s 3'4" corkscra . tie downs SK! D FLOOR ELEVAJ!0N < z r qd r; ~ I 4 I01011 iJ 3 4„ it € a I { f P,T,4 X 45 3 3'4' V~ I fi { I P•T. 2X4s 16"on censer f SM D /FLOOR P`_AN G GOOF MEMDEI~5 - 2)( 6 24" ON C: 1 j l 2X6 P~'ID6E r.~ DEL, 2 X 10 i2 12 DBL, 2X8 112 CDX P!..Y, 1 bG 4 HAR0a0ARD p 51 DING I FLAME-2X4 _(TE ( 1Co"GN C, r 6'0" 5 L I N fr k I SHFPTH IINt~ -i l2 DOOR k ~ ~ ?f O' b-"I--_ _ .,S K I D SLIT E P P. T. L U' M 8 E i~ I GCT clnf: C7 1 (7 1;ALTIriM - v Ut_ t.,l,..~un Iviv FRONT ELEVA7ION STOF~AGF BUILDING SCALE: ' I~ II 41' APPROVED BY: DRAWN BY DATE! REVISED ALICE DA.TEMA 4645 ROBB ST. WHEATP,,_IDGE, CO. 80033 DRAWING NUMBER 94 24 F 36 PRINTED ON NO. IOOOH CIEAPPRINie Y. k~S R ~ ~...~~M\y, „,_..~m«....~-...i....» Tom.... 1 Y j t 9 ~ ~ a ~l-. yy~ fn1 ; ~C`J~t ,rV G 1`~i ~ ~ II i 3B Vi ( - t-x3' 1 140 "err t3 COQ, ?ATI0 ra' i j RESIDENCE k FS! PENCE ~ j , f46554C545 ` I I_ i co P4~CH COV POP\~CH 17 Lc 'l OLIVE 34 - S I DE W A L K R086 STAF-ET---' LOT-4645 4GS5 I SCALE tq O Y t.?aAOV@D BY DATE. 12 I 9 4 -~4- Building Permit CITY OF WHEAT RIDGE 7500 West 29TI-I Avenue Wheatridge, CO 80033 303-235-2855 Permit Number . 19446 11/3/2005 Inspectlon Line 303-236-5933 ~ GtyaiVMeatRdtle n Residential Addition raorExTY 4645-55 Robb St Unit: owxEx: Alice Datema (303) 431-4178 Descdpdon A 3-season 3-wall enclosure on existing 6" stab w/ existing roof Units: . Occupancy: Walls: Roof: . Stories: Sq Fcet: . 0 I hereby aNty 1Nt Ne metbmde dYbnco propome0 Ay thb permit ~ppllaatlon arc ~monle, md ao not vbhte vppHUbk ordlvaemF taken or rqootlom of We CYy of Whut Ritlge or rovmmb, rawmeob er reprkflom otrtcord; thtt ~II meuurtmmU sM1Own, and aIkptbeu made an sceonle; NR11 hrve md aadapa fa abNe by all covtlHiooe priond on eh4 applkatbq and NM I mome fa mponaWitlty for rompWnce with the Whem 1Udee BulWlne Cade (I..B.C.) and W eNu app11Mk . Whut Ridr,e orNOmas, fm !~~oder this permlL (O (CONTRACTOR) SICdYMDATE . . 1 'IM1ia pamit wu luued in ~aorAaoce xith Me prnv4lona ut forfh 1n yoor ~pplic~[bo aotl h subjec[ ro the bm of the StNe of CobnAO utl ro Ne ZoNne ReQdatioes and Huildin, Code of Wbut RId,, Colonda or aoy other ~pplic.ble ordinmea af the City. . 2 Every permit WuM mhdl become IovaYd uoleu Ne wofk on th<dte au[harhed by mch permit b oammenttd wiWtn IW dys aRer ib Wuesa, w If the work.. moWOrlud on the tlte by mvcb permit b mepmAM or abmtloned far a Irrbd of 180 drys afm tbe Ume of worY 4 commrnad. . . 3 If 0b permll expirn, a oew permlt mry, be KquUM for a fa of ono-haif We amomt eermally requlrM, pmvitled no ahmCa bave Eem ar MII De made N the oA&tl phm and qwtlBratbm and any m,uubo or vbmAOnmmt hu vol estteded one (p yev. If ehaoLn +rc made or If mspeoYen w Waodoummt . e:aeds one (1) Ye+q fu114a eh.ll be Paitl for . new pemit. I NoworkofaoymoonerahdlbedonetMtwWcM1meethenalvralMwafwatersautlneadnivmeeprobkm. . 5 CoouaNOnhdlnWtytheBuiWinCMVmtortwenty-four(34)houoinsdvmtttorollLirpMiomantlshmIlnMvewAtlm~pPr^,.1 oeWpectlovaNbefonproeeMbt wiN meceMn phun o(the Job. . 6 The luuwce of. ply~pr tM ~p opp~ToaaeiiPaNcatlom ahJl mt be ronnrved m bu permit for, nor m appmvd of, au% Woltlioo of the Thursday, November 03, 2005 Page 1 of t . Building Permit CITY OF WHEAT RIDGE 7500 West 29TH Avrnue Wheatridge, CO 80033 303-235-2855 cuY~rum~~sa~ , i Residential Addition Permit Number 19446 11/3/2005 lnspection Line 303-234-5933 pROpERTY 4645-55 Robb St Unit: owNErt: Alice Datema (303) 431-4178 Description A 3-season 3-wall enclosure on existing 6" stab w/ existing roof Authorized By Zoming Approval Zoning R-2 Authorized On 10/26/2005 A pproved By JH Authorized By guilding Approva] Zonin 9 Authorized On I1/2/2005 q pproved By CR Floating wall for patio is ok. Thursday, November 03, 2005 Page I of 1 COMMliNITYDEVELOPMENTDEPARTMEtiT BuildingPermitNumber: wreq Jf ' c BLILDING IKSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE j 7500 W'EST 29TH AVENUE NHEAT RIDGE, CO 80215 - (303-235-2855) APPLtCATION PropertyOwner..6=L./GT Property Address: Phone C o3,~ V 3I- Yl Contractor License No.: Company: Phone: ON'NER/CONTRACCOR SICNATL'RE OF GRDERSTASDl6G AND AGREEDIENT 1 hereby eenify that the setback distan<es proposed by this permit application are accurate, and do not ~iolate applicable ordinanca, rui<s or rcgulations of the Qry of \Vheat Ridge or covenants, easemenis or rutrictions of re<ord; that all measurements shoan, and allegations made are accunte; that I have read and agree to abide by all conditions printed on this applicalion and that 1 assume fuil responsibiliry for compliance with the N'heat Ridge 6uilding Code (U.B.C) and alI other applicable H'heat Ridge Ordinances, for work under this pertnit. (OWNER)CONTRACTOR):SIGnED DATE (0N4'tiER)(COSTRACT011): PRIMED DATE DESCRIPTIOY: COi1SINCIIOiI V31Uel ~ Permit Fee:$ Plan Review Fee:S Use Tax:$ Total:$ ~JC1 r 7 BUILDItiG DEPARTMENT USE ONLY SIC: SqFt.: 20NIN6 COMMENTS: Approval: J ~ ~~•L6•~S Zoning: BUILDINGCOMMENTS: J,„I+PG?, Approval: ~,~►_..ce-t- ~ CI„ PUlLIC WONKS COMMENTS: ApprovaL• vJ Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: ApprovaI: Approval: Approval: (1) This pemiit was issued in accordance with the provizions sa fonh in your appliation and is subjecl to ihc lavs of th< State ofColorado and m Ihe Zoning Regulatious and Building Codes of k'M1eat Ridge. ColonJo or anp other applicable ordinantts of the Ciry. Thispermiishaliexpir<i((A)1h<uorkawhonzedisnoicommrncedwiihinsxtp(60)daysfmmissucdmcor(13)tliabuildingauthorizedissuspvidcdw abandoned (ot a penod o( I20 days. (3) If this pemiit etpires, a new pertnit may be acquired (or a(ee of one-half the amomt nomully r<quired, procided no changes hare been or wili be made in Lhe ooyinal plans and spttifications and any suryension or abandonmrnt haz not esceeded one (I) ycar. If chang<s hare been or if suspenvon or abandonm<nt excttds one (I) year, (ull kes shall be paid for a new permit. Fo aork olany manner shnll be done that will change ehe nawnl Oo. o( wat<r causing a drzinage pmbiem. (5) Conm<tor shall noGfy the Building Inspector iwrnty-four (23) hours m adcantt for all inspections end shall recene wnuen iqpprovai on mspecUOn card before proceeding with successive Dhues of Lhejob. (G) The iuuance of a p<rmit or tM1< appr ~al of Mwin~SS and specifintions shall nol be consvued to be a pemiil foq nor an apProval oL any riola~ion of the procisions of the building eode5 y other ordinance, hw, rWe or rcgulation. _ Chief B ding ns tor { ~X t 4 M~ 4 y ~ V c4 J 0 0 J. I'• 6 i a iJ 'fie: i..a.-. , _ . ~ ~ ~ _ a / C 91 t" ~ i /C ~ _D 4i -O ~ 1: L-1 w IXs x x r -C su U P Til -XV V ~ ~ L2 y S A n ~ c /1 r