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Home My WebLink About5700 W. 38th Avenuei CITY OF WHEAT RIDGE 1�9�Building Inspection Division (303) 234-5933 Inspection line 1(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: e"�� Qj() Permit Number: 1,��, k c. U -L:1 Cf -2 L) 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: 2 �' {' Inspector:= DO NOT REMOVE THIS NOTICE 2,.&r7®K1?y P?00t,361,4,4vfi 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 Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To A proval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover Unriprnrnimell nr Rough Inspections Date Inspector Initials , l liluvdo yr ineADOVe Inspections Comments Wall Sheathing Mid-Roof1 - Lath / Wall Tie Rough - - - - Rough Rough Plumbing/Gas Line Rough Mechanical 4 - - -- -- - -- 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 weep 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 rniinh incncr+inns fro n m L .-A C___ y the Building Division. • - -- --- ---...�................. �,. u o —OURL W IU CICI:LF IGdI IOW voltage Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather � ' 4' City of Wheat Ridge Residential Roofing PERMIT - 201706199 I PERMIT NO: 201706199 ISSUED: 08/16/2017 JOB ADDRESS: 5700 W 38th AVE EXPIRES: 08/16/2018 JOB DESCRIPTION: Residential Re -roof at 5700, 5702, 5704, and 5706 W 38th Ave to install GAF Timberline asphalt shingles - 21 sq *** CONTACTS *** OWNER (303)908-1852 BROYLES MARY SUB (303)840-9239 Adam Gondek 018174 Adam's Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,350.00 FEES Total Valuation 0.00 Use Tax 154.35 Permit Fee 172.60 ** TOTAL ** 326.95 *** 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. ."d Vr _]� 9 r PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201706199 201706199 ISSUED: 08/16/2017 5700 W 38th AVE EXPIRES: 08/16/2018 Residential Re -roof at 5700, 5702, 5704, and 5706 W 38th Ave to install GAF Timberline asphalt shingles - 21 sq I, by my signature, do hereb attest that th ork to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, d all applic municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of°the roperty and authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further att that I am ly authorized to include all entities named within this document as parties to the work to be performed and that al ork to be rmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of AWNER/bed NTRACTOR (Circle one) Date I This per. it was isson the information provided in the permit application and accompanying plans and specifications and is subjec o thecomplh those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This ermit shall exays after the date of issuance regardless of activity. Requests for extension must be made in writing and ived prior to thexpiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building ficial and may be a fee equal to one-half of the original ermit fee. 3. If this permit expireermit 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 issuanceo�g nting of a permit shall not b construed to be a permit for, or an approval of, an violation of any provision of any applicable code or. ppy ��or��d��inan ul n this jurisdiction. Approval of work is subject to field inspection. J�+w'M" Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz (o 170 6 I q l From: no-reply@ci.wheatridge.co.us Sent: Monday, August 14, 2017 2:39 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Categories: Danny -� Residential Roofing Permit Application (~ This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes LAY ovritvt 613`11 7 residential roof? How many dwelling units 3- or 4- Units are on the property? S?eo,5?p2i S?oq,0 PROPERTY INFORMATION Property Address 51-02 w3 8th ave Property Owner Name Mary ZG 177 Property Owner Phone 303-908-1852 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed bROYLES 5702.pdf Contract CONTRACTOR INFORMATION Contractor Business Adams roofing LLc Name � Z— Contractor's License 018174 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303 829 2852 46374 sunsetview way parker co 80138 Contractor Email Address adamsroofingl6@msn.com Retype Contractor Email adamsroofingl6@msn.com Address DESCRIPTION OF WORK TOTAL SQUARES of 21 / the entire scope of work: Project Value (contract 7350 value or cost of ALL materials and labor) 178 Are you re -decking the roof? Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No / No Yes 21 Gaf timberline Asphalt house,one layer, ice and water, 30 Ib felt, new metals and flashing 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 179 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant joseph morse/Adams roofing LLC Email not displaying correctly? View it in your browser. 180 46374 Sunset View Way Parker, CO 8013$. `F 6 ADAMS ROOFING, LLC (303) 840-9239 Commercial & Residential Fax (303) 840-9295 DATE: INSURANCE SCOPE AGREEMENT This -:agreement is subject to, Insurance company approval Ho'iieowner(sy(hereafter knout ds "th(j buyer") represent the property(s) at the address(s) or described as: (hereafter know as "the le - City Additional Information INSURANCE INFORMATION: Company: � .� ,i,Da,z� ,rf Storm Date: State Zip Code i,none Alt Policy #: Claim #: Agent: Phone: Fax: Scope or work is as outlined by homeowner's insurance adjustment summary (hereafter knew as "the work"). Adam's Roofing, LLC (hereafter know as "the contractor") will perform the work as checked below: ❑ Roofing ❑ Siding ❑ Gutters ❑ Windows ❑ Painting ❑ Other Terms and Conditions: I . This agreement does not obligate the buyer or the contractor unless payments for repairs and/or replacement has been approved by homeowner's insurance company and accepted by Adam's Roofing. By Signing this agreement the homeowner authorizes Adam's Roofing to pursue an agreeable replacement value for damages as specified above with no additional cost to the buyer except the deductible n ny agreed upgrades, payable to Adam's Roofing. Upon reaching an agreeable replacement value with` insurance comp(ny, tfa er authorizes the contractor to schedule and obtain labor and materials in accordance with agreed replacement value. (Initial) 2. The buyer understan s t re willbe no estimate given; only the replacement value offered by the insurance company will be the "contract price." (Initial) Payment is due as in accordance with the terms of this agreement. Additional terms are on the back of this agreement. Any changes or amendments to this agreement must be in writing. 1/We have carefully read this agreement in its entirety and agree be bound y itVter,,,-s and conditions. X BUYER'S RIGHT TO CANCEL: Buyer's Signature i You, the buyer, may cancel this transaction at any timeX prior to midnight of the third business day after the date Buyer's Signature of this transaction. See the attached notice of cancellation DATE: form on the reverse of this agreement for an &zplanation17 of this right. - X 46374 Sunset View Way Parker, CO 801,38 ADAMS ROOFING, LLC (303) 840-9239 /-7 Commercial & Residential Fax (303) 840-9295 DATE: INSURANCE SCOPE AGREEMENT This agreement issubject. to Insurance compony approval Homeowner(s)(�hered iter k ,bw as "the buyer") represent the property(s) at the address(s) or described as: (hereafter know as "the property") Street City State Zip Code HomePhone--,Cell Phone Work Phone Alt Additional Information: INSURANCE INFORMATION: Company: 'All ��r / C(— Storm Data Claim #: Fax: Scope or work is as outlined by homeowner's insurance adjustment summary (hereafter knew as "the work"). Adam's Roofing, LLC (hereafter know as "the contractor") will perform the work as checked below: ❑ Roofing ❑ Siding ❑ Gutters ❑ Windows ❑ Paintina ❑ Other Terms and Conditions: 1. This agreement does not obligate the buyer or the contractor unless payments for repairs and/or replacement has been approved by homeowner's insurance company and accepted by Adam's Roofing. By Signing this agreement the homeowner authorizes Adam's Roofing to pursu an agreeable replacement value for damages as specified above with no additional cost to the buyer except the deductible an any agreed upgrades, payable to Adam's Roofing. Upon reaching an agreeable replacement value with insurance company, t uyer authorizes the contractor to schedule and obtain labor and materials in accordance with agreed replacement value. (Initial) 2. The buyer understand th re will be no estimate given; only the replacement value offered by the insurance company will be the ,j "contract price. (Initial) Payment is due as in accordance with the terms of this agreement. Additional terms are on the back of this agreement. Any changes or amendments to this agreement must be in writing. 1/We have carefully read this agreement in its entirety and agree tbound byes terms arpd conditions. /1' X `,. BUYER'S RIGHT TO CANCEL: Buyer's You, the buyer, may cancel this transaction at any time X prior to midnight of the third business day after the date Buyer's of this transaction. See the attached notice of cancellation DATE: _ form on the reverse of thiagreement for an explanation of this right. X FA A i CITY OF WHEAT RIDGE Vr Building Inspection Division (303) 234-5933 Inspection line i��(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: S' 7 0 o W 3 8 -� ve. Permit Number: 2q t ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: al 1-7 Inspector: _ DO NOT REMOVE THIS NOTICE � ' 4' City of Wheat Ridge Residential Roofing PERMIT - 201706199 I PERMIT NO: 201706199 ISSUED: 08/16/2017 JOB ADDRESS: 5700 W 38th AVE EXPIRES: 08/16/2018 JOB DESCRIPTION: Residential Re -roof at 5700, 5702, 5704, and 5706 W 38th Ave to install GAF Timberline asphalt shingles - 21 sq *** CONTACTS *** OWNER (303)908-1852 BROYLES MARY SUB (303)840-9239 Adam Gondek 018174 Adam's Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,350.00 FEES Total Valuation 0.00 Use Tax 154.35 Permit Fee 172.60 ** TOTAL ** 326.95 *** 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. ."d Vr _]� 9 r PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201706199 201706199 ISSUED: 08/16/2017 5700 W 38th AVE EXPIRES: 08/16/2018 Residential Re -roof at 5700, 5702, 5704, and 5706 W 38th Ave to install GAF Timberline asphalt shingles - 21 sq I, by my signature, do hereb attest that th ork to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, d all applic municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of°the roperty and authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further att that I am ly authorized to include all entities named within this document as parties to the work to be performed and that al ork to be rmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of AWNER/bed NTRACTOR (Circle one) Date I This per. it was isson the information provided in the permit application and accompanying plans and specifications and is subjec o thecomplh those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This ermit shall exays after the date of issuance regardless of activity. Requests for extension must be made in writing and ived prior to thexpiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building ficial and may be a fee equal to one-half of the original ermit fee. 3. If this permit expireermit 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 issuanceo�g nting of a permit shall not b construed to be a permit for, or an approval of, an violation of any provision of any applicable code or. ppy ��or��d��inan ul n this jurisdiction. Approval of work is subject to field inspection. J�+w'M" Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz (o 170 6 I q l From: no-reply@ci.wheatridge.co.us Sent: Monday, August 14, 2017 2:39 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Categories: Danny -� Residential Roofing Permit Application (~ This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes LAY ovritvt 613`11 7 residential roof? How many dwelling units 3- or 4- Units are on the property? S?eo,5?p2i S?oq,0 PROPERTY INFORMATION Property Address 51-02 w3 8th ave Property Owner Name Mary ZG 177 Property Owner Phone 303-908-1852 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed bROYLES 5702.pdf Contract CONTRACTOR INFORMATION Contractor Business Adams roofing LLc Name � Z— Contractor's License 018174 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303 829 2852 46374 sunsetview way parker co 80138 Contractor Email Address adamsroofingl6@msn.com Retype Contractor Email adamsroofingl6@msn.com Address DESCRIPTION OF WORK TOTAL SQUARES of 21 / the entire scope of work: Project Value (contract 7350 value or cost of ALL materials and labor) 178 Are you re -decking the roof? Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No / No Yes 21 Gaf timberline Asphalt house,one layer, ice and water, 30 Ib felt, new metals and flashing 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 179 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant joseph morse/Adams roofing LLC Email not displaying correctly? View it in your browser. 180 46374 Sunset View Way Parker, CO 8013$. `F 6 ADAMS ROOFING, LLC (303) 840-9239 Commercial & Residential Fax (303) 840-9295 DATE: INSURANCE SCOPE AGREEMENT This -:agreement is subject to, Insurance company approval Ho'iieowner(sy(hereafter knout ds "th(j buyer") represent the property(s) at the address(s) or described as: (hereafter know as "the le - City Additional Information INSURANCE INFORMATION: Company: � .� ,i,Da,z� ,rf Storm Date: State Zip Code i,none Alt Policy #: Claim #: Agent: Phone: Fax: Scope or work is as outlined by homeowner's insurance adjustment summary (hereafter knew as "the work"). Adam's Roofing, LLC (hereafter know as "the contractor") will perform the work as checked below: ❑ Roofing ❑ Siding ❑ Gutters ❑ Windows ❑ Painting ❑ Other Terms and Conditions: I . This agreement does not obligate the buyer or the contractor unless payments for repairs and/or replacement has been approved by homeowner's insurance company and accepted by Adam's Roofing. By Signing this agreement the homeowner authorizes Adam's Roofing to pursue an agreeable replacement value for damages as specified above with no additional cost to the buyer except the deductible n ny agreed upgrades, payable to Adam's Roofing. Upon reaching an agreeable replacement value with` insurance comp(ny, tfa er authorizes the contractor to schedule and obtain labor and materials in accordance with agreed replacement value. (Initial) 2. The buyer understan s t re willbe no estimate given; only the replacement value offered by the insurance company will be the "contract price." (Initial) Payment is due as in accordance with the terms of this agreement. Additional terms are on the back of this agreement. Any changes or amendments to this agreement must be in writing. 1/We have carefully read this agreement in its entirety and agree be bound y itVter,,,-s and conditions. X BUYER'S RIGHT TO CANCEL: Buyer's Signature i You, the buyer, may cancel this transaction at any timeX prior to midnight of the third business day after the date Buyer's Signature of this transaction. See the attached notice of cancellation DATE: form on the reverse of this agreement for an &zplanation17 of this right. - X 46374 Sunset View Way Parker, CO 801,38 ADAMS ROOFING, LLC (303) 840-9239 /-7 Commercial & Residential Fax (303) 840-9295 DATE: INSURANCE SCOPE AGREEMENT This agreement issubject. to Insurance compony approval Homeowner(s)(�hered iter k ,bw as "the buyer") represent the property(s) at the address(s) or described as: (hereafter know as "the property") Street City State Zip Code HomePhone--,Cell Phone Work Phone Alt Additional Information: INSURANCE INFORMATION: Company: 'All ��r / C(— Storm Data Claim #: Fax: Scope or work is as outlined by homeowner's insurance adjustment summary (hereafter knew as "the work"). Adam's Roofing, LLC (hereafter know as "the contractor") will perform the work as checked below: ❑ Roofing ❑ Siding ❑ Gutters ❑ Windows ❑ Paintina ❑ Other Terms and Conditions: 1. This agreement does not obligate the buyer or the contractor unless payments for repairs and/or replacement has been approved by homeowner's insurance company and accepted by Adam's Roofing. By Signing this agreement the homeowner authorizes Adam's Roofing to pursu an agreeable replacement value for damages as specified above with no additional cost to the buyer except the deductible an any agreed upgrades, payable to Adam's Roofing. Upon reaching an agreeable replacement value with insurance company, t uyer authorizes the contractor to schedule and obtain labor and materials in accordance with agreed replacement value. (Initial) 2. The buyer understand th re will be no estimate given; only the replacement value offered by the insurance company will be the ,j "contract price. (Initial) Payment is due as in accordance with the terms of this agreement. Additional terms are on the back of this agreement. Any changes or amendments to this agreement must be in writing. 1/We have carefully read this agreement in its entirety and agree tbound byes terms arpd conditions. /1' X `,. BUYER'S RIGHT TO CANCEL: Buyer's You, the buyer, may cancel this transaction at any time X prior to midnight of the third business day after the date Buyer's of this transaction. See the attached notice of cancellation DATE: _ form on the reverse of thiagreement for an explanation of this right. X FA A i CITY'OF WkAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rn , j Job Address: Sitio L✓ -3 8 6 4"0 - Permit Number: 2 0 r'7 d&< 4 49 ❑ No one available for inspection: Time = D ® AM/19 Re -Inspection required: Yeso t When corrections have been made, call for re -inspection at 303-234-5933 Date: 8 31 Inspector: DO NOT REMOVE THIS NOTICE 1 C7 i A i CITY OF W=1EAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: w Permit Number: 2011 CL) ( 9 ❑ No one available for inspection: Time _AM Re -Inspection required: Yes ( When corre//c�tions have been made, call for re -inspection at 303-234-5933 Date: i l j Inspector: —7—D DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division ]~~(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: b~ Job Address: ~.i ~s >or Permit Number: _ [I No one available for insyeetior Re-Inspection required: Ves'/~ When corrections have been made Date: Inspector: DO NOT REMOV AM/PM for re inspection at 303-234-5933 NOTICE ;RMIT - 090884 PERMIT NO: 09088 JOB ADDRESS: 5700 DESCRIPTION:°Repla ***CONTACTS owner gc 970/215-6 ON: H AVE r can; Raise'O.H. :elec. Mary Bowles. )18 Aaron Dimitt FEE SUMMARY ESTIN Permit Fee 6 Total Valuation Use Tax 2 TOTAL c Conditions:-. Must comply w/ 2003 IRC & 2005 NEC. I hereby certify that the setback distances proposed by this f; contracto owner =.d nit was issued in accordance with the provisions: se Colorado and to the Zoning Regulations and Buildir °s of the City... Offi,ial ISSUED:.' 07./16/2009 EXPIRES: 01/12/2010 to 16 feet (from 10 ft) 09.0146 Dimitt Electric USE: UA BLOCK/LOT#: 0/:. PROJECT VALUATION.: 1,400.00: MON application are accurate, and do not violate applicable iants, easements or restrictions of record; that all read and agree to abide by all conditions printed on this .h the Wheat Ridge Building Code `(I.B.C) and all other subject to field inspection. .h'I in your application and is subject to the laws of the es of Wheat Ridge, Colorado or any other applicable or an extension must be received prior to expiration ding Official. one-half the amount normally required, provided no ifications and any suspension or abandonment has not abandonment iexceeds one (1) year,full fees shall flow of water causing a drainage problem. lours in advance for all'. inspections and shall receive salve phases of the job:: rations shall not be construed to be a permit. for, nor :odes or any 'other ordinance, law,rule or regulation.' SG OFFICE: (303)235-2855 INSPECTION THE FOLLOWING BUSINESS DAY. of WBE?T'Di City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 m Office: 303-235-2855 * Fax: 303-235-2857 Plan c TM o inspection Line: 303-234-5933 °colxPO Permit Building Permit Application Property Address!` 5-700 U), 3 ~~s Ze A D Property Owner (please print): MC, y ~O ( a,s Phone: Mailing Address: (if different than property address) Address: City, State, Contractor: / -ff e-- Contractor License Phone: F 2C3 215'-&(0 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): le-&c e- m !!-Fe.- e--v7 Construction Value: $ Yl `~D C7 Description of work;: tts 6 ,ea at (as calculated per the Building Valuation Data sheet) Etec--FP i Cµ' F-+ Fr ow 16"C - Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares 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 allconditions 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:: ,((OOJWNER) (CONTRACT R) or PERSONAL REPRESEN VE of ( WNER) (CO RATOR) PRINT NAME: ~ SIGNATURE: Date: O. 7500 West 29th Avenue The City of Wheat Ridge, Colorado Wheat Telephone 303/235-2846 Ridge DATE: July 2, 2003 OFFICIAL ADDRESS NOTIFICATION NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: PROPERTY OWNER(S): Steve Onstott6228 Yarrow St, Arvada. CO 80004 OLD ADDRESS: 5700 West 38" Avenue Wheat Rid2e CO 80033 NEW ADDRESS: Buildine 1• 5708 & 5710 W 38th Ave. Wheat Ridge, CO 80033 (duplex) Buildine 2• 5700 W 38' Ave Wheat RidQe CO 80033 (sinPle-family residence) BuildinLy 3• 5702 5704 & 5706 W. 38`" Ave.. W6eat Ridee, CO 80033 (tri-alex) SUBDIVISION: LOT(s) BLOCK PARCEL NUMBER: 39-251-00-004 NOTES: See attached survey document & parcel map. AUTHORIZED BY: DATE: 7^ Z` 0 3 DISTRIBUTION: 1. Property Owner 2. Jefferson County Assessor, ATTN: Data Control, ] 00 Jefferson County Parkway, Golden, 80419 3. Jefferson County Mapping, ATTN: Addressing, ] 00 Jefferson County Parkway, Golden, 80419 4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, 80033 5. Xcel Energy, ATTN: Correspondence, PO Box 840, Denver, 80201 6. Qwest Comm., Attn: Shirley Campbell, 12121 Grant Street, Room 601, Thomton, CO 80241 7. Comcast, Attn: Jon Alvino, 6793 W. Canyon Ave., #13C, Littleton, CO 80128 8. Water District: Wheat Ridge 9. Sanitation District: Wheat Ridge 10. Fire District: Wheat Ridge 11. Wheat Ridge Planning Division 12. Wheat Ridge Building Division 13. Wheat Ridge Police Department 14. Log File 15. Other: NOTE: Please notify all other parties concerned. 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" Wo ~'um~mplN~le~tm~c (illm Mx 97131 7500 WEST 29th AVENUE 237-6944 EXT. 255 P.O. BOX 638 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. PERMIT NO. M P q THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS CONTRACTOR ADDRESS PHONE 41-2 2 ' 9'9 ZIP CODE x'0033 CONTRACT PRICE $ 3-0 r i SPECIFY NORTH ZIP CODE tb63 3 _ STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT .a THIS APPLICATION WIL ni BE , COME PERMIT TO nn nays FROM PERFORM DATE E OF ISSUANCE OF WORK Y IS UPON NOT STARTED WITHIN H THATI TIME. INSPECTION DIVISION. ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE NO. STATE LICENSE NO. ALUMINUM WIRE UNDER SIZE B ILLEGAL FLOOR BSM I ST 2ND 3RD 4TH N0. FUEL%Cirtie One Gad ql Propane Cod Else Solar NO. WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Refri eront Group UTILITY(RANGE, DISPOSER, ETC.) AUTO. WASHER Pounds Charge FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS B CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER - 1 - MOTORS OVER I HP TOTAL FIXTURES REMARKS L b O 1 hereby acknowledge that this opplico- tion is correct and understand that I cannot start this project until this appli- cation is approved. I shall comply with the laws of the State of Colorado and to the Zoning Regulations and Building Code of the City of Wheat Ridge. Any violation of the above terms will couss immediate revocation of this permit. ~ 400eeanb 9 PERMIT FEE USE TAX TOTAL FEE CHIEF BUILDI ,City of Wheat Ridge Date Issued.. NOT VALID UNLESS RECEIPTED 001r-q q CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) INSPECTION TICKET JOB ADDRESS DATE: V" D BLDG. PERMIT# ~/l PER~/MIIITT~#y / BLDG. CONTR. Wr 'Ce R AL""'~ 0'/ llq SUBCONTRACTOR ~j DATE INSP. REQ.. TYPE OF INSP. -'I'~l`~'" S °'r INSPECTION MADE REMARKS IIV -42 INSPECTION TICKET JOB ADDRESS 7 !J-C/ r'? p4i 3 BLDG. PERMIT# 3L S6 DATE: PERMIT# BLDG. CONTR. (31',"'x' yZ/-//~G SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. * ul~ INSPECTION MADE ~S REMARKS W.R. FORM 6-19