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5890 W. 41st Avenue
J WO L/ "r t l 2oiio66 20 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/Typ, 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 Cnnr_rata Drier Tn A...........1 Ai TL_ w I- _ J --- -- ---- .-. .131310.11 .,1 111 Above inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover UncilP_rnrnunri nr Rnl.,...11.. 01..1.. ►ei_ Rough Inspections Date .wv"n Inspector it inials r „vl IV ,., �OVaI ur i ne Above Inspections Comments Wall Sheathing Mid -Roof 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 requ: one week in advance. For landscaping and parkin inspections call 303-235-2846. For ROW and drainag( 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 rouah incnartinnc aro n -1 -f -A f._....,, tL._ r:__ n by the Building Division. 1V- U 11V1i Ll lc nrt:� District and electrical low 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 - 201706620 HERMIT NO: 201706620 ISSUED: 08/25/2017 7OB ADDRESS: 5890 W 41st AVE EXPIRES: 08/25/2018 TOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 15 sq *** CONTACTS *** DWNER (303)940-1111 BAHRENBURG JAMES L 160209 All Angles Covered, LLC SUB (303)758-0505 Gordon Sessions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,104.00 FEES Total Valuation 0.00 Use Tax 170.18 Permit Fee 188.45 ** TOTAL ** 358.63 *** 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 required to comply with applicable codes and/or manufacturer installation instructions, chever is more stringent. In order to pass a final inspection of elastomeric or similar roof coverings, a letter of inspection and approval from the manufacturer technical '3entative stating that "the application of the roof at (project address) has been 1 in accordance with the installation instruction for (roof material brand name) ✓ering" is required to be on site at the time of final inspection. aspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd inspection report will be collected at final roof inspection performed by City of it Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge r� Residential Roofing PERMIT - 201706620 PERMIT NO: 201706620 ISSUED: 08/25/2017 JOB ADDRESS: 5890 W 41st AVE EXPIRES: 08/25/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 15 sq *** CONTACTS *** OWNER (303)940-1111 BAHRENBURG JAMES L SUB (303)758-0505 Gordon Sessions 160209 All Angles Covered, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,104.00 FEES Total Valuation 0.00 Use Tax 170.18 Permit Fee 188.45 ** TOTAL ** 358.63 *** 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. IV � A r City of Wheat Ridge Residential Roofing PERMIT - 201706620 PERMIT N0: 201706620 ISSUED: 08/25/2017 JOB ADDRESS: 5890 W 41st AVE EXPIRES: 08/25/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 15 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 m auth6nzed to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am�ally authorized to include all entities named within this document as parties to the work to be performed and thhtall we to l� p ormed is disclosed n this document and/oras' accomp7nying approved plans and specifications. /P �0 Signature of OWNER of�-MM MCTOR (Circle one) / Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divisio . 6. The issu. ce or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app o anyance t r ulation of this jurisdiction. Approval of work is subject to field inspection. "IMA -6 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 2017060 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 23, 2017 11:14 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION NLI Property Address 5890 W 41 st Ave Wheat Ridge Co 80212 Property Owner Name Jim Barrenburg Property Owner Phone 3039401111 Number (enter WITH dashes, eg 303-123-4567) 193 �3sa,61 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract dnvrCo58@aol.com Yes Jim Bahrenburg Signed Contract.pdf CONTRACTOR INFORMATION Contractor Business All Angles Covered Name D L Contractor's License 160209 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) 3037580505 3001 S monroe St, Denver, CO 80210 Contractor Email Address gordon@aacroof.com Retype Contractor Email gordon@aacroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 15 / the entire scope of work: Project Value (contract DO4 value or cost of ALL materials and labor) Are you re -decking the No roof? 194 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 oof 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� Yes / 15 squares 5/12 asphalt removed. Install Owens Corning Duration shingles Asphalt 5/12 for house and detached garage - 15 squares total SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 195 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 Gordon Sessions Email not displaying correctly? View it in your browser. 196 AL.L AtV�t.�rr3 GOiirC? ---- € OOFING ------ PmmlJContract Dum X20, Prrilxaeti �%Avmtted to jirn Bahrenburg -Job -W&vsN Ott i. x:ttic�n 15890 W. 41st Ave. WheW RkJgel2 S4»tae t illslc 1, Insttila -.n ofAnOwtros C: m iW I)wmmi %-'k I OR—Ni rcxsti item Your Cboiorrin cdor Est -Ate Ckay, :L "Tear-ott & W c mig 1 lalvm cA i unnaml m"P 4w B. :RepLuxatrvAxldedmig(t S53/4acv with?/lt'0'ill(r '#rapr . C I.t�~rtil pre -p weed nxti dnp a# at the tavt% and rake 11 Flash ptuffiitg and l AC: rem with sw I -And .txx� tlashiV, p crit to Mat& I:=,. Instvii 41v-Nv Ii x d 1' rwf ix vts ren hcxLw avid 1 rK-% G" Ncnt c4K- F. instill kv xxi Wutur 4w.4d at ea{ em, ? cera se G. WwAt RiW- pe ue cost pmxi" upon obrairrin mui will be i v itk" m iit3:vt irrvoir:t U. Gircu: W ISI E IIS til. C mwaAmH Mwuk 1"&-g pm rut raidWk-jbk: inspc"Mm li 61.4 (,4-vrd-,v& dean 1vla A ck . 41f<gAb, (.avtart"ms Ii"litti it ratx�. 17L I'riL-c tor iH a a s spt� -d with $7,1M t x Not for nm gtiftfs V74 IhNinmr to Ix" rt vk- 0) 0 1/l I lr Owed I11,4ter &-itisfied amTk'wm of the work. Any Atrrafim or &-%ixtkxr tnkm tfw Ix -)vv sptv„-et'reatlorvs (j,%-cr arxt atlxw e the :rr im" of tlx: wntnwt -win jxe awm an mara & to the htxtwm r. 11m, C r,)ntr.-t i sulwa to dv- UiincAIJ C ontraet 1`wm and CAXXhDOM COMMMA lVkM Gordon Smiona LLC 3001 dM, :b Dmver, Cowie CA Dhow 303 705 5 E=ate: -3o-3.757 634o Scanned by CarnScanner l i. e.:r.t.'n)Vr k,rrt tt, Pr.-a�uii a c'lp+ -4 Irr,taanc€ c 1--tim Rqutft to, i \t, pr,ou +th upfr n rec:trrt lt,. lea the extent Ain term or rmidition c.f thw t,eantract is gond, dle al, car unciif=trc.ealiie under in; .tire or kdrral ittd or ratttitt such vmd, illegal or uncnf.xceahle provision shalt be teemed stricken. but the balance of this 0--fitrart shall rernaorr to rttrc i It Prt-tpem' Owner's rn"rtp li:ntler rexiutre. that all of any J cortion of the payments osued by tar{,hoots t aw^ncr'- in ufan, t ompant be paid nt or retuned be the mortgage louder. tircrern ( Nv nvr ~hall remain liable: tear pATment of +uch arm•=uirr dirertln to , 1 M prtipd rn t hi ner represents that liropertd ( )wtter iscurrent on all moartgaw pacmcnts intruig on all mvrtg-atics own the Iiropert%. MANDAiC)RY COL,DRADO DISC>IDR)RES In Coit Mkt ttx r «iiia t:.t2 S. 3 to ?.?-lilt, ey. my. L AAC shall hold intrust any payment received from Customer until ting materials are onsite and work has begun. 2. AAC carries both general iiabtlity and workers competncatum trasuranre. General tralatdatr- isnurartce is pr tdiuct=d# by Signature `elect I.l.C;., 171ia 17t, 4t., Scute 1t)(). Denver. CA) 80-N)2 (301,t 534-4-%T Policy # C GIjKIS2itll (:use)mer rmat catncel this crintract and receive x hill refund of am Amounts pact at Cm"ztornces wile di,cretionn within ?2 hours of—ccutian ofth>;s contract. In nuntmems whereof purchaser =;} each aekru)wiedge receipt of a completed cope of thr- contract, and all disclosures can the day and year w°ntteo below. If yoau plan to rise the proceeds of a property and rasualts ttisurasicc pulses° to par- for the r(x)fing triads, you may resctnd this contract within 72 hours after you receive wit" notice from the prupertf and casualty irrsurer that your claim has been denied in whole or part. In the event of reseission, AM, is entitled too retain payments or deposits to compersxtr AAC for mofing, world acttuaUy performed in a workmanlike mariner coasiatent u}ntlt standard ro"fnnl; industry practices.. 4, d3EDVCITIAI_E. Your deductible is the pores -m oaf your claim that is not dowered by your insurance company. You, the insured, are resfwmsible for paying your deductible amount to A> C. Example; Your claim ctluals S10JR-W). If your deductible t, Sa(xt, the rnsurani a prONMIer trill pax S9,5t)en m total. leaving you, the insured, to pay the difference, $W) to AC. In co mpliancr u=th Colorado law. AAC cannot pay, waive. rebate, our promise to pay, waive, or rebate all or part of ant insurance deductibic applicable to the insurance claim for payment of roofing woark slit your property. As the insured, your portion oaf PATWwntr will lir your deductrltde, phis the cost of any upgrades or nptrtans r.rw choose that are not included to the—Scope of Work. i, Start dart will be ru) more than 181) days after contract date. Once the contract is executed and color chosen. AAC: will corder permits and material. to be delivered to the above listed biline. This prucesc is expected tt, take up to 2 hocks, Work is expected to be completed in a few days thereafter. SOLAR PAIVEL AND ACCESSORY 17EEM ADDENDUV 1, Customer agrees to take necessary steps to remove.. protect and reinstall all solar panels, conduit and satellite anwanas ("_lecessarr items') in order to properly protect and safeguard them during performance of the uvo rL 2. The Accessory Items imus -t be placed at a rmutuattt• agreeable steerage kacatum that will not interfere with the work of A.AC: 3, VAC shall have no responsibility for Accessory Item damage, kiss or peril. 4. AAC shall have no liability for Mss, damw or theft, or damage to drivewst" or other areas caused by the placement sir storage cif :such iternc. SPECIAL. ORDER M4TERIAISADDENDUM I. if t ustinner selects materials which require a spccial carder from A.Y.'s customary; supplier. payment of :itr-'q of the contract total vAH be required when the materials are delivered to the locatirm of the work. ^_. Customer will be responsible for all costs of special order rmatcrixtc, including any amounts winich are non-refundable upon cancelatioan or terrxrtrumon of the contact. 3. Customer is retpo asibk for an costs beyond the amount of the, R(,V associated with impact resimam shingles which may be required by Customer's insurance carrier folkatvang a had claim, AM". does not warrant the durability of impact resistant shingles.: ACCEPTANCE OFCONTRACT Iii ascot e{xxct,�.tlio�t> testa ands cYxsiticins hid tri uxi > acs+rr3.:r .ter # J L;` ie t: Atidumed lin da die wxxid x- t4•)edt cXi sus jyaVrr t %v-& IV muss' ton .-'l AJT-16- (.Tori I -Cas outimed akar ret, Scanned by CarnScanner In ADDITIONAL c NT RACT" TERMS AND CONDFT TOMS 11IL CFL}NIXA(„ 1` iii. T"i7-EL, « ALL .^1«.LES C.OVERE'D, IIA, C*AAC ' AND THE pROPLRTY t.3W4NER. CC*T'ittER"y IS St13JEC1-`1C3I'MiF0IAlt) N(;ADDr1io.NA.,Tr..RfS aIND10ttN.f3t`I`F%'�:'i. l.. Vit: rttas isrder a it ess materials.: l:xcu%s materials .r #ll tint. lac ctxatuetl alsaovc t(ir Contraact price. All excess materials belong tro AAC, If materials need to tae restocked or reordered due to a caacellatkin by fisc Customer, C ustomer win be responsitik- for all adkti konal IRE STocKI`Ci I -FA` of Rtth . �. ill materials are guaranteed as st-s cifieil_ All work, to be m4npleted in a workmanlikc manner according to industry -,tandards. AAC w-Arrants etc workmanship fit 5 yrars for ,any muff replacement anis gutter installamNn and I year on All repairs, MateriaLA are warranted by the trmazrut3cncrer purxaarit to nsanufactutcr s written warranty, _� �C will supply a Crsritptrtitin t,estiificate snzl manufacturer warrants` mformation Tipton receipt of payment its full. 1 Alterations or deviations €tarts approved specificamms resulting in additional labor or materials costs sa.A be executed curly upon uentien C hange � lydec Cusictner is respoirsibLe for the cost rtf all Change Orders above die cstmute and Cuctomees. obligation will not be limited to the amount of insurance deductible. All agreements and service datts contingent upon strikes.. accidents. or slats in eabtaining auterials, inclement uvarlier or rather causes ltet•�x cl AQC's reasonable contrta A. The Customer shall carry general public liability insurance and precrperty damage insurance (mcluding contents and touter personal pttsperty), fort All-risks, inclixting fire mike, tsarnasla lsaii yid and rain and all other insurance appropriatte for the Curt xner. ROOF REPAIRS OR REPLACEMENTS REQUIRE THE INTERIOR OF THE STRUCTURE BE EXPOSED TO THE ELEMENTS DURING 1UE PROGRESS OF THE WORK. AAC WILL USE C0I1#4ERCIALLY REASONABLE EFFORTS TO IDENTIFI' THE POTENTIAL FOR INCLEMENT WEATHER EVENTS AND TO PROTECT THE ROOF AND STRUCTURE DURING THE PROGRESS OF THE WORK BUT SHALL HAVE NO LIABILITY FOR ANY DAMAGES t AUSED BY WEATHER OR OTHER CAUSE& AA(- shall have no mponsitulity- fcor damage4 from rant, toniado. windstcrin. Bail, ice, ice darns. or other {soils, nor for any damage from nail poops, dnve%% r crackmg or below the roaf or to the interwo of the premises or any contents or perszortal ppm- located therein and the Cuistorner shall be responsible for propedl sakguardusg (and remov , if necessary) its property from the kobsar' i. Ceastcmier agrees that AAC will not be liable for any structural movement, settling cracks its dq- wall, or driveway flue to the perfcormanee of the work or the unloading; and loading of rnattrrals or equipment Ei. The Customer shall designare an area for: AC- to place trailers. dumpsrr`.rs, ear stored materials. T 11te dollar amount of the Contract is the amount approved by the Customer's insurance comp, any f RCVn fcor the scope of loss, pluscod-head and profit (rf aW_6-able), and any agrerd upgrades or extras—AN replacement € f damp 3 or deteriorated deckui& ftashin& roof jackets, fascia boar&, vents or father materials or corrgwnents, unless otherwise stated. in this Contract and approved by° the Property Owner's Insurance Company ate LXCLt`DED and if such work is r"Viested unill be charged to and paid by Customer as extra materials and labor, which amounts are in excess of insurance deductible. 8. Supplementalamounts Haid by the Insuraaace Ccmipans for additional lah.:or or materials above the original scope of repairs shall be paid directly tar AAC j i'iC: is not responsible- for pre-exiiiang tttitciitians or previous ;iecims, ctonstrueti on or manitenance conditwas or problems %lith the prermews; whether known or unknown at time of acceptance. AAC mat alert and inform the C;ustcsnier sin correcting any problems it mai observe. butAAC AC. has no such ctttligxtkjsa or re,pciisssts l ti. Iii Final pal -meat to AAO' is due upon substantial ccunpleti on of dW work, v;dioui iiriat- for any m5pec naris tts= city sir sottit t government Ial amittorines sir rathe r+. Am amounts not paid within fifteen qs3 days shall act -rue interest at the rate of eighteen percent (ITN) per annum €Tsars the due date, until paid. C:ustorrier -,hail be responsible for ati attorneys' fees, cost, and Iegal filing feat incurred by AAC to collect any amidst-, due tai° otherwise enf r e die tercets of thies (_ aofttrarr In the event of a legal proceeding arising out of this Contract, the prevailing party shall be awarded their attorneys' fees, acid i ossa: 11. :l ie tzc)mma is binding on the C us. ttotner fear all purposes upon execution on the reverse side of this Contract, so long as the Property Ownces Insurance Company approves the wont. Customer is not entitled to cancel this Agreement for any other reason except i€mandated by and its: strict compliance with CA -S, rt 4.:221 (41 et -f applitatalc. } 1 By std ' g this Contract, Customer represesim that s, is the owner of the ptvpertt on ugh the stork a beiail; prrfrormed and auth=orize; 'moi€: u; perfesrsn the work as approved And sprcifced by the property Owner's Insurance C:o pant . anis the Customer agree= t3 deliver to AACall Insurance Csxnpany pa3 eats on account of the waork, properly endorsed to the L {�niparif, uivnesliately upon receipt, and to otherwise pay- to AAC all other ansotsnts, including the deductible pCit 4m, if applicable, or for extra. work i mt atelu upon receipt of invoice. 11 The prninisions limiting out (if pocket e=xpenses to the amount of property Owner's insurance deductible applies only to the wxarl: as approved and pecihtd lit the property (3wner`s Insurance Company identified on the reverse sine of dos Contract, and ns.t to any extra wYork or upgrnades. and not to any t -,Tots, expetisees ear legal £ets 14. This Contrza t ontauis the mum agreement between the partici and tray be changed oah by a written tastrument died by, all parties :111 lariesr roe rtiatiroitc rtatertienrs or rrpreseaitatrsuis shxA be +yearned merged herein and shall wit be relied on and d=, trot .survive the execution of this Contract. If arty provision of this Contract should be held to, be invabd or unenforceable, the valulov and cribbircealtility of the rcrraairsing iirrsvisu,ris shall not be affected thereby. Scanned by CamScanner i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:�� Job Address: �r�tPD �J / s ,. ve Permit Number: 219/'2D 0 ❑ No one available for inspection: Time `"' ,A VPM Re -Inspection required: Yes j 0 When corrections have been made, call r re -inspection at 303-234-5933 DateInspector: Date: r DO NOT REMOVE THIS NOTICE s ®�' CITY OF WHEAT RIDGE op� ' Building Inspection Division �5 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Ir r «7C Job Address: SY /{ue Permit Number: ❑ No one available for inspection: Time 5 AM /PM Re- Inspection required: Yes j Nod "When corrections have been made, call for re- inspection at 303 - 234-5933 Date: S�_ !' J Inspector: - _ DO NOT REMOVE THIS NOTICE Citv of Wheat Ridge D : 101134 3SS; 5890 W 41ST AVE [ON: Reroof 14 sqs with 30 yr EXPI mkoshingles lul 1L.34 05/05/2010 11/01/2010 Use Tax 75.60 TOTAL 220.30 39 Sam Jones Roofing UA T#; 0/ LUATION: 4,200.00 ed from eave edge to ible this i W RISWUBL516 MU-'�*i BE ivL-JJZ BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 11"IF 7 City of Wheatl dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application ProjiertyAddress >& tj Property Owner (please print): haw S �wGtret✓ 64' q' Ph Mailing Address: (if different than property address) Address: Date: Plan # Permit # 723� City, State, Zip: Contractor: �aw- �pC�C l�^-5/ Contractors City License #: Phone: Electrical: Plumbing: City License # City License # Mechanical: City License # D,escrlp� ion= o�work cvwo Old 00 Coptr�ct�V�l�e: �5 1i a�'zo ` 11 Review Fee (due at time of submittal): Squares ` BTU's Gallons Amps Sq Ft. $ 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 compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application;. that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am . also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: ( O (C _ (AUTHORIZED REPRESENTATIVE) oj. R) {CONTRACTOR) PRINT NAME: Jr'"�" y ��^-G5 SIGNATURE • _ DATE: /© a f� eG ' ,f ,�` ice✓ "l' .<-; �utLatNa oe�M�rco�M�rs�,� r r PUBLIGYVORKS COTiAMEN7S � 's �� Reviewer � z � ,� y�FiRl: D�PARTMENT �O ?ppl9�e� �u/ cop)ras r "Bldg Valuation: City of Wheat Ridge Residential Electric PERMIT - 060248 PERMIT NO: 060248 ISSUED: 04/18/2006 JOB ADDRESS: 5890 415T AV EXPIRES: 10/18/2007 DESCRIPTION: service change, re-trim-in house, repl. def. garage wire CONTACTS gc303/550-3539 Scott Jackson 02-0497 High Country Electric Service owner Jim Bahlenburg PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA . BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,000.00 FEES Permit Fee 90.10 Total Valuation .00 Use Tax . 36.00 TOTAL 126.10 ~l Comments: service change, re-trim devices - plug and switch, defective garage wire Must meet 2000 NEC I hereby certify that tfie 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 cwenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and a9ree to abide by all conditions printed.on this application and that I assume full responsibility £or compliance with the Wheat Ridge Building Code (I.H.C) and all other appl.i,~,able Wheat 5id*'\Ordinances, for work under this peimit. Plans subject to field inspection. 1 2. 3. 4. 5. 6. This permit was issued in accordance with the provisions set forth in your applicaCion and is subject to the laws of the State of Colorado andto the Zoning Regulations and Building'COdes of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) thebuildin9 authorized is suspended or abandoned for a period of 180 days. If this pennit expires, a new permit may be acguired for a fee of one-half the amount normally required, prwided no changes have been or will be made in tfie original plans and specifications and any suspension or abandonment has not . exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, Pull fees shall be paid for a new permiC. No work of any manner shall be done that wiil change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediag with successive phases oE the job. . . The issuance of a pesmit or the approval of drawings and specifications shall not be construed to be a pezmit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review i._t;A~ ct to ~ ctions. ' Signature of date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADEBY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. pF WHEqp , e a ~ o CltyOf Wheat Rtdge Building Permit Number: ~ ^ Community Development Department oace: C~LORPOO O AHNOR BCdILDINCC" eE~E&Wl ~~PL.5 V L%_'R TION Property Owner. k M vj`~ PropertyAddress: p`gq~ C.9 , ft~-P' Phone: ConlractorLicenseNo.: Company: c~)of~" CvolC, zsU V l(,-Q.. Phone: OWNER/CONTRAC70R SIGNATURE OF UNDERSTANDING AND AGREEMEN7 I Buildina Dept Valuafion Figure: $ 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 Value:$ d Wheat Ridge or covenants, easements or restrictions of record; thatall measurements shown, and allegations made are accurate; that I have read and agree to abide by all Permit Fee:$ conditions printed on this apptication and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all otherapplicable Wheat Plan Review Fee:$ Ridge Ordinances, for work under this permit. P/~lans subject to Fleld inspectfon. (OWNER)(CONTRACTOR):SIGNED d i'l "`="ATEqA7 jJSe T8X'$@ TOt~:~V (OWNER)(CONTRACTOR):PRINTED - - DATE Use of Space (description): S~ C) Description of work: ^ J~ ~p \r~~ ' ~ SQ. Ft. added ckcl'. _ ( V p ~ • .•,.`~~C~. cffm6,p- ~ V• BUII.DING DEPARTMENT USE ONLY SIC: Sq.Ft.: ONING COMMENTS: ApprovaL. . Zoning: COMMENTS: Approval: WORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of W heat Ridge, Colorado or any other applicable ordinances of the City. - (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the originai plans and speciFcations and any suspension or abandonment has not exceeded one (1) year. li changes have been or if suspension or abandonment exceeds one (1) year, tuli fees shali be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage pro6lem. (5) Contractor shall notify the Building Inspector hvenly-four (24) hours in advance for all inspections and shail receive written approval on inspection card before proceeding with successive phases of the jo6, . (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the buiiding codes or any other ordinance, law, rule or regulatlon. All plan review is sub)ectto#ield inspections.. Chief Building Official COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: \,':Md ~"'~Sr ~~T~/ v4,°if'~.vi.✓~ ,L~~.P7i'h!~~~ When corrections have been made, call for r-inspection at 303-234-5933. 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