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Home My WebLink About8005 W. 45th AvenueOur city License is b 210044. Thank you, Brook On Tee May 18, 2021 at 12:19 PM CommDev Permits <Pemits@ci wheao- dee cc us wrote Good afternoon, You will either need to register as a contractor witls the Qty of Meat Ridge or provi de your city license number. I have provided the link to He registration page on our website below. License ApplicatorA9 Thank you and be safe) Justin Berry Building Division Office Phone 303-2352855 Office Hours:7 am—Orn �WCity of From: no reblv&i wheao- dee co us <no reblv&i wheamage cc us Scott: They day, May 18, 2021 12:02 PM To: CommDev Permits <Pemits@ci wheatridee co Subject: Online Form Submittal: Residential Window/Door Replacement Permit TO claims., Pe,mRa rocown x oacenam a"n aRrayn rate: Tueadas May 18, 20214 15 32 AM Our city License is b 210044. Thank you, Brook On Tee May 18, 2021 at 12:19 PM CommDev Permits <Pemits@ci wheao- dee cc us wrote Good afternoon, You will either need to register as a contractor witls the Qty of Meat Ridge or provi de your city license number. I have provided the link to He registration page on our website below. License ApplicatorA9 Thank you and be safe) Justin Berry Building Division Office Phone 303-2352855 Office Hours:7 am—Orn �WCity of From: no reblv&i wheao- dee co us <no reblv&i wheamage cc us Scott: They day, May 18, 2021 12:02 PM To: CommDev Permits <Pemits@ci wheatridee co Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 8005 W 45TH AVE Property Owner Name Peter Gee Property Owner Phone 3035213960 Number (enter WITH dashes, eg303-123-456') Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** oermittina() prem ierservicearo.com CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City NW Extreme Installers 100111811791111015A of Wheat Ridge) Contractor Phone 8555107827 Number (enter WITH dashes, eg303-123-456'7) Contractor Email Address perm ittina(a)aremierservicearD corn Retype Contractor Email perm ittinaQpremierservicearp corn Address DESCRIPTION OF WORK What is being replaced Doors Number of window 1 and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. front entry G7FS.7.MITI .t� Attach copy of aee soecs2 Ddf window/door cut sheets showing sizes and u - value Project Value (contract 1311.66 value or cost of ALL materials and labor) I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have 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. Person Applying for Brook Leslie Permit Email not displaying correctly? View it in your browser. Permit Team Leann 1-(855)-510-7827 ext115 Brook 1-(855)-510-7827 ext 135 Millworks 1-(855)-510-7827 opt. 2 ❑O City of Wheat Ridge E -Res. Window Replacement PERMIT - 202100999 PERMIT NO: 202100999 ISSUED: 05/19/2021 JOB ADDRESS: 8005 W 45th Ave EXPIRES: 05/19/2022 JOB DESCRIPTION: Replacement (1) front entry door .18 u -factor / .08 SHGC *** CONTACTS *** OWNER ( 3 0 3) 521-3 960 GEE PETER SUB (971)803-7151 RICHARD SMOTHERS 210044 PREMIER SERVICES GROUP *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11311.66 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 27.54 ** TOTAL ** 77.54 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Window Replacement PERMIT - 202100999 202100999 ISSUED: 05/19/2021 8005 W 45th Ave EXPIRES: 05/19/2022 Replacement (1) front entry door .18 u -factor / .08 SHGC I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include al entities entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 05/19/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `"� 0 9- P, n A I Job Address: rs o o s— w y s- A -,e Permit Number: -do � q r) o ❑ No one available for inspection: Time QXR Re -Inspection required: Yes �o When corrections have been made, call for re -inspection at 303 -234- Date:—(. - 03 -234 -Date:` t/ 1 S Inspector: —T-1� DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4 Q�q F " Job Address: g Q�D5- W L4 S - Permit Number: aO 1 O ! 3 0 111111111,111 — [�.0—��. ±�r. :r_►� rpt . t.�'� ) NSD-P,ct",C___,r.) Or1j)c_-.s -w Cbr�ou ❑ No one available for inspection: Time 6 PM Re -Inspection required. DYe No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: t_22)T DO NOT REMOVE THIS NOTICE I �.� i CITY OF WHEAT RIDGE 1 - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ��_� �`'` A 00-�, Job Address: °^� Permit Number: 2010 63;92- �y]1 LlNo one available for inspection: Time t AM�PM Re -Inspection required: Yes Ao / When corrections have been made, call for re -inspection of 303-234-5933 Date: t 6 ' **j Inspector vl,& !-OV A DO NOT REMOVE THIS NOTICE ! r City of Wheat Ridge Residential Roofing PERMIT - 201801302 l PERMIT NO: 201801302 ISSUED: 05/07/2018 JOB ADDRESS: 8005 W 45th AVE EXPIRES: 05/07/2019 JOB DESCRIPTION: Reroof remove and install Asphalt Storm Series Shingles with 22 squares. Pitch 5/12. House Only. *** CONTACTS *** OWNER (303)521-3960 GEE PETER SUB (303)789-1107 Steve Kuhlman 021574 COLORADO PREMIER ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201801302 PERMIT NO: 201801302 ISSUED: 05/07/2018 JOB ADDRESS: 8005 W 45th AVE EXPIRES: 05/07/2019 JOB DESCRIPTION: Reroof remove and install Asphalt Storm Series Shingles with 22 squares. Pitch 5/12. House Only. 1, 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 and tha all work to be performed i di closed in this document and/or its' acco panying approved plans and specifications. Signature of OWNER or CONTRACTOR (Cirele one) Date i I , This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applic5pllke code or any f9dinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chiet Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. is Reimer From: no-reply@ci.wheatridge.co.us Sent: Monday, May 7, 2018 10:31 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 Property Address 8005 W. 45th Ave. Property Owner Name Peter Gee Property Owner Phone 303-521-3960 Number (enter WITH dashes, eg 303-123-4567) /` / hs 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 GEE.pd Contract CONTRACTOR INFORMATION Contractor Business Colorado Premier Roofing Name Contractor's License 021574 ,✓ Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-789-1107 Number (enter WITH --- dashes, eg 303-123-4567) Contractor Address 11652 W. Hampden PI. Lakewood, CO 80227 (Primary address of your business) Contractor Email Address coloradopremier@hotmail.com Retype Contractor Email coloradopremier@hotmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 22 the entire scope of work: Project Value (contract 8000 value or cost of ALL materials and labor) Are you re -decking the C No roof. Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or N both? (check all that apply) What is the specific pith 5/12 of the PITCHED roop How many squares are,/ 22 part of the PITCHED roof? Describe the roofing Asphalt Storm Series 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? Etc) Asphalt House only - no shed or carport 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 3 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 Beth Shull Email not displaying correctly? View it in your browser. City of Wheat Ridge ` Residential Roofing PERMIT - 201708485 PERMIT NO: 201708485 ISSUED: 10/20/2017 JOB ADDRESS: 8000 W 45th AVE EXPIRES: 10/20/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 26 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)642-5861 SIMONSON JUSTIN R SUB (303)789-1107 Steve Kuhlman 021574 COLORADO PREMIER ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,500.00 FEES Total Valuation 0.00 Use Tax 367.50 Permit Fee 331.10 ** TOTAL ** 698.60 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201708485 PERMIT NO: 201708485 ISSUED: 10/20/2017 JOB ADDRESS: 8000 W 45th AVE EXPIRES: 10/20/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 26 sq Pitch = 5/12 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 an 1 rk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sign lure of OWNER X�TRACTTV(Circle one) Da{e " p 1, his permit was issued bas��e --on--t�h�e---m—normation provided in the permit application and accompanying I,lans and specifications and is Sign to the compliance with those documents, and all applicable statutes, ordinances, regulations, po ides 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 originalpennit 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 granti!!R of apermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or nance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. RESIDENTIAL ROOFIN 11652 W. Hampden Place Lakewood, Colorado 80227 owners Name: Office... 303.789.1107 Owner's Address: Justin Simonson 8000 W. 45th Ave. Fax...... 303.789.1106 owner's Ctryc owners Zip Code: Fax P Owner's Phone: - Owner's Work Phone: Wheat Ridge 80033 303-642-5861 www.coloradopremierroofing.com Project Name & Address: 8000 W. 45th Ave. Wheat Ridge, CO 80033 Email: and la the Owner(s) t the premises described above authorize Colorado Premier Roofing, hereinafter referr d.to as 'Contractor", to furnish a l materials and labor necessary to roof and/or improve these premises according to the following terms, specifications and provisions: PROPERTY OWNER IS INTENDING TO MAKE PAYMENT FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POUCY..... a. Scope of Roofing Services and Materials to be Provlded�. FerState Farm Insurance -Claim #061567606 / INITIALS Main HouMtAaSL�___ Remove existing shingles, felt and all roof relateditems�er insurance claim Install felt Owens Comino Tru Definitino l ,re :__,__ __, _„ R & R Gut1edDownsQout- up to 5"ver insurance Gaim --- ----------------- -- -- ___-__ Remove existingshingles�feltandallroofrelateditemsperinsuranceclaim _ _-_ _19 -stall felt shiingles and all roof related itemsQer in claim - -- — -- —_ -- R & R vin I sidtnaperinsuranceclaiin ---- - - -- --- -- - ----------- --- ------_.--.___Shin Ie Color: t — -- GutterColor: la2idL2rE— _ _ Appro_ximateSumdoesNOTincludesupplementsthatma bebllledto - ------ —Y——ypurinsurence companyfor gym _ lorado PremierRookr1%§upplemernstoincludebutnotlimitedto:Huildin�Cgdere uiremems,PermRFee - b. Description of any areas that will NOT be worked on: _ ----- --------__-________Additionalstoragebuildingwindowspaintin _ This list of specdiwtions may be continued --------- c. Approximate Costs of the Services for Damage Known at This Time: Contract 4 will perform the abo e,�(sub!et)to any additions and/or deductions pursuant to authorized change orders), for the Approximate Sum of $22.1 Q g Down Payment (if any) $1.000.00 INSURANCE: THIS AGREEMENT CL NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY TO R SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE, PLUS ANY UPGRADES CHOSEN OR ANY NON COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE (ACTUAL CASH VALUE OF THE WORK) IS PAID BY YOUR INSURANCE COMPANY PER FINAL LOSS INVOICE. ALL PROCEEDS FROM THE INSURANCE COMPANY INCLUDING, BUT NOT LIMITED TO, PROCEEDS FOR SUPPLEMENTAL CLAIMS MADE BY CONTRACTOR ON BEHALF OF OWNER, PROCEEDS FOR PROFIT 9, OVERHEAD, AND PROCEEDS FOR RECOVERABLE DEPRECIATION, ARE GIVEN IN PAYMENT FOR THEWORK OF CONTRACTOR AND OWNER AGREES TO TIMELY, (WITHIN 24 HOURS OF RECEIPT BY OWNER), REMITALLSUCH PROCEEDS TO CONTRACTOR. PER COLORADO SB38, CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. d. Approximate Dates of Service: Substantial commencement of work shall mean either the physical delivery of materials onto the premises or the Performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side. Approximate Start Date: June 5, 2017 Approximate Completion Date: June 10, 2017 e. Acceptance: This contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges. Additional Provisions Of This Contract Are On The Reverse Side And May Be Continued On Subsequent Pages (see page number below). Read "Arbitration of Disputes" provision on page two (2), provision 12 and the NOTICE following this provision. If you agree to arbitration, initial on the line below the TIME wh to indicated. Also, initial in the sa7plao EACH COPY of this contract. CANCELLATION POLICY - Your right to cancel this contract is limited to the following: Approved and accepted (owner) e l You, the Buyer ma can I hi approved and accepted (owner)/,� - as k«� — mays / appr6ve81c ractorj �—� date rior to midnight of the thirdbusinessday after the dattransaction at any e ofthis transaction. See the attached Notice of Cancellation form for an explanation of this right. NOTE: Form RC31-C Copyright 0 1996-2012 ACT Contractors Forms (800) 820-5656 www.caiform.com be withdrawn or renegotiated after 3 F not approved and signed by BOTH parties. Page ONE of 2 Total Pages Summary of Loss Named Insured: Jmfi. S. -- Claim Number: 061587-Bce Coverage A - Dwelling Lima of Liability: $ Coverage A - Dwelling Extension Lima of Liability: $ Description Amount State -farm -Estimate, $ 27.504.82 Total Coverage A: $ 27,5D4.'-2 Coverage B - Personal Property Lima of Liability: b Description Amount Contents Summary b 3.09848 Total Coverage B: $ 3,09848 Coverage C - Loss of Use Limit of Liability: $ Total Coverage C: $ a30 Other Coverages (if applicable) Total Other Coverages (if applicable): $ 0.00 Payments Made Comments I Supplements Coverage A+B+C Total: $ 30,80330 Other Coverages (a applicable): $ 0.00 Total All Coverages: S 30e0330 — —01 Less Recoverable Dep. Cov. A: $ 4.7se as Less Non -Recoverable Dep. Gov. A: $ _ - Lass Recoverable Dep. Cov. B: Less Non -Recoverable Dep. Cov. B: Less Ordered Items (SFRS) Cov. B: S - r - Subtotal: $ 24,993.39 Less Deductible: $ O 0C Less Amounts Over Limit(s): $ X, Less Ordered Items: $ �- Less Owner Retained Salvage: $ - - Total Payable: $ 24.993.99 Less Total Payments Made: $ 000 Net Payment $ 24.99339 S d Alen 51152017 Signature Oafs SIMONSON, .JUSTIN State Farm P.O. Box 106169 Atlanta, GA 30348-6169 Fax: 1-844-236-3646 statefannfireclaims@statefarrn.com Structural Damage Claim Policy When you have a covered structural damage claim to your real property, you should know: 06-1567-6C6 • We want you to receive quality repair work to restore the damages to your property. • We will provide you with a detailed estimate of the scope of the damage and costs of repairs- Should the contractor you select have questions concerning our estimate, they should contact your claim representative directly. • Depending upon the complexity of your repair, our estimate may or may not include an allowance for general contractor's overhead and profit. If you have questions regarding general contractors overhead and profit and whether general contractor services are appropriate for your loss, please contact your claim representative before proceeding with repairs. • There may be building codes, ordinances, laws, or regulations that affect the repairs of your property. These items may or may not be covered by your policy. Please contact your claim representative if you have any questions regarding coverage which may be available under your policy. - If you select a contractor whose estimate is the same as or lower than our estimate, based on the same scope of damages, we will pay based upon their estimate. If your contractor's estimate is higher than ours, you should contact your claim representative prior to beginning repairs. • State Farm® cannot authorize any contractor to proceed with work on your property. Repairs should proceed only with your authorization. • State Farm does not guarantee the quality of the workmanship of any contractor or guarantee :hat the work will be accomplished within any specific time frame. • It is understood that the contractor is hired by you, our insured, and that they work for you - trot State Farm. If you have any questions or need additional information regarding your claim, please contact your claim representative immediately. Datc: 5/15/2017 8:45 PM 132214-1 06-I8-2009 Page: I State Farm SIMONSON; JUSTIN 06-1567-6C6 Insured: SIMONSON, JUSTIN Estimate: 06-1567-6C6 Property: 8000 W 45th Ave Claim Number: 0615676C@ Wheat Ridge. CO 80033-3207 Policy Number: 06 -CC -K726-1 Cellular: 303-642-5861 Price List: CODE28_MAY17 Type of Loss: Hail ResloralioruService/Remodel Deductible: $3.00 Date of Loss: 5/8/2017 Date Inspected: 5/15!2017 Summary for Coverage A - Dwelling - 35 Windstorm and Hail Line Item Total Material Sales Tax Subtotal General Contractor Overhead General Contractor Profit Replacement Cost Value (Including General Contractor Overhead and Profit) Less Depreciation (Including Taxes) Less General Contractor Overhead & Profit on Recoverable & Non-recoverable Depreciation Less Deductible Net Actual Cash Value Payment Maximum Additional Amounts Available If Incurred: Total Line Item Depreciation (Including Taxes) 3,959.40 General Contractor O&P on Depreciation 791.94 Replacement Cost Benefits Total Maximum Additional Amount Available If Incurred Total Amount of Claim If Incurred 22,266.68 653.96 22.920.64 292.09 2,292.09 27,504.82 (3.959.40) (791.94) (0-00) $22.753.48 4.751.34 4,751.34 $27,504.82 Allen, Stuart 866-787-8676 x 4769 ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND LIMITS OF YOUR POLICY. r Date: 5/15/2017 8:45 PM Page: 2 State Farm SIMONSON,. JUSTIN 06-1567-6C6 Source - Eagle View Source - Eagle View „rte -r Roof t) JRmf R9 t) 3i 1' Ana- T QUANTITY UNIT PRICE 1,803.41 Surface Area 173.80 Total Perimeter Length 133.74 Total Hip Length 18.03 Number of Squares 37.60 Total Ridge Length TAX GCO&P RCV AGF/IAFF. DEPREC. ACV CONDITION DEP % 1. Remove Tear off, haul and dispose of comp. shingles - 3 tab 18.03 SQ 49.03 0.00 176.80 1,060.81 1,060.81 2. Remove Add. layer of comp, shingles, remove & disp. - 3 tab 36.07 SQ 31.38 0.00 226.38 1,358.26 1,35826 3. Drip edge 173.80 LF 1.98 8.90 70.60 423.62 10/35 yrs (121.04) 302.58 Avg. 28.57% 4. 3 tab - 25 yr. - composition shingle roofing - _ncl. felt 21.00 SQ 211.40 154.59 918.80 5,512.79 10/25 yrs (2,205.12) 3,307.67 Avg. :0.00%n 5. Roof vent - off ridge type - 4' 1.00 EA 91.94 2.35 18.86 113.15 10/35 yrs 132.32) 80.83 Avg. 23.57%n 6. Flashing -pipe jack - 6" 3.00 FA 46.82 4.80 29.06 17.4.32 10/35 yrs i49.80) 124.52 Avg, 28.57% 7. Flashing -pipe jack - 8" 1.00 EA 56.82 2.40 11.84 71.06 10/35 yrs (20.30) 50.76 Avg. 28.57%n 8. Flashing- pipe jack 5.00 EA 34.13 292 34.72 208.29 10/35 yrs (59.51) 148.78 Avg. 28.57% 9. R&R Rain cap - 4" to 5" 3.00 EA 33.69 3.48 20,92 125.47 10/35 yrs (35.85) 89.62 Avg. _857% 10. R&R Flue cap 1.00 EA 121.85 6.56 25.68 154.09 10/18 yrs 85.60) 68.49 Avg. 55.56%n 11. Clothes dryer vent cover 2.00 EA 37.04 1.01 15.02 90.11 10/30 yrs (30.03) 60.08 Avg. 33.33% 12. Detach & Reset Television antenna 1.00 EA 89.66 0.00 17.94 107.60 107.60 13. Roofer -per hour 1.25 HR 115.02 0.00 28.76 172.54 172.54 Labor to work around swamp cooler and cooler lines. Date: 5/15/2017 8:45 PM State Farm SIMONSON, JUSTIN 06-1567-6C6 CONTINUED - Roof QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDTPION DEP % Totals: Roof 187.01 1,595.38 9,572.11 2,639.57 6,93254 Metal Roof j 220.76 Surface Area 2.21 Number of Squares .-I R- = 33.53 Total Perimeter Lcngth QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 14. R&R Metal roofing - ribbed - 26 gauge - up to I" 220.76 SF 5.38 2420 242.38 1,454.27 10/75 yrs (193.91) 1,260.36 Avg. 13.33%n �5. R&R Flashing, 14" wide 32.00 LF 3.73 2.74 24.40 146.50 10/35 yrs (41.86) 104.64 Avg. 38.57%n 16. R&R Gable trim for metal roofing - 26 gauge 10.00 LF 6.09 2.02 12.58 75.50 10/75 yrs (10.07) 65.43 Avg. 13.33% Totals: Metal Roof 28.96 279.36 1,676.27 245.84 1,430.43 ~, 1 Garage Roof 1,484.19 Surface Arca 14.84 Number of Squares J207.98 Total Perimeter Length 23.73 Total Ridge Length 43.00 Total Hip Length Cru Rw 1 rv- �xr•r QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDITION DEP % IT Remove Tear off, haul and dispose of comp. shingles - 3 tah 14.84 SQ 49.03 0.00 145.52 Date: 5/15/2017 8:45 PM 873.13 873.13 Page: 5 State Farm SIMONSON. JUSTIN 06-1567-6C6 CONTINUED - Garage Roof QUANTTTY UNIT PRICE TAX GCO&P RCV AGE/LWE DEPREC. ACV 0.00 SF Walls 0.00 SF Ceiling CONDITION DEP % 18. 3 tab - 25 yr. - comp. shingle roofing - w/out fell 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 16.33 SQ 184.84 111.51 625.98 3,755.93 2/25 yrs (300.48) 3,455.45 GCO&P RCV AGE/LIFE DEPREC- ACV Avg. 8.00% 19. Roofing fell - synthetic underlayment CONDITION DFP 24. R&R Gutter - aluminum - up to 5" 16.33 SQ 35.70 18.79 120.36 722.13 2/20 yrs (72.22) 649.91 694.77 Avg. 10.00% 20. Roof vent - turtle type - Metal 162.00 LP 1.26 6.00 EA 50.17 6.92 6158 369.52 2/35 yrs (21.12) .148.40 Avg. 33.33% Avg. 5.71% 234.44 21. Flashing - pipe jack 546.07 860.54 Date: 5/15/2017 8:45 PM 1.00 EA 34.13 0.58 6.94 41.65 2/35 yrs (2.38) 39.27 Avg. 5.71% 22. Digital satellite system - Detach & reset 1.00 EA 36.26 0.00 7.26 43.52 43.52 23. R&R Roof window (skylight). 6.1 - 9 sf 2.00 EA 751.61 99.20 320.48 1 _. 0 2/18 yrs (=13.66) 1,70J 24 Avg. 11.11% Totals: Garage Roof 237.00 1,288.12 7 8 = 609.86 7,11892 Arca Totals: Source -Eagle View 1,850.23 Exterior Wall Area 3,508.36 Surface Area 35.08 Number of Squares 830.62 Twal Perimeter Length 61.33 Total Ridge Length 176.74 Total Hip Length Total: Source - Eagle View 452.97 3,162.86 18,977.16 3,495.27 15,481.89 Gutters 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC- ACV CONDITION DFP 24. R&R Gutter - aluminum - up to 5" 162.00 LF 5.79 26.96 193.00 1,157.94 10/25 yrs ;463.17) 694.77 Avg. 40-00% 25. Prime & paint gutter / downspout 162.00 LP 1.26 3.11 41.44 248.67 5/15 yrs (82.90) 165.77 Avg. 33.33% Totals: Gutters 30.07 234.44 1,406.61 546.07 860.54 Date: 5/15/2017 8:45 PM Page: 6 SIMONSON, JUSTIN Front Elevation 0.00 SF Walls 0.00 SF Floor 0.00 SF Long Wall QUANTITY UNIT PRICE State Farm 0.00 SF Ceiling 0.00 SF Short Wall TAX GCO&P 06-1567-6C6 0.00 SF Walls & Ceiling 0.00 LF Floor Perimeter 0.00 LF Ceil. Perimeter RCV AGE/I.IFE DFPREC. ACV CONDITION DEP % a 26. R&R Downspout - aluminum - up to 5" 8.00 LF 5.79 1.33 9.52 57.17 10/25 yrs (22.88) 34.29 0.00 SF Floor 0.00 SF Short Wall Avg. 40.00% 27. Prime & paint gutter / downspout 0.00 LF Ceil. Perimeter 8.00 LF 1.26 0.15 2.06 12.29 5/15 yrs (4.09) 8.20 Avg. 33.33% * 28. R&R Downspout Extension- plastic 4.00 LF 5.16 0.54 4.22 25.40 10/25 yrs (10.18) 15.22 29. R&R Sprinkler head - rotor - 4" plastic pop-up Avg. 40.00% 2.00 EA 43.14 2.01 17.66 105.95 10/20 yrs 62.99) 52.96 12.00 LF 1.26 0.23 3.06 18.41 Avg. 50.00% 12.27 Totals: Front Elevation 4.03 33.46 200.81 Avg. 90.14 110.67 Right Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DFPREC. ACV CONDITION DEP % 30. R&R Downspout - aluminum - up to 5" 12.00 LF 5.79 2.00 14.30 85.78 10/25 yrs (34.31) 51.47 Avg. 40.00% 31. Prime & paint gutter / downspout 12.00 LF 1.26 0.23 3.06 18.41 5/15 yrs (6.14) 12.27 Avg. 33.33'% 32. R&R Sprinkler head - rotor - 4" plastic pop-up 1.00 FA 43.14 1.00 8.82 52.96 10!20 yrs (26.50) 26.46 Avg. 50.00% 33. R&R Siding - beveled - cedar (clapboard) 16.00 SF 6.03 3.56 20.02 120.06 120.06 34. Seal & paint wood siding 209.61 SF 1.05 6.20 45.26 271.55 5/15 yrs (90.51) 181.04 Avg. 3333% 35. R&R Window screen, 17 - 25 SF 2.00 EA 60.97 8.61 26.12 156.67 10/30 yrs (52.23) 104.44 Avg. 33.33% Date: 5/15/2017 8:45 I'M Page: 7 State Farm SIMONSON, JUSTIN 06-1567-6C6 CONTINUED - Right Elevation QUANTTTY UNIT PRICE TAX GCO&P RCV AGEILIFE CONDITION DEPREC. DEP % ACV 36. Reglaze double -pane thermal window unit, I - 9 sf 0.00 SF Walls 0.00 SF Ceiling 1.00 EA 132.69 7.60 28.06 168.35 0.00 SF Short Wall 168.35 37. Seal & paint window sill 0.00 SF Long Wall �YYt 13.00 LF 1.92 0.23 5.04 30.23 5/15 yrs (:0.08) 20.15 AGE/LIFF. DFPREC. ACV Avg. 33.33"/0 38. Paint window trim & jamb - 2 coats (per side) 40. R&R Downspout - aluminum - up to 5" 2.00 EA 23.45 0.63 9.50 57.03 5/15 yrs (19.00) 38.03 10/25 yrs (60.03) 90-07 Avg, 33.33% 39. R&R Insulated metal panel - 2" - embossedhextured 41. Prime & paint gutter / downspout ' 22.00 SF 13.62 11.99 62.32 373.95 10/100 yrs (37.38) 336.57 5/15 yrs (10.75) 21.49 Avg. 10.00% Totals: Right Elevation 42.05 222.50 1,33499 276.15 1,058.84 Rear Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFF. DFPREC. ACV CONDITION DEP % 40. R&R Downspout - aluminum - up to 5" 21.00 LF 5.79 3.49 25.02 150.10 10/25 yrs (60.03) 90-07 Avg_ 40.00% 41. Prime & paint gutter / downspout 21.00 LF 1.26 0.40 5.38 32.24 5/15 yrs (10.75) 21.49 Avg. 33.33% * 42. R&R Downspout Extension- plastic 8.00 LF 5.16 1.09 8.46 50.83 10/25 yrs (20.36) 30.47 Avg. 40-00% Totals: Rear Elevation 4.98 38.86 233.17 91.14 142.03 Left Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ccil. Perimeter Date: 5/15/"_'017 8:45 PM Page: 8 State Farm 06-1567-6C6 SIMONSON: JUSTIN QUANTITY UNIT PRICE TAX GCO&P RCV AGFAWE DEPREC. ACV CONDITION DEP % a 43. R&R Downspout - aluminum - up to 5" 12.00 LF 5.79 2.00 14.30 85.78 10/25 yrs (34.31) 51.47 Avg. 40.00% 44. Prime & paint gutter / downspout 12.00 LF 126 0.23 3.06 18.41 5/I S yrs (6.14) 1227 Avg. 33.33% Totals: Left Elevation 2.23 17.36 104.19 40.45 63.74 Garage Gutters 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Moor Perimeter 0.00 SF Tong Wall 0.00 LF Cei1. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AOG IFEv D P E%C. ACV * 45. R&R Gutter - aluminum - up to 5" 78.00 LF 5.79 12.98 92.92 557.52 2/25 yrs (44.61) 512.91 Avg. 8.0017. This line item for galvalumc product. Totals: Garage Gutters 12.98 92.92 557.52 44.61 512.91 Garage- Front 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGEILIFE DEPREC. ACV CONDITION DEP % 46. R&R Siding -vinyl 480.44 SF 3.91 55.73 386.86 2.321.11 2/50 yrs (92.85) 2,22826 Avg. 4.00% Totals: Garage- Front 55.73 386.86 2,321.11 92 85 2,228.26 Garage - Right 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall om LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter Date: 5/15/2017 8:45 PM Page: 9 Fencing 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 50. R&R Wood fence slat 5'- 6' high - cedar or equal 15.00EA 6.49 3.86 20.26 121.47 121.47 Totals: Fencing 3.86 20.26 121.47 0.00 121.47 Miscellaneous 0.00 SF Walls 0.00 SF Cciling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 51. Single axle dump truck - per load - including dump fees 1.00 EA 263.82 s 0.00 52.76 316.58 316.58 Totals: Miscellaneous 0.00 52.76 31658 0.00 316.58 Area Totals: Source - Eagle View 1,850.23 Exterior Wall Area 3,508.36 Surface Area 35.08 Number of Squares 830.62 Total Perimeter Length 61.33 Total Ridge Length 176.74 Total Hip Length Total: Source - Eagle View 653.96 4,556.76 27,34033 4,751.34 22,588.99 Date: 5/15/2017 8:45 PM Page: 10 State Farm SIMONSOM JUSTIN 06-1567-6C6 QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LTFE CONDITION DEPREC. DEP % ACV 47. R&R Siding -vinyl 279.99 SF 3.91 32.48 225.46 1,352.70 2/50 yrs (54.11) 1'298-59 Avg. 4.00%n 48. Detach & Reset Downspout - aluminum - up to 5" I23.00 LF 3.83 0.00 f ' 49. R&R Vinyl window, picture/fixed, 12-23 sf 17.62 105.71 v 105.71 C 1.00 EA 24L33 12.58 51.40 308.31 2/30 yrs (20.55) 287.76 Avg. 6.67% Totals: Garage - Right 45.06 294.48 1,766.72 74.66 1,692.06 Fencing 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 50. R&R Wood fence slat 5'- 6' high - cedar or equal 15.00EA 6.49 3.86 20.26 121.47 121.47 Totals: Fencing 3.86 20.26 121.47 0.00 121.47 Miscellaneous 0.00 SF Walls 0.00 SF Cciling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter QUANTITY UNIT PRICE TAX GCO&P RCV AGE/LIFE DEPREC. ACV CONDITION DEP % 51. Single axle dump truck - per load - including dump fees 1.00 EA 263.82 s 0.00 52.76 316.58 316.58 Totals: Miscellaneous 0.00 52.76 31658 0.00 316.58 Area Totals: Source - Eagle View 1,850.23 Exterior Wall Area 3,508.36 Surface Area 35.08 Number of Squares 830.62 Total Perimeter Length 61.33 Total Ridge Length 176.74 Total Hip Length Total: Source - Eagle View 653.96 4,556.76 27,34033 4,751.34 22,588.99 Date: 5/15/2017 8:45 PM Page: 10 State Farm 06-1567-6C6 SIMONSON, JUSTIN Labor Minimums Applied QUANTITY UNIT PRICE TAY GCO&P RCV CA LI F DEPREDEP % C. ACV 52. Window labor minimum 34.41 1.W EA 28.67 0.00 5.74 31.41 s 53. Fencing labor minimum 130.08 1.00 FA 108.40 0.00 21.68 130.08 Totals: Labor Minimums Applied 0.00 27-42 164.49 0.00 164.49 Linc Item Totals: 06-1567-6C6 653.96 4,584.18 27,504.82 4,751.34 22,753.48 Grand Total Areas: 1,850.23 Exterior Wall Area 3,508-36 Surface Area 61.33 Total Ridge Length 35.08 Number of Squares 830.6 Total Perimeter Length 176.74 Total Hip Length Date: 5/15/2017 8:45 PM Page: 1 I n xr 3 PAYMENT ND 5 20 951517 Q PAYMENT AMOUNT $22,753.48 ISSUE DATE 05-15-2017 AUTHORIZED BY ALLEN, STUART PHONE (8661787-8676 JUSTIN SIMONSON 8000 W 45TH AVE WHEAT RIDGE CO 80033-3207 REMARKS roof, garage roof, gtrs, siding, window.pnt COVERAGE DESCRIPTION ON BEHALF OF WIND OR HAIL - BUILDING SIMONSON, JUSTIN CLAIM No 06-1567-6C6 LOSS DATE 05-08-2017 POLICY NO 06-CCK726-1 INSURED SIMONSON, JUSTIN RETAIN STUB FOR RECORDS AMOUNT 22,753.48 Sheerlm STATE FARM FIRE AND CASUALTY COMPANY FIRERGA C50 CHASE BINK, NA 56-15441441 WCCS DEPLOYED CO J 951517 Q 05-15-2017 CLAIM No 06-1567-6C6 INSURED SIMONSON, JUSTIN DATE MM DD Y Y $ LOSS DATE 05-08-2017 0 Qaaaara*aaaaaraasaaaaaaaaaaaaaa:awaaasaaaaaaasaaraaaaaa*aaEXACTLY oTWENTY-TWO THOUSAND SEVEN HUNDRED FIFTY-THREE AND 481100 DOLLARS $****22, 753.48 r a Pay to the `a orderof, JUSTIN SIMONSON & NATIONSTAR MORTGAGE LLC ITS SUCC ANDOR ASSIGNS & o BANK OF THE WEST CPS INSURANCE DEPARTMENT ISAOAATIMA �� _ 7 oAUTHORIZED SIGNATURE w//�/ AUTHORIZED S16 TUIM SECURED DOCUMENT WATERMARK APPEARS ON BACK, HOLD AT 45 -ANGLE FOR VIEWING 11.20S99SlISL411' I:044i>,S4431: 624119S220 rX Dane Lovett -2- Cl 17C) � l V ,J From: no-reply@c i.wheatridge.co.us Sent: Thursday, October 19, 2017 4:17 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 Property Address 8000 W. 45th Ave. Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Justin Simonson 303-642-5861 41 It ��, 6- U z.s Property Owner Email N/A 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 Simonson.pdf Contract CONTRACTOR INFORMATION Contractor Business Colorado Premier Roofing Name Contractor's License 021574 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) 303-789-1107 11652 W. Hampden PI. Lakewood, CO 80227 Contractor Email Address coloradopremier@hotmail.com Retype Contractor Email coloradopremier@hotmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 26-- 17500 No Pitched roof (2:12 pitch or greater) 42 both? (check all that apply) What is the specific pitch of the PITCHED roof? 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? Etc) 5/12 26 Owens Corning Asphalt House and garage 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 43 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 Beth Shull Email not displaying correctly? View it in your browser. 44 FOR OFFICE USE ONLY City of Date., S, WhcatRjd _ �ge, CoMMUNuTy DvVFLOPMENT Ply n1pennit # Building & Inspection Services Division ;? 27- 7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee., Office: 303-235-2855 * Fax: 303-237-8929 inspection Line: 303-234-5933 Building Permit Application Address - City, State, Zip: L please pfin�:' L N 4 4j, t"') (:__1 Electrical: WA. Qth License # Mechanical: -2- -itv Licetse Complete all Information on BOTH sides of this form NEW COMMERCIAL ; 8I Iw ELECTRICAL i A SERVICE UPGRADE li ?► A yR COMMERCIAL COMMERCIAL ADDITION RESIDENTIAL yrr Y i A WINDOW ADD. REPLACEMENT COMMERCIAL R1 A !Ir Y STRUCTURE rNw + shed, .i deck, RESIDENTIAL MECHANICAL SYSTEM/APPLIANCE ••; IM M AM REPLACEMENT li A PLUMBING ir SYSTEMIAPPLIANCE REPAIR N ♦li: REPLACMENT ELECTRICAL eA SYSTEM/APPLIANCE II•A. REPAIR " .ql AIi REPLACEMENT F = A OTHER w amount of materials t be used, etc,.) � - Awa f. g r7 Ave ce"I'l I)d "It 1 1 Sq. FULF Btu's Gallons Amps Squares Ether FOR OFFICE USE ONLY City of Dat: .. co9mt It 3Pti t t t.{ t't1 i*8 " Flaw/ arnalt # ) r 0'1n S Building & Inspection Services Division 7500 W. 2e Ave., Wheat Fridge, CO 80033 Plan Review Office: 303-235-2555 * Fax: 03-237-8929 Inspection twine: 303-234-5933 Building er it Application Mailing Address: (if different than property address) Address. , Ci! ,,State, i rchitectl ng r E-mail: Phi Contractors CLicenser �c. ContractorE-mailAddress: Sub Contractors: Electrical: Plumbing: Mechanical, W.l , City License # W,R City License # W.R. City License # Other City Licensed Sub; tither City LicensedSub: City License # City License # Complete all information ' on BOTH sides of this for •. � 1. M ! A • ilk YR � Y •. A � b i kA • Y w y A w � Xk s { mount of Materials to ;used, etch e . FULF Stu's Gallons Mailing Address: (if dNerent that? property address) Address: Sub Contractors: .. a xQIM I s. d: • . o Aporoval- INOMMOM n f +R M K " M FfRe O.. 11 d 4 d I t • Building Facsimile Permit Application DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE " WHEAT RIDGE, CO 80215 Building Permit Number Date 7806 9/18/98 Property Owner : Property Address : 8005 W. 45 AVE Contractor License No. : 19543 Company : Reitr Roofing, Inc. Phone: 303-716-3645 Phone: 466-0161 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 (U.B.C.) and all other applicable Wheat Ridge ordinances,_forwork underthis permit. (OWNER)(CONTRACTOR) SIGNEQDATE v~ Construction Value : $2,770.00 Permit Fee : $75.50 Plan Review Fee : $0.00 Use Tax : $41.55 Total: $117.05 Use: Description : TEAR OFF 1 LAYER ROOF AND REPLACE WITH 3-TAB 18 SQUARS. 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 ihe provisions set forth in yopur application antl is subjec[ to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wneat Ritlge, Colorado or any other applip6le ordinances of the City. (2) This permi[ shall expire if (A) the work authorizetl is not commenced within sixty (60) days from issue da[e or (B) the building auihorized is suspended or abandoned for a period of 120 days. (3) If this permi[ expires, a new permit may be acquiretl for a fee of one-haif ihe amount normally requiretl, provided no changes have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pemlit (4) No work of any manner shall be done ihat will change the natural Flow of water causing a tlrainage problem. (5) Contractor shall notiry [he Building Inspector hventy-four (24) hours in advance for all inspections antl shall receive written approval on inspection card beFore ceediing with successive phases oFihe job. (6) pro The issuance of a permit orthe approval of tlrawings and specifwiions shall not be consirued [o be a permi[ for, nor an approval of, any violation of the provisions oFthe building wdes or any other ordinance, law, rule or regulation. b, Chief Building In pector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DNISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: Cjes~r Properly Address 5 uo y$ A, Phone - 36 vs Contractor License No. : Company: Rei+Z Re~~~q Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDIhdG AND AGREEMENT COnStNCGOn ValUe :~~~~0 ~ I hereby certify lhat the selhack distances proposed by this pertnit application are accurate, and do not vwlate appiicabte ordinances, rules or regulations of the Ciry of Wheat Ridge or covenanls, easements or restrictions of record; that all measurements shown, and allegations made are aaurate; that I have read and ayree to abide by all conditions printed on this appiication, and that I assume tull responsibility for compliance with the VJheat Ridye Building Code (U.B.CJ and all other applicable Wheat Ridge ordinances, for w rk undzr this permit. (OWNER)(CONTRACTOR) SIGNE~-~ _ DATE ~ U52 : Description : -TE0.r op'~' I L,t-v, Approval: Zoning : g01f9IPfmCD rl~C~rt'ts"~ Approval: Approval: Occupancy : Walls Electrical License No : Company: Expiration Date : Approval : BUILDING DEPARTh1ENT USE ONLY Roof: Stories Plumbing License No Company : Expiration Date : Approval : SIC Permit Fee Use Tax : Total: $0.00. Sq. FL : Residential Units : Mechanical License No : Company: Expiration Date : Approval: . , (1) Tfis peim8 w2s luued in aaoidancewith the piovisions sel lorth in yopur application and is subI'ecl lo the laws 0f the State of Cob2C0 and t0 the Zoninp RegulaEOns anC Buildiny Code ol Wheat RWga, Colorado w any oNer applicable adlnances of Ihe Ciry. (2) This pefmil shall axpire A(A) the vrotk e WwnzeC is `wl commencetl within sixty (60) days from Issue Oale ot (B) the buAEinp auNOfted tt auspmded or abantloned (or a perlod of 720 days. (J) If Nis pertrvl espires, a new pemut may be acqulred for a lee o1 one-nai( Ne amount normaiy requimd, pravided no changea haveAbeen ar willor he made in the onginal pWns end speafiCatiats aM eny suspension or abanCOnmenl has not ezceeded one (i) year. If dianges are made d suspensial aDandonment ' exceeds a~e (1) year. (ull fees shall be pald lor a new pertnl~ . (4) No work ol any mannef ahall be daoe ~hat will change ~he naWral fio.v of water rausing a aainaqe problem. . (5) ConVaclor shall notify Ihe Builtliny InspeGor twenty•lour (2a) nours in atlvance Ior all inspections anC shall receive written approval on Inspection caN belore proceeCiirp with suaessive phaxs of the ob. (8) The issuance of a pertnil u the approvel o~drawings and speci(ications shall rwt De conswed to be a pefmil fo4 nof an epprc2l Of, atry vbia4on ol the proWsbns . ol the Wi1Cin9 ~des or any Othe( ordina~e, Ww, rula or re~uJat,on. . Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTORAND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION