HomeMy WebLinkAbout6690 W. 45th Place1* � � i City of Wheat Ridge
�� E -Res. Sewer/Waterline Repair PERMIT - 202101570
PERMIT NO: 202101570 ISSUED: 07/21/2021
JOB ADDRESS: 6690 W 45th Pl EXPIRES: 07/21/2022
JOB DESCRIPTION: Repair 15 ft of sewer line in backyard
*** CONTACTS ***
OWNER (303)456-5822 DONEY BEN C
SUB (720)296-7972 TREVOR HARVEY 130129 AFFORD A ROOTER
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
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.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202101570
202101570
6690 W 45th Pl
ISSUED: 07/21/2021
EXPIRES: 07/21/2022
Repair 15 ft of sewer line in backyard
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
07/21/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Tuesday, July 20, 20212:35: 10 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 6690 W 45th PI
Property Owner Name Toney coney
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Afford -A -Rooter
Name
Contractor's License 130129
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-296-7972
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
affordarooter99@gmail.com
Address
Retype Contractor
affordarooter99@gmail.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
15 feet
Location of repair
Backyard
(backyard, frontyard,
etc)
Provide additional
na
details including
installation of clean-
o uts.
Project Value (contract
3000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Robin Fulton
Permit
Email not displaying correctly? View it in your browser.
PERMIT:2U� ��%- ADDRESS: 1
INSPECTION RECORD
JOB CODE:
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
lo _ i 'r o
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
lo _ i 'r o
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
GG9r t�`SPL
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
City of Wheat Ridge
Residential Roofing PERMIT - 201707828
PERMIT NO: 201707828 ISSUED: 09/28/2017
JOB ADDRESS: 6690 W 45th PL EXPIRES: 09/28/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22.33 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)456-5822 DONEY BEN C
SUB (303)452-8710 Jim Black 020245 Jim Black Construction, Inc
SUB (30,3)870-8613 Jason Savage 080245 Savage Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,302.44
FEES
Total Valuation 0.00
Use Tax 384.35 "
Permit Fee 346.95
** TOTAL ** 731.30
*** 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) rpof
covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, 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.
City of Wheat Ridge
' Residential Roofing PERMIT - 201707828
PERMIT NO: 201707828 ISSUED: 09/28/2017
JOB ADDRESS: 6690 W 45th PL EXPIRES: 09/28/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22.33 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
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed a4thll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signatur of OWNER or CONTRACTOR (Circle one) Date
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 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 required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable'code or any ordinanceor 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.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, September 26, 2017 3:13 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
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
n
6690 W 45th PI Wheat Ridge, CO 80033
Ben Doney
3034565822
189
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
thedoneys31 @msn.com
Yes
Signed Contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Jim Black Construction
(;20245
3034528710
Contractor Address 12279 Pennsylvania St Thornton, CO 80241
(Primary address of your
business)
Contractor Email Address aaragon@jimblackconstruction.com
Retype Contractor Email aaragon@jimblackconstruction.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 22.33
the entire scope of work:
Project Value (contract 18302.44
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
190
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
22.33
Asphalt Shingles
Asphalt
For house and shed, Sub contractor Savage Construction Inc. -
3038708613
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. 1 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
191
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 Adam Johnston
Email not displaying correctly? View it in your browser.
192
PROPOSAL
12279 f 21id'i iYti.ikt 7d6i4 1 tIV s.. f r V,'...a-
GE-NrR-41<CON Yw[SCTO W4 1CST03 tX10;N S.—ZC.2I! IS
PROPOSAL SUBW11 it ED TO: Ben and Tonya Doney (Owner)
ADDRESS: 6630 W 45th Place, Wheat Ridge, CO 80033-3710
JOB LOCATION: 6-6,00 W 45th Placa, Wheat Ridge, CO 80033-3710 – ---
PHONE: (303) 456-5822 DATE: July 19,
�: < _. __-. .z „:.: r',.:.r_7� i ._s-:. .. .. _ .__ :�,. .-... .... _.. ,'"•iw i. _ -. _. ... .,. -a. _ ��e.. d
i" •.f a
u . _ - s ax, s s _ ° -1 s, ly',_• f.�.- s.. h— Sc .,_ . cF Xork"}:
A� a ....y tt71(]it5}7lete
Any additional hai' r?lated ria_ no-rgE iS the- F€: ��r"i 2T?r.xdCy 4or ir. a.6 . v r:,as, r S I�Ci � ��:d:tcs :.� 4' _} Fdi >.i` t'� _ � a
Wyrp P •^' G'E to rt,. - ... ! , dam.- e J Sc y t .�s. � h
atE� '.���AyT��4y�4i l�i.C•[raT� iV �4t�E�r t"j�if Vias}""4Li36s. £i`�t1 d:.:^yi J� 1 Ct�.r:�.. °w[�ifvli 1Y&ilk EYeV v�.hi�'L �Y 4n�V�, SVr the sum of.
As per final adlusted amount from Nat=ionwide Mutual insurance Company settlement Dollars $
Llhe"Contract Price") --- — --- – ---- --- -----
This Proposal is provided to Owner/Insured subject to the terms
and conditions printed on the opposite side of this Proposal (the
"Terrns arasR cro5tt t€r+ns"i
Contractor
Signature
Note: This Proposal may be withdrawn
by us if not accepted within 30 days.
ACCEPTANCE OF The GvinedIa ored hereby Signature
accepts this Proposal:
Date of Acceptance Signature
V Jim Black Construction
12It279 Pennsylvania St.
Thornton, CO 80241
�f
303-452-8710
TIN - 84-1139625
Insured: BEN DONEY
Property: 6690 W 45TH PL
WHEAT RIDGE, CO 80033-3710
Home: 6690 W 45TH PL
WHEAT RIDGE, CO 80033-3710
Claim Rep.: Allen Marquet
Business: P.O. Box 182712, 3400 Southpark Place,Suite A
DSPF-62
Grove City, OH 43123-4856
Estimator: Adam Johnston
Company: Jim Black Construction
Business: 12279 Pennsylvania St
Thornton, CO 80241
Reference:
Company: Nationwide
Contractor:
Company: Jim Black Construction
Claim Number: 169539 -GF
Date Contacted:
5/17/2017 9:27 AM
Date of Loss:
5/8/2017 12:00 AM
Date Inspected:
5/24/2017 9:00 AM
Date Est. Completed:
5/26/2017 4:54 PM
Policy Number: HON 0016883746
Price List: CODE8X MAY17
Restoration/Service/Remodel
Estimate: BEN DONEY
Home: (303) 456-5822
Business: (303) 289-4831
E-mail: thedoneys3l@msn.com
Business: (855) 311-1048 x 138
Fax: (855)865-6590
Cellular: (610) 986-8777
E-mail: marquea@nationwide.com
Business: (303) 552-6336
E-mail: ajohnston@jimblackconstruct
ion.com
Business: (303) 452-8710
Type of Loss: Hail
Date Received: 5/9/2017 12:00 AM
Date Entered: 5/12/2017 4:30 PM
NIJ
Jim Black Construction
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN - 84-1139625
Dear Valued Customer,
Please refer to the enclosed itemized estimate. This estimate contains the valuation of the damages for this
reported loss which we prepared using reasonable and customary prices for your geographic area.
If any hidden, or additional damage, and/or damaged items are discovered, we will contact your Claims
Representative immediately. Coverage for the hidden or additional damages and/or damaged items, will
need to be determined by the Claims Representative and may require an inspection/re-inspection before any
supplemental payment or repairs are authorized. Please do not destroy or discard any hidden, or
additional damages, and/or damaged items until the Claims Representative is notified and provided an
opportunity to review the hidden or additional damages and/or damaged items, and reached an agreement
with you on any supplemental costs.
Payments for the On Your Side Property Repair Network are not made until the work has been completed
and you have signed a "Certificate of Satisfaction & Authorization to Pay" form. We will not ask you to,
nor should you, sign the form until you are truly satisfied with the completed work.
It is possible that your mortgage company will be included on the payment for repairs. If this occurs,
please contact the mortgage company to discuss how to handle the proceeds of the payment.
Please contact your Claims Representative at the number listed above if you have any questions regarding
any matters pertaining to your claim.
Thank you.
It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance
company for the purpose of defrauding or attempting to defraud the company. Penalties may include
imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an
insurance company who knowingly provides false, incomplete, or misleading faces or information to a
policyholder or claimant for the purposes of defrauding or attempting to defraud the policyholder of
claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the
Colorado division of insurance within the department of regulatory agencies.
BEN_DONEY 9/29/2017 Page:2
Jim Black Construction
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN -84-1139625
BEN_DONEY
House
House
DESCRIPTION
QTY UNIT PRICE TOTAL
1. Haul debris - per pickup truck load - including dump fees 1.00 EA @ 131.74 = 131.74
Debris removal for all non roof materials. Roof debris included in tear off.
Roofl
DESCRIPTION
QTY
UNIT PRICE
TOTAL
2. Digital satellite system - Detach & reset
1.00 EA @
36.26 =
36.26
3. Remove Tear off, haul and dispose of comp. shingles - 3 tab
17.43 SQ @
49.03 =
854.59
4. Remove Add. layer of comp. shingles, remove & disp. - 3 tab
34.87 SQ @
31.38 =
1,094.22
Note: There are 3 total layers
5. Drip edge 187.86 LF @ 1.98 = 371.96
This item replaces RFGFELT15 Roofing felt - 15 lb. or expands the scope of repairs, as required by current building codes
Settlement is based on the associated item until the code upgrade cost is incurred, subject to limits.
7. Roofing felt - 15 lb.
7.07 SQ @
27.99 =
197.89
8. Roofing felt - 15 lb.
10.36 SQ @
27.99 =
289.98
9. 3 tab - 25 yr. - comp. shingle roofing - w/out felt
20.33 SQ @
184.84 =
3,757.80
Includes an allowance for hip and ridge caps
10. Flashing - pipe jack - split boot
1.00 EA @
63.09 =
63.09
11. Roof vent - turbine type
1.00 EA @
99.50 =
99.50
12. Flashing -pipe jack
2.00 EA @
34.13 =
68.26
13. Roofer -per hour
2.00 HR @
115.02 =
230.04
Labor to work around undamaged exhaust vents
14. Roof vent - turtle type - Metal
1.00 EA @
50.17 =
50.17
15. Exhaust cap - through roof - 6" to 8"
2.00 EA @
73.89 =
147.78
Note: Caps have been damaged by hail see photos as reference
16. Exhaust cap - through roof - up to 4"
1.00 EA @
67.64 =
67.64
Note: Caps have been damaged by hail see photos as reference
Front Elevation
DESCRIPTION
17. R&R Window screen, 1 - 9 SF
18. R&R Exterior post light fixture
BEN_DONEY
QTY UNIT PRICE TOTAL
1.00 EA @ 40.40 = 40.40
1.00 EA @ 214.96 = 214.96
9/29/2017 Page:3
Jim Black Construction
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN - 84-1139625
CONTINUED - Front Elevation
DESCRIPTION
QTY UNIT PRICE TOTAL
19. R&R Vinyl outside corner post
15.33 LF @
6.15 =
94.28
Note: Hail hit 2 corners on front elevation see photos.
223.17 SF @
1.07 =
238.80
20. Paint corner trim - one coat
15.33 LF @
0.72 =
11.04
Note: Corner is currently painted and will need to be painted
2.00 EA @
40.40 =
80.80
21. R&R Vinyl J trim
4.00 LF @
3.90 =
15.60
22. Paint trim - one coat
4.00 LF @
0.72 =
2.88
Note: trim is currently painted and will need to be painted
16.00 LF @
0.72 =
11.52
Right Elevation Height: 4"
DESCRIPTION QTY UNIT PRICE TOTAL
23. R&R Siding -vinyl
223.17 SF @
3.91 =
872.59
24. R&R Rigid foam insulation board - 1/2"
223.17 SF @
1.07 =
238.80
25. Seal & paint wood window (per side)
2.00 EA @
41.53 =
83.06
26. R&R Window screen, 1 - 9 SF
2.00 EA @
40.40 =
80.80
27. Paint trim - one coat
24.33 LF @
0.72 =
17.52
Note: Trim is currently painted and will need to be painted
QTY
UNIT PRICE
TOTAL
28. Paint corner trim - one coat
16.00 LF @
0.72 =
11.52
Note: Comer is currently painted and will need to be painted
Back Left Elevation Height: 4"
DESCRIPTION QTY UNIT PRICE TOTAL
29. R&R Siding -vinyl
118.46 SF @
3.91 =
463.18
30. R&R Rigid foam insulation board - 1/2"
118.46 SF @
1.07 =
126.75
31. Paint door or window opening - 2 coats (per side)
1.00 EA @
23.45 =
23.45
Gutters and Misc
DESCRIPTION
QTY
UNIT PRICE
TOTAL
BEN DONEY
9/29/2017
Page: 4
Jim Black Construction
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN - 84-1139625
CONTINUED - Gutters and Misc
DESCRIPTION
QTY UNIT PRICE TOTAL
32. R&R Gutter / downspout - aluminum - up to 5" 217.17 LF @ 5.79 = 1,257.41
Gutters and downspouts
Left Elevation Height: 4"
DESCRIPTION QTY UNIT PRICE TOTAL
33. R&R Siding -vinyl 227.49 SF @ 3.91 = 889.48
34. R&R Rigid foam insulation board - 1/2" 227.49 SF @ 1.07 = 243.41
Shed
Roofl
DESCRIPTION
QTY UNIT PRICE TOTAL
35. Remove Tear off, haul and dispose of comp. shingles - 3 tab
1.96 SQ @
49.03 =
96.10
36. Drip edge
56.61 LF @
1.98 =
112.09
37. Roofing felt - 15 lb.
1.96 SQ @
27.99 =
54.86
38. 3 tab - 25 yr. - comp. shingle roofing - w/out felt
2.00 SQ @
184.84 =
369.68
39. Material Only Sheathing - OSB - 1/2"
196.00 SF @
0.48 =
94.08
40. Carpenter - General Framer - per hour
10.00 HR @
58.04 =
580.40
Note: sheathing will need to be replace due to weathering. As the roof sits currently it is unsafe to place anyone on it.
Shed Exterior
Door
DESCRIPTION
Height: Peaked
4'X 6181# Opens into Exterior
QTY UNIT PRICE TOTAL
41. R&R Sheathing - plywood - 1/2" CDX 32.00 SF @ 1.88 = 60.16
Replace damaged sheathing above door
42. Exterior - paint two coats 407.28 SF @ 0.87 = 354.33
BEN_DONEY 9/29/2017 Page:5
I Jim Black Construction
(�W,
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN - 84-1139625
Labor Minimums Applied
DESCRIPTION QTY UNIT PRICE TOTAL
43. Electrical labor minimum 1.00 EA @ 103.23 = 103.23
Grand Total Areas:
474.89
SF Walls
717.15
SF Floor
0.00
SF Long Wall
717.15
Floor Area
1,003.47
Exterior Wall Area
1,939.15 Surface Area
20.42 Total Ridge Length
Coverage
Dwelling
Dwelling - Code Upgrade
Other Structures
Contents
Total
797.55
SF Ceiling
79.68
SY Flooring
0.00
SF Short Wall
733.81
Total Area
254.17
Exterior Perimeter of
1,130.37
Walls
19.39
Number of Squares
101.97
Total Hip Length
Item Total
1,272.44
SF Walls and Ceiling
247.50
LF Floor Perimeter
254.30
LF Ceil. Perimeter
474.89
Interior Wall Area
187.86 Total Perimeter Length
% ACV Total %
12,925.76
92.51%
14,911.80
92.95%
0.00
0.00%
0.00
0.00%
1,047.22
7.49%
1,130.37
7.05%
0.00
0.00%
0.00
0.00%
13,972.98 100.00%
16,042.17 100.00%
BEN DONEY 9/29/2017 . Page: 6
Jim Black Construction
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN - 84-1139625
Summary for Dwelling
Line Item Total
12,925.76
Overhead
1,292.59
Profit
1,292.59
Material Sales Tax
326.05
Replacement Cost Value
$15,836.99
Less Depreciation
(925.19)
Actual Cash Value
$14,911.80
Less Deductible
(1,000.00)
Net Claim
$13,911.80
Total Recoverable Depreciation
925.19
Net Claim if Depreciation is Recovered
$14,836.99
Adam Johnston
BEN_DONEY 9/29/2017 Page:7
Jim Black Construction
(AZjj" 12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN - 84-1139625
Summary for Dwelling - Code Upgrade
Line Item Total 0.00
Replacement Cost Value $0.00
Net Claim $0.00
Dwelling - Code Upgrade Paid When Incurred
Line Item Total 969.07
Overhead 96.91
Profit 96.91
Material Sales Tax 17.73
Replacement Cost Value $1,180.62
Total Paid When Incurred $1,180.62
Dwelling - Additional Coverage Limit Recap
Description Single Item Limit Aggregate Limit RCV Overage
Dwelling - Code Upgrade $18,510.00 $18,510.00 $1,180.62 $0.00
$1,180.62 $0.00
Adam Johnston
BEN DONEY 9/29/2017 Page: 8
I � Jim Black Construction
12279 Pennsylvania St.
Thornton, CO 80241
303-452-8710
TIN -84-1139625
Line Item Total
Overhead
Profit
Material Sales Tax
Replacement Cost Value
Less Depreciation
Actual Cash Value
Net Claim
Total Recoverable Depreciation
Net Claim if Depreciation is Recovered
Summary for Other Structures
Adam Johnston
1,047.22
104.73
104.73
28.15
$1,284.83
(154.46)
$1,130.37
$1,130.37
154.46
$1,284.83
BEN_DONEY 9/29/2017 Page:9
/O
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (-/ 8 9- r r. a/
Job Address: (o (0 4 0 w (-/ s— i� 1
Permit Number: �D o I -70 7 S -a Q
(
❑ No one available for inspection: Time T = a$ QM/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: 11 i /-7 Inspector: _Q>
DO NOT REMOVE THIS NOTICE
i CITY OF WHET RIDGE~
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ! (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 C /o - "6.1"!
Job Address: 1, 6 9 0 1,� -1 S `-4 its- I
Permit Number: 20 1 -7 0 -7 8 a Fs
i1t G� o v r�' pp 00VleC{
❑ No one available for inspection: Time 11='IS-S7- 90M
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: / // /-7 Inspector: 7_6
DO NOT REMOVE THIS NOTICE
i CITY OF WHET RIDGE~
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ! (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 C /o - "6.1"!
Job Address: 1, 6 9 0 1,� -1 S `-4 its- I
Permit Number: 20 1 -7 0 -7 8 a Fs
i1t G� o v r�' pp 00VleC{
❑ No one available for inspection: Time 11='IS-S7- 90M
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: / // /-7 Inspector: 7_6
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT NO.M93#18910
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY TFiE CHIE.F BUILDING INSPECTOR AND RECEIPTED 8EL7W /n A PLICATION FOR MISCELLANEOU~~~p; ~ERMIT
JOB ADDRESS (Cl OWNER ~I k en-C Q
CONTRACTOR ADDRE55 '7:)C~m Sl _
ADDRESS l -10~ - PHONE
ZIPCODE 003
CITY 2
~ ZIP CODE CONTRACT PRICE
PHONE 42~ OO LICENSE NO. DATE g' 7 -(73
I. TYPE Ground❑ Woll❑ Proieetinq❑ Othsr SaDFOae
, 2. MATERIAL To4al Squara Faat
SIGNS 3. ILLUMINATION Yea❑ No❑ 7ype Eleef. Parmit No. 4. SET BACK FROM PROPERTY IINE N_ 5_ E_ 1Y ` Zone_ Apprwed,Zona Inapsetor
1. TYPE SolidLJ Moro Than BO% OpenU lass Thon 80% Open
FENCES MATERIAL Hsiphf
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwed,Zons Inspsota
(Specity whitA ie tront) ❑ ❑ Q ❑ DisnDDroved
I.
OTHER 2
-7"a R
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER SYRUCTURE,GI\(SETBACKS OR PROJECTIONS INCLUDED)
PERMIT FEE
CC)
JOB
ADDRESS
DATE: ll '(6 BLDG. PERMIT# 8qIb
PERMIT#
BLDG. CONTR
STREET NAME SUBCONTRACTOR
SHOW DISTANCES FROM 7HE MAIN BUILDING T6ADJOINWG HOUSES,STREETS,AI DATE INSP. REQ. ~J6
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DI$TAN(:E.
APPLICATION FOR PLUMBIfVG; ELECTRICA' TYPE OF INSP.
THIS APPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WORK i l' /;3
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE INSPECTION MADE ~~lI V lY
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBIN6 PERMI
REMARKS
STATE IICENSE N0.
ALUMINUM WIRE UNDERSIZE 81LLEGAL
FLOOR
BSM
I5T
21
P10.
WATER CIASET
TEMPORARY METER _
WASH BOWL
NEW SERVICE AMPS
BATH TUB
FORM 6-19
W
R
CHANGE SERVICE-AMPS
SHOWER
.
.
LIGHTING
SINK
/
/
HEATING
GARBAGE DISP
~
POWER SUB-CIFCUITS
WATER HEATER
UTIUTY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOF2S 9 CONTROIS
FLfJOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RELTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hareby acknowledqe that this applica-
fion ia torreet and undersfand that I
Connof sfarf this projett until ihis appli-
cotion ia apDroved. I shall comply wifh
ths lawa of Ihe Stote of Colorado and fo
}hs Zoninq Repulntions and Buildinp
Code of the City a! Wheat RidQe. Any
violation of the above terme will cause
immediate revocotion ot fhis permit
~ . „ ,71
4DOlicann 4iBn^lure
USE TAX
INSPECTION tICKET
- ~
(/-V
TOTAL FEE $ 0--ell
APPROVED
DISAPPROVED 44
CHIEF BUILDI INSPECTOR,City of Wheat Ridqe
Date Issued~~'-
NOT VALID UNLESS RECE
~a~s3
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS