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Home My WebLink About3125 Ingalls StreetCity of Wheat Ridge Residential Roofing PERMIT - 201704145 PERMIT NO: 201704145 ISSUED: 07/15/2017 ~ JOB ADDRESS: 3125 Ingalls ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration 30 year lifetime dimensional asphalt shingles - 19.13 (17.33 sq pitched / 1.8 sq flat) *** CONTACTS *** OWNER (303)237-0709 PATTERSON GARY GORDON SUB (720)810-1991 Tim Bonneville 170180 Hassle Free Contracting LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,916.41 FEES Total Valuation 0.00 Use Tax 103.24 Permit Fee 125.05 ** TOTAL ** 228.29 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 3(a -S_ (N"'u' SL INSPECTION RECORD INSPECTION ONLINE FORM: http-//www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 F L Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments SII Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical f Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201704145 PERMIT NO: 201704145 ISSUED: 07/15/2017 JOB ADDRESS: 3125 Ingalls ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration 30 year lifetime dimensional asphalt shingles - 19.13 (17.33 sq pitched / 1.8 sq flat) **REVISION**Added redecking; Added valuation: $1,484.38 *** CONTACTS *** OWNER (303)237-0709 PATTERSON GARY GORDON SUB (720)810-1991 Tim Bonneville 170180 Hassle Free Contracting LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,400.79 FEES Total Valuation 0.00 Use Tax 134.42 Permit Fee 156.75 ** TOTAL ** 291.17 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704145 PERMIT NO: 201704145 ISSUED: 07/15/2017 JOB ADDRESS: 3125 Ingalls ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration 30 year lifetime dimensional asphalt shingles - 19.13 (17.33 sq pitched 1.8 sq flat) **REVISION**Added redecking; Added valuation: $1,484.38 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicabble building codes, and all applicable municipal codes, policies and procedures, and that I am tle 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�ermtt. 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 that all work to bq_pefformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying pplans 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 pen -nit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4 No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a pen -nit for, or an approval of, any violation of any provision of any applicable co_ ordinance 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. City of Wheatdge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(aki.wheatridge.coms FOR OFFICE USE ONLY Date: Add to Permit # I Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: "3 I - S" 'To as l 1:5 Property Owner (please print): S 1-} q_.,ro rl Phone: 3 115 Property Owner Email: 1 'J� r � - �a) �l �-n CA -L Mailing Address: (if different than property address) Address City, State, Zip: Contact Person: ( I rn EDr)neN i f (�e Phone: �� Contractor: -T) rn lSon n �e `id l e Contractors City License #: Phone: -72o- e ( o Contractor E-mail Address: 'Ti 1-e_ Oct . Com Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revisedlamended work: 0,�Jj n5de/v(n 10 Sq. FULF Amps Btu's Squares cove"r spo C--Q- Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 9 C,o 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list t t entity on this application. CIRCLE ONE: (OWNER)CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) P3 PRINT NANTE-/,rrrn"l j 4)?Z)2Ej /( r(G� SIGNATURE.k DATE: —DV l ZONING COMMMENTS Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 3 7 �/7 Permit Number: L (, 1 a IJ No one available for inspection: Time `` AM/tM Re -Inspection required: Yes �N When corrections have been made, call for re -inspection at 303-234- Date:- Inspector: <- DO NOT REMOVE THIS NOTICE 3011ON SIH13/10W3tf ION 00 J :aoloodsul / :Ole(] ££6S-ti£Z-£0£ je uoi;oadsui-aa ao/ ileo `spew uaaq aney suoi;oajaoo uayM. (o SGA :paainbaa uoi}oadsul-aa Wd/KV? Its avail :uoiloodsui ao} algaliena auo ON r :aagwnN Iluaaad t :ssaippd qof :adA.L uoijoadsul 33110N N01133dSNI xeJ 6068 -LEO (EOE) • agW0 5580-9EO (EOE) au!l uoijoadsu/ ££6S -b£9 (£0£) uolslnla uol}oadsul 6ulplln8:.; 3Jala IV3HM =10 All A e City of Wheat Ridge Residential Roofing PERMIT - 201704145 PERMIT NO: 201704145 ISSUED: 07/15/2017 JOB ADDRESS: 3125 Ingalls ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration 30 year lifetime dimensional asphalt shingles - 19.13 (17.33 sq pitched / 1.8 sq flat) *** CONTACTS *** OWNER (303)237-0709 PATTERSON GARY GORDON SUB (720)810-1991 Tim Bonneville 170180 Hassle Free Contracting LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,916.41 FEES ""AID Total Valuation 0.00 Use Tax 103.24 Permit Fee 125.05 ** TOTAL ** 228.29 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704145 PERMIT NO: 201704145 ISSUED: 07/15/2017 JOB ADDRESS: 3125 Ingalls ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration 30 year lifetime dimensional asphalt shingles - 19.13 (17.33 sq pitched / 1.8 sq flat) 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 amlegally authorized to include all entities named within this document as parties to the work to be arcoed and th 11 work to be per . is disclosed in this do ument nd/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, 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 maybe 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 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 applicabje.4e or any ordinance 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. Dane Lovett 2 d l /O i I g T From: no-reply@ci.wheatri dge.co.us Sent: Thursday, July 6, 2017 1:30 PM To: Permits CommDev v'1 Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application 71 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 3125 Ingalls St Wheat Ridge, CO 80214 Property Owner Name Sharon Patterson Property Owner Phone 303-237-0709 Number Property Owner Email sojourn30@gmail.com Address A �Jt,-19 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Hassle Free Homes LLC 170180 720-810-1991 Contractor Email Address tim@hasslefreecontracting.com Retype Contractor Email tim@hasslefreecontracting.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration 30yr/lifetime dimensional shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 17.33 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 1.8 on the flat roof? TOTAL SQUARES of all 19.13 / roofing material for this proj ect Provide additional detail House roof, 4 -layers, 1 -story, 5/12 pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract -,- value or cost of ALL materials and labor SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tim Bonneville Email not displaying correctly? View it in your browser. 3 fl HASSLE FREE CONTRACTING, LLC NMI 700 N. Colorado Blvd. Suite 700 Denner, CO 80206 Scope of Services, Work and Materials to be provided: The following is the Scope of Services, Work and Material recommended by Hassle Free Contracting, LLC. Any additional Services, Work or Material not approved by insurance claim, will not be performed by Hassle Free Contracting, LLC unless authorized by customer in agreement for additional payment 1. Tear-offA—layers 2. Ice and Water Shielding 3. Underlayment-�LJ 4. Shingle Mfg 1'l • (— P1 Dr -7.7 *iamQdV2 -0 6. Valley(s) Irk a Int. 10. Pipe jack(s) 3A1 45 11. Re -Flash Chimneys and wall abutment if possible, stucco or siding may be a deterrent 12. Metal Edging: _If. Color, (Cust. Inti0 13. Cap & Collar 14. Paint all metal to match 7. Ridge(s) Ridge Venting Vel`nti�g 15. Magnetic Roll entire property and haul/clean up same day (P 8. Nail size and Install pattern Derr SVI� � 16. Protection of lawn/landscaping 9. Pitch Levels Additional Services and Work: ( Op ?� EML&itks:�� v 17. WARRANTY Other Instructions: Payment agreement is all Insurance Proceeds, Supplements, Overhead & Profit (if applicable) and Deductible. Other INITIAL The approximate cost of the Services, Work and Materials known at this time is $ U /3 First payment is due upon delivery of materials. Final payment is due upon completion of each individual project. Each trade is considered a separate project. Paid Date I l CK# @$/ Paid Date I / CK# @S NOTICE: The property owner plans to use the proceeds of a property and casualty insurance policy to pay for the roofing work. The roofing contractor cannot pay, or waive any part of the insurance deductible applicable to the insurance claim. Owner may cancel the contract and obtain a full refund within seventy-two hours after entering contract. The Company's liability insurer is Farmers Insurance Company, 200 S. Sheridan Blvd. #130, Denver, CO 80226, 303-975-9950. TERMS: I (We) hereby authorize and instruct the insurance company and all lien holders to include the name of Hassle Free Contracting, LLC as co -payee on any loss draft checks after today's date. I (We) also authorize any legal representative and/or legal agent of Hassle Free Contracting, LLC to obtain information necessary to complete any funding process relative to the claim number referenced above. I (We) further authorize Hassle Free Contracting, LLC t ick up in person any loss drafts or checks on my/our behalf of property owner. PROPERTY OwNER1 TE T_ CONTRA 10 DA PROPERTY OWNER 2 DATE APPROVED BY DATE WWW.HASSLEFREECONTRACTING.COM / 720.810.1991 ROOFING / SIDING / WINDOWS / GUTTERS / PAINT S94of14 L • Aq-T- $fL50ri 4;lf 7/77' CUSTOMER DATE E4ML 312S .79(;A -LLS ST. IA/Hea leIbG£ (10 oLg14-9j+4 ADDRESS CITY STATE 21P CODE L19uGrf7lzs-- 3o3-a37-o7n�/�o3-331-pTul SAirt-CO cUn7L 4*400 94(.Pa40754oa2- PHONE ALT.PHONE INSURANCE DO. POLICYd CLAIMS MORTGAGE HOLDER MORTGAGE COMPANY PHONE MORTGAGE LOAN NUMBER OTHERINFO Scope of Services, Work and Materials to be provided: The following is the Scope of Services, Work and Material recommended by Hassle Free Contracting, LLC. Any additional Services, Work or Material not approved by insurance claim, will not be performed by Hassle Free Contracting, LLC unless authorized by customer in agreement for additional payment 1. Tear-offA—layers 2. Ice and Water Shielding 3. Underlayment-�LJ 4. Shingle Mfg 1'l • (— P1 Dr -7.7 *iamQdV2 -0 6. Valley(s) Irk a Int. 10. Pipe jack(s) 3A1 45 11. Re -Flash Chimneys and wall abutment if possible, stucco or siding may be a deterrent 12. Metal Edging: _If. Color, (Cust. Inti0 13. Cap & Collar 14. Paint all metal to match 7. Ridge(s) Ridge Venting Vel`nti�g 15. Magnetic Roll entire property and haul/clean up same day (P 8. Nail size and Install pattern Derr SVI� � 16. Protection of lawn/landscaping 9. Pitch Levels Additional Services and Work: ( Op ?� EML&itks:�� v 17. WARRANTY Other Instructions: Payment agreement is all Insurance Proceeds, Supplements, Overhead & Profit (if applicable) and Deductible. Other INITIAL The approximate cost of the Services, Work and Materials known at this time is $ U /3 First payment is due upon delivery of materials. Final payment is due upon completion of each individual project. Each trade is considered a separate project. Paid Date I l CK# @$/ Paid Date I / CK# @S NOTICE: The property owner plans to use the proceeds of a property and casualty insurance policy to pay for the roofing work. The roofing contractor cannot pay, or waive any part of the insurance deductible applicable to the insurance claim. Owner may cancel the contract and obtain a full refund within seventy-two hours after entering contract. The Company's liability insurer is Farmers Insurance Company, 200 S. Sheridan Blvd. #130, Denver, CO 80226, 303-975-9950. TERMS: I (We) hereby authorize and instruct the insurance company and all lien holders to include the name of Hassle Free Contracting, LLC as co -payee on any loss draft checks after today's date. I (We) also authorize any legal representative and/or legal agent of Hassle Free Contracting, LLC to obtain information necessary to complete any funding process relative to the claim number referenced above. I (We) further authorize Hassle Free Contracting, LLC t ick up in person any loss drafts or checks on my/our behalf of property owner. PROPERTY OwNER1 TE T_ CONTRA 10 DA PROPERTY OWNER 2 DATE APPROVED BY DATE WWW.HASSLEFREECONTRACTING.COM / 720.810.1991 71 7 ♦~~41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: 3/;Z57 F- c> ❑ No one available for inspection: Time 3; SS AM/PM Re-Inspection required: Yes When corrections have been made; call for re-inspection at 303-234-5933 Date: _~',>5r Inspect DO NOT REMOVE THIS NOTICE ~oF""E"TR City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 a Inspection Line: 303-234-5933 OCORPO Date: 0to t,~q v-I Plan Permit 0gcx)DBuilding Permit Application Property Address: . 9 r Property Owner (please print): lj ~n,~ 2C tC S ~/7 Phone: Mailing Address: (if different than property address) Address: State, Contractor: Contractor License Phone: ~Q3 ~n ~j r n Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ 7.45 Description of work: ~ pa r (as calculated per the Building aluation Data sheet) f C rr T K 1 tC {~1C- n o~/Yhlt'7 Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER)/ (CONTRACTOR) or PERSONAL REPRRE71/,;J SEWAT VE of ((OWNER) (CONTRATOR) PRINTNAME: tJ/"", ~n fe.~"A SIGNATURE: J 4_~Date: "Z-Q PELINE P.O. Box 370 ® Watkins, CO 80137 (303) 696-9599 Fax(303)671-6871 CALL ORIGIN NAML NAME App)e ADDRESS ADDRESS CITY ii LJkv&'+rjJqe STATE C' ZIP CITY STATE ZIP PHONE PHONE DESCRIP'Tll 14 SE92U fGES ESTIMATE Terms of Warranty: COMMENTS: APPROVAL A4LIkWZ SIp~~ I SUBTOTAL THANK • TAX PLEASE PAY THIS AMOUNT ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, $ decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other unforeseen complications. ACCEPTANCE TERMS: Invoices are payable, in full, upon completion of work performed. Any invoice not OF INVOICE X SIGNATURE paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to ❑ VISA ❑ M/C ❑ AMEX receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials nd labor supplied to CARD # EXP building projects pursuant to Colorado law. APPROVAL# INVOICE# JOB DATE A 23712 ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ,f s~! Job Address: _'®2,5 sTc Permit Number: 4 ❑ No one available for inspection: Time. ,Igo AM/PM Re-Inspection required: Yes (Sro)_ "When corrections have been made, call for re-inspection at 303-234-5933 Date: 5 2" Inspector: DO NOT REMO E THIS NOTICE City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 o Inspection Line: 303-234-5933 OCORP~ Building Permit Application Property Address: 312'5 7. ,f/, S4 Date:CF>-~)(( Plan Permit Property Owner (please print):- 5harm, I P~Yrfon Phone: 302,-237-o7oy Mailing Address: (if different than property address) Sf Address: 3I25 lnoo/ls City, State, Zip: w,4 /{,fit, ra q Contractor: Contractor License 1 qy 12 Phone: 3o?-69c- 9!;97 Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): SF A Construction Value: $ 3 9'31s Description of`work: .4f Wf r *6.4p Scrv:rr rep.,;, (as calculated per the Building Valuation Data sheet) from Al bduir /e to mwrh i n fhc loack yard fh44y Plan Review (due at time of submittal): $ f..Yf I.o-y, Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that ail measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REF PRINTNAME: <Iessrs Wa Krt,e..n SIGNATURE: Date: 5-.26 -C7I INVOICE f rr LPE~ JOB DATE 26903 MAM mm INDUSTRIES 1 C. P.O. Box 370 * Watkins, CO 80137 DATE 05126/09 PO # _ ® E TIMATOR__ Trevor CALLORIGIN Nick Fax(303)671-6871 SERVICEMAN :JOB INFORMATION BILLING. INFORMATION NAME NAME A letree Plumbing ADDRESS 3125 Ingalls St. ADDRESS 980 Simms St CITY STATE ZIP CITY Golden STATE CO ZIP 80401 PHONE PHONE 462-5555 F: 462-3091 DESCRIPTION OF SERVICES ESTIMATE vafa and replace " sewer line from the house to the city main in the back and easement %3,975.00 Appmx_ 30' Lon d 5' 12' dee . *Includes: Excavation Plumbers Laborers, Pipe, Fittings, Bedding, Backfill, QQmpaction Clean-up, Haul Away, Ci Permit & Inspection. *Excludes: Utility conflicts, box shoring, and any other unforeseen problems. * All items included if necessary kJ WARRANTY Terms of Warranty: 5 Year - Parts & Labor Excludes: Roots & Ground Movement Acts of Nature APPROVAL, X COMMENTS: SIGNATURE . SUBTOTAL THANK TAX PLEASE PAY YOU! THIS AMOUNT ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, $ decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other unforeseen complications. TERMS: Invoices are payable, in full, upon completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law. X SIGNATURE ACCEPTANCE OF INVOICE SIGNATURE ❑ VISA ❑ M/C ❑ AMEX CARD" EXP APPROVAL # ❑ CASH ❑ CHECK# CHARGE A/R ACCOUNT #