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HomeMy WebLinkAbout4075 Benton Street1* ► � i City of Wheat Ridge '/� Resid. Windows/Doors PERMIT - 202100900 PERMIT NO: 202100900 ISSUED: 05/06/2021 JOB ADDRESS: 4075 Benton St EXPIRES: 05/06/2022 JOB DESCRIPTION: Repalce (7) windows in living room, kitchen, bathroom, and bedroom. .29 u -value, *** CONTACTS *** OWNER (303)902-6272 VAIL JENNIFER L DAILEY SUB (303)574-9594 RICK ROSE 080085 WINDOW WORLD OF DENVER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41563.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 95.82 ** TOTAL ** 145.82 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .30 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications, applicae building codes, and all applicable municpal 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 alI 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. 05/06/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Good morning, Attached is the reread foryour permit fee payment t have also attached your job card and approved permit You may schedule your InspeRlonlsj on the city a sl[e Opemlor Code: JBERRY 0Money Received decade Cade: Re<alM WW: COB024715 OVO&21 Sual RE win. P. Suat Residential nd wrymr Replacement it Monsoon Date intraday, May 6, 2021 10 44 33 AM Beach mmrx. eased I no Money: 202/00500 Py.,tlai ms Benton s Job Good morning, Attached is the reread foryour permit fee payment t have also attached your job card and approved permit You may schedule your InspeRlonlsj on the city a sl[e Opemlor Code: JBERRY 0Money Received decade Cade: Re<alM WW: COB024715 OVO&21 ❑ Wlded Distributions: 1458? 14582 PP Money: 14582 Chane Due: 0.00 C? Form! Resales pl windows ❑ca:emmxTmnseetian Distributions 0 BPBP 14582PERMITNO 202100900 4085 Renton St 000 Tharrkyou and be Sabel Justin Body Building Division Office Phone 303-235-2516 Office HOws: Pact � W heat _4dge COMMUNm DmwpM From: norepN@a wbeamdge mus dno muffeci ats crus, Sent Thursday, May 6, 2021825AM To: CommOev Perm166erm16QJtl wbea[ddge cc us, Subject Online Form Submittal Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application Is exclusively for RESIDENTIAL REPLACEM ENT WNDowS andDOORS LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND W NDOw/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be Studied to the email address provided below once it Is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN ta�c•�:rin►�n��a �� jrr:r_�y:3aan�xYna. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4075 Benton Street Property Owner Name Thomas Vail Property Owner Phone 303-902-6272 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email tcornelljr.gmail.com Address Attach City of Wheat Ridge cc 4075 odf Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTRACTOR INFORMATION Contractor Business Name Window World Contractor's License 080085 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number 303-574-9594 (enter WITH dashes, eg 303-123-4567) Contractor Email Address tenah®windowworldcolorao com Retype Contractor Email ten ahOwindowworldcolorado.com Address DESCRIPTION OF WORK What is being replaced Windows Number of window and/or 7 Windows doors being replaced Location of Living room, Kitchen, Bathroon, bedroom windows)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the .29 windows)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of 4075 order.odf window/door cut sheets showing sizes and u -value Project Value (contract 4563.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes 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 may Yes 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 Permit Tasha Engh Email not displaying correctly? View it in your browser. 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: AMpf'rwM V Permit Number: Ll No one available for inspection: Time & �' ('-I_'i�APM Re -inspection required: Yes /'No? When corrections have been made, cat for re -inspection at 303-234-5933 Inspector:—, DO NOT REMOVE THIS NOTICE I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 le caner of the property and am authorized to obtain this permit a r onn the work described and approved in conjunction with t s e it. 1 further attest that I am legally authorized to include all enAi named within this document as parties to the work to be p rfo ed d that all work to be performed is disclosed in this docum and/or it accompanying apxproved plans and specifications. _-- �.� Sig ature"o. OWNER or CONTRACTOR (Circle one) ate 1, T 's permit was issued based on the information provided in the permi application and accompanying Flans and specifications and is sub t to the compliance with those documents, and all applicable statu s, ordinances, regulations, po Flans and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no �tnore 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. q. 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 Ord ma or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of thief Building Offic Date REQUESTS MUST BE MADE BY 11: 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Electric PERMIT - 201800389 PERMIT NO: 201800389 ISSUED: 02/07/2018 JOB ADDRESS: 4075 Benton ST EXPIRES: 02/07/2019 JOB DESCRIPTION: Residential electrical. Reinstall and secure mast to building. *** CONTACTS *** OWNER (303)902-6272 VAIL JENNIFER L DAILEY SUB (303)681-9011 Micheel S Powell 170346 American Roofing & Constructio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 850.00 FEES Total Valuation 0.00 Use Tax 17.85 Permit Fee 40.10 ** TOTAL ** 57.95 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 le caner of the property and am authorized to obtain this permit a r onn the work described and approved in conjunction with t s e it. 1 further attest that I am legally authorized to include all enAi named within this document as parties to the work to be p rfo ed d that all work to be performed is disclosed in this docum and/or it accompanying apxproved plans and specifications. _-- �.� Sig ature"o. OWNER or CONTRACTOR (Circle one) ate 1, T 's permit was issued based on the information provided in the permi application and accompanying Flans and specifications and is sub t to the compliance with those documents, and all applicable statu s, ordinances, regulations, po Flans and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no �tnore 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. q. 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 Ord ma or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of thief Building Offic Date REQUESTS MUST BE MADE BY 11: 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of CW heat jl,e OMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: {� � 4 Plan/Permit ##}- �qoIcI F603k Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:��� N Property Owner (please print): T Phone: �`y Z % Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: r: ICY c� �-- Contractors City License #: I`7635L Contractor E-mail Address: / 4 C2 6 E'rt L Phone: 0— For For Plan Review Questions & Comments (please print): CONTACT NAME (please print): v ` "`- Phone: CONTACT EMAIL(p/ease print): Sub Contractors: Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form / ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLAC NT ❑ ,F,LECTRICAL SYSTE�VI/APPLIANCE REPAIR or REP CEMENT OTHER (Describe) ({ --5c G r� M 5t- Tn S pis (For ALL projects, please provide a detailed description of oris to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to betc.) e — r v ,� -t- 4 17 -C-C v i t_ iY /W vi / s Sq. Ft/LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 95-0 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 that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ONTRACC ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name . o i ' �J DATE: ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ PERMIT: I L�� Y ADDRESS: �Or%� 2"-,-Q), JOB CODE: 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. INSPECTION RECORD 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 day PERMIT: ADDRESS: y0'%� `�� JOB CODE: A_�f cF�_, 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 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 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 AH i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line_:�9r (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �1�3/,a6f Job Address: NS &tl42:,,g 5 - Permit Number: 11 ❑ No one available for inspection: Time --I, Re -Inspection required: Yes 0�� When corrections have been made, call for re -inspection at 303-234-5933 Date: • F, % Inspector: 3aLL/--- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �,(30Building Inspection Division 3) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: qoq go Job Address: 1/O n }-d /2 S Permit Number: aaa 17 o tl y62:� ❑ No one available for inspection: Time ) (.. f) AM/PM Re -Inspection required: Yes No/ fr When corrections have been made, call for re -inspection at 303-234-5933 Date: i / / Inspector: `HJT# DO NOT REMOVE THIS NOTICE 4, CITY OF WHEAT RIDGE . . Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -c<__ Job Address: U 7S o S Permit Number: 7 0«U 4-2 S N cert L120Q-0UJ20 ❑ No one available for ins ion: Time_ M/ M Re -Inspection require Yes o When corrections have been made, call for re -1 pection 03-234-5933 Date: ML- Inspector: DO NOT REMOVE THIS NOTICE A � City of Wheat Ridge r' Residential Roofing PERMIT - 201704425 PERMIT NO: 201704425 ISSUED: 07/19/2017 JOB ADDRESS: 4075 Benton ST EXPIRES: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 24 sq. *** CONTACTS *** OWNER (303)902-6272 VAIL JENNIFER L DAILEY SUB (720)536-8870 Chris Falasco 160159 Endeavor Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 100 / Apartments USE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,650.37 FEES Total Valuation 0.00 Use Tax 244.66 Permit Fee 236.00 PAIrb ** TOTAL ** 480.66 *** 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 - 201704425 PERMIT NO: 201704425 ISSUED: 07/19/2017 JOB ADDRESS: 4075 Benton ST EXPIRES: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with 24 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and 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 that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OW EI R/or'CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 maybe subject to a fee equal to one-half of the originalpermitfee. 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 granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicab 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. Dan Schultz 000044� From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, July 11, 2017 10:57 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application \1 ) Categories: Dane 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 Duplex are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4075 Benton Street Thomas Vail 303-902-6272 Property Owner Email Field not completed. Address 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 Endeavor Exteriors Contractor's License 160159 Number (for the City of Wheat Ridge) Contractor Phone 720-536-8870 Number Contractor Email Address production@endeavorexteriors.com Retype Contractor Email production@endeavorexteriors.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Armorshield II - Asphalt Shingle Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 24 t/ roofing material for this project Provide additional detail House, shed, and detached garage, 5/12 pitch, 2 -story here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) 11,650.37 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 Alex Knoll Email not displaying correctly? View it in your browser. 3 DocuSign Envelope ID: 5D52EE2B-585C-4982-8757-D76A78352D32 CLIENT AGREEMENT 00 .-N E VOR EXTERIORS 7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231 BBB.' Office: (720) 536-8870 1 www.TheEndeavorTeam.com I Licensed & Insured IClient Email Date Thomas Vail I tcornelljr@gmail.com 6/21/2017 (Street Address Endeavor Rep 4075 Benton St. I Tom Wulf City, State, Zip Insurance Company Insurance Agent Wheat Ridge, CO 80212 Country Financial Andrea Romero Home Phone Work Phone Claim # (303) 902-6272 ( I 164-0059050 Mortgage Company (only if mortgage company is present on payment) Lender Loan # Borrow Authorization Form Signed I New York Community Bank I "Processed by customer ❑ Photo of Mortgage Check Taken t! Limited Lifetime Labor Warranty • Gen. Liability/Workers' Comp • BBB Accredited ♦ No Deposit Required ROOF SCOPE: Full Partial Repair WINDOWS: u I Paortlal Repair PAINT: Full P �al ReFppair Brand I Brand 05 GAF ASH(26 sqs.) X Color Barkwood Model/Color. Metal Color Match Existing SIDING: u I Pa Ial Repair Felt. SBrand X — -- ✓ (Style: GUTTERS: r571 Partial Repair Color Q Gutters Coloc Match [] Downspouts Payment Terms Client understands and agrees their insurance company will not pay the deductible amount or any upgrade client is opting to pay for. Client's expense for these items are: First payment will be collected when work begins or material delivered - whichever occurs first. This is partial compensation for labor and materials. This amount is: Work to be completed according to the specifications in the total amount of: Brand. X Color(s): CII;f":�l Supplement for existing Class 4 IR shingle currently installed $ 1,000.00 $ 5702.93 $13,405.85 Supplements Balance due upon substantial completion [:] CASH SALE ❑Contigency Agreement (Contigent upon Ins. approval) 0 INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their best interest in pursuit of full replacement costs for damages believed to be covered under homeowner's insurance and allows Endeavor Exteriors to deal directly with the insurance company regarding this claim This contract does not obligate the Ghent to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Extenors Upon approval of claim, Endeavor Extenors will complete all specified work at a puce agreeable to the insurance company (RCV) and Endeavor Exteriors with no additional cost to the client, except for the deductible Ordinance and Law (supplemental) items may increase the orginal (RCV) amount. Final agreed upon price will become the final contract price, and request that all payments be made payable to Endeavor Exteriors Inc Endeavor Exteriors will not collect payment until the work has begun or materials have been delievered. *Credit card payments are not accepted on insurance claims* I (we) agree, by signing below, to all the contract conditions on both front and back, of this agreement 0 cuSigned by: Client Signature: IL144aS Val � Date of Acceptance: 6/28J2017 8A13F.539E0AF404 Client Signature: Endeavor Signature: LIV Sign Envelope ID. 5D52EE2B-585C-4982.B757-D76A78352D32 1. If the client plans to use the proceeds of a property and casualty insurance policy pursuant to part i of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-2-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. 2. All Contracts subject to approval by Endeavor Exteriors financial department. 3. Contract price is valid for thirty (30) days. 4. Endeavor Exteriors reserves the right to perform specified work in accordance with generally accepted construction guidelines, while adhering to local codes in ellect at the time of contract. D. All checks must be made payable to: Endeavor Exteriors. 6. All excess materials remain the property of Endeavor Exteriors. 7. Client is responsible for Homeowner's Association approval of products and colors. 8. Client acknowledges Endeavor Exteriors as a general contractor, as such F ndeavor Exteriors will be entitled to ten percent (10%) overhead, and ten percent (10%) profit, (O&P) if approved by the insurance company, if this project is part ol'a claim. 9. An account is defined as past due when 10 days have elapsed from the date of completion of work. Past due accounts will earn interest at a rate of one and one-half percent (1.5%) per month or eighteen percent (18%) annually. If Endeavor Exteriors is required to turn the matter over to an attorney for collection, the client also agrees to pay all costs incurred, including attorney's fees. 10. Should default of payment occur on this contract, Endeavor Exteriors reserves the right to place a mechanic's lien on the clients' property. if. Endeavor Exteriors shall not be held liable for failure of performance due to labor controversies, strike, lire, hail, weather, inability to obtain material from usual source, or any other circumstance beyond the control of the company. 12. Our standard workmanship warranty for roofing is non -transferable limited lifetime, and one (1) year for all other trades, and the company will provide a service call for roof inspection, as long as the client owns the property. 13. Endeavor Exteriors is not responsible for any leaks or water damage below the roolline caused by excessive wind, ice or hail during the period of the warranty. 14. Endeavor Exteriors shall refined any deposit if this contract is cancelled within 72 hours (3 days). 15. If this contract is cancelled by the client, after three (3) or more days of execution, the client agrees to pay Endeavor lixteriors twenty percent (20%) of the contract price, set by the insurance company, only if materials have been delivered or work has been performed, as liquidated damages. This payment is not a penalty, but is fair and just compensation for services rendered to that point. 16. 'Ihe homeowner may cancel this contract within 72 hours if the insurer has denied, in whole or part, the homeowners claim that relates to this contract. 17. While we make every effort to ensure there are limited consequences of construction, Endeavor Exteriors will not be held responsible for slight scratching or denting of gutters, droplets of oil in the driveway, cracks in concrete, or damage to plants and trees. Furthermore, Endeavor Exteriors will not be held responsible for exterior damages such as deteriorated trim pieces, crown molding, stucco, solar panels, evaporative coolers, existing skylights, or interior damage such as falling dust and debris, cracked plaster, sheet rock or nail pops, as a result of normal re -roofing. 18. Replacement or repair of the deteriorated decking, fascia boards, swamp coolers, ventilators, chimneys, counter flashing, or any other work completed for the homeowner not explicitly stated in this contract, are not included in quoted price and will be charged as extra on a time and material basis. 19. Endeavor Exteriors holds the right to photograph all projects in which it is invloved, and the right to publish throughout all Endeavor Exteriors' social media outlets. 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: � 0(o M I D POOF Job Address: rQW ST. Permit Number: 1'lJill- - w ❑ No one available for inspection Time U A PM Re -Inspection required: Ye No When corrections have been made, call for re -in p ction at 303-`234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE x .: • . •s ;ie SUIlding PermitApplication M lectdc r: WR City License# Complete r BOTH of r • y ».� .. COMMERCIAL0 NEW NEW RESIDENTIAL STRUCTURE COMMERCIAL ADDITION RtESOENTIAL ADDITION r r► r w i #t : F t N. ♦ k Gallons tz squares, Ot a ,.:... er fi (Contract va UO Or the cost Of idLmateirials and labor Included in the laft projed) t a. oil €. Y � 4 1 ♦ t 1 rtmildingDivisioni s