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Home My WebLink About4221 Owens StreetPERMIT: �7��[/ADDRESS: 44� SJJOB CODE: Evi INSPECTION RECORD Inspection online form: http://viww.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the ins ectio Inspections will not be performed unless this card is posted on the project site n Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector 102 Caissons / Piers Initials Comments 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 201 Electrical / Cable/ Conduit Initials Comments 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 p ns Rough Inspection Date Inspector 301 Rough Framing Initials Comments 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 q.C9 � l 0aw� - - Inspector Comments - Inspection (continued) Insp d) Date Initi _ Rough Mechanical Residential 'Rough Mechanical Commercial 3 Boiler / Furnace a Hot water tank D Drywall screw and Nail 1 Moisture board / shower walls 2 Rough Grading 13 Miscellaneous Inspector Comments Date Initials Inal Inspections D2 Gas Meter Release 03 Final Electrical Residential 04 Final Electrical Commercial F05 Final Mechanical Residential 106 Final Mechanical Commercial 107 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final W indow/Door Inspections from these entities shall be requested 411 Landscape/Park/Planning one week in advance. parking inspections please 412 RowlDrainage/Public Works For landscaping and call 303-235-2846 413 Flood plain Inspection For ROW and drainage inspections please call 414 Fire In p. I Fire Protection 303-235-2861 415 Public Works Final For fire inspections please contact the Fire 416 Storm Water Mgmt. Protection District for your project. 417 Zoning Final Inspection 418 Building Final Inspection be completed and app roved by Planning, Public Works, Fire and Building Building Inspection does not Note: All items must royal of before a Certificate of Occupancy is issued. App the Final constitute authorization of occupancy. leted b the Fire District and are comp Y For Low Voltage permits please be sure that rough inspections Electrical low voltage by the Building Division. PERMIT: �-/Z z / Daf�-S DRESS: I { JOB CODE. �, n.__ - Rough Inspection (continued) to Inspector Initials Comments 316 Rough Mechanical Residential _ 317 Rough Mechanical Commercial 404 Final Electrical Commercial 318 Boiler / Furnace 405 Final Mechanical Residential 319 Hot water tank 320 Drywall screw and Nail 407 Final Plumbing Residential 321 Moisture board / shower walls 322 Rough Grading 409 Final Roo` 323 Miscellaneous ` r 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 Roo` 410 Final Window/Door ` r 411 Landscape/Park/Pi:ir?.iing* 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** /Fire Protection*** 414 Fire Insp=Mgmt.** 415 Pub 416 St ,r 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% 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: JOB CODE: Foundation Inspections Date Inspector CommentsInitials 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 Do Not Cover Underground or Below / In -Slab Work Prior To Approvai ur i ne Hoove inziptVuviia Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof _ P tvtetal / 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 I L INSPECTIONS i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: qo9 flO F Job Address: '1241 ow l'/JS _jam Permit Number: aO/7 0 Pj 70&1 0 ❑ No one available for inspection: Time )1 AM/PM r, Re -Inspection required: Yes kN �.a When corrections have been made, call for re -inspection at 303-234-5933 Date:_1 i 3 7 Inspector: "hl_l� DO NOT REMOVE THIS NOTICE ► A 41 City of Wheat Ridge r Resid. Windows/Doors PERMIT - 201707740 PERMIT NO: 201707740 ISSUED: 09/27/2017 JOB ADDRESS: 4221 Owens ST EXPIRES: 09/27/2018 JOB DESCRIPTION: Residential Window replacement of 1 window like for like with a retrofit vinyl window, with a U -value .28 or better, according to manufacturer&439;s specifications. *** CONTACTS *** OWNER (303)944-1636 BUEHLER CHRISTIAN M SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2951 / KIPLING HEIGHTS BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 844.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 17.72 ** TOTAL ** 67.72 *** COMMENTS **'* *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 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 myy signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications, app]icable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and tha 1 wo to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. % 7117 SignatureOWNER or CONTRACTOR (Circle one) Date I. This p6nnit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3_ If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chier_�Uilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of ``7V heat R ComMUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 inspection Line: 303-234-5933 Email: permits aki.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Pe yit ° Plan Review Fee: Building Permit Application *`* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address: 4221 Owens St Wheat Ridge CO 80033 Property Owner (please print): Chris Buehler Phone: 303 944-1636 Property Owner Email: Mailing Address: (if different than property address) Address: State Architect/Engineer: Arch itectlEngineer E-mail: Contractor: Home Depot USA Contractors City License #: 170102 Contractor E-mail Address: iamieCa�reedysetgo com Sub Contractors: Electrical: W.R_ City License # Other City Licensed Sub: City License # Plumbing: W -R. City License # Phone: Phone: 801 710-2507 Other City Licensed Sub: City License # 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 E6RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION 79 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 REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work 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 be used, etc.) Replace 1 window like for like with a retrofit vinyl window, with a U -value .28 or better, according to manufacturer's specifications. 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) $ 844.00 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 pennit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE' (OWNER) (CONTRACTOR) or (AUTHORI%EDItREPRESENTATIVE) of (OWNER) (CON CTOR) Electronic Signature (first and last name): 06DATE: 9/21/17 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS - Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ ■(# )\ƒ «f{ %Ev I\§ { »(( 0 \! • ® ) k 19 ( .2 i u \ # !{)! q f e ! 7 ! § w k C | C) +_+ ƒ� ` , _ m_! g f 7 m_+ � ~ � / ! ! 6 u , : - § _m ! e /: _, # « c ea m g _! e in ! ! § \ m+ _« ; - a8lx3 6 ■ _m « ) - ¥ k ! ` ` 0 \ co 0 � / « # ) k § \ { f _ (L f \ 7 \ L) § /f!! ) $§ , § # \ z 3 / R M: M 0 LU ol \ % / \ /\ �_. § k U)I / 2 A #mom �-. �-�- r 4 � I i t �.-.,., i __�. { 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: ti 7 1) Job Address: 4-42" I Permit Number: � 0 1C) ❑ No one available for inspection: Time "� `� �'' AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:_// !' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708704 PERMIT NO: 201708704 ISSUED: 10/30/2017 JOB ADDRESS: 4221 Owens ST EXPIRES: 10/30/2018 JOB DESCRIPTION: Residential Re -roof to install Timberline asphalt shingles - 55 sq Pitch = 5/12 *** CONTACTS *** OWNER (720)863-6525 BUEHLER CHRISTIAN M TEN (720)283-7997 WAIVER 022104 Hart Roofing Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2951 / KIPLING HEIGHTS BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,000.00 FEES Total Valuation 0.00 Use Tax 399.00 Permit Fee 346.95 ** TOTAL ** 745.95 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708704 PERMIT NO: 201708704 ISSUED: 10/30/2017 JOB ADDRESS: 4221 Owens ST EXPIRES: 10/30/2018 JOB DESCRIPTION: Residential Re -roof to install Timberline asphalt shingles - 55 sq Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le 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'faccompanying approved plans and specifications. Signature of OWNER 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 may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be retired 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 Offiial 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 al] required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issua�nces�. or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable -co 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 TBE FOLLOWING BUSINESS DAY. Dane Lovett 7o'701 7 From: no-reply@ci.wheatridge.co.us —'— Sent: Saturday, October 28, 2017 1:27 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 3- or 4- Units are on the property? PROPERTY INFORMATION Property Address 4221 Owens St. Property Owner Name OW ENS PARK HOA Property Owner Phone 720-863-6525 Number (enter WITH dashes, eg 303-123-4567) 25 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 Field not completed. Yes Contract Hart Roofing.pdf CONTRACTOR INFORMATION Contractor Business HART ROOFING INC 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) Contractor Address (Primary address of your business) 022104 720-723-1011 2171 S TRENTON WAY # 217 Contractor Email Address BRUCE@HARTRFG.COM Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or BRUCE@HARTRFG.COM 55 4 -19000 No Pitched roof (2:12 pitch or greater) 26 both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 55 part of the PITCHED roof? Describe the roofing TIMBERLINE materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional TOWNHOMES detail here on the description of work. (Is this for a house or garage? Etc) 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 27 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 RONALD FARMER Email not displaying correctly? View it in your browser. 28 2171 S. Trenton Way Suite 217 Denver, C®02 1 REPRESENTATIVE'14-CX IOHA%RT&R YOUR TOTAL ROOFING SOURCE -2i Tel (720) 283-7997 Fax (303) 325-7427 Hart Roofing, Inc. agrees to furni h all materials and labor necessary for the work (specified below) on premises located at:82A`�tt NAME V t --i �i HOME PHONE ,/� WORK PHONE �{ ADDRESS �}�� i r al 1 I i/We the Owner(s) agree to payr' ;)SuzkG� CONDITIONS P�Recoverroof with �f.r,-Yl-v. r� � G� a•ijrkP. rotes# landscape 11 Cover Pool XP -Tear off dlean-up and haul off trash from roof Ise Shield Qom' f_ ❑ Flat Roof O Decking O�Felt k -Any siding repair to alioy� installation of new step Hashing will: D Calor of Shingle -I he done at a rate of $_per hour, per worker, plus material Style of Shingle �tt-� O Type ofVaile over and above original bid Price. (�, Permit ❑ Steep_ Two Story 9insta8 X27- �rfir al edge ❑ Offset p art Roofing, Inc.to furnish all material and labor �asteners ❑ Rldge Typeto 0, kf oaf Stacks 1.5"3" q" S. {� Hart Roofing, Inc. to furnish own insurance r� t Caps 3" i ('_6! " 13"— �aterial Warranty�VP � 1 ;1 -tabor Warranty. or- ❑ TurbineVents bSkylight ❑ Roof Lowers ft'Roller Magnet Yard 1st payment of will be due upon completion i ❑ Placement of material contingent upon any city or county inspections, initials Siding Specifications GutterSpecificatio» / %� ❑ Aluminum ❑ Vinyl COLOR: SIZE!. c. colle�_.-deduc#ibie t i size: O DS O D4 STYLE:: 9 DL O SL O BB SPECIAL INSTRUCTIONS Cn�ttii ena S Gtvzfaxz 0 i 12 asof_r:� subject to roof. This is be price is Roof work to be completed within 21 days of final Insurance approval and' ortgage endorsement" . Property Owner Iss not Intending to make payment from the proceeds of a property and casualty lnsuran( INSURANCE ALLOWANCE A R EMENT If so, homeowner must read and sign below. VWe agree to retain HartRoofing (contractor) to repair/repiace the damaged or entire portion of the property described on this contract contingent upon the contractor obtalt company's approval and payment to have said work completed. It Is agreed that the contractor is empowered to contact my insurance carrierand to meet with their represent negotiate the amount of damage, the cost of the repair or replacement of the damage to the above property. Upon the Insurance carrier agreement with the contractor and th being made the work will be scheduled and may begin on a first in first out basis. All checks shall be made Byakle to Hart Roofing. In the event that the Insurance carrier falls to negotiate in a fair and reasonable manner, the contractor shall not be held liable and this agreement will be void.The contractor u complete file to the Commissioner of insurance at the customer's request. Insured out of pocket expense will not exceed the Insured (purchaser) policy deductible for the work between the insurance carrier and the contractor. Insured also agrees to provide all the necessary documentation for the claim (including documentation to facilitate payment carrier and or mortgage holder).The contractor reserves the right to file for supplemental claims due to material and/or labor increases due to a storm environment or to insura mistakes, errors or omissions. Hart Roofing shall hold in trust any payment received from you until Hart Roofing has delivered roofing material at the site or has performed majority of the roofing work on yo, Acceptance of Contract The above prices, specifications, and conditions are satisfactory and are hereby accept will be mad�as outii ed bov�e.A/6 / (Insurance (olicy No Signature Signature (Mortgage Co,) (Moine U' V-) i o) ?a You gre authorized to do the work as specified. i Date Date policy. g my Insurance re in order to own payment release the reed upon m Insurance e adjuster's property 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: �� I o A Job Address: 1/'a a 1 n Permit Number: —J 0 I -7 o '7 7 L-) G ❑ No one available for inspection: Time / O = 3 Mf M Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date:—/ d /)7 Inspector: DO NOT REMOVE THIS NOTICE