The URL can be used to link to this page

Home My WebLink About6105 W. 49th PlaceThe City of Wheat Ridge Third Party Form Check List Property Address 6105 W 49th PI. Wheat Ridge, CO Permit Number 201706084 Permit Issued Date 08/14/2017 Owner Information �} Property Owner Information Roxy & Frances Vendena Trust // k AC 9 Property Owner Address 303-888-0799 ��"`---"' IA Inspector Information Inspection Company Certified Building Consultants Inspector Name Kraig Stanforth;Travis Stanforth Inspector Contact info. 720-940-1180 TStanforthCBC(cz_gmail.com Inspector Statement of Acknowledgement *1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Building Department. *1 hereby acknowledge the roofing system for the referenced building has been inspected and foynd to be in compliance with the minimum requirements of the 2012 IRC and 20 21 well as the City of Wheat Ridge Policies and Procedures and manufactu is o dations and specifications. Insp Date: ' 1 Pro ert Owner Statement of Acknowled ement *1 hereby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third-party�nspection company to perform my roof inspection in lieu of the City of W at Ri a Bui ding Division inspection. Property Owner/Agent: - Date: Q, 2 This cr iginal document, as well as the roofing checklist, must be submitted to the Chief Building Official within seven days of the final inspection. Drop off in person Permit Counter 2nd Floor 7500 W. 29th Ave Wheat Ridge, CO 80033 CBC Wheat Ridge Roof Inspection Packet Submit via Email Kwok a�7ci.wheatridCfe.co.us Page 2 of 6 L i/LO/80 Z 3o Z oftd ••u,jlluud=pogloMaIL,dsip� op•uot}oL,suL,zl/lut,uojoWIL,raj!Al zoo•,�udai?aanuoo•oissulOH:sdllu Idoo aaiuogsn0 j no,j S.f up j 06ZZTS d3 KNHQNHA :# HOIOANI 00'0$ :XK,L SH'ivs N20S :QI MdTI0 000 :4 CEODEd Qb9900 :Q0 'IVAO'dddK 09'660'Z� :,LNIIOKV NVdJ, ?l 86TL*+******** :'d29 fIN CJ'dVD KSIn HIKS GEED 1I0H2i0 HE TZ:OT:80 LTOZ/LO/80 :e4aQ SZSnao'dd HWOH ;�I'dHHI'i 098T-869-£0£ 8ZZ08 00 'EHANHQ IS OfVAKN S 8Si SIMCIOEd HHOH TJ,2 HI'I The City of Wheat Ridge Inspection Check List Notes Mid -Roof Roof Inspection ❑ N/A Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A X Pass ❑ Fail Flashing for roof and walls ), N/A ❑ Pass ❑ Fail If new sheathing is installed, verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (see Policy and Procedures) N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify vent must have boot same gauge as pipe ❑ N/A le, Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A x, Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper damage ❑ N/A Pass ❑ Fail Dripedge shall have min. of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min. 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roof roofing shall not be applied to roof slopes less than 2:12 slope. Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Above roof insulation R-25 ,.E!� N/A ❑ Pass ❑ Fail Below roof residential R-38 ,6- N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications. Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ,A - N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof tg1 N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the _ centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with the sections overlapping a min. of 4" Tile Roof Requirements N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope �C N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 3 of 6 1J G Q C � y Lz z O _ CIO -r z - C. .. u .r, C — J..7 C C C O O C OC 1J The City of Wheat Ridge Inspection Check List Notes Final Roof Notes Company Name: Certifigd-Building Consultants Inspector Signature: Date of Inspection: CBC Wheat Ridge Roof Inspection Packet Page 6 of 6 The City of Wheat Ridge Inspection Check List Notes Final Roof Roof Inspection ❑ N/APass ❑ Fail Structural roof components ❑ N/A Pass 4 ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A Pass ❑ Fail Flashing for roof and walls ❑ N/A Pass ❑ Fail Structural roof components N/A ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy and Procedures) _EJ N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A _,%L Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/Aj. Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min. 2" of overlap ❑ N/A ^X Pass ❑ Fail Dripedge should extend down min. 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC N/A 4LPass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be installed in accordance with the manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with the sections overlapping a min. of 4" Tile Roof Requirements Q N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 5 of 6 Company Name: Inspector Signature: Date of Inspection: The City of Wheat Ridge Inspection Check List Notes Mid -Roof Notes CBC Wheat Ridge Roof Inspection Packet Page 4 of 6 *** 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) 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. 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 - 201706084 PERMIT NO: 201706084 JOB ADDRESS: 6105 W 49th PL ISSUED: 08/14/2017 JOB DESCRIPTION:18 Residential Re -roof to install GAF Ar orShield II Modified Bitumen, TPO/EPDM, Fiberglass Hickory asphalt shingles, pitched, 10 sq. flat) and Metal with 63 sq. (53 sq. *** CONTACTS *** OWNER (303)888-0799 ROXY & FRANCES L VENDENA TRUST SUB (303)757-5555 Brian Cung 100121 Rocky Mountain Roofing & Rest. *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2337 / I-70 CORRIDOR USE: UA / Unassigned BLOCK/LOT#: p / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,700.00 Total Valuation FEES Use Tax 0.00 Permit Fee 455.70 ** ** TOTAL 394.50 850.20 *** 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) 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. 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. 141,7060 6105 ��,pl INSPECTION RECO INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection `� ` I ://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection 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 Date Inspector Comments Foundation Inspections Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Inspector Comments Underground/Slab Inspections Date Initials Electrical Sewer Service Plumbing Do Not Cover Under round or Belowlln-Slab Work Prior To Ap royal Of The Above Ins Date Inspector Comments Rough Inspections Initials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Date Inspector Final Inspections Initials Landscaping & Parking I Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof31 i r Final Window/Doors Comments ons 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. 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 T City of Wheat Ridge Residential Roofing PERMIT - 201706084 PERMIT NO: 201706084 ISSUED: 08/14/2017 JOB ADDRESS: 6105 W 49th PL EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II Hickory asphalt shingles, Modified Bitumen, TPO/EPDM, Fiberglass and Metal with 63 sq. (53 sq. pitched, 10 sq. flat) *** CONTACTS *** OWNER (303)888-0799 ROXY & FRANCES L VENDENA TRUST SUB (303)757-5555 Brian Cung 100121 Rocky Mountain Roofing & Rest. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2337 / I-70 CORRIDOR BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,700.00 FEES Total Valuation 0.00k Use Tax 455.70 Permit Fee 394.50 ** TOTAL ** 850.20 _ t *** 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) 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. 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. I* l 4 1 City of Wheat Ridge Residential Roofing PERMIT - 201706084 PERMIT NO: 201706084 ISSUED: 08/14/2017 JOB ADDRESS: 6105 W 49th PL EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II Hickory asphalt shingles, Modified Bitumen, TPO/EPDM, Fiberglass and Metal with 63 sq. (53 sq. pitched, 10 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 a leggally authorized to include all entities named within this document as parties to the work to be performed d that all work to b r�ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signat re f 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, 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 more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 c an�ytoordiinnan°'c'e oor'regulation of this jurisdiction. Approval of work is subject to f any inspection. . Ir- P • lu Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 06 ) ( 060?q From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 9, 2017 9:23 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION D_ Property Address 6105 W 49th PI. Property Owner Name Roxy Vendena Property Owner Phone 303-888-0799 Number (enter WITH dashes, eg 303-123-4567) 137 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 6105 W 49TH PL CUSTOMER AGREEMENT.pdf CONTRACTOR INFORMATION Contractor Business Rocky Mountain Roofing & Restoration Name J Contractor's License 1001(21 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) 720-490-5747 1685 S Colorado Blvd. S-176 Contractor Email Address edith@rkymtnroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: edith@rkymtnroofing.com 62SQ Project Value (contract (_=21700.00) value or cost of ALL materials and labor) Are you re -decking the No v roof? F6r u ,l 138 S ` � . L�►"\,1�A -� 1 Does the scope of the Yes project include a flat roo (less than 2:12 pitch)? How many squares are part of the flat roof? Describe the roofing material for the flat roof: Type of material for the flat roof- Does oo£ Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 4 SQ Modified, 5 SQ Fiberglass (Separate structure), 1 SQ Metal Roof remove & replace fiberglass & modified EPDM TPO/EPDM, Rolled Yes 53SQ remove & replace comp. shingle with GAF Armorshield II in Hickory Asphalt Total number of squares includes main house & detached structures SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 139 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. 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 Brian Cung Email not displaying correctly? View it in your browser. 140 CUSTOMER AGREEMENT Ct24t� cLIPr-Jrora 71-7-173, -Pg1fl 1685 S. Colorado Blvd. Unit S-176 Denver, CO 80222 Office 303-757-5555 Fax 303-757-0027 - RkylAtnRoofing.com - Property Uwn�e1r V EN N Pr C" fs��t [1'rS �2ti+At�ats �/ EN Street Addre b► b y� R� 4 G NIS I 71- 9C 7 L 9 1 D E Home Phone 303-- SO -0-799 5rNo Deposit Required Work Phone Licensed & Insured Insurance Company ek3rry Claim # PQ 3398 �3 year Roof Labor Warranty Gen. Liability/ Workers' Comp. 9 . 17-17 1jrBBB Accredited ult Damage:Partial Repair Full es no Partin Rep tr Type: �'1A1L _...-- IWti Damage: yes no Type: art A, OUS GE T# SHED HEp2 T �� 9 UCC VINYL WOOD OTHER: ------ Roof Type: pass y S.tZ.. t_ar ,�zmk-.StyIe__ f=uw Color:%U Drip Edge Color QrL%%N^4, t]� N'A�t? Inspect Deckin uil Partial Repair g (Inspect Flashings "-Res. 6' - Comm. x�Z Steel 9 -Clean Up & Remove Trash L`- Lf: '-1 � l 0 bo ,o°� "�— Color.__________ 0 V nr JnrL_c^r _Li%._.._�. G 14�CYC. � n� •CV U I-ayllm t EPUons Loi ZIZ<r Atar tt: cVT t.v ®uT or ?()Luce'r 1iHA5 1 -rm W t�flf� (3 n[ r a I L� 4 a (QOm to bemsumnwcompleted acxxxxding to the above specifications in the amount of. (rpt to md�te •�surance is costs an ween construction costs) 4 /' — t $, a uT o p kz Balance due upon completion ❑ CASH SALE $ iti / '7 S O, INSURANCE AGREEMENT The homeowner a �v P best interest in pursuit of full replacement costs for damages ed to be Roa�g & Restoration to represent their allows Rocky Mountain Roofing &Restoration to deal tit believed to be covered under homeowner's insurance and contract does not obligate the h directly with the insurance comparry regarding this claim. This insurance company, and accepted byhomeowner or Rocky !fountain Roofing & Region until the claim is approved by the insurance Roofing e Restoration will court Rocky Mountain Roofing & Restoration. Upon approval of claim, Rocky Mountain Rocky Mountain Roofing & Restorationewith no ed a price agreeable to the insurance Company (RCV only) and upon price will become the final contract metal cyst to the homeowner except for the dedtxtibie. Final agreed Payments also be made ice' regardleass of estimated contract price above. and we request that all Payable to Mountain Roofing & Restoration. 1 (Vk) agree, by 9nln9 to all the trut conditions on both front curd Dam of this a .4 9reeunerrt. Horn ner's signattws~` 3 ". Date of Acceptance: / / 717 CAWBELL ROOFING 3 0 32 88729 4 Jars 23 2012 11:24a P002 /003 Date: !plan A • e it • � �. �, _ ... r � LS tca ( CM.1k) (.4UMORMW MPROOVY477 of lei (CON ) gAM NAMM: era 446 S XGNAT L° ° DA .t l N vat qNL �a�Er�G,cs� zcxtng: RvAewer; OCCUPAWY 1R .. ... E' T.. ui Btdq Vatu tion: city, :state, zip.