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Home My WebLink About4202 Garrison StreetCity of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 201902416 PERMIT NO: 201902416 ISSUED: 11/18/2019 JOB ADDRESS: 4202 Garrison St EXPIRES: 11/17/2020 JOB DESCRIPTION: Replace 40 gallon, 36K BTUs gas water heater in basement *** CONTACTS *** OWNER (303)841-4869 BARTON BARBARA ANNE & RICHARD SUB (303)280-5765 LARRY BENAVIDEZ 100318 SQUEAKS SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,700.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 35.70 ** TOTAL ** 75.70 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 partes 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 originalermit 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 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 construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any orclin'a-rice or regulate ` 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 Wheat Ridge 11/18/2019 10-.36 CEIBA RePiwe 10 991"i 3 C0A0219O4 AMOUNT BPSP 4282 Garrison St 75.70 APPL/PEKMlT N0: 201902416 PAYMENT RECEIVED AMOUNT py / 7?lJ ?5.?O AUTH CODE: 67086595 TOTAL 75.70 ------------------'-------- Kimberly Cook in, � ( U. A -111 From: no -reply@ ci.wheatridge.co.us Sent: Friday, November 15, 2019 4:40 PM To: CommDev Permits Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application Categories: Kim Residential Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address (Leave blank if not known) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 4202 Garrison St Richard Barton 303-841-4869 Tracy_Lynn@yahoo.com CC Auth Wheat Ridge.pdf CONTRACTOR INFORMATION 1 Contractor Business Squeaks Name Contractor's License 100318 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-280-5765 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address workorder@squeaksservices.com Retype Contractor Email workorder@squeaksservices.com Address DESCRIPTION OF WORK Number of gallons 40 Is the water heater GAS gas or ELECTRIC? If GAS, enter # of BTUs. 36,000 If electric, enter n/a Where is the water heater basement located (for example, basement, crawlspace, etc)? Project Value (contract 1700.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit 2 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 Leah Benavidez Permit Email not displaying correctly? View it in your browser. The Property Address Third City of Wheat Part Ridge Permit Numbers Y Form Ch Permit Issued Check List Date Property owner Informay Owner Infar n Property Owner oration Address Inspection Ins e Cctor Infor Inspector ompany anon Name ��;• � Inspector Contact info14, Ins Rector I hearbY acknowled Statement and — that are under (-knowledge the roof l Acknowled ement i Nearby acknowledge must be inspect inspecting is 6112 or and found to b wledge the roofin ed by the City of °ver all roofs IBC as well e in compliance g system for the r Wheat Ridge Buid' I all City of with the mini eferenced b g Dept. recommendation Wheat Rid mum require ui/ding has been Inspector: an ti Ridge Policies and Pro lure aOf nd Manufacture 2012 IRC �ins>2ecteq rand 012 Manufacturer's Pro rt Date: hearbY acknawled Owner Statement .ice MY COnSent for knowledge that 1 °f Acknowled f 1 in lieu of thethe fisted thirdam the owner of the ement City of Wheat party inspection company referenced Propery Owner/ Agent: Ridge Building Divisionpant to above and 1 i This inspectio Perform my roof inspection e original do Building pffic current as well � Date: al within as the roofing ��. seven days Of the find insPe list Drop off in n must be submitted to Person pectin Permit counter 2nd floor the Chief 7500 W 29th Ave Submit via Wheat Ridge CO Email 80033 cak'ci.t,hea r° r. ,doe. co. us Drafted Date. 7126117 Please add note to reverse side Inspection Check List notes Mid-Roof Roof Inspection C► N/A o Pass 0 Fall 0 N/A ass 0 Fail Structural roof components Q NSA ass Fail Structural that no more than 2 layers of shingles exist 0 N/A ass U Fail Flashing for roof and walls P' s Cl Fall if new sheathing is installed verify that it is listed in the D N/Aass permit description (Valuation must be adjusted) A , ° Pass a Fair Verify sheathing nail pattern ( Seeicy poli Fail Crickets and saddles where needed Proceedures) Q N/A ss aFair Verify B vent must have boot same gauge a p N/A / ss 0 Fail 9 s pipe Verify vent caps N/A 'ass 4 Fail Verify no flashings are damaged or rusted Q N/A amass Fail Step flashing shall be min. of 4x4 piece per shin le A N/A s ° Fell Verify scuppers allow for proper drainage g Cl N/A Pass CI Fail ice and water shield Tin heated wall spaces a N/A Pass 0 Fall Underlayments must follow 2012 iRC 12012 IBC El /A ass 0 FailVerify roof slope for proper drainage 0 N/A LP SS n Fail Dripedge shall have min of 2" overlap N/A °Fail Dripedge should extend down min 2" past roof deck Fail Dripedge shall be mechanicaly fastened 12" OC N/A Pass a Fait 90 LB roll roofing shall not be applied to roof slopes ` less than 2:12 slope: Exception, Patios, carports, open on threes des withlm n. slope of 1:42 lA ca Pass 0 Fail N/A aPass Q Fail Modified Bitumen, EPDM, TPO min slope 114:12 sloe ,Above roof insulation R-25 p �'N/A 0 Pass Pass a Fail Below roof residential R-38 Fail Below roof commercial R-32 /A a Pass a Fail Modified Bitumen, EPDM, TPO min sloe 1/ 4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of Metal Roof Shlnales warranty with the address on the letter for final inspection Reauirsarr�o.� n JN/a o Pass Q FsiJ Metal roof shingles shall not be Installed o ` 3;12 slope less A° Pas c0 Fail Metal valley flashing shall be the same material as roof + Fall Metal valley flashing shall extend a min of 8" from the centerline with a min. of 314 " high splash diverter rib built-in at the flow line with sections overlapping a Tile Roofs Repuiremer min. • of 4" �W/A a Pass Q Fail Clay and concrete the shall have a min. 2-1/212 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Ko—te_s Company Name:," Inspector signature: Date of inspection: /.v N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope >"/A t7 Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 5 of 6 The City of Wheat Ridge Inspection Check List Notes Final Roof Roof Inspection ❑ N/A ❑ N/APass �1 Pass ❑ Fail Fail Structural roof components ❑ N/A Pass ❑ ❑ Fail Verify that no more than 2 layers of shingles exist Flashing for roof and walls ❑ N/A ❑ N/A Pass `)Pass ❑ Fail Structural roof components ❑ Fail If new sheathing is installed verify that it is listed in the ❑ N/A Pass ❑ Fail permit description (Valuation must be adjusted) Verify sheathing nail /2CN/A ❑ N/A ❑ Pass Pass ❑ Fait Fail pattern (See Policy and Procedures) Crickets and saddles where needed ❑ N/A /AT Pass ❑ ❑ Fall Verify B vent must have boot same gauge as pipe Verify vent caps c3 N/A ❑ N/A ,Pass c3 Fail Fail Verify no flashings are damaged or rusted ❑ N/A IXPass ❑ ❑ Fail Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for 13 N/A ❑ N/A Pass Pass ❑ Fail proper drainage Ice and water shield 2' in heated wall spaces ❑ N/A" ;Pass ❑ Fail ❑ Fail Underlayments must follow 2012 IRC/2012 IBC Verify ❑ N/APass ❑ Fail roof slope for proper drainage Dripedge shall have ❑ N/A ❑ N/A pass ass ❑ Fail Fail min. 2" of overlap Dripedge should extend down min. 2" Past of deck ❑ N/A ass ❑ ❑ Fall Dripedge shall be mechanically fastened 12" OC 90 LB roll roofing shall not be applied 2:12 slope: Exception, detachedgarages,roof slopes less than carports, N/A ❑ Pass ❑ Fail on three sides with min. slope o :1patios, open 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 an the letter for final inspection Metal Roof Shingles Re uirements � N/A N/A ❑ Pass ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than V/A ❑ Pass r3Fail ❑ Fall 3:12 Metal valley flashing shall be the same material as roof 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 /.v N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope >"/A t7 Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 5 of 6 The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: L ,e0 � ��, Inspector signature: -ft 6t� Date of Inspection: c / �� 11VSpECT10 Cancellations Rection online f N RECORp Ins must be submitted htt Re flections mitted via the mine f c�'wheatrid quest an inspection Wil not be Performed unless form before ge.cO'us/inspectio before MIpNIG unless this 8 a, n PERMITHT (1159 PIVD to re card is posted the day of the inspection AD _.ceive a n the project i coon ADDRESS: n inspectionthe followin site Foundation Inspections 9 business 102 Caissons / P Date Ins JOB Cp Piers Rector E: 103 FootingLetter Init►als ' 104 Foundationomments Setback CertC 105 Stern Walls 106 Foundation Do Not Pour wall Insulation Concrete Prior To Approval Of Th Underground / e Above Inspections Slab Inspections 201 Electrical / Cable/Conduit Date Inspector ergroun 202 Sewer Initials Und 203 Sewer d Int. Underground Co Undmments Plumbing 204 9rOund Ext. Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Bel ow / In -Slab Work Prior To Approval Rough Inspection Of The Above Inspections 301 Rough Framing date Inspector 302 Wali Sheathing Initials 303 Roof Sheathing Comments 304 Sheer Inspection 305 Insulation 306 Mid_Roof ;07 Metal / Lath /Stucco 08 Rough Electrical Residential )9 Rough ElectricYL - 0 Electrical al Commercial Meter Resides I Electrical Residential Meter Commercial Temp Const. Meter Rough Plumbing Residential Rough Plumbing Com >hower Pan mercial SEE OVER FOR q p pITION qL INSPECTIONS Db ADDRESS: �'T Inspector Date Initials ,spection (continued) gh Mechanical Cosmme'al cial agh Mechanical der 1 Furnace >t water tank Nail .ywall screw and loisture board I shower walls Wscetlaneous Date al Inspections Gas Meter Release 3 Final Electrical Cosmmer'c ial )4 Final Electrical 05 Final Mechanical Corndrner'cial al F06 Final Mechanical 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final WindowlDoor e1ParklPlanning* x.11 Landscap elPublic W orks** 412 Row/D,ainag Iain Inspection** 413 Flood p rotection*** 414 Fire Insp. I Fire P Works Final** 415 Public W ** ter Mgmt' Inspector Initials JOB CEDE: � Comments 0 comments Ventities shall be requested nspections fromtheseadvance inspections please one week in andparking *For landscaping call235-2846 ections pleasecall 303- a inspections **For ROW and drainag 303-235-2861 lease contact the Fire ***For fire inspections pour project. protection D►strict for y �- 416 Storm W a ection* d Building Final Insp public Works, Fire an 417 Zoning Inspection Inspection does not Final b planning Insp 418 Building and approved Y t be completed royal of the Final Building All items mus pccupancY is is ted App the Fire District and Note: ais is leted by before a Certificate of of occup inspection are comp constitute authorization lease be sure that rough insp Voltage permits please Division. For Low voltage by the B Electrical low City of Wheat Ridge ` Residential Roofing PERMIT - 201708920 PERMIT NO: 201708920 ISSUED: 11/07/2017 JOB ADDRESS: 4202 Garrison ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Permit for reroof: Install 23 squares 7/12 pitch Owens Corning Duration laminated asphalt shingle *** CONTACTS *** OWNER (303)916-5419 HEUER JENNIFER L SUB (303)717-7175 Travis Omiah 110064 Beacon Restoration, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,337.00 FEES Total Valuation 0.00 Use Tax 217.08 Permit Fee 220.15 ** TOTAL ** 437.23 *** 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 - 201708920 PERMIT NO: 201708920 ISSUED: 11/07/2017 JOB ADDRESS: 4202 Garrison ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Permit for reroof: Install 23 squares 7/12 pitch Owens Corning Duration laminated asphalt shingle 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 tle legal owner or have been authorized by the Iegal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction v, ith this�permrt. I further attes that I am legally authorized to include all entities named within this document as parties to the work: to be per andnd tha rk to be performed is disclosed in this docume t and or its' accompanying approved plans and specifications. �g � � 1 "_7 Signature of OWNrR or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Buildim, Official and may be subject to a fee equal to one-half of the original permit fee. 1 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 andprocedures 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 apy artlmance or regulation of tthi . jurisdiction. Approval of work is subject to tield inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Tuesday, November 7, 2017 10:39 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 4202 Garrison St Barbara Barton 303-916-5419 Property Owner Email pls9872@gmail.com -z-- 3 Address q3 t 's 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 Yes Contract Signed.pdf CONTRACTOR INFORMATION Contractor Business Beacon Restoration Name Contractor's License 110064 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-333-7270 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 11786 Shaffer PI Unit S205 (Primary address of your business) Contractor Email Address otravis@beaconrestore.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 both? (check all that apply) otravis@beaconrestore.com 23 10337 Yes Pitched roof (2:12 pitch or greater) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 7/12 23 Owens Corning Duration laminated asphalt shingle Asphalt House and shed. 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 to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 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 Omiah Travis Email not displaying correctly? View it in your browser. 4 beacon restoration, Ilc 11786 shaffer pl., ste 5205 I littleton, co 80127 1 phone 303.862,4625 I fax 720.287.2463 www.beaconrestore.com Residential DI A Colorado Limited Liability Company Roof: X DWELLING ❑ DETACHED GARAGE `SHED (w Protect landscaping, perimeter and clean site daily (w Drip Edge: XBrown ❑ Gray Z White ❑ Custom ('?Q Underlayment: ❑ 15 lb felt ❑ 30 lb felt Synthetic ❑ Tile UDL ()o Valley: Closed ❑ Open ❑ Brown ❑ Gray ❑ Black ()Q Plumbing Boots: tai- 3", ❑ 4"-0 Z - _-:,�L-T O0 Ridge Cap: Standard ❑ HD ❑ Decra ❑ Tile rOc-lrn- ( N Roll property with magnetic sweeper and haul away debris daily Manufacturer. Name of Product: LSO RA 1 FIN Gutters/Downspouts: ❑ Protect'( Replace Size: S l fmob- ZX 3 Color: I- i ' ff L- Windows:*KN/A Manufacturer: Name of Product: Exterior Frame Color: Interior Frame Color: Number of Windows: Window Type: Roofing: $ 6t Z- 5 A -7 Gutters: $ 1 f y I'9 r 09 Painting: $ — ( ) Replace rotten decking at $ per sheet (� Re -deck roof: YES CLf'v N NO (� Ice & Water Shield: PAEave [$Valley ❑ Skylight ❑ Chimney XVent ( �Q Re -flash: ❑ Skylight ❑ Chimney KSidewall (X) Vents: ❑ 750_XRidgey_-LExhaust-0 Attic Fan_ ( ) Nail shingles using 6 galvanized nails per shingle (>Q All step flashing to be replaced n r Product Color: �L=Lttct-t t il^ZA.1 ✓ Product Warranty: C IE`(, 's :1-N i..-.(Fi= 3 1 AA - Skylights: ❑ Protect ❑ Replaceb(N/A Curb Mount:_ Deck Mount: _ Style: Count: Exterior Painting: P(N/A Other Restoration/Project Notes: Project Start Date: Material Delivery Location: 7 IZIDL PROJECT TOTAL$ & 5 S ( r M,3 "-- Attic Inspection: ❑ N/A Rep. Initials: •Dote: "OR AS PER RCV OF APPROVED CLAIM AMOUNT" Deposit Amount: $ 1 (3 Due Upon: STA2_.) SIGNATURES Insurotxe Contingency. By signing this agreement the homeowner authorizes Beacon Restoration to represent the homeowner's best interest in pursuit of exterior restoration/construction due to storm damage. This contract does not obligate the homeowner or Beacon until the scope of restoration is approved by the Insurance Company and accepted by Beacon Restoration, Upon approval of claim Beacon Restoration will complete specified work at a price agreeable to the Insurance Company & to Beacon with no additional cost to the homeowner except for the deducti i . Agreed upon price will become the final contract price and Beacon will receive all Insurance proceeds & supplements for the work completed. Initials Customer agrees that it has read, understands and agrees to the Terms and Conditions on the back of this contract. Customer acknowledges that this contract is subject to final acceptance by Beacon Restoration and that once accepted, the written terms, conditions and specifications contained in this contract shall be the entire agreement between the parties. Any change to this contract or the specifications will require the execution of a written change order, which may result in additional charges. Customer understands that it may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. When APPLICABLE from above; Insurance Contingency. If this ilex is initialed by Customer, Customer and Beacon Restoration acknowledge and agree that this contract is expressly conditioned upon Customer's insurance company authorizing full roof replacement in accordance with the Insurance Contingency provisions contained in the Terms and Conditions. � sa�ia� � � ills ■� Beacon Representative: e, Signature: Date: ,I, 1 F 2,1=- L —1 I Upon receipt gjfjnal puvvnlew. Beacon Resruralion. LLC. shall issue u 3 ),ear tvarranty certificate arit(final release of7ien. CUSTOMER INFORMATION Property Owneri� �� +-1 L'Y 9L_t bNj Insurance Company: Project Address: -f u, JZ�i (/Z-�� /� -<7fInsurance Phone: Zr)n y_�,' - � % 61"{ r7� City, State & Zip: i J4:_ -fief RA ��.�i �(1 ZW3 Claim p: �CK� S X�iT �_S 9 - Home.S.ell Phone : - rn – S ZL / C? Policy ti: Lam(f � �.5 S 2,"7 ( Work Phone:��^�ss Beacon Representative: t-%N,'�j n it E -Mail Address: f L!, C� D -7 Z- e L:j {1,{ — Z&L eacon Representative Cell: ::I 21) `-K - ��_ rl f9Check hereifcustomermoiling address is different than ProjectAddress Customer hereby authorizes Beacon Restarotion to furnish all materials and lobar necessary to roof the above referenced Project Address according to the following terms, specifications and provisions: SPECIFICATIONS Roof: X DWELLING ❑ DETACHED GARAGE `SHED (w Protect landscaping, perimeter and clean site daily (w Drip Edge: XBrown ❑ Gray Z White ❑ Custom ('?Q Underlayment: ❑ 15 lb felt ❑ 30 lb felt Synthetic ❑ Tile UDL ()o Valley: Closed ❑ Open ❑ Brown ❑ Gray ❑ Black ()Q Plumbing Boots: tai- 3", ❑ 4"-0 Z - _-:,�L-T O0 Ridge Cap: Standard ❑ HD ❑ Decra ❑ Tile rOc-lrn- ( N Roll property with magnetic sweeper and haul away debris daily Manufacturer. Name of Product: LSO RA 1 FIN Gutters/Downspouts: ❑ Protect'( Replace Size: S l fmob- ZX 3 Color: I- i ' ff L- Windows:*KN/A Manufacturer: Name of Product: Exterior Frame Color: Interior Frame Color: Number of Windows: Window Type: Roofing: $ 6t Z- 5 A -7 Gutters: $ 1 f y I'9 r 09 Painting: $ — ( ) Replace rotten decking at $ per sheet (� Re -deck roof: YES CLf'v N NO (� Ice & Water Shield: PAEave [$Valley ❑ Skylight ❑ Chimney XVent ( �Q Re -flash: ❑ Skylight ❑ Chimney KSidewall (X) Vents: ❑ 750_XRidgey_-LExhaust-0 Attic Fan_ ( ) Nail shingles using 6 galvanized nails per shingle (>Q All step flashing to be replaced n r Product Color: �L=Lttct-t t il^ZA.1 ✓ Product Warranty: C IE`(, 's :1-N i..-.(Fi= 3 1 AA - Skylights: ❑ Protect ❑ Replaceb(N/A Curb Mount:_ Deck Mount: _ Style: Count: Exterior Painting: P(N/A Other Restoration/Project Notes: Project Start Date: Material Delivery Location: 7 IZIDL PROJECT TOTAL$ & 5 S ( r M,3 "-- Attic Inspection: ❑ N/A Rep. Initials: •Dote: "OR AS PER RCV OF APPROVED CLAIM AMOUNT" Deposit Amount: $ 1 (3 Due Upon: STA2_.) SIGNATURES Insurotxe Contingency. By signing this agreement the homeowner authorizes Beacon Restoration to represent the homeowner's best interest in pursuit of exterior restoration/construction due to storm damage. This contract does not obligate the homeowner or Beacon until the scope of restoration is approved by the Insurance Company and accepted by Beacon Restoration, Upon approval of claim Beacon Restoration will complete specified work at a price agreeable to the Insurance Company & to Beacon with no additional cost to the homeowner except for the deducti i . Agreed upon price will become the final contract price and Beacon will receive all Insurance proceeds & supplements for the work completed. Initials Customer agrees that it has read, understands and agrees to the Terms and Conditions on the back of this contract. Customer acknowledges that this contract is subject to final acceptance by Beacon Restoration and that once accepted, the written terms, conditions and specifications contained in this contract shall be the entire agreement between the parties. Any change to this contract or the specifications will require the execution of a written change order, which may result in additional charges. Customer understands that it may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. When APPLICABLE from above; Insurance Contingency. If this ilex is initialed by Customer, Customer and Beacon Restoration acknowledge and agree that this contract is expressly conditioned upon Customer's insurance company authorizing full roof replacement in accordance with the Insurance Contingency provisions contained in the Terms and Conditions. � sa�ia� � � ills ■� Beacon Representative: e, Signature: Date: ,I, 1 F 2,1=- L —1 I Upon receipt gjfjnal puvvnlew. Beacon Resruralion. LLC. shall issue u 3 ),ear tvarranty certificate arit(final release of7ien. its of _jjLcg COMMUNrry DEVELOPMENT # 0 AM a WA MWUA ATA ****** 11 1 RUMIMI��= M Planopermit # ZZEM= IN M Address: Mw � WR City License # Plumbing: 11 "JIVAIRIAMWA Complete all information on BOTH sides of this form .ts 40 a Sq. FULF Stu's Gallons Amps Squa Other