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HomeMy WebLinkAbout2830 Quay StreetCity of Wheat Ridge Residential Roofing PERMIT - 201707063 PERMIT NO: 201707063 ISSUED: 09/08/2017 JOB ADDRESS: 2830 Quay ST EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 14.5 sq Pitch = 12/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)238-9124 PHILLIPS PATRICIA A SUB (303)732-6625 Dennis Benoit 100219 Allegiant Roofing & Restoratio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,318.40 FEES Total Valuation 0.00 Use Tax 111.69 Permit Fee 140.90 ** TOTAL ** 252.59 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. INSPECTION RECORD INSPECTION CHLINE FORM: http://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 Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Ropo Ins tions Date Inspector Initials Comments Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof a Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201707063 PERMIT NO: 201707063 ISSUED: 09/08/2017 JOB ADDRESS: 2830 Quay ST EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 14.5 sq Pitch = 12/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)238-9124 PHILLIPS PATRICIA A SUB (303)732-6625 Dennis Benoit 100219 Allegiant Roofing & Restoratio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT4: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,318.40 FEES Total Valuation 0.00 Use Tax 111.69 Permit Fee 140.90 ** TOTAL ** 252.59 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707063 PERMIT NO: 201707063 ISSUED: 09/08/2017 JOB ADDRESS: 2830 Quay ST EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 14.5 sq Pitch = 12/12 (3rd party inspector required) 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 �eI-al own of the property and am authorized to obtain this permit and perform the work described and aroved in conjunction with thiermito be perrmed an at all work o perf"ormed 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 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 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. Theissuance 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 app J code or any ordinance or re ulation of this jurisdiction. Approval of work is subject to f any inspection. o Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett V 1707,g63 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 2:29 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address 2830 Quay St. Wheat Ridge, CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Patricia Phillips 303-238-9124 161 $ 75-,z '15 q M 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 trishaphillips16@gmail.com Yes P Phillips Contract08182017.pdf rK- _T�i�7al�l7i : ►7 7 I_�rC�7� Contractor Business Allegiant Roofing and Restoration Name Contractor's License 100219 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) 303-732-6625 6148 Vivian Ct. Arvada, CO 80004 Contractor Email Address sandy@allegiantroofing.com Retype Contractor Email sandy@allegiantroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 14.5 / the entire scope of work: Project Value (contract 5318.40 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 162 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the 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? Etc) No S Yes 6:12, 7:12,12:12 14.5 GAF Timberline HD Asphalt House with attached garage 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. Yes Yes Yes 163 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 Dennis Benoit Email not displaying correctly? View it in your browser. 164 ALLEGIANT ROOFING AND RESTORATION 6148 Vivian Ct. Arvada, Co 80004-4137 Phone (303) 732-6625 Fax (720) 335-6073 www.allegiantroofing.com CONTRACT SCOPE OF SERVICE (PART B) CONSENT FOR REPRESENTATION / SELECTION OF MATERIALS Property Owner/Home Owner (H/O) Name: %�/� %//� /�% / /�l A S Job Property Address: Zr3d' Lz'�q-y SJ City: H/O Phone Number: 30 ZJ�R-Q1 iZ-� Work: ( ) - Cell: L__) - Email - State.&I Zip: Allegiant Roofing and Restoration agrees to install the following material selected by the Property Owner/Representative as authorized by its insurance company to complete authorized repairs resulting from and insurable loss. The Property Owner/Authorized Representative selects the following materials and directs Allegiant Roofing and Restoration to furnish this material and its labor in a good workmanlike manner according to standard practice in the industry. Any alterations, modifications, changes or additions must be in writing and agreed to between the parties as evidenced by their signatures. Allegiant Roofing and Restoration is not responsible for damage caused by improper original construction including faulty framing, masonry bracing, and/or roof decks. Allegiant Roofing and Restoration is not responsible for existing damaged or weathered siding or paint and sheet rock damage due to vibration. Allegiant Roofing and Restoration is not responsible for damaged electrical, cable, A/C, or plumbing lines which are installed within 6 inches of the roof line. It is the property owner's responsibility to notify Allegiant Roofing and Restoration of any deed restrictions/mortgage delinquency/HOA requirements. Approximate Project Start Date: 1_�r l �-7e / % Project End Date: /—/5— —! 5 ' 2- / d TO INCLUDE: Pull permit, Strip off all layers of existing roofing material, Clean and haul debris, Sidewall flashing, 6 nails per shingle (1/4" Galvanized Nails per Shingle), Chimney (re -flash, caulk, and paint), Standard Ridge and Material Selectin as follows: SHINGLE BRAND: ��106a4-,L-1 >1Vv /*6 COLOR: 1�_16jzd LB FELT BASE SHEET VALLEY: Close / Open MATERIAL: _L- -e- 4,LI 2x2 INCH DRIP EDGE COLOR: Brown/ Black/ Gray/ Whit Almond PIPE JACKS: # 1-3" # 4" # 5" TURTLE VENTS: �# Replace 3) # Re -use COLOR: Brown / Black / Gray / Galvanized OTHER:&jap ; DEDUCTIBLE: (If deductible is more than stated by Property Owner, then Property Owner agrees to pay the difference.) I V16 U4_� CQ— X-71 rvtu R V,s W,4v c9, 5ZL� L5316, ib by °' rr-- _ e - YOUR TOTAL OUT OF POCKET EXPENSE FOR IN.jSURANCE CLAIMS: $ /�GtC�l1 In addition to current insurance proceeds $ L7/.���i . / Supplements being billed and approved by insurance, and O&P rt'lrEul(�Z�j,7 5- T� If paying by Credit Card, there will be a 3.75% surcharge for processing the transaction. I understand that if I fail to pay Allegiant Rog and Restoration any amounts due under this contract within seven (7) days from the date of construction, then Allegiant Roofing and Restoration may declare the entire unpaid balance to be immediately due and payable with my account declared in default. In the event of any default, I agree to pay the following charges in addition to my unpaid balance. 1) Late Fee: I understand that if an installment I not paid within seven (7) days after the due date then Allegiant Roofing and Restoration will assess a delinquency charge in an amount not exceeding the greater of 10% of the unpaid amount of the installment not to exceed $50 provided that such charge may be collected at the time it accrues or anytime thereafter but only once such charge shall be made for each installment in default regardless of the length of the period it remains unpaid. 2) Interest Charge: I understand that if payment is not made within seven (7) days from the date of construction, then Allegiant Roofing and Restoration may apply a monthly interest charge in the amount of twenty four (24) percent of the unpaid balance. 3) Collection Costs: I understand that in any default, Allegiant Roofing and Restoration may declare the entire unpaid balance to be immediately due and payable, and if Allegiant Roofing and Restoration then assigns this agreement to a collection agency for recovery, I will be responsible for up to 30% of the unpaid principle balance as the reasonable cost of the collection. 4) Attorney Fees / Court costs? I understand that any lawsuit over the terms of this agreement shall be brought within the courts of Colorado and governed by the laws of that state. Accordingly, the parties hereby subject themselves to the jurisdiction of those e courts. Should such a dispute result in any term being declared contrary to those laws, the remaining terms shall still be binding. The losing party will pay all reasonable and necessary costs (including attorney fees) of any lawsuit to enforce this agreement. We accept this pro po in accordance with the above: r _ Print Name\ Signature. �' Date: Print Name: ' 9Signature: Date: Allegiant Roofing and Restoration Signatures -Representative: 1461 Lt— `al,✓ -Owner: City of Wheat Ridge Residential Roofing PERMIT - 201707063 PERMIT NO: 201707063 ISSUED: 09/08/2017 JOB ADDRESS: 2830 Quay ST EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 14.5 sq Pitch = 12/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)238-9124 PHILLIPS PATRICIA A SUB (303)732-6625 Dennis Benoit 100219 Allegiant Roofing & Restoratio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT4: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,318.40 FEES Total Valuation 0.00 Use Tax 111.69 Permit Fee 140.90 ** TOTAL ** 252.59 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707063 PERMIT NO: 201707063 ISSUED: 09/08/2017 JOB ADDRESS: 2830 Quay ST EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 14.5 sq Pitch = 12/12 (3rd party inspector required) 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 �eI-al own of the property and am authorized to obtain this permit and perform the work described and aroved in conjunction with thiermito be perrmed an at all work o perf"ormed 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 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 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. Theissuance 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 app J code or any ordinance or re ulation of this jurisdiction. Approval of work is subject to f any inspection. o Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett V 1707,g63 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 2:29 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address 2830 Quay St. Wheat Ridge, CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Patricia Phillips 303-238-9124 161 $ 75-,z '15 q M 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 trishaphillips16@gmail.com Yes P Phillips Contract08182017.pdf rK- _T�i�7al�l7i : ►7 7 I_�rC�7� Contractor Business Allegiant Roofing and Restoration Name Contractor's License 100219 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) 303-732-6625 6148 Vivian Ct. Arvada, CO 80004 Contractor Email Address sandy@allegiantroofing.com Retype Contractor Email sandy@allegiantroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 14.5 / the entire scope of work: Project Value (contract 5318.40 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 162 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the 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? Etc) No S Yes 6:12, 7:12,12:12 14.5 GAF Timberline HD Asphalt House with attached garage 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. Yes Yes Yes 163 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 Dennis Benoit Email not displaying correctly? View it in your browser. 164 ALLEGIANT ROOFING AND RESTORATION 6148 Vivian Ct. Arvada, Co 80004-4137 Phone (303) 732-6625 Fax (720) 335-6073 www.allegiantroofing.com CONTRACT SCOPE OF SERVICE (PART B) CONSENT FOR REPRESENTATION / SELECTION OF MATERIALS Property Owner/Home Owner (H/O) Name: %�/� %//� /�% / /�l A S Job Property Address: Zr3d' Lz'�q-y SJ City: H/O Phone Number: 30 ZJ�R-Q1 iZ-� Work: ( ) - Cell: L__) - Email - State.&I Zip: Allegiant Roofing and Restoration agrees to install the following material selected by the Property Owner/Representative as authorized by its insurance company to complete authorized repairs resulting from and insurable loss. The Property Owner/Authorized Representative selects the following materials and directs Allegiant Roofing and Restoration to furnish this material and its labor in a good workmanlike manner according to standard practice in the industry. Any alterations, modifications, changes or additions must be in writing and agreed to between the parties as evidenced by their signatures. Allegiant Roofing and Restoration is not responsible for damage caused by improper original construction including faulty framing, masonry bracing, and/or roof decks. Allegiant Roofing and Restoration is not responsible for existing damaged or weathered siding or paint and sheet rock damage due to vibration. Allegiant Roofing and Restoration is not responsible for damaged electrical, cable, A/C, or plumbing lines which are installed within 6 inches of the roof line. It is the property owner's responsibility to notify Allegiant Roofing and Restoration of any deed restrictions/mortgage delinquency/HOA requirements. Approximate Project Start Date: 1_�r l �-7e / % Project End Date: /—/5— —! 5 ' 2- / d TO INCLUDE: Pull permit, Strip off all layers of existing roofing material, Clean and haul debris, Sidewall flashing, 6 nails per shingle (1/4" Galvanized Nails per Shingle), Chimney (re -flash, caulk, and paint), Standard Ridge and Material Selectin as follows: SHINGLE BRAND: ��106a4-,L-1 >1Vv /*6 COLOR: 1�_16jzd LB FELT BASE SHEET VALLEY: Close / Open MATERIAL: _L- -e- 4,LI 2x2 INCH DRIP EDGE COLOR: Brown/ Black/ Gray/ Whit Almond PIPE JACKS: # 1-3" # 4" # 5" TURTLE VENTS: �# Replace 3) # Re -use COLOR: Brown / Black / Gray / Galvanized OTHER:&jap ; DEDUCTIBLE: (If deductible is more than stated by Property Owner, then Property Owner agrees to pay the difference.) I V16 U4_� CQ— X-71 rvtu R V,s W,4v c9, 5ZL� L5316, ib by °' rr-- _ e - YOUR TOTAL OUT OF POCKET EXPENSE FOR IN.jSURANCE CLAIMS: $ /�GtC�l1 In addition to current insurance proceeds $ L7/.���i . / Supplements being billed and approved by insurance, and O&P rt'lrEul(�Z�j,7 5- T� If paying by Credit Card, there will be a 3.75% surcharge for processing the transaction. I understand that if I fail to pay Allegiant Rog and Restoration any amounts due under this contract within seven (7) days from the date of construction, then Allegiant Roofing and Restoration may declare the entire unpaid balance to be immediately due and payable with my account declared in default. In the event of any default, I agree to pay the following charges in addition to my unpaid balance. 1) Late Fee: I understand that if an installment I not paid within seven (7) days after the due date then Allegiant Roofing and Restoration will assess a delinquency charge in an amount not exceeding the greater of 10% of the unpaid amount of the installment not to exceed $50 provided that such charge may be collected at the time it accrues or anytime thereafter but only once such charge shall be made for each installment in default regardless of the length of the period it remains unpaid. 2) Interest Charge: I understand that if payment is not made within seven (7) days from the date of construction, then Allegiant Roofing and Restoration may apply a monthly interest charge in the amount of twenty four (24) percent of the unpaid balance. 3) Collection Costs: I understand that in any default, Allegiant Roofing and Restoration may declare the entire unpaid balance to be immediately due and payable, and if Allegiant Roofing and Restoration then assigns this agreement to a collection agency for recovery, I will be responsible for up to 30% of the unpaid principle balance as the reasonable cost of the collection. 4) Attorney Fees / Court costs? I understand that any lawsuit over the terms of this agreement shall be brought within the courts of Colorado and governed by the laws of that state. Accordingly, the parties hereby subject themselves to the jurisdiction of those e courts. Should such a dispute result in any term being declared contrary to those laws, the remaining terms shall still be binding. The losing party will pay all reasonable and necessary costs (including attorney fees) of any lawsuit to enforce this agreement. We accept this pro po in accordance with the above: r _ Print Name\ Signature. �' Date: Print Name: ' 9Signature: Date: Allegiant Roofing and Restoration Signatures -Representative: 1461 Lt— `al,✓ -Owner: 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: Li 1)-7 - F__ , i A Job Address: 2 s 3 e 134 - Permit 4 - Permit Number: 2 0 1-7 C 7 c L 3 L)No one available for inspection: Time 1C - o AM M Re -Inspection required: Yes GN When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 1/3 11 1 Inspector: T DO NOT REMOVE THIS NOTICE 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: 10 3 / s ° /r - t) / S Job Address: _(3) S 3 c & "" N + Permit Number: -D ro r 7 e -7 0 U 3 • r v ❑ No one available for inspection: Time 1 5-2 AM/6M Re -Inspection required: Yes I&o When corrections have been made, call for re -inspection at 303-234- Date:- ! ':) c Inspector: i r1 DO NOT REMOVE THIS NOTICE pEpqy'tTWIENT OF pLANNING AND DEVELOPMENT Building Permit Number : 95-1942 gU}~~G INSPECTION DIVISION - 235-2855 Date 9/27/95 ' CI'F~f OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 propetiy thmer : PHILLIPS PATRICIA A propertg ,4dzlress : 2830 QUAY ST Phone : 238-9124 GonfractorLfcerlse No. : 17858 Company : Peterson Roofing Phone : 431 9625 QWNERlCON1'RACTOR $16NATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,200.00 . I ~qo q~baqc t~ncea propoaed by this pertnit ap~licetion aie accurate, Permit Fee : $Z9•00 :~i Qo llot'M mdinance8, ruba or regulations of tha C ry of Wheal Ridge or sp~ne or rM~l~forn of record; that all meaauromenta shown, and allepations Plan Review Fee : $0.00 ~ye~fatsa qqd C ha~y r~d end agree to abide by all conditbns prinled on thia USB T3X : 5.00 ~}~K I qy~~y {yq reyponsitiil'~y for complience with the Wheat Ridge Building ~pft ~ g Cya~M ,q pymr appYrsble Wheat Ridge ordmancas, for xrork under this pertnft. DAre TOtal: $47.00 (pWNFRHCONTRACTOR)'S14aNED pescription : REROOF BUILDING DEPARTMENT USE ONLY ~val:` Zonkig : Approva4: Approvai : p~~pam; Walls : Roof : Stories : Residential Units : Eiectitiral tk;ense No : Plumbing License No : Mechanical License No : Company : Company : Campany : ; Expiia4on DaEe : Expiration Date : Expiration Date : ApprovW : Approval : APProval : ~ caa a" R pe,°~coioi0rena'o$« ~ onre°avd~ ~ e~ a°c~ lBNre wnb smm a caor,ao ena ro ma zomre thO t~ Uy parmlit ~ a*e a(/~ (1qg MqAc euthonzed ia not commenced wiWn aixly (80) deye trom isaue deb w(B) the builElnO authorized'u suspended or haff (3' ~~~f1+p,d~3b daVS u M ebentlonmaM hes annouceeded one (7~j Y~ . P~ea are~ireae~ ohr n euapena on w ebanaonment R : expidr OIro (t)!roM', kYfees ehall be P01d e new Pern^ft (d~ NpwWk qf yynUrlW NWlbadaiaMelwiNChangethenelurelllrnxoiwew ausinp adreinapaProblem. contacwr ow tam the mov~i~ Inp ~bH'~r (24) hours in atlvance 1w all ~~sPectbns eM sliall receive written epproval on inspeclbn pN betore ta) ~~a e~«xa 8p-croveof drawin9s aiM sP~tlona shell rrot he conetruetl lo be a P~^K tor, nor en apProvel ot, enY vldaUon of tM Pmviebne o' tty~ Oryyrinarce,law, nub or re9ulaUon. y= i ~ THE THIS PC-RMIT CpL~: y3qY.59 3~ HSIGNED OURS RIOR TOHNSPECTION BUILDING INSPECTOR ~S(o DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : PropertyOwner: Property Address : Contractor License No. : I S,; S: Phone : j i a y CompanY : ~~~c F'~•c5~.~, Phone : (ISi OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I heraby certify that the setback distances proposed by this permit appliwtion are accurete, and tlo not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants. easements or restnctions of record: that all measurements shown, and allegations made are accurete; that I have reatl and agree to abide by all contlitions printed on this application. and that I assume full responsibdity for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permrt. (OWNER)(CONTRACTOR)SIGNED~~'~~DATE Descnption: ~~;,3ICe`3`~ Construction Value : ~ 2 o n Permit Fee : Use Tax: Total : BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval : . Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : q, Plgns Requlre Plumbing License No : Company : Expiration Date : Approval: _3 ; Pl9fhs ReqWred I Mechanical License No : Company : Expiration Date : Approval : ,A f P,ahs:~844.:` (1) This permrt was issueE in accordance wrth the provisions set forth in yopur application and is sublec<<o the laws of the State of Coloratla and ta the Zoning Regula[ions and Building Code of VJheat Ridge, ColoraEO or any other applica0le ortlinances of ihe City. (2) This Oermit shall expue if (A) the work authonzetl is not commencetl wlthin si:ry (60) days from issue date or (B) the builtling authonzed is 5uspentleE or aoandoned for a periotl of 120 days. (3) If this permit expires, a new permit may be acquiretl for a(ee of one half the amount normally reQuired, provltletl no changes have been or wlll De made m ihe ongmal plans and speclfications and any suspension or abantlonment has not exceedetl one (1) year. If changes are matle or d suspenswn or abantlonment ezceetls one (1) year, full (ees shall be paitl Por a new permit. (4) No wofk of any mannEf shall be tlone that Will Change Ihe natural flow of water causing a tlrainage problem. (5) Contracror shall notify [he Building Inspector Iwenry-four (24) hours in a0vance for all inspectwns and shall receive wntlen approval on inspection wrtl before proceetliing with successive phases of ihe job. (6) The issuance of a permit or the approval of tlrawings and specifcations shail not be construetl to be a permit for, nor an approval of. any violation of the provisions of tne bmltling cotles or any other orCinance, law, mle or regulation. Chief Building tnspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION