HomeMy WebLinkAbout4155 Balsam Street41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: c -. � t -- % z--;, 1,- e a t:
Job Address: - � A,,S4
Permit Number:X2.0
❑ No one available for inspection: Ti
Re -Inspection required: Yds No,
When corrections have been made,
Date: CiP In
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Electric PERMIT - 201901387
201901387 ISSUED: 07/08/2019
4155 Balsam St EXPIRES: 07/07/2020
Residential electric wiring circuit for radon fan.
*** CONTACTS ***
OWNER (303)478-2547 KRANTZ TSRRI
SUB (303)221-2979 Rudolph Todd
020248 MASTERS ELECTRICAL CONTRACTORS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 350.00
FEES
Total Valuation 0.00
Use Tax 7.35
Permit Fee 26.50
** TOTAL ** 33.85
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed a that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The nce orgrant' of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
app e c e ora rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat jjdg�
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
16 //
Plan/Permit
##
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): � �f �g:z j'f 'Z Phone:
Property Owner Email: 4r_46 -X! 0 G4 n A-,
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor Name: '0
City of Wheat Ridge License #: (') 2 Phone: 4�2? lo Ll( q2 21
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone: 3.��ot%<;�G��;
CONTACT EMAIL(p/ease print): r ��� ��' / rL / (��✓�
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields if applicable.
❑ COMMERCIAL RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
Amps Squares
BTUs
Gallons
For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 3)S �2;
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on th lication.
CIRCLEONE: (OWNER) (CONTRACTQR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
%�
c'
INSPECTION RECORD
INSPECTION ONLINE 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
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Lath /Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
1
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall 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—
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.
-or low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
y 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 - 201705734
I
PERMIT NO: 201705734 ISSUED: 08/09/2017
JOB ADDRESS: 4155 Balsam ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install TPO/EPDM with 27 sq. flat
*** CONTACTS ***
OWNER (303)810-7644 ROYBAL DANIEL J
SUB (303)238-2978 Don Toller or Dale Griffin 018099 A -Advanced Service Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,250.00
FEES
Total Valuation 0.00
Use Tax 509.25
Permit Fee 442.05
** TOTAL ** 951.30
*** 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 calleH in at the same time, one hundred percent of the sheathing must be
complete and 25-75 pe -cent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to t'e roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eav nd rake metal is required. A ladder extending 3 feet above the roof eave
and secured i- trace is required to be provided for all roof inspections. Roof ventilation
is required i7o comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
_ype 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.
v_ ERSICC) 308416
ROOFING SYSTEMS
VersiWeld° TPO/VersiFleece° TPO/VersiFlex° PVC/VersiFleece® PVC
MEMBRANE MATERIAL WARRANTY
Subject to the following terms and conditions, Versico, a division of Carlisle Construction Materials Incorporated, warrants to the Buyer that
the Versico membrane material (MEMBRANE) will not prematurely deteriorate to the point of failure because of weathering for a period of
fifteen (15) years for 45 -mil membrane or greater, twenty (20) years for 60 -mil membrane or greater, or thirty (30) years for select 80 -mil
membrane or greater from the date of sale if properly installed, maintained and used for the purpose for which Versico intended.
If upon inspection by Versico, the Membrane shows premature deterioration because of weathering within the designated warranty period
stated herein, Versico's liability and Buyer's remedies are limited at Versico's option to the providing of repair material for the original
Membrane or credit to be applied towards the purchase of a new Membrane, the value of these remedies being determined by Versico based
upon the number of remaining months of the unexpired warranty used to pro -rate at the current prices for the Membrane. The maximum pro-
rated value allowed by Versico for repair or credit shall not exceed the original Membrane purchase price.
To validate this warranty, the registration information must be completed by the owner and mailed along with the copy of the invoice clearly
indicating the material purchased within 10 days after the date of sale. Buyer shall give Versico notice of a claim under this warranty within
thirty (30) days of discovering any premature deterioration of the membrane. Any claim under this warranty must be mode in writing within
the designated warranty period from the gate of sale arid rnus( include a sample of the membrane for evaluation and response at the
owner's expense.
This warranty refers to the deck membrane material only. Flashings, adhesives and other accessories contained in a membrane system are not
covered by this or any other warranty, express or implied.
Versico shall not be responsible for the cleanliness or discoloration of the membrane material caused by environmental conditions including, but
not limited to, dirt, pollutants or biological agents.
Versico shall have no liability under any theory of law for any claims, repairs, restoration, or other damages including, but not limited to,
consequential or incidental damages relating directly or indirectly, to the presence of any irritants, contaminants, vapors, fumes, molds, fungi,
bacteria, spores, mycotoxins, or the like in the building or in the air, land or water serving the building,
NO REPRESENTATIVE OF VERSICO HAS AUTHORITY TO MAKE ANY REPRESENTATIONS OR PROMISES EXCEPT AS STATED HEREIN.
VERSICO DOES NOT WARRANT PRODUCTS UTILIZED IN AN INSTALLATION, WHICH IT HAS NOT FURNISHED; AND SPECIFICALLY DISCLAIMS
LIABILITY, UNDER ANY THEORY OF LAW ARISING OUT OF THE INSTALLATION AND PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR
CAUSED BY, PRODUCTS NOT FURNISHED BY VERSICO.
THERE ARE NO WARRANTIES EITHER EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS
FOR A PARTICULAR PURPOSE, WHICH EXTEND BEYOND THE WARRANTIES CONTAINED IN THIS DOCUMENT. VERSICO SHALL NOT BE
LIABLE FOR ANY INCIDENTAL, CONSEQUENTIAL OR OTHER DAMAGE, INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS OR DAMAGES TO
A STRUCTURE OR ITS CONTENTS UNDER ANY THEORY OF LAW. THIS WARRANTY IS NOT TRANSFERABLE OR ASSIGNABLE.
VERSICO VERSIWELD® TPO/VERSIFLEECE° TPO/VERSIFLEX° PVC MEMBRANE MATERIAL WARRANTY
Detach here and return completed form along with a copy of the bill of sale or invoice for the membrane to:
VERSICO
P.O. Box 1289 • Carlisle, PA 17013
Attn: Warranty Services Department
Building Owner's Name: � K X e.
Building Owner's Address:
DATE OF SALE: C)5� [ Gky I Zy 17
Address and Location of Building: -A �5 J tr,
S\ ° r £' �IC
� • �`�� �
Building Owner's Telephone Number: (:3 )
L4 Contact:
Date Project Completed:
Roofing Contractor's Name:
Roofing Contractor's Address:042,\N - AANmaiJA
VS L
Type of Membrane: (circle one) VersiWeld TPO or VersiFleece TPO
❑ 45 -mil
Tg60-mil
❑ 80 -mil
VersiFlex PVC or VersiFleece PVC
❑ 50 -mil
❑ 60 -mil
❑ 80 -mil
VersiFleece KEE HP PVC or VersiFleece
KEE HP PVC ❑ 50 -mil
❑ 60 -mil
❑ 80 -mil
Warranty Requested: 15 -year 45-, 50-, 60-, or 80 -mil ❑
Size of Project:
521S
Sq.Ft.
20 -year 60- or 80 -mil ID
30 -year 80 -mil TPO or KEE HP PVC ❑
3084762
602353 06.08.15
CARE & MAINTENANCE INFORMATION
The following items of maintenance information are not complete or exhaustive but are recommended for a single -ply roofing system.
1. Clogged drains should be avoided to insure equal load across your structure.
2. Ponding water that does not dry in 48 hours after a rain could cause damage to the roofing system.
(The building owner is responsible for installing roof drains that meet this requirement. This includes new construction, reroofing, and
structural distortion or sag requiring drain addition, relocation, or addition of tapered insulation.)
3. Petroleum products, if allowed to stand on the membrane, will have on adverse effect and may degrade the surface of the membrane.
Keep all petroleum products off the membrane (solvents, greases, oils, or any other liquid containing petroleum).
4. Kitchen waste should not be exhausted onto the roof surface. They could reduce the life of your roof.
5. Foot traffic should be kept to a minimum. Any areas which require normal maintenance during a 30 -day period should have walkways to
and from, as well as in the work area.
6. Under no circumstances should roofing cements be used in conjunction with the membrane.
7. Areas such as countertlashings, curbs, and pipes should be kept sealed at all times.
8. If a leak occurs, don't assume that it is the membrane. leaks are often the result of curbs skylights, hatches, metal work, or plumbing
problems. Carefully survey the problem first.
9. If any new installation is required on your roof, contact your preferred roofing company for a recommendation as to how the unit is to be
tied in to your existing roof. New work should be completed by an Authorized Versico Contractor familiar with membrane systems.
General maintenance trades working on your rooftop units, doing plumbing, welding, soldering, and other work, must use care and protection
or they will could damage your roof. This type of damage is the owner's responsibility and not covered by the membrane warranty.
VERSICO
P.O. Box 1289
Carlisle, PA 17013
1-800-992-7663
(n
n
n
City of Wheat Ridge
Residential Roofing PERMIT - 201705734
PERMIT NO: 201705734 ISSUED: 08/09/2017
JOB ADDRESS: 4155 Balsam ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install TPO/EPDM with 27 sq. flat
*** CONTACTS ***
OWNER (303)810-7644 ROYBAL DANIEL J
SUB (303)238-2978 Don Toller or Dale Griffin 018099 A -Advanced Service Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,250.00
FEES
Total Valuation 0.00
Use Tax 509.25 -4L k 6"
Permit Fee 442.05
** TOTAL ** 951.30
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201705734
PERMIT N0: 201705734 ISSUED: 08/09/2017
JOB ADDRESS: 4155 Balsam ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install TPO/EPDM with 27 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 am legally authorized to include all entities named within this document as parties to the work to be
�ed and that all work to b perforirred is disclosed in this document and/or its' accompanying approved plans and specifications.
f� �/ �l /,/ 1% i on In
i i/
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, 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or inance or regulation of this 'jurisdiction. Approval of work is subject to field inspection.
. ��
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 2, 2017 10:37 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?) ( /,� � Y ,,�l
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4155 Balsam St.
Daniel Roybal
303-810-7644
roy3bal@skybeam.com
0
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Roybal Signed Contract 001.6pg
Contract
CONTRACTOR INFORMATION
Contractor Business
A -Advanced Service Co
Name
Contractor's License
018099
Number (for the City of
Wheat Ridge)
Contractor Phone
303-238-2978
Number
Contractor Email Address
dontoller@gmail.com
Retype Contractor Email
dontoller@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No /
roof?
V
Description of Roofing
White TPO
Material
Select Type of Material:
TPO/EPDM
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
27
material selected above?
Does any portion of the Yes
property include a flat
,
roof?
If yes, how many squares
27
on the flat roof?
TOTAL SQUARES
27 V
(pitched + flat) of all
N
roofing material for this
project
Provide additional detail House flat roof pitch 1/4 in. per 1 ft
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 24,250
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Don Toller
Email not displaying correctly? View it in your browser.
3
Estimate
Between: A -ADVANCED SERVICE COMPANY Roofing Contractors
12211 W. Alameda Pkwy, ##106, Lakewood, CO 80228 O. 303-238-2978 Fx. 303-238-4308
And: Daniel Roybal
4155 Balsam St.
Wheat Ridge, CO 80033
H. 303-456-8248
M. 303-810-7644
OFFER
We hereby submit the following specifications and codocuments as terms and conditions of the
contract:
Claim Number: 215080 -GF
Storm Damage: 05/08/2017
Main House
1. Remove existing (2) layers of roofing and insul board down to wood deck and haul away debris. Approx. 27 sqs.
2. Cut existing edging at perimeter walls for new metal drip edging.
3. Install new EPS taper system Y4" per ft, slope with X". dens deck board fastened to wood decking. (code requirement)
4. Install new Versico 60 mil TPO white membrane roof system (fully adhered) on all flat areas of roof and walls. Approx. 30 SQS.
5. install TPO pipe and vent jacks, comers, hvac curbs, term bar and wall flashing as required by manufacturer.
6. Install new metal drip edging and stop edging as required.
7. Install new 5 in, gutters and downspouts. Approx. 300 If.
8. Remove any internal drains and metal wall scuppers as needed for install.
9. Remove and replace shingles on (2) shed roofs. Felt, metal edge and new 30 yr. dimensional shingles. Approx. 4 sqs.
10. Building permit will be billed at actual cost and is not included in this proposal.
11. This proposal is subject to a pre -roof inspection by the local building department. Any additional work required by the
Building Department will be a supplement to this proposal pending wriften approval by all parties.
12. Any unforeseen damage to decking may be an additional cost upon discovery.
13. Any mechanical or electrical work required to install the new roof system is excluded.
14. Manufacturer (20) year warranty. Five -Year labor guarantee.
Material and Labor $ 24,250.00
We offer hereby to furnish material and labor in accordance with the above specifications and contract documents for the sum of:
Twenty Four Thousand Two Hundred and Fifty Dollars. ($24,250.00)
Payment to be made as follows: $15,000 upon delivery of materials. $5,000 upon 75% completion. Balance upon completion.
This offer may be withdrawn by us if not accepted within: 30 days. Date of offer June 28, 2017
Acceptance of —tur: The above prices, specifications, terms
And conditions are satisfactory and are hereby accepted. You
Are authorized to do the work as specified. Payment will be
made as outlined above. (By signing this acceptance you are
entering into a binding contract, the terms of which are stated
in the above offer.)
77
1''11 Jl
Auth'ozed' Signature t
y ` � Title
Date of Acceptance
CONTRACT
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or deviation
from the above specifications involving extra costs wilt be executed only upon
written orders, and will become an extra charge over and above Bie estimate. Alf
agreements contingent upon strikes, accidents or delays beyond our control.
Collections: Interest will be added to all past due accounts at a rate of2% per
month. In the event it becomes necessary to incur any expense for collection of
an overdue account, reasonable collection charges, including attorney's fees will
be added to the balance due, and the purchaser to pay said-charees.
Authorized Signature for A -Advanced Service Co.
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: no, )
Job Address: y I ss- �1B " Ism M S�
Permit Number: *�) 01-7 0 5S'7 -3 q
❑ No one available for inspection: Time 't:-3 u 0/13M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Dater Inspector: i
DO NOT REMOVE THIS NOTICE
A 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:
Job Address: 1 C
Permit Number: -7L/-7u s73V
UX,j
❑ No one available for inspection: Time %L AM/&
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: e/i`.P// 7 Inspector: �' � �
DO NOT REMOVE THIS NOTICE