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Home My WebLink About4730 Holland Street1 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: 1114,t 0 Job Address: q:n I) Puhp d S Permit Number: -2 Ub S ❑ No one available for inspection: Time? AM/EM Re -Inspection required: Yes/ No' When corrections have been made, �f/or re -inspection at 303-234- I5933 /__(Date: " 1 Inspector: DO NOT REMOVE THIS NOTICE A 4� City of Wheat Ridge `�. Residential Roofing PERMIT - 201704005 PERMIT NO: 201704005 ISSUED: 07/14/2017 JOB ADDRESS: 4730 Holland ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof for 4730 & 4740 Holland St. to install IKO Dimensional asphalt shingles with 21 sq. *** CONTACTS *** OWNER (303)234-0546 SYKES JUDY SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT4: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,760.00 FEES Total Valuation 0.00 Use Tax 120.96 Permit Fee 140.90 ** TOTAL ** 261.86 *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. 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. � INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type /�' 9 f-1— 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 Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underaround 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 Y 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 l 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 1 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: 1114,t 0 Job Address: q:n I) Puhp d S Permit Number: -2 Ub S ❑ No one available for inspection: Time? AM/EM Re -Inspection required: Yes/ No' When corrections have been made, �f/or re -inspection at 303-234- I5933 /__(Date: " 1 Inspector: DO NOT REMOVE THIS NOTICE { CITY OF WHEAT RIDGE l �(303) Building Inspection Division (303) 234-59331nspection line 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: roF Job Address: q -73b IjvUr'..! Permit Number: ❑ No one available for inspection: Time �% - I) by/PM .�lnspection required: Yes No When corrections have been e, call for re -inspection at 303-234-5933 Date: 7 ReN Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201.704005 PERMIT NO: 201704005 ISSUED: 07/14/2017 JOB ADDRESS: 4730 Holland ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof for 4730 & 4740 Holland St. to install IKO Dimensional asphalt shingles with 21 sq. *** CONTACTS *** OWNER (303)234-0546 SYKES JUDY SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing *** 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: 5,760.00 FEES Total Valuation 0.00 Use Tax 120.96 Permit Fee 140.90 ** TOTAL ** 261.86 *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. *�i! PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704005 201704005 ISSUED: 07/14/2017 4730 Holland ST EXPIRES: 07/14/2018 Residential Re—roof for 4730 & 4740 Holland St. to install IKO Dimensional asphalt shingles with 21 sq. 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 �Ieally authorized to include all entities named within this document as parties to the work to be performed and that all w r to be pe ed is di closed 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any 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 � n n V From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 12:23 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process C) varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR C PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE - i 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 fora Yes ; A f /(_� ��( residential roof? (A How many dwelling units Duplex are on the property? PROPERTY INFORMATION Property Address 4730-4740 Holland St. Wheatridge Co 80033 Property Owner Name Judy Sykes Property Owner Phone 303-234-0546 Number Property Owner Email Field not completed. Address $ DG, i , 1�� Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number T.Hackbarth Roofing 020443 303-433-6762 Contractor Email Address thackbarthroofing@comcast.net Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material thackbarthroofing@comcast.net No ✓ l IKO Dimensional Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? s No ✓ Field not completed. TOTAL SQUARES of all 21 V roofing material for this proj ect Provide additional detail 4/12 here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract C5760 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 Todd Hackbarth Email not displaying correctly? View it in your browser. 3 B8& & Commercial Bustle 1990 Office: 303.433.6762 9751 W. 44th Ave. Ste. 103 Fax: 303.679.3072 Wheat Ridge, CO $0033 t 1 ThackbarthRoofing.com Customer Name:_.r" i — u c�t1 s Y ( S Date: Contact Info: Phone #: ``Cell #: E-mail: Property Address: Street#: '� 7� �� %lG�r r� City State: zip: tom` / s� ____ Insurance Company:��torlw r c i' t, Date of Loss: 51- 18 — 1 -7 Type of Loss: -< L Company Step: ,3 , 4rrc.k 8dja Phone #: � J�0 — 2 CQ 3— 2CeS'Ce I authorizer Hackbarth Roofing to work directly with my insurance company on my behalf and to furnish all Total Amount of Estimate $ A" c- V \ 1Z C V Gt j a with the as listed below The owners out of pocket expenses will not exceed their insurance deductible in the amount of $ (Unless upgrades are added) Procels pavments of Contract price shall be made as follows: AC^ V et a e c.,,oc,ti reG e t pk A6 4 /GvUG� I - Policy Specifications: Non -Recoverable Depreciation Recoverable Depreclatior - L Code Up -Grade Coverage Your project will begin once T. Hackbarth Roofing receives the initial down payment check_ Final payment is due to T. Hackbarth Roofing once received from Insurance Company. All insurance supplement paymentsnve-4-Ceto insurance company to correct shortagges in Original estimate will be paid to T Hackbarth Roofing. We will furnish the following materials and labor as listed below: Tear off all layers of sting roof material: fl (layers) New Shingle: Shingle Color: - t,�2e, Lef —Initial-, Install felt paper to match existing: 151b --2L301b Install Pipe Jacks _.,,2, 3/1 4/1 Install Furnace Vents __.1_3°x5° `t5°0° 7°x9° Special Instructions: FlaFasci�W color: �Al -- Protect all landscaping, pools, ak units X Paint vents to match roofing material Haul off trash/debris and magnetic sweep .__ Other Terms and Conditions: If deductible is more than stated above, customer agrees to pay the difference. In the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract. Customer agrees to provide a copy of Insurance Claim Report to T. Hackbarth Roofing upon receipt. A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof. ** IF FOR p1NY_REASQN THIS CLAIM IS DENIED THIS AGREEMENT SHALL BE VOID** By signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as specified, and payments will be made as outlined above. Please read the reverse for additional Termsel . y 4 b 7 ZA 4z"e /Zv�_ Property Owner or Authorized Rep. Sicfiature ate T Hackbarth Roofing Rep. Signature -7 �,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: U F Job Address:g-73u R,111,"d 5; -- Permit Number: / IN ❑ No one available for inspection: Time 4A/PM r?`Re-Inspection required: �e) N when corrections have been made, call "for re -inspection at 303-234-5933 Date: / Inspector: 1` DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201.704005 PERMIT NO: 201704005 ISSUED: 07/14/2017 JOB ADDRESS: 4730 Holland ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof for 4730 & 4740 Holland St. to install IKO Dimensional asphalt shingles with 21 sq. *** CONTACTS *** OWNER (303)234-0546 SYKES JUDY SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing *** 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: 5,760.00 FEES Total Valuation 0.00 Use Tax 120.96 Permit Fee 140.90 ** TOTAL ** 261.86 *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. *�i! PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704005 201704005 ISSUED: 07/14/2017 4730 Holland ST EXPIRES: 07/14/2018 Residential Re—roof for 4730 & 4740 Holland St. to install IKO Dimensional asphalt shingles with 21 sq. 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 �Ieally authorized to include all entities named within this document as parties to the work to be performed and that all w r to be pe ed is di closed 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any 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 � n n V From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 12:23 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process C) varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR C PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE - i 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 fora Yes ; A f /(_� ��( residential roof? (A How many dwelling units Duplex are on the property? PROPERTY INFORMATION Property Address 4730-4740 Holland St. Wheatridge Co 80033 Property Owner Name Judy Sykes Property Owner Phone 303-234-0546 Number Property Owner Email Field not completed. Address $ DG, i , 1�� Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number T.Hackbarth Roofing 020443 303-433-6762 Contractor Email Address thackbarthroofing@comcast.net Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material thackbarthroofing@comcast.net No ✓ l IKO Dimensional Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? s No ✓ Field not completed. TOTAL SQUARES of all 21 V roofing material for this proj ect Provide additional detail 4/12 here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract C5760 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 Todd Hackbarth Email not displaying correctly? View it in your browser. 3 B8& & Commercial Bustle 1990 Office: 303.433.6762 9751 W. 44th Ave. Ste. 103 Fax: 303.679.3072 Wheat Ridge, CO $0033 t 1 ThackbarthRoofing.com Customer Name:_.r" i — u c�t1 s Y ( S Date: Contact Info: Phone #: ``Cell #: E-mail: Property Address: Street#: '� 7� �� %lG�r r� City State: zip: tom` / s� ____ Insurance Company:��torlw r c i' t, Date of Loss: 51- 18 — 1 -7 Type of Loss: -< L Company Step: ,3 , 4rrc.k 8dja Phone #: � J�0 — 2 CQ 3— 2CeS'Ce I authorizer Hackbarth Roofing to work directly with my insurance company on my behalf and to furnish all Total Amount of Estimate $ A" c- V \ 1Z C V Gt j a with the as listed below The owners out of pocket expenses will not exceed their insurance deductible in the amount of $ (Unless upgrades are added) Procels pavments of Contract price shall be made as follows: AC^ V et a e c.,,oc,ti reG e t pk A6 4 /GvUG� I - Policy Specifications: Non -Recoverable Depreciation Recoverable Depreclatior - L Code Up -Grade Coverage Your project will begin once T. Hackbarth Roofing receives the initial down payment check_ Final payment is due to T. Hackbarth Roofing once received from Insurance Company. All insurance supplement paymentsnve-4-Ceto insurance company to correct shortagges in Original estimate will be paid to T Hackbarth Roofing. We will furnish the following materials and labor as listed below: Tear off all layers of sting roof material: fl (layers) New Shingle: Shingle Color: - t,�2e, Lef —Initial-, Install felt paper to match existing: 151b --2L301b Install Pipe Jacks _.,,2, 3/1 4/1 Install Furnace Vents __.1_3°x5° `t5°0° 7°x9° Special Instructions: FlaFasci�W color: �Al -- Protect all landscaping, pools, ak units X Paint vents to match roofing material Haul off trash/debris and magnetic sweep .__ Other Terms and Conditions: If deductible is more than stated above, customer agrees to pay the difference. In the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract. Customer agrees to provide a copy of Insurance Claim Report to T. Hackbarth Roofing upon receipt. A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof. ** IF FOR p1NY_REASQN THIS CLAIM IS DENIED THIS AGREEMENT SHALL BE VOID** By signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as specified, and payments will be made as outlined above. Please read the reverse for additional Termsel . y 4 b 7 ZA 4z"e /Zv�_ Property Owner or Authorized Rep. Sicfiature ate T Hackbarth Roofing Rep. Signature l� A i CITY OF WHEAT RIDGE l � - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: G� Job Address: ' �lc,I Permit Number: 4To4007 ❑ No one available for inspection: Time I/PM Re -Inspection required: Yes `No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector:''J� DO NOT REMOVE THIS NOTICE