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Home My WebLink About3990 Marshall StreetINSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to recei a an i s7/� the following business day 00 PERMIT ADDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:a-)(:7�),C�&ADDRESS:1�Gl9DH"! I_CfJ06 CODE: IV\ Rough Inspection (continued) Date Inspector CommentsInitials 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Date I Inspector I Comments Initials Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 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 by the Fire District and Electrical low voltage by the Building Division. 6 S7 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: t -I 0 Li - Job Address: 1 Permit Number: -,P a ) -7 a ,;-n a Y! -Ie- izaiL. ' 1a0� A1C_ ❑ No one available for inspection: Time to =a 17 AMIPM Re -Inspection required: Yes Io When corrections have been made, call for re -inspection at 303 -234 - Date: l - Inspector: o DO NOT REMOVE THIS NOTICE f�1 M1 i CITY OF WHEAT RIDGE 9, Building Inspection Division (303) 234-5933 Inspection line_1�9rr (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Li o - F - A? Job Address: Permit Number: R NA, (e a - V \n, �: < O(C� , r1 -! lam- ---, .__'A�.=� ❑ No one available for inspection: TimeR � A - /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: d I -4 11 ,g Inspect _. � DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705062 PERMIT NO: 201705062 ISSUED: 07/28/2017 JOB ADDRESS: 3990 Marshall ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with 32 sq. **Revision add redecking 32sq*** *** CONTACTS *** OWNER (303)888-5927 ULIBARRI VINCENT P SUB (303)646-3977 Mike Essary 090139 Shield Const. & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,780.00 FEES Total Valuation 0.00 Use Tax 268.38 Permit Fee 251.85': ** TOTAL ** 520.23 *** 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 - 201705062 PERMIT NO: 201705062 ISSUED: 07/28/2017 JOB ADDRESS: 3990 Marshall ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with 32 sq. **Revision add redecking 32sq*** 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 le ally authorized to include all entities named within this document as parties to the work to be perfo nd that all work to be per rmed 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 change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official _ __ Date REQUESTS MUST BE NADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W h6a-tl dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-.ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # � ys,zs Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 J Owner Property Owner Email:_ (61 Acz"vn4� I Mailing Address: (if different than property address) Address:�v , State, Zip: 6 k C -- Contact Person: r.�'Y Phone: Contractor:-)Cflvv"—v Contractors City License #: Phone: Contractor E-mail Address: Ek'AIV �d P41�LA ,1 Nt'�ir(&A) PC.. Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: ,SIJ Rr lick Sq. FULF 3J— Btu's Amps Squares G Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ I/ y610 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. CIRCLE O.'VE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: �r j�� V SIGNATURE:,�%v� /'�G� DATE/J" ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer PUBLIC WORKS COMMENTS - Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201705062 PERMIT NO: 201705062 ISSUED: 07/28/2017 JOB ADDRESS: 3990 Marshall ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with 32 sq. **Revision add redecking 32sq*** *** CONTACTS *** OWNER (303)888-5927 ULIBARRI VINCENT P SUB (303)646-3977 Mike Essary 090139 Shield Const. & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,780.00 FEES Total Valuation 0.00 Use Tax 268.38 Permit Fee 251.85': ** TOTAL ** 520.23 *** 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 - 201705062 PERMIT NO: 201705062 ISSUED: 07/28/2017 JOB ADDRESS: 3990 Marshall ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with 32 sq. **Revision add redecking 32sq*** 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 le ally authorized to include all entities named within this document as parties to the work to be perfo nd that all work to be per rmed 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 change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official _ __ Date REQUESTS MUST BE NADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W h6a-tl dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-.ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # � ys,zs Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 J Owner Property Owner Email:_ (61 Acz"vn4� I Mailing Address: (if different than property address) Address:�v , State, Zip: 6 k C -- Contact Person: r.�'Y Phone: Contractor:-)Cflvv"—v Contractors City License #: Phone: Contractor E-mail Address: Ek'AIV �d P41�LA ,1 Nt'�ir(&A) PC.. Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: ,SIJ Rr lick Sq. FULF 3J— Btu's Amps Squares G Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ I/ y610 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. CIRCLE O.'VE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: �r j�� V SIGNATURE:,�%v� /'�G� DATE/J" ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer PUBLIC WORKS COMMENTS - Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201705062 PERMIT NO: 201705062 ISSUED: 07/28/2017 JOB ADDRESS: 3990 Marshall ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with 32 sq. *** CONTACTS *** OWNER (303)888-5927 ULIBARRI VINCENT P SUB (303)646-3977 Mike Essary 090139 Shield Const. & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,380.00 FEES Total Valuation 0.00 Use Tax 238.98 Permit Fee 236.00 ** TOTAL ** 474.98 - - *** 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 - 201705062 PERMIT NO: 201705062 ISSUED: 07/28/2017 JOB ADDRESS: 3990 Marshall ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re—roof to install Tamko asphalt shingles with 32 sq. I, by my signa re, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable bui ing codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal o er of the r and am authorized to obtain thispermit and perform the work described and approved in conjunction with this ppermit. I her att t at am le ally authorized to include all entities named within this document as parties to the work to be pe formed an t at all work to pe ormed is disclosed in this docurn t and/ r its' accompanying approved plans and specifications. Signature of OWNER CONTRACTOR (Circle one) Dat 1. This permit was issue ased on the information provided in the permit application and accompanying Flans and specifications and is subject to the compiia a 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 maybe subject to a fee equal to one-half of the originalpermitfee. 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 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 applicablep-codc, or any ordinance 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. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Friday, July 21, 2017 10:52 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed �1 contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3990 Marshall St.� Vince Ulibarri 3038885927 Field not completed. 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 Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Shield Construction 090139 —L 3036463977 Contractor Email Address rarnold@shieldconstruction.net Retype Contractor Email rarnold@shieldconstruction.net Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Tamko 30 Year Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 32 material selected above? Does any portion of the No t/ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? / TOTAL SQUARES 32 'V (pitched + flat) of all roofing material for this project PkI Provide additional detail HOUSE here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 11380 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 Rick Arnold Email not displaying correctly? View it in your browser. 3 SHIELD �_JNSTRIJETION & RE_ -If ORATION 2795' South Shoshone Street - Suite A - Englewood, Colorado 80111 DATE: Phone: 303.646.3977 - Fax: 303.646.0571 Customer ~' City Ll. 'c� - 'c �' State Zip Mortgage Company ` Insurance Company 'al C Description of Services: Roofing A.Tear Off��'ii CC— ' Roof Pitch '� -- _ # Stories ❑ Sheathing _ ( Felt CJ 151b LJ 301b a ` .� ,l ,Brand of Shingle ~_ P=— ,i2l4Color of Shingle 76 01.1 Ridge Type c. Metal Edge ❑ Use Existing u6eplace w/ `Valleys_±J_ Vents P t Labor Warranty Yrs. !4Special Instructions E' Street Address 5 ✓��'. S �'t �a IH ;hone (' -) 91 � -S 2� p _ — hone (^11i�.— 7 Z Claim— r Siding ❑ ExiSt g C1Install ❑Vinyl ❑ Style ❑ Foam Board LJWrap Wii;W;_ ❑ CC�0ney ❑ Alumin ❑ Steel ❑ Other Wrap sc,�a_ Soffits Height Allowance Blocks Gutters oi�(Existin OInstall �s ca. 7"i) a a, 0114 e i, dc,. -e- All- All work to be completed for the RCV (replacement cost value) Insurance proceeds unless otherwise specified below. ti > -Clean up includes picking up nails with magnet and hauling away all debris from work performed.' /7_ej Z � `al Contract Price$ Payable as follows: 'v ter, ' I agree and promise to pay Shield Construction & Resortation upon completion of work. Shield Co struction & Resortation wilYfuish aterials./d la or in accgrdance with above specifications, for the amoun of� C ollars ($—�-- �.S j 1. All contracts subj ct to approval of management of Shield Construction & Restoration. G GZ4 -c -e 2. Customer further agree that the equity in the subject property is security for this contract. 3. Replacement of deteriorated decking, fascia boards, roof jacks, flashing ventilations, gutters or material are not included and will be charged as an extra on a time and material basis. Unless otherwise stated in this contract, Shield Construction & Restoration is not responsible for damage to hidden Freon, alarm, telephone or electric lines. 4. This contract constitutes the entire understanding of the parties, and no other understanding, collateral or otherwise, shall be binding unless in writing and signed by both parties. 5. Any and all material left over is the property of Shield Construction & Restoration. 6. Customer hereby acknowledges that Shield Construction & Restoration may be subject to delays occasioned by weather, labor disputes and material supply shortages which are beyond the control of Shield Construction & Restoration and Customer hereby acknowledges that all such delays do not constitute abandonment and are not included in calculating time frames for payment and performance. 7. Payment is due upon completion. Any portion remaining unpaid will bear the interest of the rate of 18% per annum commencing 30 days after completion. Customer agrees to pay all collection fees and/or attorney fees needed in pursuit of collecting any remaining unpaid portion. All payments and checks shall be made payable to Shield Construction & Restoration. 8. All warranties are void if payment is not made hereunder when due. Labor and materials warranty is nontransferable. 9. Labor warranty does not cover damage caused by strong winds, lightning, hail or other acts of God. 10. Shield Construction & Restoration shall hold in trust any payment received from Customer ptii Shield Construction & Restoration has delivered roofing materials at the site or has performed a majority of the roofing work on your property. �r', -? V r i Terms: )" 4' �- This contract does not obligate the homeowner or Shield Construction & Restorati anyway unless is approve the insura ce�o�any aitd 9 accepted by Shield Construction & Restoration. When price is agreeable and is determi e4 it shall become the final contract price of $ and the homeowner authorizes Shield Construction & Restoration to obtain labor aril m orlals inVa rd. ce with the price agreement and the specifications set out herein to accomplish the above replacement or repair. Owner Signature: v/ Date of Acceptance: f !'� u' /7 — Owner Signature:_-_ __ Pate of Acceptance:_ Subject to insurance company approval: Init By Shield Construction & Restoration Signatu Date: A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE--, 11,1Y Inspection Type: Job Address:°��`%�<< S J` Permit Number: 10190 S0 62 { P 1 j ❑ No one available for inspection Time �� E' AM/PM i Re -Inspection required: Yes/N When corrections have been made, call for re -inspect" at 303-234-5933 Date:°' �'" C Inspector: s I DO NOT REMOVE HIS NOTICE { a