HomeMy WebLinkAbout3880 Ingalls StreetINSPECTION 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
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Anoroval Of The Ahovp Insnpctinnc
-r-
�
Underground/Slab Inspections Date Inspector Initials Comments
Electrical
Sewer Service
Plumbing
Do Not cover Underground or Below/In-Slab Work Prior To Annroval Of Thp A►hnva Incnar+inn¢
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
Landscaping & Parking / Planning Dept.
Inspector
Initials
Comments
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.
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 - 201705949
PERMIT NO: 201705949 ISSUED: 08/11/2017
JOB ADDRESS: 3880 Ingalls ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 18 sq
*** CONTACTS ***
OWNER (303)421-3605 WALTER PHILLIP D
SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,410.00
FEES
Total Valuation 0.00
Use Tax 92.61
Permit Fee 125.05
** TOTAL ** 217.66
*** 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.
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:
Permit Number: 'Jill O 59 Al
❑ No one available for inspection: Time A W4PM
Re -Inspection required: Yes No
When corrections have been made, call fbr e -inspection at 303-234-5933
Date: /1-1 Inspector: 4� C-- ( A )IL
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: r-1 L4&L— 9-00f`
Job Address: Sbit>o1� �1,•�
Permit Number: 'X-C) 1'l O -51 1
❑ No one available for inspection: Time ��� A&WPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ID 1 13 11 Inspector:
"'41
C- ga4--_
DO NOT REMOVE THIS NOTICE
r City of Wheat Ridge
r
Residential Roofing PERMIT - 201705949
PERMIT NO: 201705949 ISSUED: 08/11/2017
JOB ADDRESS: 3880 Ingalls ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 18 sq
*** CONTACTS ***
OWNER (303)421-3605 WALTER PHILLIP D
SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,410.00
FEES
Total Valuation 0.00
Use Tax 92.61
Permit Fee 125.05
** TOTAL ** 217.66
*** 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.
®� r City of Wheat Ridge
Residential Roofing PERMIT - 201705949
PERMIT NO:
201705949
ISSUED:
08/11/2017
JOB ADDRESS:
3880 Ingalls ST
EXPIRES:
08/11/2018
JOB DESCRIPTION:
Residential Re—roof to install
Owens Corning asphalt
shingles — 18 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 attesi that I am legally authorized to include all entities named within this document as parties to the work to be
performed and t t alwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of R or CONTRACTOR (Circle one) Date
I. This penyAt was issued based on the information provided in thepermit 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 maybe 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 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, anviolation of any provision of any
applicable code or any ordinance or regulation of this j ' tion. Approval of work is su ject 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.
BEST��
J2 South Alton Way, Suite 13K
�
�ntennial, CO 80112 Date4,F
Ofice:303-691-5035 ROOFl1VG COWSULTAIyTS ConsultantStart`
Fax: 303-265-9725 APEXDENVERROOFING.COM ENu�mbe mated of Squa ate
es
inish___,_
i
Customer f Agent
Street
City SPECIAL INSTRUCTIONS
Email ST Zip
Home - !
Cell
SPECIFICATION
Mfg. of Shingle
Style / Color
Warranty
13 JJa_ Vents
Drip Edge 2x2 2 Color i
Drip Edge 2x4p� �Z Color
La ers s`�--- i r
y �- 2 Story
Pipe Boots
1L��`� CYi
Ice & Water Shield Stepflash
Modified Bi �lor &�
' T'L � &i -6n
�
--
�i Permit Furnished: 9 Y J N --- ---'
P3YDAENT S 'H t D G �f i /� ZJ"i' f,)CLL1
% Contract Price Due Upon Signing ��/, Debris Removal
Balance Due Upon Completion of Each TradeZ 7"
Tax I A.K_
Permit---�
cJt� Overhead/Profit
TOTAL -�
Terms; This agreement is for FULL SCOPE OF INSURANCE P *PLUS PER
obligate client or Apex Roofing Consultants, unless repairs area MIT AND SUPPLEMENTS
PROCEEDS and is subject to insurance company approval.
homeowner authorizes A ex Roafin approved by homeowner's insurance company.I L
com an Consultants to Pur homeowners best interest for all re airs ata rice a reeable to theinsurance
not
and A ex Roofin Consultants at NO COST TO THE CLIENT B signing this agreement the
agreed an between the insurance company and
EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final Pf e
are set out herein and on the reverse Side hereof to acpcompfish the replacement or repair. Apex Roofing Rooting Consultants shalt become the tins! contract price. The specifications
perform at their discretion all insurance prescribed repairs for the price of full scope of insurance Proceeds agreed upon byymyauthorized insurance INITIAL
company and Apex Roofing Consultants. The terms and specifications stated and special conditions are ac epted,ants is hereby
THREE DAY RIGHT OF RESCISSION: cepted.
I have hereby been notified that I may cancel this agreement at any time prior to Midnight
date of this agreem
�\ ght of the thir siness day after the
ACCEPTED BY: f...
VERBAL COMMITMENT DATE: / CONSULTANT:
THIS AGREEMENT CONS STS OF THE FRONBE D AND BACKS pRED AND E ALL PAYMEN DATE:
H.O.A. OR COVENANT APPROVAL FOR SHINGLES. O APEX ROOFING CONSULTANT
E OF THIS D UMENT. CLIENTS RESPONSIBLE FOR
Insured by Pinnacol, Policy #4165472
:.hultz
2 o17oSgyq
no-reply@ci.wheatridge.co.us
Monday, August 7, 2017 2:18 PM
Jbject: CommDev Permits
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 license
contractors only. This type of permit is ONLY beingd
to City Hall to submit an application in person. Permits a esprro processed and lss ed 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 inP erson
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 musbe c
Person at City Hall. The Building Division will be open from 7.30-10:30 a.m.,
pleted in
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
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Yes
Single Family Home
3880 Ingalls
tk-
Phillip and Denise Walter
303-421-3605
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.
AP17 238 Walter Phillip Denise- Conract.pdf
Attached Copy of
Contract
CONTRACTOR INFORMATION
Contractor Business Apex _
J
Name
Contractor's License 1003�5.�
Number (for the City of �Nl
Wheat Ridge)
Contractor Phone 303-691-5035
Number
Contractor Email Address spuddy@apexdenverroofing.com
Retype Contractor Email spuddy@apexdenverroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No /
roof?
Description of Roofing Owens Corning Duration Storm Shingles
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 18
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 18 /
(pitched + flat) of all
2
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
Tear off to decking and re -roof.
or garage? What is the
roof pitch? Etc)
Project Value (contract 4410
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 Sarah Puddy
Email not displaying correctly? View it in your browser.
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: M I
Job Address:
Permit Number: W ZQ 17
G>ym of
M U
/A
LJ
❑ No one available for inspection: Time '2 ' AM 4D
Re -Inspection required: Yes No
When corrections have been made, call for re -in ec ion at 303-2 5933
Date: % Inspector:
DO NOT REMOVE THIS NOTICE
r City of Wheat Ridge
r
Residential Roofing PERMIT - 201705949
PERMIT NO: 201705949 ISSUED: 08/11/2017
JOB ADDRESS: 3880 Ingalls ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 18 sq
*** CONTACTS ***
OWNER (303)421-3605 WALTER PHILLIP D
SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,410.00
FEES
Total Valuation 0.00
Use Tax 92.61
Permit Fee 125.05
** TOTAL ** 217.66
*** 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.
®� r City of Wheat Ridge
Residential Roofing PERMIT - 201705949
PERMIT NO:
201705949
ISSUED:
08/11/2017
JOB ADDRESS:
3880 Ingalls ST
EXPIRES:
08/11/2018
JOB DESCRIPTION:
Residential Re—roof to install
Owens Corning asphalt
shingles — 18 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 attesi that I am legally authorized to include all entities named within this document as parties to the work to be
performed and t t alwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of R or CONTRACTOR (Circle one) Date
I. This penyAt was issued based on the information provided in thepermit 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 maybe 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 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, anviolation of any provision of any
applicable code or any ordinance or regulation of this j ' tion. Approval of work is su ject 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.
:.hultz
2 o17oSgyq
no-reply@ci.wheatridge.co.us
Monday, August 7, 2017 2:18 PM
Jbject: CommDev Permits
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 license
contractors only. This type of permit is ONLY beingd
to City Hall to submit an application in person. Permits a esprro processed and lss ed 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 inP erson
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 musbe c
Person at City Hall. The Building Division will be open from 7.30-10:30 a.m.,
pleted in
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
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Yes
Single Family Home
3880 Ingalls
tk-
Phillip and Denise Walter
303-421-3605
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.
AP17 238 Walter Phillip Denise- Conract.pdf
Attached Copy of
Contract
CONTRACTOR INFORMATION
Contractor Business Apex _
J
Name
Contractor's License 1003�5.�
Number (for the City of �Nl
Wheat Ridge)
Contractor Phone 303-691-5035
Number
Contractor Email Address spuddy@apexdenverroofing.com
Retype Contractor Email spuddy@apexdenverroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No /
roof?
Description of Roofing Owens Corning Duration Storm Shingles
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 18
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 18 /
(pitched + flat) of all
2
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
Tear off to decking and re -roof.
or garage? What is the
roof pitch? Etc)
Project Value (contract 4410
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 Sarah Puddy
Email not displaying correctly? View it in your browser.
BEST��
J2 South Alton Way, Suite 13K
�
�ntennial, CO 80112 Date4,F
Ofice:303-691-5035 ROOFl1VG COWSULTAIyTS ConsultantStart`
Fax: 303-265-9725 APEXDENVERROOFING.COM ENu�mbe mated of Squa ate
es
inish___,_
i
Customer f Agent
Street
City SPECIAL INSTRUCTIONS
Email ST Zip
Home - !
Cell
SPECIFICATION
Mfg. of Shingle
Style / Color
Warranty
13 JJa_ Vents
Drip Edge 2x2 2 Color i
Drip Edge 2x4p� �Z Color
La ers s`�--- i r
y �- 2 Story
Pipe Boots
1L��`� CYi
Ice & Water Shield Stepflash
Modified Bi �lor &�
' T'L � &i -6n
�
--
�i Permit Furnished: 9 Y J N --- ---'
P3YDAENT S 'H t D G �f i /� ZJ"i' f,)CLL1
% Contract Price Due Upon Signing ��/, Debris Removal
Balance Due Upon Completion of Each TradeZ 7"
Tax I A.K_
Permit---�
cJt� Overhead/Profit
TOTAL -�
Terms; This agreement is for FULL SCOPE OF INSURANCE P *PLUS PER
obligate client or Apex Roofing Consultants, unless repairs area MIT AND SUPPLEMENTS
PROCEEDS and is subject to insurance company approval.
homeowner authorizes A ex Roafin approved by homeowner's insurance company.I L
com an Consultants to Pur homeowners best interest for all re airs ata rice a reeable to theinsurance
not
and A ex Roofin Consultants at NO COST TO THE CLIENT B signing this agreement the
agreed an between the insurance company and
EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final Pf e
are set out herein and on the reverse Side hereof to acpcompfish the replacement or repair. Apex Roofing Rooting Consultants shalt become the tins! contract price. The specifications
perform at their discretion all insurance prescribed repairs for the price of full scope of insurance Proceeds agreed upon byymyauthorized insurance INITIAL
company and Apex Roofing Consultants. The terms and specifications stated and special conditions are ac epted,ants is hereby
THREE DAY RIGHT OF RESCISSION: cepted.
I have hereby been notified that I may cancel this agreement at any time prior to Midnight
date of this agreem
�\ ght of the thir siness day after the
ACCEPTED BY: f...
VERBAL COMMITMENT DATE: / CONSULTANT:
THIS AGREEMENT CONS STS OF THE FRONBE D AND BACKS pRED AND E ALL PAYMEN DATE:
H.O.A. OR COVENANT APPROVAL FOR SHINGLES. O APEX ROOFING CONSULTANT
E OF THIS D UMENT. CLIENTS RESPONSIBLE FOR
Insured by Pinnacol, Policy #4165472