HomeMy WebLinkAbout4146 Ames StreetCity of Wheat Ridge
E -Res. Evaporative Cooler Repl PERMIT - 201901256
PERMIT NO: 201901256 ISSUED: 06/18/2019
JOB ADDRESS: 4146 Ames St EXPIRES: 06/17/2020
JOB DESCRIPTION: Replace rooftop evap cooler, 157 tons, 5500 CFMs with electrical rehook
* * * CONTACTS * * *
OWNER (985)222-4401 TRAHAN ELAINE
SUB (303)962-9532 STEVE BRANDT
SUB (303)423-1807 BOB BEVINGTON
021365 THE COOLER COMPANY
019206 POSITIVELY ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 84.00
** TOTAL ** 124.00
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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
thispermrt. I further attest that I am legally authorized to include all entities named within this document as parries to the work to be
performed and that ail 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 maybe 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 any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chieffief Date
REQUESTS MUST BE MADE 8 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook 1000IJ5�
From: no -reply@ ci.wheatridge.co.us
Sent: Monday, June 17, 2019 2:59 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
4146 amen st
lainey trahan
985-222-4401
coolerco@aol.com
LAINEY T.pdf
CONTRACTOR INFORMATION
I
Contractor Business Steven Brandt
Name
Contractor's License 021365
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-422-5308
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address coolerco@aol.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of replacement
unit are you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
coolerco@aol.com
Replacement Evaporative Cooler
157
5500
ROOFTOP
Is electrical needed for re- Yes
hook?
If electrical work is being
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
positively electric#2827
Project Value (contract 4000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
z
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 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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Steven Brandt
Permit
Email not displaying correctly? View it in your browser.
OCX_703313
(
�co- cs 'Er INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occu anc /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
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Sewer Service
Foundation / P.E. Letter
UO Not Pour Concrete Prior 10 Annroval Of The Ahnvp Incnpcfinnc
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
UO NOT hover unaerarouna or below/In-blab Work Prior To Annroval of Thp Ahnvp Incnprtfinnc
Rough Inspections
Date
Inspector Comments
Initials
Wall Sheathing
Mid -Roof
001.
Lath / Wall Tie
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
��
`"
f► t 1 : Ei �� .` /'7
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.
rur ruw avuayG permits — riease oe sure mat rougn inspections are compietea Trom the Tire 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
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201703313
201703313 ISSUED: 07/05/2017
4146 Ames ST EXPIRES: 07/05/2018
Residential Re -roof to install GAF Timberline HD asphalt shingles with 13
sq.
*** CONTACTS ***
OWNER (985)222-4401 TRAHAN ELAINE
SUB (303)929-0340 Michael Erickson/Hans Schell 170306 Encore Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT4: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
cor,clllcted V7hc ^. 25-75 percent of thy. roof cover-ina is installed, nri^r 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.
The City of Wheat Ridge
Third Party Form Che k List
Property Address q1 R f j�rce Zt 2�
Permit Number 2 D Ij VALWJ-Sk
Permit Issued Date -7 /
Owner Information _
Property Owner Information L �►I rk 1911' 2
Property Owner Address i4l N 4w t ,j Gj � Z/ L
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info.
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
" I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommend!!��
Inspector: Date: rq
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Rid uildi g Division inspection.
Propery Owner/Agent: Date: 04/16/2018
This original document and permit card, as wellias the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date; 7/2
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
❑ N/A
Pass
❑ Fail
❑ N/A
Pass
E] Fail
Structural roof components
❑ N/A
P ass
E] Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
P ass
E] Fail
Flashing for roof and walls
Pass
E] Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
[Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
6 Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
❑ N/A
Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield Z in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A,
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
❑ N/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
❑ N/A
Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/412 slope
❑ N/A
Pass
❑ Fail
Above roof insulation R-25
❑ N/A
❑,,Pass
❑ Fail
Below roof residential R-38
El N/A
] Pass
❑ Fail
Below roof commercial R-32
❑ N/A
Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
❑ N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
❑ N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
Inspector signature:
Date of Inspection: U v I$
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
12 Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
[t N/A
[� Pass
E] Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
6� Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
92 Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
❑ N/A
Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Rt} Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
❑ N/A
IU Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
❑ N/A
[1� Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
❑ N/A
3�j, Pass
❑ Fail
Above roof insulation R-25
❑ N/A
Pass
❑ Fail
Below roof residential R-38
❑ N/A
b -Pass
❑ Fail
Below roof commercial R-32
❑ N/A
Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications - Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
❑ N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
❑ N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name: Sa.A% f
Inspector signature:
Date of Inspection: rTJ
!' A ; City of Wheat Ridge
Residential Roofing PERMIT - 201703313
PERMIT NO: 201703313 ISSUED: 07/05/2017
JOB ADDRESS: 4146 Ames ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 13
sq.
*** CONTACTS ***
OWNER (985)222-4401 TRAHAN ELAINE
SUB (303)929-0340 Michael Erickson/Hans Schell 170306 Encore Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703313
PERMIT NO: 201703313 ISSUED: 07/05/2017
JOB ADDRESS: 4146 Ames ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 13
sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
app licableiuilding 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` farther attest thaf'l am le ally authorized to include all entities named within this document as parties to the work to be
perfrmed'and t 6t all work tb be perform d is disclosed in this document and/or its' accompanying a roved plans and specifications.
T r
p ff
Signature of OWNER or CONTRACTOR (Circle one) Date
I . 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 perinit 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 reuired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Cvices
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
applrc c e or any ordi._nce or r gul tion of this jurisdiction. Approval of work is subject to held inspection.
d._
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 23, 2017 5:15 PM
To: Permits CommDev
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. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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? I n i�' I A w� �a—
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
4146 Ames Street
Elaine Trahan
9852224401
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 Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Encore Roofing LLC
170306
3039290340
Contractor Email Address hans.schell@encoreroof.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
hans.schell@encoreroof.com
No
GAF Timberline HD
Asphalt
Field not completed.
13
No
Field not completed
TOTAL SQUARES of all 13
roofing material for this
project
2
Provide additional detail House 7/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6500
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 Hans Schell
Email not displaying correctly? View it in your browser.
3
'00001, ��
ENCORE
Roor-iNG
Name: L I (< -"'"
Address: q 14 A"L -J
69 ql9)6,,-
ROOFING SPECIFICATIONS FOR EXISTING ROOF
ni<9ep Slope ow ;2etal
mposition []Wood
ther
❑Roof Grade ❑Ridge
❑Pi h @Stories ❑Access
Layers 031fypes
Decking: ❑ wood/OSB ❑Spaced
Vents: 50's ❑Tur ines ❑Bath ❑Ridge
Plumbing Jacks:all L�Ca ge
Met dging: akes ayes
Step Flashing J115ounter Flashing
❑Skylights DKeflash ®'Replace
Terms:
www.encoreroof.com
720-408-5078
Date: �' iia d ..
City: Zip: 0--1 2—
Phone: 'WS— 22�
Recommendations:
emove Roof to Deck and Replace n<pot Repair
Upon Approval by Insurer— Replace Roof With:
Brand: Style: Grade:
Ridge: Deck PP tection:
Remove: oofing L eck Protection ashing
C�Ce Barrier at:
aves B �idewalls
Install:
alleys L� enetrations
❑ FaXs ghts
Fas Hers Per SZace
ep ce Vents FlashinR
fall Gutter Apron nstall Ra Metal
;;�e
i tAllRoof Accessori rotect Landscaping
ve All Debris oll Property with Magnet
urnish Permit
Workmanshi
p
Warranty:
Material Warranty
Encore Roofing LLC does NOT accept payment of any monies from the customer until the roofing project passes inspection and the
customer signs off on the completion. This agreement does NOT obligate the property owner or Encore Roofing LLC in any way
unless the insurance claim is approved by the insurance company and accepted by Encore Roofing LLC. By signing this agreement
the property owner authorizes Encore Roofing LLC to pursue the property owner's best interests for a roof replacement at 'price
agreeable' to the insurance company and Encore Roofing LLC with no cost to the property owner except for the insurance
deductible. When 'price agreeable' is determined, the final contract amount shall be equal to the insurance proceeds and
deductible, and the property owner authorizes Encore Roofing LLC to provide labor and materials in accordance with this agreement
and the specificatio s ser out herein,,a
Accepted
Insurance formation:
Insurance Companiy.
Deductible: $ i 27 rlj
d on the proceeding page hereof to accomplish the roof replacement.
iw--- Claim Number
Date: �', 10. 1
Mortgage Company:
INSPECTION RESULTS
Roofing
North Slope:
_
South Slope:
East Slope:
4:4
West Slope:
Other:
o --j
Terms:
www.encoreroof.com
720-408-5078
Date: �' iia d ..
City: Zip: 0--1 2—
Phone: 'WS— 22�
Recommendations:
emove Roof to Deck and Replace n<pot Repair
Upon Approval by Insurer— Replace Roof With:
Brand: Style: Grade:
Ridge: Deck PP tection:
Remove: oofing L eck Protection ashing
C�Ce Barrier at:
aves B �idewalls
Install:
alleys L� enetrations
❑ FaXs ghts
Fas Hers Per SZace
ep ce Vents FlashinR
fall Gutter Apron nstall Ra Metal
;;�e
i tAllRoof Accessori rotect Landscaping
ve All Debris oll Property with Magnet
urnish Permit
Workmanshi
p
Warranty:
Material Warranty
Encore Roofing LLC does NOT accept payment of any monies from the customer until the roofing project passes inspection and the
customer signs off on the completion. This agreement does NOT obligate the property owner or Encore Roofing LLC in any way
unless the insurance claim is approved by the insurance company and accepted by Encore Roofing LLC. By signing this agreement
the property owner authorizes Encore Roofing LLC to pursue the property owner's best interests for a roof replacement at 'price
agreeable' to the insurance company and Encore Roofing LLC with no cost to the property owner except for the insurance
deductible. When 'price agreeable' is determined, the final contract amount shall be equal to the insurance proceeds and
deductible, and the property owner authorizes Encore Roofing LLC to provide labor and materials in accordance with this agreement
and the specificatio s ser out herein,,a
Accepted
Insurance formation:
Insurance Companiy.
Deductible: $ i 27 rlj
d on the proceeding page hereof to accomplish the roof replacement.
iw--- Claim Number
Date: �', 10. 1
Mortgage Company: