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HomeMy WebLinkAbout4380 Marshall StreetCITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION +2 Inspection Type: i A lud Job Address: Permit Number: _Z C) 1'l C> —7 �irAvr,- r< <r-32ovv Vars ' �avi yp A7 5C,, ❑ No one available for inspection: Time `�5 M Re -Inspection required:Yes No *Whenc(o�rr tion�st have been made, call for re-'nspection at 303-234-5933 Date: I 0 / Inspector: )5� h cA z, DO 8111 T REMOVE THIS NOTICE PERMIT: ADDRESS: ,/a JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 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 D ' Lu _�' 44. Final Inspections Date Inspector Initials Comments 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 D ' Lu _�' 44. 410 Final Window/Door 411 Landscape/Park/Planning* 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. 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 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. INSPECTION RECORD Inspection online form: http://www.ci.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 receive an inspection the following business day PERMIT: ° Oi --0909 % ADDRESS:/. DDRESS:✓� � 1 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 4 . . . CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L j7_CX_- Job Address:ee, r,VAULST" Permit Number: 21�211-2 -76)41 Hill 11, I . s No one available for inspectio Time: SG AM/ M Re -Inspection required: Yes o When corrections have been made, call for re-inspectio at 303-234-5933 Date: I la Inspector: A2A DO NOT REMOVE THIS NOTICE ► A .� City of Wheat Ridge 'r Residential Roofing PERMIT - 201707049 PERMIT NO: . 201707049 ISSUED: 09/07/2017 JOB ADDRESS: 4380 Marshall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 22 sq Pitch = 6/12 *** CONTACTS *** OWNER (720)935-3336 GARRAMONE GREG SUB (720)708-4126 Terry Marks 130138 Home Guard Services 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: 7,372.75 FEES Total Valuation 0.00 Use Tax 154.83 Permit Fee 172.60 ** TOTAL ** 327.43 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. z City of Wheat Ridge "v x Residential Roofing PERMIT - 201707049 PERMIT NO: 201707049 ISSUED: 09/07/2017 JOB ADDRESS: 4380 Marshall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 22 sq Pitch = 6/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. Signature of 'OWNER or ' CONTRACTQI� (Circle one) Date I. This permitIwas issued based ort-theiiiformation 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 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 with 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 applicabl�2, e 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. Dane Lovett Zo (Zo 70 V From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 1:37 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4380 Marshall St Property Owner Name Greg Garramone Property Owner Phone 720-935-3336 Number (enter WITH dashes, eg 303-123-4567) 141 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Garramone Contract.pdf Contractor Business Homeguard Roofing and Restoration Name L D Contractor's License 130138 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 7207084126 6850 W 52ND AVE SUITE 106 Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 22 the entire scope of work: Project Value (contract -51307 value or cost of ALL .� 3�2, �� materials and labor) Are you re -decking the Yes roof? 142 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No z Yes /' 6/12 GAF Timberline HD Asphalt Replacing roof on house and garage. We are NOT doing the flat roof section. SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 143 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. Name of Applicant Terry Marks Email not displaying correctly? View it in your browser. 144 0'4 �,,..���, ((1 SURETY AND LIABILITY INSURER INFORMATION Colony Insurance- Policy Number OTE21366 50 -year Contact: GIA Risk Management, 13031423-0162, ext. 136 H 0 M E G UAR D 6850 W. 52nd Avenue Suite 106 Arvada. CO 80002 ROOFING & RESTORATION Office 720.708.4126 Fax: 720.921.8658 info@HomeGuardRoof.com HomeGuardRoof.com �"° "BBR CUSTOMER INFORMATION ` Name::1(y���L1.i� Address: WAD OD City: --I►Jf``�C7t�+sr CAA;, rA jzip: tY.�lJc3 Project Address: lif different from a tt Home#: Celt#: _M %IS- 33,36 Email: V*V*i 4 Lr Insurance Company: i ���r6 3 411 \J Claim No s5nlL (gxet, Sales Representative: Name: A� cwl•— �� 'I� Phone: Project Manager: Name: !a— %A SsTk-Nc Phone: NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BE PROVIDED ROOF SPECIFICATIONS SERVICE AGREEMENTS ❑ Brand:63 ❑ Grade: n ❑ Ridge Material. ❑ Underlayment: Leak Barrier Drip Edge Flashing Ventilation Eaves V❑ rdewall TTurtle OAF ROOFING SYSTEMS 50 -year 50 -year manufacturer warranty manufacturer warranty 25 -year service policy 10 -year service policy 0 Valley ©`fuer Code LJ Penetrations jfRakes ElColor�*f_ Nor -Prorated Non-Proraieo ¢_ $ Iran<_ferratrie Transferrable ❑ Skylights ❑ Chimney ❑ Ridge P robing Boots D Remove trash from roof gutters & yard Roll lawn & drive with magnetic sweeper STANDARD 50 -year 10 -year manufacturer warranty manufacturer warranty 5 -year swvke policy 2 -year workmanship warranty Non -Prorated Prtnar.>a Transferrable P robing Boots D Remove trash from roof gutters & yard Roll lawn & drive with magnetic sweeper Material - Manufacture Standard Workmanship 5 yrs Material - Manufacture Standard Workmanship 2 yrs 'Furnish permit YMisceltaneous: Out-of-pocket upgrade costs ROOF SYSTEM Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED All dditional areas of construction will be repaired or replaced with high grade materials of like kind and quality SE VICE AGREEMENT Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Miscellaneous a aterial - Manufacture Standard Notes: Workmanship Repair 1 yr Full Replacement 2 yrs 'Scope of Restoration Services Provided shalt include any additicnat supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED Replacement Cost: Company will perform the above for the Sum of $(!�,tA W Ci el_ s ___ Down Payment (if anyl $, f- — — Approximate Dates of Service. Substantial commencement of work shall mean either the physica(, t ry of r a er at onto the premises or the performance any labor a h t e sublect to any permissible delays as per provision (41 on the reverse side. Approximate Start Date: Approximate Completion Date: This Agreement is contingent upon acceptance by Company. Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Payment is due upon completion of each trade Company and its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the manufacturer's installation instructions & the local building codes. By sgrn this Agree nt you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company man ent revi approval. 1 accept the above terms of this contract and authorize Company to proceed. g-1 •� Approved #d a pted ICustomerl Date and Accepted (Company) D to Approved and Accepted (Customer) Date I have received the -Things to Remember" document Inihats RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. ► A .� City of Wheat Ridge 'r Residential Roofing PERMIT - 201707049 PERMIT NO: . 201707049 ISSUED: 09/07/2017 JOB ADDRESS: 4380 Marshall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 22 sq Pitch = 6/12 *** CONTACTS *** OWNER (720)935-3336 GARRAMONE GREG SUB (720)708-4126 Terry Marks 130138 Home Guard Services 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: 7,372.75 FEES Total Valuation 0.00 Use Tax 154.83 Permit Fee 172.60 ** TOTAL ** 327.43 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. z City of Wheat Ridge "v x Residential Roofing PERMIT - 201707049 PERMIT NO: 201707049 ISSUED: 09/07/2017 JOB ADDRESS: 4380 Marshall ST EXPIRES: 09/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF DECKING - 22 sq Pitch = 6/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. Signature of 'OWNER or ' CONTRACTQI� (Circle one) Date I. This permitIwas issued based ort-theiiiformation 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 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 with 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 applicabl�2, e 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. Dane Lovett Zo (Zo 70 V From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 6, 2017 1:37 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4380 Marshall St Property Owner Name Greg Garramone Property Owner Phone 720-935-3336 Number (enter WITH dashes, eg 303-123-4567) 141 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Garramone Contract.pdf Contractor Business Homeguard Roofing and Restoration Name L D Contractor's License 130138 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 7207084126 6850 W 52ND AVE SUITE 106 Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 22 the entire scope of work: Project Value (contract -51307 value or cost of ALL .� 3�2, �� materials and labor) Are you re -decking the Yes roof? 142 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No z Yes /' 6/12 GAF Timberline HD Asphalt Replacing roof on house and garage. We are NOT doing the flat roof section. SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 143 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. Name of Applicant Terry Marks Email not displaying correctly? View it in your browser. 144 0'4 �,,..���, ((1 SURETY AND LIABILITY INSURER INFORMATION Colony Insurance- Policy Number OTE21366 50 -year Contact: GIA Risk Management, 13031423-0162, ext. 136 H 0 M E G UAR D 6850 W. 52nd Avenue Suite 106 Arvada. CO 80002 ROOFING & RESTORATION Office 720.708.4126 Fax: 720.921.8658 info@HomeGuardRoof.com HomeGuardRoof.com �"° "BBR CUSTOMER INFORMATION ` Name::1(y���L1.i� Address: WAD OD City: --I►Jf``�C7t�+sr CAA;, rA jzip: tY.�lJc3 Project Address: lif different from a tt Home#: Celt#: _M %IS- 33,36 Email: V*V*i 4 Lr Insurance Company: i ���r6 3 411 \J Claim No s5nlL (gxet, Sales Representative: Name: A� cwl•— �� 'I� Phone: Project Manager: Name: !a— %A SsTk-Nc Phone: NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BE PROVIDED ROOF SPECIFICATIONS SERVICE AGREEMENTS ❑ Brand:63 ❑ Grade: n ❑ Ridge Material. ❑ Underlayment: Leak Barrier Drip Edge Flashing Ventilation Eaves V❑ rdewall TTurtle OAF ROOFING SYSTEMS 50 -year 50 -year manufacturer warranty manufacturer warranty 25 -year service policy 10 -year service policy 0 Valley ©`fuer Code LJ Penetrations jfRakes ElColor�*f_ Nor -Prorated Non-Proraieo ¢_ $ Iran<_ferratrie Transferrable ❑ Skylights ❑ Chimney ❑ Ridge P robing Boots D Remove trash from roof gutters & yard Roll lawn & drive with magnetic sweeper STANDARD 50 -year 10 -year manufacturer warranty manufacturer warranty 5 -year swvke policy 2 -year workmanship warranty Non -Prorated Prtnar.>a Transferrable P robing Boots D Remove trash from roof gutters & yard Roll lawn & drive with magnetic sweeper Material - Manufacture Standard Workmanship 5 yrs Material - Manufacture Standard Workmanship 2 yrs 'Furnish permit YMisceltaneous: Out-of-pocket upgrade costs ROOF SYSTEM Customer Initials ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED All dditional areas of construction will be repaired or replaced with high grade materials of like kind and quality SE VICE AGREEMENT Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Miscellaneous a aterial - Manufacture Standard Notes: Workmanship Repair 1 yr Full Replacement 2 yrs 'Scope of Restoration Services Provided shalt include any additicnat supplements and services approved by Customer's insurance company and accepted by Company TERMS OF RESTORATION SERVICES TO BE PROVIDED Replacement Cost: Company will perform the above for the Sum of $(!�,tA W Ci el_ s ___ Down Payment (if anyl $, f- — — Approximate Dates of Service. Substantial commencement of work shall mean either the physica(, t ry of r a er at onto the premises or the performance any labor a h t e sublect to any permissible delays as per provision (41 on the reverse side. Approximate Start Date: Approximate Completion Date: This Agreement is contingent upon acceptance by Company. Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Payment is due upon completion of each trade Company and its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the manufacturer's installation instructions & the local building codes. By sgrn this Agree nt you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. This contract is subject to Company man ent revi approval. 1 accept the above terms of this contract and authorize Company to proceed. g-1 •� Approved #d a pted ICustomerl Date and Accepted (Company) D to Approved and Accepted (Customer) Date I have received the -Things to Remember" document Inihats RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property. 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: AC�1 Pi9F--- Job Address: jq 5w SI Permit Number: 2/j _?w6 � Gj ❑ No one available for inspection: Time (U: (�PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 30,3-234-5933 Date:—( iM/14- Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division X9 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ,? <' � Inspection Type: :' ���® � 1 r Job Address: Permit Number: CIO , At ❑ No one available for inspection yTime .� AM7PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date:r�? (r�'%7 Inspect DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building -,Inspection Division FSU (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3664)oo-� Job Address: 1a - Permit Number: :;)0/70_0e_/ ❑ No one available for inspection:..Time J' r AM%P' Re -Inspection required: Yes ,'No When corrections have been made, caffro, re -inspection at 303-234- Date:/ 03-234-Date: K, 6, /7 Inspector:., DO NOT REMOVE THIS NOTICE 30/lON SIH13/IOW3tl 1 NOG :aoloadsul �� .a1ea J ££69-b£Z-£0£ le uoi}oadsu.-aa ao{ ileo `apew uaaq an jJ t uayM. oN sad :paainbaa uoiloodsul-aa W S� : �' awli :uo11oa sui aol algeliene auo ON IM ? 5�t InP3 , -IM M --�)21 Y6N1 a -U MV -3uu- o (?IA - L ( Q - :aaquanN Iivaaad W L4 I "AllQ :ssaippd qor :adA1 uoi}3adsul 331ION N01133dSNI XeJ 6068100 (EOE) • aglUO 3s8z-5'0z (000) aui/ uoijoadsul EE6S-tCe (EOE) uoisinip uoi}oadsul 6uiplin8 3oam 1V3HM 30 A110 /1