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HomeMy WebLinkAbout4260 Iris Street�170vle6 - 3 w PArA"-r 499) �ws INSPECTION 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 1 oz.s P Occupancy/Type Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11.59 'n_sp_' q p p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pe anent to this project Foundation Inspections Date Inspector Comments Initials Pier oe Concrete Encased Ground (CEG)= " Foundation / P.E. Letter ti Do Not Pour Concrete Prior To Approval Of The Ab9,vq1nsp4dion&" Underground/Slab Inspections Date Inspector Initials Initials � Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Abov�sRictKons Rough Inspections Date Inspector Comments AWSInitials heathing Mid -Roof Lath / Wall Tie oe Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof)10.51f 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 - 201706858 PERMIT NO: 201706858 ISSUED: '09/01/2017 JOB ADDRESS: 4260 Iris ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Residential re -roof to install Owens Corning Dimensional Laminate asphalt shingles with ROOF DECKING 33 sq. Pitch = 2/12 & 10/12 *** CONTACTS *** OWNER (303)881-0353 REISBECK KEVIN SUB (970)207-0000 Jim Simpson 170423 Fort Collins Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,978.22 FEES Total Valuation 0.00 Use Tax 419.54 Permit Fee 362.80 ** TOTAL ** 782.34 *** 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. A City of Wheat Ridge Residential Roofing PERMIT - 201706858 PERMIT NO: 201706858 ISSUED: 09/01/2017 JOB ADDRESS: 4260 Iris ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Residential re -roof to install Owens Corning Dimensional Laminate asphalt shingles with ROOF DECKING 33 sq. Pitch = 2/12 & 10/12 *** CONTACTS *** OWNER (303)881-0353 REISBECK KEVIN SUB (970)207-.0000 Jim Simpson 170423 Fort Collins Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,978.22 FEES Total Valuation Use Tax 0.00 419.54 Permit Fee 362.80 ---- ** TOTAL ** 782.34 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201706858 PERMIT NO: 201706858 ISSUED: 09/01/2017 JOB ADDRESS: 4260 Iris ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Residential re -roof to install Owens Corning Dimensional Laminate asphalt shingles with ROOF DECKING 33 sq. Pitch = 2/12 & 10/12 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 le ally authorized to include all entities named within this document as parties to the work to be pertcrme that all work to e o ed is disclosed in this document and/or its' accompanying approved plans and specifications. SignapFe of OWNER or/ CONTITACAM (Circle one) Date 1. This permit 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 may be 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 amanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit ho lnyder 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-grapting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code ora y ordinance, ulation o 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: Tuesday, August 29, 2017 9:24 AM To: CommDev Permits 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 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 4260 Iris St Property Owner Name Michele Hodapp & Kevin Reisbeck Property Owner Phone 3038810353 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address 25 Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Hodapp.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) Fort Collins Restoration DBA Affordable Roofing and Restoration 170423 970-207-0000 165 S Madison Ave, Loveland Co Contractor Email Address Becca@affordableroofinginc.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) becca@affordableroofinginc.com 33 19978.22 Are you re -decking the (LYes: roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 26 Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof- Type oof Type of material for the pitched roof: Yes 33 Owens Corning , Dimensional Laminate shingles Asphalt Provide any additional House and garage detail here on the description of work. (Is this fora house or age? Wh tta is the roo pitch? Etc) 2 :12 - (c): (t 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. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 27 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 Jim Sinpson Email not displaying correctly? View it in your browser. 28 � How to Prepare for a Re -roofing Project 1. Remove all fragile items, including light fixtures, mirrors, pictures, figurines, etc. from the walls, ceiling and shelves. These items can fall if not firmly attached.. We suggest that you check to make sure they are scored. If in doubt, take them down. small cracks or crow's feet wall sometimes appear in older plaster and sometimes small particles of the acoustical will fall. We cannot assume the responsibility of these items as a result of re -roofing. 2. Please remove all items from around the perimeter of the house that could be hit by falling roofing material, such as cars, boats, furniture, barbecues, plants, etc. Please use extreme caution around your home after material has been loaded on the roof and be advised that roofing materials could fall at any time! Affordable Roofing will not be held liable for any damaged items. 3. Be Prepared for noise! there will be constant hammering for two or more days, depending on the sixe of your roof you may want to plan on some tome away from the house while the job is in progress. 4. Your contract will be estimated on allowing access to the driveways for our trucks and access to electricity. If exterior plugs are not available, please fun an extension cord through a window or door. during the time of your project, we ask that no vehicles be placed in the driveway area near our trucks due to the debris during construction. We will not be held responsible for damage to a vehicle during this time. 5.If you have low hanging branches over your roof, some trimming may be necessary. Our men will only cut those limbs which limit our ability to do an efficient job. in some cases, you may prefer to have the tree or trees trimmed by professionals before we begin our job. We will notify you if this is a concern. 6. PLEASE KEEP CHILDREN AND/OR PETS OUT OF WORK AREA AS INJURY OR DEATH COULD OCCUR 7. THERE WILL BE DEBRIS! Please be aware that small parts of shingles and some dirt will fall into the attic and garage wherever there is any space or joint in the plywood or plank decking. There is no way to prevent this. Please remove cars from garage and cover anything that you want protected from falling debris. Affordable Roofing is not responsible for any damage or clean -up. 8. After the roofing job is complete, the roofers will sweep around the house and driveway with a magnetic nail roller. We will make every effort to pick up all nails. Please be advised that some nails hidden in the grass or shrubbery may remain. 9. Affordable Roofing must detach your satellite dish and/or antenna to replace your shingles. The dish/antenna is installed exactly where it was removed, but there are instances where re -aligning is necessary. Affordable Roofing cannot be held responsible for those costs incurred. 10. In Colorado, all concrete driveways will crack. The trucks used in the roofing process are large and heavy and can cause a weak driveway to prematurely crack. If your driveway was constructed according to industry standards ---correct backfill and tamping, 4" thickness, and steel mesh reinforcement--- it is highly unlikely that these trucks will crack the driveway. Because it is impossible to determine if the driveway was properly installed, Affordable Roofing will not be responsible for driveway damage. Access issues may incur additional costs. Customer Name: V Date: 06/07/2017 �►t,n'D Signature Certificate Ll Document Reference: 789RDVJPD4K5YUF27WGLAN Multi -Factor Digital Fingerprint Checksum Kevin Hodapp Party ID: 7ZNHUFJZPLFDBUBKBGL8T6 IP Address: 104.129.200.94 veRtFt kreisbeck@riograndeco.com 3d007957ac9a9caa450abca055c90755a4a63b82 MghtSignature Easy Online Document Signing III I WN0910,011,90YUB11 III Timestamp Audit 2017-06-07 09:32:02 -0700 All parties have signed document. Signed copies sent to: Kevin Hodapp and Affordable Roofing. 2017-06-07 09:32:01 -0700 Document signed by Kevin Hodapp (kreisbeck@riograndeco.com) with drawn signature. - 104.129.200.94 2017-06-07 09:26:44 -0700 Document viewed by Kevin Hodapp (kreisbeck@riograndeco.com). - 104.129.200.94 2017-06-07 08:52:20 -0700 Document created via the RightSignature API by Affordable Roofing (rig htsignature@affordableroofinginc.com). - 52.200.135.132 This signature page provides a record of the online activity executing this contract. OR Page 1 of 1 AUTHORIZATION TO PROCEED Property Owner Name: Michele Hodapp AFFORDABLE Property Address: Billing Address, if different: ROOFING 4260 Iris St 4260 Iris St Email Address: michele.hodapp@yahoo.com Affordable Roofing is hereby engaged to obtain and install the roofing materials, described below, for the contract price below, on the terms and condition contained herein. SCOPE OF ROOFING SERVICES TO BE PROVIDED: Roofing I X Gutters I X APPROXIMATE DATES OF SERVICE: Shingle Type Shingle Color TBD TBD Gutter Color Drip Color TBD TBD APPROXIMATE COST OF SERVICE: based on damages known as of date of this contract. Affordable Roofing services described herein does not include issues not known as of date of this contract or change orders. $ - (per Affordable Roofing estimate) Per Insurance Per insurance estimate plus insurance approved supplements, if any, (e.g.. Permit). $ 1,500.00 Amount to be collected at job start ❑ SIDING. Affordable Roofing has identified siding damage on my home. I understand and have been advised this to be a pre-existing condition that will exist at the conclusion of my project. FASCIA. Affordable Roofing has identified fascia damage on my home. I understand and have been advised this to be a pre-existing condition that will exist at the conclusion of my project. AFFORDABLE ROOFING SHALL HOLD IN TRUST ANY PAMENT FROM PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. DEDUCTIBLE. If Property Owner plans to use insurance proceeds to pay for the roofing work, Affordable Roofing cannot pay, waive, rebate, or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for the roofing work on the covered property. It is not legal for us to cover your deductible. AFFORDABLE ROOFING SHALL HOLD IN TRUST ANY PAMENT FROM PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. RESCIND/CANCELLATION. Property owner may rescind the contract within 72 hours after the property owner receives written notice from the property and casualty insurer that the claim for payment for roofing work on the residential property is denied in whole or in part. The property owner's right of rescission does not apply when the insurer denies, in whole or in part, a claim related to a request for supplemental roofing services if the damage requiring the supplemental roofing services could not have been reasonably foreseen as necessary and related roofing service at the time of the initial roofing inspection or the execution of the initial roofing contract. Property owner must give notice of rescission of the contract to Affordable Roofing by email, by US Mail or by personal delivery. Cancellation must be in writing at least two days from the scheduled date of install or material delivery. Affordable Roofing may retain all or a portion of any payments or deposits made by a property owner to compensate the roofing contractor for roofing work actually performed. Affordable Roofing may also pursue common law remedies for the reasonable value of roofing materials ordered and actually installed on the residential property before property owner rescinded the contract. If property owner elects to rescind any of this contract under the paragraph above, the entire contract may be rescinded by Affordable Roofing. UNFORSEEN ITEMS will be discussed and billed accordingly. If plywood is needed per building code, replacement cost will be $1.85/SF. Affordable Roofing will notify homeowner immediately if there are additional layers of roofing or unforeseen damages that need to be addressed. If any code item is needed that is not covered by my insurance company, I agree to pay for the item out of pocket. (Not all code items are covered by insurance.) COLLECTION. Any unpaid balance will be due upon completion. I acknowledge that any unpaid charges outstanding for a period of thirty (30) days from the final billing date, may be subject to a Mechanic's Lien. If other collection efforts are made by Affordable Roofing, I agree that Affordable Roofing shall be entitled to recover all costs of collections, including reasonable attorney fees even if suit is not commenced. All past due balances will be subject to a finance charge of 24% per annum. Delays in inspection by the required permitting jurisdiction shall not delay payment. Agreed & Authorized by: v l Date: 6/1/2017 /ib Company Representative: Insurance Company: Additional Notes: I of nMi_� nuuioiwc 217 West Trilby Road, Fort Collins, CID 80525 • 970.207.0000 phone affordable@affordableroofinginc.com Claim #: 3008587870-1-1 970.207.0289 fax 0 T BBB A City of Wheat Ridge Residential Roofing PERMIT - 201706858 PERMIT NO: 201706858 ISSUED: 09/01/2017 JOB ADDRESS: 4260 Iris ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Residential re -roof to install Owens Corning Dimensional Laminate asphalt shingles with ROOF DECKING 33 sq. Pitch = 2/12 & 10/12 *** CONTACTS *** OWNER (303)881-0353 REISBECK KEVIN SUB (970)207-.0000 Jim Simpson 170423 Fort Collins Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,978.22 FEES Total Valuation Use Tax 0.00 419.54 Permit Fee 362.80 ---- ** TOTAL ** 782.34 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201706858 PERMIT NO: 201706858 ISSUED: 09/01/2017 JOB ADDRESS: 4260 Iris ST EXPIRES: 09/01/2018 JOB DESCRIPTION: Residential re -roof to install Owens Corning Dimensional Laminate asphalt shingles with ROOF DECKING 33 sq. Pitch = 2/12 & 10/12 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 le ally authorized to include all entities named within this document as parties to the work to be pertcrme that all work to e o ed is disclosed in this document and/or its' accompanying approved plans and specifications. SignapFe of OWNER or/ CONTITACAM (Circle one) Date 1. This permit 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 may be 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 amanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit ho lnyder 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-grapting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code ora y ordinance, ulation o 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: Tuesday, August 29, 2017 9:24 AM To: CommDev Permits 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 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 4260 Iris St Property Owner Name Michele Hodapp & Kevin Reisbeck Property Owner Phone 3038810353 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address 25 Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Hodapp.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) Fort Collins Restoration DBA Affordable Roofing and Restoration 170423 970-207-0000 165 S Madison Ave, Loveland Co Contractor Email Address Becca@affordableroofinginc.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) becca@affordableroofinginc.com 33 19978.22 Are you re -decking the (LYes: roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 26 Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof- Type oof Type of material for the pitched roof: Yes 33 Owens Corning , Dimensional Laminate shingles Asphalt Provide any additional House and garage detail here on the description of work. (Is this fora house or age? Wh tta is the roo pitch? Etc) 2 :12 - (c): (t 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. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 27 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 Jim Sinpson Email not displaying correctly? View it in your browser. 28 � How to Prepare for a Re -roofing Project 1. Remove all fragile items, including light fixtures, mirrors, pictures, figurines, etc. from the walls, ceiling and shelves. These items can fall if not firmly attached.. We suggest that you check to make sure they are scored. If in doubt, take them down. small cracks or crow's feet wall sometimes appear in older plaster and sometimes small particles of the acoustical will fall. We cannot assume the responsibility of these items as a result of re -roofing. 2. Please remove all items from around the perimeter of the house that could be hit by falling roofing material, such as cars, boats, furniture, barbecues, plants, etc. Please use extreme caution around your home after material has been loaded on the roof and be advised that roofing materials could fall at any time! Affordable Roofing will not be held liable for any damaged items. 3. Be Prepared for noise! there will be constant hammering for two or more days, depending on the sixe of your roof you may want to plan on some tome away from the house while the job is in progress. 4. Your contract will be estimated on allowing access to the driveways for our trucks and access to electricity. If exterior plugs are not available, please fun an extension cord through a window or door. during the time of your project, we ask that no vehicles be placed in the driveway area near our trucks due to the debris during construction. We will not be held responsible for damage to a vehicle during this time. 5.If you have low hanging branches over your roof, some trimming may be necessary. Our men will only cut those limbs which limit our ability to do an efficient job. in some cases, you may prefer to have the tree or trees trimmed by professionals before we begin our job. We will notify you if this is a concern. 6. PLEASE KEEP CHILDREN AND/OR PETS OUT OF WORK AREA AS INJURY OR DEATH COULD OCCUR 7. THERE WILL BE DEBRIS! Please be aware that small parts of shingles and some dirt will fall into the attic and garage wherever there is any space or joint in the plywood or plank decking. There is no way to prevent this. Please remove cars from garage and cover anything that you want protected from falling debris. Affordable Roofing is not responsible for any damage or clean -up. 8. After the roofing job is complete, the roofers will sweep around the house and driveway with a magnetic nail roller. We will make every effort to pick up all nails. Please be advised that some nails hidden in the grass or shrubbery may remain. 9. Affordable Roofing must detach your satellite dish and/or antenna to replace your shingles. The dish/antenna is installed exactly where it was removed, but there are instances where re -aligning is necessary. Affordable Roofing cannot be held responsible for those costs incurred. 10. In Colorado, all concrete driveways will crack. The trucks used in the roofing process are large and heavy and can cause a weak driveway to prematurely crack. If your driveway was constructed according to industry standards ---correct backfill and tamping, 4" thickness, and steel mesh reinforcement--- it is highly unlikely that these trucks will crack the driveway. Because it is impossible to determine if the driveway was properly installed, Affordable Roofing will not be responsible for driveway damage. Access issues may incur additional costs. Customer Name: V Date: 06/07/2017 �►t,n'D Signature Certificate Ll Document Reference: 789RDVJPD4K5YUF27WGLAN Multi -Factor Digital Fingerprint Checksum Kevin Hodapp Party ID: 7ZNHUFJZPLFDBUBKBGL8T6 IP Address: 104.129.200.94 veRtFt kreisbeck@riograndeco.com 3d007957ac9a9caa450abca055c90755a4a63b82 MghtSignature Easy Online Document Signing III I WN0910,011,90YUB11 III Timestamp Audit 2017-06-07 09:32:02 -0700 All parties have signed document. Signed copies sent to: Kevin Hodapp and Affordable Roofing. 2017-06-07 09:32:01 -0700 Document signed by Kevin Hodapp (kreisbeck@riograndeco.com) with drawn signature. - 104.129.200.94 2017-06-07 09:26:44 -0700 Document viewed by Kevin Hodapp (kreisbeck@riograndeco.com). - 104.129.200.94 2017-06-07 08:52:20 -0700 Document created via the RightSignature API by Affordable Roofing (rig htsignature@affordableroofinginc.com). - 52.200.135.132 This signature page provides a record of the online activity executing this contract. OR Page 1 of 1 AUTHORIZATION TO PROCEED Property Owner Name: Michele Hodapp AFFORDABLE Property Address: Billing Address, if different: ROOFING 4260 Iris St 4260 Iris St Email Address: michele.hodapp@yahoo.com Affordable Roofing is hereby engaged to obtain and install the roofing materials, described below, for the contract price below, on the terms and condition contained herein. SCOPE OF ROOFING SERVICES TO BE PROVIDED: Roofing I X Gutters I X APPROXIMATE DATES OF SERVICE: Shingle Type Shingle Color TBD TBD Gutter Color Drip Color TBD TBD APPROXIMATE COST OF SERVICE: based on damages known as of date of this contract. Affordable Roofing services described herein does not include issues not known as of date of this contract or change orders. $ - (per Affordable Roofing estimate) Per Insurance Per insurance estimate plus insurance approved supplements, if any, (e.g.. Permit). $ 1,500.00 Amount to be collected at job start ❑ SIDING. Affordable Roofing has identified siding damage on my home. I understand and have been advised this to be a pre-existing condition that will exist at the conclusion of my project. FASCIA. Affordable Roofing has identified fascia damage on my home. I understand and have been advised this to be a pre-existing condition that will exist at the conclusion of my project. AFFORDABLE ROOFING SHALL HOLD IN TRUST ANY PAMENT FROM PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. DEDUCTIBLE. If Property Owner plans to use insurance proceeds to pay for the roofing work, Affordable Roofing cannot pay, waive, rebate, or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for the roofing work on the covered property. It is not legal for us to cover your deductible. AFFORDABLE ROOFING SHALL HOLD IN TRUST ANY PAMENT FROM PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. RESCIND/CANCELLATION. Property owner may rescind the contract within 72 hours after the property owner receives written notice from the property and casualty insurer that the claim for payment for roofing work on the residential property is denied in whole or in part. The property owner's right of rescission does not apply when the insurer denies, in whole or in part, a claim related to a request for supplemental roofing services if the damage requiring the supplemental roofing services could not have been reasonably foreseen as necessary and related roofing service at the time of the initial roofing inspection or the execution of the initial roofing contract. Property owner must give notice of rescission of the contract to Affordable Roofing by email, by US Mail or by personal delivery. Cancellation must be in writing at least two days from the scheduled date of install or material delivery. Affordable Roofing may retain all or a portion of any payments or deposits made by a property owner to compensate the roofing contractor for roofing work actually performed. Affordable Roofing may also pursue common law remedies for the reasonable value of roofing materials ordered and actually installed on the residential property before property owner rescinded the contract. If property owner elects to rescind any of this contract under the paragraph above, the entire contract may be rescinded by Affordable Roofing. UNFORSEEN ITEMS will be discussed and billed accordingly. If plywood is needed per building code, replacement cost will be $1.85/SF. Affordable Roofing will notify homeowner immediately if there are additional layers of roofing or unforeseen damages that need to be addressed. If any code item is needed that is not covered by my insurance company, I agree to pay for the item out of pocket. (Not all code items are covered by insurance.) COLLECTION. Any unpaid balance will be due upon completion. I acknowledge that any unpaid charges outstanding for a period of thirty (30) days from the final billing date, may be subject to a Mechanic's Lien. If other collection efforts are made by Affordable Roofing, I agree that Affordable Roofing shall be entitled to recover all costs of collections, including reasonable attorney fees even if suit is not commenced. All past due balances will be subject to a finance charge of 24% per annum. Delays in inspection by the required permitting jurisdiction shall not delay payment. Agreed & Authorized by: v l Date: 6/1/2017 /ib Company Representative: Insurance Company: Additional Notes: I of nMi_� nuuioiwc 217 West Trilby Road, Fort Collins, CID 80525 • 970.207.0000 phone affordable@affordableroofinginc.com Claim #: 3008587870-1-1 970.207.0289 fax 0 T BBB 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: FtRld-I Job Address: Dk Permit Number: Q/ /-70 ❑ No one available for inspection: Timeli 1. �_ I_ 1pm Re -inspection required: Yes /No._. When corrections have been made, call for re -inspection at 303-234-5933 Date: o • J5' I7 Inspector: JDA r-. I DO NOT REMOVE THIS NOTICE