HomeMy WebLinkAbout2928 Chase Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
rINSPECTION NOTICE
Inspection Type: fJ tni j,�`fV L_,&fTAty�;
Job Address: 11_10 Cgc1Se S1, J
Permit Number: 2 0I,70�Soq
J
❑ No one available for inspection: Time q,, 0/pM
Re -Inspection required: Yes C./
When corrections have been made, call for re -inspection at 303 -234 -
Date: (V3 /
ZI Inspector:
DO NOT REMOVE THIS NOTICE
�ry
i CITY OF WHEAT RIDGE ' 1
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L197 BW 1 F`cjm,�'�nq ! gvil
Job Address: 1 q?'�6 CA05C -S+,
Permit Number: rL0j0d_L7 ,S`
jam.. j � k-mP."-0
J of
�s
❑ No one available for inspection: Time ``'(r ,30 &PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: � � `� Inspector: Dvr Love*
DO NOT REMOVE THIS NOTICE
e
City of Wheat Ridge
t a,, E -Res. Furnace Replacement PERMIT - 201802775
PERMIT NO: 201802775 ISSUED: 10/17/2018
JOB ADDRESS: 2928 Chase St EXPIRES: 10/17/2019
JOB DESCRIPTION: Residential mechanical replacement boiler, 82s efficiency, 75,000 BTUs in
the basement.
*** CONTACTS ***
OWNER (303)233-8651 LAZALDE ALVARO B
SUB (303)421-3572 William Buras 017865 Lakeside Heating & A/C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 63.00
** TOTAL ** 103.00
*** COMMENTS ***
*** CONDITIONS ***
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
this penmt. I further attest that I am legally authorized t0 include al
I entities named within this document as partes to the work to be
performed and that all 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
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 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 is~ce or grantirkiof a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appl a co a or an dinance 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.
Dina Kern
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, October 16, 2018 8:24 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - 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
replacement residential
furnace or boiler 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 ATTACHED
RANDOM FORMS**
2928 Chase St VX
Alvaro Lazalde
303-233-8651
Field not completed.
Credit Card Authorization Form .Pdf
CONTRACTOR INFORMATION
Contractor Business Lakeside Heating & AC
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)
017865
303-421-3572
6260 W 52 Ave #116 Arvada, CO 80002
Contractor Email Address becky.b@lakesideheating.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
becky.b@lakesideheating.com
What type of unit is being Boiler
installed?
Number of BTUs 75000
What is the efficiency 82
(%) of the unit?
Is the unit GAS or gas
ELECTRIC?
Where is the furnace or basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 3000
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.
z
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 Rebecca Buras
Permit
Email not displaying correctly? View it in your browser.
Zo1,703 IqZ
7q7� ctikse Si, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To ADDroval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
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
IZd
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
r
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
i
Inspection Type: r
Job Address: ST
Permit Number: n 1 ') �j -3 / y Z
❑ No one available for inspection: Time AM/PM
Re -inspection required:Ye No (" P)l t)L 'C
When corrections have been made, call for re -inspection at 303-234-5933
Date:-') ' Inspector:
DO NOT REMOVE THIS NOTICE
�j
a •
City of Wheat Ridge
Residential Plumbing PERMIT - 201706389
�N
PERMIT NO: 201706389 ISSUED: 08/22/2017
JOB ADDRESS: 2928 Chase ST EXPIRES: 08/22/2018
JOB DESCRIPTION: Residential water heater replacement 36BTUs/40,000 Gallons
*** CONTACTS ***
OWNER (720)530-2946 LAZALDE ALVARO B
SUB (866)898-0008 Mariana Kitchukova 080021 Colorado Delta Mechanical Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 700.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00 — --_
Use Tax 14.70
** TOTAL ** 54.70
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 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.All work shall comply 2012 International Codes, 2014 NEC (if
applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field
inspections.
I, by msignature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appliy cable 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 theproperty 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 all authorized to include all entities named within this document as parties to the work to be
performed and that all w c is disclosed in this document and/or its' accompanying approved plans and specifications.
ri � 221,�.>Y7
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 permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Divisio
6. The iso
s ance r grannttiin�g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicab r�g� m-�e or guI ion 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.
r City Of
Meat _](J7
� Date:
N 7T Permit
COMMUNITY DEVELC?I'MLNT
Building Division -76
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: ZZ
Property Owner (please print): 2
Mailing Address: �f1ff�ent0 ahpa��
Address: Gj
I
Phone: d O J 3 b �Iqq !�
City, State, Zip:
Contractor: Cp1o(O& De\'toy Mtc-na��ca�
Contractor License #: C - Phone: g� ' �9�Z 52-13
Sub Contractors:
Company Name License #• Expiration Date: Trade/Profession: Approval:
Use of space (description): \w�t�_%Y[OY_
Description of work: i
Plan Review (due at time of submittal): $
cn Ft /I Ft added: Squares BTU's V Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRIr41V
TAT f (OWNER)t (CONTRATOR) 7.3 I
PRINT NAME: L
�� SIGNATURE Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
OCCUPANCY.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
FIRE DEPARTMENT:: 13 approved w/ comments [I disapproved [D no review required [Bldg Valuation: $
Credit Card Payment: Vse credit card listed on file.. D
Il/
Print name:. -Lk S Signature:
V
City of Wheat Ridge
q. Residential Roofing PERMIT - 201703142
PERMIT NO: 201703142 ISSUED: 07/03/2017
JOB ADDRESS: 2928 Chase ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install laminate/asphalt shingles - 23 sq. (17 sq.
pitched / 5 sq. flat)
I, by m m
signature, do hereby attest that the work to be performed shall comply with all accopanying 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 ►eg ally authorized to inc ude all entities named within this document as parties to the work to be
performed and that all work to be.p.erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
7-4,—1 –7
natut'e of OWNFR:—or CONTRACTOR (Circle one) Date
This permit was issuedrbased 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.
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.
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.
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.
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.
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 cony ordinance or regulation f this jurisdiction. Approval of work is subject to field inspection.
pg$ 4
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.
e ' o City of Wheat Ridge
Residential Roofing PERMIT - 201703142
PERMIT NO: 201703142 ISSUED: 07/03/2017
JOB ADDRESS: 2928 Chase ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install laminate/asphalt shingles - 23 sq. (17 sq.
pitched / 5 sq. flat)
*** CONTACTS ***
OWNER (720)530-2946 LAZALDE ALVARO B
SUB (303)386-4649 Steve Burns 130239 Exceptional Exteriors 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: 5,911.00
FEES
Total Valuation 0.00
Use Tax 124.13
Permit Fee 140.90
** TOTAL ** 265.03
*** 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.
Dan Schultz 7vn� 14Z
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 21, 2017 3:33 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
2928 Chase St.
Alvaro Lazalde
7205302946
S
�.
Property Owner Email
Field not completed.
Address
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
Exceptional Exteriors
Contractor's License
130239
Number (for the City of
Wheat Ridge)
Contractor Phone
3033864649
Number
Contractor Email Address
permits@exexco.com
Retype Contractor Email
permits@exexco.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
Laminate/Asphalt
Material
Select Type of Material:
Asphalt, Tile/Clay/Concrete
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
17
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
5
on the flat roof?
z
TOTAL SQUARES of all -T�
roofing material for this 23
project
Provide additional detail Pitch 7/12, roof and garage, modified on rear patio and part of
here on the description of garage
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -4690—
value or cost of ALL / f
materials and labor) 5"0
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 Rob Juenger
Email not displaying correctly? View it in your browser.
3
c Exceptional Exteriors, LLC 0
CONTRACT BBB
Property Owner(s) Alvaro Lazalde (hereinafter, the "Client")
Address 2928 Chase ST (hereinafter, the 'Premises")
Wheatridge, CO
State
Zip 80214
Ceti 720-530-2946 other 303-212-4040 Email a.lazaide@hotmail.com
SCOPE OF WORK AS APPROVED BY INSURANCE CARRIER
• Tear off all layers
• Install 15 Ib. felt, 30 Ib. felt or Synthetic Underlayment
• instail new pipe jacks, painted to blend
• install pre -painted eve flashing
• Install new shingles of your choice
• Re -flash all wall abutments and chimneys as needed
• Install ice & water shield in all valleys
• Obtain building permit as required
• Adhere to all local building codes in effect as of install date
• Remove and dispose of all debris created during project
• Perform magnetic sweep of property to remove loose nails
• Provide a min. general liability ins. coverage of $1,000,000
• Maintain current Worker's Camp. Insurance on crews
• Provide a 5 year Limited Workmanship Warranty
Shingle Mfr. Owens Corning Style Duration Composite Shingle Color Brownwood
Gutter Color (if Applicable) Brown Gutter LF 134 Downspout Qty. 3 LF 42
Other Work: Siding Windows Paint Carpentry Other.
Drip Color Brown
Approximate dates of services July 2017 Approximate cost of services (Estimated RCV) 7878.89
The above items (approximate cost and dates of services) are general estimates based on damages known at the time of contract being entered.
Scope of Work will ultimately be performed for the RCV total plus any agreed supplements provided by your insurance carrier. Dates are
approximate as well and can be affected by inclement weather. availability of materials, amount of time a tender may take to endorse insurance
checks or the amount of time your insurance carrier may take to approve the scope andlor payment of services.
Upgrades
Shingle Upgrade Sivithetic Felt Ice and dG11cr
Ridge fent Soffit Vents Poieer G'errts
Platinum Yi"crrrtint-v S N/A Upgrade Total So T
Deductible Amount
Additional Work ("Out of Pocket")
Less Referral Credits
Estimated Client Payment Responsibility
1636
Total Estimated Client "Out Of Pocket" Expense $ 1636
Deposit Amount $ 3940.00 Due upon delivery of materials. Customer agrees to have a payment available the day of delivery
NOTES
LINE ITEMS EXCLUDED FROM CONTRACT (WORK NOT PERFORMED)
line items 17 & 18
line items 20 - 23
line items 25 - 28
Additional work authorized by the homeowner but not included in the above description will be described in a separate addendum (work Order Confirmation Form), Exceptional
Exteriors. LLC and the Client agree to the terms and conditions set forth on both front and back of this contract
Exceptional Exteriors, LLC (hereinafter "Exceptional Exteriors" and "EEL") will perform roof replacement and exterior repairs to the
Premises for the Client as approved and specked by Client's insurance company (collectively, the "Scope of Work") for the
replacement cost value (RCV) of the insurance claim. The only out of pocket cost to the Client is their deductible and any non-
recoverable depreciation where applicable as well as any agreed costs for any upgrades or additional work authorized by the Client
in writing. Supplemental claims and/or overhead and profit billed by EEL on behalf of the Client and approved by the Client's
insurance company for additional work or increases in costs, in addition to this contract shall also be deemed a part of this contract
as if contained herein. This contract will become binding upon execution and EEL shall receive all insurance proceeds, including
the deductible. Client agrees to provide EEL with all insurance communications, both written and verbal, and to authorize EEL to
negotiate with the insurance company on Client's behalf to secure the funds necessary to complete the contracted Scope of Work.
EEL shall hold in trust any payment received from the Client until! EEL has delivered roofing materials at the Premises or
has performed a majority of the roofing work on the Premises.
1. All proposals are subject to approval of EEL management.
2. EEL will perform the Scope of Work in accordance with generally accepted roofing and construction guidelines, adhering to local
codes in effect at the time of construction.
3. EEL's standard payment terms are as follows: 50% when material is delivered and 50% when work is completed. Endorse and/ or
make all checks payable to Exceptional Exteriors, LLC. Any joint checks issued by Client's insurance company shall be
immediately endorsed and tendered by Client to EEL
4. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. if you
plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may also rescind this contract
within 72 hours after you receive written notice form the property and casualty insurer that your claim has been denied in whole or
in part. However, EEL is entitled to retain payments or deposits to compensate EEL for roofing work actually performed in a
workmanlike manner consistent with standard roofing industry practices. EEL cannot pay, waive, rebate, or promise to pay, waive,
rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property.
5. To rescind, send by certified mail or personally deliver a signed and dated copy of the cancelled contract within 72 hours of
contract signing, or 72 hours of written notice of denial of claim from the insurance carrier to the EEL address on this contract
Client may also email a signed and dated copy of the cancelled contract to contactus@exexco.com.
6. All excess materials will remain the property of Exceptional Exteriors, LLC
7. Client is responsible for timely securing all required Homeowner's Association approvals of the roofing products and coior(s).
8. EEL shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, acts of God, inability to obtain
material from usual sources, or any other circumstances beyond EEL's control.
9. EEL shall not be responsible for any leaks or water damage below the roof line, or any damage caused by excessive wind, ice or
hail during the period of the warranty.
10. Replacement of code required materials/upgrades not covered in Client's insurance policy will be additionally charged to Client on
a labor and material basis.
11. EEL will not be held responsible for slight scratching or denting of gutters, oil droplets in the driveway, hairline fractures in concrete,
or damage to plants or shrubbery. Furthermore, EEL will not be held responsible for exterior damages such as broken or fallen
crown molding or fascia, or interior damages such as cracked plaster/sheet rock or nail pops.
12. EEL's liability coverage insurer is the AHBE Group and can be contacted through Deborah York of York Insurance Agency at 720-
201-9671
13. This contract and all attachments hereto represent the entire contract between parties, and supersede all prior written or oral
contracts between the Client and EEL.
14. This contract cannot be changed, modified or terminated by any other contract unless the same is in writing and signed by the
party against whom enforcement of the change, modification or termination is sought.
15. This contract shall be binding upon the parties and their respective successors, heirs, legal representatives and permitted assigns.
16. If any one or more of the provisions contained in this contract shall for any reason be held invalid, illegal or unenforceable in any
respect, such invalidity, illegality or unenforceability shall not affect any of the other provisions hereof, and this contract shall be
construed as if such invalid, illegal or unenforceable provision had never been contained herein.
17. An account is past due when more than thirty (30) days have passed after the roofing work was completed. If an account is past
due by 60 days a late charge of $120 will occur. If an account goes to into collections, Client shall pay EEL interest at twenty-
one (21%) percent per annum for all past due accounts. If Client does not pay all sums when due under this contract to EEL, then
Client agrees to pay all costs and fees incurred by EEL for its collection, including reasonable attorney fees and costs. EEL
reserves the right to place a mechanic's lien on Client's property for any default in the timely payment of amounts due under this
contract. . Client shall pay EEL interest at twenty-one (21%) percent per annum for all accounts 90 days past due.
18. The parties waive the right to a jury trial in any action or proceeding based upon or related to any aspect of the transaction in
connection with this contract, or any document executed or delivered in connection with such transaction.
19. Venue for any legal action brought pursuant to or involving this contract shall be in the City and County of Denver. State of
Colorado, or any other Dation mutually agreeable to the parties.
20. All attachments to this contract shall be part of this contract and are incorporated herein by this reference.
21. It is the Client's sole responsibility to provide a safe -keeping area for all pets. EEL shall not be responsible for gates left open
during or after its work.
22. After Ciient has paid all sums due under this contract, the inspection will be called in to the city/county/municipality and Client will
receive a five (5) year Workmanship Warranty for the roof and one (1) year for all other work. EEL must be notified of all Warranty
claims within five days of the discovery.
Exceptional Exteriors, LLC
3679 S. Huron Street, Suite 402 — Englewood, CO 80110
Client Signature
6/3/2017
Phone: 303-386-4649 E-mail:
Alvaro Lazalde
Date Printed Name
6/3/2017 Dejai Janvier
Exceptional Exteriors, LLC Representative Date Printed Name
r
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
i
Inspection Type: r
Job Address: ST
Permit Number: n 1 ') �j -3 / y Z
❑ No one available for inspection: Time AM/PM
Re -inspection required:Ye No (" P)l t)L 'C
When corrections have been made, call for re -inspection at 303-234-5933
Date:-') ' Inspector:
DO NOT REMOVE THIS NOTICE
�j
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: Aum
Job Address: �2 6i2 � (f A-, r S t
Permit Number: 01DI-�b5/L12
❑ No one available for inspection: Time % (A /PM
Re -Inspection required: � s No
When corrections have been made, call for re -inspection at 303-234-5933
- 4
Date: '/� Inspector:��o
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:'�v
Job Address:
Permit Number: 2 0l 67���-�
all
❑ No one available for inspection: Time U�'� -�' J /PM
Re -Inspection required: ;es/' No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE ^
9r(303)
Building Inspection Division(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:.f?/
❑ No one available for inspection: Time PM
Re -Inspection required: Yes 'N
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
t
i CITYYOF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 120
Job Address: -0670 �3 CW4W .ST
Permit Number: 20 1-7o -3 Iq Z
❑ No one available for inspection: Time X'.1,L AIg/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303- 34-5933
Date: 1 W-) Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Pdsx&'
v <srrt2v,~,~
Job Address: ,24?~8 e,-W,4Sf_ 5r'
Permit Number: 19 V IV6'111
❑ No one available for inspection: Time !C AM/PM
Re-Inspection required: Yes lE)
"When corrections have been made, call for re-inspection at 303-234-5933
Date: a e Inspector: At,
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
,-� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: d V'9 -W_4Ss
Permit Number: ! , 95I0 Y
�s
❑ No one available for inspection: Time It J M /PM
Re Inspection required: Yes lob'
* When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: s Inspector:
DO NOT REMOVE THIS NOTICE
C.
1 City of Wheat Ridge
Residential Plumbing PERMIT - 091054
:PERMIT NO: 091054 .:ISSUED: 08/03/2009
JOB ADDRESS: 2928 CHASE, ST. EXPIRES: 01/30/2010
DESCRIPTION:. Repair 25 if of sewer line
***CONTACTS
owner 303/233-8651 Al ,Lazade
sub - 303/696.-.9599 Steve Wakeham 01-9921.,Pipeline Industries, Inc..
PARCEL INFO
ZONE CODE : UA USE : `.UA
SUBDIVISION:. 0525 BLOCK/LOT#: 0/
**:FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,687..50
FEES....
Permit Fee 108. 30
Total Valuation .00
Use Tax 48.38
TOTAL 156.68
Conditions:
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable
ordinances, rules or regulations of the city of wheat Ridge or covenants, easements or restrictions of record; that all
measurements. shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
:application and that I assume full responsibility. for compliance with the wheat Ridge HUildingCOde (I.B. C) and all other
app ica a Wheat Ridge Ordinances,.. for work under this.. permit. Plans subject to field inspection.
ature. of contractor/owner date
1. This permit was issued.in accordance with the provisions set forth in. your application and is subject to the laws of the
State of Colorado and to, the Zoning Regulations and :Building Codes of Wheat Ridge, Colorado or. any other applicable
ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
s< date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
r changes have been or. will be made in the original plans and specifications and any suspension or abandonment has not
+.exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for anew permit.
4. No work of any manner shall be done that will change the natural flow of water causinga drainage problem.
5. Contractor shall notify. the Building Inspector twenty-four (24)'. hours in advance for all inspections and shall receive
written. approval on. inspection bard before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
~r an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is subject to field inspections.
Signature of Ch ding Official -date
E, INSPECTION E ST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS ST BE MADE BY.3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.`
oFw"Ear City of Wheat Ridge Building Division Date: Q~
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
_ Office: 303-235-2855 * Fax: 303-235-2857 Plan
c o Inspection Line: 303-234-5933 permit#: Cq 10C-4
OCORP~
Building Permit Application
Property Address: ZsO
Property owner (p/ease print): J Ze,-zc / Phone: ?,!n 3-Z 3 3- sz3l
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
6
Contractor License Phone: 30.3 w--%S/~1
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description):
Description of work,
Ye~c l~
r,vCaVC 74- cx-n C/
Oslo,/' Z' 1<1,4Cken !rn e In
Sq. Ft./L.Ft added: Squares BTU's _
Construction Value: $
(as calculated per the Suildini Valuation Data sheet)
Plan Review (due at time of submittal): $
P-1vopeT
Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER)) (CONTRACTOR) or PERSONAL REPRESENTAT E of (OWNER) (CONTRATOR)
PRINT NAME: zc//d y SIGNATURE: Date:
~ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Az"kll. ueinsd/~~< , a
Job Address/Permit Number: 57
.'411X0 oz>
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspectors .
DO NOT REMOVE THIS NOTICE
pancvlTVpe
INSPECTION LINE: (303) 234-5933 It
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS - DATE INSPECTOR
INITIALS COMMENTS-
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
~.vni,Kt I t JLAtl YLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground) _
DO NOT POUR FLOOR DNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE S
IGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
vt,GUPANGY NUT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of Wheat Ridge
Residential Plumbing PERMIT - 081163
PERMIT NO: 081163 ISSUED: 10/06/20.08.
JOB ADDRESS: 2928 CHASE ST EXPIRES: 04/04/2009
DESCRIPTION: Repair 40 if sewerline in yardonly
CONTACTS
owner 303/356-3933 Al Lazalde
gc 303/696-9599 Steve Wakeham 01-9921 Pipeline Industries, Inc.
PARCEL INFO
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0525
BLOCK/LOT#:
0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Permit Fee 108.30
Total Valuation .00 GY;D~'O
Use Tax 45.00
TOTAL 153.30
Conditions:
Note: Owner/Contractor is responsible for locating proeprty lines and
constructing improvements according to the approved plan and required
development standards. The City is not responsible for inaccurate information
submitted within the plan set and any construction errors resulting from
inaccurate information.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicab e Whew ge Ord*nuces, for work under this permit. Plans subject to field inspection.
l0~6'O ~
Sionatvrcont ra date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violat is of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is s j t field inspections.
Signature of Chief Bui ing ficial date "
INSPECTION REQUST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
a City of Wheat Ridge Building Division Date: 7500 W29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933 Permit#:Dp p1&(
Building Permit Application
Property Address: Z 9 Z R G(,t a Se ST.
Property Owner (please print):AL / n2 a r dt Phone:363-,556 3933
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
I
Contractor Licenser#: 10l - 111,;-l Phone: 30,3-C',96 -9-229
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date:
Approval:
Use of space (description):
Description of work: ~~Ev9G
N_epCiItn 11-1 'VLiV61 Oitly
Sq. Ft./L.Ft added:( Squares
Exp. Date: Exp. Date:
Approval: Approval:
Construction Value: $ 06G2')00
AGy 5&,,J awl Ivfe (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
r?,))
BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWN ) ( R R)
PRINT NAME: i.F Z31 27je~(ure SIGNATURE: Date: //7 6 -0
P~
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
16220
Date: 9/16/2003
Property Owner: AL LAZALDING
Property Address: 2928 CHASE ST
Contractor License No. : 21769
Company: Total Discount Home Improvements
Phone: 233-8651
Phone: (720) 938-5405
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Total:
$3,575.00
$126.50
$0.00
$42.90
$169.40
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions prin on this
application, and that 1 assume full respansi .. r complian the t Ridge Building
Code (U.B.C.) and all other applicable e i:Iglitordin or w ef th~..::rm)t. ~
(OWNER)(CONTRACTOR) SIGNED ATE / - 7 ' _)
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Description:
INSTALL 14 SQ. P'NSION .~ SHINGLES.
Use:
REMOVE ALL LAYERS & REDECK & GUTTERS
- :'\M
rDI0(1\v\~
BUILDING DEPARTMENT USE ONLY
:rl&IIlt\g.~is: SIC Sq. Ft.
Approval
Zon ing
DlldiiillBlIi.miWfll
. .!l ...
Approval
Rbi.~CcmllllJf;
1.0 . IIlc"
Approval
Occu pancy Walls Roof Stories Residential Units
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanicai License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building au1horized is suspended or
abandoned for a period of 120 days,
(3) If this permit expires, a new permit may be acquired for a fee of one.half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions bu~es or any other ordinance, law, rule or regulation.
,...~
BUilding Ins~ector
Please sign Terms and Conditions on reverse side of page,
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
16220
Date: 9/16/2003
Property Owner: AL LAZALDING
Property Address: 2928 CHASE ST
Contractor License No. : 21769
Company: Total Discount Home Improvements
Phone: 233-8651
Phone: (720) 938-5405
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Total:
$3,575.00
$126.50
$0.00
$42.90
$169.40
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full respans' I' for com!~~ce with the heat Ridge Building
Code (U.B.C.) and all other applicable ~ t R~dge or~...ces.l"rw under thi~ri7 ...,
(OWNER)(CONTRACTOR) SIGNED . ?4P .1-. f-.-;. DATE~
/ Use:
INSTALL 14 SQ. DI ENSIOtf{AL SHINGLES. REMOVE ALL LAYERS & REDECK.
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Description:
BUILDING DEPARTMENT USE ONLY
ZOr.. 'jn~e'0ts;
.J!!! g~JI
Approval:
Zon ing :
_ir\g!!IIIIBI'iit~l
Approvai :
PUDl1c,~O'mml!m:1l1!!I
Approval:
Occupancy:
SIC:
Sq. Ft.:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the Jaws of the State of Colorado and to the Zoning
Regulations and Building Gode of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceed'. with successive phases of the job.
The; a.~ or the approva. I of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
pro ion 0/ / i j codes or anyother ordinance, law, rule or regulatIOn,
Chief ~Uilding c-
Please sign Terms and Conditions on reverse side of page.
(4)
(5)
(6)
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Building Permit Number:
Date:
Property Owner: A L /-.4211 LlJ / Iv c..
Property Address: J- 9 J S (' I!;J J If .rr.
Contractor License No.: Z (1 &'1
Company: ;0--rAL. l)JJ'CDV/V/
Phone:J 0] - ;). j? - J6s' !
';(tJd:/nL:./u;J Phone: '0- '1Ji ~s7'o.f
OWNER/CONTRACTOR SIGNA TVRE OF UNDERSTANDING MID AGREEMENT
Construction V alue:$] 5"7
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge
Building Code (U.8.C) and all other applicable Wheat Ridge Ordinanc ,for work under
,h(s pennH. LZ . ./ ./; .
, h' // a/'/
(OWNER)(CONTRACTOR),SIGNE ?'. ~ / t.k,,-. DATE~
(OWNER)(CONTRAcrOR): PRINTED ;f . / DATE'
t/ r
DESCRIPTION: . . r. f ) I}
IA.Jf'fJJU /'1 J"Q 7)/"h!.7VJ/ClA./fiL) /J;t1Iuj.4:~
JCCfz"v!/I/ ALL L;1YI::7fJ .f !(E'::VE(~, !- r;; uT!t:7c f
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(I) This pemlit was issued in accordance with the provisions set fOnll in your application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the CiIY.
(2) TIlis pennit shall expire if(A) the ....ork authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days,
(3) If this peml;t expires, a llew pemlit may be acquired for a fee of one.l1alf the amount nomlall)' required, provided no changes haveb<<n or will be made
in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year, If changes have been or if suspension or
abandonment exceeds one (I) year, full fees shall be paid for a new pemlit
(4) No work of any manner shall be done thai will change the naturalllow of water causing a drainage problem,
(5) Contnlctor shall notify the Building Inspector twenty. four (24) hours in advance for all inspections and shall receive written approval on inspection card
before proceeding with successive phases of the job.
(6) The issWlllce ofa permit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the
pro\'isions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector