HomeMy WebLinkAbout3665 Everett StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: *SAME DAY PERMIT*
Date: Friday, April 22, 2022 9:31:25 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
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*SAME DAY PERMIT*
This application is exclusively for Same Day Permits submitted on Thursdays and
Fridays(except holidays) between 9am-11am.
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.
PROPERTY INFORMATION
Is the property Residential
Residential or
Commercial?
Property Address 3665 Everett Street
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Rachel Sivak
Property Owner Email rachelsivak@gmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - **DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Electron ic-Payment-Form-2021. Ddf
APPLICANT INFORMATION
Applicant Name Rachel Sivak
What is your role in the
Property owner
project?
Are you performing the
Yes
work yourself, live in
the home and will be
living in the home 1
year after completion?
Attach Notarized
CertofPronertvOwnerPermit Sivak.odf
Homeowner
Authorization Form
Contact Phone Number
814-706-2657
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
rachelsivak@gmail.com
Retype Contact Email
rachelsivak@gmail.com
Address
Check the appropriate
Electrical, Plumbing
boxes if the following
work is involved in the
project.
Electrical Contractor
Owner
Name
Electrical Contractor Field not completed.
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Plumbing Contractor Owner
Name
Plumbing Contractor Field not completed.
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Are there any No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Choose the type of Interior remodels without structural or if structural stamped
permit you are applying engineered plans/ details
for. If it is not listed
then it is not eligible for
a Same Day Permit.
Detailed Scope of
Turn an existing bedroom into a bathroom: remove closet doors,
Work - Provide a
add a shower, toilet room, dual vanity, soaking tub, and linen
detailed description of
closet. Fur out vanity wall for electrical and build two walls to
work including
frame in shower. Remove ceiling fan and add downlights + wall
mechanical, electrical,
sconces at the vanity. Add ventilation fans at toilet room and
plumbing work
centered in bathroom. Add GFCI duplexes at vanity.
occurring,
adding/removing walls,
etc.
Square footage of
120
scope of work
Location of work
Interior of home
(backyard, on roof, etc)
Project Value (contract
$25,000 Valuation Okay
value or cost of ALL
materials and labor)
Upload Engineer letter
Field not completed.
Upload Asbestos
Field not completed.
Report if triggler level is
met per CDPHE
regulation.
Upload Documents
3665 everett bathroom dwas.odf
Upload Additional
Inked3665 everett bathroom DEMO dwas Ll ina
Drawings
Upload Additional
Field not completed.
Drawings
Upload Additional
Field not completed.
Drawings
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Rachel sivak
Pe rm it
Email not displaying correctly? View it in your browser.
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TO: Cnmm� P mtts
subject: Wine wm: suammk keaa al litems, kunwa
Date: musnayJ* r, A212:5738 W
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
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.
PROPERTY INFORMATION
Property Address 3665 Everett Street Wheat Ridge, CO 80033
Property Owner Name Rachel Sivak & Chns McKinley
Property Owner Phone 814-706-2657
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email rachelsivak@gmail.cum
Address
Attach City of Wheat Electron c-Payment-Fnr mSiyak�ndt
Ridge Electronic
Payment Form - **DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD**
APPLICANT INFORMATION
Applicant Name Rachel Sivak
What is your role in the Property owner
project?
Are you performing the Yes
work yourself, live in
the home and will be
living in the home 1
year after completion?
Attach Notarized
Field not completed.
Homeowner
the space. We are pulling in a structural beam to support the
Authorization Form
portion of ceiling where we remove the load-bearing wall. We
Contact Phone Number
814-706-2657
(enter WITH dashes,
We will be relocating the plumbing for our kitchen sink and
eg 303-1234567)
dishwasherfrom the peninsula to the new island. For electrical
Contact Email Address
racholsivak@gmail.wm
for Plan Review
garbage disposal and dishwasher; we will be adding additional
Comments
outlets at the back kitchen millwork wall; we will be adding
Retype Contractor
rachelsivak@gmall.wm
Email Address
Island. The kitchen function is staying In the same location,
1�Y9:i I11 CiL [i] yLtLi]:1:
Detailed Scope of
We are removing two walls enclosing our our kitchen to open up
Work - In the space
the space. We are pulling in a structural beam to support the
below (not as an
portion of ceiling where we remove the load-bearing wall. We
attachment), Provide a
have to removelrelocate a couple hot water baseboard heat runs.
detailed description of
We will be relocating the plumbing for our kitchen sink and
work including
dishwasherfrom the peninsula to the new island. For electrical
mechanical, electrical,
work, we will be adding power in the kitchen island to power the
plumbing work
garbage disposal and dishwasher; we will be adding additional
outlets at the back kitchen millwork wall; we will be adding
occurring,
additional downlights to the kitchen and (3) accent lights over the
adding/removing walls,
Island. The kitchen function is staying In the same location,
etc
however we will be installing all new millwork & countertops and
moving the location of the refrigerator and dishwasher. We are
also adding new millwork on either side of the fireplace as part of
the kitchen millwork addition.
I, the applicant,
I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Kitchen & par of Living Room
Square Footage Area 200
of Work Being
Performed
Asbestos Report 'uuo ev
Upload letter size
documents here
Construction Plans
canewctOndrawinm naaseveretIMMOdei.dm
scanned on 11"x17" or
larger
Project Value (contract
60,000
value or cost of ALL
Valuation OK
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work
Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have
Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for
Rachel Sivak
Permit
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.
Email not displaying ximadly? Viaw H in your hrow ar.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:y
Job Address:
Permit Number:
❑ No one available for inspection: Time A1�/PM
Re -Inspection required: Yes r�o
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. uslinspection
Date:—/ Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201902480
PERMIT NO: 201902480 ISSUED: 11/25/2019
JOB ADDRESS: 3665 Everett St EXPIRES: 11/24/2020
JOB DESCRIPTION: Residential 75 feet sewer repair in front yard. 7 foot deep install dual
sweep clean outs.
*** CONTACTS ***
OWNER (814)706-5627 ELEANOR J Z WALKER TRUST
SUB (303)519-0240 R. ANDREW RUSSELL 120161 THE ELITE PIPE MD
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,800.00
FEES
Total Valuation 0.00
Use Tax 226.80
Permit Fee 220.15
** TOTAL ** 446.95
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
.•.W
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201902480
201902480
3665 Everett
Residential
sweep clean
St
ISSUED:
EXPIRES:
75 feet sewer repair in front yard
outs.
11/25/2019
11/24/2020
7 foot deep install dual
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that allk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
/Z /(Cl
i ture of R o CONTRACT (Circle one) Date
1. This permit was issued base on a information provided in the permit application and accompanying )laps 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. T�suance or gr ng of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
a plicable code or , ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat K dgc
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29t' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Perm its(@ci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
11la5//�
Plan/Permit #
"'fl
Plan Review ee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: ✓/(/c� r Cf �'�y`' h� } U `` C
Property Owner (please print): &Gk 6� e 5 �� K- Phone: 8) `(- 7o G - 56 Z%
Property Owner Email: /'//z'd
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name: l� e J7 ' e '." Alp
City of Wheat Ridge License #:
Contractor E-mail Address:
1ZoIbI
Phone:
Phone: `7 r_,d -61 7 - u 3,5' V
Cf i " k(' f) 'P e- vu 1� t e1v �^
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):
CONTACT EMAIL(p/ease print)
. 70j -66z- (-(T -i I
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
75 to e(- 5 e v; ce --
of 't -^
'rc—x SIA fc-�
Sq. FULF
BTUs
S' U-, e-. � C( , c,,.- o v A- S
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided oy�lication.
CIRCLE ONE: (OWNER) CONTRALTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and Last name): J DATE: ) j Z�4
Printed Name:L_ 1U � T
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
n City of Wheat Ridge
Residential Roofing PERMIT - 201707176
PERMIT NO: 201707176 ISSUED: 09/12/2017
JOB ADDRESS: 3665 Everett ST EXPIRES: 09/12/2018
JOB DESCRIPTION: Permit for reroof: Install asphalt shingle, 44 squares, 2/12 pitch.
*** CONTACTS ***
OWNER FRED WALKER
SUB (720)726-6775 Nicholas Welle 090129 Colorado Continental Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,594.84
FEES
Total Valuation 0.00
Use Tax 495.49
Permit Fee 426.20
** TOTAL ** 921.69
*** 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 - 201707176
PERMIT NO: 201707176 ISSUED: 09/12/2017
JOB ADDRESS: 3665 Everett ST EXPIRES: 09/12/2018
JOB DESCRIPTION: Permit for reroof: Install asphalt shingle, 44 squares, 2/12 pitch.
I, by my signature, do hercby
an
that the work to be performed shall comply with all accompanying approved plans and specifications.
apphca le building codeand all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized
by the legal owner of theropertyand am authorized toobtain thisin conjunction with
thisperm.Ifuther attesthat I am legally authorized to include all entities named within this document as parties to the work to be
performgd `aid that all work to be"perforr ed is disclosed in t i,is document andlor its' accompanying approved plans and specifications.
Signatureiff OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Brnlding
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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE NADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
im
Customer Name �="1 J ���PA� Date: ��� /4
,pbsiteAddress: Inurance Carrier: -
v 3 insurance Claim #: `-
Phone #: 3L3 tiZ-1 / CO Continental Roofing Rep:
Customer Email:
(720) 726-6775 Siding
Insurance Coverage Provided By: Allen Buchholz Insurance
P.O. Boz 4227 Olathe, KS 66063-4227
913-390-9011
Hoofing Specifications " e4 r;-ra ci`A❑ Aluminum ❑ Vinyl Size:
Tear Off: in 1 Layer 2 Layer ❑ Other
Underlayment: ❑ 15# ❑ 30# lam Synthetic
Shingle Manufacturer: -r Lip
Shingle Type:
Shingle Color: HIO:
Roof Vent Type: Box ❑ Ridge ❑Power ❑ Turbine
lv-cv f-4 . Il��
Plumbing Stacks: AL1 3nl ❑ Lead ❑ Other
Ice & Water Shield Per Code
Valley: R Ice & Water Shield ❑ W Pan
Hip & Ridge: ❑ Standard C3 Enhanced
Metal Edge: MI To Match Existing ❑ Other
Roof Decking: ❑ CDX ❑ OSB ❑ Other
Attic Inspection: ❑ Yes ❑ No
*/Nailing Pattern to Meet or Exceed Manufacturer Specifications
* NON NAILABLE SURFACE CLAUSE: Please note that any defective roof
deck/plywood found during tear off of the existing roof covering must be
replaced per state building code. Most insurance carriers do not cover this
cost as part of your claim. Customer will be respsonsible for this cost at $50
per sheet which includes labor and materials.
Customer Initial
Special Instructions
Clean All Gutters of Roof Debris
Protect All Landscaping
Furnish Building Permit
Cleanup Daily
Roll Magnet Through Yard
5 Yr Workmanship Warranty Provided Upon Final Payment
Approximate Start Date:
Approximate Finish Date:
❑ Dutch Lap ❑ Straight
Brand:
Color:
Fascia: Soffit:
Tyvek: ❑ Yes ❑ No Insulation:
Gutters/Downspouts
❑ 5" 716" Gutter Color:
❑ Yes ❑ No
❑ 2x3" ❑ 3x4" Downspout Color:
Additional
Notes
t )s I✓. IFZAM K, t314 I (Y--4 r -r
'ri.?4
Payment Breakdown
Insurance Claim Amount
Supplement Amount (if needed)
Homeowner Upgrade Amount
O&P for Complexity of Multiple Trades
kw I Total Cost (tax included)
Terms: This agreement is contingent upon insurance company approval and agreed price. Thisagreement does not obligate the customer or Colorado
Continental Roofing & Solar In any way unless it is approved by customer's insurance and accepted by Colorado Continental Roofing & Solar. Customer's
signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. Colorado Continental
Roofing & Solar will seek approval from insurance company for anynecessary supplements outside of the original scope of work. Customer's `out of
pocket expense Is not to exceed deductible and any upgrades. Pavment due upon completion of each trade.
Customer Signature Date C.C. . Repign t Date
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. S`{AT. § 5-3-403: YOb/,THE BUYER, MAY CANCEL THIS TRANSACTION
AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. RIGHT OF CANCELLATION PURSUANT TO
COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT
YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. Company shall hold
In trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
CO 01.15
Online Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=
Online Form Submittal: Residential Roofing Permit Application
no-reply@dwheatridge.co.us
Sent:Tuesday, September 05, 2017 1:06 PM
To: CommDev Permits
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 are Single Family Home
on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
3665 Everett Dr
Fred Walker
303-423-1875
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
of 3 09/12/2017, 12:58 PT
aline Form Submittal: Residential Roofing Permit Application https://wrtnail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=...
property?
Applications cannot be
submitted without an
executed contract attached
below.
Attach Copy of Executed Fred Walker Permit Jp4
Contract
CONTRACTOR INFORMATION
Contractor Business Name Colorado Continental Roofing and Solar
Contractor's License
090129
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contractor Phone Number
720-726-6775
(enter WITH dashes, eg
303-123-4567)
Contractor Address (Primary
7651 41 St. Suite 204, Wheat Ridge, CO
address of your business)
Contractor Email Address
coty129603@gmail.com
Retype Contractor Email
coty129603@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of the 44
entire scope of work:
Project Value (contract value 23,594.84
or cost of ALL materials and
labor)
Are you re -decking the roof? No
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched roof
I
(2:12 or greater pitch)?
Provide any additional detail Remove and Replace roofing, guttering, and paint exterior.
here on the description of
)f 3 09/12/2017, 12:58 PM
Online Form Submittal: Residential Roofing Permit Application
work. (Is this for a house or
garage? Etc)
https:Hwn,nail.ci.wheatridge.co.us/owa/?ae=ltem&t=IPM.Note&id=.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
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 may Yes
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 stated Yes
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 Colorado Continental Roofing and Solar
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3 of 3 09/12/2017, 12:58 PN
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: - /4C,
Job Address: ��-� � V 12 /t 157- �� S
Permit Number: -7 / ',�' e�
.L `i% S 7-A C �— 'sC)Ara .---
( )/ L_ &AVE. V _51vT j , t/
❑ No one available for inspection: Time 2 2-0 AM/PM
Re -Inspection required: Ye�' No
When corrections have been made, call for re-insp` cti n t 303-234
Dater — �'7 Inspector: Lt1/
0
DO NOT REMOVE fH11S NOTICE
* � 4 i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
❑ No one available for inspection: Time / J . ! �- AM/PM
i
Re -Inspection required: Yes ANO- '
When corrections have been made, call for re-inspeot o at 303-234-5933
i
Date:-' Inspector: (,�J
DO NOT REMOVE THIS NOTICE
► ♦ CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: C
❑ No one available for inspection: Time IAbO AM ('M
Re- Inspection required: es No
* When corrections have been made, call for re- inspection at 303 - 2345933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTI y]
Inspection Type:r V-~°\
Job Address: 311 2~ti°
Permit Number: CV7)Q bit I
f ❑ No one available for inspection: Time • l ~t A /,pM
k Re-Inspection required: Yes No
When corrections have been made, ca hor re-inspection at 303-2345933
Date: C3 { Inspector:
' l
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge Building Division
i m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
co o Inspection Line: 303-234-5933
~ORPO
Building Permit Application
Property Address: 5 65 Evevt_k S5l-
Property Owner (please print): e P-w~r 01.~K2✓ Phone: 3 x{23 t g7S
Mailing Address: (if different than property address)
Address:
City, State,
Date:
Plan
Permit
Contractor J n~ifl~fi~ t ~eS~(a~ipn
Contractor License maa 377 Phone: 303 - 01(o -10t3t3
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): S t Construction Value: $ I I I SaD • ° 6
Description of work: / (as calculated per the Buildrrc Yaluadon Data sheet)
Qe.-Qoo~- t GA~(' Gvm4 SaVo.S LTI _ Plan Review (due at time of submittal): $
'~jo TeA VAw I)U-,vl444
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 sub' fi nsp tion.
CIRLCE ONE:: (OWNER) (CONTRACTOR or PERSONAL REPRE E\NTIV f(Oj~NER) NTRATOR)
PRINT NAME: o✓ SIGNATURE: a` T
Kl Date: V2 ~~2LJ
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer.
FIRE: DEPARTMENT.: 0 approved wl comments ❑ disappro ved ❑ no review requited Bldg Valuation: $
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 13/.0&, F//la!
Job Address/Permit Number: Jk?5 fl"I/Mfrr ,r 07/,,;;'7
fipfJl!#vfO
~~
::J/
o No one available for inspection: Time /)':';0 AM/PM
Re-Inspection required:
Yes ,No '
~'
'When corrections have been made, call for re-inspection at 303.234-5933
Date: 1/;/015 Inspector: /~r:
/
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Res. Add Structure PERMIT - 071327
PEFMIT NO,
JOE: ADDRESS,
DEE:CRIPTION,
071327
3665 EVERETT ST
10 x 12' storage shed.
ISSUED,
EXPIRES,
12/05/2007
06/02/2008
*** CONTACTS ***
owr,er 303/423-1875
Eleanor J/Z &
W.Z.F. Walker
** PARCEL INFO
ZONE CODE,
SUE,DIVISION,
**
R-2
0602
USE,
BLOCK/LOT#:
U
01
No Fees
Total Valuation
*... TOTAL **
ESTIMATED PROJECT VALUATION,
FEES
.00
.00
.00
2,588.40
** FEE SUMMARY **
Corditions:
MR: r- 2
she:d cannot exceed 8 feet in height at mid roof
subject to field inspection
I rereby 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
aprlication and that I assume full responsibility for compliance with the Wheat Ridge Building Code (r.B.C) and all other
apCliCab~yW;~~ces. for work under this It-'/{pJns subject to field inspection.
Signature of contractor/owner dater
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
~rdinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
Jate. 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
~hanges 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 violation of th~provisions of the building codes or any other ordinance, law, rule or regulation.
A.II plan review is subJect . "'-inspections.
date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE, (303)235-2855
RECUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
PIeue Note:
0wIlCS'1 oddl..loIls responsible for locatIng property
lines and constructing improvements according to the
approved plan and required development standards.
The City is not re.pon.ible for inaccurate information
submitted within the plan set and any con.truction
errors resulting from inaccurate information.
(Y/ {Z-
8~"'HE."o>,
J..... .." \.0
_ .:' _.~. G
U ' .',' '"
0oiClR~OO
City of Wheat Ridge Building Division
7500 W 29th Ave" Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Date:
Plan#: O:?-?Jllt/
Permit #:
Building Permit Application ~ fj{JC>J3
Property Address '::::,,~G5 ~VEKcrT 1Jr:lVc, M~~e;G
Property Owner (please print) c:-lfi17l!o/c.::r. Z,.f 0.2. p; W. Phone ,::0:3 'f2j'1 /j' 7S-
Mailing Address: (il different than property address)
Address: ,...
City, State, Zip: .---
Contractor:
l~
'" .....
Contractor License #:
Phone:
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
Approval:
Exp. Date:
Approval:
Exp, Date:
Approval:
{ /
1\1 Y
,,,& 'b,~a
Use of space (description):
Description of work:
/6,x 1eJ... ~~>tC;y ?/fd
Sq. FtlL.Ft added: J 'to Squares BTU's
Construction Value: $
(as calculated per the Building Vafltatlon Data sheet)
Plan Review (due at time of submittal): $
Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANOING AND AGREEMENT
t 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 VV'heat Ridge or covenants, easements or restrictions of record; that aU 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::
ERlli! NAME:
(OWNER) (CONTRACTOR) or PERSONAL REPRESENTATI~ of \OW~) (CONTRATOR)
(AJ, Z. f vJPr~a2-- SIGNATURE W?-l/' WJ.~v..- Date
'linin
ZONING COMMENTS
Zoning:
Reviewer:
DEPARTMENT USE ONLY
~./lr- ( r
1'e)/l;;a..?F ' ~J. -Jp/7
PUBLIC WORKS COMMENTS J . \'
Reviewer
BUILDING DEPARTMENT COMMENTS ~ ~
Reviewer
OCCUPANCY
FIRE DEPARTMENT:' 0 approved wi comments 0 disapproved 0 no review required I Bldg Valuation: $
'. Wood Storage Buildi
Our value-priced storage solution. The perfect
combination of quality and economy.
Shown: 10'x8' with Treated Wood Ramp.
Diplomat
Gable Style
Our premium gable building
offering more features and style than
our Gentry.
Shown: lO'xB' with Light and Ventilation Package A,
Organizer's Package and Door Trim Style Octagon.
Country Manor 6
Gambrel Style Uill
Maximum storage and traditional style. Provides
plenty of overhead storage possibilities.
Shown: lO'x12' with Light and Ventilation Package C, 16'x24" Gable
Window, Small Cupola & Weathervane, 16' Vented Skylight, lO'x4'
Loft and Door Trim Style Countryside.
Rancher
o
Tackroom Style
Elegant and functional storage
solution. Extended eave roof overhang adds
charm and protects doors.
Shown: 12'xlO' with 22'x30' Window Package. Handyman
Package and Door Trim Style Lower Octagon.
'When purchased with your Lowe's consumer credit card. Length of time 10 repay will depend on your interest rate
and arrlounl of your payments. Note: All models shown withoplions 2
01
0 to', 16', to'7" 6' $1,898 $81/Monl
0 11',11',11'11" 7' $1,998 $84/M0I11
0 11',16',11'11" 7' $3,498 $98/Monl
0 t1',10',l1'11" 7' $3,998 $l11JMon
~ Ideal for push mowers, lawn and garden tools and bikes... great for sml
EmmmII Perfect for lawn tractors, wheelbarrows, snow blowers and other bulky eql
also makes great hobby/craft area.
a::rm Plenty of storage space for motorcycles, snowmobiles, recreational vehicle
other oversized equipment.
~
. Lr2
-..c_
-
CONCRETE -, ----
HEADWALL
-.....
-.. GUARD
L4B RAIL --...,
-
----
____ ____ L II
----
-........
RECOVERED
1" PIPE
--
----
- ------...
("l~ z
o .
;J;) ~
z'" .
"'", '"
;J;).....
iig
;21,,{
",
Vl_
Vl -
!"
g:.
---
a.
;:! LOT 3
--T ~
S.00"07'50"E
10.96'
............
MARIANNE YlELL
SUBDIVISION [J
PLAT SOaK 10 PAGE 15
S. 187. 0'
LOT 2
SET l' WITNESS
CORNER
\ \
\ /'
\\ ///
~//
'"
....:
<0
S.oo"07'50"E
YOU SSE SUBC
PLA T SOOI
ZOt
CONCRETE OIVERSlON
HEADWALLS AND
HEADGATES
---..
.87"26'46"E
\ \ 20.14'
\ \
CURVE
CURVE DELTA RADIUS
Cl 28.56'18" 150.00'
C2 16"04' 48" 300.00'
C3 35.25'51" 135.00'
iNE
10 POWER
POLE:
vlANHOLE
AEl'ER
,
. PREPARED S'
9500 Wf;ST . 14
TEl: .. (303)
;;;a:.~
H :~~';'::,:~~~Uik'
..L;', .
.
" 'P'''~ ""~_"~~ ~" .""-"..",ft"',,,,~I!", ~JJlltll.!ll~_,,_ ""UIUL"~",~,~v_",.JI,m,lUI,o.,,,~""~". "
:l'll~~...
City of Wheat Ridge
Residential Mechanic P~RMIT - 070769
i
I
!ISSUED:
EXPIRES:
PERMIT NO:
JOB ADDRESS,
DESCRIPTION,
070769
3665 EVERETT ST
Replace gas line
and fireplace insert
-
*** CONTACTS**.
owner 303/423-1875
gc 303/296-3823
Fred Walker
R. Jones-B. Ka4n
07/26/2007
01/22/2008
**
01-8068 Fireplace Wherehouse
** PARCEL INFO
ZONE CODE,
SUBDIVISION,
UA
0602
** FEE SUMMARY **
Permit Fee
Total Valuation
Use Tax
** TOTAL **
-
COn"lments:
ESTIMATED
FEES
108.30
.00
54.0q
162.30
/Od. o~
f/-,f.." 5~
iUSE'
BLOCK/LOT#,
UA
0/
;
P~OJECT VALUATION:
3,000.00 I.IJ~
,lfI? "rl
~
I hereby certify that the setback distances proposed by this perm~t application are accurate, and do not violate applicable
ord.inances, 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 hav~ re+d and agree to abide by all conditions printed on this
apt:lication and that I assume full responsibility for compliance with: the Wheat Ridge Building Code (r.B.C) and all other
ap~licable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
...~ -""" . C) ,., 7 - z-'c-cO "7
S1t;:lna e 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. Request. for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Bu~lding 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 speciUcations 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 f~ow 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 he approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, a 1 on of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review to field inspections.
Signature of Chief
date
INflPBCTION RBQUBST LINK, (303)234-5933 BUILDING OFFICE, (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
...--'~~~l
~' .HE~r 1'/
~ "
- ~
o m
~{5t.OR",QO
COMMUNITY DEVELOPMENT ,DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
MINOR APPLICATION
Building Permit Number:
Date:
I PLAN#
Property Owner: Fred //Val/q('
Property Address: 366, evu~+~.
Contractor License No.: 01(060
Company: -'-,''''''' pJ~n IA J I _ . /'
r' 'C/f.A~~ vv't;.V"~v<vvje.. L..L<.-'
Phone: 5ta-'f;l.1" 117:)
Phone: 303-;}.1('- '3 ;;;23
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT I Buildinq Dept. Valuation Figure: $
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 (l.B.G) and all other applicable Wheat
Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Value:$:5 u::i). a
. I
Pefillt Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
(OWNER}(CONTRACTOR): SIGNED
DATE
(OWNER)(CONTRACTOR):PRINTED
DATE
Use of Space (description):
Description of work: T._"-jf,' J I j -r; - J
-",+" {.Of 3<-'> (W{.. ,..f....I"I,0(.. .J..nf"....,-.
~\0UOO
Sq. Ft. added
BIDLDlNG DEPARTMENT USE ONLY
SiC:
Sq,Ft:
!zONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
UBlIe WORKS COMMENTS:
Approval:
IRE DEPARTMENT 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:
(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 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 180 days.
(3) If this permit expires, a new penn it 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 fora 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 aU inspections and shalJreceive 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 violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subject to field inspections.
Chief Building Official