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HomeMy WebLinkAbout4045 Field DriveCity of Wheat Ridge E -Res. Window Replacement PERMIT - 202002275 PERMIT NO: 202002275 ISSUED: 11/04/2020 JOB ADDRESS: 4045 Field Dr EXPIRES: 11/04/2021 JOB DESCRIPTION: Replace 2 bedroom windows, u -value = .30 or better *** CONTACTS *** OWNER (303)263-8125 MCDONALD JAMES CLARKE III SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** 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: 81677.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 182.22 ** TOTAL ** 232.22 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Window Replacement PERMIT - 202002275 202002275 4045 Field Dr ISSUED: 11/04/2020 EXPIRES: 11/04/2021 Replace 2 bedroom windows, u -value = .30 or better 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�permrt. I further attest that I am leg ally authorized to include al entities entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and 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 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 requ�ired 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, anviolation 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 MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Date: Wednesday, November 4, 2020 6:58:18 AM Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4045 Field Dr Property Owner Name James McDonald Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 303-263-8125 Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business seiler construction Name Contractor's License 180220 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 Email Address Retype Contractor Email Address DESCRIPTION OF WORK Number of window and/or doors being replaced Ki8xMt1�1�ti mbeaudoin@renewalcolorado.com mbeaudoin@renewalcolorado.com (r�NTM Location of bedroom window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of .30 or better the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of mcdonald specs ndf window/door cut sheets showing sizes and u - value Project Value (contract 8677 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http-.,//www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT C�1 � � i l� i ADDRESS: `'1�=�i _5 amid � JOB CODE: i� Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation .fvVdL Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. .fvVdL 206 Water Underground 7— f / LL Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 3lk5,kQsulation .fvVdL 6 Mid -Roof 7— f / LL 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:' -C-1101151 ADDRESS: Hot-! S n r't1' ior JOB CODE-� Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls ugh Grading E scellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. Property Address Permit Number Permit Issued Date The City of Wheat Ridge Third Party Form Check List e-1 o S' rd --I c,, `_' 0- 0 t -70 qi 0t70gi 7 if -/ -7- Owner- Owner Information Property Owner Information Property Owner Address Inspector Information Inspection Company Inspector Name Inspector Contact info. � L � (2 d-1 z -Dd,, a 1(5(l G 15� ,rte 101 02 Inspector Statement and Acknowledgement I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and specifications. Inspector: Date: Property Owner Statement of Acknowledgement *I hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection o ny to perform my roof inspection in lieu of the City of Wheat R' a Building ' si 'p i Propery Owner/Agent: ; This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A 1A Pass ❑ Fail Structural roof components Q N/A Q N/A Gass FT_ Pass ❑ Fail ❑ Fail Verify that no more than 2 layers of shingles exist Flashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the )aN/A ❑ pass ❑ Fail permit description (Valuation must be adjusted) Verify sheathing nail pattern (See Policy $ Procedures) , N/A /�❑ EJ Pass ❑ Fail Crickets and saddles where needed N/A Pass ❑ Fail Verify B vent must have hoot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps N/A 2.Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A D -'N/A Pass ❑ Pass Q Fail ❑ Step flashing shall be min. of 4x4 piece per shingle ❑ N/A X Pass Fail ❑ Fail Verify scuppers allow for proper drainage Ice and water shield 2' in heated wall spaces Q N/A 'Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC Q N/A -Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A } Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ❑ N/A (`Pass `Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ Fait Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:42 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of fQ N/A N/A El Pass ❑ Pass E] Fail 1:'12 Modred Bitumen, EPDM, TPO min slope 114:12 slope 1[p ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ ❑ Fail Below roof residential R-38 N/A Pass ❑ Fail Below roof commercial R-32 1 N/A y ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPC} ruin slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fag Metal roof shingles shall not be installed on Wope 10�S N/A ❑ Pass ❑ Fail 3:12 Metal valley flashing shall be the N/A ❑ Pass ❑ Fail same material as roof Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements NSA Pass ❑ Fail Clay and concrete the shall have a min_ 2-1/2:12 slope Slopes 4:12 and under require double underlayment al The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: V / /'- t"_z Oto, !' Inspector signature: Date of Inspection: = f 7 —/� The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail r E] N/A ass ❑ Fail Structural roof components ❑ N/A Z�Yass ❑ Fail Verify that no more than 2 layers of shingles exist N/A mass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) /A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) /A ❑ Pass Fail Crickets and saddles where needed ❑ N/A -Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A la Pass ❑ Fan Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle [J�_N/A ❑ Pass ❑ Fail Verify scuppers allow for drainage ❑ N/APass ❑ Fail proper Ice and water shield 2' in heated wall spaces ❑ N/A II Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ] N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof ❑'+N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements EJ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes e4 -[t Company Name: r L C4-e-��- Inspector signature: Date of inspection: - —( I 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: �o6-,111 -og-r Job Address: qO 5 F,'r /d k Permit Number: ? o l 7M / 3 ;� ❑ No one available for inspection: Time Z, AMOM Re -Inspection required:es No When corrections have been made, call for re -inspection at 303 -234 - Date: -Z/ 03-234- Date:5 ! 16116 Inspector: hC1, r LA -le ff DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Evaporative Cooler Repl PERMIT - 201801133 PERMIT NO: 201801133 ISSUED: 04/20/2018 JOB ADDRESS: 4045 Field DR EXPIRES: 04/20/2019 JOB DESCRIPTION: Replace an evap cooler, breezair exh170 with roof kit and 4 vents *** CONTACTS *** OWNER (303)263-8125 MCDONALD JAMES CLARKE III SUB (303)422-5308 Steve Brandt 021365 THE COOLER COMPANY *** 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: 5,000.00 FEES Evaporative Cooler 40.00 Total Valuation 0.00 Use Tax 105.00 ** TOTAL ** 145.00 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 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. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document 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, pc icies 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 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 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 all not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or rdinance or ulation 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. ELECTRONIC INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: 201801133 ADDRESS: 4045 Field Drive JOB CODE: RML Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 302 Wall Sheathing 103 Footing / P.E. Letter 303 Roof Sheathing 104 Foundation Setback Cert. 304 Sheer Inspection 105 Stem Walls 306 Mid -Roof 106 Foundation wall Insulation 307 Metal / Lath / Stucco Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections DateI Inspector Initials 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval O Comments Rough Inspection Date Inspector Initials 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:201801133 ADDRESS. 4045 Field Drive JOB CODE: RML Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Land scape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. As J• City of w WheatP- e MLIN1 fY DEVELOPMENT " Building B Inspectlon Services Division 7500 W. 29(l' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: PerrnAs(@6,wheatridqe,co.us FOR OFFICE USE ONLY Date: q jo/ / � Plan/Permit # �V IJ3 Plan Review Fee. Please complete all liighlg htedl aneaPermit on both Application of this form. Incomplete applications Building .... - . *�* cations may not be processed. *** Pro....... ...... . pertyAddress: 4 M!5FI (JIJ J r ivv Property,O.wne..... ....; .......... r(pleaseprint): JA(nLE t lbi`tAjol MO/ �l)r1AW Phone' 363 -2U3 -V25 Property. owner Email: N L Tengk, Commercial Pro isets On Pro pert Owner Mailing Address: (if different than property address) Address: City, State, Zip: ArchltectlEn neer: NSI Aechltect/Englneer E-Mail: tAZZ4. Phone: N ku Contractor: I h -b City of Wheat Rl,dge License : U 2-13 LP S Phone!' 22 Co n ntractor, E=mall Address, �/ � � � 4A � U ({rl For Plan, Review Questions 8 Com merits (please. print): CONTACT'NAME (please print);_ Phone: N - 22 - 5?)n QONTACT EMAIL(please print):. Sub Contractors (Must proylde Wheat ,Rldge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City license # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # 0 /T d 090TTLZE0C xxvdW00 Ua7000 Wd TZ:ZO 3TOZ.0E.add ❑ COMMERCIAL RESIDENTIAL Description of work: ,For ALL projects, provide a detailed description of work to be performed, Including current use of areas, propQsed uses, square footage, existing condition and proposed new condltion, appliance, size and efficiency, type and amount of materials .to be used, etc. 1nsfi�il � �r�,��ir �xh ��1D wIt'h rao� �it�n� �wc�i►� CorhmerclaLProJe. .Only: Occupancy Type: Constructlon Type: Sq. FUL.F Amps BTUs Squares Gallons Project Value:. (Contract value or the cost of 311 materials and labor Included in the gatiM eatproject) $ 5A D OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the sethacic distances proposed by this permit applicution arc accurate and do not violate applicable ordinances, rules or regulations of the City OfWheat Ridge or covenants, casements or restrictions of record; that all measurements shown and allogutions mudo arc accurate; that I have read and agree to abide by all conditions printed on this application and that T 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 atn the legal owncr or huvc been authorized by the Ie8HI owncr of the property to perform the described work and am also authorized by the legal owner of any untity included on thio application to list that entity on thio application. 1, the applicant far this building permit application, warrant thn trtuhtitiness of the information provided an the application. rjRaE 'bm,- (OWiYER) (CO ?ACT) o I?IZED REPRRSRNTATI �Ej of (OWiYER) (CONTRACTOR) C' re.(flret and layf n�pgme): PATE; d H Printed Name: ' m C /Z a 098ZZLECOO xMVaDg00 11=00 KV ZZ:ZO 8Z0Z*0z-dd INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Requesn inspection before MIDNIGHT (11:59PM) to receive an inspection the following business day PERMIT:0 C� ADDRESS: L/ � JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT �Dsbqg ADDRESS: �vljPl� 0( JOB CODE:�I Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Requesn inspection before MIDNIGHT (11:59PM) to receive an inspection the following business day PERMIT:0 C� ADDRESS: L/ � JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT �Dsbqg ADDRESS: �vljPl� 0( JOB CODE:�I Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: s ie Permit Number: a0/70,?,!W5 ❑ No one available for inspection: Time �� r `�(PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: �• �a�'l� Inspector: `J1,4-fi DO NOT REMOVE THIS NOTICE City of Wheat Ridge d Residential Roofing PERMIT - 201709137 PERMIT NO: 201709137 ISSUED: 11/17/2017 JOB ADDRESS: 4045 Field DR EXPIRES: 11/17/2018 JOB DESCRIPTION: Permit to install 33 squares 9/12 pitch GAF Timberline Armorshield II *** CONTACTS *** OWNER (303)263-8125 MCDONALD JAMES CLARKE III SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** 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: 22,500.00 FEES Total Valuation 0.00 Use Tax 472.50 Permit Fee 410.35 ** TOTAL ** 882.85 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. 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. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201709137 PERMIT NO: 201709137 ISSUED: 11/17/2017 JOB ADDRESS: 4045 Field DR EXPIRES: 11/17/2018 JOB DESCRIPTION: Permit to install 33 squares 9/12 pitch GAF Timberline Armorshield II 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be per#ned aid that alk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. SigAture of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 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, an violation of any provision of any applicable code or any ordinance or regulation, jurisdiction. Approval of work is subject to field inspection. C'b�_ Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick 2- ol -1 �, I I �, From: no-reply@ci.wheatridge.co.us Sent: Friday, November 17, 2017 8:30 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 4045 Field Street Clarke MacDonald 303-263-8125 clarke6000@gmail.com Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed MacDonald Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Core Contractors Name Contractor's License 110052 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-295-2220 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 4049 Saint Paul St (Primary address of your business) Contractor Email Address bburkholder@coredoes.com Retype Contractor Email bburkholder@coredoes.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) 33 22500 No Pitched roof (2:12 pitch or greater) 6 What is the specific pitch 9/12 of the PITCHED roof? How many squares are 17 part of the PITCHED roof? Describe the roofing GAF Timberline ArmorShield II materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Re -roof of all structures detail here on the description of work. (Is this for a house or garage? Etc) 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Brady Email not displaying correctly? View it in your browser. • CONTRACTORS ROOFING SYSTEMS Property Owner Clarke MacDonald Property Address 4045 Field Dr City/State Zip Wheatridge 80033 Primary Phone number 303.263.8125 Email Address clarke6000@gmail.com Terms: Agreement "Doing it right matters" Effective Date 11/03/2017 4501 Logan St, Denver, CO 80216 303.997.1559 Secondary Phone Number By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is approved by homeowner's insurance carrier. Roofing Scope: The roofing system replacement includes all shingles, Additional Rooting Scope Notes underlayment, valley linings, and miscellaneous flashing, IR Shingle paid for by insurance. Roofing Gutters per local applicable municipal code. This also includes full and roof windows. clean-up of the property and a 5 year Roof Workmanship Warranty (on full roof replacement only). A one year workmanship warranty is included on all non -roof work performed by CORE. Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system. 22,500 Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, poweredbycgoconvos www.gocanvas.com 1)1)01.�1-f'C:lii-4-11:1--f344b-:,008( dd1k ' must be requested in writing, by the property owner. If, you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. All estimates or contract amounts include a 3.5% discount for cash or check transactions. Property Owner's Initials Right to Cancel You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your claim has been denied in whole or in part. Property Owner Date Clarke MacDonald 11/03/2017 Property Owner Signature 1i1 ��i r��iv� Insurance Company State Farm powered ygoconvas www.gocanvas.coln ['>ru1-k1t­rd,i-[�C r#�--;.�r1�L°.—j�' c �,.i;v b�.,4:�� ,_. CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that: (a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS. 1. All contracts are subject to approval of our credit department and office without exception. The person executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this contract to be effective under any conditions. 2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 '/2) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written agreement is made therefore prior to commencement of the work. 4. Should legal action be necessary, because of any act that might arise during the course of this agreement, CORE shall be entitled to all costs incurred in connection with such action, including a reasonable attorney's fee. 5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of Colorado. 6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or other materials) not covered by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT. 7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes, fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE Contractors, Ins. whether of a similar or dissimilar nature. 8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner, the owner shall be financially responsible for all work performed based on the following milestones (percentages are additive). a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of total bid. b. Substantial agreement or scope confirmation with insurer — 5% of total bid. c. Ordering and scheduling of work — 2% of total bid. d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if the owner terminates this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus general contractor overhead and profit. 9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid powered bySocanvas www.gocanvas.coin by the owner within 30 days of invoice date. 10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking fee assessed to CORE by the supplier. 11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforce -ability of the remaining provisions of this contract shall not be affected thereby. 12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do not survive the execution of this contract. 13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE Contractors, Inc. herein. 14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof and siding during the repair of the roof. 15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. If pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems on a time and material basis. 16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES. powered bygoconvas www.gocanvas.com h{'114,102 City of Wheat Ridge Resid. Windows/Doors PERMIT - 201708695 PERMIT NO: 201708695 ISSUED: 10/30/2017 JOB ADDRESS: 4045 Field DR EXPIRES: 10/30/2018 JOB DESCRIPTION: Replacing 3 windows in basement bedroom and 2 on main floor in bedroom; u -value =.30 or better; like for like *** CONTACTS *** OWNER (303)263-8125 MCDONALD JAMES CLARKE III SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** 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: 9,491.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 199.31 ** TOTAL ** 249.31 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, bymy 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 pen -nit and perform the work described and approved in conjunction with this ermm it. I further attest that I am legally authorized to include all entities naed within this document as parties to the work to be performed and�ll work to bermed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2 This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 1 If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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 NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Vtlh6at j�dge COMMUNITY DLVELOI'MENF Building & Inspection Services Division 7500 W. 29° Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: Plan/Permit # a0PVVS Plan Review Fee: Building Permit Application *'* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *'* Property Address: 4045 Field Dr Property Owner (please print): James McDonald Phone: 303-263-8125 Property Owner Email: Mailing Address: (if different than property address) Address: same City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: i-nseiler@renewalcolorado.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 303-945-1519 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION [_3 WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) Replacing 3 windows in basement bedroom and 2 on main floor bedroom. U factor will be .30 or better. like for like. Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) e 9.491 0N1'NER/CONTRACTOR 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 1 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: _ Matthew Seiler ZONING COMMMENTS. Reviewer BUILDING DEPARTMENT COMMENTS', Reviewer: PUBLIC WORKS COMMENTS: Reviewer: SIGNATURE: n:—�� � ^ --DATE: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 0 0 z r. 0 O Q w m 0 z N _ y3 N M �3 N M ap}o�d aclAj wa1}DJ uaai�s MOH N t 3 a d = 3 a d t 3 a GI t 3 a d z 3 d O 4sDS a 3 19 MJ Q a Q¢ Q w z Q o ZS SSDI'J X X X X K Q w } O Z LS SSDI9 X X X M X M X X �• N.S Q y }ul a1J 3 2 3 2 3 2 3 Z 3 Z r }X3 i♦1J N N N N N of}Dy .0 o alA1S 0 n N E0 C Yul M I(1 h �D o] W/W 14 !aH m m m m �api0 n n n o 0 LD Q N M M M tfi h id C 41P!M iap�0 Q y V n N n N n M n h n M I W/W S3N93 .PV X O O � _ Q .Ptl 41P!M W W W of o� 0 X ° al .Q pDy '� �I0a4J O al uV II! 14 !OH d — u!}s!x3 M co co M 0 0 a 44plm 2a m r buluacltz Eu!}slx3 D v WE 0 0 0 00 o z z z z z ov 0 d d v v 0 u o aw"j o oo 0 0 owl a�{I JU' JU' C7 JU' JU' e Al #01 N M v �n z i 3 c D .- .- .- N N � U V d d 9 d 9 Ol 9 d O m m m m m O Q x Q an's Aa H ....~ 4' -r CITY OF WHEAT RIDGE pr'r/:ij Building Inspection Division !V (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: hA/"d Rn-:>F . yoY5 H/'Lr:> D;2. o<;(b,/?J../ APft/<ZJlJf 0 o No one available for inspection: Time ~: /5 AM/PM Re-Inspection required: Yes~, * When corrections have been made, call for re-inspection at 303-234-5933 Date: 7J/;J//O"S' Inspector: ~~ ./ DO NOT REMOVE THIS NOTICE 1 ~ Ii '1'1 .,1 I U II 11 ~ .I, ::' -- ~H4' ~ City of Wheat Ridge Residential Roofing PERMIT - 080821 PERMIT NO, JOB ADDRESS, DESCRIPTION, 080821 4045 FIELD DR T/O install under1ayment and ISSUED, EXPIRES, new dimensioonal 07/23/2008 01/19/2009 shingles *** CONTACTS *** owner 303/425-2441 gc 303/426-7370 Clarke McDonald Kurk Tiley 02-1395 Tiley Roofing Inc. ** PARCEL INFO ZONE CODE, SUBDIVISION, ** UA 0284 USE, BLOCK/LOT#, UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION, FEES 272.10 .00 208.42 480.52 11,579.00 ** FEE SUMMARY ** Conditions.: 6 nail installation & mid-roof inspection required. Board sheeting spaced more then a 1/4 of an inch apart requires plywood overlay on entire roof I hereby certify that the setback distances proposed by this permit applicat~on 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 ane agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (r.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature 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 130 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 (l) 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 ~ater 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 violati of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is ct field inspections. Signature of Chief B date " INSPECTION REQUEST LINE: REQUESTS MUST BE MADE BY (303) 234-5933 BUILDING OFFICE, (303) 235-2855 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. u .....~ ~ -r CITY OF WHEAT RIDGE :?"r/;j Building Inspection Division ~ (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: #/ p Ra:;F Job Address/Permit Number: 1/<>Ys- )';1510 of!. r;!2o&> 2 J APPko\lED dOrb: /...;hL rrfi-R~.e CWVi'..!,f pr: J!. /1f'/bt/ t//::;1eIi.-lAE/!..<; >"/:?.;: (':'1 .0"e.A T7aA-l s: ;1#//1 eL../1-7 R/z/.A/. 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: 8//3/08' Inspector: ~ e /" DO NOT REMOVE THIS NOTICE .: ':!~ ..'Cttr Of'\'\\JleatJtidge ~..!"i'l.~el:ttrar "bOrmg' PERMIT - 080821 . . <\,1.0:"..:;\.0...'.,<..'''...../'... ",' ,""', .... ' .. ....'. ~ .. ,,, "'.' :<< .!t~.,' ,i;rl':""", ...,i>' ,'"' ~~.;",-"".,'" .:0' PERMIT NO.: JOB AIlPRBSS: DESCRli'TION: . dIl08:Zl. 4045 ,t_,~ '1'/0 install underlayment and ISSUED, .EXPj:RBS : dimensioonal 07/23/2008 Ja/J,9/2009 shingles . new :i of'.. owner gc CONTACTS *"* 303/425-2441 303/426-7370 Clarke McDonald J(urk Tiley 02-1395 Tiley Rqqfing. Inc. ;~'r",,':'<,> '{.' r'" ** l?J\aCElI<. Ilnw ZONll COOB: SUBDIVISION: ** Fils SPMMAR'If. ** *-.' UA 0294 USE: UA BLOCK/LOT#: 0/ permi t fee Total Valua.tion Use Tax. ** WTAI. ** SSTIMIlTED PROJECT VAL~TION: FEBS 272 .10 .00 208.42 480.52 13c,579.:QQ IL~ .~;, Cond-itions.: 6 nail.inetallation.. mid-roof inspection required. Board sheeting spaced mOre then .a 1/4 of. an inch apart requires plywood overlay on entire roof :t_'h.e~ebY c::ert.ify" t;~t,:~.h~,J!e!#Jabk:4;tlftances_ .pr()pdsod by" this, permit application are,accurate", a~:~,. not,i1iOlate.'.~pp~i~~l,e ordi~ce., ...ntJ;etl.,:o;t.J;~~l*tiQn...t:)f.the, City.. of, ttheat Ricl.ge or covenanta,ealllements:, orrestrict;+cJt.l.~,_'C!f UCQr~; _that'~+~' ml!la,'lii~e~ht'8 ':fho.wl1~ ',' arn:t_--.ll~9~~i.on'a ~de, an:, accurate; ,,' tlW: !, havereada~, ,a91;ee to, ~ide ,py .,a'J}.;:'C~:i tj,ons, >P:t~teo>Qn" ;tbts' appl'icat~gn,.-,~nd, tula.;ljIsU:~"f:ulJre9P<?1lsib~lit~for 'compliance with the Wheat Riclge Building ~e (I.B.C)andall'd~~ ap iC -eat,; '-,Ordi~~8; ,for W'orlt.under this permit. Plans subj-ectto: field inspection-. ' .' -; ., date ~" >>':rtn~'t;";~a,'.,, :"_:.~~:"i~,,cw#of~nce wi t_~_.,~.-pioV1.ion8 '_Iile.~ ~~t~of,~lpr~'"'and-to the: Zqning"RC!9Ulatio'ns ,a'ndBuilding '~~llCe.:Of-~lle,C_ity. 2. ',.,),ie,g~t' e;~h,e~irf!" fa,O'dars; from the issue date. Requests for an extension must be' rect-i"ed priOr, to exptrat'!<>n, ~te.:,At1'J!xten!llOi'r~y"M:'9r~~er1 at',thediseretion of the Building Official., " ",m,_'- " ;' -':': ',' 3. ,I~"'.-tll~,~J.1Il1t.'.xp,i:re,lI~:,~<~;,,,,~!~1tmaY,be,acquired for a fee of one-half theo):rnoU1ltnot1t\allYrequl~.prO'V'i.d.~:..~, . c~ng6:!t,-,,~yel:1e,~tl :9,r:!"iU: . pe_'l\ia<ie:i.I\: t:~t!l original plans ahdspecifi'cations'and. any suspen8~oh. ,4)-r.- ~lit ba",':not: eXcee~ed 'one .... (,t,ty~,.. ,.- Xf:'cha~-s, have been or. if suspension or abandonment exceeds. one (1 )., ;yeatr~futl,.:tee8_abal1 P~L~~4)!o,~_4ri_~~,~~~.,.', ..' .. . .... ...... ...... _' .'.' .' . , 4. !y<>work,o~,'ariY\~fU1e-r.l1all:beiione that 'will change the ,natural flow of water cawl'ing .'~' ~a1~_,:p'X'9bl.~. 5; cQntr~ctQ;- $na.l__~:,.Il~if;t,~~,.,~tlif4ing In8~ector tWfmty-four (24) hours in. ad-vance for aTI,inspe~tj)ons~. ~hail'recfhye W>ti tteJ:l.~wroV'a~, ,or;'~~ct:~OI\ _ c::a.rd' ~t()re. proceeding wi thsuccessi vepnasesof.. the Job. 6 . ,Tlie.is$~ceof.,'a ~t,:~,t~,~ppr,o....al . o~ drawings and specif icationa, shall not be_con~tr~ed to ~e' ~ ~~t 'Xqr, ~~ i~apl;l-rOV'al_::O'f',-:,:any-y~,_~"1:'at.i' 'o~:t:he p.rovisione, of the building codes or any other ordinance,' law;i:ul.()t,'regw.t.i9~" A" +plan',"X'evj,ew',is c :field iI1$pections. - forth in Y01-l:rappl~pa~~~ ~i~.ubject ,tP't~':'{~",.f~t:tb~-~ Codes'of WJ1eat- 'Rldgei.,-oblorado Qr':an.y,otbeX;..appl1c~ft;, 1. date INSPB/:i'n($ R lit LtmI. (303) 234-5ll33 REQUi;:S'1:,$I'WS,'f;;lil~MAIlli: .,ll-1/'; 3P~ AN'.( BVSlNESS BUILDING OFFICI!:: (303) 235-285$ DAY FOR INSPECTION THE FOLLOWING aus:t~ssd.l\.~. 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 #: Pennit#: o5~gJ-1 Building Penn it Application Property Address: ACJ'-O-~~ \:)r./ Property Owner (p/ease print): CY-I<<IX\\C1)(\[V\\. r.l ~ Mailing Address: (if different than property address) Address: Phone: 4J5 ~~ City, State, Zip: contracto~ ~ ;0l:)(-L~ Contractor License #: rJ\ ~q~ Phone: ~ 0 f~7b Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Exp. Date: Approval: Approval: Use of space (deSCriPtiOn~\~ D~~~~,\?~)~ 'N.W ~~n~~ Sq. Ft./l.Ft added: Squares '?JJ BTU's Gallons Exp. Date: Approval: Construction Value: $ rr~ II (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ 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 at Ridge Building Code (I.B.G) and all other applicable Wheat Ridge Ordinances. for work under this permit. Plans subJ 0 field In ctlon. or PERSONALR~Of(OWNER) (CONTRATOR).1J .. SIGNATURE: / ~ Date: 2jOfJ CIRLCE ONE:: PRINT NAME!:: ZONING COMMENTS: Zoning: RevieWer: DEPARTMENT USE ONLY PUBLIC WORKS COMMENTS: ReViewer: BUILDING DEPARTMENT GOMMENTS: ReViewer: FIRE DEPARTMENT:: 0 approved WI comments 0 disapproVed 0 no review required .1 Bldg Valuation: $ OCCUPANCY DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) 9557 9/30/99 Property Owner: Property Address: 4045 FI ELD DR Contractor License No.: 19402 Company: Aaark Heating & Air Conditioning OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 940-1977 Phone: 431 8015 Construction Value: Permit Fee: Plan Review Fee: Use Tax: 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.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Total: Use: Description: Electrical service panel moved BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: Zoning: Approval: Approval: Occupancy: Stories : Residential Units: Walls: Roof: Electrical License No : Company: Mechanical License No : Company: Plumbing License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: $1,810.00 $66.20 $0.00 $27.15 $93.35 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. This permit shaH expire if (A) the work 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. 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 proceediing with successive phases of the job. 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 es or any other ordinance, law, rule or regulation. (1) (2) (3) (4) (5) (6) Chief DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: 9< L-f. 7;7 Property Owner: em C /)0 Jt/ J9--z: d Property Address. 7'0 -r::;- F..z:-~ /) j!?t/€ Contractor License No.: 571'f,;;z _?G F<:;; Company. ~ ;-=76 #,/(;._ Phone. 7~O - /17;/ Phone: Y;"/-tYd// OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee. Use Tax: / /0 </- 66 vk:;. z 7/-> 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 . the Wheat Ridge Building Code (U.B.C,) and all other applicable Wheat . 'ge or . . for work under this permit. 6?~ DAT Total. , .u (OWNER)(CONTRACTOR) SIGNED Description. fPt/f;" e1f-Z.C ilL 6e/~ ~~ L- BUILDING DEPARTMENT USE ONLY ~V6~ /' &:,1\ 1! ~J',IH . Approval. Zoning: Approval. ~l:lIlnbr2 Approval. Occupancy: Walls: \~~~'V \ Roof: Stories: Residential Units. Electrical License No . Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date. Approval: . 111.Ht._I!I~ Expiration Date : Approval. II 1!~.!1M1ltwm~ Expiration Date: Approval. II (1) (2) (3) This permit was issued in accordance with the provisions set forth in yapur 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. This permit shall expire if (A) the work 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. 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 wilt change the nalural flow of water causing a drainage problem Contractor shall notify the Building Inspector twenty-tour (24) hours in advance for all inspections and shall receive written approval on inspection card before proceedling with successive phases of the job. 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. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION