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
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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: $
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....~ 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