The URL can be used to link to this page

Home My WebLink About3270 Otis StreetA Inspection Type: Job Address: Permit Number: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTIONNOTICE Inspection Type: Job Address: .i i U Permit Number: 0 UvCa 0 c, Is 2 ❑ No one available for inspection: Time _Lf12-6 AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002582 PERMIT NO: 202002582 ISSUED: 12/14/2020 JOB ADDRESS: 3270 Otis St EXPIRES: 12/14/2021 JOB DESCRIPTION: Installing 40 gallon, 40k BTU gas water heater in upstairs closet. *** CONTACTS *** OWNER (303) 981-6945 SEIDEL TIMOTHY R SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21693.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 56.55 ** TOTAL ** 96.55 *** 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. Water Heater Replcmnt PERMIT - 202002582 202002582 ISSUED: 12/14/2020 3270 Otis St EXPIRES: 12/14/2021 Installing 40 gallon, 40k BTU gas water heater in upstairs closet. 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 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 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: Water Heater Replacement Permit Application Date: Monday, December 14, 2020 9:52:09 AM Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address 3270 Otis St Property Owner Name Tim Seidel Property Owner Phone 303-981-6945 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email randyp@blueskyplumbing.com Address (Leave blank if not known) Attach City of Wheat Wheat Ridae Payment Form Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Blue Sky Plumbing & Heating Name Contractor's License 017835 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 gallons K18191O:IKIM* W randyp@blueskyplumbing.com randyp@blueskyplumbing.com IN Is the water heater Gas GAS or ELECTRIC? If GAS, enter # of 40 BTUs. If electric, enter n/a Where is the water upstairs closet heater located (for example, basement, crawlspace, etc)? Project Value (contract 2693.00 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 Permit Randy Palato Email not displaying correctly? View it in your browser. INSPn � I o) ECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupanc��T] Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Floodplain Inspection (if applicable) Concrete Encased Ground (CEG) Final Electrical Foundation / P.E. Letter Final Plumbing Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Final Mechanical Lath / Wall Tie Roof L Final Window/Doors Rough Electric Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof L Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. For notification of your assigned inspection time window please email ins timerec-ucstu,ci.wheatrid(e.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: UV Job Address: 7c) c f S Permit Number: "? �/7a �_ ❑ No one available for inspection: Time ill/PM Re -Inspection required: Yes (No/ When corrections have been made, call for re -inspection at 303-234-5933 Date: q/ 6 & Inspector: �- DO NOT REMOVE THIS NOTICE 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: vf" Job Address: 7 -7() O S S Permit Number: '7 U -�- 0 7 u C ?( ❑ No one available for inspection: Time 6M/PM Re -Inspection required: Ye No l, When corrections have been i made, call r re -inspection at 303-234-5933 C Date: l/ C < /�7 Inspector: L 1,-A DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Al Job Address: Permit Number: , e' (�� 0 "< ❑ No one available for inspection: Time ` `>` _K) AN/P`K Re -Inspection required: Yes 4qp When corrections have been made, call for re -inspection at 303-234-5933 r f Date: A �/ f r� Inspector:-.��- DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201702028 PERMIT NO: 201702028 ISSUED: 06/15/2017 JOB ADDRESS: 3270 Otis ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Remove and replace comp shingles on house only 4/12 pitch *** CONTACTS *** OWNER (303)295-2220 SEIDEL TIMOTHY R GC (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,379.00 FEES Total Valuation 0.00 Use Tax 175.96 Permit Fee 188.45 ** TOTAL ** 364.41 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A1/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€-s 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's 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 - 201702028 PERMIT NO: 201702028 ISSUED: 06/15/2017 JOB ADDRESS: 3270 Otis ST EXPIRES: 06/15/2018 JOB DESCRIPTION: Remove and replace comp shingles on house only 4/12 pitch 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 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 Budding Official and may be subject to a fee equal to one-half of the original ermit 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��pprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The 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 Qrdmance or regulation of this jurisdiction. Approval of work is subject to field inspection. 6 _� _ 4: Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Z. o f -�- O Z O Z. S Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 11:50 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Due By: Monday, June 19, 2017 4:00 PM Flag Status: Flagged Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed \ contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 3270 Otis St. Property Owner Name Tim Seidel Property Owner Phone 303-981-6945 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Core Contractors Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 110052 303-295-2220 Contractor Email Address docs@coredoes.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material How many squares of material? Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes No GAF Timberline Armorshield II 20 Remove and replace comp shingles on house only. 4/12 pitch. Project Value (contract $8379.00 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 z issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tomas Wolfram Email not displaying correctly? View it in your browser. [_7 ROOFING SYSTEMS Property Owner Tim Seidel Property Address 3270 Otis St City/State Zip Wheat Ridge 80033 Primary Phone number 3039816945 Email Address timseidel l l l @gmail.com Terms: Agreement 4501 Logan St, b Denver, CO 80216 "Doing it right matters" 303.997.1559 Effective Date 05/28/2017 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 Property Owner's insurance carrier. 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, underlayment, valley Additional Roofing Scope Notes linings and miscellaneous flashings, per local applicable municipal code. This also includes full clean-up of the property. A 5 year Roof Workmanship Warranty included on full roof replacement only. A one year workmanship warranty included all non -roof Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system, approximately S 13965 Because the final scope has not been agreed upon with the insurer, this repair price might change. The amount of this contract is for 100% of the replacement cost approved by the insurance company for work to be completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part; 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 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. Property Owner agrees that if a scope of work and project cost is agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by 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: '/2 (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS, AND BALANCE UPON COMPLETION OF WORK. WORK 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. 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 Tim Seidel Property Owner Signature Date 05/28/2017 Insurance Company State farm PO%NMED BY th;lV�th��i3i0i11'2i5,Ut,t'1 .',;;•[ , .-.;.� .. . ; .r., �;, - t 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 ''/z) 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 or performance due to labor controversies, strikes, fires, weather, and inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE CONTRACTORS, INC. 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 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 enforceability 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, and 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 customer agrees shall be 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 and/or siding. 15. CORE CONTRACTORS, INC. is not responsible for existing construction problems of customer's home. If pointed out and notified to CORE CONTRACTORS, INC. 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. �`kJvVERf[: Fs'f 'ti CaiSitG`. Wt§'til i}Ci111t iiS.Ct33?l. f,- , 4,NHE eat Ridge City of Wh Residential Roofing PERMIT - 061041 PERMIT NO: 061041 ISSUED: 10/31/2006 JOB ADDRESS: 3270 OTIS ST EXPIRES: DESCRIPTION: R&R existing w/ 30 yr Tamko Dimensional shingles. CONTACTS owner 303/423-0653 Linda Mauro gc 303/761-6400 J. Bretz 01-8118 Excel Roofing, Inc. PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY **ESTIMATED PROJECT VALUATION: 5,110.00 FEES Permit Fee 162.90 Total Valuation .00 91.98 ✓J Use Tax TO'I'AL 254.88 Comment.s: .'r.tf°:cntr fmm the manufaciurer shaf7 bc orsite for f:nal mo, f'tnspectton which specifv roofing materials have b¢an instaUed to meet 110 MPH three-secand wimd gust- IBC I hereby certify that the eetback distancea proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or cwenants, easements or reetrictions of rewrd; that all measvrements ehown, and allegatior.s made are accuraCe; that I have read and agree to abide by all conditions printed on chis application and that I assume full responsibility for compliance with [he Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Aidge Ordinances, for work under this permit. Plans aubject to field inspection. Sianature~a£~ tor/owne? 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 if (A; the work authorized is not commenced wi[hin sixty (60) days from issue date or (B) the builcling authorized is suspended or abandoned for a period of 180 days. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specificationa and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees sriall be paid for a neW permit. a. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contr.actor sha11 notify the Building Inepector twenty-four (24) houre in advance Eor all inspections and sha11 receive writCen apprwal on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or t roval of drawings and specifications shall not be construed to be a permit for, nor an aproval o vio on of the visions of the building codes or any other ordinance, law, rule or regulation. All pPan vi w s ect inspections. yT Signature oE Chief Huilding Offical date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS NNST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Buiiding Permit Application City of Wheat Ridge Building Permit Application iDepartment of Planning and Development 'Building lnspecfion Line: 303.239.5933 'Ciry of Wheat Ridge 7500 West 29th Avenue IWheat Ridge. CO 80215 303.235.2855 Property DProperty Address:'~j'a`1Q Contractor License No:rja71'%7), Building Permit Numbec Date: Phone: y~- Q~ 5 3 'OWNER/CONTRACTOR SIGNATURE OF UN STANDING AND AGREEMENT jI hereby cer[iFy [hat [he se[back distances proposed by [his permit applicatlon are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat RidEe 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 conditlons printed ~on this applicatlons and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.CJ and all other applicable Wheat Ridge Ordinances, for work 'under this permit. Cons[ruction Value: Permit Fee: Plan Review Fee: Use Tax: Total: (OWNER) (CONTRACTOR) SIGNE& ~ DATE: no<r. inrfnn-- c•-I-itnG r ...Od flcu'»~~ Building Department Use Only Zoning Comments: SIC: Sq.Ft ;APProval: IZoning: Building Comments: Approval: 'Public Works Comryents: Approval: Elecvical License No: !Company: IExpiration Date: ' Approval: License No: Date: License No: 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 Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorized is not commenced wilhin sixry (60) days from issue date or (B) lhe building authorized is suspended or abandoned for a period o(120 days. flie:/IIElIwwwrooUcitydev/building_permit_application.htm (1 of 2) [712/2002 1022:41 AM] 'fME~t'fC~F PI,ANNING AND DEVELOPMENT Building Permit Number : ~II.DtNC3 INSPfCTIOhI DIVISION - 235-2855 GI'"!'Y OF WHEAT RIDGE Date : 7500 WES7 29TH AVENUE WHEAT RIDGE, CO 80215 onshuc4on V066 $200:00` Permit Fee : $25.00 Plan Review Fee : $0.00 Use Tax $2.40 Total: $27.40 Phone : 423-0853 Phone : 431 8015 0"NSAACOMTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT hgi+~lS ~!tet the ~tbadc distances proposed by tMs pemiit application are accurate, ' gnc{y~~rt, ~~b1~,[A applicable ordinances,ruies or regulations of tfie Cdy of Wheat Ridge or ~ 11111M~rheots or restnctions of record; tfiat all measurements shown, and allegafions te; that I. haae read. and a$ree to abide by all conditions printed on this a~p~ihat I assume full rosponsibtlity for comphance with the Wheat Ridge Building C3dii^~E~ :`~stqd alf other appticeble Wheat RMge ordinances, for work under this permk. ~ EMR ~~IyTRACTOR)SIGNEb ~ATE HOOKUP EVAP COOLER BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Residendai Units : 5141 5/23/97 Mechanical License No i Company ' pate : Expiration Date : Expiration Date : APProval : ApProval : ri} 'q1(Il pb~ w0s iasued in accordsrpe with tha provisions set foM in yopur application enC ia subI~ecl W the laws of the Stete ot ColoreQO end to the Zoning . tipns antl 8uildlr~ Code W Wheat Ridge, Colorado M airy oMer appikable ordinar~ces of the City . 'F1i p~ermit shall axpre ~t (A) the work authorizetl is not commenced wiMin suQy (80) tlays fiom issue tlaM or (B) the buiWing aulhori:ed Is wspendetl or ~ arytlrvdbned fora perrod of 120 daXS. ~r ~ftup8^agand ss.pedfi~~,a~ns and ny s s~pensbn w a~ ntlo me tehas rrot exuceetletl onle (?~Yea tl. P~^~ 9es ere madee «e1f syspe~nswnlorbananaonment #ps, Me (t) year, fulf /a88 shall tie peltl for a naw pemnt . ~Np~+tk of any manner ahaX be tloire thal witl charge the naWral flow of wator causing a dreinaga problam. . `~6) ~qryMqckor shell noUfy Me BWWing Inspecfw lwenty-four (24) hours in advanca for all inspections and shaN receWa wrlHen approval on inspecCOn card DeTae.. q1y Wd116Up~898W8pha 8880~N7'ob. uan~ot a il or the approvalMof tlrawings antl spedficaGOns shall not be constmed to be a permk for, nor an approval of, any viUetion of the proviafons 01 iWinO Qr en herortll . law, rule or regula4on. C Of'Bui ng Inspector I'MIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECFOR AND' NAAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION UEPlaR l iL,c.4f OF F'LANrvliVli AIVU Ur-VtLUNfVitIVI tiuiiding t'ermit IVumber : BUILDING INSPECTION DIVISION - 235-2855 Date : CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address 7o Phone Contrector License No. : ( 8 f 3 Z CompanY : f7✓d/1i,-,~ ~{'1-~ ? /-l~G~ L'~VC , Phone : Z131- S~'b/S- OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certi(y lhat the setback distances proposed Dy this pertnit appliwtion are acwrate, and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restriaions 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 Cotle (U.B.C.) antl all other applicable Why t Ritlge ortlipences, for work under this permit. ~ i (OWNER)(CONTRACTOR) SIGNED DATE S~ Construction Value : ,2 00- °c' PermitFee: ~25-00 UseTax: '•Vd Total : 77• '/0 Description : ~~C"6 C c~~J BUILDING DEPARTMENT USE ONLY Approvat : Zoning : j1I10ln"staWW= Approval : PQliliC?VVb _ic3=0•_i~p~; Approval : Occupancy : Walls Roof Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Expiration Date : Approval : , Pfans:Requlred~."";"~ Company Expiration Date : Approval : _3 P13ns'.Required J Company: Expiration Date : Approval : 3 T. F,a'ns-R8991 (1) This permit was issueC m accortlance wrth the prowslons set forth in yopur appuwGOn and is su01ect ro the laws of the Stale of Colorado and lo the Zoning Regulanons anA Building Cotle al Wheat Ridge, Coloratlo or any other apPlicable ortlmances ot the Ciry. (2) This permit shall exDire A(A) the worK authonzed is noc wmmencetl within siary (60) days irom issue Cate or (B) the building authonzetl Is suspentletl or abandoneA for a penod ot 120 Oays. (J) If this permit expires, a new permR may Oe acqwretl for a fee af one-half the amount normalry requireE, prowtled no changes nave Deen or vnll Ee maCe in Ihe original plans an0 specifications and any suspension or abantlonment has not exceetled one (1) yeac If changes are mada or d suspension ot aban0onment ezcee0s one ( 7) year, lull fees shall be paiE for a new permit. (o) Nb work of any manner shall be tlone thal will change the naturel flow of water causin9 a tlramage Droblem. (5) ContraClot Shall n0iily Ille Builtling Insp¢Clol lwenly-louf (24) houf5 in aOVance fOf all inspeGtwnS antl shall reCerve wntten approval on mspeCUOn Ufd OefOre proceeCimg wilh successive phases of lhe job. (6) The issuance of a Dermit or lhe a00roval ol drawmgs antl speufications shall not be wnstruetl to Oe a permrt 1or. nor an appmval ot. any violation of the pmvlsions of the bmltling CAtles or any other or4inanfR, law, rule or regulation. 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 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 5140 5/23/97 Property Owner : Property Address : 3270 OTIS ST Contractor License No. : 18232 Company : Aaark Heating & A/C, Inc. Phone: 423-0853 Phone: 431 8015 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I here:by certify that the setback distances proposed by this permit application are accurate, and clo 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 applir.ation, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.CJ and all other applicable Wheat Ridge ordinances, for work under this permit. (OWIJER)(CONTRACTOR) SIGNED DATE Description : INSTALL EVAP COOLER ConstructionValue: $1,000.00 Permit Fee : $35.75 Plan Review Fee : $0.00 Use Tax: $12.00 Total: $47.75 BUILDING DEPARTMENT USE ONLY C SIC : Sq. Ft. : I~~~rnk'~ ~t sii Approval : Zoning : Approval : fl . wp~QYx~nli~l Approval : Occupancy : Walls : Roof : Stories : Residential Units : Eler.trical License No : Plumbing License No : Mechanical License No : Cornpany : Expiration Date : Approval : a Company : Expiration Date : Approval : Company Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire rf(A) the work authorizetl is not commencetl within sixty (60) days from issue date or (B) the building aulhorized is suspended or abandoned tor a period of 120 days. (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, pmvidetl no changes have been or will be made in the original plans and specifications antl any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abantlonment exceetls one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natural Flow of water causing a drainage probiem. (5) Contractor shall notiry the Building Inspector twenry-four (24) hours in advance for all inspections antl shall recerve written approval on inspection card before pmceedi 9 with successive phases of the job. (E) The i nce of a permit or the approval of drawin9s and speciFications shall not be conslrued to be a permit for, nor an approval of, any violation of the provisions of the b ildin codes or any othe ordinance, law, rule or regulation. ief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARThit,JT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Numt,er : Date : PropertyOwner: 194(1/I0 Property Address : 3 27o O r/S ST- Contractor License No. : / 5?;,2 3 z- Company : /~i%d/ZK (-F 1, ~C- Phone: ~(,23-e:?s3 Phone: 1{31401S- OWNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances praposetl by this pertnrt appliwtion are accurate. and tlo not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or wvenants, easements or restrictions of record: that all measurements shown, and allegations made are acwrate; that I have reatl and agree to abide by all conditions printed on this application, and that 1 assume full responsibilit for campliance wlth the Wheat Ridge Building Code (U.B.CJ and all other applicable Whe idge ordmances, for work under this permit. ~ (OWNER)(CONTRACTOR) SIGNED C/' /~~1 ~ `C DATE ~~y S Description v c, a~f ~ Construction Value : / o00 - o 0 Permit Fee : 35• 7 5- Use Tax : 1.2'0 J Total: 7 75 BUILDING DEPARTMENT USE ONLY ~ Approval : Zoning : INNUIS _ Approval: P.Qttli~'WO'tk~Rl9nts: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electncal License No : Plumbing License No : Company : Company : Expiration Date : Approval: Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: ~ Pf~ns:Requlred 1 ~ Ptlins Required This permtl was issuetl in accor0ance wrth the provisons set forth in yopur appl¢ation and rs subjecl to llie laws of ihe State of Colo2tlo and to the Zoning Requlatwns and Building Cotle of Wheat Ritlqe, ColoraAO or any olher appliwble ortlinances ot the Ciry. (2) This permit shall ea0ire If (A) the work authonzetl is not commencetl wilhin slxry (60) tlays from issue tlate or (B) lhe builtling authonzed Is suspentled ar abantlone0 for a pena0 of 120 days. (3) If ttli5 permfl expires, a new pefmM1 may he acquireA fof a fee of one-half the amounl normally reQUiretl, pmvitled no changes have been or will De matle in the original plans and speGfiCations and any suspension or abanAOnment has not exceedetl one (1) year. If chanqes are maae or tt suspension or aDantlonment e:ceetls one (1) year. full fees shall De paitl tor a new permil. (a) No woB ot any manner shall be tlone that will change the naWral flow ot water Causinq a tlraina9e pro0lem. (5) Contrector shall notiy the Building Inspector Iweny-tour (24) hours m aGVance for all ms0ections and shali recerve written approval on mspec6on cartl betore proceetliing with successive phases of tne lob. i6) The issuance ol a Dermit or Ihe apProval o( drawmgs and speufications sbail not be wnstmetl to b2 a permrt /or, nor an appmval ot. any viola6on ot the provisions o/ the bmltlmg cotles or any other ortlinance, law. mle or regulation. 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 DEPARTMENT OF GOMMUNITY DEVELOPMENT 11 7500 WEST29thnVENUE BUILDING INSPECTION DIVISION PERMIT N0. ~3I`{ 23a-5933 P.O. Box638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY TME CNIEF BUILDING INSPECTOR ANC RECEIPTED BELOW. JOB ADDRESS CONTRACTOR ADDRESS CITY PHONE X Z' ~ I, TYPE GrOUnd❑ 2. MA?ERIAL SIGNS 3. ILLUMINATION Ya❑ No❑ 4. SET BACK FROM PROPERTY LME FENCES 1. TYPE MATERIAL Woll❑ More 7non 80% Opano PHONE / ZIP CODE CONTRACT PRICE $ DATE 7 ~ / 9- t~ Proieclina❑ 01hsr SaDFace I---- C~ _ W_ INSPECTION TICKET ~ n Th ~ DJOB DRESS ~lc~ 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W- fY~ (SPecifywhichit}ront) ❑ ❑ ❑ DATE: _BLDG. PERMITN ~ 1. *OL OTHER IZ 3 PERMITN BLDG. CONTR.~ pRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE, GIVi! (SETBACNS OR PROJECTpNS INCLUDED) STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING MOUSES,STREETS,AI D15TANCE TO PROPERTY IINES,NOT MA%IMUM OR AVERAGE DISTANCE. SUBCONTRACTOR ~ DATE INSP. REQ. iYPE OF INSP. I INSPECTION MADE) 71 2 b0~3 REMARKS p V e-5z ~G-s~ 7V F- W.R. FORM &79 ~ APPLICATION FOR PLUMBING; ELECTRICA THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. rI.III I ovoiuc tan nAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THATTIME. rrnnu i _ . PLUMBING PERMIT . MECHANICAL PERMIT ELECTRICAL PERMIT STATE UCENSE N0. 51ATE LICENSE N0. FLOOR BSM IST 2ND 3RD 4TH ENtSda N~' ~ ~pI ~ ALUMINUM WIRE UNDER SIZE B ILLEGAL B ORCED A T ~ WATER CLASET - BTU HOT WATER TEMPORARY METER WASH BOWL _ STEAM BTU NEW SERVICE - AMPS BATH TUB AIR CONDITIONING-BTU CHANGE SERVICE-AMPS SHOWER OTHER LIGHTIN6 SINK REFRIGERATION 5'/STEM HEATING GARBAGE DISP Retri aront GWO PpWER SUB-CIFCUITS WATER MEATER ppu~ys CMr s UTILITY (RANGE, DISPo5ER, ETC.) AUTO. WASHER pu7pMpTIC SPRINKLER SYSTEM DISH WASHER FIXTURES ELEVATOR WIRING MOTORS 8 CONTROLS FLOOR DRAIN SI~NS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OI.D WORK OTHER MOTORS OVER I HP TOTAL FI7(TURES ` . n I „ 11 n - i REMARKS I Mreby ocknowledqe tnot ihis oPOlico- tion u conect and understand 1hat I Gonnot ftorl fAis OrojBtt until this oDD~." cotion is aOCroved. I shall comply wrth 1M laws of Ihe Sta1e o} Colo,ado and to ths Zoninp Repulofions and Buildinq Code of tne Clty ot Wheot Ridpe. Any violation ol the above terme will couse immediote revocotion of tnle permit FOR MISGELLaNtOUt OWNER _ ADDRESS ZIP CODE ~r 0 LICENSE NO. PERMIT FEE USE TAX TOTAL FEE $ APPROVED DISAPPROVED CHIEF BUILDING INSPECTOR,CiTyof Wheat Ridqe f VALID UNLESS REGEIf m CALL 234•5933 24 HOURS IN ADVANCE FORINSPECTIONS INSPECTION tICKET JOB ADDRESS I /y (/%z DATE: BLDG. PERMIT# 29 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE ' ~ 9 Z / ~ ~f REMARKS GGt~- ~Z~-GGLGrir(1 /pti " ' ~ . _ _ ~ ~ INSPECTION TICKET JOB , ~ ADDRESS ~ ~L70 DATE: IG BLDG. PERMIT# 3 -S 2 ~ PERMIT# BLDG. CONTR. , SUBCONTRACTOR DATE INSP. REQ. Q-/ ~ TYPE OF INSR INSPECTION MADE REMARKS D~ W.R.FORM 619 -7 JOB INSPECTION TICKET ADDRESS DATE: BLDG. PERMIT# PERMIT# BLDG. CONTR. 7 SUBCONTRACTOR ~l- :d ;1 DATE INSP. REQ. 1TYPE OF INSP. l) INSPECTION MA E Z~'ZL REMARKS W.R. FORM 619 ~ ~ DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 wEST 29tn AveNUE BUILDING INSPECTION DIVISION PERMIT N0. MP92#3329 237-6944 ExT. 255 P.O. Box 638 CITY OF WHEAT RIDGE, COLO. THI$ PERMIT VAUO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR ANC RECEIPTEDBELOW. ~1 APPLICATION FOR MISCELLANEOUS PERMIT JOBADDRESS 3970. r m~ Sl- OWNER ~q mQU`a 3 CONTRACTOR ~'IIQfI P~O(Y~biYIQ ADDRESS ~?9a Gf75 SI- p~N~~~ - '!g u~ 9~ !1/'~-_- PHONE y~3- ZIPCODE QS.~ ADDRESS ! CITY ZIP CODE CONTRACT PRICE $~5~7~ PHONE 469 LICENSENO. L-~-~-- DATE /Q"7"ya- nd❑ G Woll❑ Proiectinp❑ Other SaDFacs rou 1. TVGE To1al Spuon FaN 2. MATERIAL ❑ N ❑ OS T El~cf . Pv mit No. o II.LUMINATION Yea SIGNS 3 Y . N E S W Zons.. _ ApDrw~d,2ons Inspecta 4 SET BACK FROM PROPERTY LINE ❑ ❑ ❑ ❑ DisopWwed fronl ) (Spxily whic~ is I. TYPE Solido Mor~ Than BO% ODen~ L,n Thon 8 0% Open MATERIAL ? . WipM . FENCES 3 SET BACK FROM PROPERTY LINE N _ S_. E _ W Zme_ ADDrwed,ZOm InsDecta ❑ ❑ ❑ ❑ DlaopDrovsd f5oecifv wnieh is frontl _ 1. 2. 3. DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIM1v' DISTANCES FROM VROFERTV LINES. (SETBACKS OR PROJECTIONS INCLUDED) ~ SPECIFY NORTH STREET NAME SNOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTV lINES; ON IRREGULAR LATS, SHOW LEAST DISTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE DISTANI:E. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 OAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. PLUMBING PERMIT MECHANICAL PERMIT ELECTRICAL PERMIT N STATE LICENSE NO.) 286al 0. STATE LICENSE M IST 2ND 3RD 4TH » ElxSolai NO. FUEL:CkcI6 ~pl ~ ~ ALUMINUM WIRE UNDERSRE 81LLEGAL FLOOR BS B T~ A IH ~ WATEF CIASET F{pT WATER BTU TEMPORARY METER WASH BOWL _ STEAM BTU NEW SERVICE - AMPS BATH TUB AIR CONDITIONING-BN CHANGE SERVICE-AMPS SMOWER OTHER LIGHTING SINN REFRIGERATION SVSTEM HEATING GARBAGE DISP R Relri sronl CxouD pOWER SUB-QFCUITS WATER HECTE e poundf CMr UTILI7Y (RAN6E, DISPOSER, ETC ) R AUTO. WASHE pUTOMA7IC SPRINKIER SYSTEM FIXTURES DISH WASHER ELEVATOR WIRING MOTOFt$ d CONTROLS_ FLOOR DRAIN SIGNS URINAL TRANSFORMERS 9 REGTFIERS SEWERS anDIT10N TO OLD WORK _ OTHER I hsreDy ocknowledqe that 1his ap0lico- tion is eorrect and understand that I connot stort thie proltlct until tnin appli- cofion is apOroveG. I shall comply with ths low, of the State o1 Colorado and to iM Zoninp Repulations and Bwldinq Lode of the City of Wheai RidQe. AnY vi0101ion Of the above terme wJl touse immediot0 revotaiion o( fhis Oermit ~p0liean~'~0 etw~~ PERMIT FEE USE TAX TOTAL FEE ~ CHIEF BUILDI TOR,City of Wheat Rid9e Date Issu NOT VALID UNLE55 RECI /ed. S"d i S- Z- CALL 237-8944 EXT. 255 24 HOUfiS IN ADVANCE FORINSPECTIONS