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Home My WebLink About3831-3835 Otis Street®` A It City of Wheat Ridge 1 V, j�, Residential Roofing PERMIT - 201706768 PERMIT NO: 201706768 ISSUED: 08/30/2017 JOB ADDRESS: 3835 Otis ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install 0/C Duration asphalt shingles with re -decking 15SQ pitch 6/12 *** CONTACTS *** OWNER (720)438-8649 LAMICHHANE KRISHNA PRASAD SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,026.00 FEES Total Valuation 0.00 Use Tax 105.55 Permit Fee 140.90 ** TOTAL ** 246.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge ' Residential Roofing PERMIT - 201706768 PERMIT NO: 201706768 ISSUED: 08/30/2017 JOB ADDRESS: 3835 Otis ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install 0/C Duration asphalt shingles with re -decking 15SQ pitch 6/12 TRFPF ature, do hereby attest that the work to be performompanying approved plans and specifications,uilding codes, and all applicable municipal codes, thave been authorized owner of the property and am authorized to obtainin conjunction with further attest that I am legally authorized to incluworkto be d that all work to be perform d ' d' closed in this document nd/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, anew 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 or ce or regulation of this jurisdiction. Approval of work is subject to field inspection. m e n .. Signature of Chief Bu g Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. referraust cem 'i� F6RSTATE RO(:�FING Submitted To CAtt�€ 144 ACCREDITEtJ BBB 13USINES$ Date Lt Emailg-ft�a r(.co�Phone(��ig- g� Alt. Phone Street z 36- o't-(5/Cityd,N,m�ffC _ StateC Zip Insurance Company P5t t�titi��- Claim# tR-e`^'�Y�Fu� t2i� policytt �N`-t JV tc� �9cfl t Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by interstate Rooting Inc., however, Interstate Roofing isnot obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Shingle Manufacturer ✓wiV� g Jtyi- Type UVAIColor �tFl( U Int rear off .- All- layers of composition shingles ❑ Tear off one layer of wood shingles ❑ Install Decking (7/16" OSB) U Install new felt CjLfrl-(ins-�.Z -�t, t Onstall pre -painted eave metal to code - Color Brown Charcoal Tan Gray White intq.. Valleys) will be closed Valleys will be open t Ridge(s) to be color -coordinated Ridge(s) will be "high Profile Ridge" color -coordinated shingles l� Install new pipe}acks Lr,'Neplaee Vents as needed •- %ak:N 6 Re-flasn chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) Install � In. ft. of series ridge vent stall In, ft. of ice & water shield to code — ocV-pv_ _ 4"b,4 �i1 �t 5 fe 116 moo. Install to nails per shingle ❑ Clean out gutters P5 year workmanship warranty W, Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate 1 Make a magnetic sweep of driveway and yard for removal of any nails ,lam The approximate costs of the services based on damages known at the time this contract is entered is Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are pr ved by the nsura� a cpmpany for additional work or increases in costs become a part of this contract. 4-(P / �g �, _y( ( `-7 \) , (APplp�rtatseW Dates of Service: "1 - (P fN�S These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays. or by any other causes beyond the reasonable control of Contractor Notice: It the property owner plans to use the proceeds of a property and causuaity insurance policy issued pursuant to part t of article 4 of title 10, C.R.S.. to pay for the roofing work, pursuant to section 6-22-105, the rooting 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 work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent loss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Rooting, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: X Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance _071111,9-01% Client Signature(s) Representative r Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Black Ina. Agency 1000 W. 47th Ave. 2161 N. Academy Blvd. P.970.482.7`722 F 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd 9205 Denver, CO 80211 Colorado Springs, CO 80909 Toil Free 877 898.8144 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 303.763.9114 F. 303.789.3790 P. 719.471, 9752 F. 719.597.4444 www. interstateroof.com P. 307.834.2553 (3031,397-7820 vrww.interstateroof.com into@interstateroof.com Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, August 28, 2017 9:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 3835 Otis St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Krishna Lamichane 720-438-8649 137 Property Owner Email jwiles@interstateroof.com Address 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 Contract (Lamichhane).pdf Contract CONTRACTOR INFORMATION Contractor Business Interstate Roofing Name Contractor's License 019938 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-763-9114 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 1000 W 47th Ave (Primary address of your business) Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of 15 the entire scope of work: Project Value (contract - 3469 0'2— G_ d 0 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 138 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof- Provide oof Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No +/ Yes 15 O/C Duration r' r Asphalt 6:12 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 139 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 Jeremy Wiles Email not displaying correctly? View it in your browser. 140 City of Wheat Ridge Residential Roofing PERMIT - 201706163 PERMIT NO: 201706163 ISSUED: 08/15/2017 JOB ADDRESS: 3831 Otis ST EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 18 sq *** CONTACTS *** OWNER (720)495-6677 MOHAISEN ALAEDDIN R SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201706163 PERMIT NO: 201706163 ISSUED: 08/15/2017 JOB ADDRESS: 3831 Otis ST EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles 18 sq I, by in 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 icipaI codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and a uthor zed to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am I ly aut rized to include all entities named within this document as parties to the work to be perform d and th t all work to a pe o ed i disclosed in this document and/or its' accompanying approved plans and specifications. 11 -7 -17 Signa re 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 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 andmay 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 %orranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicablecoypo�r�diinacg anno ulati n o this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz Z o1,7W 2 From: no-reply@ci.wheatridge.co.us --� Sent: Monday, August 14, 2017 8:42 AM ) J To: CommDev Permits C Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed S Categories: Dane '� O G 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 3831 Otis St Wheat Ridge, Property Owner Name Alaeddin Mohaisen 25 Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract (720) 495-6677 formularoofing1 @gmail.com Yes Alaeddin Mohaisen Agreement.pdf CONTRACTOR INFORMATION Contractor Business Formula Roofing Name nn Contractor's License 110274 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 4560 columbine st Contractor Email Address form ularoofing 1 @gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) formularoofing1 @gmail.com 18 .// 10000 26 Are you re -decking the roof? Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof- Provide oof Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No�/ No / Yes 18 Owens Corning Shingles Asphalt Install shingles and Ice & Water with new drip edge pitch is 6/12 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 27 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 Dominick Orrino Email not displaying correctly? View it in your browser. 28 AGREEMENT 4550 Columbine 5t. FORMULA Denver, CO 80216 303.600.B696 ROOFING a REMODELING FAX 303.600.8654 Building Solu?ons for Colorado Customer Name: Alaeddin Mohaisen Address: 3831 Otis St Customer Phone:720-495-6677 Ph#2 Email: alaeddin79@gmail com Insurance: ASI Claim: 461479-170607-054017 Adjuster Name: Adjuster Phone:_ Customer Initials Shingle Manufacturer: Owens CoraiW— Style of Shingles: Duration Color of Shingles: Number of Squares: 18.33 Tear off # of layers: 1 layer Install Felt: Replace Plumbing Jack: Replace Roof Vents: 48, of rodge vent Ice and Water ShieldEaVeS & Valleys Nailing Pattern: 6 nails per shingle Drip Edge: F, ill ppre Appropriate County/City Code Requirements Clean-up and haul off all trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. Additional Warranty: System Plus VfI Homeowner U Replace Soffit and Fascia Rotted Corner $295.00 Total Cost: $ 10,950.16+Supplements Excluding permit and code requirements Customer Initia ls � Customer Initials a M'MMUMter Elite WEATHER STOPPER- ROOFING CONTRACTOR Rep: Mark Dulon Phone: 720-432-2539 Email: dulonm(@gmail.com Pitch: 6/12 Trailer Access: Yes Stories: 2 Adjuster Email: Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Gutters l 29.,98v Windows NA Screens/Glazing Bead 7 screens Paint Fence/Deck NA Siding NA Additional Comments: Supplement for front of the house paint By signing this contract 1, the property owner, agree to the above listed work being completed as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power of Attorney to Fommla Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with anyand all dealings regardingthe current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which, in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of "No Code Coverage" or -Non-Recoverable Depreciation' on my insurance policy. Code items are required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate City/County Authority. Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds allocated for additional work as pan of this claim will be payable to Formula Roofing & Remodeling once the work has been completed and funds have been released. THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON ]'HE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the property, whichever occurs first. Deposit Received: S ACV on day of roof Approximate date of service commencement: ASAP Insurance claims proceeds: Owner to remit ACV insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of the contract the owner reserves the right to a three day rescission period. If the contract is canceled after that three day period, customer will pay 25% of contract price. Customer Signature: A'YE iNkbwsLn Date: 07/31/2017 Customer Signature: Formula Representative: Date: Date: 07/27/2017 DOC ID: fd97c5bbaed682d92e6f5a7acd465861cibOce63 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: %? U F Job Address: _ 3,k 3 Permit Number: ')�fti , C % ❑ No one available for inspection: Time '0/ _60M M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:_ )/ C i // Inspector: DO NOT REMOVE THIS NOTICE 1�e''% CITY OF WHEAT RIDGE I - Building Inspection Division (303) 234-5933 Inspection line _:�(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: �, 1 Permit Number: ' <% U a Pt 4„ ❑ No one available for inspection: Time AM/E%' Re -Inspection required: Yes gip' When corrections have been made, call for re -inspection at 303-234-5933 Date: C) `/�� Inspector:�2 DO NOT REMOVE THIS NOTICE rne ciry of 7500 WEST 29TH AVENUE • WHEAT RIDGE, COLORADO 80215 pA-f15: 7 /2S/05 I TO: .4GCOUwewt,9 ACPArtw4.Ewt GWheat 'Ridge FROM: .4law WhLte, Di.reetor af CoMvu.uwi.tU Aevel.aPw&ewt SLISJECT: FINi4L ESCR.OW RE~I.IND/RELELtSE Rei.wLbursew,ev.t vec~uested fov fi,wcrl, escvow fuw.ds be~v~r~ hel.d for: 38>1 -383s o?rs sraeE7' rhe t_awdscape iwKprovewMwts kave beew cowtpLeted to tke eCtu of wheat Ri.dge's satCs facti,ow. izEt-EftSE To: ASSOC(qTEO ~~7(W-(09Sj tT1C. Rpp,eESS: 8295 EA(.sZorJ &D S'(F 300 ,q►2✓AD4 c0 80002 Awt.ouwt to be vefuwded: $ 5-00 '7 ZS S ~kl.Aw whi.te ntrectorof eovuYUUVU,td nevelopwuv+.t (303) 234-5900 • ADMINISTRATION FAX: (303) 234-5924 • POLICE DEPARTMENT FAX: (303) 235-2949 City of Wheat Ridge Planning and Development Department Landscape Escrow Agreement This agreement made Wheat Ridge and _ , Z Zday og ,;00_:5~7by and between the City of , YA (,9. 6e ~ H ^ (contractor/developer/owner). In the event that landscaping required by Wheat Ridge Code of Laws, Section 26-502 and/or as shown on an approved landscape plan is not installed by S'Q e t L ?oo S,(date) the City of VJheat Ridge or its designee shall have the right to enter upon said property to construct and/or install such improvemenu or do other such work to accomplish that purpose as may be necessary, provided that the City of Wheat Ridge shall first give notice in writing to the contractor, developer or owner of its intent to do so. If the Ciry of Wheat Ridge exercises its right to perform work of any nature, including labor, materials and use of equipment either by force account or coniract, the Ciry shall have the absolute right to withdraw the escrow funds to complete said landscape improvements. The only precondition to the Ciry's right to withdraw the escrow funds for this purpose shall be a letter from the Planning and Development Duector, stating that the landscape imprQyemenu have not been completed or provided and that the compliance date of has expired. Approved and Agreed: q 5✓Cc t S f~ -1 Print BusinessAddress 2 n - Date Cit~ of Wheat Rid¢e, Colorado By: i' ) C~-~ Tide: ~~YVe,1C Date: 23 ~e a5 vGely fDUU2 a~--~-~--~ TiUe Escrow in the amount of $OD- DO ) is being hel until all landscaping improvements aze completed at, K'e i ~ ~ ~~gnocure ct be ~ ~ssoCU►1 8283 / PAYTOTHE~ ORDER OF ~ ~ yv J ~ G S i MEMo La-tiv~Sc ae~e- • C-s - 3Sr3tL`7<< r n• e rf I ( V'~ , M 7-4 71 FOOTHUAMW NMEAT PoDfiE, Cq 800944PPB 8YdMo7o ~j ( a P~ 160062 ~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 78206 AiU1LDING INSPECTION LINE - (303-234-5933) Date : 1/3/2005 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) ~ Property Owner. KENNETH GANTENBEIN Property Address : 383135 OTIS ST Phone : 424-5521 Contractor License No. : 21547 Company : ASSOCIATED CONTRACTORS, INC Phone : 303-424-5521 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation : $270,026.82 ] h9retiy certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $2,536.83 da00t violate applicable ordinances, rules or regulations of the City of Wheat Ridge or cbVanants, easements or restrictions of recortl; that all measurements shown, and allegations Plan Review Fee : $1,648.94 Rldtle are accurate; that I have read and agree to abide by ail conditions printed on this Use Tax : $3,240.32 .~'pyltcation, and that I assume full responsibility for compliance with the Wheat Ridge Building , . CtlCe (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit ' (OWNER)(CONTRACTOR) SIGNED DATE Use : pescription : DUPLEX p BUILDING DEPARTMENT USE ONLY ;~iComtrcients:; SIC : Sq. Ft. : Approval : JH PROP. OWNER MUST SIGN DEVELOPMENT ESCROW AGREEMENT Zoning : R3 PRIOR TO ISSUE OF PERMIT AND ESCROW AMT. MUST BE REC'D. FRONT SETBACK ENCROACHMENT OK WIOPEN PORCH g OK WI NOTES. 12/27104 Approval: CR fWENlorksCornments:; OK, ESCROW AND GRADING CERT REQUIRED PRIOR TO CIO. Approval : DFB 12I20104 Occupancy : Walls : Roof : Stories : Residential Units : 2 s: ElBCtrical License No : 18407 Plumbing License No :21488 Mechanical License No : 21565 Cpmpany :Aces Electric Company :Independent Plumbing and Company : TONVILLE HVAC Expiration Date : 2/28/2005 Heating Inc. Expiration Date : 3/21/2004 Apptoval : OK/KS Expiration Date : 9/15/2005 Approval : Approval : OK/KS (1) This permit was issued in accordance with the provisions set forth in yopur application antl is subject to lhe laws of the State of Colorado and lo the Zoning Regulations and euilding Cotle of W heat Ridge, Colorado or any other applicable ordinances o( the Ciry. ~ . '(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days fmm issue date or (B) ihe building authorizetl is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half fhe amount normally required, provided no changes have been or will be made in the ' . original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment ~ exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the naWral flow ot water causing a d2inage problem. . . ,(b) Contractor shall notify the Builtling Inspec[or lwenty-four (24) hours in atlvance for all inspections and shall receive wrilten approval on inspeclion card before proceediing with successive phases of the job. . .(8) The issuance of a permit or the approval of drawings and specifcations shall not be constmed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any othar ordinance, law, mle or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. ~ GO'MMUNITY DEVELOPMENT DEPARTMENT WLDIN6 INSPECTION LINE - (303-234-5953) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Date 18206 1 /3/2005 Property Owner. KENNETH GANTENBEIN PropertyAddress : 3831-51 OTIS ST Contractor License No. : 21547 Company : ASSOCIATED CONTR,4CTORS, INC Building Permit Number Phone : 424-5521 Phone: 303-424-5521 ;ACTOR SIGNATURE OF UNDERSTANDWG AND AGREEMENT VERKCOI escriptii the setback distances proposed by this permit application are accurate, and able ordinances, rules or regu tions of the Cily of W heat Rid9e or mts or resUictions of record; t t all measurements shown, and allegations that I have read and a9ree a ide by all conditions printed on this rt I assume full responsibi' c liance with the Wheat Ridge uild' g ailotherapplica~le" li dnars, forworkunderthi~ errt'~. J DUPLEX ;Approval : JH Zoning : R-3 Approval: CR ` `Approval : DFB Occupancy: Walis aCtricaf License No : 18407 impany :Aces Electric piiaYiomDate : 2128/2005 ~pEvvaf OK/KS Valuation Permit Fee Plan Review Fee Use Tax Total $270,026.82 $2,536.83 $1,648.94 $3,240.32 $7,426.09 ~ Use : _12 p'ie.oe SYatt° p~q/pmtiaetnt is ttspcsnsih~° foe aoo,4tng pr perry ~iflCS 8~1~ Ci3USSIL3CYi17~ ICI1~ . y P.it11' t4J.t4G~t! n'O tC' e,- roved ptan and cey ~ d'eK ri :t~: BUILDING DEPARTMENT US9'6IGL"~'~ , SlG : Sq Ft. : PROP. OWNER MUST SIGN DEVELOPMENT ESCROW AGREEMENT PRIOR TO ISSUE OF PERMIT AND ESCROW AMT. MUST BE REC'D. FRONT SETBACK ENCROACHMENT OK WIOPEN PORCH OK WI NOTES. 12127104 =3 OK. ESCROW AND GRADING CERT REQUIRED PRIOR TO CIO. 12120104 Roof : Stories : Residential Units : 2 Plumbing License No :21488 Mechanical License No : 21565 Company :Independent Plumbing and Company : TONVILLE HVAC Heating Inc. Expiration Date : 3/21/2004 Expiration Date : 9115I2005 Approval : Approval : OKIKS (1) Thkpermk was issued in accordance with the provisions set forth in yopur appliration antl is subject to the laws of the Stale of Colorado and to lhe Zoning ;Re9Uiationa and euilding Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) TMs petmit shall expire if (A) the work aNhorized is not wmmencetl within siaty (60) days from issue date or (B) the builtlin9 aulhorizetl is suspended or 'gb9rMpned Mr a period of 120 days- (g); M prie permit exWires, a new permit may be acquiretl for a fee of one-half the amount normalty required, provitled no changes have been or vnll be made in the 'cripinal plans and specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonmeM ' goiceedsone (1) year, tull fees shall be paid for a new Dermit. (q) '.µp.wOdc of any fnenner shall be done that will change the natural Flow of water causing a drainage problem. r:(gi. CphM1getpr shall notify the Builtling Inspector lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before prpceedknp wIM successive phases of ihejob. (9) 'The IsBUance of a pertnlt or the roval of di~we7gs antl specificalions shall not be consirued to be a permit for, nor an approval of, any violalion of the / c s or a roiance, law, rule or regulation, provisi0ns of ngny ot A" / Ch' uildi~lg Inspector Please sign Terms and Conditions on reverse side of page. . , , . BUILDING PERMIT For inspection this permit must be posted on the site and visible from the street. TERMS AND CONDITIONS As applicant for a building permit in the City of Wheat Ridge, I do hereby agree to the terms and conditions set forth below for the issuance of a Certificate of Occupancy in connection with this buiiding permit. The issuance of a Certificate of Occupancy requires: ~F "V%mpletion of all required landscaping and related site improvements. YnspeCtififf4'd? OYfOftned by the Planning and Zoning Division. 2) The cornpletion' bfi'site drainage/grading requirements per the approved site grading plan and/or final drainage report and plan, if such report and plan is applicable. For ali residential and nonresidential projects with an approved final - drainage repoR and plan, a letter of ceRification is required from the civil engineer of record. Inspections are performed by the Public Works Department. 3) The completion and acceptance by the City of Wheat Ridge of all required public improvements, or a Development Covenant or cash escrow may be required in u of construction, as determined by the Public Works Department. The Public orks Department performs public improvements inspections. `~i:~;~r•,~-~.,e compietion and approval of a Certficate of Occupancy Application form and 1'r nspections. Inspections are perfortned by the Building Division. inal i All the above items must be completed and approved by Planning and 2oning, Building and Public Works before a Certificate of Occupancy is issued. Final Inspection by the Building Division does not constitute authorization of a CerGficate of Occupancy nor permission for occupancy. Occupancy of the structure is not permitted until the Certificate of Occupancy is issued. (Uniform Building Code, Section 109) The City is not responsible for any real estate closings or other agreements conceming the property which may be affected by failure to complete the above items and obtain a Certificate of Occupancy. I have read, w received a copy c.ohditions. I have Name l ~ APPLICATION FOR GRADING / FILL PERMIT APPLICANTS NAME: APPLICANT'S ADDRESS: ADDRESS OF FILL: DATE OF APPLICATION: ~ All permits shall be applied for through the Public Works Department. M approved pemiit is effective for a period of one (1) year from date of issue and may be renewed. All fees shall be in accordance with those fees established by the Uniform Building Code or other applicable City adopted Resolutions or Ordinances. Note: All public improvements, when constructed, shall be maintained (by the respecNve individual(s) and/or company responsible jor the conshuction oj that pub&c and/or private improvement in the respective development) on a daily basis, or as needed, such that they are free oj mud and other construction debris h-acking from the site. Failure to compiy with this requirement wiU result in the enforcement oj Article III, Specified Nuisances, Secrion I5-16 (4) of the City of Wheat Ridge Code of Laws. MINOR EXCAVATION AND FILL PERMITS 1-50 Cubic Yards: No pemut is required for dumping or excavadon of earth materials, which do not exceed 50 cubic yards, provided, however, that any fill deposited is on natural terrain of less than three (3) horizontal to one (1) vertical slope, or such fill is less than three (3) feet in depth and is not intended to support permanent structures, and in addition, such fill or excavation dces not obstruct or otherwise adversely affect any drainageways. Should any of the above standuds be exceeded, or a drainage way be affected, a pemiit shall be required under the guidelines for No. 2. 2. 51-500 Cubic Yards: Dumping or excavation of earth materials not exceeding 500 cubic yuds may be allowed with a pemiit approved by the City Engineer. All applications aze to be submitted on the appropriate completed application form and shall be accompanied by the appropriate fee and sketch plan indicating the following information before the pemiit will be issued. A. Lceation and dimensions of all property boundaries and structures on the site. B. Lceation and extent of azeas to be filled and/or excavated. C. I.ocation of existing and proposed drainageways, irrigation ditches, etc., and indication of how and where historic run-off will be maintained on and through the site. D. Cross-section azea to be filled and/or excavated indicating original slope, new slope and depth of fill. E. Statement that indicates the proposed use or purpose for said fill or excavation. F. Relative elevation of adjacent properties. G. Erosion control plan showing placecnent of convol devices such as hay bales, etc. 3. 501-20,000 Cubic Yards: Operations in which earth material fill or excavation exceeds 500 cubic yards, but dces not exceed 20,000 cubic yards, may be allowed by a permit issued by the City Engineer afrer review of an application and supporting information. The following information shall be submitted with the required application form: A. A site plan, prepared and signed by a Colorado registered professional engineer, at a scale of no less than 1 inch to twenty feet (1:20) which illustrates the following: B. I.ocation and dimensions of all property boundaries and swctures on the site. C. Location and extent of areas to be filled andJor excavated. D. Location of existing waterways and drainage courses indicating any changes. (for a site containing an established irrigation ditch, a letter of approval from the appropriate ditch company shall be required). E. Location of existing and proposed points of ingress. F. L.ocation and extent of existing vegetation, proposed changes in such vegetation and methods of rehabilitation on site vegetation after earthwork operations aze complete. G. Erosion convol plan. H. Grading plan with existing (dashed lines) and proposed (solid lines) ground contours with contour intervals of 2 feet and spot elevations. 1. At least two cross sections (east to west and north to south) through the site showing depth of fill and/or excavation. J. A drainage report may be required if site runoff characteristics aze changed. K. Relative elevations of adjacent properties and swctures. L. Statement of purpose of intended fill and/or excavation. 4. Perforcnence Standards: The following provisions shal] apply to all Minor Faccavation and Fill Permits: A. Rehabilitation: Within thirty (30) days after cessation of filling and/or excavation, rehabilitation for the site shall have been completed in accordance with the approved plans. Rehabilitation shall consist of leveling, grading, landscaping or any combination thereof to minimize potential erosion and be acceptable to the City Engineer. B. Debris: Debris and/or contaminants shall not be used except with the approval of the City Engineer. "For the purpose of this Section, the term debris shall have the same meaning as the terms "gazbage, vash or junk" as defined in the Wheat Ridge Code of Laws, Section 15-4." In no case shall debris or contaminates identified or classified as hazardous waste by local, state or federal agencies be used as fill in any fill areas within the City of Wheat Ridge. C. Excavation and/or fill azeas shall be graded to facilitate weed control until final grades aze set and site rehabilitation and use occur (must be ]eveled with side slopes not to exceed 3 to 1). 5. Permit Fees* 50 cubic yazds or less 51 to 100 cubic yards lOlto 1000 cubic yards nry~'p0 t~ for the first 100 cy plus for each additional 100 cy or fraction thereof 1001 to 10,000 cubic yards for the first 1000 cubic yazds plus, for each additional 1000 cy or &acrion thereof 10,000 cubic yazds or over plus, for each additional 10,000 cy or fraction thereof $23.50 $37.00 o~ $37.00 3 7 ~ $17.50 ~ $194.50 $14.50 $325.00 $66.00 DJ TOTAL $ 7Z *Wheat Ridge Code of Laws Section 5-76. All permits shall be applied for prior to fill deposirion or excavarion operations begin. Any pernut a`pplied for afrer cutting or filling operations on site aze in progress shall be subject to a double fee and other penalties as prescribed by Wheat Ridge Code of Laws, Section 26-1004. Any fill requested under this permit within the100 yeaz flood zone MUST COMPLY WITH WHEAT RIDGE CODE OF LAWS, SECT'ION 26-801, FLOOD PLAIN ZONING ORDINANCE. I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT AND UNDERSTAND THAT I CANNOT START THIS PROJECT UNTIL THIS APPLICATION IS APPROVED. I SFIALL COMPLY WITH THE LAWS OF THE STATE OF COLORADO AND WI'I'H THE Z01VING REGULATIONS AND BUII.DING CODE OF THE CI1'1' OF WHEAT RIDGE. ANY VIOLATION OF TfIE ABOVE TERMS WILL CAUSE IlVII1iEDIATE REVOCATION OF THIS PERMIT AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY THE CITY OF WHEAT RIDGE. TffiS APPROVED PERMIT WILL BE KEPT IN MY POSSESSION OR PERMANENTLY ON THE JOB SITE. CITY OF WHEAT RIDGE: ~ City Engineer 1 13 Appr~t KAFORMS & I.E7'fER3WA"nB ffi Fill Pemut - 97lJeC.doc Rr.aroa CDepaNnerrt of PubL'c Wa1s DEPARTMENT OF PUBLIC WORKS 7500 WEST 29T" AVENUE WHEAT RIDGE, CO 80033 (303) 235-2861 FAX (303) 235-2857 LETTER OF NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION DATED J2~~ Deaz Contractor: ADDRESS 38-3 t- 33-3S 077s In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing pubiic improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as deterrnined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any guestions, please contact me at 303-235-2864. Sincerely, David F. Brossman, P.L.S. Development Review Engineer Cc: File Rev 4/03 WH DEPARTMENT OF PUBLIC WORKS 0 m SINGLE-FAMILY/DUPLEX BUILDING PERMIT APPLICATION REVIEW CO~QRpp~ Date: 12~~ Location: 383! 3835 ~S -5-72eE~.T- ATTENTION: BUILDING DEPARTMENT I have reviewed the submitted application documents to construct a to be located at the above referenced address. Please note the summary comments below. 1. ✓ Drainage: ~ a. Proposed Grading/Drainage I.etter & Plan required: ~/Yes _ No b. L.ot drainage/grading to be reviewed by Building Division: _ a Site drainage/grading plan has been reviewed and is: ✓OK _ Not OK; refer to stipulations. 2. _ Public Improvements to be completed: a. sVeet paving/pa[ching: Yes ✓No b. curb & gut[er. Yes ✓No c. sidewalk: _ Yes '-N° If not, the amount of escrow taken: $ 3~S IS. Nb Items escrow is [aken for: lo S'( v~-ic,4z) c~,eaw,rc,ic ~ ~+oNO•-~nfsc ) w~~ ".4sikLM-T t~Fi~/f.u6 Has Escrow Agreement been executed: _ Yes _ No 3. ✓ State Highway Access Permit needed: _ Yes y-- No 4. ✓ Dces all existing roadway/alley R.O.W. meet the stan azds of the CiTy: _,,Yes _ No If not, what is requested: '`464 If R.O.W. is required, has the deed been received: k/Pr Yes _ No 5. v' APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the above and/or attached stipulations. ~ Signature David F. Brossman, P.L.S. Date 6. "J/,+ NOT APPROVED: The Public Works Department has reviewed the submitted material and dces not approve this Permit Application for the reason(s) stated: Signature David F. Brossman, P.L.S. Date 7. v-- Stipulations attacfied: _ Yes ✓No g, ✓ A Drainage Certification Letter is required prior to the issuance of the Certificate of Occupancy (C.O J 9. ✓ NOTE: Any damage to the existing Public Improvements as a result of this conswction is to be repaired to meet City standards by the Permit Applicant prior to the issuance of the Certificate of Occupancy. DEPARTMENT OF PUBLIC WORK.S FEE STRUCTURE FOR BUILDING PERMIT APPLICATION Date: Phone #c~~ Applicant: 5 • Location of Construction: 3 3/- / s'S n ~ G C • Building Permit Value: Purpose of Construction: l.~u P~~x Commercial Multi-Family Single Famil"y ✓ DEVELOPMENT REVIEVV FEES $10000 g /DD• b0 Development Review Processing Fee: (For document processing) $50.00 $ SO. Dr~ $ing]e Family Residmce Review Fee: (For review of applicable technical documents) CommerciaUMulti-Family Review Fee: $100.00 $ •(For review of existing technical documenu) .(For ¢view of technical documents for construceon in $ Right-of-W ay, Final Drainage Report, and Erosion Control P1an) $500.00 $150.00 $ CDOT Access Permit Fee: (for documant aPPlication and processing) $200.00 $ Traffic Impact Study Review Fee: (For document review and processing) /~0. B Q TOTAL REVIE~'V FEES (due at time of building permit issuance): $ PLEASE NOTE'CHAT IN ?.DDMON pbRIv11TTING FEES REQUIILED FOR Sigoature of EES, TNERE WILL BE ADDITIONAL LICENSING AND OF IIvfPROVEMENTS WITHIN pUBLIC RIGHT-OF-WA . ~ Date ~ Re. aro+ KAFORMS & IETTERSDEVELOPMRT FORMS\Fa 5~t~ (6'&~)-dw DEVELOPMENT ESCROW AGREEMENT FOR PUBLIC IMPROVEMENTS TO: City of Wheat Ridge 7500 W. 29`h Ave. Wheat Ridge, CO 80033 This Development Escrow Agreement is entered into this 3rd day of January 2004 between the Ciry of Wheat Ridge, a Municipal Corporation, and Kenneth Gantenbein, hereinafter referred to as "Owner" and concems property located at 3831 and 3851 Otis Street, Wheat Ridge, Colorado. The Owner is the titled Owner of a tract of land in the City of Wheat Ridge, County of Jefferson, State of Colorado, more fully dasctibed as I,ot 6-A Anel Subdivision, City of Wheat Ridge, Counry of Jefferson, State of Colorado. The sum of four thousand three hundred and ninetv seven dollars and fiftvi cents ($4397.50) to be held in escrow with the City of Wheat Ridge for the purpose of constructing public improvements along the frontage of 3831 and 3851 Otis Street, Wheat Ridge, Colorado. The City of Wheat Ridge shall have the absolute right to withdraw the Escrow funds for the purpose of constructing public improvements along 3831 and 3851 Otis Street. The City of Wheat Ridge further agrees that the Owner shall have no further obligation to make any payments for such public improvements. The City shall hold the aforementioned monies for a period of ten (10) years from the date of this agreement. If at such time during this ten (10) year period, the City constructs any public improvements adjacent to the subject parcel, the escrowed monies shall be utilized. If no public improvements are construc[ed adjacent to the subject parcel within the ten (10) year period, the monies shall be returned to the Owner without interest. The only requirement to withdraw the Escrow funds in behalf of the City of Wheat Ridge shall be a letter from the Community Development Department of the City, executed by the Director of said Department and witnessed by the Mayor of the Ciry of Wheat Ridge. Said letter shall state that the City is proceeding with the construction of public improvements along said streets and will utilize funds to defer costs of the construction project. AC PTED: ~ a7~ Community Development Director Cit at Rid 7 Yf _ - g ~ e S~~z.~/ Address Phone Number Date: 1~ F.U'IanningU'OHMSTuM1lic Improveirem Efcrow.wpd . K. H. GANTENBEIN 4480 BALSAM PH. 303-947-5218 WHEATRIDGE, CO 80033 6z-zovmz1 1765 iszsoso ~~h ag---~ rnvT<I rrIE ()RDER OF aF~t CowMUUtrv Bnnt~s Co~oKncw ~A 1:102L020iD: i62 905 011' 1765 File: EE104120 Date: 12/10/2004 CONSTRUCTION COST ESTIMATES for 3831-3835 Otis Street Wheat Ridge, Colorado OTIS STREET IMPROVEMENTS Description Unit Quantity 6" vert comb curb, gutter & 4' walk If 98 asphalt (8" thick) cu yds 54 Sub total 20% miscellaneous 8 contingencies Total Unit Cost $20.00 $18.00 prepared by: - _ ~Z lO 0~7 Ed Jennins PE&PLS no. 1819 date l Amount $1,960.00 $972.00 $2,932.00 $586.40 $3,518.40 G r~> s~ 11619 yi rn LfPwov~~- / ~2~° iz/i7/e) el COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o~ W"E"' q BUILDING INSPECTION LINE • 303-234-5933 Date: ~ q, CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 • (303-235-2855) APPLICATION Property Owner: i Lo~/k/gy'H ,~j~j~fy f GK,Qe/srJ PropertyAddress: DYJS 57" Phone: ✓`~'4,3'y62Y-S.S-a7 ~ Contractor License No.: Company: AS50Llq7"L°t7 ~ON~~'/9~fbtS -1-011C Phone:303__y~4 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances Droposed by ihis pertnit application are accurale, and do not violale applicable ordinances, rulP= rwoulations o( the Ciry of W heat Ridge or covenants, easemenis w restrictions o! ' shown, anC alkgaGons made are accurale: tFiat 1 have 1~ Value:b 70, DZC. Permit Feel n.....o.,, Fee:$ condiUOns pnnted on this applicaGOn and that mpliance wiM the Wheat Ridge Building Code (U co I L ~ Wheat Ridge Ordinances, for wor~ynder Nis pertnit. 50(j (owNERXwrRrucTOa) sicr+eo_i'~~~G (OWNER)(fANTRACTOR):Pf21NiED ~ QINv~t/ vl t o~ Description: JlJK dIo„-tpfMi CJt,pc, Sq.Ft.added 13U1LL C4t f4.'-Grd) ckpcL fw akd s/;S„4 a.VC0.4Mf af COMMENTS: e s ~ rsw, Approval:JN (2-/19104' PvOP' Zoning:~-3 fM'~~'~C~{l"C(C QA1t a~.l E.T~~o't/ W Sq.Ft.: R /csN1P1'~" i4~ Ipecr~Iro~ ckv~lelrh sK G COMMENTS: ~y Lv i{ APProval: C? ~ ~ i:27~ KS f WORKS COMMENTS: ` S~E RTT40e0 APProvaC ATPGtGfTIoN W alls: Roof: Stories: Residential Units: ,~i' 'f9 - mbing Licens~ No: ~-~'I y ElecVical Lic nse No: r~'Y~ Plu Mechanical License IVo: Company: 'ES ~~E'[ r~c Company: ~4rPawp~<w/ Company: -J'pXJYJLLe Expiration Date: Expiration Date: Expiration Date: Approval• Approval: Approval: (1) This pertnit was issued in accwdance wiUi the Wovisions set forth in your appliption an0 is subjecl ta Me laws o1 the SUte of CWaaCo arM to the 2oning Regulations and Buildinp Codes of Wheat RiAge, Colorado a any oMer appiicable ordinances of the Ciry. (2) This permil shall expire it (A) the work authorized is nol commenced within sia1y (60) Oays from issue Aale w(B) the building autlmrized is suspended or aban0oned tor a period of 120 days. (3) If Mis permit enpires, a new pertnit may be acquired iw a tce of one-half ttie amount normally reQuireO, providetl no chanpes have been or will be made in the original plans and spedfic2tions and any suspension or abarMOnment has not ezceeded one (1) year. It changes have been or if suspension or abarWonmeN excaeds one (1) year, tu11 fees shall be paie fw a new permit. (4) No work of eny manner shall De done Uiat will chanpe the naWnl flow of wacer causinp a dreinage proWem. (5) ContraGa shall notity the Buildinp Inspector twmly-four (24) hours in advance for all inspections an0 shall receive v+ritten approval on inspection card befae DroceeOinp wiM suaessive phases o( the joD. (6) The issuance of a pertntt w the apprpval of drawirqs and spetlficaUOns shali not be consWed to be a permil for, rar an approval ot. any viola5on of the ons of the building codes w any other ordinance, law, rule or 1egulation. C ' f Building Official ~ w~E~~ o ~ ~ ~ o ~ ~o~~~~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permil Number: Date: BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION PropertyOwner: :k~*A/87"H 6 Property Address: 2s31 "j Fj,S-/ Contractor License No.: Company: oqrrfcwge, w Phone: ✓C3-y-1 y -SSa f OT/3 57 Phone:3o_ Y'P4 -s S".1 / ~ OWNEWCONTRAC70R SIGNATURE OF UNDERSiANDING AND AGREEMENT are I hereby certify Nat the setback ~ti ^orGS arnce~ es or repulatbns o~f1the Ciry of yccurate. and do not violate app iW heat Ridge a covenants, easements a restriUions of record: Chat aN measure^le^ts shown, and allega6ons made are accu~ate: that I have read and agree lo abide by all condiUOns printed on this appliwtion and that I assume fuil responsibil ry b~e compliance with the Wheal Podge Building Code (U.B.C) and all oMer appliw W heat Ridge Ordinances, ior wo"nder Nis permrt. IOwNEnNCOWTRACTOR1~t" ' - PfiIMEO /l ~ 6~rT T c~op*Eb~ .?a - a Y (owr~xca.*rucTOP). Description: A~4~ Sq. Ft. adMd lse Tax:~ Total:$ Ft.: BUILDING DEPARTMENT USE OTLY COMMENTS: P,pproval: Zoning' iG CO/NdENTS: Approval: 2- ,D W owcs Coi.+MENTS: O•e , , APProval: P4D.'-' 7Z~ G ~ . ;)4 1j 1 1zz%y Walls: Roof: Stories: Residential Units: ~anrv Electrical LicgnsES ~L `°C~r ~C Company: /~G~ ExpiraGon Date: Plumbing licens No: y Company: rPrwd<w/ fium Di'vG Expiration Date: Mechanical License No: Company: `j'01V V1LL eC/eA4'A'1V- Expiration Date: +PP yvrn. Ti+is PsR^it was issued in awadance with Me P^ovisions set forM in your appliation and is subjecl b C~e Wws of the State o( spo and to tlx Za+inp Re9ulauons and BuildvW CoAes d WMal RidOe. Cdorado or any otTer aPWipble ordinances o (~l Cpbr ihe CM. hom issue date a (B) the builAinp (2) Tliis P~^~t ~Il exMro ~(A) ~ work autMrizetl is rwl oommenced within sixty (60) AaYs auChwizeC is wsDe^ded or abanAoneA ta a Paiod of 120 daYs. ~ ded no charqes normally (3) It this D~^n a new Vm^xl maY be acGUNed for a tee and a^Y w as~^$1O^ or aDandonment has nol excee0ed one r,ave oem+«wix be matle in me aWCrw Wans and apeafic' b exceed, one r~. w~ tees snan oe wid ror a new vem~t~ (1) Yea~. I( cf~arqes have been a if wsPe^~^ a aDandon ae~ 1bw o( waler causiM a Arainape D~°^~. (4) No wa~~ of anY mam~er aha~~ be da~e Uwt wBl du^Ge lle (5) Contrador sha11 rali[y the Build1+9 InsDector wiUi successive phases o~° M all insD~'~^S and shall receive written 1 nol De construed to be a Dermil fa, nor an aDD~'y u^ insD~°^ wrd belore M~d~^G Dms a1u1job_ (6) The issuance oi a De^^~ a the aCWoval ot drawirqs arb sDeHfica~ viaions d the builAinC cades a any oMer adinance. law. rub a reD~UOn. approval of, anY valatlon of the po Value:b Permit Fee:S Plan Review Fee:$ Chief Building Official RECEPIIIQI'N0. F21 465 p `.1R~2k(~004 i~Oo+S1ATEoDOC ~EE0ai 3.63 RECOR ED IN J OFD'FERSON COUNTY9 GOLORRDO PERSONAL REPRESENTA' (Testate Estate) THIS DBED is made by Barbara Coltrin as Personi Ricci, a/k/a Roaemary J. Ricci, deceased, Granwr, to Kei add { addi~ess is 8295 Ralston Road.,#300, Arvada, Colorado, 81 ~ WHEREAS, the above-named decedent in her lifei Testament dated August 27, 1999, which Will was duly adi 2003, by the District Court in and for the County of Jefti 03PR997; ~41~1'1 , . , . . . WHEREA , GratiWr wM ai 2003, and is now I ~ualifled and act NOW, T REFORE, puri Code, Grantor d es hereby sell, consideradon of e sum of Thirty otber good and v uable considera Jefferson, State o Colorado: Lot 6-A, E County of State of G (for With all appun property taxes As used STATE OF COUNTY OF Tlte Coluin as in said capacity. DEED Representative of ihe Es4ate of Rosemary eth H. Gantenbein, Gcantee, whose legal )02. ne made and executed her Last Will :and itted to informal probate on Beptember<17, son, and State of Colorgb, i'rebate' Aio. ie"sentofiWe of saeid EsuFc on 3OPMt+~i? th;. ~ to the powers conferred upon Grantor vey, assign, uansfer and set over w Thousand Two auaftea O€ty DoU the following described real property ~ru}anonai purposes o~ ~t7 ~ en1mces, subject to covei arithe year.2n04. I , i he'rein, the singulaz ' c: 2 64 ; C ~ ~ ORADO ) ~8 E1IFERSON ) Vacant Land by th;e Colucado Probate ito Qratrtee, - for arnl in r.s in hand paid, and situate in the County of easements and restricrions of record, and subject to general the plural and the plural the singular. , Barbara Coluin as Personal Representative ofthe Estate of Rosemary Ricci, a/k/a Rosemary J. Ricci, Deceased ; insuttment was-eAmevµiedged beforeme this tlate Q 124 .2.Ldo ,.6y Aarbara RepresentaNve of the Estate of Rosemary Ricci, afk/a Rosemary J. Ricci, Deceased. WITNESS * hand and official My commission expires: '~.n "`rfiG! tVWNDA : GIES 0.........9Q ~ I /T~ RECfPTIdi Iq p2118464 10/27/2004 10eE5945 P6l 001-001 ECO~DED IH6JEFFERSON COUNTYe- 3,63 OCOIORADO ,\l PER5dNAL 1tEP1tESENTATM'S DEED (Testate Estate) TIiIS DEED is made by Barbaca Coltrin as Persooal RepresEntative of the Estate of Pete: Ricci, a/k/a Peter Ricci, a/k/a Peter Paut Iticci, a/k/a Pete Paul Ricci, deceased, Gra►titor; to Kenneth H. Gamenbein, Grantee, whose legal address is 8295 Ralston Road, #300, Arvada, Colorido, 80002. WHEREAS, the above-named decedent in his lifetime made and executed his I.ast iTJil1 and Testament dated August 27, 1999, wluch Wiil was duly admitted to informal prabate on Saptember 2, 2003, by the District Court in and for the County of Jefferson, and State of Cqloxado, Probate No. 03PR943; WH~REA~, Cn'ai~tor was u~uly appoiitiefl Persotial l~epre~entAtive of said Es'tatCbn S~kmW21 2003, and is now qualified and acting in said capacity. NOW, THEREFORE, pursuant to tke powers confened upon Grantor by_the-Cotorado Probate Code, Grantor dces hereby sell, convey, assigu, transfer and set over un#+;ti Grautee, for and in consideration of the sum of Thirry si$'Ttiousana Two xundrea Fifty noTlars_ -~`;n hania paid, and other good and valuable consideradon, the following described real property situate in the-County of Jefferson, State of Colorado: Lot 6-A, ANEL SLTBDMSION Counry of Jefferson State of Colorado (for informational purposes onty) Vacant Land With all appurtenances, subject to covenants, easements and restrictions of record, aud subject to general property taxes for the year 2004. As used herein, the singular in¢1udes the plural and the plural the singular. EXECUTED~ Z1 STATE OF COLOT2AD0 ) )ss. COUNTY OF JEFFERSON ) '$azbara Coltrin as Pergonal Represeniakive of ffie Estate of Pete Ricci, a/k/a Peter Ricci, a/k/a Peter Paul Ricci, a/k/a Pete Paul Ricci, Deceased Thp foregoing instrument was acknowlodged befora me th'ss ditte , 2 2Lb ; by Barbara Coltrin ~ Personal Representative of the EsUate of Pete Ricci, a/k/a, Peter Ricci, ailk/a Peter Paul Ricci, a/k/a Pe Paul Ricci, Deceased. WiTNESS My 46 seaL My~ co io ~ pqic> ' ~~S ; i ' Notary ~ a ~ w 0 0 4) F- 24 t~ Z > Q ~ C O G a 0)~ Z O 0N = O > a) N W (AM V D ~ ~ ~ O L N 2 2 = 0 U ~ .N W Z ~ W 2 0 O (1) W) Z ' J V N ~ W ~ M > d N Wyo4.+ L ~CL 0 U N N 61 ~ 'O Q ~ O ~ W ~ ~ ~ O N N ~ 9 Q a 0 ~ a .I11 cc c 0 ~ d a N C ~ w to 0 ai m E c aD a~ ~ a> m t N C O U N ~ O U G cr~ N ' t M ~ O M Y ~ 0 d a N ~ .C ~ w R ~ a) m E ~ ~ a) a (D m t ~ ~ 0 U {'7 N 01 ~ N 04 U M a) N Ci L ~M ad+ l0 ~ 4) -0 >(1) o- ~ ~ co (D d~ U') =L o ~o N 'a N N (D y O~ y C E o ~ dN N aa) y ~ o o~ ~Ud ~ ol N r m - aD > ~ ~ > (O N ~ N ~ Q L a o a M ~ W M b p ~ ~aa va~ U OC) O n~ o Q' > 'a o (D a~ ars o a) C>O' E O W6) ~ 3 2cvU 30 ~ W ~ LL Q Ln cc4)of O I~ ~ -0 - O m V U N U 3 ~ ~ o 3: ~ ~L ~a`o cc O -o V (D « 0 a oD U W G 0 C y V o a ~ r 3 ~ y 5 a N ~ 2 c co' ~ ad ~ ~oo a) (D > m ; ~ E (D -0 CD ~ E m Z %E ~ N E V 7 u, E -o a~ L (n Cl) c ~ f0 w (D L Q a~ O ~ Q Y a O U W F- Z Z ~ O U ~ ~ W ~ 0 0 Q H ~ W d 0 ~ a Z 0 a ~ U U) w 0 J Q ~ w J M ~ ~ ~ ~ ll.! U) 0 a ~ ~ a C7 Z O ~ J O U- w S F-' ~ O U- ~ d m `Q)Z y o ❑ ~ O L « O> C C 10 ~ Q ~ ~ V ~ V L O O " l0 t) N~ LU c ~ y c E~ c a 1° N ~ V t O N C N ~ GI .0 R Q r u O ~ N L ~ 0 « U d s 0 w ww ZZ y ~ o C N N o , ~ U j W d O N ~ U ❑ o L 0 a ~w N C ~ 'O E m o, ~ c U N Date: A Certificate of Occupancy 1 Completion has been requested for: ADDRESS: PURPOSE OF STRUCTURE: Building Department Approval: 4", Remarks: Zoning Approval. .,2~- Yz!1ds Remarks: Public Works ApprovaP oe A~7b 63o16S Remarics: Fire Marshalt Approval: (If Applicable) Sanitation District Approval: (If Applicable) Remarlcs: Water District Approval: (If Applicable) Remarics: ~~17) C~ ( INSPECTION RECORD 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 (303) 235-2855 ~R°/nspectlon Llne (303) 2345933 Inspections will not be made unless this card is posted on the bullding site 24 Hours notice required for inspections Job Address Building Pefr Owner k Contractor Type (NSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE APPROVAL DISAPPROVAL INSPECTOR INITIAIS . COMMENTS: FootimgslCaissons . 'zx ` r E f n, ; _ Stemwall uM-- Reinforcing or Monolithic Weatherproof / French Drain WaterlSewer Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Pkun4ing (Underground) Heating (Underground) oecacel service s d Rough Electric C~ E Rough Plumbing 4- I c, i< U~ Air Test Gas Piping =F - I ; 1` ~ Rough Mechanical &1- ~ V I \ ~ Framing - I-S' c I ~!->u c5 Roarin9 InsulaHon Drywall Screw UF - FINALs Electrical Gb'•z •05 0 Plumbing l7Ci`/ 4` •S•OS Mechanical 4G.Z~ oS -/S oY Frame / Interior Finish R.O.W 8 Drainage Fie Department Parking & Landscapin9 6 Z9 O,T 't'"'NOTE: ADDIT IONAL IN SPECTIONS / COMMENTS ON BACK OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM TNE WEATHER -4 v 0 w~ 0 w=r i~ (D w~ A p ~ w c~i W = • O 7 N S N G N v m m :3 n3i a m ~ w 0 ~ ~ N ~ (D ~ 0 ~ ~ C- 0 a D a a ~ N N n r0, Mi 0~ 7 Z 0 r+ 0 c~ n Q y ic "a C (D Z O ~ cv°,, cp m W (D < N rn •r nO om ~ y ~ vm z N• ~ 'v o m ~ ~ ~ ~ v m ~ ~ s w w~ A 00 W n W ' O 7 y S N G (D v m m :3 ~ v a m ~ 0 ~ 7 N a m ~ 0 3 C1 [ ~ ~ 0 Q a C A N n r0.~ L Mi "S m 0 = :3 IJ r* 0 (D n Q N ~ ~ C (D Z rt ~ O ~ 'v CO) m m r 00 (D N -0 vm <Z y ~ 0 0 ~ m a m-1 W 0 ~ N W ~ N Co N N w~ 0 W S Af 7 W n A p ~ w W = • O 7 N S G N 6 fD fD 7 3 N a m 0 ~ ~ o ~ 7 w ~ (D 0 ct 0 ~ v v ~ C- 0 Q n a a N Q~ U' ` I LJ ~ (D n = 0 II .e, .-.j ~ 0 (D ` / 0 ~ Z n ~ 0 ~ ' v ~ m ~m ~ r (D O N a vm z y' -I o' v ~ m ~ ~ w 0 = N w N N ~ N cn v eo wE ~ O w 3 ~ tA Nm7 v W ~l 0n A ~ n W ~ W O 7 N S y fD ~ Q ~ fD N 7 SU ~ d N d 0 ~ ~ 3 N A ~ M ~ O ~ -4 , V ~ v v Iv ~ c- 0 v a a A N n ~ C 0 ~ Z r-O. ~ cn m (D < m ~ N •r C) oo ~ O Z N v) ~ 0 om ~ „'I ~ N 'v ~M ~ d~ >m o ,D CD m m a> O r do N~ ~ c p j N R cc C N - E O W 4) N Q N co a ~ . ~ °p~ ~ V d ~ Q c y r ~ ~ ~ C ~ Z a>> = Ca N a a~ ~ Q M ~ W O . 7 ~ a> 79 L U G C 0 y O~ ~ d ~ Q ►-Q m a a LL " O H Y m W rn 3E C) 2Nu m W ~E" LL O O N ~ O Q ~ C N ~ Q YLO, o- N N a' U t m . .8o r- N t p p ~ ..T. ~ r W ~ or a U °1 o R ,~w ~ a o a d~'3 0 y ~ n m N co 0 c op ~ n (D ~ 4) oa (D > m y E 7 U ~ C Z G j /0 w. m ~ y E V - ~ N € ~ o. L C r o. .2 O 0 I U) ~ Z 0 W 0 ¢ o a O Q V Ul W J O ~ w 0 a -j m . m c o m Z ce) ' m o ❑ N ~ ~ 0 L ; u C ~ ~ Q 3 V ~ V m O Im U) ~ O m O R ~ N ~ L ~r3 c r. ~ C C~ m ~ R d 4) Elo~ 10 E ~ 0 ~ t~i w L O fA C lU GI ~ C _O O m a a ° D (L O Z (D Z 3: U V O ZZ J O iv N 8~ o = W U ~ ~ m ~ o 8 SS ' - O O N . U ❑ o U- . L M . L ~ C , a Ol f. i C - E ~ .a ~ a < m o~ m = L O tJ N Date: ' . A Certificate of Occupancy 1 Completion has been requested for: , ADDRES57 ' y PURPOSE OF STRUCTURE: Building Department Approval• Remarks: Zoning Approval: ,,/~j~ Wyq/ S Remarks ; - - i Public Works Approval p,L~ ~ G~~IbS Remarks: Fire Marshall Approval: (If Applicable) Remarlcs: Sanitation District Approval: (If Applicable) Remarks: Water District Approval: (If Applicable) Omm.r4C' INSPECTION'RECORD Ig~-o~ 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 (303) 235-3855 ~Inspectfon Line (303) 2345933 Inspections will not be made unless this card is posted on the building site 24 Hours notice required for inspections Job Address Building Pe Owner Contractor Contractor A Issued I TYPe I 0~. P-' cY I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE APPROVAL DISAPPROVAL INSPECTOR INITIALS COMMENTS: Footings/Caissons 5 ~ . _-c-- Stemwall ~ o G'•L. \7 ~ Reinforcing or Monolithic WeaCerproof / French Drain 4g1051 C-\L Water/Sewer Service Lines F'OUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCREfE SLAB FLOOR T,~pAq Cows ' /vf Electricai (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTiL ABOVE F1AS BEEN SIGNED Electrical Service Ia Rough Electric 47 r? . Rough Plumbing Air Test Gas Piping `0/05 Rough Mechanical '~l Framing t 1 Roain9 L~/ `f breulation Drywall Screw ~ CK ~ FiNus Electrical ~L c Plumbing Mechar il 67('Zo .Q Frame / Mterior Finish U. , Q R.O.W 8 Drainage Fie Department Parking & Landscaping (i '1 "*NOTE: ADDITIONAL INSPECTIONS / COMMENTS ON BACK OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT TNIS CARD FROM THE WEATHER