HomeMy WebLinkAbout6810 W. 35th Avenue1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202100979
202100979
ISSUED: 05/14/2021
6810 W 35th Ave EXPIRES: 05/14/2022
Sewer line repair. 40 ft in the backyard, installing a set of clean outs
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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/14/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
1* � � i City of Wheat Ridge
�� Residential Sewer Repair PERMIT - 202100979
PERMIT NO: 202100979 ISSUED: 05/14/2021
JOB ADDRESS: 6810 W 35th Ave EXPIRES: 05/14/2022
JOB DESCRIPTION: Sewer line repair. 40 ft in the backyard, installing a set of clean outs
*** CONTACTS ***
OWNER (303)478-8341 HULTBERG JANET L
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 71215.00
FEES
Total Valuation 0.00
Use Tax 151.52
Permit Fee 172.60
** TOTAL ** 324.12
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
1* � � i City of Wheat Ridge
�� Residential Sewer Repair PERMIT - 202100979
PERMIT NO: 202100979 ISSUED: 05/14/2021
JOB ADDRESS: 6810 W 35th Ave EXPIRES: 05/14/2022
JOB DESCRIPTION: Sewer line repair. 40 ft in the backyard, installing a set of clean outs
*** CONTACTS ***
OWNER (303)478-8341 HULTBERG JANET L
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 71215.00
FEES
Total Valuation 0.00
Use Tax 151.52
Permit Fee 172.60
** TOTAL ** 324.12
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202100979
202100979
ISSUED: 05/14/2021
6810 W 35th Ave EXPIRES: 05/14/2022
Sewer line repair. 40 ft in the backyard, installing a set of clean outs
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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/14/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Online Form Submittal: Permit Application (For permits wh... .... https://wrmail.ci.wheatridge.co.us/owa/#viewmodel=ReadMessage...
Online Form Submittal: Permit Application (For permits which do
not have a form already)
no-reply@ci.wheatridge.co.us
Tue 3/31/2020 1:15 PM
To:CommDev Permits <Permits@ci.wheatridge.co.us>;
Categories: Dina
Permit Application (For permits which do not have a form already)
This application is exclusively for Scopes of Work that do not already have a
specific form
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 6810 W. 35th Avenue
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form - **DO
NOT ATTACH RANDOM
DOCUMENTS**
Emergency Repair for Wheat Ridge Water District
303-424-2844
Field not completed.
City of Wheat Ridge Credit Card Authorization Form.pdf
CONTRACTOR INFORMATION
Contractor Business Name Diamond Contracting Corp
1 of 3 04/06/2020,10:08 AM
Online Form Submittal: Permit Application (For permits wh... - ... https://wrmail.ci.wheatridge.co.us/owa/#viewmodel=ReadMessage...
Contractor's License
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
Detailed Scope of Work -
Provide a detailed
description of work including
mechanical, electrical,
plumbing work occurring,
adding/removing walls, etc.
20468
303-456-7666
dccpipe@yahoo.com
dccpipe@yahoo.com
Emergency Meter Pit Repair for Wheat Ridge Water District
(No work in road)
Location of work (backyard, Front Yard
on roof, etc)
Project Value (contract value $2,000.00
or cost of ALL materials and
labor)
Upload drawings, if needed Field not completed.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
for work under any permit
issued based on this
application.
I understand that work may Yes
not begin on this property
until a permit has been
issued and posted on the
property.
I certify that I have been Yes
authorized by the legal
2 of 3 04/06/2020, 10:08 AM
Online Form Submittal: Permit Application (For permits wh... - ..
owner of the property to
submit this application and
to perform the work
described above.
I attest that everything stated Yes
in this application is true and
correct and that falsifying
information in this
application is an act of fraud
and may be punishable by
fine, imprisonment, or both.
Person Applying for Permit Lindsay Cavanaugh
https: //wnnail. ci.wheatridge. co.us/owa/#viewmodel=ReadMessage...
Email not displaying correctly? View it in your browser.
of 3 04/06/2020,10:08 AM
A ,r City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202000633
PERMIT NO: 202000633 ISSUED: 03/31/2020
JOB ADDRESS: 6810 W 35th Ave EXPIRES: 03/31/2021
JOB DESCRIPTION: Emergency repair for Wheat Ridge water district, digging up the meter pit,
putting in a new yoke, and putting new copper in the meter pit and hooking
onto the existing service.
*** CONTACTS ***
OWNER (303)238-8081 HULTBERG JANET L
SUB (303)456-7666 JIM CREEVEY 130008 DIAMOND CONTRACTING CORP
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Use Tax 42.00
Permit Fee 77.50
** TOTAL ** 119.50
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
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.
'* ,I,
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202000633
202000633
6810 W 35th Ave
Emergency repair for Wheat Ridge water
putting in a new yoke, and putting ne
onto the existing service.
ISSUED: 03/31/2020
EXPIRES: 03/31/2021
district, digging up the meter pit,
w copper in the meter pit and hooking
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 pertmt. I further attest that I am leggally 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, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of ChiefBuifdingOfficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Sewer Service
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Insaections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Mid -Roof
gh Electric "
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
(p _
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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201707089
PERMIT NO: 201707089 ISSUED: 09/08/2017
JOB ADDRESS: 6810 W 35th AVE EXPIRES: 09/08/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF
DECKING - 32 sq Pitch = 7/12
*** CONTACTS ***
OWNER (303)238-8081 HULTBERG JANET L
SUB (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: 10,724.00
FEES
Total Valuation 0.00
Use Tax 225.20
Permit Fee 220.15
** TOTAL ** 445.35
*** 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.
i CITY OF WHEAT RIDGE
Building Inspection tDivision
�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L) c -1 - i= , �-, )
Job Address: 10 W 7 57 -
Permit
Permit Number: ";�[ 0 17 r -2 r g !�j
❑ No one available for inspection: Time / fl = 3 / ( PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: 1,11c Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
J
Residential Roofing PERMIT - 201707089
PERMIT NO: 201707089 ISSUED: 09/08/2017
JOB ADDRESS: 6810 W 35th AVE EXPIRES: 09/08/2018
JOB DESCRIPTION: Residential Re—roof to install GAF Timberline asphalt shingles with ROOF
DECKING — 32 sq Pitch = 7/12
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
thispermrt. I rther attest that I in legally authorized to include all entities named within this document as parties to the work to be
performed t t all wo o e rformed is disclosed itLihis document and/or its' accompanying approved plans and specifications.
q/ `� d r7
Signatu o OWNER or CONTRACTOR (Circle one) Date
1. TV permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
sect to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building anMnspection 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
ap licable 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.
A City of Wheat Ridge
Residential Roofing PERMIT - 201707089
PERMIT NO: 201707089 ISSUED: 09/08/2017
JOB ADDRESS: 6810 W 35th AVE EXPIRES: 09/08/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with ROOF
DECKING - 32 sq Pitch = 7/12
*** CONTACTS ***
OWNER (303)238-8081 HULTBERG JANET L
SUB (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: 10,724.00
FEES
Total Valuation 0.00 x` •.;
Use Tax 225.20 y
Permit Fee 220.15
** TOTAL ** 445.35
*** 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.
Dane Lovett -2 0 C/__'O 70 �lq
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 7, 2017 9:21 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
C
Flag Status: Completed
-4
1
5-
(7)
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
L
6810 W 35TH WHEAT RIDGE
Janet Hultberg
303-238-8081
Property Owner Email docs@coredoes.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 681 o Contract.gdf
Contract
CONTRACTOR INFORMATION
Contractor Business Core Contractors
Name
Contractor's License 110052
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-295-2220
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 4049 Wt Paul Street
(Primary address of your
business)
Contractor Email Address ktobin@coredoes.com
Retype Contractor Email ktobin@coredoes.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 32
the entire scope of work:
Project Value (contract '8tfl0
value or cost of ALL -�
materials and labor)
Are you re -decking the Yes
roof?
6
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch? 7:12
How many squares are 32
part of the pitched roof?
Describe the roofing GAF Timberline
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof:
Provide any additional house and cabin
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Karen Tobin
Email not displaying correctly? View it in your browser.
CONTRACTORS
ROOVING SYSTEMS
Colorado Owned and
Operated Since 2001
Property Owner: -
Property Address:
City/State:
Home Phone:
CORE CONTRACTORS, INC.
General Contracting Et Insurance Restoration
4049 St. Paul Street, Denver CO 80216
Ph: 303-295-2220 1 Fax: 303-477-5557
"Doing it Right Mutters"
AGREEMENT
Licensed and Insured
Westfield insurance
Company
800.766.9133
Effective Date: _ n C - 1 -7
Zip: E -Mail:
Work / Cell Phone:
TERMS: 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 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
replacements. Roof repairs are excluded.
Additional Roofing scope notes:
Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system,
approximately $ . 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.
Property owner's Initials
PAYMENTS ARE TO BE MADE: '. s (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. All estimates or contract amounts include a 3.5% discount for cash
or check transactions.
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 -an whole or in part.
Property Owner:._�.. ..
Date: Insurance Company:'
Core Representative:- "'`^- Date: ' ��%t {�,
Ctaim #: __ -
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 'h) 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 legat action be necessary because of any act that might arise during the course of this Agreement, CORE shalt 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 shalt 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, ftasfiing or other materials) not covered
by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT
INCLUDED and wilt 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 shalt be
financially responsible for at( 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 shalt be completed by CORE; if the owner terminates
this agreement while physical work is ongoing, they shalt be responsible for all costs related to that tine 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 shad 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 wilt 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. shalt 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 wilt 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.
~r
oFw"EgrRO City of Wheat Ridge Building Division Dater t e`
. m 7500 W. 29th Ave., Wheat Ridge, CO 80033' (~o
Office`. `303-235-2855 ' Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933
otoRno Permit
Building Permit Application
Property Address: 6f'10
Cr/. e4Vf
PropertyOwner(p/ease print):
q,7!4 - l6 Ir4 Phone: -9 aC-I&a
-Mailing Address`. (if different than property address) -
Addressc~
3
City, State, Zip
Contractor r` 1-2
c e
Contractor License #i
-Phone: 3 ` r-166 - Q
Sub Contractors:
Electrical City License
Plumbing City License Mechanical City License
Company:
Company Company:
Exp. Date:
Exp. Date: Exp. Date:
Approval:
Approval: Approval:
Use of space (description)
Construction Value: $ ts-'a
(as calculated per the Building valuatiom&ata sheet)
Description of work:
~y~/
/ 0 / A R G'R 7--A. c,
S 'Plan Review (due at time of submittal): $
?filod-( v0 -71?r a,~- A -
7l /oZ - / S/Z
Sq. Ft./L.Ft added: Squares
BTU's - Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other. applicable Wheat Ridge Ordinances, for work
under this permit. Plans subjecVto field inspection.
CIRLCEONE:i (OWNER) (CONTRRACTOR)~ or PERSONALREPRE~FRZIVE of(OW tCONTRATOR)
PRINT NAME: 14 /2'r 6C?f/cR)p SIGNATURE: a) `o Dateat7°~~- S
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
FIRE DEPARTMENT:: O approved wl comments 0 disapproved ❑ no. review. required
OCCUPANCY:-
C)
N
00
~
~
M
~
tn
O
Z
~G
C
~
w
a
~
Z
W
2
90(j
W y J
W > U
0 Q
W
U
Z
~ 0 0
Z F cr
~ W Q
LL,
U Z =
0 Z O
W ~ F
2 m U
(Y
a
W
0
M
X
O
W m
~ Q
Za
W
Q ~
L N
~ X
~ W
W v
~
o t~
rN
J
Q
H
~
2
Q
a
O
a
3
H
O
a
N W
N W
W p
? LL
N O
m y
O
U
3
F N
~
z
0
U N
~ W
U p
Q
0
W
3NIl A1213dOLid 30I5
~
~
~
Z
Z
}
K
F
-
W
W
a
~
~
2
a
a
K
a
Z
O
W
~
~
LL
C '
~
3NIl AlNa~iOild 3OIS
z
J
Y
~
W
~ U
z
Q N
N ~
yQ
W w
N n
0 2
~
Zz
~zE
Mp O
Q Z
w°w
a Z ?
Z 0 }
{-Jr
W m= W
N Z ~
aa
~
W 0
x
FW
~Z
Q
LL y
W ~
U
Z y
Q
F W
N
~ O
N
x
N
Z
0
a
¢
y
w
0
J
¢
c~
W
Z
~
x l~.$ U 2
Q O _
aq m u
Oto
a
rc
y~
W
~
0 Q
z
0
m
o ~
Z N V
Q
2 ~
~ o r a
f ¢ S u
Z Z U W
J d N Q
~TZ_ l;
YI N
Q O 1'il _ I ~
Z
W ~ W ~i 3
r ¢ y
z a
F- ~
O U Q U ~
~
P
g
N
~
N1
`
3
Stl
c
8
m
N
I~
~Z
~ I
~
a y~,
U } - I
Z Z Z
N r- I
N
W W }
Q O }
Z Z f
K
W
O
z z o
~ w a
> 0 N
a ~ ~
2
~ O N
Z
N ~ Q
LL d H
~ O W
F-
? W N
~ Q W
J ~ y
~ W J
W Q] Q
~ N W
LL a
O ZW N
fWn W Z
S Z Q
W
W K =
V W W
? S Q
~
O
~
O
~
~
~
i
N
J
J
3
Q
¢
Qi
O "1
~
f ~
x
w
N
Y
K
a
E
¢
r
z
D
N
W
¢
0
N
it. :--1 /n f i
A 1, ~-f- PRi =J r
U~ _
W
U
0
V
~
Z
O
~
O
Q
p
0
2
~
y
O
~
2
`4:
Z
f/1
~
Z
~
W
Z
O
~
a
U
Y
a
~
O
Z
p
W
Y
I
N
y
x\ d
~
J
J
~
,
~
~
w (je
~
=
J
U
~
~W
Z
o
Z
~
U
W
'
1
X
lL
~
U
~
a
p
r
2
o
J
~
W
Z
0
2
¢ p 4
G
M
?
.
~
W
a
=
W
p
d
a~- y
~
W
~
m
p
Z
Z
y
j
W
a
~
°
o
W
w
w
o
a w~
o
w
0
w
>
Z
V
~ 4
d
J
=
~
W
z
(
0 rc
a
N
w
m
Q
w
c~
`p
p o_
p
o
Q
a
i0r$
~
a
\
a
a
a
~"rca
a
z
4
w
o ca~O-
Ih
\
\
~
1
a
°z
a
~ a
°a
U
o
}m o
coy~
C
z
~
N
~
Q
O
Y
~
~
~
~
Y
I
O
~
I
U
m'-
~
Z
~w
O
th
Y
~
2
w
-
m N
o o
E
Q
z
Z
O
~
p
.
w
"
°3
w
9
~
w
a
~
~
~
a
~
S
N
Z
`
U
~
m w~ ~ N
p
=
J
J
~
~
~
Z
~
z
~ Z
W
W
0 0 ~
\
0
~
I
N
v a
p
~ m`
a y
~ ~E
Z
LLI
~
Z
w
W
N
yJ
L
Y
a
ILL
J
O
F-
a
°`c o c°o
a
yNj
o
~
~
V
o
p
z
V
c9
Z
a
~
z
Z
a
1
=
a
o
0
m
o~ `o
°
'
K
a
a
w
o
¢
o
0
Q
1
J.
z
o
c
o u-
a
N
E
J
m
p
Q
6
.
i
i
O
~
2
o
w
w
a
~ o
~
N
~
w
Z
m
0
F
-
F
U
m
J
W
o
W
>
d
c
0-
W
w
~
_
0
~
O
~
W
nn O
Z
~
Z
K
>
Z
Z N W
f
I
d
N
0
~
a
U
L
✓
Z
m
l
~
a
m
. J
O
LL
o t
°
°
W
Z
J
a
Z
n
Q
0
-
W
W
w
w
c3
7
~
a
a
a
a ~
a
Z
~
F-
F
,
,
3wa d
m
N
I-
m
J
a
O
z
J
a
W
a
O
o
Q
o
Y
m
Q
o
~
~
o 0 0E~
t
~ E
o
c~
F
,
N
U c
Y
~
Z
m
o O
°-t
0
w
V'
c «
F
U
~
m
¢
m
O a~ ~
Z
LL
0
O N~ 9 L
o
I
O
O
O
w
~
U
o v o ~
LL
~
w
Z
m
~
O
o
Z
oo
z
°
.
a
a
w
cJi
m
a
O
m: o o c
p
a
I
tA
J
J
J
O
N
u
o ~t-~.
w
y
F
in
a
LL
~
F
?
\
a o N n~
z
J
U
p
~
W
Z
O
Z
7
V
V.
Q
F
a
Z
3
4
a a
a
~
?
~
O
O
O
W
~
a
a~
W
d
Z
m
U
t ~ m
S
S
U
L
I
y
0
z
L
J
w
z
o
Q w~
~
j
°
~
w
~ V
C
o
l
o
o
W
U
a
m
-
n
Z
K
~
~
p
J
~
O
W
ln
W
w
N W
m
a a
N
m ~
w
U
$ o o
a
O
LL
J
Z
~
Z
~
¢
a
N o ~ V
U
Z Z
LL
N
a
U r
LL
V
d o~ ~ c
W
W W
0
Z
O W
2 U' K 2
W
F-
Z
J
6.
f/)
2
M
J f W
, a
N
Q
O
Z
W
=
W
W
m c, o
L - 'v V
n
c-
z
3
uwi
o
°u K= Z
F
fn
J
a
o
z
J
a
w
0
o
U
a
o
r
m
Q
o
~
o u o m
~
Q
m
N
a
O O
~
m
¢l
(
9
(
9
J
O 3LL ~
~ N 00 G
w a
o a
O N m ~
f
W = Q'i a F-
a a w w 3
N ~ 2 2 Z >
SU~ W
F- W USIU U
LL ~ 0 O 6
0 Q J
.0.
;y~ pa ~a
W Z m O^ m N
F i o a w ~ i
ow oz aa
J~O° ao
W J W p p Z FC
m N W W Q U
j V H y U
H J ~ J W Q 2
G Q LL K0 Z J '
Z ¢y iv~
a 2 0 H Q 6 U
oo'o ~FarcLL
~ax Qiz3~d
6 O 41 F p Q p Q
Q 0~ LL$ O 3 Z
K ~ 2 J 0 LL
'o a~ a a e S~ ac
) O'T. I R Q J J
z~ o w o a o~
~ V 2 0 O 0~~
w o m ~ Q N a
O p Z 2 J 2
F~ p W 6 Z W J W
U LL H H I O H
N Q F 6 N N F 1+ n
Vl W O x } LL V y
z iz LL z ~ r w
N; N 6 J 6 I>
w
e'i LLm3w
>0 e'NN 5Q p ~
6 O~ Q O 2 K J O U
V O ~ y O Q J N
~ o~ rv a a Y 3 w
x a-mu _ a yi-
f J Y LL Y I~ ~ S 2-j
3 ~ ~ ~ a U Z ~ ~ ~
V~ WO~ N hZ ~ Z
O
a
p y F 6 W Q U W 0 V
~ i ¢ a m o
u r LL o w¢ i- w
Q j W LL Z p Z l
2] Q p Q £ y~
o~Sz -az~f-•
y ~ w c~N'+2oz0m".
~ i ~ ? z z zo
H z ~ a a~ a ~
Q O Z Q w W¢¢ y Q U
; N=¢O F F O Qn
~ S f ~ 6 2 ~
a,~o n OO U
m x ~ a
d O d W N Q W O R N
N~?G~? r6n 1=-~ vai; z?
Zxzi~ w'~oox
0 f< F N LL 0 N Z U O
2
O
O
F
W
2
z
W3
~W
aH
O ,
aW
Wa
>
wy
Qx
~a
3
C9
xV
M
za
z~
aa
a
wa
O 0
4a
FE
zy
wW
x m
E a
aW
~a
a
W
a
v
~
~
z°
4J
~
~
N
a
rn
C
.H
b
r-4
+i
~
Ra
\
a)
N
m
U
~
-P
N
ca
a
0
.,I
4J
(a
U
O
a
m E
w
~
~
p
d
ro
d
'H ro
o
`o
'O
4.4
o
°
,
o
aNi m
m m a
°
~
W
a
~
~
a
N
~
u
i
0
tn
~
C
t~i c0
0
ro
w~m
o
~
ro
Y
~tl
'
m
N
:
a .c
~
o
to -H
a
a
i~ n
a
ro ro
o
a
z
°
o
ro
c
~
7
3
~
f0
0
A
~
c
tl
~
N d ~
-P
4
+
i c
w~
~
C
0
~
m
N
J4-3
+3
+
c~d~E
p
L1
O
~
N N
p
Ni
a
Q
L
O
~
~
~
~
f-i N
~
:j
r.
~
y
N~
O
tr
+
~
4
i
C 7 ~
R'
3
'
r-I o >r
m m
w
H
ro
rn
a
N
E
~
`
a a)
a•tl
a~
°
w
a~
o,~
a~
c
~
s~
o
'
u~
tA
j~
N
o
+
~
c~
m
~a w 3
A
~
o
A N
(D
H
(a
a
a
7
~
ro
~
u5 3 C
'C7
b'
fa)a
E
,
W
~
C
.C
,H oa
N S
a
mm
N
rom
~
°
~
~
N
A
a
tl
44 a
44
(1)
~
,
.o
+
m
~
'o
mo
z°
F
t
v m
~
m
m
o
ai a
.F,
~
(1)
m a
c
ro
z
l
~ , ~
H ~
n ~ ~
U ~ w N
z
~
N
r
~
N
~
3
'N
O
O
t
o
.P
£
~
0
N
N-P
C U
N
E.,
O
~ N O
z
ArO w N
M
N
+
+
¢7
01
O i4
E~
>
a
_T
A~ O
~
>4
(1)
~
+
H 7
a
~
7
C U
N C
L
~
N
'O
M
N
~ 4
-i
N
W
~
[
0
~
m a)
m m
Q
m
ro a~'i
z
m z
n
v
o
.
ro
1)
m
ro
m
''i
k
a
~S
m
~
.
E
a)
~
,o
w
ctl
Fi 'O m
>
~
~
+i O
O d>
O
D+ ~
0
ro
y
3
d
o
m
z7 O
m >
m
,
~
0
~
~
m
,C
U
3
~
N
H N
p,
c
O
C
N
N O
O q,
l
~
c~
E
ro
C
z
p
3
m
a
~o
~
o a
c o° °
'
s
+ a)
~
c o
o
+
t0
o
a) ro
%
N
O'i 0
m
~
O
N
6
J
~
~
0
0
tn
t
N
w
+
m
~
m
N
c
0
N N
N
U
U
t
0
.
N •
a
4l
~
V
U m
m
CC>
O N
m m p
d
i
~
t
i
f~
N 0
f
H
N ttl O
~
C'O N'O
N
C
N
C
O
Pi W
~ ~
O
N
'
m a) m
rn
M
o
~
~
o
v
m x
a) >
c
~
w
ro °
o
~
>+m
°
N
C
~
dmm
i
~
a
m
u~
N
m
Frnu
w
i
a
m
U
~ b~ b1
U
'~a
C
m
D b~
C
O
N
0
2
c
N
a
E
,C ~o
m
m ro m
C
m x
O m m
m w
m
w
~C
3
M
c
0
o
w
~
Q
~
ttl
H
C0
m 0
NP.x m N
E
m 'O
m
O
m>+
.
3
m
.
.
-i
J
bi
+i +i -~i
L1
0, .-i N
LL .
U N
N
ctl
N+
~
(0 t0
ttl ttl ~0
E+~ ttl 3
O N
m
C
O
N
k~
%
N N N
N
N
z
~
m
'O C
N H 1.~
~ O
N N 3 E O
.-i m
.
C U
H
„
14
H
> o
~
a
Aaca
r
~
~
N U
0
m A
~C 7
~
~
a
c
0
•
~
i
a
rn
w~oo
.
>
a
o
e
d ~%o
w
~
o N N
aaRCa
a)
p
m w
aN
+i ,H u)
vlrnw
m w
aH
m
m
w
'
~
ii c
-
w
~ o
a C~
a
~
w
~
A
A
ro
r-i
z
H
-V
N
rom
ro
rn
o
rn
v~, x a ~i
~ Q Q
0
a
cCU A
ro
a, ~ E
N U
m
u
u
n
n_
n
I
~
n
1
Q
Q
Q
a
. . .
.
.
'
•
•
.
.
a o u G
.-1 N M
co
rn
°
~
N
M
.
~
1
.
-4
.
-4
~-i
,
-11
rn
00
~
~
O
D
d
H
PEXMRNUMBER
B93#4820
T
9
s
O
O
~
w
m
o
i
r
D
~
m
1
Z
a
Y
m
m
M
n
a
~
m
O
~
a
v
°s
K
mm3~'
0
~
O
m
n o
- -
m
m o
m
m
w
,
F
m mC
4
i
o
Z
C
w
N
0
.\1
~
9
7
f
n
~
^ ~
'
0
O~
x
rt
=^m
'
p,m
m
o
G
~m
mw
m
y
o=
to
a~i
~ -
•
~
~
~m~
m
~
a m
rL
W
F+
H
0
' a
C Nm~
F.d
- J
a
rt
~
09
m~ 3 1D
F
~1
/
~
o
~
~
m
o ~
~
<
0
°
3
a
m
m
y
~ m
rr
d ,
p~
~o mn
o
a
c
m w
o
rn
~
~
m~
~ O
3
a
? m
cn
`
C
,
w
wm~m
a ~i
M
lJ
S
~ o
~
m
~
m
o
o
~
.
°.»5»
nm2
O
a
s w
(D
N
mmo n
an~
o
~
»c
m<`i
°
aa
W
~ma
a;to
m
n
oc 9
-
O
m f
~
~
a
o
~
mm~
0
~ ~
~
~e
oa
o
o
CD
m
n
^
ro
m
y
am
n
~
N
~
f
ii
a
m
`
9
o
~
a
ao
m
ma
M
V
o
o
o
p
o
°
°
3~ n
~
o
M
o
z
.
o
o
^
n
y O
a
~
.
?
~
0
9~
4
F
x
m£m
G
<
0=0
H
~
m
N
N
.
~
A
N
M
~
r•
oc
m
0
~
i~
tl
~
~
v
sW
h,+.1Fitz .n . ~ .,.,.t
DATE: /
TO: PUBLIC WORKS DEPARTMENT
FROM: Building Department
RE: ~ O
The property at ~slG w'o S""-~ has been
signed oE£ by the Building Department and is ready for a CO
inspection.
Once the inspection has been completed, please inform the
building department as to the status.
Thank you.
pY- fio 050e (.0
i-~I-3- 9q
DATE: ~a- 3r -y 3
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
8 / 6 (~21. -5 S ti-
PURPOSE OF STRUCTURE ~c~~ ~
Building Dept. Approval• ~~/T--✓r -
Remarks:
Zoning Approval•~
Remarks:~ '
s
INSPECTION TICKET
J08
ADDRESS rb~( a W` 3
DATE 1 (3 - a a- gLDG. PERMIT#
PERMITfl
BLDG. CONTR.
SUBCONTRACTOR
OATEINSP.flEQ. Cl-c)')-
TYPE OF INSR o) • ~J
INSPECTION MADE I 6 2~GC'~i I
REMARKS ~
- ~a
INSPECTION tICKET
JOB c
ADDRESS ~O O I D (~J '
DATE: BLDG. PERMIT# 7"SaU
PERMITB
BLDG. CONTR.
SUBCONTRACTOR i
DATE INSP. REQ. I~ a~ I
TYPE OF INSP. ' Uff '
INSPECTION MADE I2'Z~ Q3 '
REMARKS
W.R. FORM 619
0
~
~
4 9 3--?y `FN?- °
_ b
INSPECTION TICKET
Joe ~~S 1 C~ 3 g`~i~.
ADDRESS
DATE: g~O2 S BLDG. PERMIT# 19.-7;~b
PERMITq
BLDG. CONTR.
SUBCONTRACTOR '
DATE INSP. REQ. 0-,;)
TYPE OF INSP,
INSPEC"fION MADE
FEMARKS
. _ ( y
INSPECTION TICKET
JOB DDRESS (t ' -
DATE: ~-0~6 BLDG. ~RMIT#
PERMIT#
BLDG. CONTR.4~"
SUBCONTRACTOR
1-4 6-P-n+
DATE INSP. REQ. ~-7
TYPE OF II
INSPECTIO
REMARKS
W.R. FORM 6r19
/
0
z
INSPECTION TICKET
JOB
ADDRESS
~ OATE: BLDG. PERMIT# T cY~
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. J,~,
INSPECTION MADE
REMARKS_~
~
INSPECTION TICKET
JOB /
ADDRESS 61,1 (E) -
DATE: 26 I a BLDG. PERMIT# ~ROLU
PERMIT#
BLDG. CONTR.----~~
U--
.SUBCONTRACTOR
y~ ~ ~DATEINSP.REQ, jd-~ U
TYPE OF I
INSPECTIa
REMARKS
W.R. FORM 619
~
y
W
Z
~N ~ O
H
V
ZZ W
a
ZD Q N
WJ Z
Qm ~
~ W 10L
mH W
00 M 5
Z
JW c~
W
Jy ~
o W
a v
N ~
Z 0
O Z
CO)
WQ ~
/C.)
CO) 0T
Z Mi
i ~
N
0
0
a
ix
0
J
O
CO)
a%
W
CMI)
~ W
~ Z
~ W
:am
W =
N
i ~
~ ~
W
O
Ln
r%%
V
1
C3
cc
O
~
w
cc
z
0
0
~
V
W
a
Cl)
z
-
U
Z
a
~
U
0
w
a
~
M
~
~
rn
~
m
0
W
~
H
h
Q
0
~
~
~
0
N
¢
~
M ~k
M ♦
c
o ~
.--i
00 Z u
~ ~ .
~ f
s c
o z
¢ o f
m =
~
3
~
u¢J
~
0
~
~
~
0
a
Cd W
~ J
>
E h z
, w
a
r U ~
h ~
i ~
~ o
~
O y
¢ Y
_ z
~
J ~ h
cc
m
O
O
W
y
N
A
0
c!)
?
z
H
¢
w
a
ri)
W
U
W
a
a
a.
o
~
~
~
a
z
~
~
~
Q
~
CC
0
Z
U
0
LLJ
~
ri)
?
a
CD
Z
c
c
~
'
O
O
•
~
C
~
U
N
C
~
'
2
ii
m:
0
W
z
c!)
U)
Z
w
w
m
¢
2
W
>
0
m
¢
~
Z
W
W
~
U
Z
O
0
Z
cc
M
0
a
~
v
v
C
~
o
y
N
y
N
C
0
~
C
Y
~
C
O
C
x
x
>
n,
c
c
E
o
N
c
C
O
'a
C
R
c
Y
~
a~
7
cC
`
~
LL
N
Y
LL
C
~
°O
~
0
m
y
0
w
cc
-
E
~
N
3
0
~
0°i
LL
y
~
~
~
~
O
Q
U
o
U.
C
0
~
2
W
W
d
S
J
2
LL
~
LL
0
H
V
LL W
~
W W
~ = W
Z N ~
. i ~ co
W
~ Z °C
a
c~c a "
aV =
~
00 ~
Z W
H
Z a
4
V
Q
N';
,
'
-lp V
S-4 0
S/
-Yi noJ• 7A 3-I t
-
~ .a
('fl y51X=- ~
.
~
.
. . .
. _
.
_ . ._._.r~_.
. _ .
.
Nlaj is~x~
.
,
i
- _ • 'O„Yl-
iroa .
~
. .
-
r •
_
Op
-~~tt
sh~t-Y
; I
~rm ~~~-t--
-
j1~lg~
V3?ld ~
~
~
- -
_
_
_ ~ -
7dP~1r-
-
,
a
.s~tn
-
-
1 ta
3
15~0~ y51
-
y-
Bl~1sht~;
--_._-------.2~ho _
9 v
4Qov-
-
5
~i -
rn m?N ~
,$z i 9 08 - as ~
ny
~ ( , h7'~~1 l~ 3ryHS' v „
o~\ ^I
~ r ,o$ i
, woo~ yr~1s~x
i-
_
~
I _ I.. v._. _ _ . . .
~ _ . . . _ . . .
i. O
_ . . . . . . _ . . . .
. . _.._.l4k`~..
. ~
~
~Sr
r
~
e
b
' ^ • °
'~d
Q6tl ^ ~ do QaY9U
ptlS
. I
7-77i-
~ 1 . . ~ C.\~
I
~
li
i
;1 Q,clQa3ani9~v~ 3`~ N1~j ~3^a ~ i
~
~
~
j .ND!<. . _ _
~
3sNfl, +l. ~
ri o I ='~~'S e7
NLC - 03Ir
~ / ( 9i )7'~~ ~
s ,q /7 El t/d
~.sl ZG-3F'C' ~'1 rJ -C'7~7l HgP>O~f
~
~
~
~
i ~
-1:l/P
~7
~
\l?•l
i
lco h Nai~.tf P313 r~ n ms
\,vQONJ qtvr„Snc-4
`,J701t5 a-,7xa;7
9S(19}y /
i
. J
)
;
~
i
~ . , _ J .
wooy gN~1S~X~
1
9 M/y si ~t
~