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Home My WebLink About8906 W. 32nd PlaceINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMITS ADDRESS: ;F'�b& JOB CODE:.RJSC Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground ` „(2,)—q - Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof ` „(2,)—q - 307 Metal / Lath / Stucco So n I t` -e 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ,�W�L b �, /3/ ADDRESS JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous by Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final RoofWP by 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. Property Address Permit Number Permit Issued Date The City of Wheat Ridge Third Party Form W 8115/ a -0I r7 Owner Information Property Owner Information STI � UA10i11ALaLA1 Property Owner Address J Inspector Information Inspection Company Construction Support Services, inc Inspector Name Richard Boon !n=ar,tvr C.a�lritt�nct i^fc 303-221-1559 Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been insl and found to be in compliance with the minimum requirements of the 2012 IRC and IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and specif tions. Inspector: Richard' n, P. E. Date: I —'l *1 hearby acknowledge that I am the owner of the building referenced above and I g my consent for the listed third -party inspection company to perform my roof inspecti in iieu of the City of Wheat Ridge Idi visio inspection. Propery Owner/ Agent:.�i _ Date: t( OM This original document as well as the roofing check list, must be submitted to the Ct Building Offical within seven days of the final inspection. Drop off in person Submit via Email Permit counter 2nd floor Kcook a2ci.wheatridge.co.us 7500 W. 29th Ave Wheat Ridge CO 80033 Drafted Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Property Address " Permit Number Permit Issued Date Roof Inspection Pass FAIL Date of Inspection: 8-2-17 � _ EStructural roof components x Verify that no more than 2 layers of shingles exist x Flashing for roof and walls If new sheathing is installed verify that it is listed in the ;permit description (Valuation must be adjusted) Verify sheathing nail pattern ( See polis & Proceedures x 'Crickets and saddles where needed X, Verify B vent must have boot same gauge as pipe„ x ?Verify vent caps x Verify no flashings are damaged or rusted x Step flashing shall be min. of 8x8 piece per shingle Verify scuppers allow for proper drainage x Ice and water shield 2' in heated wall spaces x iUnderlayments must follow 2012 IRC / 2012 iBC x Verify roof slope for proper drainage x Dripedge shall have min of 2" overlap .W— x Dripedge should extend down min 2" past roof deck x Dripedge shall be mechanicaly fastened 12" OC q 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: yException, detached garages, - ri patios, carports, open on three sides with min. slope of 1*12 . w' Modified Bitumen, EPDM, TPO min slope 1/4:12 slope Above roof insulation R-25 NOTES ,�- �.. VeVv7 w Companj Construction Support Inspector signature: 1 ` f i FEB 2 1 2018 I rr 1 The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection N/A ❑ Pass ❑ Fail ] N/A ❑ Pass ❑ Fail Structural roof components ❑ N/A R Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A 5� Pass ❑ Fail Flashing for roof and walls El Pass El Fail If new sheathing is installed verify that it is listed in the x permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) ❑ N/A ® Pass ❑ Fail Crickets and saddles where needed ❑ N/A ® Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A 1XI Pass ❑ Fail Verify vent caps ❑ N/A [XI Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A �] Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A �] Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A FC] Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A KI Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A �] Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A R] Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A 0 Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 ® N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope ] N/A ❑ Pass ❑ Fail Above roof insulation R-25 ] N/A ❑ Pass ❑ Fail Below roof residential R-38 ] N/A ❑ Pass ❑ Fail Below roof commercial R-32 �(] N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications - Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements ❑ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment Company Name: The City of Wheat Ridge Inspection Check List notes Final Roof Notes Construction Support Services, inc Inspector signature: Signed Digitally 10-28-17 Date of Inspection: September 5, 2017 City of Wheat Ridge Residential Mechanic PERMIT - 201707950 PERMIT NO: 201707950 ISSUED: 10/03/2017 JOB ADDRESS: 8906 W 32nd PL EXPIRES: 10/03/2018 JOB DESCRIPTION: Residential Mechanical replacing one furnace and installing second furnace 80percent and 90percent efficient. 40,000BTUs/100,000BTU's Install ductless minisplit A/C system Overall Electric will be doing all of the electrical hookups *** CONTACTS *** OWNER (303)681-1700 BOUAPHASEUTH JOHN SUB (303)733-2813 Todd Terry 022239 Todd Terry Ltd DBA Apple Aire SUB (303)979-1641 John J. McGrath 019585 McGraths-Overall Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 315.00 ** TOTAL ** 415.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure.Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. �. A e City of Wheat Ridge Residential Mechanic PERMIT - 201707950 PERMIT NO: 201707950 ISSUED: 10/03/2017 JOB ADDRESS: 8906 W 32nd PL EXPIRES: 10/03/2018 JOB DESCRIPTION: Residential Mechanical replacing one furnace and installing second furnace 80percent and 90percent efficient. 40,000BTUs/100,000BTU&439;s Install ductless minisplit A/C system Overall Electric will be doing all of the electrical hookups 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 ermIt. I further attest that I am le all authorized to include all entities named within this document as parties to the work to be performed and s t all work to be�,performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRALTO ( ircle one) Date t 1. This permit was issued based on the inform tion 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 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 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 applica�e�Ie or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat iclge COMMUNITY DEVELOPMENT Building S Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date:/ o < —7 Planmennit #A) Plan Review Fee: 4 - oc) Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: � U Property Owner (please prino CW �j C<,- -4k-h Phone: Property Owner Email: Mailing Address: (if different than property address) Address: Sr✓UNA)Z' City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: 1OACA L r 2: City /�:`r Z�g S0 3 , � � � - zs 13 Contractors Ci License #: Phone: Contractor E-mail Address: (% l CU -)6q `Vj C {c, vr,-- Sub Contractors: Electrical: Ov'?KA ZuL"M C Plumbing: Mechanical: W.R. City License # 0 i q !�� W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL odRESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Gars c etc.) `-:IgeMECHANICAL SYSTEM/APPLIANCE REPAIR ortgEL6gEMEND ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) �el, Oo .41 �� c l0 U�) 1. 1(� C),) i �t 1 e c- 1r�Gc� v VS Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $—v—c5 0-6- 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (XUTHORIZED REPRESENTAT M of (OWNER) (C�RACTO Electronic Signature (first and last name): J %" y DATE: I of ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 14YUt4?' w _ � City of .A .t j g COMMUN TY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FOR Project Address: W. 3241CI P+. Permit #: General Cm=zu)r—A A Electrical Contmctor Company Namc:OVOZ AU-eLi5(,Te-iC Phone #; 3/g -1g- ila��l Authorized Agent luxe Plumbing Contractor Company Itiame: _ _ Phone #: Suat License #: aster #: N4"heat Ridge Lioem4e #: r .� Company Name: Phone: Wheat Ridge License 0.--- — Signatu€ec of Atxth-or� Agent €ctr *?his appOcadon must be signed by each riub-•eantmctur confining tht %ame. A _ City of Wheat Ridge Vy Residential Roofing PERMIT - 201706131 PERMIT NO: 201706131 ISSUED: 08/15/2017 JOB ADDRESS: 8906 W 32nd PL EXPIRES: 08/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 34 sq *** CONTACTS *** OWNER (303)681-1700 BOUAPHASEUTH JOHN SUB (303)781-8185 Corey Largen 017636 A to Z Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00 FEES Total Valuation 0.00 Use Tax 336.00 _ Permit Fee 299.40 ** TOTAL ** 635.40 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201706131 201706131 8906 W 32nd PL ISSUED: 08/15/2017 EXPIRES: 08/15/2018 Residential Re -roof to install Owens Corning asphalt shingles - 34 sq 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 le 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 an�d/or it/s'%accom/panying approved plans and specifications. sL�a.----- �-1 tr/�' 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, 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 Budding Official and maybe 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 changeof the natural flow of water without prior and specific approval. 5. The permit border 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 ranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c my ordinance or regulation f 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. Dan Schultz 201706 13I From: no-reply@ci.wheatridge.co.us Sent: Friday, August 11, 2017 4:28 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 1 Follow Up Flag: Follow up \ Flag Status: Completed Categories: Dane 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 �c 8906 W 32nd PI John bouaphaseuth 37 Property Owner Phone 303-681-1700 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. 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.pdf Contract CONTRACTOR INFORMATION Contractor Business A to Z Roofing Name b L Contractor's License 017636 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) 303-781-8185 4251 S Natches Ct, Unit K, Englewood, CO 80110 Contractor Email Address info@denverroofers.com Retype Contractor Email info@denverroofers.com Address DESCRIPTION OF WORK TOTAL SQUARES of 34 / the entire scope of work: Project Value (contract 16000 value or cost of ALL materials and labor) 38 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 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 34 Owens Corning Class 4 Asphalt 2 story, 6-8/12, ice water, new metal at roof edge and around penetrations 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 39 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 D. Corey Largen Email not displaying correctly? View it in your browser. 40 / C_ io (.V Lo nn Uo ROOftAp Asx OCUTIuA 4251 S. Natches Ct. Unit K, Englewood, CO 80110 Phone: 303-781-8185 Fax: 303-781-4875 www.denverroofers.com info@denverroofers.com ■EXISTING TYPE OF ROOF: Lei; m1 i As; ■INSTALL OR REPLACE WITH: d S , ■COLOR OF SHINGLE:nt -MANUFACTURER'S LIMITED WARRANTY: •EXISTING NUMBER OF LAYERS: ' TEAR OFF: Y N ■ROOF PITCH: tj 2- ,GUTTERS CLEANED OF ROOFING DEBRIS a SECTIONS LESS THAN 4 2: ■A TO Z ROOFING TO FURNISf 1 ALL MATERIAL AND LABOR ■INSTALL DECKING: 7116" OSB PLYWOOD rho ■INSTALL FELT: 15# l311 ■INSTALL ICE & WATER SHIELD: S NO SQ FT %�,(` -METALEDGE: 2 2 120 :S COLOR: I) L• e •VALLEY TYPE: OPEN OSE "REPLACE PLUMBING JACKS: NO *VENTS (#): &RIDGEVENT (LF): ■ YEAR GUARANTEE ON LABOR ■GALVANIZED NAILS, 6 PER SHINGLE ,GUTTERS CLEANED OF ROOFING DEBRIS ■A TO Z ROOFING TO FURNISf 1 ALL MATERIAL AND LABOR ■CLEAN UP AND HAUL OFF ALL TRASH FROM ROOF ■PROTECT LANDSCAPE WHERE NEEDED ■ROLL YARD WITH MAGNETIC ROLLER -PERMIT FURNISHED BY A TO Z ROOFING ■INSURANCE PAPERS PROVIDED: ES NO Under the terms ofthis contmo the worknhanship warranty is not effect itis until payincnt is made in full. Any Material Warranty is mon-transferable unless otherwise stated by the manufacturer. UBC building code requires that fasteners (nails or staples) MUST penetrate decking Y." or thickness of sheeting, A to 7_ Roofing is not raponsiblc for exposed caves that nails penetrate. SPECIAL ,r f PREFERRED • CONTRACTOR A to Z Roofing is not responsible for driveways or sidewalks that are damaged from vehicles used in normal nwfing procedure An access fee can he paid by customer to insure hcmvv vehicles will not drive an concrete. A to Z. Roofing is not responsible for mold or mildew. Replacement of dcterionted or space decking, las:ia boards, ventilators, flashing or other materials, unless otherwise stated in this contract, are rod included and will be charged as an es-tm on a time and material basis. We Propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST: S_ �-3 _L11 per insurance proceeds plus any supplements that may apply to your claim. Upon approval ofyour claim, A TO Z ROOFIN, will! file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the iautranee scope provided to you b -your insurance company. Those items will be paid per your policy pro inions and will become part of this contract as if contained herein. ATO Z ROOFING will negotiate a fair and equitable settlement agreeable by both your insurance company and A TO Z ROOFING based on competitive market rates for labor S materials with no additional cost to von, except for your deductible and any upgrades or additional work authorized by you that are not part ol'your approved insurance claim. Should your insurance company deny a full roof replacement, you will nm be obligated to this contract and may enter into an acceptable repair agreement with A TO Z ROOFING. AMPTANCE Of -PROPOSAL - This proposal becomes a legal binding contract 72 hours from date of acceptance. 1 Yfl6 per month interest will be added on to all accounts 30 days past due. In addition. !ruts and reasonable anoma:y's fee for collections may be charged on any account past due owl 30 days. Ita;nhent will be nude as outlined above. Failure to pay can constitute a mechanics lien filed against prapeny. Cancellationofthe contract may be achieved by paying a cancellation fee in the amount of 5% of the contract price. All returned checks arc subject to a returned check charge fee. Customer is responsible for payment as outlined in this contract and payment to A to Z Roof ng. is art contingent upon government inspection and / or payment from his or her insurance company. A TO Z ROOFING is owned and operated by 2 HAIL INC., a registered Colorado Corporation. All proposals are subject to approval by Management. Customer afire s that he ors s read, understood and agreed to all terms and-c6ndi)idns sty fort n the back ofthis contract Customer Aphrnva I( Note: ThisAop�tsal may be t A to !Rep tative Ae r` I I Date not accepted vvithi ays .e ?14 0/7 Date J A I- Z Rtl6ting Management Approval -- Date FOR OFFICE USE ONLY s Date: a City o (j" Wh6atB - j�dgc Buildings $Inspection Services Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan ReviewFee: Office: 303-235-2355 * Fac: 303-237-8929 Inspection Line:: 303-234-5933 mail:errnits jALd.wheatridge.co.us Building Permit Application Please, gelates tt hitthfittlitad areas a" n both Aides rpt this feirm IncamnlatA annileaflang rnavnot he nrocassed., Pro pts Address., Mailing Address: (if different than property address Address. City, State, i Arc-h®t tl Froin r actlEg E-mail: Baa. Phone. AW a Sub Contractors.* Electrical: Plumbing: Mechanical: W.F . City License # WR City License # W.R. City License ## Other City Licensed Sub: Other City Licensed Sub: City License # City Licensea Complete all information erre BOTH sides of this for �. .. MAIMM • � ,� i A► ! • i r M � • AF r a ,. . �. r r r� �. � r r rr r r � r» rer rr.�r' a � �� ;,a � : •;; amount d m #G FGP '.to oe , sg ie!. x � A t k 44, 47 a IAJ Aa,CW Af t °+Vie Sq. FULF Amps Squares _ Other COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: 16619 BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Date 1/8/2004 Property Owner: DANNY SHEYA Property Address : 8906 W 32ND PL Contractor License No. : Company : Phone : 275-0824 Phone : 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Construction Value Permit Fee Plan Review Fee : $0.00 Use Tax : Total: $0.00 Use Description : 14'X 8' STORAGE SHED (NO FEE PERMI ? r/,sP ~ I l ~ please Note: le for locating property BUILDING DEPARTMENT US to dConstructingimp I rovcme n ,or tndardsy Zon[ g Comment' approveeMn and require deveop. is noY responstble~~'l~~eu ate irfort ~ set '1 d aril Approval : MR 12/31/03 TheCity submitted within the Zoning : R-1A errors resulting from ina'e''""t` Approval: DM Public WorksMCgmrt Approval Occupancy: Electrical License No Company: Expiration Date Approval : OK PER REDLINES. TO BE ANCHORED AT 4-CORNERS PER ATTACHED. 1/5/04 Walls : Roof Plumbing License No Company Expiration Date Approval : Mechanical License No: Company : Expiration Date Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes 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 natural flow of water causing a drainage problem. (5) C ractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before MViTrh( edii wi uccessive phases of the job. ( su c o apermit or the approval of drawings and specifications shall not be construed to be a permit far, nor an approval of, any violation of the i s t e tllBlditl°gT.odesor any other ordinance, law, rule or regulation n Chief Building Inspector Stories : Residential Units : Please sign Terms and Conditions on reverse side of page. Dec 30 03 01:01p Sue p.l P: 2~3 Story to Shed tacement pe rmi (for stursgc sled rhat av exceed 320.q ft to flnor area) tleRmMeat of Ptaaaing am gemopmat '0 RR WPDP,~, CttUef ON8tdge No FEE PERMIT 7590WestY9°Iltrenue " , WN09 Ridge, e0 80215.303-235-2855 Contractor: Property Owner. 01 I-1 hf y . k e^jA Property Address: YJ494' GtJ 3?nd flf✓e'-e- wke,474 tdle C.• Phone: 3a3 2?g'-..0,-Or; ( vle,5 ck3K' dGW P!10 Ce-U Phone: owNERrC.OMTRACTOR SIGNATUR OF UNDERSTANpG AND AGREEMENT Front: -Side: Rear, Appr9y?z auildmgCrxrillff~,; Approvah ff7 (Z3 b3 (4) hereay certify tnat the setback dlstances proposed for this permit application era acotrrate, antl do not violate applicable ordliktnces, rotes or regufatruns of the City of Wheat Ridge ur covenants, easements or restrictions of record; that all jneasuremenis shown, and allegations made are accurate; that f have read and agree to abide by art:onditions printed on this application, and that i assume full resppgsibility for complen wilh the Wheat Ridge Building Code (U.B.C,) end ail other applicable Wheat Ridge ordinance sltol work and f e-a 080t. (OWNER/CONTRACTOR} 5(gnatttre: ` G J-btw Date_ /-z 31- 0 3 6escriotitm• sir ~ 303-287-8147 T0=3032878147 Use: S•roR a ~ -e Zoning; Sq. Ft.: v O P&S -/-tD b>; Eao P No work of any manner shall be done that will change the naWrol flow of storm water causing a drahtayep roblem owner/ contradorshahnotify the building department twenty4our(24)hours inadvam:eteallinadmin a and shall receive written approval an inspection. r The issuance of a permit or approval of drawings shall not be conalrut:d to be a permit for, nor an approw.k of, any violation of the provision of this building codes or any ordinance, low, rule or regulation Sheds must be properly and securely anchored at all comers. aoereveaWaamOreaeirodtteglel~p~ei~p t~O6im !1 nDr~resweaeamec~ea1eeftsbu~amaur sa trourneagitim o the PUNsetande1lpBen, OUBBefilmreSWmnptremteMeernlelnlort salt d s Administrator DEC-30-2003 TUE 01:58PM ID: PAGE:1 T :39tid DEC-24-2003 02:50P FROM: YIH~fA r Buildin CUt g Guide :GI Wd20:20 3ni 2002-02-330 TD:3032678197 _._P:113 toasetln Alwi e At least two completed doammM mustbe provided to apply for a building permit 1. Complete thlStSUM01ng9vWe ta1filiiegtn the applicable Wanks. 2. Provides flaw plan(skoolan) skowingdinreasions otyottrpmfM and its reletioaship tooustingoulldings or sbuctareaon the property and the didanaeto eaistieg property lines. /.SrYatffiehsduamP/eJ 3. ilu on a pellnil apPgwtton Sheds under 120spuarefeet inanerequite a#CP -Shed PlacementPermit'Only. Sheds greaterOwn 120 square teat repuire a "BoildirtpPCmllt" alongwith the above Inlornatron_ Root Iwatadal 1s~,ikiftet7l~o.c eA_ / eaff One Piton I + - - y ~a5~ SDan ~ ~ ~SAYi l _ I Sides T1-11 $mnr't ~ane1 ~ e m rl- m LV 11 •j ~C aso4nmldfr~l,,,meral sUaps;vAm8n6dmlu : aed••hekedtagfemsaeknrirri/1;bbK... Min-SJ2'Dta.Menar®6'O o<. d 12• homeomm Eabt. Gsde SAM Waiomm Comm SMb 7r~~a j~r "Mimr / ,--1-. _ 1 _ skida9 U , T -,Cl J_ PIR-/.R7-EDE anS clan:10 ED n£ oan , . CERTIFICATE OF OCCUPANCY CITY OF WHEAT RID(iE Iasued Without Fee - 7500 W. 29th Avenue Date May 26, 1995Wheat Ridge, Colorado 80034 This certificate verifles that the bullding conatructed and/or the use proposed of the bullding andlor premises, under the above permit number and on property described below, does comply wlth the Wheat Ridge Building Code, Zoning and other related lend use and development laws of the City of Wheat Ridge, and may be occupied forthe use speclfied. OWNER Mr. $ Mrs. Shawn Dugle ADDRESS 8906 W. 32nd Place : m ~ CONTRACTOR U. S. Housin¢-Tech.. Inc. s v i ~ Q~ PROPERTYADDRESS 8906 W. 32nd Place W Q1 LEGALDESCRIPTION: FORTHEFOLLOWINGPURPOSE Additionto single familyresidence No change shall be made In the use of this building wlthout prlor notice and a new Certlficate of Occupancy from the Clty of Wheat Ridge. n (o• Chlef Bullding Inspector ) ZoningAdministrator W.RFOrm&B FOfMeyOf DATE: TO: PUBLIC WORKS DEPARTMENT FROM: Building Department RE: 0 0 The property at 6 ~~a ghas been signed o£f 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. G p~ 0IL DATE: A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR: , 8 ~0,6 Ce/- PURPOSE OF STRUCTURE: ~A- ~Building Dept. Approval: - Remarks: . 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N~ G H N fM y; 2 0 Y- W 02 LL m N 2 .0 o = z V DEPARTMFNT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-374 BUILDING INSPECTIQN DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :2/21/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address: 8906 32ND PL Contractor License No. : 18084 Company : CITY HEATING CO., INC Phone : Phone: 292-6880 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wl~E'at Ridge ordinance~`,~ for work under this permit. (OWNER)(CONTRACTOR) SIGNF~s.-. DAT~~ / Description : NEW FORCED AIR HEAT Construction Vaiue : $2,000.00 Permit Fee : $45.00 Plan Review Fee : $0.00 Use Tax : $30.00 Total: $75.00 BUILDING DEPARTMENT USE ONLY Approval: Occupancy: F-&--g/o, W 6l Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (7) This permit was issuetl in accortlance with the provisions set forth in yopur applica[ion and is subject to the laws of the S[ate of Coloredo antl to the Zoning Regula[ions antl Builtling Cotle of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A)1he work authorized is not commencetl within siMy (60) days from issue date or (B) the builtling authorized is suspendetl or (3) If this permit ezpi~es, a new pertnit may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifica[ions and any suspension or a6andonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paitl for a new pertnit. (4) No work of any manner shall be done that will chan9e ihe naturel flow of water causing a dreinage problem. (5) Contraclor shall noti(y the Building Inspec[or twenty-four (24) hours in advance for all inspeclions and shall receive written approval on inspection card before (6) The issuance of a permit or the approval of drawings and specifica6ons shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building wdes or any other ordinance, law, rule or regulation. r~ Chief Buildin spector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION REPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :',-10111A 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : ~96~' ~Psf ~`~~r/ Phone : Contractor License No. : i 64~°y Company : ~ /f-/ ~fC-- ~o Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 2 0~(>) I hereby certify that the setback distances proposed by this permit application are accurate, PefRllt Fe@ : / 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 1 have read and agree to abide by all conditions printed on this U52 TaX : application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe t Ridge ordinan s, for ork under this p rmit Total OWNER CONTRACTOR SIGN - & ( ) - DAT Description Electrical /Li}cense No : Plumbing License No : Mechanical License, N/o : Companyl: fG. (Yn Z-~Company : Company e/~~ l*~• ol .'~i~t• Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) 7his permit was issuetl in acmrdance with the provisions set forth in yopur applica[ion and is subjec[ to the laws of the State of Colo2tlo and to the Zoning Regulations and Builtling Code of Wheat Ritlge, Coloredo or any other applicable ortlinances of Ue City. (2) This permit shall expire if (A) ihe work authorized is not commencetl within siMy (60) days hom issue date or (B) the building authorizetl is suspended or abandoned for a period of 720 tlays. (3) If this pertnit expires, a new permit may be acquiretl for a tee of one-half the amount nortnally requiretl, provitletl no changes have been or wiil 6e matle in the original plans and specificadons antl any suspension or abantlonment has not ezceeded one (i) year. If changes are made or if suspension or abandonmen[ racceeds one (1) year, full fees shall be paid fora new permit. (4) Mo work of any manner shall he tlone Natwill change the natu2l Bow of water wusing a dreinage pmblem. (5) Contrac[or shall notiry the Buildin9 Inspec[or Fxenry-tour (24) hours in advance for all inspections and shall receive wntten approval on inspection carC before proceediing with successive phases of ihe job. (6) The issuance of a permit orthe approval of tlrewings antl specifiwtions shall not be construed to be a permit for, nor an approvai of, any violation of Ne provisions of the building codes or any oNer oNinance, law, rule or regula6on. Chief Building inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-376 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :2/21/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 8906 32ND PL Phone : Contractor License No. : 18084 Company : CITY HEATING CO., INC Phone : 292-6880 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy 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 8uilding Code (U.B.C.) and all other applicable Wheat Ridge ordinance,s, for work under this permit. E_/ (OWNER)(CONTRACTOR) SIGN 'DAT2 Construction Value : $2,000.00 Permit Fee : $45.00 Plan Review Fee : $0.00 Use Tax : $30.00 Total: $75.00 Description : FEES PAID BY GENERAL CONT Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (7) This permit was issued in accordance with the provisions se[ forih in yopur application and is subject to the laws of the State of Coloredo and to the Zoning Regulations antl Buildin~ Code of Wheat Rid9e, Colorado or any.other applicable ordinances of the City. (2) 7his permit shall ezpire if (A) the work authorized is not commenced within siMy (60) days from issue date or (B) the building authorized is suspended or abantlonetl for a penotl oF 720 days. (3) If this permit ezpires, a new permit may be acquired for a fee of one-haif the amount normally required, provitletl no changes have been or will be made in the original plans antl specifcations and any suspension or abantlonmen[ has not exceeded one (1) year. If chanqes are made or if suspension or abandonment exceeds one (i) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done ihat will change the naturel Flow of water causing a dreinage problem. (5) ConUactor shall noUry the Building Inspector iweniy-four (24) hours in advance tor all inspections and shall receive written approval on inspection cartl before proceediing with successive phases of thejob. (6) The issuance of a permit or the approval of drawings antl specifcations shall not be construed to be a permit for nor an approval of, any violalion of the provisions of the building codes or any other ortlinance, law, rule or regulation. . Chief Building Inspect THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date: Property Owner :.~xtProperty Address : Contractor License No. : CompanY ( 12 17V --7-,e(7- - OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : I hereby certify that the setback distances proposed by this pertnit application are accurete, P2ffT11Y F8e : 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 accurete; that i have read and agree to abide by all conditions printed on this Use Tax : application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable WhCat Ridge ordin nc~, for work under this permit. f" n _ / / Total: (OWNER)(CONTRACTOR) SIGN DAT Description : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: M__OEKS . - fflff~~ri~~ (1) This pertnR was issuetl in accordance wifh ihe provisions set foM in yopur applicalion antl is subject to the laws of the State of Colorado and to the Zoning Regulatlons and Building Code of Wheat Ridge, Colorado or any other appiicable ordinances of the Ciry. (2) is pertnd shall expire i( (A) Ne work authonzetl is not commenced within sixly (60) tlays from issue date or (B) ihe 6uilding authonzed is suspentletl or l6andone0 tor a penod of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a fee of one-half the amount nortnally requireq provided no changes have been or will be matle in the original plans antl speufica6ons antl any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment exceetls one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natu2l flow of water causing a drainage problem. (5) ConVactor shall nohfy Ne Buiiding Inspector twenry-four (24) hours in atlvance for all inspections antl shall receive written approval on inspecfion cartl before pfoceediing with SucceSSive pha5es of the j06. (6) The issuance of a permit or the approval otdrewings antl specifcations shall not be construed to be a permit for, nor an approval of, any violation o(the provisions of the builtling codes or any other ordinance, law, rule or regula[ion. Chief Building inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION .a Gnmmon PoliCy Declara.ions vn~l', Oowm~ePar;i,j endorsements, if any, issued to form a pari Ihereof. es the below numbered . COMMERCIAL INSURANCE POLICV. ~ EC ❑ Commercial General Liability ❑ Commercial Property ❑ Commercial Crime ❑ Boiler and Machinery Commercial Inland Marine ❑ Commercial Auto ❑ ❑ REPORTING FORM BUILDERS RISK ❑ Premium is payahie in installments: See endorsement. 4. FORMS APPLICABLE TO ALL COVF&% iP RTS: (Show Numbers) 40741 / 40471 / CM 0001 / IL 0017 $}q= ' 47681 XXX(g ILO1 69, IL0228 , 202769 HBIS1 x HBIS4 5. BUSINESS DESCRIPTION: 47662 (Ed. 2-$6) Inclutles copyrightetl matenal of Insurance Services OXice. Inc.. wilh ils permission . Copyright.InsuranceServkesOifice.Ir.c..1984.- . ASSURANCE COMPANY OF AMERICda 6. FORM OF BUSINESS ❑ Individual ❑ Partnership FXI Corporation ❑ Joint Venture ❑ Other Countersigned: 06/29/93 gy, Date . Authorized Representative NEW YORK, NEW YORK 10038A Stock Company _ PREMIUM ~ $ $ $ $ PER REPORT $ $ $ TOTAL POLICY t $ pER REPORT PREMIUM ea. e-ez Page 1 IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICV, WE AGREE WiTH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. 3. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THi' PREMIUM MAY BE SUBJECT TO ADJUSTMENT. E.T. O'BRI AGENCY, INC. CPi June 22, 1994 U.S. HOUSING'I'ECH, INC. 3430 South 7ellison Court Lakewood, Colorado 80228 pU'fI,INE OF INSURANCE 333 West Hampden Ave. P.O. Box 1358 Englewood, CO 80150-1358 Telephone: (303) 788-0885 FAX: (303) 789-4409 ASSURANCE COMPANY OF AMERICAI MARyI,AND CASUALTY GROUP HOME BUII.DERS INSURANCE PROGRAM Policy #EPA19543918 6/19/94 to 6/19/95 RLTyIIITG'SS CONTENTS (Located at 11184 Huron St.) Replacement Cost $ 5,000 80% Coinsurance Specia] Form Perils including Theft but excluding Flood, Earthquake and Certain Uninsurable Perils - $250.00 Deductible COMPREHENSIVE ..NEr . T r r eRTL.ITY $ 500,000 Each Occurrence - Combined Single Limits, Bodily InjurY and Property Damage $1,000,000 Aggregate Limit per Project for the Policy Year Premises-Operations (Estimated Annual PaYroll, One Corporate Officer at fixed payroll of $20,000 - Executive Supervisory) Independent Contractors (Estimated Cost of Ilire -$100,000) Products and Completed Operations Personal and Advertising Injwy F've Legal Liability - $50,000 Premises Medical Payments - $5,000 urrq~SS AU'f0 Hired & Non-Owned only $ 500,000 Combined Single Limits, Bodily Injury and Property Damage Liability 1~ r _ NEW FM CsRADE F ~ F Z F ~ 5 CONT. ~ GbWELL To 9d'tSTiNq FT 2-0 5 CONT. • ]-0 5 CONT. Zi-0- TYPICAL CONTIN. FOOTING 3i4• . r-m' VER.IFY Rr=1NFoec.tW4 bJ iti►+ '60u.s ")t-Las +Z `LV►TBOB A. WHITE PC T archiieciure - plonning 7Si5 NIWOP COfCIl - SUIR t00 ocxnw miowuo wuI (ws) aze-neo SQl1ARE 5 vERT. 5 EA WA7 TYPICAL PIER 3/4' • I'-0' RESIDENTIAL ADDITION MR 8 MRS SHAWN DUGLE eooa w. axna PiAc¢ MOi0A4MGff, C040WAD0 SUPPLM6ARW4A6 DWANWO *9 own er: MAP cxuo ar: gq~{J P~, w~: sazo FlLE N0: ~ZOXI X-1 isuc: 9~4 9Q- T Zi_0. PURCHASING DEPARTMENT H. Frances Mueller, Director lb August yE; 1994 Dennis Klimko U.S. Housing Tech 3430 S. Jellison Ct. Lakewood, Colorado 80227 Subject: Contract for Modular Home at Pine Valley Ranch Bid Number 277-938 Dear Dennis, Enclosed is an executed copy of the contract pertaining to the above project. Please forward the required bonds (Letter of Credit) and certificates of insurance naming Jefferson County as Additional Insured. Such certificates must evidence coverage as set forth in the contract and be forwarded to the attention of: Jefferson County Risk Management Department 100 Jefferson County Parkway, SuRe 4520 Golden, Colorado 80419-4520 Notice to proceed will be forwarded following review and approval of the above documents. Please call 'rf you have any questions. Sincerely, Agent 100 Jefferson County Parkway, Suite 4530 Golden, Colorado 80419-4530 (303) 271-8585 ro E ~ o -P ` ~ C4 N ~3 ro m v o 5 > o~ ~ ° ~ ' y ~ + ' 1& w o 0 o >1 c ~ ~o w ° + ~ ~ ~ o •m ° a _a E. z .11 •14 4J -P ~ N 4~ . r-i U V) N cC V1 ~ ~ ~ b P. 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