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HomeMy WebLinkAbout07/27/2023 - Building Review Commission - AGENDA - Regular MeetingPage 1 Alan Cram, Chair Location: Eric Richards, Vice Chair Council Chambers Gabe Dunbar 300 LaPorte Ave Shaun Moscrip Mark Teplitsky Staff Liaison: Ronnie Zimmerman Marcus Coldiron Casey Roberts Chief Building Official AGENDA JULY 27, 2023 9:00 AM The City of Fort Collins will make reasonable accommodations for access to City services, programs, and activities and will make special communication arrangements for persons with disabilities. Please call 221-6515 (TDD 224-6001) for assistance. •CALL TO ORDER •ROLL CALL •AGENDA REVIEW •PUBLIC COMMENT ON ITEMS NOT ON THE AGENDA •DISCUSSION AGENDA 1.MINUTES OF JUNE 29, 2023 The purpose of this item is to consider approval of the minutes from the June 29, 2023 regular meeting of the Building Review Commission. 2.BluSky Restoration, LLC – New Licensing Request Without Current Exam DESCRIPTION: Mr. Todd Hulme of BluSky Restoration, LLC is requesting a new supervisor’s certificate using an ICC testing certificate that is of an older code year than is currently required STAFF: Sharlene Manno – Administration Services Manager •OTHER BUSINESS Building Review Commission Packet Page 1 Page 2 • ADJOURNMENT Packet Page 2 Agenda Item 1 Item 1, Page 1 AGENDA ITEM SUMMARY JULY 27, 2023 Building Review Commission STAFF Melissa Matsunaka, Administrative Assistant Al Ogul, Administrative Assistant SUBJECT CONSIDERATION AND APPROVAL OF THE MINUTES OF THE JUNE 29, 2023 BRC MEETING EXECUTIVE SUMMARY The purpose of this item is to approve the minutes of the June 29, 2023 meeting of the Building Review Commission. ATTACHMENTS 1. BRC June 29, 2023 Minutes – DRAFT Packet Page 3 City of Fort Collins Page 1 June 29, 2023 Alan Cram, Chair Council Chambers Gabe Dunbar 300 Laporte Avenue, Fort Collins Shaun Moscrip Eric Richards Mark Teplitsky Staff Liaison: Ronnie Zimmerman Marcus Coldiron Vacant Seat Chief Building Official Meeting Minutes June 29, 2023 A regular meeting of the Building Review Commission was held on Thursday, June 29, 2023, at 9:00 a.m. in person at 300 Laporte Avenue, Fort Collins, Colorado. •CALL TO ORDER Chair Cram called the meeting to order at 9:07 a.m. •ROLL CALL PRESENT: Cram, Dunbar, Moscrip, Zimmerman, Richards ABSENT: Teplitsky STAFF: Coldiron, Manno, Guin, Matsunaka, Ogul, Hayes •PUBLIC COMMENT ON ITEMS NOT ON THE AGENDA None. •CONSENT AGENDA 1.CONSIDERATION AND APPROVAL OF THE MINUTES OF THE APRIL 27, 2023 MEETING. Commissioner Dunbar moved to approve the minutes of the April 27, 2023 meeting. Commissioner Zimmerman seconded. The motion passed 5-0. •CONSENT AGENDA FOLLOW UP None. •CONSIDERATION OF COMMISSION-PULLED CONSENT ITEMS None. Building Review Commission ITEM 1, ATTACHMENT 1 DRAFTPacket Page 4 City of Fort Collins Page 2 June 29, 2023 • NEW BUSINESS 2. Custom Flag Company – New License Request Without Exam DESCRIPTION: Mr. Griebling of Custom Flag Company is requesting a new Class C1 license and supervisor’s certificate to be issued without a passing ICC testing certificate of the code year required for a new license or reinstatement of a license. STAFF: Sharlene Manno, Administration Services Manager Staff Presentation Sharlene Manno, Administration Services Manager, stated Mr. Griebling is requesting a new Class C1 license and supervisor’s certificate to be issued without a passing ICC testing certificate of the code year required for a new license or reinstatement of a license. She stated Custom Flag Company is a niche company that offers residential and commercial flagpole installation as well as flag and flag banner sales, and the company has been contracted to complete a 30-foot aluminum flagpole for the City of Fort Collins Parks Department. An initial licensing request was received on March 15, 2023; however, it was returned back to the Custom Flag Company due to outdated forms. A new application packet was received and reviewed on March 27th, at which time the company requested a sign license and a supervisor’s certificate, though there were some missing items, including the testing, and the license classification was not sufficient to complete the work the company has been contracted to complete. Manno noted ICC testing is required to move forward for licensing as the license and supervisor’s certificate required to complete the project would be a Class C1 due to the height of the pole. Manno stated the issues for staff and Custom Flag Company are that the license classification rises far above what the company actually does and can qualify for and there are no other licensing qualifications that are suitable to place them in. She noted the company does not build full structures yet the C1 testing would cover all aspects of codes required for full structure builds for residential and commercial construction. She stated staff has previously issued limited licensing based on testing and project verifications received for very specific projects; however, that cannot be done without the testing. Manno stated her original staff recommendation was denial for this request given the code requirements; however, she noted the BRC can grant a variance from the City Code sections at issue if one of the following applies: the code imposes peculiar or exceptional particular difficulties to the applicant, the code imposes undue hardship to the applicant, or the applicant demonstrates to the BRC’s satisfaction that it possesses other qualifications not specifically listed in the code that the BRC determines qualify the applicant to perform completely. She stated the BRC could deny the request and require the applicant to provide the G12 ICC testing certificate that covers the 2018 code year, or the BRC could disagree with recommendation and pass a motion to allow the issuance of a new license and supervisor’s certificate without testing. Appellant Presentation Mr. Griebling stated his business is a small, family-owned business and he noted he holds licenses in many other municipalities. He stated flagpole foundations are all designed by engineers, and they guarantee all of their work. Staff Rebuttal Manno reiterated the company does not build full structures; however, she stated the current code language prevents her from being able to issue a license without approval from the BRC. Appellant Rebuttal None. ITEM 1, ATTACHMENT 1 DRAFTPacket Page 5 City of Fort Collins Page 3 June 29, 2023 Commission Questions and Discussion Commissioner Richards asked Mr. Griebling if he has any additional testing or other specialized training that has been completed over the years. Mr. Griebling replied his company belongs to the National Independent Flag Dealers Association which meets on an annual basis to discuss best practices; however, all of his training has been hands-on, not in a formal setting. Commissioner Richards asked if most of his projects occur under a general contractor or if the company is directly contracted. Mr. Griebling replied about 80% of his projects occur under a general contractor with the remainder being directly contracted. Commissioner Richards asked if there have been any issues or failures with any of the installations Mr. Griebling has been a part of. Mr. Griebling replied in the negative. Commissioner Moscrip stated it is apparent the requirements of the Class C1 license well exceed the work of this contractor and asked staff about the requirements for a sign license or a sign installation contractor. Manno replied all of the licensing has the same requirements, though some exclude a testing requirement because there is not a test available through the ICC or there is not a specialized certification that is available for sign companies. She stated this is not classified as a sign and the height and wind resistance of the flagpoles needs to be considered. Commissioner Richards asked if there is a shorter flagpole that would not require the Class C1 license. Manno replied the requirement is driven by the height of the pole and if the request were for a residential flagpole, a D1, or homebuilder, license would be required. Chair Cram asked Mr. Griebling how many flagpoles over 30 feet tall he erects in a given year. Mr. Griebling replied probably 15-20 are installed per year, which is a small portion of the overall business. Commissioner Moscrip stated this seems more appropriate to be covered under a sign license than a C1 license. Commissioner Richards concurred and stated the requirements of the C1 license are above and beyond what is needed. He stated the City currently does not have an appropriate classification and the C1 testing requirement would place an undue hardship on the applicant. Chair Cram suggested allowing this for this single project. Chris Hayes, Assistant City Attorney, stated that would be permissible. Commissioner Moscrip made a motion that the Building Review Commission grant Custom Flag Company’s request for variance from the requirements of City Code Chapter 15 relating to license examination finding the requirements of the Code impose particular and exceptional practical difficulties to the applicant, the requirements of the Code impose undue hardship to the applicant, and the applicant has demonstrated that he possesses other qualifications not specifically listed in the Code, such as experience in constructing flagpoles well over 30 feet in height and the submittal of structural calculations, and further finding that the variance can be granted without substantial detriment to the public good and without substantially impairing the intent or the purpose of the Code. Commissioner Zimmerman seconded the motion. Commissioner Richards noted the motion did not include language specifically related to the one- time variance. He asked staff if they have had a discussion around creating a classification for this type of license. Marcus Coldiron, Chief Building Official, replied staff is looking at alternative licensing options to account for specialty, niche items. Commissioner Moscrip made an amendment to the motion to include the fact that this variance is for the sole project at City Park. Commissioner Zimmerman seconded the motion. The motion carried 5-0. ITEM 1, ATTACHMENT 1 DRAFTPacket Page 6 City of Fort Collins Page 4 June 29, 2023 2. Training Session STAFF: Chris Hayes, Assistant City Attorney Chris Hayes, Assistant City Attorney, noted the BRC is a quasi-judicial commission and asks in a role analogous to that of a judge; therefore, due process is of paramount importance. He noted it is important the Commissioners avoid any contact with anyone about the substance of what is being decided at its hearings. He provided a summary of the Boards and Commissions Manual and commented on the importance of Commissioners ensuring they are announcing whether they are speaking on their own behalf versus that of the Commission. He also commented on the importance of ensuring members of the public can speak, and discussed open meetings requirements and ex parte communication. He outlined the requirements for going into executive session and noted meeting topics cannot stray from the published agenda. Hayes noted Commissioners should avoid taking gifts to avoid the appearance of impropriety and urged them to err on the side of caution. He noted Commissioners could always contact him for any legal advice. He discussed the regulations for conflicts of interest and Commissioner liability. Commissioner Moscrip asked if the Building Department has the ability to use the decisions made by the Commission as precedent for future licenses. Hayes replied the decisions of the Commission can guide how the Building Department conducts its business; however, he stated he would need to do some research on whether decisions present legally-binding precedence. Coldiron replied his understanding is that the Building Department would not have the authority to grant any variances to the code based on previous decisions of the Commission. Hayes stated he will work with Coldiron to revisit some of the code sections that do not leave room for flexibility. Chair Cram concurred each request is and should be considered on its own merits. Chair Cram noted the appellant has the right to appeal a decision of the Commission to City Council and the decision could be remanded to the Commission. Commissioner Richards asked how the Commission would handle a situation wherein a member of the public has comments that are not related to an item on the agenda. Chair Cram stated he recalls that occurring twice in the past 15 years. Hayes noted those comments can be made, and because they are not related to an issue up for decision, they are not considered to be improperly notices. • OTHER BUSINESS Chair Cram introduced Casey Roberts, who will be the new Commissioner on the BRC beginning in July. Mr. Roberts introduced himself and discussed his experience in architecture. Chair Cram asked if a review of the new Building Code will be forthcoming. Coldiron replied a steering committee will begin meeting in the spring and will go before Council in late 2024 or early 2025. • ADJOURNMENT Chair Cram adjourned the meeting at 10:09 a.m. Minutes prepared by TriPoint Data and respectfully submitted by Melissa Matsunaka. Minutes approved by a vote of the Commission on _________________________________ ______________________________ Marcus Coldiron, Chief Building Official Alan Cram, Chair ITEM 1, ATTACHMENT 1 DRAFTPacket Page 7 Agenda Item 2 Item 2, Page 1 STAFF REPORT July 27, 2023 Building Review Commission STAFF Shar Manno Marcus Coldiron SUBJECT NEW LICENSING REQUEST WITHOUT CURRENT EXAM EXECUTIVE SUMMARY Mr. Todd Hulme of BluSky Restoration, LLC is requesting a new supervisor’s certificate using an ICC testing certificate that is of an older code year than is currently required. BACKGROUND BluSky Restoration, LLC currently holds a Class C1(DR) license with the City of Fort Collins which is currently disabled due to the supervisor certificate holder leaving the company. Notification of departure was given on February 28, 2023. The Class C1(DR) supervisor’s certificate requires a passing International Code Council (ICC) G12 General Building Contractor (B), covering the 2018 code year. Mr. Hulme is requesting a new supervisor’s certificate, using an older exam, N12 – National Standard Building Contractor (B) which covers the 2012 code year. Staff received BluSky Restoration, LLC’s contractor licensing application listing Todd Hulme as the applicant for a new supervisor’s certificate on July 7, 2023. All required items, with the exception of applicable testing, has been received. The following code sections apply to new licensing requests and transitions: • Sec. 15-158. - Applications; review; issuance. (a) Prior to being issued any license or certificate specified in this Article, all applicants for such license or certificate shall complete and submit to the Building Official an application containing the following information: (1) The individual applicant's name, the contractor's business name under which license the applicant is associated or will be working, a current mailing address and telephone number, email address and one (1) form of photographic identification of the applicant; (2) Documents verifying that the applicant has acted in the principal role of contractor or primary project supervisor on no less than three (3) separate completed building construction or specialized trade projects. A person other than the applicant must sign such documents, and the same person cannot be the signatory on all three (3) documents. Said signatory shall be a project owner, contractor, architect, or professional engineer directly involved in the construction of said project and said person shall have worked directly with the applicant. Additionally, said documents shall contain the following information where applicable to the license or contractor certificate sought: Packet Page 8 Agenda Item 2 Item 2, Page 2 a. The total floor area and number of stories (as defined in the building code) of each building in the project, b. The building construction type as defined in the building code, c. The building occupancy classification as defined in the building code, d. The date the project was completed, e. The address, contractor of record and permit number (when applicable) for the project, f. A description of the project which the applicant directly supervised or for which the applicant was the contractor of record, whichever is applicable, in sufficient detail to fully describe the extent of the construction or alteration or specialized trade work. Such description must describe all relevant work, such as that involving the foundation, the exterior structural elements, the interior bearing walls, the nonbearing walls and elements, the electrical systems, the plumbing systems, the mechanical systems, roofing, and any other specialized trade work that may be applicable to the license or certificate sought, g. A complete description of the applicant's position and responsibilities on the project, and h. The signatory's role in the project; and (3) The applicant's disclosure of any disciplinary action (whether by the City or any other jurisdiction) taken against the applicant or against any licenses currently or previously held by the applicant; and (4) A signed statement by the applicant acknowledging the obligations associated with such license or certificate. (b) All such applications shall be accompanied by a nonrefundable processing fee of seventy-five dollars ($75.) for each such application. (c) Subject to the qualification requirements of § 15-159 and subject to any applicable variances which may have been granted by the Board pursuant to § 15-156 and provided further that the applicant has not committed any acts described in § 15-162 of this Article without the Board having first conducted a hearing and having made a determination regarding the applicant's fitness to be granted a license or supervisor certificate, the Building Official shall issue to the applicant the license or supervisor certificate applied for upon receipt of all of the following: (1) Evidence of a passing score on the applicable written examination or equivalent as specified in this Article; (2) Payment of the applicable fee; (3) Written proof of general liability and workers' compensation insurance as required in this Article; and (4) All documents required to be provided in Subsection (a) above. • Sec. 15-164. - Transition provisions. (a) Any holder of a valid contractor license or supervisor certificate prior to the effective date of this Article shall be eligible to maintain the same such license or certificate without additional application fees or examination provided that such license or certificate remains valid throughout Packet Page 9 Agenda Item 2 Item 2, Page 3 the current annual term of such license or certificate. Thereafter, any such contractor license or supervisor certificate shall be subject to renewal provisions as prescribed in this Article. RECOMMENDATION Staff recommends deniel of this request based on this being a new supervisor’s certificate request requiring the G12 passing ICC testing certificate. If the Commission agrees with the recommendation, the Commission may pass a motion to require the appellant to provide required testing to be granted a Class C1(DR) supervisor’s certificate. If the Commission disagrees with the recommendation, the Commission may pass a motion to allow a new Class C1(DR) supervisor’s certificate be granted to the appellant. ATTACHMENTS 1. Appeal form 2. Contractor licensing application packet Packet Page 10 Contractor Licensing 281 N College Ave. P.O. Box 580 Fort Collins, CO 80524 Phone 970-416-2740 Fax 970-224-6134 www.fcgov.com/nbs/contractor.php BUILDING REVIEW COMMISSION APPEAL FORM (Contractor Hearing) Appellant Name: d/b/a Address: Phone #: Mobile # Action Requested: Exam Waiver License Upgrade License approval (denied by staff)Other Description of request/problem and other mitigating factors (attach additional information and/or materials): Appellant Signature Date Appellant may appear in person, in writing, or by agent and should be prepared to present all relevant details, or other evidence in support of this hearing request at the hearing time indicated below. Regular meetings are scheduled for the last Thursday of each month at 9:00 a.m. in the Council Chambers at 300 LaPorte Avenue. Applications must be filed one month prior to the desired hearing date to ensure consideration. OFFICE USE ONLY Hearing Date Hearing Time Reviewed by Distribution: Original – Appellant, Copy -- File Todd Hulme 9110 E Nichols Ave suite 180, Centenial CO, 80112 720-610-9913303-789-4258 Prior to application for the supervisor certificate, our company license has always been in good standing. Applicant passed ICC exam N-11. Only applying for supervisor certificate. License holder has current F11. Registered to take updated ICC G-11 later this year, however, our comapy curently has an office in Fort Collins and we are unable to work in the meantime. 7/7/2023 July 27, 2023 9:00 a.m. The fee to appeal to the Building Review Commission is $50 DocuSign Envelope ID: 5030F31F-18FB-4108-91F3-3FD1A57C9045 ITEM 2, ATTACHMENT 1 Packet Page 11 ITEM 2, ATTACHMENT 1 Packet Page 12 Michael Erekson 6/26/2023 ITEM 2, ATTACHMENT 2 Packet Page 13 BluSky Restoration Contractors, LLC Michael Erekson 9110 E Nichols Ave suite 180, Centenial CO, 80112 303-789-4258 562-544-2229 Michael Erekson ITEM 2, ATTACHMENT 2 Packet Page 14 Office Use Only $75 application fee received $200 license fee received $25 certificate fee received Yes Yes ___ Yes Applicant approved for _______ License Applicant approved for Certificate No No No Date _______ Staff Initials __ _ Date Staff Initials __ _ Date Staff Initials __ _ Authorized Signature Date Comments: ________________________________ _ Applicant NOT approved for License/Cert.: Authorized Signature Date Comments: __________________________________ _ Revised 12/8/22 ITEM 2, ATTACHMENT 2 Packet Page 15 ITEM 2, ATTACHMENT 2 Packet Page 16 ITEM 2, ATTACHMENT 2 Packet Page 17 City of ktColli�s Pursuant to section 24-76.5(4)(b), C.R.S. AFFIDAVIT Development Review Center 281 N. College Ave., Fort Collins, CO 80524 contractor_licensing@fcgov.com 970.224.6165 I swear or affirm under penalty of perjury under the laws of the State of Colorado that I am (check one of the following): $_ A United States citizen: or A legal Permanent Resident of the United States: or Otherwise lawfully present in the United States pursuant I understand that this sworn statement is required by law because I have app lied for a public benefit as defined by law. understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of the public benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statue §18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. If I checked the second or third option above, I understand that my lawful presence in the United States will be verified through the Federal Systematic Alien Verification of Entitlement Program (SAVE Program). Signature 1)LlA�\..v1 '¥-..l,'?\-or�½oh Company Name \ Date (o\a\\p3 For office use only: City of Fort Collins License # City of Fort Collins Supervisor's Certificate# ITEM 2, ATTACHMENT 2 Packet Page 18 ITEM 2, ATTACHMENT 2 Packet Page 19 ITEM 2, ATTACHMENT 2 Packet Page 20 City and County of Denver Community Planning and Development www.denvergov.org/contractor _licensing Certificate/Registration Number: CERT106002-7 Certificate Type: Building Class B Supervisor Expiration Date: 06/30/2023 Bv Authority of the Executive Director of Community Planning and Development Issued To: TODDAHL:tLME 24871 E ONTARIO DR AURORA, -CO 80016 Amount Fund/Org/Revenue Code $60.00 R352500-•-01010-0141200 Payment Date Trans # 06/18/2020 6820933 RENEWAL INFORMATION CERTIFICATE MUST BE KEPT IN YOUR POSSESSION AT ALL TIMES Renewal notices will be e-·mailed to e-mail address on St?!US Paid fiilinewal information is available at www.denvergov.org/Contractor_Licensing. INSPECTION INFORMATION Ple?se provide the following information when.you call for an inspecticin: LIC. 100 (4/100) CPDA ✓Permit number ✓Type of inspectio·n and inspection code Inspection requests called in by 12:00 a.m. will usually be scheduled for the following working day. Inspections are performed Monday through Friday. Community Planning and Development 201 W COLFAX AVE DEPT 205 DENVER, COLORADO 80202 Licenses & Certificates: Permit Counter: Inspection Administration: Automated Inspection Request: 720.865.2770 720.865.2705 720.865.2505 720.865.2501 uc.1 oo_ (StosJ CPD ITEM 2, ATTACHMENT 2 Packet Page 21 I"�;CITY AND COUNTY OF DENVER http:/fwww.denvergov.org DENVER Commercial Construction Permit THE MILE HIGH CITY Project Address: 1523 15th ST Bldg 1523 Fl Unit 200 Permit #: 2023-COMMCON-0000349 Automated Inspection Request#: 83289176 Owner Information Contractor or Permittee ---- Name: TODD.PAUL WILLIAM Phone: Name: BLUSKY RESTORATION CONTRACTORS LLC Phone: (303)789-4259 Email: Address: Tenant Name: Authorizations Building Code Used: 2018IBC/2019DBCA Landmark Review Structural Review Transportation Review Affordable Housing Review Valuation: $30.000.00 Type Building Construction Permit Fee Conditions / Requirements Requirements: Structural Observation: Amount $260.00 Pre Construction Inspection Meeting: Special Inspection: Certificate/Occupancy Type: ResNet HRS: CO Remarks: Bulldlng Comments: General Information: Type of BID Log: Class of Work: Type Approved: Fire System Information I Inspection Section Issue Date: 04/07/2023 License: LIC236649 License Type: Building Contractor -Class B Email: LICENSING@GOBLUSKY.COM Address: 9110 E NICHOLS AVE STE 180 CENTENNIAL, CO 80112 Site Contact Name: Todd Phone: (720)610-9913 Email: todd.hulme@goblusky.com White J Mertens K Christensen M Keil B Fund/Org/Rev# R371000-*-01010-0142200 Intermediate Commercial Repair/Replace Printed On: 04/07/2023 12/06/2022 03/30/2023 02/15/2023 03/31/2023 Payment Date 04/07/2023 Void Trans# 9665773 Page 1 of 3 ITEM 2, ATTACHMENT 2 Packet Page 22 Engineer and Architect: Engineer Carlo Citto Engineer License Number 47618 Record Type Stat Code Commercial Construction Permit STAT Code 1: 022 -Addition, alteration, and conversions- Commercial Bulldlng Information: Structural Descriotion: Repair from a vehicle impact. Scooe of Work: Permit Scope of Work: Repair from a vehicle impact. DISCLAIMER: For all work done under this permit the permittee accepts full responsibility for compliance with the Denver Building Code and all other applicable Denver ordinances. This permit is subject to cancellation when work is not started within 60 days of the date issued, or when work has been suspended for 60 days or when request for inspection has not been made within 60 days of the previous inspection. Required inspections shall be requested one (1) working day in advance. Final inspection required for all work permitted under this permit. UNDER STATE STATUTE 38-22-105.5, WE ARE REQUIRED TO PUT YOU ON NOTICE OF THE FOLLOWING: IMPORTANT NOTICE TO OWNERS; UNDER COLORADO LAW, SUPPLIERS, SUB-CONTRACTORS, OR OTHER PERSONS PROVIDING LABOR OR MATERIALS FOR WORK ON YOUR RESIDENTIAL PROPERTY MAY HAVE A RIGHT TO COLLECT THEIR MONEY FROM YOU BY FILING A LIEN AGAINST YOUR PROPERTY. A LIEN CAN BE FILED AGAINST YOUR RESIDENCE WHEN A SUPPLIER, SUB-CONTRACTOR, OR OTHER PERSON IS NOT PAID BY YOUR CONTRACTOR FOR THEIR LABOR OR MATERIALS, HOWEVER, IN ACCORDANCE WITH THE COLORADO GENERAL MECHANICS'LIEN LAW, SECTION 38-22-10(3.5) AND 38-22-113(4}, COLORADO REVISED STATUTES, YOU HAVE AN AFFIRMATIVE DEFENSE IN ANY ACTION TO ENFORCE A LIEN, IF YOU OR SOME PERSON ACTING ON YOUR BEHALF HAS PAID YOUR CONTRACTOR AND SATISFIED YOUR LEGAL OBLIGATION�. YOU MAY ALSO WANT TO DISCUSS WITH YOUR CONTRACTOR, YOUR ATTORNEY, OR YOUR LENDER POSSIBLE PRECAUSTIONS INCLUDING THE USE OF LIEN WAIVERS, OR REQUIRING THAT EVERY CHECK ISSUED BY YOU OR ON YOUR BEHALF IS MADE PAYABLE TO THE CONTRACTOR, THE SUB-CONTRACTOR, AND SUPPLIERS FOR AVOIDING DOUBLE PAYMENTS IF YOUR PROPERTY DOES NOT SATISFY THE REQUIREMENTS OF SECTIONS 38-22-102(3.5} AND 38-22-113(4}, COLORADO REVISED STATUTES. TO PROTECT YOUR PROPERTY, YOU SHOULD TAKE WHATEVER STEPS NECESSARY. THIS CARD SHALL BE AVAILABLE AT THE JOB SITE AND THE PERMIT NUMBER SHALL BE VISIBLE FROM THE STREET BEFORE ANY INSPECTION WILL BE MADE. Internal Use Inspector Sign Off: Date: Status: Issue Date: 04/07/2023 Printed On: 04/07/2023 Page 2 of 3 ITEM 2, ATTACHMENT 2 Packet Page 23 108 -Final -Commercial 152315th St Approved -Final Permit 4/21/2023 11:15 AM Desired Date: TBD Last updated LEONDRO ARCHULETA 4/21/2023 11:15 AM R.i.sult Comm, ts Showing 1-1 of 1 LEONDRO ARCHULETA (4/21/202311:15 AM) Print Record 2023-COMMCON-0000349 Commercial Construction Permit Scope of work was to repair wall from vehiclar impact, work is completed. Structural observation from the engineer will be attached to the permit via scan sheet. Showing 0-0 of 0 ct s: ID Inspection Name No records found. Relationship Status ITEM 2, ATTACHMENT 2 Packet Page 24 ITEM 2, ATTACHMENT 2 Packet Page 25 1��CITY AND COUNTY OF DENVER __. ::,,,.. ; ( �� �-��htte://www.denv ergov .org ,,, DENVER Commercial Construction Permit "'J\ � ,� ---=--THE MILE HIGH CITY Project Address: 11 E Louisiana AVE Permit#: 2021-COMMCON-0001264 Automated Inspection Request#: 82717034 Owner Information Contractor or Permittee Name: ABRUZZO Ill LLC Name: BLUSKY RESTORATION CONTRACTORS LLC Phone: Phone: (303)789-4259 Email: License: LIC236649 License Type: Building Contractor -Class B Email: LICENSING@GOBLUSKY.COM Address: PO BOX6354 Address: 9110 E NICHOLS AVE STE 180 DENVER, CO 802060354 CENTENNIAL, CO 80112 Tenant Site Contact Name: Adelitas Name: Mike Phone: (303)596-8960 Email: Mike.Hause@goblusky.com Authorizations Building Code Used: 2018 IBC / 2019 DBCA Architectural Review Jessen L 07/08/2021 DDPHE Review Gillespie S 06/16/2021 Electrical Review White N 07/06/2021 Fire Review Bartlett C 06/18/2021 Mechanical Review Pica B 05/26/2021 Plumbing Review Pica B 05/26/2021 Affordable Housing Review Keil S 06/01/2021 Valuation: $60.702.00 Type Amount F und/Org/Rev# Payment Date Void Trans# Building Construction Permit $497.00 R371000-*-01010-0142200 07/12/2021 8125115 Fee Conditions / Requirements Requirements: Structural Observation: Pre Construction Inspection Meeting: Special Inspection: Certificate/Occupancy Type: ResNetHRS: CO Remarks: Building Comments: General Information: Type of BID Log: Intermediate Commercial Class of Work: Alteration/Tenant Finish Parent Log Record ID: 2021-LOG-0005500 Change of Use?: No Occupancy Group/Use: B -Ice Cream Shop Type of Construction: I11-B Type Approved: Issue Date: 07/12/2021 Printed On: 07/12/2021 Page 1 of4 ITEM 2, ATTACHMENT 2 Packet Page 26 Fire System Information Fire Alarm/Detection: Unknown Fire Sprinkler: Unknown I Inspection Section I Engineer and Architect: Architect Gregg WAiien Registration Number 8-202141 Record Type Stat Code Commercial Construction Permit STAT Code 1: 022 -Addition, alteration, and conversions-Commercial Building Information: Tenant Area: 1385 Stories: 1 Structural Descriotion: Scooe of Work: Permit Scope of Work: Renovation of ice cream shop after fire seating for 26 interior, 53 exterior patio 2 all-gender restrooms, office, prep room, and cooler. 1-hour demising wall to adjacent tenants FPD- This building has skylights: PLS ENSURE THAT THE ROOF ACCESS AND SKYLIGHTS HAVE THE FOLLOWING SIGNS FOR FIREFIGHTER FALL PROTECTION: Self-luminous or reflective signs or decals approved by the fire code official are required on building exterior walls when the locations of rooftop access landing areas are not apparent from the street. Self-luminous or reflective signs or decals approved by the fire code official shall be attached to each skylight, trap door, roof hatch, and scuttle cover; the sign or decal shall be on the surface, with striping around the entire perimeter. Self-luminous or reflective signs or decals approved by the fire code official shall be placed at entries (doors, stairs, ladders, or roof hatches) to areas containing skylights, trap doors, roof hatches, and scuttle covers. Existing non-metallic panels with curb heights eight inches or less that are present between metal panels on roofs shall be replaced with metal panel(s) with the equivalent gauge and material properties as the existing roof panels. Installation shall be completed by January 1, 2017. Perimeter guardrails or fall protection can be used in lieu of replacement of existing non-metallic panels when these systems comply with OSHA 29 CFR1926.502. Self-luminous or reflective signs or decals approved by the fire code official shall be placed on perimeter guardrails. Please note per DFC 105.6.27.1 Carbon dioxide (CO2) systems used in beverage dispensing applications: A permit is required for the use of carbon dioxide (CO2) systems with more than 100 pounds (45.4 kg) of carbon dioxide or any system using any amount of carbon dioxide (CO2) below grade used in beverage dispensing applications. DISCLAIMER: Issue Date: 07/12/2021 Printed On: 07/12/2021 Page 2 of 4 ITEM 2, ATTACHMENT 2 Packet Page 27 For all work done under this permit the permittee accepts full responsibility for compliance with the Denver Building Code and all other applicable Denver ordinances. This permit is subject to cancellation when work is not started within 60 days of the date issued, or when work has been suspended for 60 days or when request for inspection has not been made within 60 days of the previous inspection. Required inspections shall be requested one (1) working day in advance. Final inspection required for all work permitted under this permit. UNDER STATE STATUTE 38-22-105.5, WE ARE REQUIRED TO PUT YOU ON NOTICE OF THE FOLLOWING: IMPORTANT NOTICE TO OWNERS; UNDER COLORADO LAW, SUPPLIERS, SUB-CONTRACTORS, OR OTHER PERSONS PROVIDING LABOR OR MATERIALS FOR WORK ON YOUR RESIDENTIAL PROPERTY MAY HAVE A RIGHT TO COLLECT THEIR MONEY FROM YOU BY FILING A LIEN AGAINST YOUR PROPERTY. A LIEN CAN BE FILED AGAINST YOUR RESIDENCE WHEN A SUPPLIER, SUB-CONTRACTOR, OR OTHER PERSON IS NOT PAID BY YOUR CONTRACTOR FOR THEIR LABOR OR MATERIALS, HOWEVER, IN ACCORDANCE WITH THE COLORADO GENERAL MECHANICS'LIEN LAW, SECTION 38-22-10(3.5) AND 38-22-113(4), COLORADO REVISED STATUTES, YOU HAVE AN AFFIRMATIVE DEFENSE IN ANY ACTION TO ENFORCE A LIEN, IF YOU OR SOME PERSON ACTING ON YOUR BEHALF HAS PAID YOUR CONTRACTOR AND SATISFIED YOUR LEGAL OBLIGATIONS. YOU MAY ALSO WANT TO DISCUSS WITH YOUR CONTRACTOR, YOUR ATTORNEY, OR YOUR LENDER POSSIBLE PRECAUSTIONS INCLUDING THE USE OF LIEN WAIVERS, OR REQUIRING THAT EVERY CHECK ISSUED BY YOU OR ON YOUR BEHALF IS MADE PAYABLE TO THE CONTRACTOR, THE SUB-CONTRACTOR, AND SUPPLIERS FOR AVOIDING DOUBLE PAYMENTS IF YOUR PROPERTY DOES NOT SATISFY THE REQUIREMENTS OF SECTIONS 38-22-102(3.5) AND 38-22-113(4), COLORADO REVISED STATUTES. TO PROTECT YOUR PROPERTY, YOU SHOULD TAKE WHATEVER STEPS NECESSARY. THIS CARD SHALL BE AVAILABLE AT THE JOB SITE AND THE PERMIT NUMBER SHALL BE VISIBLE FROM THE STREET BEFORE ANY INSPECTION WILL BE MADE. Date: Status: Internal Use Inspector Sign Off: ------------------- Issue Date: 07/12/2021 Printed On: 07/12/2021 Page 3 of4 ITEM 2, ATTACHMENT 2 Packet Page 28 108 -Final -Commercial 11 Louisiana S tus Approved -Final Permit 5/12/2022 12:00 AM Desired Date: TBD Last updated DAVID HARDCASTLE 5/12/2022 7:12 AM R Ins Showing 0-0 of 0 ID Inspection Name No records found. Print lls Record 2021-COMMCON-0001264 Commercial Construction Permit Relationship Status ITEM 2, ATTACHMENT 2 Packet Page 29 ITEM 2, ATTACHMENT 2 Packet Page 30 New 2023 Regional Building Code Takes Effect in 7 15 58 58 Days Hours Minutes Seconds • PIKES PEAK REGIONAL BUILDING DEPARTMENT 2880 International Circle, Colorado Springs, CO 80910 Website: https://www.pprbd.org BUILDING PERMIT CALL 327-2880 for Inspections! Permit #; 018854 COLO SPRINGS PROPERTY OWNER L Issue Date: 6/29/2022 at 1:16 PM by NICKYA 4915 GALLEY RD, BLDG H, COLORADO SPRINGS, CO, 80915 Contrador: (17464) Plan: C163130 Project: COMMERCIAL INTERIOR REMODEL 437 Commercial Alterations (Additions, Remodels, Etc) Block: Subdiv: SD INDUSTRIAL PARK CO SPGS Utility#: Type of Construction: II-A Occupancy: Level Occupancy Sq. Feet 0 Total Sq. Feet Lot Computed Valuation: $0.00 Valuation: $60,000.00 Permit Fee: $514.00 Zone: Parcel: 6412304022 Gas#: Sprinklers: None Units: 1 NOTICE: IN ORDER TO RECEIVE INSPECTIONS, STREET SIGNS MUST BE IN PL ACE AND BUILDING SITE ADDRESSES MUST BE DISPLAYED. THANK YOU! By completing and obtaining this permit, I understand that I must comply with all of the requirements of the Pikes Peak Regional Building Code, all zoning, and all other ordinances, relating to building lines, uses, and construction within this jurisdiction. I also certify that I am the duly authorized representative of the above listed contractor. IMPORTANT NOTICE! This permit will be Administratively Closed if you do not receive an inspection or report your work progress within 180 days of issuance or if more than 180 days pass between inspections. If the work is in progress and you do not receive an inspection within the above time period, you must notify the REGIONAL BUILDING DEPARTMENT of such progress in order to keep the permit from expiring. Call 327-2880 to report your progress. This Building permit does not guarantee the installation and/or connection of public utilties. ITEM 2, ATTACHMENT 2 Packet Page 31 -Permit issued to: KIPP, DONNY ITEM 2, ATTACHMENT 2 Packet Page 32 Pikes Peak Region al Building Department New 2023 Regional Building Code Takes Effect in 7 15 56 20 Days Hours Minutes Seconds ()My Permits Permit: 018854B 4915 GALLEY RD, BLDG H, COLORADO SPRINGS, CO, 80915 Permit Status: Final Permit Details Property Owner: Address: Parcel#: Lat/ Long: Roof Truss P/SF: Code Version: Project Code: Project: Plan: Inspections COLO SPRINGS PROPERTY OWNER L 4915 GALLEY RD. BLDG H, COLORADO SPRINGS, CO, 80915 ----------------------------- 6412304022 Click to view Assessor Information 38.84601273, -104.73646661 30 (Elevation: 6201 ft.) 2017 PPRBC 437 (Commercial Alterations (Additions, Remodels, Etc)) COMMERCIAL INTERIOR REMODEL View Info for Plan C163130 There are no additional inspections required for this permit. Additional Required Inspections This is a list of all inspections that need to be performed by an Agency other than PPRBD, along with their current status. Reviewer FIREDEPT ZONING Code F= (Fire Final) Z= (Zoning/D.R. Final) Status Complete Complete Blocking Blocking Blocking Source COLORADO SPRINGS Fire Department Signed off plan C163130 COLORADO SPRINGS Zoning Signed off plan C163130 PPRBD Inspection History: 4 I ns_P�ctio� .:=:: 1 C�ni,ra�r I On... , • I Contains ... 03-31-2023 BLUSKY RESTORATION 02:05 PM CONTRACTORS, LLC 09-30-2022 11:46AM BLUSKY RESTORATION CONTRACTORS, LLC [ Depart,;ent j Code [ Status [ inspector j Comments i 1-C�ntains ... ! "T Contains ... [ I Contair; I c�-;;-tair!��ins ... Building B= (Building Complete !el Adam L Passed: FinaO Building B= (Building Fina0 Rejected !eiAdamL Foiled: No call ahead number/ Sign at office says they are gone/ Phone number on door had no answer. Additional Inspections Required (computer generated): External Agency Inspection F= by FIREDEPT is not Completed yet (Contact 385-598.2, x2), External Agency Inspection Z= by ZONING is not Completed yet (Contact 719-385-5982). ITEM 2, ATTACHMENT 2 Packet Page 33 Inspection D ... I Contractor I Department jcode I Status I inspector J Comments I I I I 08-22-2022 BLUSKY RESTORATION Building BFR (Building Complete !!el Bob F. Passed: 03:42 PM CONTRACTORS, LLC Frame) 08-19-2022 BLUSKY RESTORATION BFR (Building Failed: purlin to post connections to be 4 screws per post , purlin Building Rejected !!el BobF. splices 2o have a minimum of 4 screws on long side and 3 screws on 03:S6 PM CONTRACTORS, LLC Frame) short side External Dept Inspection History: 2 Inspection D ... j Contractor jcode [ Status Inspector I Comments 12-13-2022 BLUSKY RESTORATION 08:47 PM CONTRACTORS, LLC F= (Fire Fi nal) Complete CSFIRE Passed: 12-13-2022 BLB fire final complete 12-7-2022 BLUSKY RESTORATION Z= 07:43 PM CONTRACTORS, LLC (Zoning/D.R. Complete ESHAFER Passed: Final) Permit Attachments Click any row to see more details about the attachment in question. Contractor: BLUSKY RESTORATION CONTRACTORS, LLC Variances: 4 Date 11/20/1997 11/20/1997 11/20/1997 11/20/1997 Plan Images Street# 4915 4915 4915 4915 Click here to view the associated plan image. Suite Dept: Building Issued on: 6/29/2022 Comments characteristics to foundation design to with stand expansive soil be addressed by soils eng as to foundat expansive soils -BC 11/97 sllow a foundation to extend 18" below grade w/ stip Additional Images May Be Associated with this plan Click here to view the plan details. Status: Final ITEM 2, ATTACHMENT 2 Packet Page 34 Michael Erekson 6/26/2023 ITEM 2, APPELLANT'S MATERIALS Packet Page 35 BluSky Restoration Contractors, LLC Michael Erekson 9110 E Nichols Ave suite 180, Centenial CO, 80112 303-789-4258 562-544-2229 Michael Erekson ITEM 2, APPELLANT'S MATERIALS Packet Page 36 Office Use Only $75 application fee received $200 license fee received $25 certificate fee received Yes Yes ___ Yes Applicant approved for _______ License Applicant approved for Certificate No No No Date _______ Staff Initials __ _ Date Staff Initials __ _ Date Staff Initials __ _ Authorized Signature Date Comments: ________________________________ _ Applicant NOT approved for License/Cert.: Authorized Signature Date Comments: __________________________________ _ Revised 12/8/22 ITEM 2, APPELLANT'S MATERIALS Packet Page 37 ITEM 2, APPELLANT'S MATERIALS Packet Page 38 ITEM 2, APPELLANT'S MATERIALS Packet Page 39 City of ktColli�s Pursuant to section 24-76.5(4)(b), C.R.S. AFFIDAVIT Development Review Center 281 N. College Ave., Fort Collins, CO 80524 contractor_licensing@fcgov.com 970.224.6165 I swear or affirm under penalty of perjury under the laws of the State of Colorado that I am (check one of the following): $_ A United States citizen: or A legal Permanent Resident of the United States: or Otherwise lawfully present in the United States pursuant I understand that this sworn statement is required by law because I have app lied for a public benefit as defined by law. understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of the public benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statue §18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. If I checked the second or third option above, I understand that my lawful presence in the United States will be verified through the Federal Systematic Alien Verification of Entitlement Program (SAVE Program). Signature 1)LlA�\..v1 '¥-..l,'?\-or�½oh Company Name \ Date (o\a\\p3 For office use only: City of Fort Collins License # City of Fort Collins Supervisor's Certificate# ITEM 2, APPELLANT'S MATERIALS Packet Page 40 ITEM 2, APPELLANT'S MATERIALS Packet Page 41 ITEM 2, APPELLANT'S MATERIALS Packet Page 42 City and County of Denver Community Planning and Development www.denvergov.org/contractor _licensing Certificate/Registration Number: CERT106002-7 Certificate Type: Building Class B Supervisor Expiration Date: 06/30/2023 Bv Authority of the Executive Director of Community Planning and Development Issued To: TODDAHL:tLME 24871 E ONTARIO DR AURORA, -CO 80016 Amount Fund/Org/Revenue Code $60.00 R352500-•-01010-0141200 Payment Date Trans # 06/18/2020 6820933 RENEWAL INFORMATION CERTIFICATE MUST BE KEPT IN YOUR POSSESSION AT ALL TIMES Renewal notices will be e-·mailed to e-mail address on St?!US Paid fiilinewal information is available at www.denvergov.org/Contractor_Licensing. INSPECTION INFORMATION Ple?se provide the following information when.you call for an inspecticin: LIC. 100 (4/100) CPDA ✓Permit number ✓Type of inspectio·n and inspection code Inspection requests called in by 12:00 a.m. will usually be scheduled for the following working day. Inspections are performed Monday through Friday. Community Planning and Development 201 W COLFAX AVE DEPT 205 DENVER, COLORADO 80202 Licenses & Certificates: Permit Counter: Inspection Administration: Automated Inspection Request: 720.865.2770 720.865.2705 720.865.2505 720.865.2501 uc.1 oo_ (StosJ CPD ITEM 2, APPELLANT'S MATERIALS Packet Page 43 I"�;CITY AND COUNTY OF DENVER http:/fwww.denvergov.org DENVER Commercial Construction Permit THE MILE HIGH CITY Project Address: 1523 15th ST Bldg 1523 Fl Unit 200 Permit #: 2023-COMMCON-0000349 Automated Inspection Request#: 83289176 Owner Information Contractor or Permittee ---- Name: TODD.PAUL WILLIAM Phone: Name: BLUSKY RESTORATION CONTRACTORS LLC Phone: (303)789-4259 Email: Address: Tenant Name: Authorizations Building Code Used: 2018IBC/2019DBCA Landmark Review Structural Review Transportation Review Affordable Housing Review Valuation: $30.000.00 Type Building Construction Permit Fee Conditions / Requirements Requirements: Structural Observation: Amount $260.00 Pre Construction Inspection Meeting: Special Inspection: Certificate/Occupancy Type: ResNet HRS: CO Remarks: Bulldlng Comments: General Information: Type of BID Log: Class of Work: Type Approved: Fire System Information I Inspection Section Issue Date: 04/07/2023 License: LIC236649 License Type: Building Contractor -Class B Email: LICENSING@GOBLUSKY.COM Address: 9110 E NICHOLS AVE STE 180 CENTENNIAL, CO 80112 Site Contact Name: Todd Phone: (720)610-9913 Email: todd.hulme@goblusky.com White J Mertens K Christensen M Keil B Fund/Org/Rev# R371000-*-01010-0142200 Intermediate Commercial Repair/Replace Printed On: 04/07/2023 12/06/2022 03/30/2023 02/15/2023 03/31/2023 Payment Date 04/07/2023 Void Trans# 9665773 Page 1 of 3 ITEM 2, APPELLANT'S MATERIALS Packet Page 44 Engineer and Architect: Engineer Carlo Citto Engineer License Number 47618 Record Type Stat Code Commercial Construction Permit STAT Code 1: 022 -Addition, alteration, and conversions- Commercial Bulldlng Information: Structural Descriotion: Repair from a vehicle impact. Scooe of Work: Permit Scope of Work: Repair from a vehicle impact. DISCLAIMER: For all work done under this permit the permittee accepts full responsibility for compliance with the Denver Building Code and all other applicable Denver ordinances. This permit is subject to cancellation when work is not started within 60 days of the date issued, or when work has been suspended for 60 days or when request for inspection has not been made within 60 days of the previous inspection. Required inspections shall be requested one (1) working day in advance. Final inspection required for all work permitted under this permit. UNDER STATE STATUTE 38-22-105.5, WE ARE REQUIRED TO PUT YOU ON NOTICE OF THE FOLLOWING: IMPORTANT NOTICE TO OWNERS; UNDER COLORADO LAW, SUPPLIERS, SUB-CONTRACTORS, OR OTHER PERSONS PROVIDING LABOR OR MATERIALS FOR WORK ON YOUR RESIDENTIAL PROPERTY MAY HAVE A RIGHT TO COLLECT THEIR MONEY FROM YOU BY FILING A LIEN AGAINST YOUR PROPERTY. A LIEN CAN BE FILED AGAINST YOUR RESIDENCE WHEN A SUPPLIER, SUB-CONTRACTOR, OR OTHER PERSON IS NOT PAID BY YOUR CONTRACTOR FOR THEIR LABOR OR MATERIALS, HOWEVER, IN ACCORDANCE WITH THE COLORADO GENERAL MECHANICS'LIEN LAW, SECTION 38-22-10(3.5) AND 38-22-113(4}, COLORADO REVISED STATUTES, YOU HAVE AN AFFIRMATIVE DEFENSE IN ANY ACTION TO ENFORCE A LIEN, IF YOU OR SOME PERSON ACTING ON YOUR BEHALF HAS PAID YOUR CONTRACTOR AND SATISFIED YOUR LEGAL OBLIGATION�. YOU MAY ALSO WANT TO DISCUSS WITH YOUR CONTRACTOR, YOUR ATTORNEY, OR YOUR LENDER POSSIBLE PRECAUSTIONS INCLUDING THE USE OF LIEN WAIVERS, OR REQUIRING THAT EVERY CHECK ISSUED BY YOU OR ON YOUR BEHALF IS MADE PAYABLE TO THE CONTRACTOR, THE SUB-CONTRACTOR, AND SUPPLIERS FOR AVOIDING DOUBLE PAYMENTS IF YOUR PROPERTY DOES NOT SATISFY THE REQUIREMENTS OF SECTIONS 38-22-102(3.5} AND 38-22-113(4}, COLORADO REVISED STATUTES. TO PROTECT YOUR PROPERTY, YOU SHOULD TAKE WHATEVER STEPS NECESSARY. THIS CARD SHALL BE AVAILABLE AT THE JOB SITE AND THE PERMIT NUMBER SHALL BE VISIBLE FROM THE STREET BEFORE ANY INSPECTION WILL BE MADE. Internal Use Inspector Sign Off: Date: Status: Issue Date: 04/07/2023 Printed On: 04/07/2023 Page 2 of 3 ITEM 2, APPELLANT'S MATERIALS Packet Page 45 108 -Final -Commercial 152315th St Approved -Final Permit 4/21/2023 11:15 AM Desired Date: TBD Last updated LEONDRO ARCHULETA 4/21/2023 11:15 AM R.i.sult Comm, ts Showing 1-1 of 1 LEONDRO ARCHULETA (4/21/202311:15 AM) Print Record 2023-COMMCON-0000349 Commercial Construction Permit Scope of work was to repair wall from vehiclar impact, work is completed. Structural observation from the engineer will be attached to the permit via scan sheet. Showing 0-0 of 0 ct s: ID Inspection Name No records found. Relationship Status ITEM 2, APPELLANT'S MATERIALS Packet Page 46 ITEM 2, APPELLANT'S MATERIALS Packet Page 47 1��CITY AND COUNTY OF DENVER __. ::,,,.. ; ( �� �-��htte://www.denv ergov .org ,,, DENVER Commercial Construction Permit "'J\ � ,� ---=--THE MILE HIGH CITY Project Address: 11 E Louisiana AVE Permit#: 2021-COMMCON-0001264 Automated Inspection Request#: 82717034 Owner Information Contractor or Permittee Name: ABRUZZO Ill LLC Name: BLUSKY RESTORATION CONTRACTORS LLC Phone: Phone: (303)789-4259 Email: License: LIC236649 License Type: Building Contractor -Class B Email: LICENSING@GOBLUSKY.COM Address: PO BOX6354 Address: 9110 E NICHOLS AVE STE 180 DENVER, CO 802060354 CENTENNIAL, CO 80112 Tenant Site Contact Name: Adelitas Name: Mike Phone: (303)596-8960 Email: Mike.Hause@goblusky.com Authorizations Building Code Used: 2018 IBC / 2019 DBCA Architectural Review Jessen L 07/08/2021 DDPHE Review Gillespie S 06/16/2021 Electrical Review White N 07/06/2021 Fire Review Bartlett C 06/18/2021 Mechanical Review Pica B 05/26/2021 Plumbing Review Pica B 05/26/2021 Affordable Housing Review Keil S 06/01/2021 Valuation: $60.702.00 Type Amount F und/Org/Rev# Payment Date Void Trans# Building Construction Permit $497.00 R371000-*-01010-0142200 07/12/2021 8125115 Fee Conditions / Requirements Requirements: Structural Observation: Pre Construction Inspection Meeting: Special Inspection: Certificate/Occupancy Type: ResNetHRS: CO Remarks: Building Comments: General Information: Type of BID Log: Intermediate Commercial Class of Work: Alteration/Tenant Finish Parent Log Record ID: 2021-LOG-0005500 Change of Use?: No Occupancy Group/Use: B -Ice Cream Shop Type of Construction: I11-B Type Approved: Issue Date: 07/12/2021 Printed On: 07/12/2021 Page 1 of4 ITEM 2, APPELLANT'S MATERIALS Packet Page 48 Fire System Information Fire Alarm/Detection: Unknown Fire Sprinkler: Unknown I Inspection Section I Engineer and Architect: Architect Gregg WAiien Registration Number 8-202141 Record Type Stat Code Commercial Construction Permit STAT Code 1: 022 -Addition, alteration, and conversions-Commercial Building Information: Tenant Area: 1385 Stories: 1 Structural Descriotion: Scooe of Work: Permit Scope of Work: Renovation of ice cream shop after fire seating for 26 interior, 53 exterior patio 2 all-gender restrooms, office, prep room, and cooler. 1-hour demising wall to adjacent tenants FPD- This building has skylights: PLS ENSURE THAT THE ROOF ACCESS AND SKYLIGHTS HAVE THE FOLLOWING SIGNS FOR FIREFIGHTER FALL PROTECTION: Self-luminous or reflective signs or decals approved by the fire code official are required on building exterior walls when the locations of rooftop access landing areas are not apparent from the street. Self-luminous or reflective signs or decals approved by the fire code official shall be attached to each skylight, trap door, roof hatch, and scuttle cover; the sign or decal shall be on the surface, with striping around the entire perimeter. Self-luminous or reflective signs or decals approved by the fire code official shall be placed at entries (doors, stairs, ladders, or roof hatches) to areas containing skylights, trap doors, roof hatches, and scuttle covers. Existing non-metallic panels with curb heights eight inches or less that are present between metal panels on roofs shall be replaced with metal panel(s) with the equivalent gauge and material properties as the existing roof panels. Installation shall be completed by January 1, 2017. Perimeter guardrails or fall protection can be used in lieu of replacement of existing non-metallic panels when these systems comply with OSHA 29 CFR1926.502. Self-luminous or reflective signs or decals approved by the fire code official shall be placed on perimeter guardrails. Please note per DFC 105.6.27.1 Carbon dioxide (CO2) systems used in beverage dispensing applications: A permit is required for the use of carbon dioxide (CO2) systems with more than 100 pounds (45.4 kg) of carbon dioxide or any system using any amount of carbon dioxide (CO2) below grade used in beverage dispensing applications. DISCLAIMER: Issue Date: 07/12/2021 Printed On: 07/12/2021 Page 2 of 4 ITEM 2, APPELLANT'S MATERIALS Packet Page 49 For all work done under this permit the permittee accepts full responsibility for compliance with the Denver Building Code and all other applicable Denver ordinances. This permit is subject to cancellation when work is not started within 60 days of the date issued, or when work has been suspended for 60 days or when request for inspection has not been made within 60 days of the previous inspection. Required inspections shall be requested one (1) working day in advance. Final inspection required for all work permitted under this permit. UNDER STATE STATUTE 38-22-105.5, WE ARE REQUIRED TO PUT YOU ON NOTICE OF THE FOLLOWING: IMPORTANT NOTICE TO OWNERS; UNDER COLORADO LAW, SUPPLIERS, SUB-CONTRACTORS, OR OTHER PERSONS PROVIDING LABOR OR MATERIALS FOR WORK ON YOUR RESIDENTIAL PROPERTY MAY HAVE A RIGHT TO COLLECT THEIR MONEY FROM YOU BY FILING A LIEN AGAINST YOUR PROPERTY. A LIEN CAN BE FILED AGAINST YOUR RESIDENCE WHEN A SUPPLIER, SUB-CONTRACTOR, OR OTHER PERSON IS NOT PAID BY YOUR CONTRACTOR FOR THEIR LABOR OR MATERIALS, HOWEVER, IN ACCORDANCE WITH THE COLORADO GENERAL MECHANICS'LIEN LAW, SECTION 38-22-10(3.5) AND 38-22-113(4), COLORADO REVISED STATUTES, YOU HAVE AN AFFIRMATIVE DEFENSE IN ANY ACTION TO ENFORCE A LIEN, IF YOU OR SOME PERSON ACTING ON YOUR BEHALF HAS PAID YOUR CONTRACTOR AND SATISFIED YOUR LEGAL OBLIGATIONS. YOU MAY ALSO WANT TO DISCUSS WITH YOUR CONTRACTOR, YOUR ATTORNEY, OR YOUR LENDER POSSIBLE PRECAUSTIONS INCLUDING THE USE OF LIEN WAIVERS, OR REQUIRING THAT EVERY CHECK ISSUED BY YOU OR ON YOUR BEHALF IS MADE PAYABLE TO THE CONTRACTOR, THE SUB-CONTRACTOR, AND SUPPLIERS FOR AVOIDING DOUBLE PAYMENTS IF YOUR PROPERTY DOES NOT SATISFY THE REQUIREMENTS OF SECTIONS 38-22-102(3.5) AND 38-22-113(4), COLORADO REVISED STATUTES. TO PROTECT YOUR PROPERTY, YOU SHOULD TAKE WHATEVER STEPS NECESSARY. THIS CARD SHALL BE AVAILABLE AT THE JOB SITE AND THE PERMIT NUMBER SHALL BE VISIBLE FROM THE STREET BEFORE ANY INSPECTION WILL BE MADE. Date: Status: Internal Use Inspector Sign Off: ------------------- Issue Date: 07/12/2021 Printed On: 07/12/2021 Page 3 of4 ITEM 2, APPELLANT'S MATERIALS Packet Page 50 108 -Final -Commercial 11 Louisiana S tus Approved -Final Permit 5/12/2022 12:00 AM Desired Date: TBD Last updated DAVID HARDCASTLE 5/12/2022 7:12 AM R Ins Showing 0-0 of 0 ID Inspection Name No records found. Print lls Record 2021-COMMCON-0001264 Commercial Construction Permit Relationship Status ITEM 2, APPELLANT'S MATERIALS Packet Page 51 ITEM 2, APPELLANT'S MATERIALS Packet Page 52 New 2023 Regional Building Code Takes Effect in 7 15 58 58 Days Hours Minutes Seconds • PIKES PEAK REGIONAL BUILDING DEPARTMENT 2880 International Circle, Colorado Springs, CO 80910 Website: https://www.pprbd.org BUILDING PERMIT CALL 327-2880 for Inspections! Permit #; 018854 COLO SPRINGS PROPERTY OWNER L Issue Date: 6/29/2022 at 1:16 PM by NICKYA 4915 GALLEY RD, BLDG H, COLORADO SPRINGS, CO, 80915 Contrador: (17464) Plan: C163130 Project: COMMERCIAL INTERIOR REMODEL 437 Commercial Alterations (Additions, Remodels, Etc) Block: Subdiv: SD INDUSTRIAL PARK CO SPGS Utility#: Type of Construction: II-A Occupancy: Level Occupancy Sq. Feet 0 Total Sq. Feet Lot Computed Valuation: $0.00 Valuation: $60,000.00 Permit Fee: $514.00 Zone: Parcel: 6412304022 Gas#: Sprinklers: None Units: 1 NOTICE: IN ORDER TO RECEIVE INSPECTIONS, STREET SIGNS MUST BE IN PL ACE AND BUILDING SITE ADDRESSES MUST BE DISPLAYED. THANK YOU! By completing and obtaining this permit, I understand that I must comply with all of the requirements of the Pikes Peak Regional Building Code, all zoning, and all other ordinances, relating to building lines, uses, and construction within this jurisdiction. I also certify that I am the duly authorized representative of the above listed contractor. IMPORTANT NOTICE! This permit will be Administratively Closed if you do not receive an inspection or report your work progress within 180 days of issuance or if more than 180 days pass between inspections. If the work is in progress and you do not receive an inspection within the above time period, you must notify the REGIONAL BUILDING DEPARTMENT of such progress in order to keep the permit from expiring. Call 327-2880 to report your progress. This Building permit does not guarantee the installation and/or connection of public utilties. ITEM 2, APPELLANT'S MATERIALS Packet Page 53 -Permit issued to: KIPP, DONNY ITEM 2, APPELLANT'S MATERIALS Packet Page 54 Pikes Peak Region al Building Department New 2023 Regional Building Code Takes Effect in 7 15 56 20 Days Hours Minutes Seconds ()My Permits Permit: 018854B 4915 GALLEY RD, BLDG H, COLORADO SPRINGS, CO, 80915 Permit Status: Final Permit Details Property Owner: Address: Parcel#: Lat/ Long: Roof Truss P/SF: Code Version: Project Code: Project: Plan: Inspections COLO SPRINGS PROPERTY OWNER L 4915 GALLEY RD. BLDG H, COLORADO SPRINGS, CO, 80915 ----------------------------- 6412304022 Click to view Assessor Information 38.84601273, -104.73646661 30 (Elevation: 6201 ft.) 2017 PPRBC 437 (Commercial Alterations (Additions, Remodels, Etc)) COMMERCIAL INTERIOR REMODEL View Info for Plan C163130 There are no additional inspections required for this permit. Additional Required Inspections This is a list of all inspections that need to be performed by an Agency other than PPRBD, along with their current status. Reviewer FIREDEPT ZONING Code F= (Fire Final) Z= (Zoning/D.R. Final) Status Complete Complete Blocking Blocking Blocking Source COLORADO SPRINGS Fire Department Signed off plan C163130 COLORADO SPRINGS Zoning Signed off plan C163130 PPRBD Inspection History: 4 I ns_P�ctio� .:=:: 1 C�ni,ra�r I On... , • I Contains ... 03-31-2023 BLUSKY RESTORATION 02:05 PM CONTRACTORS, LLC 09-30-2022 11:46AM BLUSKY RESTORATION CONTRACTORS, LLC [ Depart,;ent j Code [ Status [ inspector j Comments i 1-C�ntains ... ! "T Contains ... [ I Contair; I c�-;;-tair!��ins ... Building B= (Building Complete !el Adam L Passed: FinaO Building B= (Building Fina0 Rejected !eiAdamL Foiled: No call ahead number/ Sign at office says they are gone/ Phone number on door had no answer. Additional Inspections Required (computer generated): External Agency Inspection F= by FIREDEPT is not Completed yet (Contact 385-598.2, x2), External Agency Inspection Z= by ZONING is not Completed yet (Contact 719-385-5982). ITEM 2, APPELLANT'S MATERIALS Packet Page 55 Inspection D ... I Contractor I Department jcode I Status I inspector J Comments I I I I 08-22-2022 BLUSKY RESTORATION Building BFR (Building Complete !!el Bob F. Passed: 03:42 PM CONTRACTORS, LLC Frame) 08-19-2022 BLUSKY RESTORATION BFR (Building Failed: purlin to post connections to be 4 screws per post , purlin Building Rejected !!el BobF. splices 2o have a minimum of 4 screws on long side and 3 screws on 03:S6 PM CONTRACTORS, LLC Frame) short side External Dept Inspection History: 2 Inspection D ... j Contractor jcode [ Status Inspector I Comments 12-13-2022 BLUSKY RESTORATION 08:47 PM CONTRACTORS, LLC F= (Fire Fi nal) Complete CSFIRE Passed: 12-13-2022 BLB fire final complete 12-7-2022 BLUSKY RESTORATION Z= 07:43 PM CONTRACTORS, LLC (Zoning/D.R. Complete ESHAFER Passed: Final) Permit Attachments Click any row to see more details about the attachment in question. Contractor: BLUSKY RESTORATION CONTRACTORS, LLC Variances: 4 Date 11/20/1997 11/20/1997 11/20/1997 11/20/1997 Plan Images Street# 4915 4915 4915 4915 Click here to view the associated plan image. Suite Dept: Building Issued on: 6/29/2022 Comments characteristics to foundation design to with stand expansive soil be addressed by soils eng as to foundat expansive soils -BC 11/97 sllow a foundation to extend 18" below grade w/ stip Additional Images May Be Associated with this plan Click here to view the plan details. Status: Final ITEM 2, APPELLANT'S MATERIALS Packet Page 56 ITEM 2, APPELLANT'S MATERIALSPacket Page 57 From:Matt Duguid To:Cynthia Nignan Subject:FW: Sandy recommendation for Todd Date:Tuesday, July 18, 2023 2:22:30 PM Attachments:image020804.png Here is an email from a client. From: Sandy Thrash <sandy@rndhouse.com> Sent: Monday, April 24, 2023 8:11 AM To: Todd Hulme <Todd.Hulme@goblusky.com>; Josh Burgess <josh.burgess@goblusky.com>; Matt Duguid <Matt.Duguid@goblusky.com>; Tessa Karl <tkarl@rndhouse.com> Subject: RE: Weekly Report for Site: Roundhouse-VineyardsExtPaint(8/30/22CI) [MESSAGE WAS SENT BY AN EXTERNAL PARTY] Good morning, Wanted to thank Todd for bringing in “the closer” painting company to finish out the project. I walked the site with Todd and Justin with JanPro and the buildings that Justin and his crew completed the finial touch-up and repainting of the stair stringers/handrails look amazing and was the quality I was expecting. I appreciate you seeing this project though and giving us a great finished project, thank you!! Kind regards, Sandy Thrash​ Senior Regional Manager, Roundhouse 208.271.7282 | sandy@rndhouse.com 1100 W Idaho Street, Suite 630, Boise, ID 83702 From: Todd.Hulme@goblusky.com <Todd.Hulme@goblusky.com> Sent: Saturday, April 22, 2023 10:45 AM To: Josh.burgess@goblusky.com; Matt.duguid@goblusky.com; Todd.hulme@goblusky.com; Sandy Thrash <sandy@rndhouse.com>; Tessa Karl <tkarl@rndhouse.com>; Todd.Hulme@goblusky.com Subject: Weekly Report for Site: Roundhouse-VineyardsExtPaint(8/30/22CI) Attached is the Weekly Customer Progress Report WorkOrder: 31776 Site: 2120027654 Address: 4350 Mira Linda Point, Colorado Springs, CO 80920 sophospsmartbannerendAttached is the Weekly Customer Progress Report WorkOrder: 31776 Site: 2120027654 Address: 4350 Mira Linda Point, Colorado Springs, CO 80920 ITEM 2, APPELLANT'S MATERIALS Packet Page 58 ITEM 2, APPELLANT'S MATERIALSPacket Page 59 Todd HulmeITEM 2, APPELLANT'S MATERIALSPacket Page 60 ITEM 2, APPELLANT'S MATERIALSPacket Page 61 ITEM 2, APPELLANT'S MATERIALSPacket Page 62 ITEM 2, APPELLANT'S MATERIALSPacket Page 63 ITEM 2, APPELLANT'S MATERIALSPacket Page 64 ITEM 2, APPELLANT'S MATERIALSPacket Page 65 GENERAL CONTRACTOR PROJECT VERIFICATION FORM -PAGE 2 APPLICANT'S PERFORMANCE: "'ove Ave rage Ave rage COMMENTS: })/ JI It-C1Ktt-7 J~/3 ll I gec-/1//y t t&uJ u. £I f ~ ll r -1;µ..~ aL;y Tl"' A/ (~ r--rN-c YOUR NAME (Print): /v/ I M./-/1-,c l--f<: l<.C / 7 Lz; W YOUR POSITION IN PROJECT: f'.11-tL(<... fJI/J~I N 7L-r ,A//f-ii/U. coMPANY NAME: /Jo<.1 d tLc '11--U.,l I'll tJ 13; '-6 !lo 1116-/J/t-N<- ADDREss: ~ 2-s-Al -(L(J tt. tf ct ~· /HI C c 7 . ~ u...1 A/J , 4tJ . £<.1~ -;.,,y: PHONE, &-' ,f' -:F 7;k 1 MOBILE PHONE# -l 'Z D • z 2. . ,f 2,~ 'z_ SIGNATUR · ~~ -J~ DATE: J '2-~1 /fy I ***THIS FORM WILL NOT BE ACCEPTED IF IT IS INCOMPLETE OR IS SIGNED BY APPLICANT OR ANYONE AFFILIATED W ITH APPLICANT OR APPLICANT'S COMPANY-PLEASE MAKE SURE TH IS FORM IS SIGNED BY A PERSON WHO IS NOT AFFILIATED WITH THE APPLICANT IN ANY WAY, WHO WAS PERSONALLY INVOLVED IN THE PROJECT AND IS ABLE TO VERIFY APPLI CANT'S PROFESSIONAL ROLE IN THE PROJECT*** Below for Office Use Only: Reviewed by: _________________ Date: ________ _ License Class of Project: ____ _ Comments : _______________ _ ITEM 2, APPELLANT'S MATERIALS Packet Page 67 ITEM 2, APPELLANT'S MATERIALS Packet Page 68 ITEM 2, APPELLANT'S MATERIALS Packet Page 69 ITEM 2, APPELLANT'S MATERIALSPacket Page 70 ITEM 2, APPELLANT'S MATERIALS Packet Page 71 ITEM 2, APPELLANT'S MATERIALS Packet Page 72 ITEM 2, APPELLANT'S MATERIALS Packet Page 73 ITEM 2, APPELLANT'S MATERIALS Packet Page 74 GENERAL CONTRACTOR PROJECT VERIFICATION FORM -PAGE 2 APPLICANT'S PERFORMANCE: □Abo ve A verage □A ve ra ge □Be low Average COMMENTS : _____________________________ _ YOUR NAME (Print): _ ___.G.......,-;rJoa...aRa.=...AJ=...;..~_c_;;;....__~~""'-· ..... €:4 ........... ~.=...;'&'~ ___________ _ YOUR POSITION IN PROJECT,.: ________________________ _ COMPANY NAME:...--=--f...::::::J.~~IL.:':!.L.LL......:,.ir..._ ........ ----,=------------------ ADDRESS :. _ ___,LI,,,,,!~~-.!....l-!.JL.=:~~~..:llL____;:=:..::....:..c:... _____ ~"""""2-......._,,~-=-----:~ PHONE: ____ ____,,,,...e-----:,---7'-----MOBILE PHONE #-~~:::......,,-....~F-,;,......::::::;,..,.=:~ SIGNATURE: DATE:_L.L.-,fi...~-...tt--...C:::.L.::.L---- ***THIS FORM W L NOT BE C EPTED IF IT IS INCOMPLETE OR IS S GNE BY APPLICANT OR ANYONE AFFILIATED WITH APPLICANT OR APPLICANT'S COMPANY-PLEASE MAKE SURE THIS FORM IS SIGNED BY A PERSON WHO IS NOT AFFILIATED WITH THE APPLICANT IN ANY WAY, WHO WAS PERSONALLY INVOLVED IN THE PROJECT AND IS ABLE TO VERIFY APPLICANT'S PROFESSIONAL ROLE IN THE PROJECT*** Below for Office Use Only: Reviewed by: __________________ Date: _________ _ License Class of Project: ____ _ Comments: _______________ _ ITEM 2, APPELLANT'S MATERIALS Packet Page 75 ITEM 2, APPELLANT'S MATERIALS Packet Page 76 ITEM 2, APPELLANT'S MATERIALS Packet Page 77 Contractor Licensing 281 N College Ave. P.O. Box 580 Fort Collins, CO 80526 Phone 970-416-2740 Fax 970-224-6134 www.fcgov.com/nbs/contractor.php GENERAL CONTRACTOR PROJECT VERIFICATION FORM The applicant identified below has applied for a general contractor license or construction supervisor certificate with the City of Fort Collins. Regulations require verification of the applicant's construction experience on specific projects by someone other than applicant or anyone affiliated with applicant’s company. You have been identified by the applicant as a person having direct knowledge of the applicant's involvement in the construction project described below. Incorrect or misleading information can result in the applicant's disqualification. You may be contacted for additional details and to verify the information provided. Incomplete forms will not be accepted. APPLICANT NAME: PROJECT NAME: PROJECT IDENTIFICATION (street address, city, county, state): PERMIT NUMBER: COMPLETION DATE: ***(Attaching copies of the permit and C/O or final inspection documentation is required)*** PROJECT SCOPE: New Building Addition Structural Alteration Non-structural Interior Finish STRUCTURAL FRAME TYPE: Std. Wood Frame Heavy Timber Masonry Steel Concrete BUILDING USE(s): FLOOR AREA OF CONSTRUCTION (SQ FT): FLOORS ABOVE GRADE: CONTRACT VALUE (Building(s) only + Labor + materials + profit): PROJECT DESCRIPTION (Attach supplemental documents as needed): ASPECTS OF PROJECT FOR WHICH APPLICANT WAS DIRECTLY RESPONSIBLE: APPLICANT'S PRIMARY ROLE IN PROJECT: 0LNH(UHNVRQ Bridge- The Lodge on 84th (14 Unit Fire) 1327 W 84th Ave, Federal Heights, CO 80260  ; ;;; 0XOWLIDPLO\DSDUWPHQWEXLOGLQJ WKUHH 7KH/RGJHVXIIHUHGDFDWDVWURSKLFILUHLQWKHVSULQJRI7KHZKROHEXLOGLQJZDVDFRPSOHWHORVVDQGKDGWREHGHPRHG DOOWKHZD\GRZQWRWKHIRXQGDWLRQDQGUHEXLOW $OODVSHFWVRIWKHSURMHFW 6XSHUYLVRU\  ITEM 2, APPELLANT'S MATERIALS Packet Page 78 GENERAL CONTRACTOR PROJECT VERIFICATION FORM – PAGE 2 APPLICANT'S PERFORMANCE: Above Average Average Below Average COMMENTS: YOUR NAME (Print): YOUR POSITION IN PROJECT: COMPANY NAME: ADDRESS: PHONE: MOBILE PHONE # SIGNATURE: DATE: ***THIS FORM WILL NOT BE ACCEPTED IF IT IS INCOMPLETE OR IS SIGNED BY APPLICANT OR ANYONE AFFILIATED WITH APPLICANT OR APPLICANT’S COMPANY – PLEASE MAKE SURE THIS FORM IS SIGNED BY A PERSON WHO IS NOT AFFILIATED WITH THE APPLICANT IN ANY WAY, WHO WAS PERSONALLY INVOLVED IN THE PROJECT AND IS ABLE TO VERIFY APPLICANT’S PROFESSIONAL ROLE IN THE PROJECT*** Below for Office Use Only: Reviewed by: Date: License Class of Project: Comments: x BluSky performance on this project went above and beyond the call. This project faced many challenges and with the help of BluSky we were able to overcome them. I would highly recommend them for another project. Casey Gore Director of Construction Bridge Property Management 111 East Sego Lily Dr., Suite 400, Sandy, UT 84070 801-716-5790 262-229-0910 12/7/2018 ITEM 2, APPELLANT'S MATERIALS Packet Page 79 ITEM 2, APPELLANT'S MATERIALSPacket Page 80 ITEM 2, APPELLANT'S MATERIALSPacket Page 81 ITEM 2, APPELLANT'S MATERIALSPacket Page 82 ZHolder Identifier : 7777777707070700077761616045571110767717016204447207442027772507300072640577046230130737051113163000307577114273235547075772734275773210763551067046221207764015170076570076727242035772000777777707000707007 7777777707070700073525677115456000732010506137112007122326343173100070333263521730000703322734207311007133336343162001071323263531720100713223725207311107033336352073000077756163351765540777777707000707007Certificate No :570098698047CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/29/2023 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PRODUCER Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago IL 60601 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (303) 758-7688 INSURED 10851Everest Indemnity Insurance CompanyINSURER A: 16535Zurich American Ins CoINSURER B: INSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.):(303) 758-9458 CONTACT NAME: BluSky Restoration Contractors, LLC 9110 East Nichols Avenue Suite 180 Centennial CO 80112 USA COVERAGES CERTIFICATE NUMBER:570098698047 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 $300,000 $10,000 $1,000,000 $2,000,000 $2,000,000 A 04/01/2023 04/01/2024 SIR applies per policy terms & conditions EF1ML00231231 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $5,000,000B04/01/2023 04/01/2024 COMBINED SINGLE LIMIT (Ea accident) BAP 3029532-03 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $10,000,000 $10,000,000 04/01/2023UMBRELLA LIABA 04/01/2024EF1CU00186231 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTEB04/01/2023 04/01/2024 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC302953103 Limit of LiabilityEF1ML0023123104/01/2023 04/01/2024 Pollution Liab-Claims- Ma $2,000,000Aggregate Limit SIR $50,000 Environmental Contractor Poll/Prof [E&O] A SIR applies per policy terms & conditions $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, 281 N. College Ave., Fort Collins, CO 80524 is included as Additional Insured in accordance with the policy provisions of the General Liability and Pollution Liability policies. General Liability policy evidenced herein is Primary to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation policies. Umbrella Liability policy Follows Form. General Liability includes On-going and Completed Operations. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Fort Collins 281 N. College Ave. Fort Collins CO 80524 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ITEM 2, APPELLANT'S MATERIALS Packet Page 83 AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: 570098698047 570098698047 Aon Risk Services Central, Inc. 570000093921 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # BluSky Restoration Contractors, LLC TYPE OF INSURANCE POLICY NUMBER LIMITS OTHER A Environmental Contractors and Prof EF1ML00231231 04/01/2023 04/01/2024 Limit of Liability $1,000,000 Aggregate Limit $2,000,000 SIR $50,000 Prof Liab - Claims- Made ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ITEM 2, APPELLANT'S MATERIALS Packet Page 84 Additional Coverages AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Central, Inc. 570000093921 570098698047 570098698047 Page _ of _ BluSky Restoration Contractors, LLC Policy #: FFX203993410 Policy Term: 4/1/2023 to 4/1/2024 Insurer: Nautilus Insurance Company Coverage: Excess Liability Each Occurrence: $5,000,000 Aggregate: $5,000,000 ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ITEM 2, APPELLANT'S MATERIALS Packet Page 85