City of Cripple Creek, Colorado



CONTRACTOR LICENSEINFORMATION AND FORMS10375908255000This information packet is intended to provide you with all the information and forms required to become a Licensed Contractor in the City of Cripple Creek. If, after having reviewed this information, you have any questions please do not hesitate to call or email us. We are here to assist you in the successful completion of your projects.ApplicabilityThe City of Cripple Creek requires all contractors involved in the construction, alteration, remodeling, repairing or equipping of buildings or other structures; or performing in the installation of underground utilities or construction of roads and streets and on all City-owned water, sewer and storm drainage facilities, to be licensed as contractor. Homeowners doing work on their personal private residence are not considered contractors and are not required to obtain a contractor license.ClassificationApplicants for Class A General, Class B Building, Class C Residential, Class D Mechanical and Class D Roofing License are required to provide proof that they are qualified to perform the work under the License Class. The City currently accepts a current valid contractor license from any other Colorado municipality or county (i.e., Pikes Peak Regional Building, Teller County) or a Contractor License Certification from the International Code Council for the currently adopted code (For more information on ICC Contractor Certification go to Certification/Pages/default.aspx). Please see the attached Contractor License Table for the requirements of each License. Plumbing and Electrical Contractors are required to provide us with a copy of their current valid State of Colorado Contractor’s License and their Master’s License.Manufactured Home Installers are required to provide their State of Colorado Manufactured Home Installers License.Applicants with out of State Contractor License are reviewed on a case by case basis.Sole ProprietorsContractors who are sole proprietors of their business are required to fill out and submit an Affidavit of Eligibility form and provide an approved form of identification in accordance with CRS 24-34-107. Please see Attachment A Secure and Verifiable Documents for a list of approved identification. Sole proprietors are required to apply for the license in person. We do not accept online, mailed, faxed or e-mailed applications from sole proprietors.InsuranceThe City of Cripple Creek requires the following insurance information be provided: Insurance Company Name (General Liability), Policy Number and Policy Expiration Date. Enter the information in the application form. We also require a certificate of insurance to be provided with the application.ExpirationContractor Licenses are valid for one (1) year from the issue date and are renewable any time within one year of expiration. Electrical Contractor Registration is valid for two (2) years. Should the license or registration not be renewed with one year of expiration you will be required to provide information as required for a new license. Fees and ApplicationsContractor License fees are listed on the attached Contractor Table. Fees are the same for new licenses and renewed licenses. Contractor license applications are accepted the Planning and Community Development Department or via mail, or e-mail with payment made with a credit card over the phone. The only exception is for sole proprietors who are required to appear in person to apply for a license in accordance with CRS 24-34-107. ResponsibilitiesUnder the provisions of Cripple Creek City Code Section 18-1-70 a holder of a contractor license has the following responsibilities:1.Provide minimum safety measures and equipment to protect workers and the public in general as prescribe by the Building Code.2.Observe any other City, County or State ordinance, resolution or statute prescribing measures for the safety of workers and of the public.3.Present license cards when requested by the Chief Building Official.4.Obtain a building permit when a building permit is required.5.Construct faithfully, without substantial departure from or disregard of, drawings and specifications when such drawing and specifications have been filed and approved by the Building Division and a permit has been issued for such, unless such changes are approved by the Building Division.plete all work authorized on the permit issued under the authority of the Building Code, unless good cause is shown.7.Obtain inspection services when the inspection services are required by the Building Code.8.Pay any fee assessed under the authority of the Building Code.9.Obey any order issued under the authority of the Building Code.10.Provide honest and factual information on all applications for permits.Changes in status1.A change in name, business designation or personnel of a business issued a contractor's license shall void the license unless such changes are recorded with the building department within ten days after making such change.2.Incorporation or a change in incorporation creating a new legal entity that requires a contractor's license, even though one or more stockholders or directors have a license, shall void the license.3.The organization of a partnership or the change in a partnership creating a new legal entity that requires a contractor's license, even though one or more of the partners are licensed, shall void the license.4.The dissolution of a corporation or partnership which has been licensed terminates the contractor's license, and no individual or firm may operate under such license.5.In the case where it is desired to change the name of a presently licensed firm, partnership or corporation where there is no change in ownership, a new contractor's license shall be issued under the new name, without charge, upon the surrender of the contractor's license originally issued.Contact Information:City of Cripple CreekPhone:719-689-3905Planning and Community Development719-689-3588Building DivisionFax:719-689-3288337 E. Bennett AvenueE-mail:wgray@cripple-creek.co.usPO Box 430rmueller@cripple-creek.co.usCripple Creek, CO 80813Website:Contractor License TableClassFeeRequirementsAllowed to PerformAGeneralContractor$150.00Valid license with a Colorado jurisdiction orICC W11 National Standard General BuildingContractor (A)UnlimitedBBuildingContractor$100.00Valid license with a Colorado jurisdiction orICC W12 National Standard BuildingContractor (B)Unlimited, except forType I Construction,and limited to threestories in heightCResidentialContractor$75.00Valid license with a Colorado jurisdiction orICC W13 National Residential BuildingContractor (C)ResidentialDSpecialty$75.00No requirementsSpecialContractorDManufacturedHome Installer$75.00Valid State of Colorado Certified InstallerManufacture HomeInstallationDPlumbing$0.00Must hold a valid State of Colorado PlumbingContractor and Master Plumber LicensePlumbing and GasPiping InstallationDElectricalRegistration$0.00Must hold a valid State of Colorado ElectricalContractor and Master Electrician LicenseElectrical InstallationDMechanical$75.00Valid license with a Colorado jurisdiction or ICC W29 National Standard Master MechanicalUnlimited MechanicalInstallation includingwater heatersDRoofing$75.00Valid license with a Colorado jurisdiction or ICC W14 National Standard RoofingRoofing andReroofing of structuresREQUIRED ICC TestW11 National Standard General Building Contractor (A)2018 CodeClass A LicenseW12 National Standard Building Contractor (B)2018 CodeClass B LicenseW13 National Standard Residential Building Contractor (C)2018 CodeClass C LicenseW29 National Standard Master Mechanical2018 CodeClass D MechanicalW14 National Standard Roofing Contractor2018 CodeClass D RoofingCONTRACTOR LICENSE APPLICATION□ NEW□ RENEWAL4476751951990Business Officer/Member/Partner: Please provide the name and address of one officer, member or partner.First Name:______________________________MI:_____Last Name:______________________Title:________________________________□ Check here if contact information is same as aboveAddress:________________________________________________City:____________________State:___________Zip:_________________Phone:_________________________________________________Fax:____________________Mobile:______________________________E-Mail Address:______________________________________________________________________________________________________Company Representatives Name (if different from above):________________________________Phone:______________________________00Business Officer/Member/Partner: Please provide the name and address of one officer, member or partner.First Name:______________________________MI:_____Last Name:______________________Title:________________________________□ Check here if contact information is same as aboveAddress:________________________________________________City:____________________State:___________Zip:_________________Phone:_________________________________________________Fax:____________________Mobile:______________________________E-Mail Address:______________________________________________________________________________________________________Company Representatives Name (if different from above):________________________________Phone:______________________________-4667253442970License InformationCheckmark next to the license(s) required□ Class A General Contractor Unlimited$150.00 Test or accepted license – COPY REQUIRED□Class B Building Contractor Unlimited$100.00Test or accepted license – COPY REQUIRED(except Type I A & B, Limited to 3 stories)□Class C Residential Contractor$75.00Test or accepted license – COPY REQUIRED□Class D Mechanical$75.00Test or accepted license – COPY REQUIRED□Class D Plumbingno feeTest or accepted license – COPY REQUIRED□ Class D Plumbing/Mechanical combo license$75.00(see plumbing and mechanical requirements above)□ Class D Roofing$75.00Test or accepted license – COPY REQUIRED□ Class D Electrical Registrationno feeState contractor and Master – COPY REQUIRED□ Class D Other, Specialty:$75.00No Requirement00License InformationCheckmark next to the license(s) required□ Class A General Contractor Unlimited$150.00 Test or accepted license – COPY REQUIRED□Class B Building Contractor Unlimited$100.00Test or accepted license – COPY REQUIRED(except Type I A & B, Limited to 3 stories)□Class C Residential Contractor$75.00Test or accepted license – COPY REQUIRED□Class D Mechanical$75.00Test or accepted license – COPY REQUIRED□Class D Plumbingno feeTest or accepted license – COPY REQUIRED□ Class D Plumbing/Mechanical combo license$75.00(see plumbing and mechanical requirements above)□ Class D Roofing$75.00Test or accepted license – COPY REQUIRED□ Class D Electrical Registrationno feeState contractor and Master – COPY REQUIRED□ Class D Other, Specialty:$75.00No Requirementcenter6076315Character References (List three (3) character references)Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________00Character References (List three (3) character references)Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________447675227965Company Information (Please Print Legibly)Business Name:_________________________________________________Contractor Number: CC - _______________________________Insurance Co Name (Gen. Liability):__________________________________Policy# _________________Exp. Date:___________________□ FOR RENEWALS ONLY: Check here if you have verified your business information in our system and no changes are needed.Business Address:_______________________________________City:___________________State:__________Zip:_________________Mailing Address:_________________________________________City:___________________State:__________Zip:_________________Business Phone:_________________________________________Fax:___________________Mobile:______________________________Primary Business E-Mail Address:_______________________________________________________________________________________Select one of the following:□ Corporation□ LLC□ Non-Profit□ Partnership□ Sole Proprietor (MUST APPLY PERSON)00Company Information (Please Print Legibly)Business Name:_________________________________________________Contractor Number: CC - _______________________________Insurance Co Name (Gen. Liability):__________________________________Policy# _________________Exp. Date:___________________□ FOR RENEWALS ONLY: Check here if you have verified your business information in our system and no changes are needed.Business Address:_______________________________________City:___________________State:__________Zip:_________________Mailing Address:_________________________________________City:___________________State:__________Zip:_________________Business Phone:_________________________________________Fax:___________________Mobile:______________________________Primary Business E-Mail Address:_______________________________________________________________________________________Select one of the following:□ Corporation□ LLC□ Non-Profit□ Partnership□ Sole Proprietor (MUST APPLY PERSON)-4667252582545CONFIDENTIALUpon a public request for this document a requestor release form shall be executed or this information shall be redacted.Driver’s License Number:___________________________Issuing State:____________________________Date of Birth:_________________00CONFIDENTIALUpon a public request for this document a requestor release form shall be executed or this information shall be redacted.Driver’s License Number:___________________________Issuing State:____________________________Date of Birth:_________________-4667251711325Have you everHave you everHave you everHave you or yourdefaulted on abeen involved in abeen convicted of abusiness ever filedcontract?Lien suit?Felony?Bankruptcy?Yes□ No□Yes□ No□Yes□ No□Yes□ No□00Have you everHave you everHave you everHave you or yourdefaulted on abeen involved in abeen convicted of abusiness ever filedcontract?Lien suit?Felony?Bankruptcy?Yes□ No□Yes□ No□Yes□ No□Yes□ No□4476750Work References (List three (3) persons or corporations you have done work for)Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________00Work References (List three (3) persons or corporations you have done work for)Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________Name:_____________________________________________________________________________________________________________Address:________________________________________________City:____________________State:___________Zip:_________________I hereby confirm that the above information is true to the best of my knowledge and that I will notify the Building Division of any changes to the status, company name or address in accordance with Section 18-1-80 of the Cripple Creek Municipal Code. I also confirm that I have read and understand the responsibilities of a license holder as stated in Section 18-1-70 of the Cripple Creek Municipal Code._______________________________________________________________________Company Representative SIGNATUREDateIMPORTANT INFORMATIONStarting January 1, 2007, pursuant to H.B. 06S-1009, C.R.S24-34-107, only persons lawfully present in the United States will be issued a license. Therefore, ALL applicants for original licensure or licensees renewing a current Colorado license after January 1, 2007 are required to complete and sign the following Affidavit of Eligibility and may also be required to provide valid identification when requested.AFFIDAVIT OF ELIGIBILITYSection A: LAWFUL PRESENCE in the United StatesI, (please print your full name) ________________________________________, swear or affirm under penalty of perjury under the laws of the State of Colorado that (check 1, 2, or 3 below):1. □ I am a US citizen.2. □ I am not a US citizen but am lawfully present in the US as evidenced by one of the following, (checka, b, or c):a. □ I am a qualified alien as defined in 8 U.S.C. sec 1641.b. □ I am a nonimmigrant under the “Immigration and Nationality Act”, Federal Public Law82-414 as amended.c. □ I am an alien who is paroled into the US under 8 U.S.C. sec.1182 (d) (5).3. □ I am a foreign national not physically present in the US under 8 U.S.C. sec 1621 (c) (2) (c) oremployed in the US pursuant to 8 U.S.C. 1621 (c) (2) (a).Complete documentation must be provided upon request.Section B: Secure and Verifiable Document. All areas in this section must be completed.1. Please refer to attachment A (on the reverse of this form) for a list of acceptable secure and verifiabledocuments and enter the documentation you have .2. Please enter the name of the state or federal agency name where this was issued .3. What is the document number ?4. What is the expiration date ?Section C: Attestation.I understand that this sworn statement is required by law because I have applied for or hold aprofessional or commercial license regulated by 8 U.S.C. sec. 1621. I understand that state law requiresme to provide proof that I am lawfully present in the United States when asked as well as submission ofa secure and verifiable document. I may also be required to provide proof of lawful presence.I understand that in accordance with sections 1808-503 and 18-8-501(2)(a)(I), C.R.S., false Statementsmade herein are punishable by law. I state under penalty of perjury in the second degree, as defined in18-8-503, C.R.S. that the above statements are true and correct.I am the person identified above and that the information contained herein is true and correct to the bestof my knowledge. I understand that under Colorado law, providing false information is grounds fordenial, suspension or revocation of a license, certificate, registration or permit.I understand that the above information must be disclosed to the Department of Regulatory Agenciesupon request and is subject to verification.Signature DateColorado License No. and Type(if already licensed):Attachment ASecure and Verifiable Documents? Any Colorado Driver License, Colorado Driver Permit or Colorado Identification Card, expired lessthan one year. (Temporary paper license with invalid Colorado Driver License, Colorado DriverPermit, or Colorado Identification Card, expired less than one year is considered acceptable.)? Out –of-state issued photo Driver’s License or photo identification card, photo drivers permit expiredless than one year.? Valid foreign passport with I-94 or valid Processed For 1551 stamps.? Valid I-94 issued by Canadian government with L1 or R1 status and a valid Canadian driver’slicense or valid Canadian identification card.? Valid 1551 Resident Alien/Permanent Resident card. NO border crosser or USA B1/B2 Visa/BCCcards.? Valid 1688 Temporary Resident Card, 1688B and 1766 Employment Authorization Card.? Valid US Military ID (active duty, dependent, retired, reserve and National Guard).? Tribal Identification Card with intact photo (US or Canadian).? Certificate of Naturalization with intact photo.? Certificate of (US) Citizenship with intact photo. ................
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