HomeMy WebLinkAbout2855 Eaton Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 4 / -
Job Address: 9S 5757- 1�_� or, S�-
Permit Number: a a l `7 1V S 7 (o 7
❑ No one available for inspection: Time = 3g Q/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: -0 IJInspector: —rb
DO NOT REMOVE THIS NOTICE
IL/
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �� L/
Job Address: a g ss 10 C,-7-0 r, S ¢
Permit Number: ® ► 7 0 6 S ) S -
❑ No one available for inspection: Time 10
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -'&-/ -7 / 0 Inspector: _71S
DO NOT REMOVE THIS NOTICE
A
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:ff .,e,%
Job Address: S s S �' G �„ +
Permit Number: 0 1-7 0 4s -7 -7
C 0 r- r -L -e i--.
❑ No one available for inspection: Time 10 = -aq &PM
Re -Inspection required: (R� No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -7 JS Inspector: T6
DO NOT REMOVE THIS NOTICE
#i "CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 2 S 5� Z-9
Permit Number:
❑ No one availabl for inspection: Time / / / AM/PM
Re -Inspection required: Yes No vs r r7;,,"- t --
When corrections have been made, call for re -inspection at 303-234-5933
}
Date: ��
Inspector
DO NOT REMOVE;%THIS NOTICE
. ' a City of Wheat Ridge
:�d Residential Miscella PERMIT - 201708767
PERMIT NO: 201708767 ISSUED: 11/01/2017
JOB ADDRESS: 2855 Eaton ST EXPIRES: 11/01/2018
JOB DESCRIPTION: Residential Miscellaneous permit for replacement of full house and garage
siding 27sq with Norandex Woodsman Select Vinyl siding.
*** CONTACTS ***
OWNER (303)345-5330 TREY HARRISON
SUB (720)536-8870 Chris Falasco 160159 Endeavor Exteriors
*** PARCEL INFO ***
.ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,392.44
FEES
Total Valuation 0.00
Use Tax 281.24
Permit Fee 267.70
** TOTAL ** 548.94
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to e perfo d is disclosed in this document and/or its' accompanying approved plans and specifications.
A'� )i / 7
Signature of OWNER or' CONTRACTOR (Circle one) Date
I, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
de
applicable coor any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %-P Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
- W heat R
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: /'/' (''
GJ l
Plan/Permit # ZZ
t 7 V T 1/ I
Plan Review Fee:
15 L&t-
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Zb SS fa+bv% 5�(a -
Property Owner (please print): �r�! Na+�►'15D✓t Phone: Yd — 3y5, 533o
Property Owner Email: m hawksoy" �Io�'rylQ�� .coni
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
50 v�k )I's
Architect/Engineer E-mail:
Contractor: I�A A avor— i��( fz/��
Contractors City License #:
I w S71
Phone:
Phone: %Zo - 73� - $ala
Contractor E-mail Address: (k_,D& .Ck�01@- P-v���a�or{�G cors•�orv1
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL S RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIA CE REPAIR or REPLACEMENT
OTHER (Describe)ldt^9
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
F I al,Lx 9ow-ay,G )Id
�f 6 aq,q- �wSrna,'-
Btu's
Squares
r)a&mc,A-�,
vr0YY- sld�,Vl
z-7
Z-1 56s (,)/
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
i3, 3gz,if
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) o (AUTHORIZED REPRESENTATIVE) (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE: 1I l / 7
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201705088
PERMIT NO: 201705088 ISSUED: 07/31/2017
JOB ADDRESS: 2855 Eaton ST EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles with 25sq
4/12 pitch
*** CONTACTS ***
OWNER (303)345-5330 TREY HARRISON
SUB (303)204-0408 John Grissom 170128 Grissom Contracting
*** PARCEL INFO ***
ZONE CODE: UA-/ Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00
FEES
Total Valuation 0.00 i
Use Tax 134.93
Permit Fee 156.75
** TOTAL ** 291.68 -
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
r City of Wheat Ridge
V,
Residential Roofing PERMIT - 201705088
PERMIT NO: 201705088 ISSUED: 07/31/2017
JOB ADDRESS: 2855 Eaton ST EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles with 25sq
4/12 pitch
I by my signature do hereb attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as partPes to the work to be
pert"ormed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flaps and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Re uests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days madete granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original ermit fee.
3. If requirements, feit es and�proceew dur sl for approvaluired of ny new obtained.
. Res ssuanuance ce or extension f a new permit
I of expired permitect s is at the the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab1 ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official ® Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT - 201705088
PERMIT NO: 201705088 ISSUED: 07/31/2017
JOB ADDRESS: 2855 Eaton ST EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles with 25sq
4/12 pitch
*** CONTACTS ***
OWNER (303)345-5330
TREY HARRISON
SUB (303)204-0408
John Grissom
170128 Grissom
Contracting
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS, OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
6,425.00
FEES
Total Valuation
0.00
Use Tax
134.93
Permit Fee
156.75
** TOTAL **
291.68
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
('.nnrPllatinnc miist he submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Tyke
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Gni--4.tinn IF) F I ettPr _
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
M_ .1_a J►__._.. 1 I....J...............A Qe1.,%AN11r%-C1Mk WnrL- Prinr Tn Annrnval 0f The Above Inspections
LJV I'VVL%OW v..Mv.
Rough Inspections
Date
-------
Inspector
Initials
---
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
CommentsInitials
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW &Drainage /Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
"For low voltage permits - t-iease oe sure uidi [UUY11 111Z{Pc,.uviia ——111Fncby the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
IV � 4 4 City of Wheat Ridge
Residential Roofing PERMIT - 201705088
PERMIT NO: 201705088 ISSUED: 07/31/2017
JOB ADDRESS:. 2855 Eaton ST EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles with 25sq
4/12 pitch
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by �ermIt.1furth
e legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thiserattest that Iam legally authorizdtoinclude all entities named within this document as parties to the work to beperrmed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicode or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A ` City of Wheat Ridge
Residential Roofing PERMIT - 201706515
PERMIT NO: 201706515 ISSUED: 08/24/2017
JOB ADDRESS: 2855 Eaton ST EXPIRES: 08/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 24 sq
*** CONTACTS ***
OWNER (303)345-5330 TREY HARRISON
SUB (720)536-8870 Chris Falasco 160159 Endeavor Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,063.14
FEES
Total Valuation 0.00
Use Tax 253.33
Permit Fee 251.85
** TOTAL ** 505.18
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201706515
PERMIT NO: 201706515 ISSUED:
JOB ADDRESS: 2855 Eaton ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles
08/24/2017
08/24/2018
24 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am fhe legal owner or have been authorized
by the legal owner of theproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performedani �th�a(t//f/y��j' w ` k tot ,b/e pp11eerformed is disclosed in this document and///or its' ac1coAfmpan^y)ling approved plans and specifications.
:.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appli. e ode or any ordinance ol reg lation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Antoinette Kulick zo17A Y5�
From: no -reply@ ci.wheatridge.co.us
Sent: Monday, August 21, 2017 3:39 PM
N
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application .. j
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in A
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR A
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE °r
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
rn
For all other requests: A
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be 1
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
DL
Property Address 2855 Eaton Street
Property Owner Name Trey Harrison
Property Owner Phone 303-345-5330
Number (enter WITH
dashes, eg 303-123-4567)
93
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Harrison Client Aareement.pdf
CONTRACTOR INFORMATION
Contractor Business
Endeavor Exteriors
Name
U—
Contractor's License
160159
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
720-536-8870
7808 Cherry Creek S. Drive #401
Contractor Email Address production@endeavorexteriors.com
Retype Contractor Email production@endeavorexteriors.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 24
the entire scope of work:
Project Value (contract 12063.14
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
94
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof-
Type
oof
Type of material for the
pitched roof.
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No
Yes
24
Asphalt shingles
Asphalt
House and detached garage. 1 -story. 3/12 pitch.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
95
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Alex Knoll
Email not displaying correctly? View it in your browser.
96
DocuSign Envelope ID: DCDDF977-OD8F-4AOA-8F3F-07AOD9FA07A7
CLIENT AGREEMENT
EXTERIORS
7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231 LBBB
Office: (720) 536-8870 i www.TheEndeavorTeam.com i Licensed & Insured
Client Email Date
Trey Harrison I treyharrison@hotmail.com 18/5/2017
Street Address Endeavor Rep
2855 Eaton Street I Evan Rawal
City, State, Zip Insurance Company Insurance Agent
Wheat Ridge, CO 80214 N/A N/A
[Home Phone I Work Phone Claim #
303-345-5330 N/A
Mortgage Company (only if mortgage company is present on payment)
Lender 1 Loan # ❑ Borrow Authorization Form Signed
❑ Photo of Mortgage Check Taken
Limited Lifetime Labor Warranty 0 Gen. LiabilityfWorkers' Comp 0 BBB Accredited 0 No Deposit Required
El 1:1
ROOF SCOPE: Full Partial Repair WINDOWS: Full Partial REp Ir PAINT: Full Partial pair
Brand: Brand. Brand:
GAF Timberline HD Simonton
Color TBD ModellColor: CO�Ir
White
Metal Color. ✓ �� ❑--
Match Shingle SIDING: u Pa�ial Repair OTHER:
FeIt.15 # Synthetic(Brand. Norandex Full Fascia Replacement -
_ _._-- Color TBD
� style:
GUTTERS: LI Partial Repair Woodsman Select Window Wraps Replacement -
_ ....__
nDolor TBD ❑■ Gutters I Color. TBD - Color TBD
_.._ ___ [:]Downspouts
Payment Terms
Client understartdikand agrees their insurance company will not pay the deductible
amount or any upgrade client is opting to pay for. Client's expense for these items are:
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
$ N/A
$ 13,263.79
$ 26,527.58
❑ Balance due upon substantial completion 0 CASH SALE ❑Contigency Agreement (Contigent upon Ins. approval)
INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their best interest in pursue of full replacement costs for damages
to he covered under homeowner's insurance and allows Endeavor Exteriors to deal directly with the insurance company renardinq thin rla!m This :-ontrac± dries not ohima±,n
the client to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Exteriors- Upon approval of claim Endeavor Exteriors
will complete all soecffied work at a price agreeable to the insurance company (RCV) and Endeavor Exteriors with no additional cost to the client except for the, dedncohie
Ordinance and Law (supplemental) terns may Increase the orginal iRCV) amount. Final agreed upon price will become the final contract price and request nsaf all pavgiem
be made pavable to Endeavor Extenors Inc. Endeavor Exteriors will not collect payment until the work has begun or materials have been delievered.
*Credit card payments are not accepted on insurance claims'
I (we) agree, by signing below, to tt�e contract conditions on both front and back, of this agreement
eu yned y, 8/5/2017
Client Signature _ _ F1111 Date of Acceptance:
AE68984970860F9
Client Signature: Endeavor Signature:
DocuSign Envelope ID: DCDDF977-OD8F-4AOA-8F3F-07AOD9FA07A7
1. If the client plans to use the proceeds of a property and casualty insurance policy pursuant to part 1 of
article .l of title 10, C.R.S., to pay for the roofing work, pursuant to section b-2-105, the rooting contractor
cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible
applicablc to the insurance claim for payment for work on the covered residential property.
2. All (:ontracts subject to approval by Endeavor Exteriors financial department.
3. Contract price is valid for thirty (30) days.
1. Endeavor Exteriors reserves the right to perform specified work in accordance with generally accepted
construction guidelines, while adhering to local codes in effect at the time of contract.
5.
All checks must be made payable to: Endeavor .Exteriors.
(�. ;111 excess materials remain the property of 1?ndeavor Exteriors.
Client is responsible for Homeowner's Association approval of products and colors.
s.
Client acknrrwvledges Endeavor Exteriors as a general contractor, as such Endeavor Exteriors will be
entitled to ten percent (1090) overhead, and ten percent (10°i)) profit, (0& P) if approved by the rnsurancc
company, if this project is part of a claim.
` \ I I account is defined as past due when 10 days have elapsed from the date of completion of work. fast
dire accounts will earn interest at a rate of one and one -hall percent (1.5%) per month or eighteen percent
(1 R4i,) annually. If [;ndeavor Exteriors is required to turn the matter over to an attorney for collection, the
client also agrees to pay all costs incurred, including; attorney's fees.
I (I. Should default of payment occur on this contract., Endeavor Exteriors reserves the right to place a
mechanic's lien on the clients' property.
1 1. 1:ndeavor F.xterieirs shall not be held liable for failure of'performance due to labor controversies, strike,
fire, hail, weather, inability to obtain material from usual source, or any other circumstance beyond the
control of the company.
12. Our standard workmanship warranty for roofing is non -transferable limited lifetime, and one (1) year for all
other trades, and the company will provide a service call for roof inspection, as long as the client owns the
property.
I I'Mcleavor Exteriors is not responsible for any leaks or water damage below the roofline caused by
excessive wind, ice or hail during the period of the warranty.
Ill. Endeavor Fxteriors shall refund any deposit if this contract is cancelled within 2 hours (3 days).
15. If this contract is cancelled by the client, after three (3) or more days of -execution, the client agrees to
pay Endeavor lixterwrs twenty percent (20%) of the contract price, set by the insurance company, only if
materials have been delivered or work has been performed, as liquidated damages. '[leis payment is not a
pc 11alty, but is fair and just compensation for services rendered to that point.
I o. -I lie homeowner may cancel this contract within 72 hours if the insurer has denied, in whole or part, the
homeowners clami that relates to this contract.
While we make every effort to ensure there are limited consequences of construction, Endeavor Exteriors
will not he held responsible for slight scratching or denting of gutters, droplets ofoil in the driveway,
cracks in concrete, or damage to plants and trees. Furthermore, Endeavor Exteriors will riot he held
responsible for exterior damages such as deteriorated trim pieces, crown molding, stucco, solar panels,
evaporative coolers, existing skylights, or interior darnage such as fulling dust and debris, cracked plaster,
shcct rock or nail pops, as a result of normal re -rooting.
18. Replacement or repair of the deteriorated decking, fascia boards, swamp coolers, ventilators, chimneys,
counter flashing, or any other work completed for the homeowner not explicitly stated in this contract,
are not included in quoted price and will he charged as extra on it time and material basis.
19. 1:11deavor Fxteriors holds the right to photograph all projects in which it is invloved, and the right to
Publish throughout all Endeavor Exteriors' social media outlets.
DS
__
fid' ,
i - CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J'Y1 r d
Job Address: 154 -
Permit Number:c'} 0 17 b t, S-1 5—
❑ No one available for inspection: Time 1 t? 1 6) PM
rte,,
Re -Inspection required: Yes Ao
y
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1) %s" Inspector
i -,b
DO NOT REMOVE THIS NOTICE
C 11 ity of,
W heat ge-,
g
rv)" DINI-IOPMENT
FOR OFFICE USE ONLY
M
PlanlPenwit
I I I! r 1 1 1 11 1
Property Owner (please prino: Sarah Shaw Phonw 970-376-2113
Property Owner Email: not availab
gjjjwiij'11111111p;��i mill
—6.0; 1.21ME
Address: Same as Above
Arphilp,cMnaineer: NIA
Phone:
Contractor: Thd at Home Services, Inc I
509=
Phone: 1-855-712-8899
Contractor E-mail Address: copermitsCa)gmaii.com I
Electrical:
W,R� City License #
Plumbing -
WR CijX License#
Mechanical:
W.R. City License#
Complete all information on BOTH sides of this form
NEW COMMERCIAL uwELECTRICAL
rA SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL ROOFING
0 COMMERCIAL ADDITION [I RESIDENTIAL ROOFING
El RESDENTIAL ADDITION RI WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
y IIIF SYSTEM/APPLIANCE ! ! MY or
REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER *.
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed • - footage,existing condition . • proposed new condition,appliance size and efficiency, pe and
amount of • r -
S . FULF Btu's
Amps _A_ ......_. _ -------- Squares ry ..w._
Gallons
Em
t4
O
m
IR
IR
Lt
Vi
m
IR
IR
Lt
City o f
��,�
CC,)MMUNIiy DEVELOPMENT
Address;
Dates
P lan
P erm i t
Review Fee (due at finv o say ittat ).
Squares BTU's - Gallons Sq Ft, _�
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: a.-.a-a
Job Address: i' ~ 4 ,~_4j
Permit Number: > 6 Y
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes
"When corrections have been madll for re 'inspection at 303-234-5933
Date: SA-5p Inspector.
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
err
Residential Mechanic PERMIT - 090245
PERMIT NO: 090245 ISSUED:- 03/24/2009
JOB ADDRESS::. 2855.. EATON ST. EXPIRES.: 09/20/2009
DESCRIPTION: Install 70,000. btu -furnace 95aefficiency
a
***.CONTACTS***
owner 970/310-3835 Mark Mitisek
sub 720/270-3884 Jared Matlock 09-.0056 Matlock: Heating and Cooling
PARCEL INFO
ZONE CODE: UA - USE: UA:
SUBDIVISION:: 0527 BLOCK/LOT#: 0/:
c
FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,500.00
g
FEES
Permit Fee - 70.25
631
Total Valuation .00 M_rr(Z('_7JJ
Use Tax 27.00 TOTAL 97.25 Conditions:
Must comply w/ 2003IRC & 2005 NEC. 't
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable
ordinances,. rules or regulations of the . City. of Wheat Ridge. or covenants, easements or restrictions. of record, that all
measurements shown,' and allegations made. are accurate; that I have read. and agree to abide. by all conditions printed on this
application and thatI as um full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicabl-e~ eat Ridg d' an es "f ork under this permit. Plans subject to field inspection. l=.
ignature of ..co a'actor/ er date
1. -permit was issued in accordance with the provisions. set forth in your application and is subject to the laws of the'
State of Colorado and to the zoning Regulations and Building Codesof Wheat Ridge, Colorado or. any other applicable
ordinances. of'. the City:'
a
2:. This permit shall expire 180 days from the issue date. Requests for an. extension must be received prior to expiration
date. An extension my be granted at the. discretion: of the. Building. Official.
3.. If this permit expires, a new permit may be acquired for a fee of. one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year.'.' If. changes have been . or if suspension or abandonment exceeds. one (.1) year, full fees, shall
be paid for a new permit. -
4.!.Nowork of any. manner shall. be. done that-will. change... the.. natural flow. of.. water causing a drainage. problem. 3
5.. Contractor shall: notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding: with successive' phases. of the job.
6 The issuance of a permit or the approval of drawings and specifications shall not be construed' to be a permit for, nor
an approval of, any. violation of, the provisions of. the building codes or any other ordinance, law, rule or regulation.
All plan. review is..s je -o. field inspections.
Signature of Chief Offimal date
INSPECTION R EST. LINE: .(303)234-5933 BUILDING OFFICE: (303)235-2855
.
REQUESTS:MUS BE. MADE BY.3PM ANY .BUSINESS-.DAY.. FOR. INSPECTION. THE. FOLLOWING BUSINESS DAY.
,
WHIzgT-
of City of Wheat Ridge Building Division
' m 7500 W. 29d`Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
00 ~ ° Inspection Line: 303-234-5933
~ORP~
~
Building Permit Application
Date:
Plan
Permit M,
of6:me yF~ ldress ~ U Js rs ~ATQI~ .
Property Owner (please prino: 11 \ kR M\-nsi& , Phone 6 o : 1 Q , 6sS
Mailing Address: (if different than property address)
Address: '
City, State, Zip: 0trecio
Contractor License Phone:
Sub Gon~tc?
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval Approval: Approval _
~ f "(as calculated per the Buutli I9 Valuation Data sh
Use of space (description): -4 P pan lculatw (due at Bu
"j eet)
/o time ofsubmiltaq:$
Sq. Ft./L.Ftadded: Squares 8TU's~,1 uK Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject boAsIdAllEpection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE o R (CO RATOR)
PRINT NAME: _~jfa~ ff\qTI--DLl- SIGNATU Date: _31Q_41
. ""01'~" ~'!lI1l~'~IiI!' l~lII,!""".!l:l,llt",~"""" "Y""""'."'"",,'F""""""">"''''''''''''''''''''~''' ."""""",,,,,,,,,,,,,,,,,,,,",4,,,,,,,,,.,,.,",,,,,,,,,,,,",y,,y.~I,,,,,,,,,J,~~UI.1<!
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 6666
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 2/27/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 2855 I;aton Street
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 233-3751
Phone:
Construction Value :
Permit Fee :
Plan Review Fee:
Use Tax :
Total:
$3,500.00
$75.50
$0.00
$87.50
$163,00
I hereby certify that the setba~ distances proposed by this parmR application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
<>>venants, easements or restrtcllons of record; that all measurements shown, and allegations
made are accurate; that I have ~ and agree to abide by all conditions printed on this
applicallon, and that I assume foil resPonsibility for compliance with the Wheat Ridge Building
Code (U..B.C.) and aU <>ther applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Desl:ription :
Use:
Replacement structure due to fire, footing foundation and floor was not damaged, 24' X 28' garage, 1
16' door, 1 walk in door and 1-3' X 5' window
BUILDING DEPARTMENT USE ONLY
Approval: SM
Zoning: R1C
SIC: Sq. Ft. :
~~J!iC~~~t5~~mJ~g~~~~~w:::~~rr~one
;../(/ .fl
- [e IH r]17k. 1-oy OWI1a.--
ro ct/J-I/ t11e f"e:
j Y/?/C-C l-;oY/5
Roof:
Approval:
O(:cupancy : Walls:
Electrical License No :
Company:
Plumbing License No :
Company:
iG,C
EXpiration Date :
Approval:
Expiration Date:
Approval:
(1) This permit __ In lIOCOI'dsn<:e with the provisions oe1forth In yopur sppl_
Regulations snd Bulldlno coo. 01 Whe$l RIdge. ~ or.ny other _bIB onl
(2) This penn" .ha11 axpIr9l1 (Al the work authoriZed Is not commenced _1'; Ilxly (80)
._ for. pertod oIl~ d~. .
(3) "thlo perm" axplres. a new permit may be acquired lor a fee of ona-half the amount
original plans and s..-.Jfk.aUwu& and any 8usoension or abandonment has not
excaeds one (1) year, lull feea _ be paid (or a new permlL
(45l No work 01 any manner _ be donolhal will change the natural_ 01_ caualng
( COntractor Shall noIIfy the BulIdIno I~ twenty.lour (24) houro In advance 1or.1I In
(6) =::e :~~~~~diawlng. and specifications shaM not be
0I1ho bu ~.Iaw, ruIoor regulation.
C' uilding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHI
CALL: 234-5933 24 HOURS PRIO
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: :J.. - 2.S"-1ff
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
propertyowner:~.c'L """'-f ~~. ~
Property Address: :) 3 ~ 5" e: tLt:iin ~, Phone:
Contractor License No.: ~ 0#~.4 "I ~
Company : (J2~ Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
;;;. 3 3- 3 1.:S- /
.rdcl~
I hereby certify that the setback. distances proposed by this permit application are accurate,
and do not violate applicable ordinances. rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate: that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable heat Ridge ordinances. for work under this permit.
Construction Value:
Permit Fee:
5/
Use Tax:
(OWN:..~"l^CTeR) SIGNE
~ .~ A./.v '
..~ ~D 1..--"-,, '<-'1. ~~
Descri~tion: tvn.&. ~ p~ . ctMna~t.
p't.f').. :;2g)~/ 6-rt...e.. 1(.;~1-'-~'" J~'1u
. 1 ,," I _/ f ..J
Total:
I (.,Q?,~ $0.00
ATE :).-l%~'l
Use:
~,u~~
1~~LjX:2f'
BUILDING DEPARTMENT USE ONLY
~1M::'~9.llJ.l.lI!DW 'L/2.& /Cl6
, '
Approval: %t1A- .~~ ~_;/ /y, _I: .
." - (J.j~)'
ZOning: ,R' c.,..... c,CV>&Ur!-' ~ ~~~ 51 ~ n<Wft.1 r"....j? ~ ~ .
ID!.Imtl.!m.a~nllit~Il.tS:;J ( 7j7IP /'1.~ - ~u........... u....U tv qfrj,.~w.~ @c~ Je;.!-.,., ~",....,
Approval: ~~ ")CVl.4-'ts<- w S' ~ Wh't'tt [(de f'v",p . L~ ~ .
SIC:
Sq. Ft.: ft>72.. tf
e.g.mrC1..WQ~~lIJf,ll~J!SlI
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval :
Expiration Date:
Approval :
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth In yapur application and Is subject to the laws of the State of Colorado and to the Zoning
Regulations and Bulldin9. Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authorized Is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended Of
abandoned for a period of 120 days.
If this permit expires, a new permIt may be acquired for a fee of one-half the amount normally required. provided no changes have been OC' will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem,
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for all Inspections and shall receive written approval on Inspection card before
proceediing with successive phases 0' the/'ob,
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
l~l
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
Dl:sigu Works (R), Hugh M. Woods, , # 143, Phone # 238-8291
MOB Feb '09 13:28:56 19980
The materials in this garage will cost $3835.06
Plan ID: CQ3968
Drawing: 3-Dimensional View
* Ask For A Construction Detail Sheet Before You Begin Your Project
Dc:sig.n'Works (R), Hugh M. Woods" # 143, Phone # 238-8291
Moo. Feb '0913:28:56 19980
Plan ID: CQ3968
Front View
10
II:>
24'
-
o
lD
.Z'
De.sign. Works (R), Hugh M. Woods" # 143, Phone # 238-8291
Mon Feb '0913:28:56 19980
Plan ID: CQ3968
Back View
-
,
r
io
'"
24'
Design- Works (R), Hugh M. Woods" # 143, Phone # 238-8291
MOD Feb '0913:28:56 19980
Plan ID: CQ3968
Right View
II II u
......... w."
.,.,.,.:.,.,.:.,.,.:.:.;.:.,..... ........ .
w
L
fa
10
28'
Desigb Works (R), Hugh M. Woods" # 143, Phone # 238-8291
Mo'u Feb'0913:28:56 19980
Plan ID: CQ3968
Left View
&:.
0:.
I
26'
PERMIT TRACKING FORM
ADDRESS ~'3S5 C2r? :t-{)[\ * e,e' t-
DATE SUBMITTED 2 - 25 -'11PERMIT NUMBER (d,,{nh 1YPE OF PERMIT Clar(l1~
CONTRACTOR ("'l \., ')l\..p -'\f" PHONE
. OWNER rvv-r-4--h ~ ~ ~ ~~ PHONE ~:33' 3 75/
1YPE OF REQUEST ~ Jp\ { h A.. yJ \ ')1\:3 CLrC.l. 3<"" .
'-'Jlld~;:\ .::\\, C'~9, DATE AND REASON FOR PERMIT DENIAL
REQUIRED CONDITIONS MET PRIOR TO PERMIT APPLICATION 7 YES NO N/A
CONDITIONS OF APPROVAL
DATE IN DATE OUT
.,;l --15-9 ;Y adl-C{'C,
I BUILDING DEPARTMENT
0 ENGINEERING DEPARTMENT
% PLANNING DEPARTMENT
0 FIRE DEPARTMENT
0 CI1Y ARBORIST
0 POLICE DEPARTMENT
0 SEWER DISTRICT
0 WATER DISTRICT
0 OTHER
J. . ~ It, -<4<20 d-,- ,} G: C\ L) ::-,\\\
CERTIFICATE OF OCCUPANCY / CERTIFICATE OF COMPLETION
DATE IN DATE OUT
o BUILDING DEPARTMENT
o ENGINEERING DEPARTMENT
o PLANNING DEPARTMENT
o FIRE DEPARTMENT
DATE CERTIFICATE OF OCCUPANCY / CERTIFICATE OF COMPLETION ISSUED
TEMPORARY CERTIFICATE OF OCCUPANCY
DATE IN
DATE OUT
o BUILDING DEPARTMENT
o ENGINEERING DEPARTMENT
o PLANNING DEPARTMENT
o FIRE DEPARTMENT
PLANNING ESCROW CONDITIONS
AMOUNT
ENGINEERING ESCROW CONDITIONS
AMOUNT
DATE EXPIRED
DATE TEMPORARY CERTIFICATE OF OCCUPANCY ISSUED
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DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILOING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION
7500 WEST 29th AVENUE
237-6944 EXT. 255 P,O. BOX 638
BUSINESS NAME ADDRESS
COPY OF DEED ANO IMPROVEMENT SURVEY REQUIREO
REAR PROPERTY LINE
PERMIT NO. B93#4842
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SPECIFY NORTH
FRONT PROPERTY LINE
STREET NAME E'l:>...,D...:l Co\ (CIRCLE FRONT) N@ S W
SHOW DISTANCES FROM THE MAIN 8UILDING TO ADJOINING HOUSES. STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
LEGAL DESCRIPTION
OWNERS NAME
CONTRACTOR L1C. NO. METES AND BOUNDS DESCRIPTIg,N ATTACHED
ADDR~ PHONE ;;l33 - ~15/ ADORESS ~ '3s.~ l::.a.2;;,.,. AT;-
CITY ao ZIP CODE <;]O")./i/ LOT NO. ~ 7 BLOCK NO. h
LOT WIDTH DEPTH AREA SUBDIVISIO~~~ FILING
'~ID1CATE THOSE OF THE FOLLOWING OFF. SITE IMPROVEMENTS NOW EXISTING:CurbaGutter_StreetPovino~Woter~Sewer VStormDrainD9'~
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING' YES_NO V
ARE THEFtE ANY SPECIAL ASSESSMEN AGAINST THIS PROPERTY' YES_NO V
~
<1, ' ,
l.dlNtRIOR MATERIALS' WALLS .'f".I//YYYIv, ROOF{~A' T.; -1
OCCUPANCY
STORIES. ~ UNITS I~ REMARKS'
OWNER! CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the above setback distances shown on this permit application ore accurate. and do not violate
clpplicoble ordinances, rules or regulations of the City of Wheat Rdoe or covenants, eosements or restrictions of re-
cord; thot all meosurements shown, and allegations mode ore accurate; that I hove read and agree to abide by 011
conditions printed on this application, that I assume full res onsibility for compliance with the Wheat Ridge
building Code (U.B.C,) and 011 other ap I ble Wheat Ridge or non s, for ork under this permit.
I
(OWNER)(CONTRACTOR) SIGN
PERMIT FEE
USE TAX
TOTAL FEE
NOT
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-rz.~TE
ING DEPARTMENT USE
// / - 93
ONLY
THE PROPERTY LOCATED AT ~ &.\ eo r,. ~-
IS PRESENTLY ZONED)f-\L./ ~\?\ lP.2..5' ."')~
THE PROPOSED USE ( vr!;) (_IS NOT) ALLOWED UNDER THE ZONING ORDINANCE,
COMMENTS'
THIS PERMIT WAS ISSUED IN ACCORDANCE WITH THE PROVISIONS SET FORTH IN YOUR APPLICATION AND IS SUBJECT TO THE LAWS OF THE STATE OF COLORADO
AND TO THE ZONING REGUL.ATIONS AND BUILDING CODE OF WHEAT RIDGE, COLORADO OR ANY OTHER APPLICABLE ORDINANCES OF THE CITY.
(21 THIS PERMIT SHALL EXPIRE IF (Al THE WORK AUTHORIZED IS NOT COMMENCED WITHIN SIXTY {60l DAYS FROM ISSUE DATE OR (8) THE BUII"DING AUTHORIZED IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS,
(3) IF THIS PERMIT EXPIRES, A NEW PERMIT MAY BE ACQUIRED FOR A FEE OF ONE-HALF THE AMOUNT NORMALLY REQUIRED, PROVIDED NO CHANGES HAVE BEEN OR WILL
BE MADE IN THE ORIGINAL PLANS AND SPECIFICATIONS AND ANY SUSPENSION OR ABANDONMENT HAS NOT EXCEEDED ONE (l) YEAR. IF CHANGES ARE MADE OR IF
SUSPENSION OR ABANDONMENT EXCEEDS ONE (I) YEAR, FULL FEES SHALL BE PAlO FOR A NEW PERMIT,
(4) NO WORK OF ANY M NNER SHALL BE DONE THAT WILL OBSTRUCT THE NATURAL FLOW OF WATER CAUSING A DRAINAGE PROBLEM.
Uu CONTRACTOR 5 NOTIFY T E BUILDING INSPECTOR T ENTY-FOUR (24) H S IN ADVANCE FOR INSPECTIONS AND SHALL RECEIVE WRITTEN APPROVAL
ON INSPECTJO CA 0 BEFO ROCEEDING WITH suee SIVE PHASES OF T OB
sa FT
BASEMENT-ROUGH
BASEMENT -FINISHED
GROUND FLOOR
~;ECOND FLOOR
I;ARAGE
OTHER
OTHER
BUILDING COST $ \. Cx:?0
PLUM);lING PERMIT
STATE Nd. Illl 'I1f CITY NO.1 ? :;r., ~
PLANS REVIEWED (_OK)(_NDT OK)
ELECTRICAL PERMIT
STATE No.3? tf},{ CITY NO.
PLANS REVIEWED_ (_OK)(_NOT OK)
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT
PERMIT ISSUED TO Fro4;- ~ft ~1"- ('(,,,-
PER REQUEST AS PER PLANS N6.
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
NO PLANS NEEDED_
PLANS NEEDED PRIOR TO ISSUANCE OF
PLUMBING PERMIT
ERMIT ISSUED TO C, (U> I r:: It f l-P. '1
PER REQUEST AS PER PLANS NO
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
,
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DATE
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MECHANICAL PERMIT
CITY NO.
PLANS REVIEWED_ (_OK) (_NOT OK)
NO PLANS NEEDED_______
PLANS NEEDED PRIOR TO ISSUANCE OF
MECHANICAL PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO.
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
CHIEF BUILDING INSPECTOR
BY
DATE
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Reception No..........................,........,....,. .........:...,.,..CDJ.lntY,.Q.f.,J,q.u.~f. ~Qr.,',S.\.~,!. ~ ..O.jIf1,~brd.r.
Tills DEED, Made this 4th day of
between
FILING STAMP
May
,1978
PEARL F. BASHER
1-1
of the County of Arapahoe
Co,lorado, of the first part, and
HARRY A. JOHNSON and BETTY J. JOHNSON
2235 Nelson Court, Lakewood, CO 80215
and State of
of the County of
CCllorado, of the second part:
Jefferson
and State of
WITNESSETH, that the said party of the first part, for and in coneideration of the sum of ($ 32,500.00)
THIRTY TWO THOUSAND FIVE HUNDRED AND NO/lOO'rHS - DOLLARS
and other good and valuable considerations to the said party of the first part in hand paid by the said parties of the
8E~ond part, the receipt whereof is hereby confessed and acknowledged, has granted, bargained, sold and conveyed,
8Jld by these presents does grant, bargain, sell, convey and confirm unto the said parties of second part, their
h~~irs and asaignB forever, not in tenancy in common but in joint tenancy, all the following described lot or
Pll.reel of land, situate, lying and being in the County of Jefferson and State
oj~ Colorado, to wit:
Lots 6 and 7, Block 6, LAKESIDE RESUBDIVISION OF
BLOCKS 1 to 7 and the North half of Block 8,
in the original platting of Lakeside
County of Jefferson,
State of Colorado
2855 Eaton Street
TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise
appertaining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and
all the estate, right, title, interest, claim and demand whatsoever of the said party of the first part. either in law or
equity, of, in and to the above bargained premises, with the hereditaments and appurtenances.
TO BA VE AND TO BOLD the said premises above bargained and described. with the appurtenances, unto the
s:!Ild parties of the second part, their beirs and assigns forever. And the said party of the first part, for himself, his
heirs, executors, and administrators, does covenant, grant, bargain and agree to and with the said parties of the
sl~cond part, their heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized
of the premises above conveyed, as of good, Bure, perfect, absolute and indefeasible estate of inheritance, in law, in
flee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner
and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens,
tau, assessments and encumbrances of whatever kind or nature soever, except general taxes for 1978
,and all subsequent years, except easements, rights-of-way, reservations, restric
tions and protective covenants, and except zoning regulations, and no other
exceptions,
I.nd the above ba.rgained premises in the quiet and peaceable possession of the said parties of the second part, the
Burvivor of them, their assips and the heirs and assigns of such survivor. against all and every person or persons
l"wfully claiming or to claim the whole or any part thereof, the said party of the first part shall and will WARRANT
AND FOREVER DEFEND. The singular number shall include the plural, the plural the eingular, and tho u.e of any
gender shall be applicable to all genders.
IN WITNESS WHEREOF the said party of the first part has hereunto set hi. hand and seal the day and year
first above written.
:..~?,,;4~...........[SEALJ
Pearl F. Basher
.."......."........,............."..............,....,.............,................. [SEAL]
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'I.. " ,.;" a _"':.., ...\_ ~ ~" ss
: "::.~\".i/I,,-V,,~'9ountyof Jefferson .
: "~ri$; :fut-eg;:)~' '~~t was acknowledged before me this
. ~~~,~'fJ~,\~...ti+er
'J~~ommissl~ihs
-I",: ?p"..C").~". .,'
..........."...........""""............"",,',"...,...,",..............,".,.",[SEALJ
4th
day of
May
,19 78 ,
. 19 81 . Witness my hand and official .eal.
September
19
.",
Notar'J' Public
No. 921A. W.ARRANTY DUD.-To lola" Tan....u..
.U In' Datural penon 01' penOI>> here lnurt Dame or D&mH; if b,. persoD actin" In ~tath'. or offldaJ capaeJt7 or .. attomey.1D.tact,
'~n. mMri Dame of ~D. &I executor, attomq-ID-t.ct or oth.r cap.clU' or d.criptiOD I If bT qofficer of corporation. theu' lnHn na.me of aucb
<dllll" or offl.,.., .. \b. p....ld.' or ou.... elfl..,. 01 '\lob OOI'PO...,IoIt, ....w.. n. 'tatu.tol7' Aokaowl...ut, .... 11.....1 Oolon.clo a.riMd
:Statuu. usa.
!
GILLAN'S ENGINEERING, INC.
....6...
,
8471 Turnpike Drive, Suite 200' Westminster, CO 80030' 13031426-1731
IMPROVEMENT LOCATION CERTIFICATE
Address:
Borrower(s):
Title search by:
Commitment no.
Legal Description: PER CLIENT
LOT 6 AND 7, EXCEPT THE
REAR 8 FEET OF BLOCK 6,
LAKESIDE RESUBDIVISION,
COUNTY OF JEFFERSON,
STATE OF COLORADO.
2855 EATON ST
JOHNSON
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It is our interpretation thai the above described property N I A
in accordance widl the current HUD Pederal AdmillistratioD Rood HI.d Boundary maps.
Map Daled
N/A
, Mop No.
On the basis of my knowledge, information and belief I hereby ~ify thai thi, improvemenllocalion cer1ificale wu prepared ror
. Zone
JOHNSON
N/A
located within a 100 year nood hazard boonclary
N/A
I
under my supervision and that it is not a Land Survey PIal or Improvement Survey Plat, and that it is not 10 be r~ljed upon for the e$tahlishmenl of
fcnce, building, cr other future improvement lines. I further certify that the improvements OD the above de.!cribed parcel on this dale, except utilily
connections and fencea: and landscaping, are entirely within the boundaries of the parcel, except u .mown, thallhere are no enaoachmenu upon the
described premises by improvement.! on any adjoining premises, except u indicated, and that lher~ is no apparent evidence or sign of any ea.,emcnl
cro",sing or burdening any rut of said parcel. except u note. ~Notice: According 10 Colorado Law you mlL" commence any legal '. .pas~d upon
any defect in this survey wilhin three yeats after you first discover sud! defecl. In no event, may any action t..,ed upon a~_y . ~~ tJl~,.bc
commenced more than len year! from the date of the certification shown hereon," ,'. <?-\lo- \~.. 7 . ~. ,) l, t~
<;)/~ \\(~,\~)< -5"~..
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Job No.: 11534-93 3:5 ~';~)
Fee: $90.00 ~:~ 29043 ~if
; !.i..
CENSUS TRACT NO.
107.02
DATE
L-29264
$2.00. j)
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Reception No........."....,....................,.... - .........:.....".CD.untY..O.!..J~.u.~f.~9.D,.,~.!,~,t.e.,~,!n;.~brder.
Tms DEED, Made this 4th day of
FILING STAMP
May
,1978
bE!tween
l'EARL F. BASHER
1-1
of the County of Arapahoe
Ci)lorado, of the first part, and
HARRY A. JOHNSON and BETTY J. JOHNSON
2235 Nelson Court, Lakewood, CO 80215
and State of
oj~ the County ot
Golorado, of the second part:
Jefferson
and State of
WITNESSETH, that the said party of the fir.t part, for and in con.ideration of the sum of ($32,500.00)
THIRTY TWO THOUSAND FIVE HUNDRED AND NO/lOO'rHS - DOLLARS
and other good and valuable con.lderation. to the .aid party of the fir.t part In hand paid by the .aid partie. of the
sl:!cond part, the receipt whereof is hereby confessed and acknowledged, has granted, bargained, Bold and conveyed,
and by these presents does grant, bargain, Bell, eonvey and confirm unto the said parties of second part, their
heirs and assigns forever, not in tenancy in common but in joint tenancy, all the following described lot or
parcel of land. .Ituate, lying and being In the County of J e f f er s on and State
o:f Colorado, to wit:
Lots 6 and 7, Block 6, LAKESIDE RESUBDIVISIQN OF
BLOCKS 1 to 7 and the North half of Block 8,
in the original platting of Lakeside
County of Jefferson,
State of Colorado
2855 Eaton Street
TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise
appertaining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and
all the estate, right, title, interest, claim and demand whatsoever of the said party of the first part, either in law or
equity, of, in and to the above bargained premises, with the hereditaments and appurtenances.
TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the
said parties of the second part, their heirs and assigns forever. And the said party of the first part, for himself, his
heirs, executors, and administrators, does covenant, grant, bargain and agree to and with the said parties of the
second part, their heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized
of the premises above conveyed, as of good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in
fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner
and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens,
t,ues, assessments and encumbrances of whatever kind or nature soever, except general taxes for 1978
and all subsequent years, except easements, rights-of-way, reservations, restric
tions and protective covenants, and except zoning regulations, and no other
e.xceptions,
a,nd the above bargained premises in the quiet and peaceable possession of the said parties of the second part, the
survivor of them, their assigns and the heirs and assigns of sueh survivor, against all and every person or persons
l"wfully claiming or to claim the whole or any part thereof, the .aid party of the first part shall and will WARRANT
AND FOREVER DEFEND. The .ingular number .hall Include the plural, the plural the singular. and the u.e of any
s'ender shall be applicable to all genders.
IN WITNESS WHEREOF the said party of the fir.t part has hereunto set his hand and .eal the day and year
first above written.
Signed, Sealed and Delivered in the Presence of
...~,?~""""...."",..[SEAL]
Pearl F. Basher
,.................',.."................,..,............'....'........................'. [SEAL]
..~:~,~~~tV:.l~.~~~'I"";,:;;.......................---.......................................... ........................................................................................ [SEAL]
/.~~..;:'.....f:'fil.......;;.." OF COLORADO }
, ,~ '" '_I, ,J.'49-~
".:5' ......,\\\.,~:r~l/?}(~~~t'~~~founty of Jefferson ss.
,:.~rh.:for"g,_ mskain:'nt was acknowledged before me thl. 4th day of May ,19 78 .
:i.f'Ji.,~~1\&. ,:l~~~er
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'1~:Commis.loi1~jie. September 19 ,19 81 . Witness my hand and official seal.
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Nota1'7 Public
No. 921A. W A.RRANTY DBED.-To Joint Teaanu.
-If by natural penon 01' penOD here In.en name or Dam.; if b)' penon ~ In ~tatfve or oftlclaJ. capacity or .. ..ttornq.ln-lact.
then ixlaen name of penon .. executor, attornq-bl-faet or other capacUr 01' d_crlp'tlOD; if b)' officer ot eorporatloD, then -innn DUIHI of web
e,ffleer 01' oifleen, .. the pruident 01' othft' offieen ot .ucb corponUoa. ~ It. 8tatuwr;r AckDOWleclcmell.t. See. 11.....1 Oo1orado 1LrriHcI
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GILLAN'S ENGINEERING, INC.
8471 Turnpike Drive, Suite 200' Westminster, CO 80030' (3031426-1731
IMPROVEMENT LOCATION CERTIFICATE
Address:
Borrower(s):
Title search by:
Commitment no.
Legal Description: PER CLIENT
LOT 6 AND 7, EXCEPT THE
REAR 8 FEET OF BLOCK 6,
LAKESIDE RESUBDIVISION,
COUNTY OF JEFFERSON,
STATE OF COLORADO.
2855 EATON ST
JOHNSON
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It is our interpretation thai the above described property N / A
in accordance wid. the current HDD Federal Administration Flood HUMd Boundary maps.
Map Dated
N/A
. Map No,
On lite buu: of my knowledge, information and belief I hereby certify thai this improvemenllocation certificate was prepared for
. Zone
JOHNSON
N/A
localed within a 100 year nood hazard boundary
N/A
under my supervision and that it is not a Land Survey PI. or Improvement Survey PIal, and that it is nollo he rl!lied upon for the l!Slablishment of
fence, building, or other (Ulure improvement line.!. I fmther certify that the improvements on the above de.olcribed plrcel on this date, except utililY
connections and fences and lambcaping, are entirely within the boundarie.! of the parcel. except a.s mown, that there are no enaoachmen'-' upon the
de.olcribed premises by improvements on any adjoiniDS p'emise.!, e:lll;cept u indicated, and that there is no apparent evidence or sign of any ea."emcnt
cro~!ling or burdening any put of said rared, except: a.s nolc. "Notice: According 10 Colorado Law you mu'" commence any lega' ~.pa.,~d uron
:my defecl in this survey wilhin three yellf.'l after you first discover such defecl. In no event, may any action wed upon a~y, .. ~~ fflf;;lJy.~
commenced more than ten years from lhe dafe of the certification shown hereon." . .'. ~~:':. ",. .... .:'''" \
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Job No.:
Fee:
11534-93
$90.00
CENSUS TRACT NO.: 107.02
DATE
DEPARTMENT OF PLANNING & DEVELOPMENT
REQUEST FOR PUBLIC WORKS REVIEW
Date:
j() -~7c:::e
-c~ - 7...::;.>
Case/Building Permit No.
693 ~6'V~
Location:
:2 8 $ d 6eej'{J--0--
Please review the attached materials submitted in application for approval
of a , and indicate your decision on those items
check below, and please add any other comments which you may have under
number 16.
..
L C] Boundary Closure:DOK l.JNot OK; refer to Stipulations
2. C] Area: Acres Square Feet
3.. D Drainage:
a. Drainage plan (and report) needed CJ
b. Drainage Plan not needed Y"(
c. Drainage provisions have been reviewed and are found to
be: a OK 0 Not OK; refer to Stipulations
4..
o Legal Description: n OK
If not okay, please exPlain:
o Not OK; refer to Stipulations
5. D Public Improvements:
a. Street Paving needed
c. Sidewalk needed
e. Storm Sewer needed
Escrow required, for
62- NN b. Curb &
Cf./ d. Street
Y ~ f. Escrow
what improvements? In
Gutter neede~
Lights needed Y
required Y
what amount?
N
dD
N
If
6. 1::1
Development Agreement required
If Yes, for
y
N
7.1::1 All necessary documents have been initiated by Public Works and are
attached hereto:
8. II
Is a traffic impact analysis and report required?
Y
v
9. D New roadway or alley R.O.W. dedication is recornrnended:~o
If yes, what is recommended;
lO.CJ All existing dedicated roadways and alleys meet the standards of
the City: "'..oJ
If no, which do not and what is requested:
11.0
12. a
All eXist~ and proposed dedications have been reviewed and found
to be: ~OK 0 Not OK; refer to numbers 8 & 9.
Approval: he Public Works Department has reviewed this request
and here y g es its pproval, subject to the above and/or attached
stipula io
/0. z7- 7:3
Date
request and does not
13.0
/. >0
Sf nature
The Publ c Works Department has reviewed this
approve for the reasons stated:
Signature
14. 0 Stipulations attached:
Date
Yes
67
15. CJ DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY:
16.. Summary Comments:
pc/reqPWreview
rev.Ol/89
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